Zinc Deficiency Research Articles

The influence of zinc levels on osteoarthritis: A comprehensive review

Abstract Osteoarthritis (OA), a disease with a multifactorial aetiology and an enigmatic root cause, affects the quality of life of many elderly patients. Even though there are certain medications utilised to reduce the symptomatic effects, a reliable treatment method to reverse the disease is yet to be discovered. Zinc is a cofactor of over 3000 proteins and is the only metal found in all six classes of enzymes. We explored zinc’s effect on the immune system and the bones as OA affects both. We also discussed zinc-dependent enzymes, highlighting their significant role in the disease’s pathogenesis. It is important to note that both excessive and deficient zinc levels can negatively affect bone health and immune function, thereby exacerbating OA. The purpose of this review is to offer a better understanding of zinc’s impact on OA pathogenesis and to provide clarity regarding its beneficial and detrimental outcomes. We searched thoroughly systematic reviews, meta-analysis, review articles, research articles and randomised controlled trials to ensure a comprehensive review. In brief, using zinc supplementation in the treatment of OA may act as a doubled-edged sword, offering potential benefits but also posing risks.

Zinc pathogenic importance in correcting immunity and restoring public health in the post-COVID period: An overview

Context: The problem of correcting immune system function and compensating for co-morbidities becomes particularly clinically significant in the post-COVID period. There is evidence that certain trace elements in the human body, particularly zinc ions, play a critical role in restoring the function of the immune system and internal organs. Objective: To analyze the mechanisms of zinc action maintaining the body homeostasis in order to justify pathogenetically the inclusion of zinc drugs in the therapy of patients in the post-COVID period. Methods: Data from Elsevier, Global Health, PubMed-NCBI, Embase, MEDLINE, Scopus, Research gate, RSCI Scopus, Cochrane Library, Google Academy, e-LIBRARY.RU and CyberLeninka were used. Results: This review showed that the importance of zinc in maintaining body homeostasis in the post-COVID period is determined by its multifaceted effect on all parts of the immune system, its anti-inflammatory activity, antimicrobial properties and participation in the restoration of internal organ function. Elimination of zinc deficiency in the post-COVID period is essential to support immunity, compensate for comorbidities and reduce the risk of complications. The impossibility of synthesizing zinc in the body requires its constant intake in sufficient quantities. Zinc levels are significantly reduced after infectious diseases, as this element is specifically distributed to organs and tissues to maintain immunological and metabolic functions. The degree of zinc deficiency is associated with the severity of COVID-19 and the post-COVID period. It is pathogenetically justified to prescribe zinc drugs in the post-COVID period, the choice of which should take into account comorbidities and severity of hypozincemia. Conclusion: Regularly administered therapy with zinc drugs in the post-COVID period will help correct the population immunity and restore public health.

Dysgeusia and paresthesia following suspension microlaryngoscopy: review and recommendations for risk reduction

BackgroundDysgeusia or altered taste is a rare complication following suspension microlaryngoscopy with the incidence ranging from 2.9 to 12.1%. We report this with recommendations to avoid similar complications following suspension laryngoscopy, tonsillectomy, and tongue base surgery which require pressure to be placed on the tongue for better surgical field visualization.Case presentationA 53-year-old man with underlying diabetes mellitus presented with long standing history of irritative cough, globus sensation, and evidence of laryngopharyngeal reflux. A left ventricle swelling was noted on flexible laryngoscopy and neck. He underwent direct laryngoscopy and biopsy of the left ventricle lesion which revealed to be acute on chronic inflammation. Day 1 postoperatively, patient complained of reduced sensation over left hemi-tongue. A referral to a neurologist was made for further examination and he was found to have loss of taste over anterior two-third of tongue and treated with vitamin B complex. To date, dysgeusia remains persistent. Patient relayed his grievances to the hospital following these complications. Review of literature on relevant topic was made through PubMed, Web of Science, and Cochrane Library Database by two reviewers, working independently. Twenty-three papers, available in full, written in English language, containing number of cases, type of surgery, and complications were extracted and studied.ConclusionsRisk of dysgeusia and paresthesia postoperatively should be informed during consent taking for all patients undergoing tonsillectomy, laryngeal microsurgery, and tongue base surgery. Zinc deficiency should be investigated in patients with persistent taste disturbance post-tonsillectomy. Intermittent release during suspension laryngoscopy beyond 30 min to reduce post-surgical complications. Greater care should be taken to reduce the amount of force during the suspension laryngoscopy due to smaller oral and oropharyngeal structure in female. Keeping close to the tonsillar capsule particularly in mid and lower pole areas should be done in tonsillectomy using diathermy dissection.

