Low intracellular magnesium levels promote platelet-dependent thrombosis in patients with coronary artery disease

Background Although reduced intracellular levels of magnesium have been described in patients with acute myocardial infarction, its significance as a regulator of thrombosis remains unknown. Methods and Results To determine whether reduced intracellular levels of magnesium enhance platelet-dependent...

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Veröffentlicht in:The American heart journal 2000-08, Vol.140 (2), p.212-218
Hauptverfasser: Shechter, Michael, Merz, C.Noel Bairey, Rude, Robert K., Paul Labrador, Maura J., Meisel, Simcha R., Shah, Prediman K., Kaul, Sanjay
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container_end_page 218
container_issue 2
container_start_page 212
container_title The American heart journal
container_volume 140
creator Shechter, Michael
Merz, C.Noel Bairey
Rude, Robert K.
Paul Labrador, Maura J.
Meisel, Simcha R.
Shah, Prediman K.
Kaul, Sanjay
description Background Although reduced intracellular levels of magnesium have been described in patients with acute myocardial infarction, its significance as a regulator of thrombosis remains unknown. Methods and Results To determine whether reduced intracellular levels of magnesium enhance platelet-dependent thrombosis, we evaluated 42 patients with coronary artery disease (CAD) by exposing porcine aortic media to their flowing unanticoagulated venous blood for 5 minutes by using an ex vivo perfusion (Badimon) chamber. Baseline analysis demonstrated significant associations between intracellular levels of magnesium, platelet-dependent thrombosis (P =.02), and platelet P-selectin (CD62P) expression (P
doi_str_mv 10.1067/mhj.2000.107553
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Methods and Results To determine whether reduced intracellular levels of magnesium enhance platelet-dependent thrombosis, we evaluated 42 patients with coronary artery disease (CAD) by exposing porcine aortic media to their flowing unanticoagulated venous blood for 5 minutes by using an ex vivo perfusion (Badimon) chamber. Baseline analysis demonstrated significant associations between intracellular levels of magnesium, platelet-dependent thrombosis (P =.02), and platelet P-selectin (CD62P) expression (P &lt;.05). Patients were divided into 2 groups: below (n = 22) and above (n = 20) the median intracellular levels of magnesium (1.12 μg/mg protein). There were no significant differences in age, body mass index, serum lipids, fibrinogen, platelet count, or serum magnesium levels between the two groups. Platelet-dependent thrombosis was significantly higher in patients with intracellular levels of magnesium below compared with above median (150 ± 128 vs 45 ± 28 μm2/mm, P &lt;.004). Neither platelet aggregation nor CD62P expression was significantly different between the two groups. Conclusions Platelet-dependent thrombosis was significantly increased in patients with stable CAD with low intracellular levels of magnesium, suggesting a potential role for magnesium supplementation in CAD. (Am Heart J 2000;140:212-8.)</description><identifier>ISSN: 0002-8703</identifier><identifier>EISSN: 1097-6744</identifier><identifier>DOI: 10.1067/mhj.2000.107553</identifier><identifier>PMID: 10925332</identifier><identifier>CODEN: AHJOA2</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Aged ; Aged, 80 and over ; Animals ; Biological and medical sciences ; Cardiology. Vascular system ; Coronary Disease - blood ; Coronary heart disease ; Coronary Thrombosis - blood ; Female ; Heart ; Humans ; Intracellular Fluid - metabolism ; Magnesium - blood ; Magnesium Deficiency - blood ; Male ; Medical sciences ; Middle Aged ; P-Selectin - blood ; Platelet Aggregation - physiology ; Risk Factors ; Swine ; Thrombosis - blood</subject><ispartof>The American heart journal, 2000-08, Vol.140 (2), p.212-218</ispartof><rights>2000 Mosby, Inc.