Deficiencies of magnesium and pyridoxine and the pathogenesis of the metabolic syndrome


Cite item

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription or Fee Access

Abstract

Metabolic syndrome (MS) represents a set of metabolic abnormalities that increase the risk of diabetes, cardiovascular and cerebrovascular disease. The components of MS are abdominal obesity, hypertension, disturbances of lipid and carbohydrate metabolism. The pathogenesis of the MS involves complex disorders of carbohydrate and fat metabolism caused by physical inactivity, a load of bad habits as well as by macro- and micronutrient imbalances in diet. Magnesium is one of the main factors supporting the physiological metabolism of sugars and fats as magnesium ion is required for the active sites of a number of enzymes. The paper presents the results of a systematic analysis of the molecular mechanisms of effects on magnesium characteristic of MS disorders of carbohydrate and fat metabolism. The results of experimental and clinical research and the evidence-based data indicate feasibility of using organic salts of magnesium with pyridoxine in the prevention and treatment of MS.

Full Text

Restricted Access

About the authors

Olga A. Gromova

Ivanovo state medical academy

Email: unesco.gromova@gmail.com
MD, professor of the Department of pharmacology and clinical pharmacology

Alla G. Kalacheva

Ivanovo state medical academy

PhD, associated professor of the Department of pharmacology and clinical pharmacology

Ivan Yu. Torshin

Moscow institute of physics and technology (state university)

candidate of physico-mathematical sciences, associate professor of the Department of intelligent systems

