Abstract-The insulin-mimetic effect of vanadate is well established, and vanadate has been shown to improve insulin sensitivity in diabetic rats and humans. Although the exact mechanism(s) remain undefined, we have previously demonstrated a direct relation of intracellular free magnesium (Mg i ) levels to glucose disposal, to insulinemic responses following glucose loading, and to insulin-induced ionic effects. To investigate whether the insulin-mimetic effects of vanadate could similarly be mediated by Mg i , we utilized 31 P-nuclear magnetic resonance spectroscopy to measure Mg i in erythrocytes from normal (NL, nϭ10) and hypertensive (HTN, nϭ12) Key Words: magnesium Ⅲ vanadate Ⅲ insulin Ⅲ nuclear magnetic resonance spectroscopy T he phosphatase inhibitor vanadate is a compound that has insulin-mimetic properties both in vitro and in vivo, and it has been proposed in the treatment of diabetes mellitus. 1 As such, vanadate lowers plasma glucose levels, increases peripheral glucose uptake, and improves insulin sensitivity. 1,2 Depletion of another mineral ion, intracellular free magnesium (Mg i ), is a characteristic feature of insulin resistance in essential hypertension and type 2 diabetes mellitus, but it is not clear to what extent lower Mg i levels contribute to insulin resistance, result from it, or both. Abnormalities of Mg i and cytosolic free calcium (Ca i ) have been closely related to the level of blood pressure, the extent of cardiac hypertrophy, and the degree of insulin resistance present in these clinical states. [3][4][5][6] Our group has proposed that the insulin resistance of hypertension and type 2 diabetes mellitus results, at least in part, from an ionic defect characterized by cellular Mg i deficiency and cellular Ca i accumulation. [5][6][7] We have previously demonstrated a direct relation of Mg i levels to glucose disposal, to insulinemic responses following glucose loading, and to insulin-induced stimulation of Mg i . [5][6][7][8] Conversely, because the ability of insulin-like growth factor I (IGF-I) to improve insulin sensitivity may depend on its stimulation of Mg i , 9 we wondered whether the ability of vanadate to improve insulin action was also linked to cellular magnesium metabolism.We therefore utilized 31 P-nuclear magnetic resonance (NMR) spectroscopic techniques to assess Mg i responses to vanadate compared with insulin in erythrocytes from normotensive and essential hypertensive individuals.
Subjects and MethodsTwenty milliliters of venous blood were drawn from unmedicated normotensive (nϭ10, male/femaleϭ5/5) and hypertensive (nϭ12, male/femaleϭ7/5) subjects in the morning (9:00 AM to noon) after an overnight fast. Previous medications were withdrawn for at least 3 weeks; diuretics, for at least 3 months before study. Essential hypertension was diagnosed on the basis of at least 3 blood pressure readings Ͼ150/90 mm Hg in the absence of signs or symptoms of secondary forms of hypertension. A history of myocardial infarction, angina pectoris, or stroke in the last 6 months b...