1. Hyperphosphatemia, hypocalcemia and increased serum potassium concentration as distinctive features of early hypomagnesemia in magnesium-deprived mice
- Author
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Jason M. Dey, Bernardo Ortega, Jacob R MacWilliams, and Valerie B Courtright
- Subjects
Male ,medicine.medical_specialty ,Time Factors ,Clinical Biochemistry ,Parathyroid hormone ,Biochemistry ,Hypocalciuria ,Hypomagnesemia ,Phosphates ,Excretion ,chemistry.chemical_compound ,Hyperphosphatemia ,Internal medicine ,Magnesium deficiency (medicine) ,medicine ,Animals ,Magnesium ,Molecular Biology ,Aldosterone ,Hypocalcemia ,Chemistry ,Body Weight ,Water-Electrolyte Balance ,medicine.disease ,Hyperphosphaturia ,Adaptation, Physiological ,Mice, Inbred C57BL ,Disease Models, Animal ,Fibroblast Growth Factor-23 ,Endocrinology ,Potassium ,Hyperkalemia ,Calcium ,medicine.symptom ,Magnesium Deficiency ,Biomarkers - Abstract
Magnesium-deficient patients show dysfunctional calcium (Ca(2+)) metabolism due to defective parathyroid hormone (PTH) secretion. In mice and rats, long-term magnesium (Mg(2+)) deprivation causes hyperphosphaturia and increases fibroblast growth factor 23 (FGF23) secretion, despite normal serum phosphate (Pi) and Ca(2+). Electrolyte disturbances during early hypomagnesemia may explain the response of mice to long-term Mg(2+) deprivation, but our knowledge of electrolyte homeostasis during this stage is limited. This study compares the effect of both short- and long-term Mg(2+) restriction on the electrolyte balance in mice. Mice were fed control or Mg(2+)-deficient diets for one to three days, one week, or three weeks. Prior to killing the mice, urine was collected over 24 h using metabolic cages. Within 24 h of Mg(2+) deprivation, hypomagnesemia, hypocalcemia and hyperphosphatemia developed, and after three days of Mg(2+) deprivation, serum potassium (K(+)) was increased. These changes were accompanied by a reduction in urinary volume, hyperphosphaturia, hypocalciuria and decreased Mg(2+), sodium (Na(+)) and K(+) excretion. Surprisingly, after one week of Mg(2+) deprivation, serum K(+), Pi and Ca(2+) had normalized, showing that mineral homeostasis is most affected during early hypomagnesemia. Serum Pi and K(+) are known to stimulate secretion of FGF23 and aldosterone, which are usually elevated during Mg(2+) deficiency. Thus, the hyperphosphatemia and increased serum K(+) concentration observed during short-term Mg(2+) deprivation may help our understanding of adaptation to chronic Mg(2+) deficiency.
- Published
- 2016