ARTICLE
Auteur(s) : Forrest H Nielsen
U.S. Department of Agriculture, Agricultural Research
Service, Grand Forks Human Nutrition Research Center, Grand Forks,
ND, USA
Based on dietary intake recommendations, subclinical or marginal
magnesium deficiency commonly occurs throughout the world. The U.S.
Food and Nutrition Board [1] set the Estimated Average Requirement
(EAR) for magnesium at 255-265 mg/day for females and
330-350 mg/day for males. In the U.S., NHANES
2005-2006 data indicated that usual magnesium intakes from
food of about 60% of all adults do not meet the EAR [2]. In
addition, it is estimated that about 10% of adults older than
19 years have magnesium intakes from food and water that are
only about 50% [2] of the U.S. Recommended Dietary Allowance (RDA)
of 310-320 mg/day for females and 400-420 mg/day for
males [1]. Yet, widespread pathological conditions induced by
magnesium deficiency have not been identified. An expert
consultation for the Food and Agriculture Organization/World Health
Organization concluded that evidence was lacking for nutritional
magnesium deficiency occurring with the consumption of diets
supplying a range of magnesium intakes sometimes considerably less
than the RDA for the United States and Canada, and the Recommended
Nutrient Intake (RNI) for the United Kingdom [3]. However, numerous
epidemiological and correlation studies suggest that a low
magnesium status is associated with several pathological conditions
including atherosclerosis, heart arrhythmias, hypertension,
osteoporosis, and diabetes mellitus [4-7]. Supplementation trials
and clinical studies have been inconsistent in showing that dietary
magnesium deficiency alone is involved in these conditions. This
inconsistency may be caused by other dietary factors ameliorating
or exacerbating the response to a marginal or subclinical magnesium
deficiency, and the length of the marginal deficiency, which, based
on some experiments with rats, may have a lower limit near 50% of
the requirement [8, 9].
A review by Schwartz in 1988 [10] found that high dietary
calcium, phosphorus, and protein enhanced the susceptibility to
magnesium deficiency, and that a diet high in saturated fats and
cholesterol precipitated magnesium deficiency. More recently, high
dietary sucrose and fructose have been found to increase indicators
of chronic inflammation and oxidative stress in magnesium-deficient
rats [11-13]. These findings support the conclusion by Vormann
et al. [8] that, based on changes in vitamin E, iron, and
malondialdehyde concentrations in tissues, mild magnesium
deficiency can be compensated and might not lead to pathological
conditions. They also suggested that a mild magnesium deficiency
might contribute to pathological biochemical effects if another
pathologic factor, such as increased oxidative stress, is
present.
A factor that can influence the presence of chronic inflammation
and oxidative stress is the dietary composition of fatty acids.
A high intake of n-3 long-chain polyunsaturated fatty
acids (PUFAs) relative to n-6 PUFAs has been found to decrease
the production of inflammatory eicosanoids (prostaglandins,
thromboxanes, leukotrienes, and other oxidized derivatives),
cytokines, and reactive oxygen species [14]. However, some studies
have found a high peroxidation index and oxidative stress with high
doses of n-3 PUFAs in some dietary conditions [15, 16].
Only a few studies have determined whether magnesium deficiency
affects fatty acid metabolism. These studies indicate that the
effect of severe magnesium deficiency may be different than a
marginal deficiency on fatty acid metabolism. A severe
deficiency (30 mg Mg/kg diet) of short duration (8 days)
increased oleic and linoleic acids and decreased stearic and
arachidonic acids in plasma of weanling rats [17]. In addition,
very low magnesium impaired the conversion of linoleic acid to
arachidonic acid in cultured arterial cells [18]. Severe magnesium
deficiency (10% or less the requirement) also decreased
sphingomyelin in serum [19] and erythrocyte membranes [20]. The
change in membrane lipids apparently affected membrane fluidity. In
contrast to the severe deficiency findings, more moderate magnesium
deficiency (110 mg Mg/kg diet) of relatively long duration
(14 weeks) increased the tissue levels of docosahexaenoic acid
in rats [21]. In addition, the amount of eicosanoids (e.g.,
prostaglandin E2, thromboxanes, prostacyclin) from
arachidonic acid was increased in plasma and tissues of rats fed
about 73 mg Mg/kg diet for 12 weeks [22]. Whether dietary
n-6/n-3 fatty acid composition affects the response to
magnesium deprivation, particularly marginal deprivation as would
be found in humans, apparently has not been determined.
Another factor that can affect the appearance of biochemical and
physiological changes in response to magnesium deficiency is the
length of time an organism is deprived. For example, Rude
et al. [23] found that changes in serum parathyroid hormone,
1, 25-hydroxyvitamin D3, and osteocalcin in rats fed 10%
of their magnesium requirement were different at 2, 4 and
6 months. Rayssiguier and Larvor [24] found that kidney
magnesium concentration changed from day 10 to day 30 of
magnesium deprivation. These studies also found that some signs of
magnesium deficiency became more severe over the course of the
deprivation. Plannells et al. [25] found that calcium balance
became more positive and phosphorus balance more negative during
weeks 8-10 compared to weeks 5 and 6 in rats fed
about 10% of their magnesium requirement. Biochemical changes over
time in response to a marginal magnesium deprivation apparently
have received limited attention.
