Abstract
We aimed to investigate expression of magnesium transporter genes in patients with head and neck cancer who underwent cisplatin-based neoadjuvant chemotherapy and their association with serum magnesium level. Head and neck cancer patients scheduled to undergo neoadjuvant cisplatin-based chemotherapy were eligible for enrollment. Blood samples were obtained at three time points: prior to, during, and after completion of chemotherapy. Expression levels of magnesium transporter genes were determined by quantitative real-time PCR. A total of 23 patients were included in the final analysis. The average serum magnesium levels dropped 6.98 and 5.20 % during and after completion of chemotherapy. There were neither significant associations between serum magnesium level and demographic variables nor tumor-related variables. SLC41A1 expression level was positively correlated with serum magnesium whereas TRPM6 expression level was negatively correlated with serum magnesium. Serum magnesium level decreased during cisplatin-based chemotherapy in head and neck cancer patients. Further studies are warranted to investigate optimal magnesium measurement and substitution protocol.
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References
Zhou H, Clapham DE (2009) Mammalian MagT1 and TUSC3 are required for cellular magnesium uptake and vertebrate embryonic development. Proc Natl Acad Sci USA 106:15750–15755
Wolf FI, Cittadini AR, Maier JA (2009) Magnesium and tumors: ally or foe? Cancer Treat Rev 35:378–382
Bashir H, Crom D, Metzger M, Mulcahey J, Jones D, Hudson MM (2007) Cisplatin-induced hypomagnesemia and cardiac dysrhythmia. Pediatr Blood Cancer 49:867–869
López-Saca JM, López-Picazo JM, Larumbe A, Urdíroz J, Centeno C (2013) Hypomagnesemia as a possible explanation behind episodes of severe pain in cancer patients receiving palliative care. Support Care Cancer 21:649–652
Hunter RJ, Pace MB, Burns KA et al (2009) Evaluation of intervention to prevent hypomagnesemia in cervical cancer patients receiving combination cisplatin and radiation treatment. Support Care Cancer 17:1195–1201
Lajer H, Bundgaard H, Secher NH, Hansen HH, Kjeldsen K, Daugaard G (2003) Severe intracellular magnesium and potassium depletion in patients after treatment with cisplatin. Br J Cancer 89:1633–1637
Hodgkinson E, Neville-Webbe HL, Coleman RE (2006) Magnesium depletion in patients receiving cisplatin-based chemotherapy. Clin Oncol (R Coll Radiol) 18:710–718
Cao Y, Liao C, Tan A, Liu L, Gao F (2010) Meta-analysis of incidence and risk of hypomagnesemia with cetuximab for advanced cancer. Chemotherapy 56:459–465
Lin JC, Jan JS, Chen KY, Hsu CY, Liang WM, Wang WY (2003) Outpatient weekly 24-h infusional adjuvant chemotherapy of cisplatin, 5-fluorouracil, and leucovorin for high-risk nasopharyngeal carcinoma. Head Neck 25:438–450
Pfaffl MW (2001) A new mathematical model for relative quantification in real-time RT-PCR. Nucleic Acids Res 29:e45
Assadi F (2010) Hypomagnesemia: an evidence-based approach to clinical cases. Iran J Kidney Dis 4:13–19
Vermorken JB, Mesia R, Rivera F et al (2008) Platinum-based chemotherapy plus cetuximab in head and neck cancer. N Engl J Med 359:1116–1127
Schweigel M, Voigt J, Mohr E (2009) Indication of intracellular magnesium deficiency in lactating dairy cows revealed by magnesium loading and renal fractional excretion. J Anim Physiol Anim Nutr (Berl) 93:105–112
Vincenzi B, Santini D, Galluzzo S et al (2008) Early magnesium reduction in advanced colorectal cancer patients treated with cetuximab plus irinotecan as predictive factor of efficacy and outcome. Clin Cancer Res 14:4219–4224
Wolf FI, Trapani V, Cittadini A, Maier JA (2009) Hypomagnesaemia in oncologic patients: to treat or not to treat? Magnes Res 22:5–9
Nasulewicz A, Wietrzyk J, Wolf FI et al (2004) Magnesium deficiency inhibits primary tumor growth but favors metastasis in mice. Biochim Biophys Acta 1739:26–32
Acknowledgments
The authors thank the Biostatistics Task Force of Taichung Veterans General Hospital for their assistance with the statistical analysis. The study was supported by grants from Taichung Veterans General Hospital (TCVGH-1007002C), Taichung, Taiwan, Republic of China. There was no potential conflict of interest in this research. Taichung Veterans General Hospital had no role in the design and conduct of the study; in the collection, analysis, and interpretation of the data; or in the preparation, review, or approval of the manuscript.
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Lin, YJ., Cheng, FC., Chien, LS. et al. Expression of magnesium transporter genes in head and neck cancer patients underwent neoadjuvant cisplatin-based chemotherapy. Eur Arch Otorhinolaryngol 272, 3051–3057 (2015). https://doi.org/10.1007/s00405-015-3563-3
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DOI: https://doi.org/10.1007/s00405-015-3563-3