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Magnesium in Infectious Diseases in Older People
Ligia J Dominguez1, Nicola Veronese1, Fernando Guerrero-Romero2
1Geriatric Unit, Department of Internal Medicine and Geriatrics, University of Palermo, 90100 Palermo, Italy.
Abstract:
Reduced magnesium (Mg) intake is a frequent cause of deficiency with age together with reduced absorption, renal wasting, and polypharmacotherapy. Chronic Mg deficiency may result in increased oxidative stress and low-grade inflammation, which may be linked to several age-related diseases, including higher predisposition to infectious diseases. Mg might play a role in the immune response being a cofactor for immunoglobulin synthesis and other processes strictly associated with the function of T and B cells. Mg is necessary for the biosynthesis, transport, and activation of vitamin D, another key factor in the pathogenesis of infectious diseases. The regulation of cytosolic free Mg in immune cells involves Mg transport systems, such as the melastatin-like transient receptor potential 7 channel, the solute carrier family, and the magnesium transporter 1 (MAGT1). The functional importance of Mg transport in immunity was unknown until the description of the primary immunodeficiency XMEN (X-linked immunodeficiency with Mg defect, Epstein-Barr virus infection, and neoplasia) due to a genetic deficiency of MAGT1 characterized by chronic Epstein-Barr virus infection. This and other research reporting associations of Mg deficit with viral and bacterial infections indicate a possible role of Mg deficit in the recent coronavirus disease 2019 (COVID-19) and its complications. In this review, we will discuss the importance of Mg for the immune system and for infectious diseases, including the recent pandemic of COVID-19.
Insights
Magnesium (Mg) deficiency, common in aging, impairs immune function and increases infection risk. This review highlights Mg
Area of Science:
- Immunology
- Nutritional Science
- Gerontology
Background:
- Reduced magnesium (Mg) intake and absorption, common with aging, leads to deficiency.
- Chronic Mg deficiency is linked to oxidative stress, inflammation, and increased susceptibility to infections.
- Mg plays a crucial role in immune cell function, immunoglobulin synthesis, and vitamin D metabolism.
Purpose of the Study:
- To review the critical role of magnesium (Mg) in immune system function.
- To explore the link between Mg deficiency and infectious diseases, including COVID-19.
- To discuss Mg transport systems in immune cells and their relevance to primary immunodeficiencies.
Main Methods:
- Literature review of studies on magnesium, immunity, and infectious diseases.
- Analysis of Mg's role in immune cell processes and vitamin D activation.
- Examination of genetic defects in Mg transport and their clinical implications.
Main Results:
- Mg is essential for T and B cell function and immunoglobulin synthesis.
- Mg deficiency is associated with increased risk and severity of viral and bacterial infections.
- Genetic defects in Mg transport, like MAGT1 deficiency causing XMEN, reveal Mg's importance in immunity.
Conclusions:
- Magnesium is vital for a robust immune response and combating infections.
- Mg deficiency may contribute to the pathogenesis and complications of COVID-19.
- Maintaining adequate Mg levels is crucial for immune health, especially in aging populations.
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