The objective of the experiment described in the following was
to determine whether dietary n-6/n-3 fatty acid composition
may be a factor in the inconsistent response to marginal magnesium
deprivation (50% of requirement). Also, urinary variables were
measured at different times to determine whether the
characteristics of the response to marginal magnesium deficiency
may be dependent upon the length of deprivation.
Materials and methods
Experimental design
Female Sprague-Dawley rats (Charles River Laboratories, Wilmington,
MA) weighing 39-55 g were randomly assigned to four groups of
10 with mean weights about 46 g. The rats were fed diets
in a factorial arrangement with the variables being magnesium at
250 or 500 mg and either 75 g/kg corn oil or
65 g/kg fish (menhaden) oil plus 10 g/kg linoleic acid.
Linoleic acid was added with fish oil to assure that the diet
provided the linoleic acid requirement of 6 g/kg set for rats
by the National Research Council [26]. The n-6/n-3 fatty acid
ratio of the diet with corn oil was about 44 and with fish oil
was less than 0.5. The basal diet, which met all the nutrient
requirements set by the National Research Council [26] except
magnesium (250 mg/kg), is shown in table
1. To make diets containing 500 mg/kg magnesium,
0.42 g of MgO replaced 0.42 g sucrose per kg diet. The
diets were not pelleted and were stored at 16°C in tightly capped
plastic containers.
Five days during weeks 5 and 10 of the experiment,
food intake was determined. During weeks 8 and 12 of the
experiment, rats were placed individually in metabolic cages with
free access to deionized water but not food while urine was
collected for 16 hours in plastic test tubes kept on ice. The
urine was stored at - 70°C until analysis. After 13 weeks
on their respective diets, rats were weighed and anesthetized with
ether for the collection of blood from the vena cava with a
heparin-coated syringe and needle. After euthanasia by
decapitation, the heart, kidneys, liver, and spleen were collected,
blotted dry, weighed, and stored at - 70°C until analyzed. The
right femur and tibia and 4th lumbar vertebra with flesh
removed, and plasma (obtained by centrifugation) were collected and
stored at - 70°C until analyzed.
Table 1 Composition of basal diet.
|
Ingredient
|
g/kg
|
|
Vitamin-free casein
|
165.00
|
|
Sucrose
|
359.08
|
|
Fructose
|
100.00
|
|
Corn Starch
|
150.00
|
|
Cellulose (alphacel)
|
80.00
|
|
Oil‡
|
75.00
|
|
L-Lysine
|
5.00
|
|
L-Cystine
|
3.00
|
|
L-tryptophan
|
0.50
|
|
L-Isoleucine
|
5.00
|
|
MgO†
|
0.42
|
|
Mineral mix-1+
|
33.25
|
|
Mineral mix-2*
|
18.00
|
|
Vitamin mix#
|
5.00
|
|
Choline chloride
|
0.75
|
|
Total
|
1,000.00
|
Animal handling
The rats were housed individually in stainless steel cages in a
room maintained at 23°C and 50% humidity with a normal 12-hour
light and dark cycle. Food was provided in plastic food cups and
deionized water (Super Q, Millipore, Bedford, MA) in plastic water
bottles with metal stainless steel tubes. Absorbent paper under the
wire mesh cages was changed daily. Rats were weighed and provided
clean cages weekly.
The Animal Care Committee of the Grand Forks Human Nutrition
Research Center approved the study, and lawfully acquired animals
were maintained in accordance with National Institute Health
guidelines for the care and use of laboratory animals.
Biochemical analyses
Commercially available kits were used to determine plasma
cholesterol (kit #80015, Raichem, San Diego, CA), triglycerides
(kit #80009, Raichem, San Diego, CA), phospholipids (kit #
990-54009E, Wako Chemical, Richmond, VA) and C-reactive protein
(kit # 042-CRPR-25E, Alpco Diagnostics, Salem, NH), and urine
creatinine (Creatinine reagent #83069, Raichem, San Diego, CA),
prostaglandin E2 (kit #900-001, Assay Designs, Ann
Arbor, MI) and citrate (Cat #10 139 076 035,
R-Biopharm/Boehringer Mannheim, Marshall, MI). Extracellular
superoxide dismutase (ECSOD) activity was determined by assaying
the inhibition of acetylated cytochrome c reduction at pH 10.0, as
previously described [27, 28]. Plasma glutathione and cysteine were
determined by using the HPLC method of Durand et al. [29].