Tatiana R. Grishina

Ivanovo state medical academy

MD, professor, head of the Department of pharmacology and clinical pharmacology

Natalia I. Tapilskaya

Saint-Petersburg State pediatric medical university

MD, professor of the Department of obstetrics and gynecology

References

  1. Ожирение и избыточный вес. Информационный бюллетень ВОЗ, июнь 2016 г. http://www.who.int/mediacentre/factsheets/fs311/ ru/, обращение к сайту 14.02.2017 [Obesity and overweight. WHO newsletter. 2016 (in Russ.)]
  2. Dominguez L.J., Barbagallo M. The biology of the metabolic syndrome and aging. Curr. Opin. Clin. Nutr. Metab. Care. 2016;19(1):5-11.
  3. Клиническая эндокринология. Руководство. Под ред. Н.Т. Старковой. 3-е изд., перераб. и доп. СПб: Питер, 2002. 576 с. [Clinical endocrinology. Guide. Ed. N.T. Starkova. 3rd edition, revised and enlarged. St. Petersburg: Piter, 2002. 576 p. (in Russ.)]
  4. П. Уоткинс. Сахарный диабет (ABC of Diabetes). М.: Бином, 2006. 134 p. [P. Watkins. Diabetes mellitus (ABC of Diabetes). M.: Binom, 2006. 134 р. (in Russ.)]
  5. Grundy S.M., Brewer H.B. Jr, Cleeman J.I., Smith S.C. Jr, Lenfant C. Definition of metabolic syndrome: Report of the National heart, lung, and blood institute/American Heart Association conference on scientific issues related to definition. Circulation. 2004;109(3):433-8.
  6. Potenza M.V., Mechanick J.I. The metabolic syndrome: definition, global impact, and pathophysiology. Nutr. Clin. Pract. 2009;24(5):560-77.
  7. Khosravi-Boroujeni H., Ahmed F., Sarrafzadegan N. Is the association between vitamin D and metabolic syndrome independent of other micronutrients. Int. J. Vitam. Nutr. Res. 2016;20(1):1-16.
  8. Soltani N., Keshavarz M., Minaii B., Mirershadi F., Zahedi Asl S., Dehpour A.R. Effects of administration of oral magnesium on plasma glucose and pathological changes in the aorta and pancreas of diabetic rats. Clin. Exp. Pharmacol. Physiol. 2005;32(8):604-10.
  9. Belin R.J., He K. Magnesium physiology and pathogenic mechanisms that contribute to the development of the metabolic syndrome. Magnes Res. 2007;20(2):107-29.
  10. He K., Song Y., Belin R.J., Chen Y. Magnesium intake and the metabolic syndrome: epidemiologic evidence to date. J. Cardiometab. Syndr. 2006;1(5):351-5.
  11. Olatunji L.A., Soladoye A.O. Increased magnesium intake prevents hyperlipidemia and insulin resistance and reduces lipid peroxidation in fructose-fed rats. Pathophysiology. 2007;14(1):11-5.
  12. Громова О.А., Торшин И.Ю., Тапильская Н.И. Протеомный анализ магний-зависимых белков в системе «мать-плод-ребенок». Медицинский совет. 2017;1:66-76. [Gromova O.A., Torshin I.Yu., Tapilskaya N.I. Proteomic analysis of magnesium-dependent proteins and children's health. Medical Council. 2017;1:66-76 (In Russ.)]
  13. Evangelopoulos A.A., Vallianou N.G., Panagiotakos D.B., Georgiou A., Zacharias G.A., Alevra A.N., Zalokosta G.J., Vogiatzakis E.D., Avgerinos P.C. An inverse relationship between cumulating components of the metabolic syndrome and serum magnesium levels. Nutr. Res. 2008;28(10):659-63.
  14. Wang J., Persuitte G., Olendzki B.C., Wedick N.M., Zhang Z., Merriam P.A., Fang H., Carmody J., Olendzki G.F., Ma Y. Dietary magnesium intake improves insulin resistance among non-diabetic individuals with metabolic syndrome participating in a dietary trial. Nutrients. 2013;5(10):3910-9.
  15. Huerta M.G., Roemmich J.N., Kington M.L., Bovbjerg V.E., Weltman A.L., Holmes V.F., Patrie J.T., Rogol A.D., Nadler J.L. Magnesium deficiency is associated with insulin resistance in obese children. Diabetes Care. 2005;28(5):1175-81.
  16. Park S.H., Kim S.K., Bae Y.J. Relationship between serum calcium and magnesium concentrations and metabolic syndrome diagnostic components in middle-aged Korean men. Biol. Trace Elem. Res. 2011;146(1):35-41.