Rate of hydrolysis of the phosphate esters of B vitamins is reduced by zinc deficiency: Invitro and invivo.

Extracellular hydrolysis of the phosphate esters of B vitamins (B1, B2, and B6) is crucial for their cellular uptake and metabolism. Although a few zinc-dependent enzymes have been implicated in these processes, their exact mechanisms of action remain largely unknown. This study investigated the potential involvement of phosphate group hydrolyzing enzymes in the hydrolysis of B vitamin phosphate esters. We evaluated enzyme activity in membrane lysates prepared from cells transiently transfected with these enzymes or those endogenously expressing them. Specifically, we investigated how zinc deficiency affects the rate of hydrolysis of B vitamin phosphate esters in cellular lysates. Assessment of the activities of zinc-dependent ectoenzymes in the lysates prepared from cells cultured in zinc-deficient conditions and in the serum of rats fed zinc-deficient diets revealed that zinc deficiency reduced the extracellular hydrolysis activity of B vitamin phosphate esters. Furthermore, our findings explain the similarities between several symptoms of B vitamin and zinc deficiencies. Collectively, this study provides novel insights into the diverse symptoms of zinc deficiency and could guide the development of appropriate clinical strategies.

Zinc and selenium supplementation on treated HIV-infected individuals induces changes in body composition and on the expression of genes responsible of naïve CD8+ T cells function.

Deficiency of zinc and selenium is common in persons living with human immunodeficiency virus (PLWHIV) and has been associated with the development of non-AIDS related comorbidities, impaired immune system function and mortality. Micronutrient supplementation on long-term-treated PLWHIV could bring potential clinical and immunological benefits improving their health status and quality of life. The aim of the present study is to analyze the effect of zinc and selenium supplementation on body composition, bone mineral density, CD4+ T-cell counts, metabolic profile and immune system status on clinical stable PLWHIV on long-term antiretroviral therapy (ART). This is a randomized pilot clinical trial in which we recruited 60 PLWHIV on ART who were assigned to the intervention groups: zinc (30 mg of zinc gluconate), selenium (200 μg of selenium yeast), zinc + selenium (same doses and presentations) or to a control group (without nutritional supplementation) who received supplementation during 6 months. Primary outcome was defined as changes in body composition (weight, muscle and fat mass and bone mineral density) and secondary outcomes as changes in biochemical and immunological parameters (CD4+ T-cell count, cholesterol, glucose, triglycerides and seric zinc and selenium seric concentrations) before and after supplementation. Peripheral blood mononuclear cells (PBMCs) of one individual of each intervention group were analyzed for single cell transcriptomics before and after supplementation. BMI (p = 0.03), fat mass (p = 0.03), and trunk fat (p = 0.01) decreased after 6 months of selenium supplementation. No changes were observed for cholesterol, glucose or triglycerides after supplementation (p > 0.05 in all cases). CD4+ T cells percentage increased after 6 months of selenium supplementation (p = 0.03). On the transcriptome analysis, zinc and selenium supplementation induced changes on de expression of genes associated with the function of naive and memory CD8+ T-cells (p < 0.05 in all cases). Zinc and selenium supplementation could represent a complementary intervention that may improve the health status and immune response of treated PLWHIV.