Magnesium analyses
Magnesium was determined by using inductively coupled argon plasma
emission spectroscopy (ICAPES) (Optima 3100 XL, Perkin-Elmer,
Shelton, CT) that employed a Gem cone nebulizer with a cyclonic
spray chamber and an alumina injector tube. Magnesium was measured
by using line 279.077 nm with a limit of quantification of
0.659 μg/mL. Magnesium was determined in urine diluted
1:5 with deionized water. Seronorm normal urine (SERO,
Billingstad, Norway) was used as the quality control standard;
analyzed value obtained was 71 ± 0.8 μg/mL vs a certified
value of 70.1 ± 2.5 μg/mL. Femurs, tibias and vertebrae
(cleaned to the periosteal surface with cheesecloth) and kidneys,
livers and hearts were lyophilized and then subjected to a wet-ash,
low-temperature digestion in Teflon tubes [30] before analysis.
Standard reference material (National Institute of Standards and
Technology, Gaithersburg, MD) #1577b bovine liver was used as the
quality control standard; mean analyzed value for all magnesium
determinations was 591 ± 31 μg/g vs certified value of 600 ±
15 μg/g.
Statistical analysis
Data were statistically compared by using two-way analysis of
variance (SAS/STAT, Version 9.2, SAS Institute, Inc., Cary, NC)
followed by Tukey’s contrasts when appropriate. Values more than
two standard deviations from the mean were considered outliers and
not included in the analyses. A p value of ≤ 0.05 was
considered significant.
Results
Statistically, neither marginal magnesium deficiency nor a
difference in dietary n-3/n-6 fatty acids affected the final
weights of the rats (table 2). However,
the rats fed the fish oil diet with adequate magnesium appeared to
weigh more than any other group (275 g vs 244-246 g; Mg ×
oil, p < 0.06). Organ weight/body weight ratios were
significantly affected by the difference in dietary
n-6/n-3 fatty acids but not by marginal magnesium deficiency
(table 2). Both liver weight/body weight
and spleen weight/body weight ratios were significantly higher, and
the heart weight/body weight ratio was lower in rats fed fish oil
instead of corn oil. Neither dietary magnesium nor oil affected
kidney weight/body weight ratio.
A difference in dietary n-6/n-3 fatty acids also affected
plasma lipids (table 3). Feeding fish
oil instead of corn oil decreased plasma cholesterol and
phospholipid concentrations; marginal magnesium deficiency did not
affect these plasma lipids. Neither dietary oil nor magnesium
significantly affected plasma triglycerides (data not shown).
Dietary fish oil instead of corn oil decreased the inflammatory
biomarker C-reactive protein; marginal magnesium deficiency did not
affect this variable (table 3). The
effect of a difference in dietary n-6/n-3 fatty acids on
oxidative stress indicators was influenced by dietary magnesium
(table 3). Extracellular superoxide
dismutase was significantly higher when dietary corn oil instead of
fish oil was fed to marginally magnesium- deprived rats; this
difference was not seen in magnesium-adequate rats. Plasma
glutathione was increased by marginal magnesium deprivation in rats
fed fish oil, but not in rats fed corn oil. Cysteine, which is a
component of glutathione, was significantly increased in plasma by
marginal magnesium deficiency in rats fed corn oil, but not in rats
fed fish oil.
Table 4 shows that the rats fed the
low magnesium diet had lower magnesium status. The concentration of
magnesium in femur, tibia and vertebra were decreased and in kidney
was increased in rats fed the low magnesium diet. The difference in
dietary n-6/n-3 fatty acids influenced the response to the low
magnesium diet. The decrease in femur magnesium and increase in
kidney magnesium induced by the magnesium deprivation was more
marked in rats fed fish oil. Feeding fish oil instead of corn oil
decreased the concentration of magnesium in liver. Neither dietary
oil nor magnesium deprivation affected heart magnesium
concentration. Both magnesium deprivation and the difference in
dietary n-6/n-3 fatty acids affected the urinary excretion of
magnesium (table 5). As expected,
magnesium deprivation decreased urinary magnesium excretion.
Feeding fish oil instead of corn oil also decreased the urinary
excretion of magnesium.
Two other urinary metabolites that have been reported elsewhere
to be affected by the dietary variables were affected here.
However, the effects of the dietary treatments changed over time.
Prostaglandin E2 was significantly decreased by the
magnesium deprivation at 8 weeks, but not at 12 weeks; a
significant increase (p < 0.02) between 8 and 12 weeks
in magnesium-deprived rats fed fish oil was the major reason for
this change in significance. Urinary citrate excretion was
significantly higher in rats fed fish oil instead of corn oil at
8 weeks, but there was only a tendency for this increase (p
< 0.10) at 12 weeks. Magnesium deprivation tended to
decrease urinary citrate excretion at 12 weeks (p < 0.07).
These changes appeared to be the result of a small non-significant
difference between 8 and 12 weeks in urinary citrate
excretion by rats fed the magnesium-adequate corn oil diet. If both
urine collections were combined for statistical comparisons, then
magnesium deprivation (p < 0.03) and corn oil instead of fish
oil (p < 0.009) decreased urinary citrate excretion.