  17. Ghasemi A., Zahediasl S., Syedmoradi L., Azizi F. Low serum magnesium levels in elderly subjects with metabolic syndrome. Biol. Trace Elem. Res. 2010;136(1):18-25.
  18. Guerrero-Romero F., Rodriguez-Moran M. Low serum magnesium levels and metabolic syndrome. Acta. Diabetol. 2002;39(4):209-13.
  19. Mirmiran P., Shab-Bidar S., Hosseini-Esfahani F., Asghari G., Hosseinpour-Niazi S., Azizi F. Magnesium intake and prevalence of metabolic syndrome in adults: Tehran lipid and glucose study. Public Health Nutr. 2012;15(4):693-701.
  20. Ohira T., Peacock J.M., Iso H., Chambless L.E., Rosamond W.D., Folsom A.R. Serum and dietary magnesium and risk of ischemic stroke: the atherosclerosis risk in communities study. Am. J. Epidemiol. 2009;169(12):1437-44.
  21. Park S.B., Choi S.W., Nam A.Y. Hair tissue mineral analysis and metabolic syndrome. Biol. Trace Elem. Res. 2009;130(3):218-28.
  22. Kelishadi R., Ataei E., Motlagh M.E., Yazdi M., Tajaddini M.H., Heshmat R., Ardalan G. Association of serum concentrations of magnesium and some trace elements with cardiometabolic risk factors and liver enzymes in adolescents: the CASPIAN-III Study. Biol. Trace Elem. Res. 2015;163(1-2):97-102.
  23. Choi W.S., Kim S.H., Chung J.H. Relationships of hair mineral concentrations with insulin resistance in metabolic syndrome. Biol. Trace Elem. Res. 2014;158(3):323-9.
  24. Choi M.K., Bae Y.J. Relationship between dietary magnesium, manganese, and copper and metabolic syndrome risk in Korean adults: the Korea national health and nutrition examination survey (2007-2008). Biol. Trace Elem. Res. 2013;156(1-3):56-66.
  25. Guerrero-Romero F., Bermudez-Pena C., Rodriguez-Moran M. Severe hypomagnesemia and low-grade inflammation in metabolic syndrome. Magnes Res. 2011;24(2):45-53.
  26. Chacko S.A., Song Y., Nathan L., Tinker L., de Boer I.H., Tylavsky F., Wallace R., Liu S. Relations of dietary magnesium intake to biomarkers of inflammation and endothelial dysfunction in an ethnically diverse cohort of postmenopausal women. Diabetes Care. 2010;33(2):304-10.
  27. Kim D.J., Xun P., Liu K., Loria C., Yokota K., Jacobs D.R. Jr, He K. Magnesium intake in relation to systemic inflammation, insulin resistance, and the incidence of diabetes. Diabetes Care. 2010;33(12):2604-10.
  28. Громова О.А., Федотова Л.Э., Гришина Т.Р., Торшин И.Ю., Калачева А.Г., Лиманова О.А. Роль магния в формировании метаболического синдрома, коррекции избыточного веса и ожирения у детей и подростков. Педиатрия. 2014;2:123-33.
  29. Nielsen F.H. Dietary fatty acid composition alters magnesium metabolism, distribution, and marginal deficiency response in rats. Magnes Res. 2009;22(4):280-8.
  30. Torshin I.Yu. Sensing the change from molecular genetics to personalized medicine. Nova Biomedical Books, NY, USA, 2009, In "Bioinformatics in the Post-Genomic Era" series, ISBN 1-60692-217-0.
  31. Voma C., Etwebi Z., Soltani D.A., Croniger C., Romani A. Low hepatic Mg2+ content promotes liver dysmetabolism: implications for the metabolic syndrome. J. Metab. Syndr. 2014;3(4). pii: 165.
  32. Weis M.T., Bercute A. Comparison of long-chain fatty acyl-CoA synthetases from rabbit heart and liver: substrate preferences and effects of Mg2+. Biochem. J. 1997;322 (Pt 2):649-54.
  33. Inoue I. [Lipid metabolism and magnesium]. Clin.Calcium. 2005;15(11):65-76.
  34. Bajnok L., Seres I., Varga Z., Jeges S., Peti A., Karanyi Z., Juhasz A., Csongradi E., Mezosi E., Nagy E.V., Paragh G. Relationship of endogenous hyperleptinemia to serum paraoxonase 1, cholesteryl ester transfer protein, and lecithin cholesterol acyltransferase in obese individuals. Metabolism. 2007;56(11):1542-9.
  35. Rosanoff A., Seelig M.S. Comparison of mechanism and functional effects of magnesium and statin pharmaceuticals. J. Am. Coll. Nutr. 2004;23(5):501S-505S.
