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Elevation of brain magnesium prevents synaptic loss and reverses cognitive deficits in Alzheimer’s disease mouse model
Open accessAbstract
BACKGROUND: Profound synapse loss is one of the major pathological hallmarks associated with Alzheimer's disease, which might underlie memory impairment. Our previous work demonstrates that magnesium ion is a critical factor in controlling synapse density/plasticity. Here, we tested whether elevation of brain magnesium, using a recently developed compound (magnesium-L-threonate, MgT), can ameliorate the AD-like pathologies and cognitive deficits in the APPswe/PS1dE9 mice, a transgenic mouse model of Alzheimer's disease. RESULTS: MgT treatment reduced Aβ-plaque, prevented synapse loss and memory decline in the transgenic mice. Strikingly, MgT treatment was effective even when the treatment was given to the mice at the end-stage of their Alzheimer's disease-like pathological progression. To explore how elevation of brain magnesium ameliorates the AD-like pathologies in the brain of transgenic mice, we studied molecules critical for APP metabolism and signaling pathways implicated in synaptic plasticity/density. In the transgenic mice, the NMDAR signaling pathway was downregulated, while the BACE1 expression were upregulated. MgT treatment prevented the impairment of these signaling pathways, stabilized BACE1 expression and reduced sAPPβ and β-CTF in the transgenic mice. At the molecular level, elevation of extracellular magnesium prevented the high Aβ-induced reductions in synaptic NMDARs by preventing calcineurin overactivation in hippocampal slices. CONCLUSIONS: Our results suggest that elevation of brain magnesium exerts substantial synaptoprotective effects in a mouse model of Alzheimer's disease, and hence it might have therapeutic potential for treating Alzheimer's disease.
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![Figure 1 Prevention of memory deficits in APPswe/PS1dE9 transgenic mice (Tg mice) by MgT treatment. (A) Escape latencies in seconds(s) during training (5 trials/day) in water maze task at 7 months of age, i.e., after 1 month of treatment. Three groups of mice were used; WT (n = 9), Tg (n = 13) and Tg + MgT (n = 9; ANOVA effect of treatment, p < 0.05). (B) Probe test conducted 24 h after the training. Top, representative path tracings. Bottom, percentage of time spent in each quadrant (ANOVA differences among quadrants; WT: p < 0.05; Tg + MgT: p < 0.0001). (C) Same as (A) and on the same mice, but tested at 15 months of age. WT (n = 9); Tg (n = 7); Tg + MgT (n = 6). ANOVA effect of treatment p < 0.05. (D) Probe test 24 h later (ANOVA differences among quadrants: WT: p < 0.0001; Tg + MgT: p < 0.0001). (E) Short-term (10 m in retention interval, left) and long-term (24 h, right) novel-object recognition memory tests performed on the same group of mice at 22 months of age. WT (n = 7), Tg (n = 6), and Tg + MgT (n = 6). Recognition index calculated as percentage of time spent exploring each object (Obj1-3). Black bars indicate novel object (Nov). ANOVA differences in recognition index of different objects in WT (STM: p < 0.0001; LTM: p < 0.0001) and Tg + MgT (STM: p < 0.0001; LTM: p < 0.001). Dashed lines represent chance levels of performance (25%). (F) Total magnesium (ionized and non-ionized) contents in different organs/tissues (Mgtissue) normalized to tissue weight (mg/g) in the same groups of mice. WT (n = 7), Tg (n = 6) and Tg + MgT (n = 6). ANOVA difference among groups (brain: p < 0.0001; kidney: p < 0.01). (G) Magnesium ion concentration in the plasma ([Mg2+]plasma, mM) of WT (n = 14), Tg (n = 9) and Tg + MgT mice (n = 8) as measured by the calmagite method. ANOVA difference among groups (p < 0.01). (H) The intracellular free Mg2+ concentration in the red blood cell ([Mg2+]RBC) of WT (n = 12), Tg (n = 11) and Tg + MgT mice (n = 11) as measured by the flow cytometry method (fluorescent optical density, OD). ANOVA difference among groups (p < 0.05). ANOVA was followed by Bonfferoni’s post hoc test. (I) Brain total magnesium content (Mgbrain, mg/g), in Tg mice (23 months old), significantly correlated with the recognition index in the short-term recognition memory test (Pearson’s test). Data from Tg + MgT mice (23 months old treated for 17 months) are displayed, but were not included in the correlation analysis. Error bars show SEM. * p < 0.05, *** p < 0.001.](/paper-figures/5a6954837ad447f5b8d69fbffca8038c/elevation-of-brain-magnesium-prevents-synaptic-loss-and-reverses-cognitive-figure-1.jpg)