Table 2 Effect of dietary magnesium, oil, and their
interaction on final weights, food intakes, and organ weight/body
ratios.
|
Diet
|
Weight, g
|
Food Intake, g/d
|
Organ weight, g/body weight, 100g
|
|
Mg, mg/kg
|
Oil
|
Final
|
Week 5
|
Week 10
|
Kidney
|
Liver
|
Heart
|
Spleen
|
|
250
|
Corn
|
246 ± 6
|
15.5 ± 0.4
|
15.0 ± 0.4
|
0.323 ± 0.007
|
2.37 ± 0.04
|
0.351 ± 0.009
|
0.213 ± 0.004
|
|
250
|
Fish
|
245 ± 7
|
14.6 ± 0.5
|
13.6 ± 0.5
|
0.336 ± 0.007
|
2.58 ± 0.06
|
0.336 ± 0.009
|
0.255 ± 0.007
|
|
500
|
Corn
|
244 ± 8
|
15.2 ± 0.7
|
15.1 ± 0.5
|
0.322 ± 0.010
|
2.42 ± 0.05
|
0.348 ± 0.007
|
0.214 ± 0.007
|
|
500
|
Fish
|
275 ± 11
|
15.1 ± 0.6
|
15.3 ± 0.6
|
0.313 ± 0.009
|
2.62 ± 0.08
|
0.324 ± 0.008
|
0.246 ± 0.005
|
|
Analysis of Variance – p values
|
|
Magnesium
|
0.09
|
0.90
|
0.09
|
0.18
|
0.43
|
0.37
|
0.50
|
|
Oil
|
0.08
|
0.40
|
0.25
|
0.80
|
0.001
|
0.03
|
< 0.0001
|
|
Mg × Oil
|
0.06
|
0.48
|
0.13
|
0.20
|
0.97
|
0.57
|
0.41
|
Table 3 Effect of dietary magnesium, and their
interaction on plasma lipids and indicators of oxidative stress.
|
Diet
|
Plasma
|
|
Mg, mg/kg
|
Oil
|
Cholesterol, mg/dL
|
Phospholipids, mg/dL
|
ECSOD, U/mL
|
CRP, μg/mL
|
Glutathione, μM
|
Cysteine, μM
|
|
250
|
Corn
|
65 ± 3
|
124 ± 3
|
153 ± 5a
|
269 ± 14
|
15.2 ± 1.2
|
283 ± 9a
|
|
250
|
Fish
|
36 ± 2
|
74 ± 5
|
117 ± 7b
|
213 ± 15
|
18.4 ± 1.6
|
244 ± 8b
|
|
500
|
Corn
|
58 ± 3
|
126 ± 8
|
122 ± 6b
|
267 ± 11
|
15.7 ± 1.3
|
233 ± 4b
|
|
500
|
Fish
|
36 ± 3
|
73 ± 3
|
130 ± 12ab
|
203 ± 16
|
13.6 ± 1.0
|
240 ± 10b
|
|
Analysis of variance – p values
|
|
Magnesium
|
0.28
|
0.95
|
0.29
|
0.71
|
0.12
|
0.002
|
|
Oil
|
< 0.0001
|
< 0.0001
|
0.10
|
0.0002
|
0.68
|
0.07
|
|
Mg × Oil
|
0.27
|
0.70
|
0.01
|
0.78
|
0.05
|
0.009
|
Table 4 Effect of dietary magnesium, oil, and their
interaction on indicators of magnesium status.
|
Diet
|
Magnesium
|
|
Magnesium, mg/kg
|
Oil
|
Femur, mg/g
|
Tibia, mg/g
|
Vertebra, mg/g
|
Kidney, μg/g
|
Liver, μg/g
|
Heart, μg/g
|
|
250
|
Corn
|
2.79 ± 0.05bc
|
2.62 ± 0.04
|
2.58 ± 0.05
|
821 ± 13a
|
771 ± 12
|
920 ± 12
|
|
250
|
Fish
|
2.54 ± 0.08c
|
2.64 ± 0.07
|
2.55 ± 0.08
|
856 ± 23a
|
744 ± 22
|
914 ± 7
|
|
500
|
Corn
|
2.93 ± 0.07ab
|
3.02 ± 0.06
|
2.88 ± 0.03
|
805 ± 8ab
|
766 ± 12
|
920 ± 8
|
|
500
|
Fish
|
3.16 ± 0.15a
|
2.93 ± 0.05
|
2.83 ± 0.03
|
751 ± 14b
|
686 ± 16
|
938 ± 10
|
|
Analysis of variance – p values
|
|
Magnesium
|
0.0004
|
< 0.0001
|
< 0.0001
|
0.0004
|
0.07
|
0.22
|
|
Oil
|
0.90
|
0.53
|
0.45
|
0.53
|
0.003
|
0.52
|
|
Mg × Oil
|
0.02
|
0.35
|
0.83
|
0.006
|
0.11
|
0.21
|
Table 5 Effect of dietary magnesium, oil and their
interaction on urinary excretion of magnesium, prostaglandin
E2 (PGE2), and citrate.
