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Mg 2+  regulates many physiological processes and signalling pathways. However, little is known about the mechanisms underlying the organismal balance of Mg 2+ . Capitalizing on a set of newly generated mouse models, we provide an integrated mechanistic model of the regulation of organismal Mg 2+  balance during prenatal development and in adult mice by the ion channel TRPM6. We show that TRPM6 activity in the placenta and yolk sac is essential for embryonic development. In adult mice, TRPM6 is required in the intestine to maintain organismal Mg 2+  balance, but is dispensable in the kidney.  Trpm6  inactivation in adult mice leads to a shortened lifespan, growth deficit and metabolic alterations indicative of impaired energy balance. Dietary Mg 2+  supplementation not only rescues all phenotypes displayed by  Trpm6 -deficient adult mice, but also may extend the lifespan of wildtype mice. Hence, maintenance of organismal Mg 2+  balance by TRPM6 is crucial for prenatal development and survival to adulthood.

Epithelial magnesium transport by TRPM6 is essential for prenatal development and adult survival