The Role of Zinc Supplementation in Alleviating Inflammatory Biomarkers in Patients Undergoing Hemodialysis: A Randomized Placebo Controlled, Crossover Trial

Background: Chronic kidney disease (CKD), which progresses to end-stage renal disease (ESRD) and requires maintenance hemodialysis (MHD), is a global health issue. Inflammation in MHD patients is associated with increased mortality and cardiovascular events. Zinc, essential for immune function and possessing anti-inflammatory properties, is frequently deficient in these patients and could potentially help mitigate inflammation. Objectives: This study aims to assess the impact of zinc supplementation on inflammatory biomarkers, specifically (CRP) and the neutrophil-to-lymphocyte ratio (NLR), in MHD patients. Methods: In a double-blind, randomized controlled crossover trial conducted at Labafinejad Hospital, Tehran, MHD patients with zinc deficiency were initially allocated to either a zinc supplementation group or a placebo group. After 30 days, the groups were crossed over, with patients initially receiving zinc now receiving a placebo and vice versa. The primary outcome was changes in serum zinc levels, while secondary outcomes focused on CRP and NLR levels. Results: Significant changes in serum zinc levels were observed in both groups from baseline to Month 2 (drug-placebo group: Mean change -15.9±10.33 µg/dL, P &lt; 0.05; placebo-drug group: Mean change -14.70 ± 12.58 µg/dL, P &lt; 0.05). A significant initial reduction in CRP levels at Month 1 (P = 0.045) was not sustained at Month 2 (P = 0.812). No statistically significant changes in NLR were noted. Improvements in quality of life, including reductions in muscle pain and skin dryness, were significant in the drug-placebo group (P &lt; 0.05). Conclusions: Zinc supplementation in MHD patients significantly improved serum zinc levels and initially reduced CRP levels, highlighting its potential role in managing inflammation. Although the impact on NLR was not significant, overall patient outcomes and quality of life showed promising improvements.

Ethambutol induced optic neuropathy: A remerging ocular emergency needing strict vigilance and screening

: To investigate the clinical manifestations and incidence of ethambutol induced optic neuropathy (EON) and identify its risk factors.: A cross sectional, hospital based observational study was conducted in 100 patients, who were on anti-tubercular drugs (ATT) and complained of diminution of vision. The following data was collected in every patient regarding age, gender, co-morbid conditions, clinical manifestation of (tuberculosis)TB, duration and dose of ethambutol. Complete ophthalmic examination was conducted in every patient including best corrected visual acuity (BCVA), color vision, relative afferent pupillary defect (RAPD), fundus examination, visual field analysis and OCT RNFL &amp; GCL. Statistical analysis of the data was done and represented suitably using appropriate statistical tests that included Chi Square test for checking associations and T test for comparing quantitative data with the help of SPSS ver. 26.0 software. All p-values reported were two sided and a value less than 0.05 was considered significant. :Out of 100 patients, only 18 patients were diagnosed with EON and calculated incidence was 1.8%. The most common presenting feature of EON was bilateral diminution of vision (89%) followed by abnormal color vision (11%). On examination, RAPD was seen in 40% cases because of asymmetrical optic nerve involvement and disc abnormality was present in 66% cases. The duration and dose of ethambutol medication, advanced age (&amp;#62;65 years), hypertension, chronic smoking and presence of renal dysfunction were shown to be positively correlated with EON development.:At present, there is no effective treatment for EON except supplementation of zinc, copper, methylcobalamine and pyridoxine. Therefore, early detection and discontinuation of ethambutol is only way to prevent permanent loss of vision, as in early stage it is reversible.

Micro- and Macronutrients in Endometrial Cancer-From Metallomic Analysis to Improvements in Treatment Strategies.

