Magnesium

From MEpedia, a crowd-sourced encyclopedia of ME and CFS science and history
Jump to: navigation, search

Magnesium (chemical or element symbol Mg) is an essential mineral in the human body. It plays a key role in DNA and RNA synthesis and in the production of ATP. It is a cofactor in more than 300 enzyme systems.[1]

Role in the body[edit | edit source]

Deficiency[edit | edit source]

Symptoms of magnesium deficiency include loss of appetite, nausea, vomiting, fatigue, and weakness. As magnesium deficiency worsens, numbness, tingling, muscle contractions and cramps, seizures, personality changes, abnormal heart rhythms, and coronary spasms can occur. Severe magnesium deficiency can result in hypocalcemia or hypokalemia (low serum calcium or potassium levels, respectively) because mineral homeostasis is disrupted.[1]

People with gastrointestinal[1] disorders and chronic fatigue syndrome are at higher risk of magnesium deficiency.

Deficiency increases the risk of osteoporosis. Magnesium supplementation may help prevent migraine.[1]

Forms of administration[edit | edit source]

Magnesium may be taken as an oral supplement but may not be well absorbed. Other forms of magnesium administration include transdermal magnesium and intramuscular magnesium injections.

Magnesium is hypotonic. Administration can cause water to flow into cells in the local area where it is applied, which can cause a temporary stinging sensation.

In human disease[edit | edit source]

Chronic fatigue syndrome[edit | edit source]

In 1991, Cox et al., performed a randomized, double-blind, placebo-controlled trial of 20 United Kingdom chronic fatigue syndrome (CFS) patients finding that the subjects with CFS had lower red blood cell magnesium than healthy controls. Patients treated with intramuscular magnesium sulphate for six weeks had higher self-reported energy levels, better emotional state and less pain on the Nottingham health profile when compared to placebo.[2]

In contrast, three subsequent case‐report studies, two in the UK (Clague et al., 1992[3] and Hinds et al., 1994[4]), and one in the Netherlands (Swanink et al., 1995[5]), did not find magnesium deficiency in CFS trial subjects.

X-MEN[edit | edit source]

A 2014 study found magnesium transporter issues were linked to chronic Epstein-Barr virus infection, decreased Natural killer cell function, and neoplasia (sometimes-cancerous growths).[6] This disorder, termed 'X-MEN' (for X-linked, EBV, and neoplasia) was identified as a recessive, X-linked disorder that would therefore be many times more common in men. Due to magnesium's role as a 'second messenger', this magnesium transporter disorder also would result in a primary immunodeficiency that would worsen with age.[6] Patients also have impaired T-cell activation and decreased natural killer (NK) cell function due to a decreased expression of "the NK stimulatory receptor 'natural-killer group 2, member D' (NKG2D)."[7] Although T-cells are affected, there is no direct evidence of B-cell effects in X-MEN disease.[7]

Since chronic Epstein-Barr virus infection has been associated with chronic fatigue syndrome, this error in magnesium transport may be worth considering in male patients, especially with slow onset and history of childhood infection.[6]

Mast cell activation disorder[edit | edit source]

Magnesium is a cofactor in the production of diamine oxidase. It is an enzyme that breaks down histamine, which is released by mast cells.

Studies[edit | edit source]

  • 1991, Red blood cell magnesium and chronic fatigue syndrome.[2] (Abstract)
  • 1994, Normal red cell magnesium concentrations and magnesium loading tests in patients with chronic fatigue syndrome.[8] (Abstract)
  • 1997, Magnesium deficit in a sample of the Belgian population presenting with chronic fatigue.[9] (Abstract)
  • 2006, Increase of free Mg2+ in the skeletal muscle of chronic fatigue syndrome patients.[10] (Full text)

See also[edit | edit source]

Learn more[edit | edit source]

References[edit | edit source]

  1. 1.0 1.1 1.2 1.3 Magnesium: Fact sheet for health professionals, National Institutes of Health: Office of Dietary Supplements, Mar 2, 2018, retrieved May 22, 2018 
  2. 2.0 2.1 Cox, I. M.; Campbell, M. J.; Dowson, D. (Mar 30, 1991). "Red blood cell magnesium and chronic fatigue syndrome". Lancet (London, England). 337 (8744): 757–760. ISSN 0140-6736. PMID 1672392. 
  3. Clague JE, Edwards RH, Jackson MJ (1992). Intravenous magnesium loading in chronic fatigue syndrome. Lancet 340: 124–125. PMID:1352002
  4. Hinds G, Bell NP, McMaster D, McCluskey DR (1994). Normal red cell magnesium concentrations and magnesium loading tests in patients with chronic fatigue syndrome. Ann Clin Biochem 31 (Pt 5): 459–461. DOI:10.1177/000456329403100506
  5. Swanink, C. M.; Vercoulen, J. H.; Bleijenberg, G.; Fennis, J. F.; Galama, J. M.; van der Meer, J. W. (May 1995). "Chronic fatigue syndrome: a clinical and laboratory study with a well matched control group". Journal of Internal Medicine. 237 (5): 499–506. ISSN 0954-6820. PMID 7738491. 
  6. 6.0 6.1 6.2 Li, F.-Y.; Chaigne-Delalande, B; Su, H; Matthews, H; Lenardo, M.J. (2014), "XMEN disease: a new primary immunodeficiency affecting Mg2+ regulation of immunity against Epstein-Barr virus.", Blood, doi:10.1182/blood-2013-11-538686 
  7. 7.0 7.1 Ravell, J; Chaigne-Delalande, B; Lenardo, M (2014), "XMEN disease: a combined immune deficiency with magnesium defect.", Current Opinion in Pediatrics, doi:10.1097/MOP.0000000000000156 
  8. Hinds, G.; Bell, N. P.; McMaster, D.; McCluskey, D. R. (Sep 1994). "Normal red cell magnesium concentrations and magnesium loading tests in patients with chronic fatigue syndrome". Annals of Clinical Biochemistry. 31 ( Pt 5): 459–461. doi:10.1177/000456329403100506. ISSN 0004-5632. PMID 7832571. 
  9. Moorkens, G.; Manuel y Keenoy, B.; Vertommen, J.; Meludu, S.; Noe, M.; De Leeuw, I. (Dec 1997). "Magnesium deficit in a sample of the Belgian population presenting with chronic fatigue". Magnesium Research. 10 (4): 329–337. ISSN 0953-1424. PMID 9513929. 
  10. McCully, Kevin K; Malucelli, Emil; Iotti, Stefano (Jan 11, 2006). "Increase of free Mg2+ in the skeletal muscle of chronic fatigue syndrome patients". Dynamic Medicine. 5: 1. doi:10.1186/1476-5918-5-1. ISSN 1476-5918. PMC 1360067Freely accessible. PMID 16405724. 

The information provided at this site is not intended to diagnose or treat any illness.
From MEpedia, a crowd-sourced encyclopedia of ME and CFS science and history.