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头痛与镁:吡哆醇酸镁的作用机制、生物利用度、疗效和潜在优势。

Headaches and Magnesium: Mechanisms, Bioavailability, Therapeutic Efficacy and Potential Advantage of Magnesium Pidolate.

机构信息

Dipartimento di Scienze Biomediche e Cliniche L. Sacco, Università di Milano, 20157 Milano, Italy.

Department of Clinical Pharmacology, University Hospital and Inserm 1107 Fundamental and Clinical Pharmacology of Pain, Medical Faculty, F-63000 Clermont-Ferrand, France.

出版信息

Nutrients. 2020 Aug 31;12(9):2660. doi: 10.3390/nu12092660.

DOI:10.3390/nu12092660
PMID:32878232
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7551876/
Abstract

Magnesium deficiency may occur for several reasons, such as inadequate intake or increased gastrointestinal or renal loss. A large body of literature suggests a relationship between magnesium deficiency and mild and moderate tension-type headaches and migraines. A number of double-blind randomized placebo-controlled trials have shown that magnesium is efficacious in relieving headaches and have led to the recommendation of oral magnesium for headache relief in several national and international guidelines. Among several magnesium salts available to treat magnesium deficiency, magnesium pidolate may have high bioavailability and good penetration at the intracellular level. Here, we discuss the cellular and molecular effects of magnesium deficiency in the brain and the clinical evidence supporting the use of magnesium for the treatment of headaches and migraines.

摘要

镁缺乏可能有多种原因,如摄入不足或胃肠道或肾脏丢失增加。大量文献表明镁缺乏与轻度和中度紧张性头痛和偏头痛之间存在关联。许多双盲随机安慰剂对照试验表明,镁在缓解头痛方面有效,并促使一些国家和国际指南建议使用口服镁来缓解头痛。在可用于治疗镁缺乏的几种镁盐中,镁吡啶醇酸盐可能具有较高的生物利用度和良好的细胞内穿透性。在这里,我们讨论了镁缺乏对大脑的细胞和分子影响以及支持使用镁治疗头痛和偏头痛的临床证据。

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Headaches and Magnesium: Mechanisms, Bioavailability, Therapeutic Efficacy and Potential Advantage of Magnesium Pidolate.头痛与镁:吡哆醇酸镁的作用机制、生物利用度、疗效和潜在优势。
Nutrients. 2020 Aug 31;12(9):2660. doi: 10.3390/nu12092660.
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本文引用的文献

