Abstract Our recent studies have shown that chronic alcohol ingestion dampens alveolar macrophage immune function by decreasing GM-CSF receptor expression, and that these chronic defects can be reversed with rGM-CSF treatment in vivo (JI 2005). However, the mechanisms by which alcohol and GM-CSF modulate macrophage GM-CSF receptors are not clear. Zinc is an essential micronutrient that is implicated in many immunostimulatory functions. Since alcoholics are known to be deficient in zinc, we hypothesized that zinc may be responsible for the functional integrity of alveolar macrophages. To explore the impact of zinc deficiency on normal alveolar macrophage immune function, we treated these cells in vitro with or without a zinc chelator and then added zinc acetate before evaluating phagocytosis by flow cytometry. In parallel, we added 0.2% zinc acetate to the liquid diet of alcohol-fed rats. Finally, we measured zinc levels in the bronchoalveolar lavage from these animals using a zinc specific dye FluoZin-3. Zinc chelator treated alveolar macrophages showed a decrease in phagocytosis that was restored by zinc suggesting an impact of zinc deficiency on macrophage function. In in vivo model, zinc upregulated the membrane GM-CSF receptors on alveolar macrophages similar to that reported earlier with the in vivo GM-CSF treatment. The decreased levels of zinc in the lavage of alcohol-fed rats were significantly increased by in vivo zinc and intranasal GM-CSF. These data suggest a novel mechanism of zinc release in the lungs through which GM-CSF restores the immune function of the hyporesponsive alveolar macrophages from alcohol-fed animals. Supported by P50 AA013757 and 2R01 AA011660-05A1
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