It has long been recognized that magnesium is associated with several important diseases, including diabetes, hypertension, cardiovascular, and cerebrovascular diseases. In the present study, we measured the intracellular free Mg 2؉ concentration ( From epidemiological statistics and clinical experience, it has long been recognized that magnesium is associated with several important diseases, for example, diabetes mellitus, hypertension, cardiovascular, and cerebrovascular diseases (1-5). Recent advances in techniques for magnesium measurements have made it possible to provide supporting evidence that the intracellular free Mg 2ϩ concentration ([Mg 2ϩ ] i ) is responsive to relevant key hormones and neurotransmitters (6 -10).Amiloride, 1 3,5-diamino-6-chloro-N-(diaminomethylene)pyrazinecarboxamide, is a prototype of a large group of compounds with a broad range of unique biological activities. Due to K ϩ -sparing and natriuretic effects, this compound is clinically used as an antihypertensive drug. Furthermore, it inhibits many Na ϩ -dependent transporters, for example Na ϩ -H ϩ , Na ϩ -Ca 2ϩ exchanges etc. (11, 12), this being expected to protect the heart from ischemic changes (13,14). A more selective Na ϩ -Ca 2ϩ exchange inhibitor, KB-R7943, has recently been synthesized, and evidence for its cardioprotective effect is accumulating (15-17). It has been pointed out that Na ϩ -Ca 2ϩ exchange shares many characteristic features with Na ϩ -Mg 2ϩ exchange (18). Accordingly, it is interesting to examine possible effects of amiloride and KB-R7943 on [Mg 2ϩ ] i regulation, and in the present study, we measured [Mg 2ϩ ] i in pig carotid artery smooth muscle using 31 P NMR. Despite low time resolution, this technique enables stable measurements over a long period, and this is advantageous because Mg 2ϩ is considered to be a chronic regulator, such long time measurements are usually required. Further, fluorescent Mg 2ϩ indicators, another option for measurement of [Mg 2ϩ ] i , were not suitable for this purpose, since amiloride emits light (19).Na ϩ -Mg 2ϩ exchange is thought to be the major mechanism to pump out intracellular Mg 2ϩ . Thus, possible inhibitors of Na ϩ -Mg 2ϩ exchange are expected to increase [Mg 2ϩ ] i . The 31 P NMR measurements in the present study, however, revealed that amiloride and KB-R7943 paradoxically decreased [Mg 2ϩ ] i in a Ca 2ϩ -dependent manner. In addition, this effect persisted after washout for several minutes. A selective Na ϩ -H ϩ exchange inhibitor, 5-(N,N-dimethyl)-amiloride (DMA), did not cause the same changes in [Mg 2ϩ ] i . The underlying mechanisms are discussed.
MATERIALS AND METHODSPreparation-Pig carotid arteries were collected at an abattoir (Nagoya Meat Hygiene Laboratory, Nagoya, Japan) in physiological saline solution, used as the normal solution for 31 P NMR experiments. The arteries were stripped of fat and connective tissue, and cut into segments of ϳ3 cm in length. The lumen was exposed by cutting the artery segments into two strips along the longitudinal di...