TRPM7 kinase mediates hypomagnesemia-induced seizure-related death

Man Liu1, Hong Liu1, Feng Feng1

  • 1Cardiovascular Division, Department of Medicine, The Lillehei Heart Institute, University of Minnesota at Twin Cities, 2231 6th Street SE, CCRB 4-141, Minneapolis, MN, 55455, USA.

Scientific Reports
|May 15, 2023
PubMed

Insights

Low magnesium (Hypomagnesemia) can cause seizures and death. TRPM7 kinase activity contributes to these Hypomagnesemia-induced seizures and deaths, with inhibition reducing inflammation and oxidative stress.

Area of Science:

  • Neuroscience
  • Molecular Biology
  • Physiology

Background:

  • Hypomagnesemia (HypoMg) is linked to seizures and mortality, but underlying mechanisms remain unclear.
  • Transient receptor potential cation channel subfamily M 7 (TRPM7) possesses both Mg transport and kinase functions, implicating it in cellular Mg homeostasis.
  • The specific role of TRPM7's kinase function in HypoMg-related neurological complications requires elucidation.

Purpose of the Study:

  • To investigate the contribution of TRPM7 kinase activity to HypoMg-induced seizures and mortality.
  • To determine if inhibiting TRPM7 kinase function can mitigate HypoMg-induced neurological deficits.
  • To explore sex-based differences in HypoMg-induced inflammation and oxidative stress.

Main Methods:

  • Utilized wild-type and TRPM7 kinase-dead (TRPM7K1646R) mice fed a HypoMg diet for six weeks.
  • Monitored serum Mg levels, brain TRPM7 expression, seizure incidence, and mortality rates.
  • Assessed brain inflammation and oxidative stress markers, particularly in the hippocampus, with a focus on sex differences.

Main Results:

  • HypoMg mice exhibited decreased serum Mg, elevated brain TRPM7, and significant mortality, with females being more susceptible.
  • Deaths were preceded by seizures; TRPM7K1646R mice demonstrated resistance to seizure-induced death.
  • TRPM7 kinase inhibition suppressed HypoMg-induced brain inflammation and oxidative stress, which were more pronounced in female mice.

Conclusions:

  • TRPM7 kinase activity is a key factor in HypoMg-induced seizures and mortality.
  • Inhibiting TRPM7 kinase function offers a potential therapeutic strategy to reduce HypoMg-related neurological damage.
  • Sex-specific differences in hippocampal inflammation and oxidative stress highlight the complex interplay between HypoMg, TRPM7, and sex in neurological outcomes.