|
Diet
|
Urine, 8 weeks
|
Urine, 12 weeks
|
|
Mg, mg/kg
|
Oil
|
Mg, mg/mmol Cr
|
PGE2, μg/mmol Cr
|
Citrate, μg/mmol Cr
|
Mg, mg/mmol Cr
|
PGE2, μg/mmol Cr
|
Citrate, μg/mmol Cr
|
|
250
|
Corn
|
14.7 ± 2.8
|
0.93 ± 0.13
|
12.3 ± 1.8
|
12.6 ± 1.0
|
0.84 ± 0.14
|
12.3 ± 2.4
|
|
250
|
Fish
|
7.9 ± 1.5
|
0.73 ± 0.13
|
23.2 ± 5.8
|
9.9 ± 1.4
|
1.73 ± 0.47
|
23.1 ± 4.3
|
|
500
|
Corn
|
28.6 ± 3.3
|
1.30 ± 0.21
|
18.9 ± 3.2
|
25.1 ± 2.7
|
1.36 ± 0.19
|
24.1 ± 6.3
|
|
500
|
Fish
|
20.3 ± 2.4
|
1.03 ± 0.12
|
29.9 ± 7.1
|
19.2 ± 2.0
|
1.28 ± 0.11
|
29.1 ± 4.8
|
|
Analysis of variance – p values
|
|
Magnesium
|
< 0.0001
|
0.04
|
0.18
|
< 0.0001
|
0.89
|
0.07
|
|
Oil
|
0.007
|
0.14
|
0.03
|
0.03
|
0.10
|
0.10
|
|
Mg × Oil
|
0.78
|
0.80
|
0.99
|
0.41
|
0.05
|
0.54
|
Discussion
The decreases in urinary excretion of magnesium and the
concentration of magnesium in femur, tibia and vertebra indicate
that the rats fed the diet containing 250 mg/kg magnesium had
a decreased magnesium status that could be considered marginally
magnesium-deficient. This conclusion is supported by the finding
that rats fed a similar amount of magnesium (208 mg/kg diet)
for 30 days showed signs of magnesium deficiency, including
reduced tissue concentrations of magnesium [8]. However, dietary
oil apparently influenced several of the responses to marginal
magnesium deficiency, which have been inconsistently reported
elsewhere.
The rats fed the magnesium-adequate, fish oil diet tended to
weigh more than the other groups (Mg × oil, p < 0.06), which
suggests that fish oil vs corn oil might increase weight gain of
rats fed adequate magnesium, or that marginal magnesium deficiency
might decrease weight gain in rats fed fish oil. In either case,
the lack of a consistent significant effect of marginal magnesium
deficiency on weight gain is consistent with depressed growth being
found in some moderate magnesium deprivation studies but not in
others. Marginal magnesium deficiency did not depress the weight of
male rats whose dietary fat was palm oil [31], male rats whose
dietary fat was groundnut/corn oil [32], male rats fed a high
sucrose diet with soybean oil as the fat [21], or female rats fed a
high sucrose diet with corn oil or soybean oil as the fat [33, 34].
In contrast to females, male rats fed a moderately
magnesium-deficient diet with corn oil for 4-6 months
exhibited slightly depressed weight [23]. Moderate magnesium
deprivation also decreased weight in male rats fed a commercially
available magnesium-deficient diet [8]. Severe magnesium deficiency
usually depresses weight; much of this effect may be caused by
reduced food consumption [8, 24].
The increase in kidney magnesium found in marginally
magnesium-deficient rats in the present experiment may seem unusual
to those not familiar with the response of rats to magnesium
deprivation. However, reports by other researchers indicate that
kidney magnesium concentration can increase, not change, or
decrease in magnesium deprivation depending upon diet composition
and the severity of magnesium deficiency. Magnesium deprivation
increased kidney magnesium concentrations in rats fed a diet high
in fructose and with corn oil as the fat [35, 36]. Mild magnesium
deprivation decreased kidney magnesium in male rats whose dietary
fat was palm oil [31] and in severely deficient rats fed a high
sucrose diet with corn oil as the fat [37]. In another study,
severe magnesium deprivation depressed kidney magnesium at
10 days but not at 20 or 30 days [24].
In the present study, marginal magnesium deprivation did not
significantly affect any organ weight/body weight ratio determined.
This is not surprising because increased organ weight/body weight
ratio, including for kidney [35, 37], liver [11], and spleen [11]
usually is seen only when magnesium deprivation is severe enough to
induce a significant weight reduction.
