Abstract
Using direct current spectrometry, the authors evaluated magnesium concentrations in plasma, erythrocytes and platelets from two groups of subjects who had received a renal transplant and were treated either with cyclosporin, azathioprine and prednisolone or with azathioprine and prednisolone, and in a group of healthy subjects. The plasma, erythrocyte and platelet concentrations of magnesium in the two groups of subjects treated with immunosuppressors were lower than in the control group, while no difference was found between the two groups of transplant recipients for magnesium status. Magnesium fractional excretion was higher in the subjects who had undergone transplantation than in the control group, whereas no difference was found between patients and controls for urinary ion excretion over 24 hours. The depletion of intraplatelet magnesium induced by immunosuppressive drugs may have been responsible for the platelet hyperaggregability found following treatment with cyclosporin and azathioprine.
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References
Barton, C.H., Vaziri, N.D., Martin, D.C., Choi S. and Alikhani S. (1987) Hypomagnesemia and renal magnesium wasting in renal transplant recipients receiving cyclosporin. Am. J. Med. 83, 693–9
Kaiser, W., Biesenbach, G., Kramer, E. and Zazgomik, J. (1989) Magnesium after renal transplantation comparison between cyclosporin A and conventional immunosoppression. Adv. Exp. Med Biol. 252, 297–302
June, C.H., Thompson, C.B., Kennedy, M.S., Nims, J. and Thomas, E.D. (1985) Profound Hypomagnesemia and renal magnesium wasting associated with the use of cyclosporin for marrow transplantation. Transplantation 39, 620–4.
McDiarmid, S.V., Colonna, J.O., Shoked, A., Ament, M.E. and Busuttil, R.W. (1993) A comparison of renal function in cyclosporin and FK-506 treated patients after primary orthotopic liver transplantation. Transplantation 56, 847–53.
Nozue, T., Kobayashi, A., Saki, A., Satoh, T., Kodama, T., Yamazaki, H., Kurosawa, M., Vemasu, F., Endoh, H. and Tokagy, Y. (1993) Evidence that cyclosporine causes both intracellular migration and inappropriate urinaiy excretion of magnesium in rats. Transplantation 55, 346–9.
Markell, M.S., Altura, B.T., Barbour, R.L. and Altura, B.M. (1993) Ionized and total magnesium levels in cyclosporin-treated renal transplant recipients: relationship with cholesterol and cyclosporin levels. Clin. Sci. Colch. 85, 315–8.
Ramos, E.L., Barry, Y.M., Kubilis, P., Peterson, J.C., Pfaff, W.W., Howard, R.J., Parris, C.J., Patton, R.R. and Karlix, J.L. (1995) Hypomagnesemia in renal transplant patients improvement overtime and association with hypertension and cyclosporine levels. Clin. Transplant. 9, 185–9.
Barton, C.H., Vaziri, N.D., Mina-Araghi, S., Crosby, S. and Seo, M.I. (1989) Effects of cyclosporin on magnesium metabolism. J. Lab. Clin. Med. 114, 232–236.
Frost, L., Danielsen, H., Dorup, I., Kjaer, T. and Pedersen, E.B. (1993) Skeletal muscle magnesium content during cyclosporin and azathioprine treatment in renal transplant recipients. Nephrol. Dial. Transplant. 8, 79–93.
Epstein, S., Scholsberg, M., Fallon, M., Thomas, S., Movsowitz, C. and Ismail, F. (1990) 1,25 dihydroxyvitamin D3 modifies cyclosporin-induced bone loss. Calcif. Tissue Int. 47, 152–7
Bley, N., Dick, K., Rob, P.M., Rohwer, J. and Sack, K. (1996) Follow up measurements of magnesium concentrations in serum, lymphocytes and red blood cells after renal transplantation and cyclosporin treatment - with or without oral magnesium supplementation. Magnes. Res. 9, 74.
June, C.H., Thompson, C.B., Kennedy, M.S. and Loughran, T.P. (1985) Correlation of Hypomagnesemia with the onset of cyclosporin associated hypertension in marrow transplant patients. Transplantation 41, 47–51.
Kaiser, W., Biesenbach, G., Kramer, E. and Zazgornik, J. (1992) Hypomagnesemia. - A feature of cyclosporin tubulotoxicity in renal transplant recipients. Magnesium B. 14, 130–2.
Thompson, C.B., Sullivan, K.M., June, H.C. and Thomas, E.D. (1984) Association between cyclosporin neurotoxicity and Hypomagnesemia. Lancet 2, 1116–20.
Palestine, A.G., Austin, H.A. and Nussenblatt, R.B. (1985) Cyclosporin-induced nephrotoxicity in patients with autoimmune uveitis. Transplant. Proc. 17, 209–14.
Forslund, T., Hannonen, P., Reitano, S. and Fyhrqvist, F. (1995) Hypertension in cyclosporin A-treated patients is independent of circulating endothelin levels. J. Intern. Med. 238, 71–5.
Gonzalez-Correa, J.A., De La Cruz, J.P., Lucena, M.I. and Sanchez de la Cuesta, F. (1996) Effect of cyclosporin A on platelet aggregation and thromboxane/prostacyclin balance in a model of extrahepatic cholostasis in the rat. Thromb. Res. 81, 367–81.
Malyszko, J.S. (1996) Platelet aggregation and peripheral serotonergic system in kidney transplant recipients treated with cyclosporin. Transplant. Proc. 28, 1954–7.
Malyszko, J.S. (1996): Effects of Azathioprine and mizoribine on aggregation od narmal and uremic platelets. Transplant. Proc. 28, 3488–9.
Nadler, J.L., Malayan, S., Luong, H., Shaw, S., Natarajan, D. and Rude, R.K. (1992) Intracellular free magnesium deficiency plays a key role in increased platelet reactivity in type II diabetes mellitus. Diabetes Care 15, 835–41.
Touyz, R.M. and Milne, F.J. (1991) A method for determining the total magnesium, calcium, sodium and potassium contents of human platelets. Miner. Electrolyte Metab. 17, 173–8.
Durlach, J. (1970) Pilula et thrombose; ou des plaquettes, des estrogenes et du magnesium. Revue Franc. Endocrinol. Clin. 11, 45–54.
Goldsmith, N.F. and Johnston, S.O. () Mg estrogen hypothesis: thromboembolism and mineralization ratios, in: M. Cantin and M.S. Seelig (eds.), Magnesium in health and disease. Spectrum Press NT, London, pp. 313–324.
Gallardo, D., Ferré, C., Berlanga, J.J., Banda, E.D., Ponce, C., Saler, A., Alonso, E., Espannol, I., Riu, C. and Grenena, H. (1996) Neurological complications after allogenic bone marrow transplantation. Bone Marrow Transplant. 18,1135–1139.
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Allegra, A. et al. (1997). Platelet, Erythrocyte and Plasma Magnesium Levels in Renal Transplant Recipients During Cyclosporin or Azathioprine Treatment. In: Theophanides, T., Anastassopoulou, J. (eds) Magnesium: Current Status and New Developments. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-0057-8_62
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DOI: https://doi.org/10.1007/978-94-009-0057-8_62
Publisher Name: Springer, Dordrecht
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