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The Role and the Effect of Magnesium in Mental Disorders: A Systematic Review.镁在精神障碍中的作用和影响:系统评价。
Nutrients. 2020 Jun 3;12(6):1661. doi: 10.3390/nu12061661.
2
Magnesium Acts as a Second Messenger in the Regulation of NMDA Receptor-Mediated CREB Signaling in Neurons.镁在调节神经元中 NMDA 受体介导的 CREB 信号中的第二信使作用。
Mol Neurobiol. 2020 Jun;57(6):2539-2550. doi: 10.1007/s12035-020-01871-z. Epub 2020 Mar 25.
3
Intravenous Magnesium Sulfate to Treat Acute Headaches in the Emergency Department: A Systematic Review - A Comment.
特定膳食补充剂对偏头痛预防的影响:一项随机对照试验的系统评价和剂量反应荟萃分析
Neurol Sci. 2025 Feb;46(2):651-670. doi: 10.1007/s10072-024-07794-0. Epub 2024 Oct 15.
4
Effects of β-sitosterol on anxiety in migraine-induced rats: The role of oxidative/nitrosative stress and mitochondrial function.β-谷固醇对偏头痛诱导大鼠焦虑的影响:氧化/硝化应激和线粒体功能的作用。
CNS Neurosci Ther. 2024 Sep;30(9):e14892. doi: 10.1111/cns.14892.
5
Magnesium (Mg): Essential Mineral for Neuronal Health: From Cellular Biochemistry to Cognitive Health and Behavior Regulation.镁(Mg):神经元健康的必需矿物质:从细胞生物化学到认知健康和行为调节。
Curr Pharm Des. 2024;30(39):3074-3107. doi: 10.2174/0113816128321466240816075041.
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Non-Pharmacological Treatments in Paediatric Migraine.小儿偏头痛的非药物治疗
J Clin Med. 2024 Feb 23;13(5):1278. doi: 10.3390/jcm13051278.
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Role of ATP in migraine mechanisms: focus on P2X3 receptors.ATP 在偏头痛发病机制中的作用:聚焦于 P2X3 受体。
J Headache Pain. 2023 Jan 3;24(1):1. doi: 10.1186/s10194-022-01535-4.
8
A Mini Review on the Various Facets Effecting Brain Delivery of Magnesium and Its Role in Neurological Disorders.关于影响镁向大脑递送的各个方面及其在神经紊乱中的作用的小型综述。
Biol Trace Elem Res. 2023 Sep;201(9):4238-4253. doi: 10.1007/s12011-022-03517-8. Epub 2022 Dec 19.
9
The Presence of Blood-Brain Barrier Modulates the Response to Magnesium Salts in Human Brain Organoids.血脑屏障的存在调节了镁盐在人脑类器官中的反应。
Int J Mol Sci. 2022 May 4;23(9):5133. doi: 10.3390/ijms23095133.
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Magnesium as an Important Factor in the Pathogenesis and Treatment of Migraine-From Theory to Practice.镁作为偏头痛发病机制和治疗的重要因素:从理论到实践。
Nutrients. 2022 Mar 5;14(5):1089. doi: 10.3390/nu14051089.
静脉注射硫酸镁治疗急诊科急性头痛:一项系统评价——一则评论
Headache. 2020 Mar;60(3):624. doi: 10.1111/head.13746.
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Intravenous Magnesium Sulfate to Treat Acute Headaches in the Emergency Department: A Systematic Review.静脉注射硫酸镁治疗急诊科急性头痛:系统评价。
Headache. 2019 Nov;59(10):1674-1686. doi: 10.1111/head.13648. Epub 2019 Sep 30.
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Magnesium Regulates Endothelial Barrier Functions through TRPM7, MagT1, and S1P1.镁通过瞬时受体电位阳离子通道M7、镁转运蛋白1和1-磷酸鞘氨醇受体1调节内皮屏障功能。
Adv Sci (Weinh). 2019 Jul 30;6(18):1901166. doi: 10.1002/advs.201901166. eCollection 2019 Sep 18.
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Magnesium and the blood-brain barrier in vitro: effects on permeability and magnesium transport.镁与体外血脑屏障:对通透性和镁转运的影响。
Magnes Res. 2019 Feb 1;32(1):16-24. doi: 10.1684/mrh.2019.0454.
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Altered Vascular Permeability in Migraine-associated Brain Regions: Evaluation with Dynamic Contrast-enhanced MRI.偏头痛相关脑区的血管通透性改变:动态对比增强 MRI 的评估。
Radiology. 2019 Sep;292(3):713-720. doi: 10.1148/radiol.2019182566. Epub 2019 Jul 2.
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The efficacy of magnesium oxide and sodium valproate in prevention of migraine headache: a randomized, controlled, double-blind, crossover study.氧化镁和丙戊酸钠预防偏头痛的疗效:一项随机、对照、双盲、交叉研究。
Acta Neurol Belg. 2021 Feb;121(1):167-173. doi: 10.1007/s13760-019-01101-x. Epub 2019 Feb 23.
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Superiority of magnesium and vitamin B6 over magnesium alone on severe stress in healthy adults with low magnesemia: A randomized, single-blind clinical trial.镁和维生素 B6 联合治疗低镁血症健康成年人严重应激的优势:一项随机、单盲临床试验。
PLoS One. 2018 Dec 18;13(12):e0208454. doi: 10.1371/journal.pone.0208454. eCollection 2018.