Marginal magnesium deprivation also did not significantly affect
plasma lipids. This lack of an effect may have been caused by the
length of deprivation. A review by Rayssiguier [38] indicated
that a moderate magnesium deficiency of short duration increased
plasma triglycerides, which also occurs in severe deficiency, but
the increase was less intense in long-term experiments. Plasma
cholesterol, which is not markedly affected by severe magnesium
deficiency of short duration, is significantly increased in
moderate deficiency of long duration. Additional time may have
resulted in the higher plasma cholesterol in marginal
magnesium-deficient rats fed corn oil becoming significant in the
present experiment.
Fish oil compared to corn oil appeared to have a more marked
effect on magnesium metabolism. This observation is based on the
findings that fish oil compared to corn oil, significantly
decreased urinary magnesium excretion independent of magnesium
intake and only fish oil significantly increased kidney magnesium
concentration in marginally magnesium-deficient rats. In addition,
fish oil compared to corn oil changed the distribution of magnesium
in the body. Femur magnesium was significantly decreased by
marginal magnesium deficiency in rats fed fish oil but not corn
oil, and liver magnesium concentration was decreased by fish oil
compared to corn oil. The reason for these changes is unclear but
may have occurred because fish oil reduced magnesium absorption
from the gastrointestinal tract, increased magnesium reabsorption
at the kidney level, or changed magnesium utilization such that a
different distribution in the body was needed.
One possible reason for the change in magnesium metabolism or
utilization when fish oil vs corn oil was fed may be a change in
lipid metabolism. The decreased plasma cholesterol and
phospholipids exhibited by rats fed fish oil suggests that cell
membrane lipid composition was changed, which could alter cellular
physicochemical properties [39, 40]. This change may have
influenced the conformation and function of membrane-bound proteins
[41], including ion channels and transporters, and thus altered the
cellular transport of magnesium. In addition, the turnover of
arachidonic acid, a membrane phospholipid, most likely was affected
by the change in dietary oil [14]. Additional indirect support for
the suggestion that dietary oil changed cell membrane lipid
composition or function in the present study is the finding of
decreased urinary PGE2 excretion by magnesium-deficient
rats at 8 weeks, which changed to an increased excretion in
magnesium-deficient rats fed fish oil at 12 weeks.
A change in cell membrane arachidonic acid would affect its
release induced by magnesium deprivation [42], and its conversion
into PGE2. In addition, a change in arachidonic acid may
affect the distribution of magnesium because arachidonic acid
apparently has a regulatory role in the Na+-dependent
efflux of magnesium into cells [42].
Another possible mechanism through which dietary fatty acids may
influence the response to a marginal magnesium deprivation is by
altering the response to oxidative stress, which should have been
increased by the feeding of a high fructose/sucrose diet in the
present study. Increased oxidative stress exacerbates magnesium
deprivation signs [11-13], but high intake of n-3 long-chain
PUFAs as fish oil in the present study may have changed this
response by further increasing [15, 16] or decreasing [14, 43] any
oxidative stress caused by the high fructose/sucrose diet. Fish oil
(high in n-3 PUFAs) decreased plasma CRP In the present study,
which suggests that it decreased oxidative stress. In rats fed fish
oil, plasma ECSOD and cysteine (a component of glutathione) were
not affected by marginal magnesium deficiency and plasma
glutathione was only mildly increased. In rats fed corn oil;
marginal magnesium deficiency significantly increased plasma ECSOD
and cysteine, and did not affect plasma glutathione. These findings
indicate a difference in oxidative stress and/or glutathione
utilization or metabolism, which may have affected magnesium
metabolism, utilization, and/or distribution, possibly through
altering membrane fluidity [44].
The urinary excretion of PGE2 data infer that the
response to marginal magnesium deprivation changes over time and
this may depend upon dietary fatty acid composition.
A difference in urinary citrate excretion, which may occur in
magnesium deficiency [45], may take extended time to develop; in
the present study, a non-significant difference (p < 0.18) at
8 weeks approached significance (p < 0.07) at
12 weeks. The significant change in urinary PGE2
excretion between weeks 8 and 12 in magnesium-deprived
rats fed fish oil indicates that the response to fish oil in
marginal magnesium deficiency apparently takes time to develop.
The findings in the present study support the contention that
the response to marginal magnesium deprivation depends upon other
dietary factors, including the fatty acid composition of the diet.
The findings also suggest that dietary or physiological factors
affecting oxidative stress could affect the response to marginal
magnesium deficiency. Moreover, a response to a dietary change that
takes time to develop, such as the response to an increase in
dietary n-3 PUFAs, may result in signs of marginal deficiency
being very different over time, or a low magnesium status may
modify the response to the dietary change. These modifying factors
may be a major reason for the difficulty in identifying signs of
marginal dietary magnesium deficiency in humans, and in
definitively concluding that inadequate dietary magnesium
significantly contributes to the occurrence of chronic diseases
such as atherosclerosis and osteoporosis.
References
1 Food and Nutrition Board, Institute of Medicine. Magnesium. In:
Dietary reference intakes for calcium, phosphorus, magnesium,
vitamin D, and fluoride. Washington DC: National Academy Press,
1997: 190-249.
