Abstract
Magnesium absorption was studied in the normal human jejunum and ileum by in vivo intestinal perfusion, using test solutions containing from 0 to 20 mM Mg (as MgCl2). As luminal Mg concentration was increased, the rate of absorption in the jejunum rose progressively with a tendency towards saturation at the higher concentrations. The kinetics and rates of Mg absorption in the ileum were comparable to those in the jejunum, with the exception that at higher luminal concentrations the ileal absorptive process was fully saturated. Using test solutions containing various combinations of Ca and Mg, we found that Ca had little or no influence on Mg absorption, even through Mg depressed Ca absorption to a modest extent. Patients with end-stage renal disease, who had a reduced rate of Ca absorption (presumably due to deficiency of 1,25-dihydroxycholecalciferol) were found to have a severe depression of Mg absorption. On the other hand, patients with absorptive hypercalciuria and nephrolithiasis, who had an increased rate of Ca absorption, were found to absorb Mg normally. These results suggest that Mg absorption in the human is mediated by a transport process different from that which facilitates Ca absorption, and that normal Mg absorption may be dependent on vitamin D. Our results do not establish whether or not the normal intestine can absorb Mg against an electrochemical gradient.
Full text
PDFSelected References
These references are in PubMed. This may not be the complete list of references from this article.
- AHRENS E. H., Jr, BLANKENHORN D. H., HIRSCH J. Measurement of the human intestinal length in vivo and some causes of variation. Gastroenterology. 1956 Sep;31(3):274–284. [PubMed] [Google Scholar]
- ALCOCK N., MACINTYRE I. Inter-relation of calcium and magnesium absorption. Clin Sci. 1962 Apr;22:185–193. [PubMed] [Google Scholar]
- Aldor T. A., Moore E. W. Magnesium absorption by everted sacs of rat intestine and colon. Gastroenterology. 1970 Nov;59(5):745–753. [PubMed] [Google Scholar]
- Behar J. Magnesium absorption by the rat ileum and colon. Am J Physiol. 1974 Aug;227(2):334–340. doi: 10.1152/ajplegacy.1974.227.2.334. [DOI] [PubMed] [Google Scholar]
- Bieberdorf F. A., Gorden P., Fordtran J. S. Pathogenesis of congenital alkalosis with diarrhea. Implications for the physiology of normal ileal electrolyte absorption and secretion. J Clin Invest. 1972 Aug;51(8):1958–1968. doi: 10.1172/JCI107002. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Brumbaugh P. F., Haussler D. H., Bressler R., Haussler M. R. Radioreceptor assay for 1 alpha,25-dihydroxyvitamin D3. Science. 1974 Mar 15;183(4129):1089–1091. doi: 10.1126/science.183.4129.1089. [DOI] [PubMed] [Google Scholar]
- CARE A. D., VANTKLOOSTER A. T. IN VIVO TRANSPORT OF MAGNESIUM AND OTHER CATIONS ACROSS THE WALL OF THE GASTRO-INTESTINAL TRACT OF SHEEP. J Physiol. 1965 Mar;177:174–191. doi: 10.1113/jphysiol.1965.sp007584. [DOI] [PMC free article] [PubMed] [Google Scholar]
- CLARKSON E. M., MCDONALD S. J., DEWARDENER H. E., WARREN R. MAGNESIUM METABOLISM IN CHRONIC RENAL FAILURE. Clin Sci. 1965 Feb;28:107–115. [PubMed] [Google Scholar]
- ELIEL L. P., SMITH W. O., THOMSEN C. Magnesium and calcium interrelationships. J Okla State Med Assoc. 1960 May;53:359–367. [PubMed] [Google Scholar]
- Eliel L. P., Smith W. O., Chanes R., Hawrylko J. Magnesium metabolism in hyperparathyroidism and osteolytic disease. Ann N Y Acad Sci. 1969 Aug 15;162(2):810–830. doi: 10.1111/j.1749-6632.1969.tb13012.x. [DOI] [PubMed] [Google Scholar]
- Fordtran J. S. Marker perfusion techniques for measuring intestinal absorption in man. Gastroenterology. 1966 Dec;51(6):1089–1093. [PubMed] [Google Scholar]
