Serum Mg2+ has been implicated in the symptom severity and pathophysio
logy of mood disorders. Furthermore, the recent findings of blunted si
gnalling through the G-protein-coupled adenylyl cyclase (AC) pathway i
n major depressive disorder (MDD) and the importance of Mg2+ in G-prot
ein/AC function led us to reexamine in a large sample whether serum Mg
2+ concentrations were decreased in MDD patients. In 145 drug-free MDD
patients compared with 2 control groups: (a) patients with bipolar di
sorder (n = 33) and (b) non-mood-disordered patients (n = 47), there w
ere no differences in Mg2+ levels or Ca2+/Mg2+ ratios. Neither of thes
e measures differed when comparing responders and nonresponders to ant
idepressant treatment.