  36. Gueux E., Rayssiguier Y., Piot M.C., Alcindor L. Reduction of plasma lecithin--cholesterol acyltransferase activity by acute magnesium deficiency in the rat. J. Nutr. 1984;114(8):1479-83.
  37. Nozue T., Ide N., Okabe H., Narui K., Kobayashi A. Correlation of serum HDL-cholesterol and LCAT levels with the fraction of ionized magnesium in children. Magnes Res. 1999;12(4):297-301.
  38. Das U.N. Delta6 desaturase as the target of the beneficial actions of magnesium. Med. Sci. Monit. 2010;16(8):LE11-2.
  39. Mahfouz M.M., Kummerow F.A. Effect of magnesium deficiency on delta 6 desaturase activity and fatty acid composition of rat liver microsomes. Lipids. 1989;24(8):727-32.
  40. McKeown N.M., Jacques P.F., Zhang X.L., Juan W., Sahyoun N.R. Dietary magnesium intake is related to metabolic syndrome in older Americans. Eur. J. Nutr. 2008;47(4):210-6.
  41. Ford E.S., Li C., McGuire L.C., Mokdad A.H., Liu S. Intake of dietary magnesium and the prevalence of the metabolic syndrome among U.S. adults. Obesity (Silver Spring). 2007;15(5):1139-11.
  42. Sarrafzadegan N., Khosravi-Boroujeni H., Lotfizadeh M., Pourmogaddas A., Salehi-Abargouei A. Magnesium status and the metabolic syndrome: A systematic review and meta-analysis. Nutrition. 2016;32(4):409-17.
  43. Moore-Schiltz L., Albert J.M., Singer M.E., Swain J., Nock N.L. Dietary intake of calcium and magnesium and the metabolic syndrome in the National Health and Nutrition Examination (NHANES) 2001-2010 data. Br. J. Nutr. 2015;114(6):924-35.
  44. La S.A., Lee J.Y., Kim do H., Song E.L., Park J.H., Ju S.Y. Low magnesium levels in adults with metabolic syndrome: a meta-analysis. Biol. Trace Elem. Res. 2016;170(1):33-42.
  45. Ju S.Y., Choi W.S., Ock S.M., Kim C.M., Kim D.H. Dietary magnesium intake and metabolic syndrome in the adult population: dose-response meta-analysis and meta-regression. Nutrients. 2014;6(12):6005-19.
  46. Dibaba D.T., Xun P., Fly A.D., Yokota K., He K. Dietary magnesium intake and risk of metabolic syndrome: a meta-analysis. Diabet Med. 2014;31(11):1301-9.
  47. Hadjistavri L.S., Sarafidis P.A., Georgianos P.I., Tziolas I.M., Aroditis C.P., Hitoglou-Makedou A., Zebekakis P.E., Pikilidou M.I., Lasaridis A.N. Beneficial effects of oral magnesium supplementation on insulin sensitivity and serum lipid profile. Med. Sci. Monit. 2010;16(6):CR307-CR312.
  48. Chacko S.A., Sul J., Song Y., Li X., LeBlanc J., You Y., Butch A., Liu S. Magnesium supplementation, metabolic and inflammatory markers, and global genomic and proteomic profiling: a randomized, double-blind, controlled, crossover trial in overweight individuals. Am. J. Clin. Nutr. 2011;93(2):463-73.
  49. Itoh K., Kawasaka T., Nakamura M. The effects of high oral magnesium supplementation on blood pressure, serum lipids and related variables in apparently healthy Japanese subjects. Br. J. Nutr. 1997;78(5):737-50.
  50. Song Y., He K., Levitan E.B., Manson J.E., Liu S. Effects of oral magnesium supplementation on glycaemic control in Type 2 diabetes: a meta-analysis of randomized double-blind controlled trials. Diabet Med. 2006;23(10):1050-6.
  51. Mooren F.C., Kruger K., Volker K., Golf S.W., Wadepuhl M., Kraus A. Oral magnesium supplementation reduces insulin resistance in non-diabetic subjects - a double-blind, placebo-controlled, randomized trial. Diabetes Obes. Metab. 2011;13(3):281-4.
  52. Громова О.А., Калачева А.Г., Торшин И.Ю., Рудаков К.В., Грустливая У.Е., Юдина Н.В., Егорова Е.Ю., Лиманова О.А., Федотова Л.Э., Грачева О.Н., Никифорова Н.В., Сатарина Т.Е., Гоголева И.В., Гришина Т.Р., Курамшина Д.Б., Новикова Л.Б., Лисицына Е.Ю., Керимкулова Н.В., Владимирова И.С., Чекмарева М.Н., Лялякина Е.В., Шалаева Л.А., Талепоровская С.Ю., Силинг Т.Б., Прозорова Н.В., Семенов В.А., Семенова О.В., Назарова Н.А., Галустян А.Н., Сардарян И.С. Недостаточность магния - достоверный фактор риска коморбидных состояний: результаты крупномасштабного скрининга магниевого статуса в регионах России. Фарматека. 2013;6:114-29.
