Dietary magnesium, not calcium, regulates renal thiazide receptor

J Am Soc Nephrol. 1999 Mar;10(3):458-63. doi: 10.1681/ASN.V103458.

Abstract

This study reports for the first time a relationship between dietary Mg and the renal thiazide-sensitive Na-Cl cotransporter (TZR, measured by saturation binding with 3H-metolazone). Ion-selective electrodes measured plasma ionized magnesium (PMg++), calcium (PCa++), and potassium (PK+). Restricting dietary Mg for 1 wk decreased PMg++ 18%, TZR 25%, and renal excretion of magnesium (UMg) and calcium (UCa) more than 50% without changing PCa++, PK+, or plasma aldosterone. A low Mg diet for 1 d significantly decreased PMg++, TZR, UMg and UCa. Return of dietary Mg after 5 d of Mg restriction restored PMg++ and TZR toward normal. In the control, Mg-deficient, and Mg-repleting animals, TZR correlated with PMg++ (r = 0.86) and with UMg (r = 0.87) but not UCa (r = 0.09). Increasing oral intake of Mg for 1 wk increased PMg++ 14%, TZR 32%, UMg 74%, and UCa more than fourfold without changing PCa++ or PK+. In contrast, increasing dietary Ca content from 0.02% to 1.91% did not change TZR, but increased UCa fivefold without changing PCa++. Hormonal mediators (if any) involved in the relationship between dietary Mg and TZR remain to be elucidated, as does the relationship between TZR and tubular reabsorption of Mg.

Publication types

  • Comparative Study
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Administration, Oral
  • Analysis of Variance
  • Animals
  • Calcium / blood
  • Calcium / deficiency
  • Calcium / urine
  • Calcium, Dietary / administration & dosage*
  • Carrier Proteins / analysis
  • Carrier Proteins / drug effects
  • Carrier Proteins / metabolism*
  • Diet
  • Kidney Tubules, Distal / drug effects
  • Kidney Tubules, Distal / metabolism*
  • Linear Models
  • Magnesium / administration & dosage*
  • Magnesium / blood*
  • Magnesium / urine
  • Male
  • Potassium / blood
  • Rats
  • Rats, Sprague-Dawley
  • Receptors, Drug / analysis
  • Receptors, Drug / drug effects
  • Receptors, Drug / metabolism*
  • Reference Values
  • Sodium Chloride / metabolism
  • Sodium Chloride Symporters
  • Solute Carrier Family 12, Member 3
  • Symporters*

Substances

  • Calcium, Dietary
  • Carrier Proteins
  • Receptors, Drug
  • Slc12a3 protein, rat
  • Sodium Chloride Symporters
  • Solute Carrier Family 12, Member 3
  • Symporters
  • thiazide receptor
  • Sodium Chloride
  • Magnesium
  • Potassium
  • Calcium