</rights><rights>2000 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-2bc4d3ef5ab0224575cc91ca6ced212bba997c0485966e96f8eaa090d2cb15143</citedby><cites>FETCH-LOGICAL-c372t-2bc4d3ef5ab0224575cc91ca6ced212bba997c0485966e96f8eaa090d2cb15143</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0002870300452865$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=1487043$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10925332$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Shechter, Michael</creatorcontrib><creatorcontrib>Merz, C.Noel Bairey</creatorcontrib><creatorcontrib>Rude, Robert K.</creatorcontrib><creatorcontrib>Paul Labrador, Maura J.</creatorcontrib><creatorcontrib>Meisel, Simcha R.</creatorcontrib><creatorcontrib>Shah, Prediman K.</creatorcontrib><creatorcontrib>Kaul, Sanjay</creatorcontrib><title>Low intracellular magnesium levels promote platelet-dependent thrombosis in patients with coronary artery disease</title><title>The American heart journal</title><addtitle>Am Heart J</addtitle><description>Background Although reduced intracellular levels of magnesium have been described in patients with acute myocardial infarction, its significance as a regulator of thrombosis remains unknown. Methods and Results To determine whether reduced intracellular levels of magnesium enhance platelet-dependent thrombosis, we evaluated 42 patients with coronary artery disease (CAD) by exposing porcine aortic media to their flowing unanticoagulated venous blood for 5 minutes by using an ex vivo perfusion (Badimon) chamber. Baseline analysis demonstrated significant associations between intracellular levels of magnesium, platelet-dependent thrombosis (P =.02), and platelet P-selectin (CD62P) expression (P &lt;.05). Patients were divided into 2 groups: below (n = 22) and above (n = 20) the median intracellular levels of magnesium (1.12 μg/mg protein). There were no significant differences in age, body mass index, serum lipids, fibrinogen, platelet count, or serum magnesium levels between the two groups. Platelet-dependent thrombosis was significantly higher in patients with intracellular levels of magnesium below compared with above median (150 ± 128 vs 45 ± 28 μm2/mm, P &lt;.004). Neither platelet aggregation nor CD62P expression was significantly different between the two groups. Conclusions Platelet-dependent thrombosis was significantly increased in patients with stable CAD with low intracellular levels of magnesium, suggesting a potential role for magnesium supplementation in CAD. (Am Heart J 2000;140:212-8.)</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Animals</subject><subject>Biological and medical sciences</subject><subject>Cardiology. Vascular system</subject><subject>Coronary Disease - blood</subject><subject>Coronary heart disease</subject><subject>Coronary Thrombosis - blood</subject><subject>Female</subject><subject>Heart</subject><subject>Humans</subject><subject>Intracellular Fluid - metabolism</subject><subject>Magnesium - blood</subject><subject>Magnesium Deficiency - blood</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>P-Selectin - blood</subject><subject>Platelet Aggregation - physiology</subject><subject>Risk Factors</subject><subject>Swine</subject><subject>Thrombosis - blood</subject><issn>0002-8703</issn><issn>1097-6744</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kc-P1SAQx4nRuM_VszfDwXjrLtACj6PZ-Ct5iRc9kymd-tjQ0gW6G_97afoSvXgiw3z4ZuYDIW85u-FM6dvpfH8jGNsqLWX7jBw4M7pRuuuek0NtiOaoWXtFXuV8X0sljuoluaqQkG0rDuThFJ-on0sChyGsARKd4NeM2a8TDfiIIdMlxSkWpEuAggFLM-CC84BzoeVce33MPtcQukDx9TbTJ1_O1MUUZ0i_KaSC9Rh8Rsj4mrwYIWR8czmvyc_Pn37cfW1O3798u_t4alyrRWlE77qhxVFCz4TopJbOGe5AORwEF30PxmjHuqM0SqFR4xEBmGGDcD2XvGuvyYc9t47_sGIudvJ5WxJmjGu2mgslW2EqeLuDLsWcE452SX6qg1vO7GbZVst2s2x3y_XFu0v02k84_MPvWivw_gJAdhDGBLPz-S_X1U_pthyzY9UyPnpMNrsqsG7oE7pih-j_O8MfSfmbWA</recordid><startdate>20000801</startdate><enddate>20000801</enddate><creator>Shechter, Michael</creator><creator>Merz, C.Noel Bairey</creator><creator>Rude, Robert K.</creator><creator>Paul Labrador, Maura J.</creator><creator>Meisel, Simcha R.</creator><creator>Shah, Prediman K.