Decreased magnesium level and membrane potential of glaucoma patients

Main Article Content

Johnkennedy Nnodim
Obioma Elemba JE
Nwadike Constance
Edward Ukamaka
Njoku-Obi Treasure
Jimoh Raifu Folorunso
Nsonwu Magnus

Abstract

Background
One of the most important sight-threatening eye disorders in ophthalmology is glaucoma. Together with age related macular degeneration it is the most common cause of irreversible blindness. Magnesium (Mg) is considered to improve the ocular blood flow in glaucoma patients and could protect the retinal ganglion cell against oxidative stress. Membrane potential refers to the difference in electrical potential between the intracellular and the extracellular of a biological cell. The objective of this study was to determine the Mg serum level and membrane potential in glucoma subjects.

Methods
A case-control study was conducted in eighty confirmed glaucoma patients and eighty normal subjects between 50 to75 years were selected. The serum sodium, potassium and calcium were estimated using Randox Kit. While membrane potential was determined by calculation using Nerst Equation. Magnesium levels were determined by atomic absorption spectrophotometer technique. An independent t-test was used to analyze the data.

Results
The results obtained showed that the level of Magnesium serum (1.11 ± 0.14 mg/dL) and membrane potential (176.40 ± 42.00 J) was significantly decreased in glaucoma as compared to the controls (2.4 ± 0.68 mg/dL) and (251.76 ± 191.99) (p<0.05). The serum sodium, potassium and calcium were also significantly decreased among glaucoma subjects compared to control (p<0.005).

Conclusion
The result probably suggests, that decrease in magnesium aggravates glaucoma while decrease in membrane potential could cause poor energy transmission and hence affect ocular blood flow. Hence, decreased magnesium and membrane potential levels contributes greatly to glaucoma.

Article Details

How to Cite
Nnodim, J., Elemba JE, O., Constance, N., Ukamaka, E., Treasure, N.-O., Folorunso, J. R., & Magnus, N. (2016). Decreased magnesium level and membrane potential of glaucoma patients. Universa Medicina, 35(2), 105–109. https://doi.org/10.18051/UnivMed.2016.v35.105-109
Section
Original Articles

References

Naik NS, Lamani S, Devarmani SS. The role of serum magnesium level in type 2 diabetes mellitus. Int J Res Med Sci 2015;3:556-9.

Wishal D, Ramdas WD, Wolfs RCW, et al. Nutrient intake and risk of open-angle glaucoma: the Rotterdam study. Eur J Epidemiol 2012; 27:385–93. DOI: 10.1007/s10654-012-9672-z.

Matthias B, Schulze M, Heidemann C, et al Fiber and magnesium intake and incidence of type 2 diabetes. Arch Intern Med 2007;167:956-65.

Mittag TW, Danias J, Pohorenec G, et al. Retinal damage after 3 to 4 months of elevated intraocular pressure in a rat glaucoma model. Invest Ophthalmol Vis Sci 2000;41:3451–9.

Pechere-Bertsch A, Sunaric-Megevand, Haefliger I, et al. Renal sodium handling in patients with normal pressure glaucoma. Clin Sci 2007;112:337–44. doi: 10.1042/CS200600 82.

Ekici F, Korkmaz F, Karaca EE, et al. The role of magnesium in the pathogenesis and treatment of glaucoma. ISRN 2014;10:1155-9.

Edward U, Nnodim JK, Akabogu UI, et al. Immunoglobulin expressions in glaucoma patients attending general Hospital Owerr. Res J Med Med Sci 2015;10:33-5.

Leffler CT, Schwartz SG, Hadi TM, et al. The early history of glaucoma: the glaucous eye (800 BC to 1050 AD). Clin Ophthalmol 2015;9:207-15.

Chrysostomou V, Rezania F,Trounce IA, Crowston JG. Oxidative stress and mitochondrial dysfunction in glaucoma. Curr Op Pharmacol 2013;13:12–5.

Addison C. Clinical biochemistry: magnesium (serum, plasma). London: The Association for Clinical Biochemistry and Laboratory Medicine; 2012.

De Valk HW. Magnesium in diabetes mellitus. Neth J Med 1999;54:139-46.

Mozaffarieh M, Flammer J. New insights in the pathogenesis and treatment of normal tension glaucoma. Current Opin Pharmacol 2013;13: 43–9.

Mozaffarieh M, Flammer J. Is there more to glaucoma treatment than lowering Surv Ophthalmol 2007;52:174–9.

Smith JM, Lowe RF, Fullerton J, et al. An integrative review of the side effects related to the use of magnesium sulfate for pre-eclampsia and eclampsia management BMC Pregnancy Childbirth 2013;13:43–9.

Katsanos KH, Elisaf M, Bairaktari E, et al. Severe hypomagnesemia and hypoparathyroi- dism in Kearns-Sayre syndrome. Am J Nephrol 2001;21:150–3.

Mayama C. Calcium channels and their blockers in intraocular pressure and glaucoma. Eur J Pharmacol 2013;739:96–105.

Musso CG. Magnesium metabolism in health and disease. Int Urol Nephrol 2009;41:357–62

Liang SY, Lee LR. Retinitis pigmentosa associated with hypomagnesaemia. Clin Exp Ophthalmol 2010;38:645–7.

Bookchin RM, Etzion Z, Sorette M, et al. Identification and characterizationof newly recognized population of high Na+, low K+ lowdensity sickle cell and normal cells. Proc Natl Acad Sci USA 2000;97:8045–50.

He Y, Leung KW, Zhang YH, et al. Mitochondrial complex I defect induces ROS release and degeneration in trabecular meshwork cells of POAG patients: protection by antioxidants. Invest Ophthalmol Vis Sci 2008; 49:1447–58.