To ascertain the quantitative effect on the disease beta-thalassemia o
f a low-magnesium (Mg) diet compared with a high-Mg diet and a standar
d-Mg diet, we studied the effect these diets had over a 4-week period
on beta-thalassemic (beta thal) mice compared with normal C57BL/6 mice
used as controls. The low-Wig diet consisted of 6 +/- 2 mg Mg/kg body
weight d, the high-Mg diet 1,000 +/- 20 mg Mg/kg body weight/d, and t
he standard-Mg diet 400 +/- 20 mg Mg/kg body weight d, beta thal mice
that were fed the low-Mg diet became more anemic, had reduced serum an
d erythrocyte Mg, and had decreased erythrocyte K. Their K-Cl cotransp
ort increased, followed by commensurate cell dehydration. The high-Mg
group showed a significant improvement of the anemia, increased serum
and erythrocyte Mg, increased erythrocyte Mg, increased erythrocyte K,
reduced K-Cl cotransport, and diminished cell dehydration. C57BL/6 co
ntrol mice that received the low-Mg diet experienced anemia with eryth
rocyte dehydration, whereas the high-Mg diet had little effect on the
hematologic parameters. beta thal and C57BL/6 control mice that were f
ed a standard diet showed no changes, These results indicate that diet
ary Mg supplementation corrects hypomagnesemia and improves anemia in
murine beta that and should be assessed in human beta-thalassemia. (C)
1997 by The American Society of Hematology.