Elevated Dietary Magnesium Prevents Connective Tissue Mineralization in a Mouse Model of Pseudoxanthoma Elasticum (Abcc6−/−)  Jennifer LaRusso, Qiaoli.

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Elevated Dietary Magnesium Prevents Connective Tissue Mineralization in a Mouse Model of Pseudoxanthoma Elasticum (Abcc6−/−)  Jennifer LaRusso, Qiaoli Li, Qiujie Jiang, Jouni Uitto  Journal of Investigative Dermatology  Volume 129, Issue 6, Pages 1388-1394 (June 2009) DOI: 10.1038/jid.2008.391 Copyright © 2009 The Society for Investigative Dermatology, Inc Terms and Conditions

Figure 1 Mineralization of the connective tissue capsule surrounding the bulb of vibrissae of Abcc6−/− mice fed either control diet or diet with mineral modifications. The mice were placed on special diets at 4 weeks of age, and the muzzle skin was biopsied and histopathologic sections were stained with hematoxylin–eosin at 12 weeks. For comparison, a wild-type (Abcc6+/+) mouse on control diet at 12 weeks of age is included (left panel). The Abcc6−/− mice on control diet showed distinct foci of mineralization at 12 weeks of age (arrowheads), and mice on high-phosphate, low-phosphate, or low-magnesium diet showed similar degrees of mineralization. However, in mice fed high-magnesium diet (group C), no evidence of mineralization was noted, similar to the Abcc6+/+ control mice. Scale bar=0.1mm. Journal of Investigative Dermatology 2009 129, 1388-1394DOI: (10.1038/jid.2008.391) Copyright © 2009 The Society for Investigative Dermatology, Inc Terms and Conditions

Figure 2 Quantitation of connective tissue mineralization in the vibrissae. The wild-type (WT) and knockout (KO) mice fed control or experimental diet, as indicated in parenthesis, was accomplished either by (a) computerized morphometric analysis (upper panel) or (b) by chemical assay for calcium and phosphate (lower panel) in the muzzle skin biopsies. The bars represent mean±SE, n=5 in each group. The statistical significance between different groups is indicated by an asterisk (P<0.05). Journal of Investigative Dermatology 2009 129, 1388-1394DOI: (10.1038/jid.2008.391) Copyright © 2009 The Society for Investigative Dermatology, Inc Terms and Conditions

Figure 3 Demonstration that magnesium in a dose-dependent manner inhibits mineralization and calcium deposition in an in vitro culture system. Human aortic smooth muscle cells were cultured on tissue culture flasks in a medium containing 10% FBS or serum from WT or KO mice (10%). After the cultures reached ∼80% of confluence, 2mM inorganic phosphate (+Pi) was added and the degree of mineralization was assessed either (a) by phase contrast light microscopy or (b) by chemical assay of calcium deposition in the cell layer. A dramatic, about 60-fold increase in the degree of mineralization was noted in the presence of FBS and WT serum, and an even higher, ∼90-fold increase, was noted in the presence of KO mouse serum upon addition of Pi (b, left panel). Addition of magnesium in concentrations indicated either into WT or KO mouse serum-containing culture media just before mineralization prevented the calcium deposition in a dose-dependent manner (b, right panel). Mean±SE; n=3. Scale bar=0.1mm. Journal of Investigative Dermatology 2009 129, 1388-1394DOI: (10.1038/jid.2008.391) Copyright © 2009 The Society for Investigative Dermatology, Inc Terms and Conditions

Figure 4 Cell-based mineralization assay. Using conditions similar to that shown in Figure 3 demonstrates that addition of magnesium (0.1–1.0mgml−1) into the culture medium 14 days after the mineralization had taken place does not reverse the process.(a) Phase contrast light microscopy; (b) calcium deposition determined by a chemical assay. Mean±SE; n=3. Scale bar=0.1mm. Journal of Investigative Dermatology 2009 129, 1388-1394DOI: (10.1038/jid.2008.391) Copyright © 2009 The Society for Investigative Dermatology, Inc Terms and Conditions