  53. Singh R.B., Rastogi S.S., Mani U.V., Seth J., Devi L. Does dietary magnesium modulate blood lipids? Biol. Trace Elem. Res. 1991;30(1):59-64.
  54. Dhingra R., Sullivan L., Jacques P.F., Wang T.J., Fox C.S., Meigs J.B., D'Agostino R.B., Gaziano J.M., Vasan R.S. Soft drink consumption and risk of developing cardiometabolic risk factors and the metabolic syndrome in middle-aged adults in the community. Circulation. 2007;116(5):480-8.
  55. Abraham P.M., Kuruvilla K.P., Mathew J., Malat A., Joy S., Paulose C.S. Alterations in hippocampal serotonergic and INSR function in streptozotocin induced diabetic rats exposed to stress: neuroprotective role of pyridoxine and Aegle marmelose. J. Biomed. Sci. 2010;17:78.
  56. Okada M., Shibuya M., Yamamoto E., Murakami Y. Effect of diabetes on vitamin B6 requirement in experimental animals. Diabetes Obes. Metab. 1999;1(4):221-5.
  57. Kiran S.G., Dorisetty R.K., Umrani M.R., Boindala S., Bhonde R.R., Chalsani M., Singh H., Venkatesan V. Pyridoxal 5' phosphate protects islets against streptozotocin-induced beta-cell dysfunction--in vitro and in vivo. Exp. Biol. Med (Maywood). 2011;236(4):456-65.
  58. Шарафетдинов Х.Х., Мещерякова В.А., Плотникова О.А. К проблеме витаминной обеспеченности больных инсулиннезависимым сахарным диабетом. Клиническая медицина. 1999;4:26-8. [Sharafetdinov Kh.Kh., Plotnikova O.A., Meshcheriakova V.A., Kodentsova V.M., Vrzhesinskaia O.A., Spirichev V.B., Shatniuk L.N. Vitamin supply in patients with non-insulin-dependent diabetes mellitus. Klin. Med. (Mosk). 1999;77(4):26-8 (in Russ.)]
  59. Spellacy W.N., Buhi W.C., Birk S.A. Vitamin B6 treatment of gestational diabetes mellitus: studies of blood glucose and plasma insulin. Am. J. Obstet. Gynecol. 1977;127(6):599-602.
  60. Bennink H.J., Schreurs W.H. Improvement of oral glucose tolerance in gestational diabetes by pyridoxine. Br. Med. J. 1975;3(5974):13-5.
  61. Stehouwer C.D., van Guldener C. Does homocysteine cause hypertension? Clin. Chem. Lab. Med. 2003;41(11):1408-11.
  62. Torshin I., Gromova O. Magnesium: fundamental studies and clinical practice. Nova Biomedical Publishers. NY, 2011. 210 p.
  63. Livingstone B. Epidemiology of childhood obesity in Europe. Eur. J. Pediatr. 2000;159 (Suppl. 1):14-34.
  64. Петеркова В.А., Ремизов О.В. Ожирение в детском возрасте. Ожирение и метаболизм. 2004;1:17-23. [Peterkova V.A., Remizov O.V. Obesity in childhood. Obesity and metabolism. 2004;1:17-23 (in Russ.)]
  65. Кравец Е.Б., Самойлова Ю.Г. Клинические лекции по детской эндокринологии. Томск: Поиск, 2010. 360 с. [Kravets Ye.B., Samoilova Yu.G. Clinical lectures on pediatric endocrinology. Tomsk: Search, 2010. 360 p. (in Russ.)]
  66. Ahsan S.K., al-Swoyan S., Hanif M., Ahmad M. Hypomagnesemia and clinical implications in children and neonates. Indian J. Med. Sci. 1998;52(12):541-7.
  67. De la Cruz-Gongora V., Gaona B., Villalpando S., Shamah-Levy T., Robledo R. Anemia and iron, zinc, copper and magnesium deficiency in Mexican adolescents: National Health and Nutrition Survey 2006. Salud. Publica Mex. 2012;54(2):135-45.
  68. Takaya J., Yamato F., Kuroyanagi Y., Higashino H., Kaneko K. Intracellular magnesium of obese and type 2 diabetes mellitus children. Diabetes Ther. 2010;1(1):25-31.
  69. Jose B., Jain V., Vikram N.K., Agarwala A., Saini S. Serum magnesium in overweight children. Indian Pediatr. 2012;49(2):109-12.
  70. O'Neil C.E., Keast D.R., Nicklas T.A., Fulgoni V.L. 3rd. Out-of-hand nut consumption is associated with improved nutrient intake and health risk markers in US children and adults: National Health and Nutrition Examination Survey 1999-2004. Nutr. Res. 2012;32(3):185-94.

Supplementary files

Supplementary Files
Action
1. JATS XML

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies