Abstract

Magnesium is an essential trace metal and a necessary factor for multiple biochemical functions in humans. Its role in biology is fundamental in over 600 enzymatic reactions implicated in protein synthesis, mitochondrial functions, neuromuscular activity, bone formation, and immune system competence. Magnesium status is relevant in fetal development during gestation and in the newborn growth during the perinatal period. Moreover, magnesium is able to influence fetal programming and disease presentation in childhood or adulthood. The aim of this review is to focus on this metal homeostasis, analyzing its normal values, the causes of hypomagnesemia, the interaction with drugs and other conditions, and the diseases associated with magnesium value alteration during pregnancy, in order to study its role in fetal programming of adult diseases. The data here reported clearly indicated the existence of a connection between magnesium status and human pathology starting from intrauterine life and extending into childhood and adulthood.

Highlights

  • Magnesium is one of the ten essential metals in humans, the fourth most abundant cation, after calcium, potassium, and sodium, and the second most prevalent intracellular cation in human tissues [1]

  • Magnesium is indispensable for the aggregation of ribosomes into polysomes, and so plays a key role in protein synthesis

  • Magnesium ions act as cofactors for ribonucleic acid enzymes deputed to recognize and to cleave the target mRNA

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Summary

Introduction

Magnesium is one of the ten essential metals in humans, the fourth most abundant cation, after calcium, potassium, and sodium, and the second most prevalent intracellular cation in human tissues [1]. Magnesium is a multivalent cation, pivotal for many biochemical and physiological processes, being involved in many biologic and cellular functions including protein synthesis and nucleotide metabolism [2]. Recognition of the main role of magnesium has been progressively enlarged, thanks to its exceptional biochemical activity and, it is recognized as an essential factor for multiple biochemical functions in human cells. Intracellular magnesium ions can bind to the cell membrane, the nucleus, and ribosomes. Magnesium is indispensable for the aggregation of ribosomes into polysomes, and so plays a key role in protein synthesis. The role of magnesium in biology is essential: magnesium ions play a relevant role in over 600 enzymatic reactions, including energy metabolism, synthesis of fatty acids and proteins, neuromuscular excitability, and transmission of nerve impulses [4].

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