- Fordtran J. S., Rector F. C., Jr, Carter N. W. The mechanisms of sodium absorption in the human small intestine. J Clin Invest. 1968 Apr;47(4):884–900. doi: 10.1172/JCI105781. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Fordtran J. S., Rector F. C., Jr, Ewton M. F., Soter N., Kinney J. Permeability characteristics of the human small intestine. J Clin Invest. 1965 Dec;44(12):1935–1944. doi: 10.1172/JCI105299. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Fordtran J. S., Rector F. C., Locklear T. W., Ewton M. F. Water and solute movement in the small intestine of patients with sprue. J Clin Invest. 1967 Mar;46(3):287–298. doi: 10.1172/JCI105531. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Fordtran J. S. Segmental perfusion techniques. Gastroenterology. 1969 May;56(5):987–989. [PubMed] [Google Scholar]
- Hintz H. F., Schryver H. F. Magnesium, calcium and phosphorus metabolism in ponies fed varying levels of magnesium. J Anim Sci. 1973 Oct;37(4):927–930. doi: 10.2527/jas1973.374927x. [DOI] [PubMed] [Google Scholar]
- Ireland P., Fordtran J. S. Effect of dietary calcium and age on jejunal calcium absorption in humans studied by intestinal perfusion. J Clin Invest. 1973 Nov;52(11):2672–2681. doi: 10.1172/JCI107461. [DOI] [PMC free article] [PubMed] [Google Scholar]
- MEINTZER R. B., STEENBOCK H. Vitamin D and magnesium absorption. J Nutr. 1955 Jun 10;56(2):285–294. doi: 10.1093/jn/56.2.285. [DOI] [PubMed] [Google Scholar]
- MacIntyre I., Robinson C. J. Magnesium and the gut: experimental and clinical observations. Ann N Y Acad Sci. 1969 Aug 15;162(2):865–873. doi: 10.1111/j.1749-6632.1969.tb13016.x. [DOI] [PubMed] [Google Scholar]
- Mawer E. B., Taylor C. M., Backhouse J., Lumb G. A., Stanbury S. W. Failure of formation of 1,25-dihydroxycholecalciferol in chronic renal insufficiency. Lancet. 1973 Mar 24;1(7804):626–628. doi: 10.1016/s0140-6736(73)92197-1. [DOI] [PubMed] [Google Scholar]
- O'Donnell J. M., Smith M. W. Uptake of calcium and magnesium by rat duodenal mucosa analysed by means of competing metals. J Physiol. 1973 Mar;229(3):733–749. doi: 10.1113/jphysiol.1973.sp010164. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Pak C. Y., Oata M., Lawrence E. C., Snyder W. The hypercalciurias. Causes, parathyroid functions, and diagnostic criteria. J Clin Invest. 1974 Aug;54(2):387–400. doi: 10.1172/JCI107774. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Parker T. F., Vergne-Marini P., Hull A. R., Pak C. Y., Fordtran J. S. Jejunal absorption and secretion of calcium in patients with chronic renal disease on hemodialysis. J Clin Invest. 1974 Aug;54(2):358–365. doi: 10.1172/JCI107771. [DOI] [PMC free article] [PubMed] [Google Scholar]
- SCHACHTER D., ROSEN S. M. Active transport of Ca45 by the small intestine and its dependence on vitamin D. Am J Physiol. 1959 Feb;196(2):357–362. doi: 10.1152/ajplegacy.1959.196.2.357. [DOI] [PubMed] [Google Scholar]
- SILVERMAN S. H., GARDNER L. I. Ultrafiltration studies on serum magnesium. N Engl J Med. 1954 Jun 3;250(22):938–941. doi: 10.1056/NEJM195406032502204. [DOI] [PubMed] [Google Scholar]
- Turnberg L. A., Bieberdorf F. A., Morawski S. G., Fordtran J. S. Interrelationships of chloride, bicarbonate, sodium, and hydrogen transport in the human ileum. J Clin Invest. 1970 Mar;49(3):557–567. doi: 10.1172/JCI106266. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Vergne-Marini P., Parker T. F., Pak C. Y., Hull A. R., DeLuca H. F., Fordtran J. S. Jejunal and ileal absorption in patients with chronic renal disease. Effect of 1alpha-hydroxycholecalciferol. J Clin Invest. 1976 Apr;57(4):861–866. doi: 10.1172/JCI108362. [DOI] [PMC free article] [PubMed] [Google Scholar]
- WALSER M. The separate effects of hyperparathyroidism, hypercalcemia of malignancy, renal failure, and acidosis on the state of calcium, phosphate, and other ions in plasma. J Clin Invest. 1962 Jul;41:1454–1471. doi: 10.1172/JCI104601. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Wacker W. E., Parisi A. F. Magnesium metabolism. N Engl J Med. 1968 Mar 21;278(12):658–663. doi: 10.1056/NEJM196803212781205. [DOI] [PubMed] [Google Scholar]
- Wright E. M., Diamond J. M. Effects of pH and polyvalent cations on the selective permeability of gall-bladder epithelium to monovalent ions. Biochim Biophys Acta. 1968 Aug;163(1):57–74. doi: 10.1016/0005-2736(68)90033-3. [DOI] [PubMed] [Google Scholar]