Abstract

Zinc is important. It is the second most abundant trace metal with 2-4 grams in humans. It is an essential trace element, critical for cell growth, development and differentiation, DNA synthesis, RNA transcription, cell division, and cell activation. Zinc deficiency has adverse consequences during embryogenesis and early childhood development, particularly on immune functioning. It is essential in members of all enzyme classes, including over 300 signaling molecules and transcription factors. Free zinc in immune and tumor cells is regulated by 14 distinct zinc importers (ZIP) and transporters (ZNT1-8). Zinc depletion induces cell death via apoptosis (or necrosis if apoptotic pathways are blocked) while sufficient zinc levels allows maintenance of autophagy. Cancer cells have upregulated zinc importers, and frequently increased zinc levels, which allow them to survive. Based on this novel synthesis, approaches which locally regulate zinc levels to promote survival of immune cells and/or induce tumor apoptosis are in order.

Highlights

  • We review the current studies surrounding zinc, and propose that zinc has a spectrum of effects on cell death and survival, where zinc depletion induces cell death via apoptosis while sufficient zinc levels allows maintenance of cell survival pathways such as autophagy and regulation of reactive oxygen species

  • Quantifying human zinc to identify deficiency and preventing zinc toxicity is an ongoing challenge [29]. These findings suggest a role for zinc in immune cell homeostasis in vivo [30,31]

  • Summary Significant disorders of great public health interest are associated with zinc deficiency

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Summary

41. Gilmore TD

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49. Prasad AS
79. Zalewski PD
86. Schwartz M
92. Marks PA
Findings
98. Eide D
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