Endometrial cancer is reported to be one of the most prevalent cancers of the female reproductive organs worldwide, with increasing incidence and mortality rates over the past decade. Early diagnosis is critical for effective treatment. Recently, there has been a growing focus on the role of nutrition and micronutrient and macronutrient status in patients with gynecologic cancers, including endometrial cancer. In the following paper, we have conducted an in-depth narrative literature review with the aim of evaluating the results of metallomic studies specifically concerning the micro- and macronutrient status of patients with endometrial cancer. The main objective of the paper was to analyze the results regarding the nutritional status of endometrial cancer patients and describe the role of chosen elements in the onset and progression of endometrial carcinogenesis. Further, we have focused on the evaluation of the usage of the described elements in the potential treatment of the abovementioned cancer, as well as the possible prevention of cancer considering proper supplementation of chosen elements in healthy individuals. Calcium supplementation has been proposed to reduce the risk of endometrial cancer, although some studies offer conflicting evidence. Deficiencies in phosphorus, selenium, and zinc have been inversely associated with endometrial cancer risk, suggesting they may play a protective role, whereas excessive levels of iron, copper, and cadmium have been positively correlated with increased risk. However, the molecular mechanisms by which these elements affect endometrial carcinogenesis are not fully understood, and current findings are often contradictory. Further research is needed to clarify these relationships and to evaluate the potential of nutritional interventions for the prevention and treatment of endometrial cancer.

26 Trace minerals to improve bull fertility

Abstract Bull fertility is paramount for reproductive success in cow-calf production systems and there are a variety of factors that influence bull fertility. Trace mineral requirements and recommendations have been established for growing and finishing steers, as well as lactating and pregnant cows, yet no specific requirements have been established for young or mature beef bulls. Nonetheless, trace minerals have been shown to have an important role in sexual maturation and semen quality of ruminants. Research performed in rams indicates that zinc deficiency results in reduced testicular development, decreased testicular concentrations of testosterone, and impaired development of seminiferous tubules. Deficiency of Zn has also been reported to negatively impact male fertility in humans, where men diagnosed with infertility responded positively to Zn supplementation. In growing bulls, diets with greater concentrations of organic forms of Zn, Cu, and Mn, tended to result in earlier attainment of puberty compared with control diets containing inorganic minerals. Furthermore, greater liver concentrations of Zn have been negatively correlated with sperm acrosomal damage in growing bulls, based on flow cytometry analyses. More recent research indicates that the use of hydroxichloride-based trace minerals results in greater liver concentrations of Zn and Cu compared with sulfate sources. While evidence indicates that trace mineral status has an important role in bull fertility, further research is required to better understand the contributions of trace minerals to semen quality. In addition, investigating the impact of trace mineral sources with greater bioavailability on semen quality may result in the development of practical recommendations that optimize bull fertility.

Adherence to Clinical Practice Guidelines on the Management of Acute Infectious Gastroenteritis in Children as a Measure of Quality of Care Delivered by a Primary Care Facility in Rural Philippines: A Descriptive Retrospective Study.

This study aimed to describe the pattern of prescription and laboratory use in the management of infectious acute gastroenteritis (AGE) in children seen in a rural service delivery network (SDN) and to determine their adherence to the 2019 Clinical Practice Guidelines on the Management of Acute Infectious Diarrhea in Children and Adults from the Department of Health (DOH). A descriptive retrospective study was done using the electronic medical records (EMR) of patients less than 19 years old seen by the rural SDN from April 2019-2021 and diagnosed with infectious AGE. Data were extracted on diagnostic and therapeutic management. Adherence to strong CPG recommendations focusing on rehydration, zinc supplementation, rational laboratory use, and antibiotic prescription was chosen as indicator of quality of care. Adherence of less than 70% was defined as low. There were 227 infectious AGE cases, with 72% diagnosed under non-specific infectious AGE. Fifty two percent (52%) were prescribed with low-osmolarity oral rehydration solutions (ORS), while 74% were given zinc. Stool analysis was done in 25% of cases while CBC was done in 20%. Top antibiotics given were metronidazole at 44% and cotrimoxazole at 33%. There was low adherence to prescribing low-osmolarity ORS for rehydration (52%) and to deferring routine antibiotic prescription for non-specific infectious AGE cases (24%). Adherence to deferring routine stool analysis and CBC were relatively high at 73% and 70%, respectively while adherence to antibiotic use for indicated cases was high at 95%. Frequency of diagnostics ordered were low resulting to high adherence rates to recommendations concerning judicious laboratory use. Prescription frequency of appropriate antibiotics and interventions for AGE were low, leading to low adherence rates to recommendations concerning rational antibiotic use and prescription of cornerstone therapies for infectious AGE.

