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2018 ; 19
(3
): ä Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Magnesium Replacement to Protect Cardiovascular and Kidney Damage? Lack of
Prospective Clinical Trials
#MMPMID29495444
Muñoz-Castañeda JR
; Pendón-Ruiz de Mier MV
; Rodríguez M
; Rodríguez-Ortiz ME
Int J Mol Sci
2018[Feb]; 19
(3
): ä PMID29495444
show ga
Patients with advanced chronic kidney disease exhibit an increase in
cardiovascular mortality. Recent works have shown that low levels of magnesium
are associated with increased cardiovascular and all-cause mortality in
hemodialysis patients. Epidemiological studies suggest an influence of low levels
of magnesium on the occurrence of cardiovascular disease, which is also observed
in the normal population. Magnesium is involved in critical cellular events such
as apoptosis and oxidative stress. It also participates in a number of enzymatic
reactions. In animal models of uremia, dietary supplementation of magnesium
reduces vascular calcifications and mortality; in vitro, an increase of magnesium
concentration decreases osteogenic transdifferentiation of vascular smooth muscle
cells. Therefore, it may be appropriate to evaluate whether magnesium replacement
should be administered in an attempt to reduce vascular damage and mortality in
the uremic population In the present manuscript, we will review the magnesium
homeostasis, the involvement of magnesium in enzymatic reactions, apoptosis and
oxidative stress and the clinical association between magnesium and
cardiovascular disease in the general population and in the context of chronic
kidney disease. We will also analyze the role of magnesium on kidney function.
Finally, the experimental evidence of the beneficial effects of magnesium
replacement in chronic kidney disease will be thoroughly described.
|Animals
[MESH]
|Apoptosis/drug effects
[MESH]
|Cardiovascular Diseases/etiology/metabolism/pathology/prevention & control
[MESH]