AND MAGNESIUM MEASURED IN PERIPHERAL BLOOD MONOCYTES OF WOMEN WITH PREECLAMPSIA JAY BRINGMAN, CHARLES GIBBS, ROBERT AHOKAS, RISA RAMSEY, SYAMAL BHATTACHARYA, ROBERT EGERMAN, University of Tennessee Health Science Center, Obstetrics and Gynecology, Memphis, Tennessee, University of Tennessee Health Science Center, Memphis, Obstetrics and Gynecology, Memphis, Tennessee, University of Tennessee, Obstetrics and Gynecology, Memphis, Tennessee, University of Tennessee Health Science Center, Memphis, General Surgery, Memphis, Tennessee, University of Tennessee Health Science Center, Department of Obstetrics and Gynecology and Internal Medicine, Memphis, Tennessee OBJECTIVE: Intracellular calcium and magnesium are responsible for many cellular functions, including vascular tone and arterial blood flow as calcium channels are known to be magnesium-dependent. We investigated the potential ameliorative effects of magnesium sulfate in preeclampsia by measuring its effect on intracellular free calcium and magnesium in peripheral blood mononuclear cells (PBMCs) as a surrogate of maternal smooth muscle. STUDY DESIGN: After informed consent was obtained, peripheral blood was obtained before and after magnesium sulfate administration to preeclamptic gravidas. Patients were determined to have preeclampsia by ACOG criteria. After Histopaque isolation of PBMCs, intracellular free calcium and magnesium levels were measured ratiometrically using the fluorescent molecular probes Fura-2 and mag Fura-2, respectively. RESULTS: Six patients were included in the study. Intravenous magnesium sulfate resulted in a significant decrease in free intracellular calcium and a significant increase in free intracellular magnesium levels in PBMCs (p 0.0313, p 0.0126, respectively). CONCLUSION: Magnesium sulfate infusion resulted in a lowering of free intracellular calcium and an elevation in free intracellular magnesium levels in PBMCs. Some of the ameliorative effects of intravenous magnesium sulfate may be produced by alterations in intracellular ionic calcium as either a direct effect on contractile proteins or as a secondary messenger for additional processes.