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Division of Clinical Pharmacology and Toxicology, Clinical Chemistry Department, Ullevaal University Hospital, N-0407 Oslo, Norway
Increase in extracellular Mg2+
concentration ([Mg2+]o) reduces
Ca2+ accumulation during reoxygenation of hypoxic
cardiomyocytes and exerts protective effects. The aims of the present
study were to investigate the effect of increased
[Mg2+]o on Ca2+ influx and
efflux, free cytosolic Ca2+
([Ca2+]i) and Mg2+ concentrations
([Mg2+]i), Ca2+ accumulation in
the presence of inhibitors of mitochondrial or sarcoplasmatic reticulum
Ca2+ transport, and finally mitochondrial membrane
potential (
m). Isolated adult rat cardiomyocytes were
exposed to 1 h of hypoxia and subsequent reoxygenation. Cell
Ca2+ was determined by 45Ca2+
uptake, and the levels of [Mg2+]i and
[Ca2+]i were determined by flow cytometry as
the fluorescence of magnesium green and fluo 3, respectively.
Ca2+ influx rate was significantly reduced by ~40%,
whereas Ca2+ efflux was not affected by increased
[Mg2+]o (5 mM) during reoxygenation.
[Ca2+]i and [Mg2+]i
were increased at the end of hypoxia, fell after reoxygenation, and
were unaffected by increased [Mg2+]o.
Clonazepam, a selective mitochondrial Na+/Ca2+
exchange inhibitor (100 µM), significantly reduced Ca2+
accumulation by 70% and in combination with increased
[Mg2+]o by 90%. Increased
[Mg2+]o, clonazepam, and the combination of
both attenuated the hypoxia-reoxygenation-induced reduction in

m, determined with the cationic dye JC-1 by flow cytometry. A significant inverse correlation was observed between 
m and cell Ca2+ in reoxygenated cells
treated with increased [Mg2+]o and
clonazepam. In conclusion, increased [Mg2+]o
(5 mM) inhibits Ca2+ accumulation by reducing
Ca2+ influx and preserves 
m without
affecting [Ca2+]i and
[Mg2+]i during reoxygenation. Preservation of
mitochondria may be an important effect whereby increased
[Mg2+]o protects the postischemic heart.
magnesium; hypoxia; calcium; flow cytometry; clonazepam
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