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“镁”-主阳离子-作为一种药物的可能性和证据。

'Magnesium'-the master cation-as a drug-possibilities and evidences.

机构信息

Amrita School of Pharmacy, Amrita Institute of Medical Science & Research Centre, Amrita VishwaVidyapeetham, Kochi, 682041, India.

出版信息

Biometals. 2021 Oct;34(5):955-986. doi: 10.1007/s10534-021-00328-7. Epub 2021 Jul 2.

Abstract

Magnesium (Mg) is the 2nd most abundant intracellular cation, which participates in various enzymatic reactions; there by regulating vital biological functions. Magnesium (Mg) can regulate several cations, including sodium, potassium, and calcium; it consequently maintains physiological functions like impulse conduction, blood pressure, heart rhythm, and muscle contraction. But, it doesn't get much attention in account with its functions, making it a "Forgotten cation". Like other cations, maintenance of the normal physiological level of Mg is important. Its deficiency is associated with various diseases, which point out to the importance of Mg as a drug. The roles of Mg such as natural calcium antagonist, glutamate NMDA receptor blocker, vasodilator, antioxidant and anti-inflammatory agent are responsible for its therapeutic benefits. Various salts of Mg are currently in clinical use, but their application is limited. This review collates all the possible mechanisms behind the behavior of magnesium as a drug at different disease conditions with clinical shreds of evidence.

摘要

镁(Mg)是细胞内含量第二丰富的阳离子,参与各种酶反应;从而调节重要的生物功能。镁(Mg)可以调节多种阳离子,包括钠、钾和钙;因此维持着冲动传导、血压、心律和肌肉收缩等生理功能。但是,由于其功能,镁并没有得到太多的关注,使其成为一种“被遗忘的阳离子”。与其他阳离子一样,维持镁的正常生理水平很重要。镁的缺乏与各种疾病有关,这表明镁作为一种药物的重要性。镁的作用,如天然钙拮抗剂、谷氨酸 NMDA 受体阻滞剂、血管扩张剂、抗氧化剂和抗炎剂,是其治疗益处的原因。目前有各种镁盐在临床应用,但它们的应用受到限制。这篇综述汇集了镁作为一种药物在不同疾病状态下的所有可能的作用机制,并提供了临床证据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ecc6/8249833/5a534d65ea12/10534_2021_328_Fig1_HTML.jpg

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