RSS-Feed abonnieren
DOI: 10.1055/s-0037-1616064
Magnesium Inhibits Arterial Thrombi after Vascular Injury in Rat: In Vivo Impairment of Coagulation
This work was supported in part by grants from the European Community (HIFMECH Study, BMH4-CT96-0272) and from the Italian Ministry of University and Scientific Research (MURST 40%).Publikationsverlauf
Received
28. September 2000
Accepted after resubmission
18. Juli 2001
Publikationsdatum:
13. Dezember 2017 (online)
Summary
Magnesium deficiency is associated with a high frequency of cardiac arrhythmia, hypertension and sudden ischemic death. We investigated the in vivo effects of intravenous magnesium administration in a rat model of chemically induced (FeCl3) carotid thrombosis. The infusion of magnesium sulfate (MgSO4) before the topical application of FeCl3 prevented thrombus formation at concentrations of 0.3 M and 0.6 M, and delayed it even at 0.15 M. Similar results were obtained with MgCl2. The infusion of MgSO4 0.6 M seven minutes after FeCl3 application delayed but did not prevent thrombus formation. MgSO4 slightly reduced platelet aggregation ex vivo without affecting plasma clotting tests, but in vivo blood clotting time was markedly prolonged (tail transection method), thus indicating profoundly impaired coagulation. These data provide a rationale for the use of magnesium as an anti-thrombotic agent, but its pharmacological effect critically depends on the timing of administration.
-
References
- 1 McLean RM. Magnesium and its therapeutic uses: a review. American J Med 1994; 96: 63-76.
- 2 Woods KL, Ravn HB. Magnesium. In: Clinical trials in cardiovascular disease. Hennekens CH. ed. Philadelphia: Saunders Company; 1999: 119-30.
- 3 Yamori Y, Mizushima S. A review of the link between dietary magnesium and cardiovascular risk. J Cariovasc Risk 2000; 7: 31-5.
- 4 Oto A. Magnesium treatment in acute myocardial infarction: an unresolved consensus. Eur Hearth J 1999; 20: 86-8.
- 5 Horner SM. Efficacy of intravenous magnesium in acute myocardial infarction in reducing arrhythmias and mortality. Circulation 1992; 86: 774-9.
- 6 Woods Kl, Fletcher S, Roffe C, Haider Y. Intravenous magnesium sulphate in suspected acute myocardial infarction: results of the Second Leicester-Intravenous Magnesium Intervention Trials (LIMIT-2). Lancet 1992; 339: 1553-8.
- 7 Woods Kl, Fletcher S. Long-term outcome after intravenous magnesium sulphate in suspected myocardial infarction: the second Leicester-Intravenous Magnesium Intervention Trials (LIMIT-2). Lancet 1994; 343: 816-9.
- 8 ISIS-4 Collaborative Group.. Fourth International Study of Infarct Survival. ISIS-4: A randomized factorial trial assessing early oral captopril, oral mononitrate, and intravenous magnesium sulphate in 58 050 patients with suspected acute myocardial infarction. Lancet 1995; 345: 669-85.
- 9 Antman EM. Magnesium in acute MI. Timing is critical. Circulation 1995; 92: 2367-72.
- 10 Ravn HB. Pharmacological effects of magnesium on arterial thrombosis. Mechanism of action? Magnesium Res 1999; 12: 191-9.
- 11 Acland R. Prevention of thrombosis with topical magnesium sulphate. Lancet 1971; I: 1179-80.
- 12 Toft G, Ravn HB, Hjortdal VE. Intravenously and topically applied magnesium in the prevention of arterial thrombosis. Thromb Res 2000; 99: 61-9.
- 13 Kurtz KD, Main BW, Sandusky GE. Rat model of arterial thrombosis induced by ferric chloride. Thromb Haemost 1990; 60: 269-80.
- 14 Dejana E, Villa S, de Gaetano G. Bleeding time in rats: a comparison of different experimental conditions. Thromb Res 1982; 48: 108-11.
- 15 Christensen CW, Rieder MA, Silverstein EL, Gencheff NE. Magnesium sulfate reduces myocardial infarct size when administered before but not after coronary reperfusion in a canine model. Circulation 1995; 92: 2617-21.
- 16 Herzog WR, Schlossberg ML, MacMurdy KS, Edenbaum LR, Gerber MJ, Vogel RA, Serebruany VL. Timing of magnesium therapy affects experimental infarct size. Circulation 1995; 92: 2622-6.
- 17 Ravn HB, Kristensen SD, Hjortdal VE, Thygesen K, Husted SE. Early administration of intravenous magnesium inhibits arterial thrombus formation. Arterioscler Thromb Vasc Biol 1997; 17: 3620-5.
- 18 Shechter M, Mertz CN, Paul-Labrador M, Meisel SR, Rude RK, Molloy MD, Dwyer JH, Shah PK, Kaul S. Oral magnesium supplementation inhibits platelet-dependent thrombosis in patients with coronary artery disease. Am J Cardiol 1999; 84: 152-6.
- 19 Schumacher WA, Heran CL, Steinbacher TE, Youssef S, Ogletree ML. Superior activity of a thromboxane receptor antagonist as compared with aspirin in rat models of arterial and venous thrombosis. J Cardiovasc Pharmacol 1993; 22: 526-33.
- 20 Cirillo R, Lippi A, Subissi A, Agnelli G, Criscuoli M. Experimental pharmacology of hirunorm: a novel synthetic peptide thrombin inhibitor. Thromb Haemost 1996; 76: 384-92.
- 21 Elg M, Gustafsson D, Deinum J. The importance of enzyme inhibition kinetics for the effect of thrombin inhibitors in a rat model of arterial thrombosis. Thromb Haemost 1997; 78: 1286-92.
- 22 Lockyer S, Kambayashi J. Demonstration of flow and platelet dependency in a ferric chloride-induced model of thrombosis. J Cardiovasc Pharmacol 1999; 33: 718-25.
- 23 Buczko W, de Gaetano G. Effect of high doses of aspirin and salicylate on bleeding time in rats. Thromb Res 1983; 32: 631-4.
- 24 Iseri LT, French JH. Magnesium: Nature’s physiological calcium blocker. Am Heart J 1984; 108: 188-93.