4.3 Article

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

期刊

BIOMETALS
卷 34, 期 5, 页码 955-986

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SPRINGER
DOI: 10.1007/s10534-021-00328-7

关键词

Magnesium; Calcium antagonist; Hypomagnesemia; NMDA blocker; Forgotten cation; Vasodilator

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  1. Amrita School of Pharmacy, Kochi Kerala

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Magnesium is an important intracellular cation that regulates various biological functions and has therapeutic benefits in treating diseases caused by its deficiency.
Magnesium (Mg2+) is the 2nd most abundant intracellular cation, which participates in various enzymatic reactions; there by regulating vital biological functions. Magnesium (Mg2+) 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 Mg2+ is important. Its deficiency is associated with various diseases, which point out to the importance of Mg2+ as a drug. The roles of Mg2+ such as natural calcium antagonist, glutamate NMDA receptor blocker, vasodilator, antioxidant and anti-inflammatory agent are responsible for its therapeutic benefits. Various salts of Mg2+ 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.

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