2 Moshfegh A, Goldman J, Ahuja J, Rhodes D. Usual nutrient
intakes from food and water compared to 1997 Dietary Reference
Intakes for vitamin D, calcium, phosphorus, and magnesium. In: What
we eat in America, NHANES 2005-2006, 2009, U.S. Department of
Agriculture, Agricultural Research Service.
3 FAO/WHO Expert Consultation. Magnesium. In: Human vitamin and
mineral requirements. Geneva: Food and Agriculture
Organization/World Health Organization, 2002: 223-33.
4 Barbagallo M, Dominguez LJ, Galioto A,
Ferlisi A, Cani C, Malfa L, et al. Role of
magnesium in insulin action, diabetes, and cardiometabolic syndrome
X. Mol Aspects Med 2003; 24: 39-52.
5 Rude RK, Gruber HE. Magnesium deficiency and
osteoporosis: animal and human observations. J Nutr Biochem 2004;
15: 710-6.
6 Mazur A, Maier JAM, Rock E, Gueux E,
Nowacki W, Rayssiguier Y. Magnesium and the inflammatory
response: potential physiopathological implications. Arch Biochem
Biophys 2007; 458: 48-56.
7 Nielsen FH, Milne DB, Klevay LM,
Gallagher S, Johnson L. Dietary magnesium deficiency
induces heart rhythm changes, impairs glucose tolerance, and
decreases serum cholesterol in post menopausal women. J Am Coll
Nutr 2007; 26: 121-32.
8 Vormann J, Günther T, Höllriegl V,
Schümann K. Pathobiochemical effects of graded magnesium
deficiency in rats. Z Ernährungswiss 1998; 37 (Suppl 1): 92-7.
9 Rude RK, Singer FR, Gruber HE. Skeletal and
hormonal effects of magnesium deficiency. J Am Coll Nutr 2009; 28:
131-41.
10 Schwarz R. Magnesium. In: Smith KT, ed. Trace
minerals in foods. New York: Marcel Dekker, 1988: 117-55.
11 Busserolles J, Gueux E, Rock E, Mazur A,
Rayssiguier Y. High fructose feeding of magnesium deficient
rats is associated with increased plasma triglyceride concentration
and increased oxidative stress. Magnes Res 2003; 16: 7-12.
12 Chaudhary DP, Boparai RK, Bansal DD.
Implications of oxidative stress in high sucrose low magnesium diet
fed rats. Eur J Nutr 2007; 46: 383-90.
13 Rayssiguier Y, Gueux E, Nowacki W,
Rock E, Mazur A. High fructose consumption combined with
low dietary magnesium intake may increase the incidence of the
metabolic syndrome by inducing inflammation. Magnes Res 2006; 19:
237-43.
14 Calder PC. n-3 Polyunsaturated fatty acids,
inflammation, and inflammatory diseases. Am J Clin Nutr 2006; 83
(Suppl.): 1505S-1519S.
15 Meydani M, Natiello F, Goldin B, et al.
Effect of long-term fish oil supplementation on vitamin E status
and lipid peroxidation in women. J Nutr 1991; 121: 484-91.
16 Allard JP, Kurian R, Aghdassi E,
Muggli R, Royall D. Lipid peroxidation during n-3 fatty
acid and vitamin E supplementation in humans. Lipids 1997; 32:
535-41.
17 Rayssiguier Y, Gueux E, Cardot P,
Thomas G, Robert A, Trugnan G. Variations of fatty
acid composition in plasma lipids and platelet aggregation in
magnesium deficient rats. Nutr Res 1986; 6: 233-40.
18 Mahfouz M, Smith TL, Kummerow FA. Changes in
phospholipid composition and calcium flux in LLC-PK cells cultured
at low magnesium concentrations. Biochim Biophys Acta 1989; 1006:
75-83.
19 Altura BM, Shah NC, Jiang X-C, Li Z,
Perez-Albela JL, Sica AC, et al. Short-term
magnesium deficiency results in decreased levels of serum
sphingomyelin, lipid peroxidation, and apoptosis in cardiovascular
tissues. Am J Physiol Heart Circ Physiol 2009; 297: H86-H92.
20 Tongyai S, Rayssiguier Y, Motta C,
Gueux E, Maurois P, Heaton FW. Mechanism of
increased erythrocyte membrane fluidity during magnesium deficiency
in weanling rats. Am J Physiol 1989; 257: C270-C276.
21 Cunnane SC, Soma M, McAdoo KR,
Horrobin DF. Magnesium deficiency in the rat increases tissue
levels of docosahexaenoic acid. J Nutr 1985; 115: 1498-503.
22 Nigam S, Averdunk R, Gunther T. Alteration of
prostanoid metabolism in rats with magnesium deficiency.
Prostaglandins Leukot Med 1986; 23: 1-10.
23 Rude RK, Gruber HE, Norton HJ, Wei LY,
Frausto A, Mills BG. Bone loss induced by dietary
magnesium reduction to 10% of the nutrient requirement in rats is
associated with increased release of substance P and tumor necrosis
factor-α. J Nutr 2004; 134: 79-85.
