The multifaceted and essential role of the mineral magnesium in the physiological processes governing skeletal structure and function, including its direct incorporation as a structural component of the bone matrix and its function as a critical cofactor for numerous enzymes involved in bone cell activity. Magnesium is vital for regulating parathyroid hormone and Vitamin D, both of which are central to calcium homeostasis and bone turnover. Deficiency in this micronutrient can compromise bone quality and increase fracture risk.
Origin
This concept is rooted in nutritional biochemistry and osteology, recognizing magnesium’s status as the fourth most abundant cation in the body, with approximately 60% stored within the bone. Its importance was established through studies demonstrating its necessity for the proper function of bone-forming and bone-resorbing cells. The term emphasizes its active, metabolic role beyond simple structural presence.
Mechanism
Magnesium acts as a cofactor for alkaline phosphatase, an enzyme essential for the mineralization process performed by osteoblasts, ensuring the correct deposition of calcium and phosphate into the bone matrix. Furthermore, adequate magnesium levels are required for the conversion of Vitamin D into its active hormonal form, calcitriol, and for maintaining appropriate PTH secretion, which collectively regulate systemic calcium balance. A deficiency disrupts these interconnected regulatory loops, leading to impaired bone development and increased fragility.
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