</creator><creator>Kaul, Sanjay</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20000801</creationdate><title>Low intracellular magnesium levels promote platelet-dependent thrombosis in patients with coronary artery disease</title><author>Shechter, Michael ; Merz, C.Noel Bairey ; Rude, Robert K. ; Paul Labrador, Maura J. ; Meisel, Simcha R. ; Shah, Prediman K. ; Kaul, Sanjay</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-2bc4d3ef5ab0224575cc91ca6ced212bba997c0485966e96f8eaa090d2cb15143</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Animals</topic><topic>Biological and medical sciences</topic><topic>Cardiology. Vascular system</topic><topic>Coronary Disease - blood</topic><topic>Coronary heart disease</topic><topic>Coronary Thrombosis - blood</topic><topic>Female</topic><topic>Heart</topic><topic>Humans</topic><topic>Intracellular Fluid - metabolism</topic><topic>Magnesium - blood</topic><topic>Magnesium Deficiency - blood</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>P-Selectin - blood</topic><topic>Platelet Aggregation - physiology</topic><topic>Risk Factors</topic><topic>Swine</topic><topic>Thrombosis - blood</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Shechter, Michael</creatorcontrib><creatorcontrib>Merz, C.Noel Bairey</creatorcontrib><creatorcontrib>Rude, Robert K.</creatorcontrib><creatorcontrib>Paul Labrador, Maura J.</creatorcontrib><creatorcontrib>Meisel, Simcha R.</creatorcontrib><creatorcontrib>Shah, Prediman K.</creatorcontrib><creatorcontrib>Kaul, Sanjay</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The American heart journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Shechter, Michael</au><au>Merz, C.Noel Bairey</au><au>Rude, Robert K.</au><au>Paul Labrador, Maura J.</au><au>Meisel, Simcha R.</au><au>Shah, Prediman K.</au><au>Kaul, Sanjay</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Low intracellular magnesium levels promote platelet-dependent thrombosis in patients with coronary artery disease</atitle><jtitle>The American heart journal</jtitle><addtitle>Am Heart J</addtitle><date>2000-08-01</date><risdate>2000</risdate><volume>140</volume><issue>2</issue><spage>212</spage><epage>218</epage><pages>212-218</pages><issn>0002-8703</issn><eissn>1097-6744</eissn><coden>AHJOA2</coden><abstract>Background Although reduced intracellular levels of magnesium have been described in patients with acute myocardial infarction, its significance as a regulator of thrombosis remains unknown. Methods and Results To determine whether reduced intracellular levels of magnesium enhance platelet-dependent thrombosis, we evaluated 42 patients with coronary artery disease (CAD) by exposing porcine aortic media to their flowing unanticoagulated venous blood for 5 minutes by using an ex vivo perfusion (Badimon) chamber. Baseline analysis demonstrated significant associations between intracellular levels of magnesium, platelet-dependent thrombosis (P =.02), and platelet P-selectin (CD62P) expression (P &lt;.05). Patients were divided into 2 groups: below (n = 22) and above (n = 20) the median intracellular levels of magnesium (1.12 μg/mg protein). There were no significant differences in age, body mass index, serum lipids, fibrinogen, platelet count, or serum magnesium levels between the two groups. Platelet-dependent thrombosis was significantly higher in patients with intracellular levels of magnesium below compared with above median (150 ± 128 vs 45 ± 28 μm2/mm, P &lt;.004). Neither platelet aggregation nor CD62P expression was significantly different between the two groups. Conclusions Platelet-dependent thrombosis was significantly increased in patients with stable CAD with low intracellular levels of magnesium, suggesting a potential role for magnesium supplementation in CAD. (Am Heart J 2000;140:212-8.)</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>10925332</pmid><doi>10.1067/mhj.2000.107553</doi><tpages>7</tpages></addata></record>
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subjects Aged
Aged, 80 and over
Animals
Biological and medical sciences
Cardiology. Vascular system
Coronary Disease - blood
Coronary heart disease
Coronary Thrombosis - blood
Female
Heart
Humans
Intracellular Fluid - metabolism
Magnesium - blood
Magnesium Deficiency - blood
Male
Medical sciences
Middle Aged
P-Selectin - blood
Platelet Aggregation - physiology
Risk Factors
Swine
Thrombosis - blood
title Low intracellular magnesium levels promote platelet-dependent thrombosis in patients with coronary artery disease
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