![Figure 4 Prevention of exogenous Aβ 42-induced downregulation of synaptic NMDARs by elevation of [Mg 2+ ] o . (A) Top panel: Representative traces of EPSCs recorded at membrane potentials of −70 and +50 mV at 0.8 mM [Mg2+]o (0.8-[Mg2+]o) before (black) and after (red) application of Aβ42 with (right) or without (left) the addition of calcineurin inhibitor (FK506). Middle panel: Same as above but at 1.2 mM [Mg2+]o (1.2-[Mg2+]o). Lower panel: EPSCs at 0.8 and 1.2 mM [Mg2+]o with and without Aβ42 monomers in the presence of NR2B blocker (ifenprodil). (B) The ratio of amplitudes of EPSCNMDAR to EPSCAMPA (INMDA/AMPA) in 0.8-[Mg2+]o (n = 8), 0.8-[Mg2+]o + Aβ42 (n = 7) and 0.8-[Mg2+]o + Aβ42 + FK506 (n = 8) slices. ANOVA revealed significant difference among the groups (p < 0.0001). ANOVA was followed by Bonferroni’s post hoc test. ** p < 0.01, ***p < 0.001. (C) The ratio of amplitudes of EPSCNMDAR to EPSCAMPA (INMDA/AMPA) in 0.8-[Mg2+]o (n = 8), 1.2-[Mg2+]o (green, n = 6), 0.8-[Mg2+]o + FK506 (n = 7) and 1.2-[Mg2+]o + FK506 slices (n = 7). (D) The ratio of amplitudes of EPSCNMDAR to EPSCAMPA (INMDA/AMPA) in 0.8-[Mg2+]o (n = 8), 1.2-[Mg2+]o + Aβ42 (n = 6), 0.8-[Mg2+]o + FK506 (n = 7) and 1.2-[Mg2+]o + FK506 slices (n = 7), 0.8-[Mg2+]o + Aβ42 + FK506 (n = 8) and 1.2-[Mg2+]o + Aβ42 + FK506 (n = 8). (E) The ratio of amplitudes of EPSCNMDAR to EPSCAMPA (INMDA/AMPA) after the addition of ifenprodil; 0.8-[Mg2+]o (n = 6), 0.8-[Mg2+]o + Aβ42 (n = 10), 1.2-[Mg2+]o (n = 8) and 1.2-[Mg2+]o + Aβ42 (n = 12). Recordings were conducted, in vitro, using acute hippocampal slices from 4 weeks old WT mice. Unpaired t-tests, ** p < 0.01. Error bars show SEM. (F) Schematic illustration of how high Aβ impairs NMDARs and how elevation of [Mg2+]o might prevent this impairment.](/paper-figures/b8563513df9249c3a68f26dc4f81c7ec/elevation-of-brain-magnesium-prevents-synaptic-loss-and-reverses-cognitive-figure-4.jpg)



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“In addition, Mg2+ treatment can reduce soluble Aβ by stabilizing BACE-1 expression, thus reversing cognitive impairment and synaptic loss in AD mice [551].”
From Molecular and cellular mechanisms underlying the pathogenesis of Alzheimer’s disease (2020) · cites this paper as [551]
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Metadata
- Authors
- Li, W., Yu, J., Liu, Y., Huang, X., Abumaria, N., Zhu, Y., Huang, X., Xiong, W., Ren, C., Liu, X.-G., Chui, D., & Liu, G.
- Affiliations
- Tsinghua University (CN)
- Sun Yat-sen University (CN)
- Peking University (CN)
- Corresponding author
- Liu, Guosong
- Venue
- Molecular Brain
- Published
- 2014-09-13
- Volume
- 7
- Issue
- 1
- Pages
- 65-65
- ISSN
- 1756-6606 (ISSN-L)
- PMC
- PMC4172865
- OpenAlex
- W2124506047
- Cited by
- 146
- References
- 50
- Citations by year
- 2026: 8 · 2025: 13 · 2024: 20 · 2023: 9 · 2022: 13 · 2021: 15 · 2020: 16 · 2019: 8 · 2018: 5 · 2017: 14 · 2016: 11 · 2015: 14
- FWCI
- 8.64
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Molecular Brain (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Funders
- National Natural Science Foundation of China (973 Program, 2013CB835102, 81270048, 30970957)
- National Key Research and Development Program of China (2011CB302201, 2009CB941303)
- Topics
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Alzheimer's disease research and treatments
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neuroscience and Neuropharmacology Research
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Keywords
- Alzheimer's disease, magnesium L-threonate, synaptic loss, cognitive impairment, APP/PS1 mice, amyloid plaques, NMDA receptor signaling, BACE1, APP processing, calcineurin, hippocampus, memory impairment
- MeSH terms
- Aging, Alzheimer Disease, Analysis of Variance, Animals, Body Weight, Brain, Butyrates, Cognition Disorders, Disease Models, Animal, Female, Hippocampus, Humans, Learning, Male, Memory Disorders, Mice, Transgenic, Motor Activity, Synaptic Transmission, Synapses, Signal Transduction, Down-Regulation, Receptors, N-Methyl-D-Aspartate, Amyloid beta-Peptides, Aspartic Acid Endopeptidases, Amyloid Precursor Protein Secretases, Plaque, Amyloid
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