24 Rayssiguier Y, Larvor P. Mineral bone composition
and some elements of calcium metabolism in magnesium-deficient
growing rats. Ann Biol Anim Bioch Biophys 1978; 18: 157-66.
25 Planells E, Aranda P, Perán F, Llopois J.
Changes in calcium and phosphorus absorption and retention during
long-term magnesium deficiency in rats. Nutr Res 1993; 13:
691-9.
26 National Research Council. Nutrient requirements of the
laboratory rat. In: Nutrient requirements of laboratory animals.
Washington, DC: National Academy Press, 1995: 11-79.
27 Crapo JD, McCord JM, Fridovich I. Preparation
and assay of superoxide dismutase. Methods Enzymol 1978; 53:
383-93.
28 Marklund SL. Analysis of extracellular superoxide
dismutase in tissue homogenates and extracellular fluids. Methods
Enzymol 1990; 186: 260-5.
29 Durand P, Fortin LJ, Lussier-Cacan S,
Davignon J, Blache D. Hyperhomocysteinemia induced by
folic acid deficiency and methionine load – applications of a
modified method. Clin Chim Acta 1996; 252: 83-93.
30 Hunt CD, Shuler TR. Open vessel, wet-ash, low
temperature digestion of biological materials for inductively
coupled argon plasma spectroscopy analysis of boron and other
elements. J Micronutr Anal 1990; 6: 162-74.
31 Nielsen FH. A mild magnesium deprivation affects calcium
excretion but not bone strength and shape, including changes
induced by nickel deprivation in the rat. Biol Trace Elem Res 2006;
110: 133-49.
32 Martin H, Uring-Lambert B, Adrian M,
et al. Effects of long-term dietary intake of magnesium on
oxidative stress, apoptosis and ageing in rat liver. Magnes Res
2008; 21: 124-30.
33 Rude RK, Gruber HE, Norton HJ, Wei LY,
Frausto A, Kilburn J. Dietary magnesium reduction to 25%
of nutrient requirement disrupts bone and mineral metabolism in the
rat. Bone 2005; 37: 211-9.
34 Rude RK, Gruber HE, Norton HJ, Wei LY,
Frausto A, Kilburn J. Reduction of dietary magnesium by
only 50% in the rat disrupts bone and mineral metabolism.
Osteoporos Int 2006; 17: 1022-32.
35 Koh ET, Min K-W. Fructose precipitates calcium
phosphate in the kidneys of female rats fed magnesium-deficient
diets. Magnes Res 1991; 4: 171-6.
36 Bergstra AE, Lemmens AG, Beynen AC. Dietary
fructose vs glucose stimulates nephrocalcinogenesis in female rats.
J Nutr 1993; 123: 1320-7.
37 Kasaoka S, Kitano T, Hanai M,
Futatsuka M, Esashi T. Effect of dietary magnesium level
on nephrocalcinosis and growth in rats. J Nutr Sci Vitaminol 1998;
44: 503-14.
38 Rayssiguier Y. Magnesium and lipid metabolism. In: Sigel H,
Sigel A, eds. Metal ions in biological systems. Compendium on
magnesium and its role in biology, nutrition, and physiology. New
York: Marcel Dekker, 1990; 26: 41-358.
39 Salem Jr N, Litman B, Kim H-Y,
Gawrisch K. Mechanisms of action of docosahexaenoic acid in
the nervous system. Lipids 2001; 36: 945-60.
40 Horrocks LA, Farooqui AA. Docosahexaenoic acid in
the diet: its importance in maintenance and restoration of neural
membrane function. Prostaglandins Leukot Essent Fatty Acids 2004;
70: 361-72.
41 Shaikh SR, Edidin M. Polyunsaturated fatty acids,
membrane organization, T cells, and antigen presentation. Am J Clin
Nutr 2006; 84: 1277-89.
42 Ikari A, Nakajima K, Suketa Y, Harada H,
Takagi K. Arachidonic acid-activated Na+-dependent
Mg2+ efflux in rat renal epithelial cells. Biochim
Biophys Acta 2003; 1618: 1-7.
43 Guillot N, Caillet E, Laville M,
Calzada C, Lagarde M, Véricel E. Increasing intakes
of the long-chain ω-3 docosahexaenoic acid: effects on platelet
functions and redox status in healthy men. FASEB J 2009; 23; (in
press).
44 Barbagallo M, Dominguez LJ, Tagliamonte MR,
Resnick LM, Paolisso G. Effects of glutathione on red
blood cell intracellular magnesium. Hypertension 1999; 34:
76-82.
45 Reungjui S, Prasongwatana V, Premgamone A,
Tosukhowong P, Jirakulsomchok S, Sriboonlue P.
Magnesium status of patients with renal stones and its effect on
urinary citrate excretion. BJU International 2002; 90: 635-9.
|