354 Zinc supplementation prior to transit and transit duration effects on feedlot performance and muscle fatigue of beef steers: Part II – Feeding Behavior

Abstract This study assessed the effects of supplemental Zn on cattle feeding behavior after varying transit duration. Angus crossbred steers (80; 265 ± 18 kg) were used in a 2 × 2 factorial design. Steers were assigned to a dietary Zn treatment (DIET) and transit duration (DUR; d 0): Zn0 (no supplemental Zn) or Zn100 (100 mg Zn/kg DM; supplemented as ZnSO4, starting d -42 relative to transit) and short duration (8H; 8 h transit; 707 km) or long duration (18H; 18 h transit; 1608 km). Steers were fed ad libitum via GrowSafe bunks (GrowSafe Systems Ltd., Airdrie, AB, Canada), and steer was experimental unit (n = 1 bunk/pen; n = 5 steers/pen). On d 0, steers were stratified to trailer compartments across diets. The 8H and 18H groups departed at 1000 and 1300 h and returned at 1800 and 0700 h to pre-transit pens, respectively. Following transit, all steers received Zn100. Utilizing GrowSafe Behavior module, a feed event was characterized as a reading with &amp;lt; 300 s interruption with head down (FE-HD; recorded in seconds) and count (number of HD events). Intake rate (g/s) was feed consumed per FE-HD divided by FE-HD duration. Data for the 6-d post transit were analyzed as a complete randomized design utilizing PROC MIXED of SAS 9.4 (SAS Inst. Inc., Cary, NC) with fixed effects DIET, DUR, and DAY as repeated. Pre-transit values served as a covariate. During the week prior to transit, there was a DUR effect for FE-HD average and intake rate (P ≤ 0.03) where 8H had longer FE-HD but reduced intake rate than 18H. There was also a tendency for Zn100 to consume more feed per FE pre-transit (P = 0.07). Post-transit, both average intake and FE-HD average increased with days post-transit (DAY; P ≤ 0.01). Additionally, a DIET × DUR effect was observed for FE-HD count (P = 0.01) where 100 was greater than 0 within 18H and 0 was greater than 100 in 8H. A tendency for a TRT × DAY effect was noted for FE-HD count (P = 0.07) driven by Zn0 decreasing from d 3 to 4. A DUR × DAY effect (P = 0.02) was also noted for FE-HD count where 18H was greater on d 2, 4, and 5. A DUR × DAY effect was observed for FE-HD average (P = 0.01) driven by a d 3 difference where 8H was greater than 18H. Conversely, a DUR × DAY effect was observed for intake rate (P = 0.01) where 18H was greater on d 2, 3, and 6. These data indicate both transit duration and dietary Zn concentration influenced animal behavior post-transit.

353 Zinc supplementation prior to transit and transit duration effects on feedlot performance and muscle fatigue of beef steers: Part I – Performance and Muscle Fatigue

Abstract This study investigated zinc (Zn) as a mitigation strategy for transit-induced muscle fatigue. Recently weaned Angus-cross steers (n = 80) were stratified by body weight (BW = 265 ± 18.0 kg) to a 2×2 factorial. Dietary (DIET) treatments of no supplemental Zn (Zn0) or 100 mg supplemental Zn/kg DM (Zn100; Zn as ZnSO4), were fed for 42 d before transit. Along with a transit duration (DUR) of 8 h (~707 km; 8H) or 18 h (~1,608 km; 18H) on d 0. Upon return, and for 56 d post-transit, all steers received Zn100. Individual feed disappearance was monitored using GrowSafe bunks (1 bunk/pen; 5 steers/pen). Body weights were collected on d -42, -41, -1, 0 (on truck), 1 (off truck), 2, 7, 28, 55, and 56. Blood samples for analysis of non-esterified fatty acid (NEFA) and serum L-lactate were collected on d -1, 1, 2, and 7. Data were analyzed via ProcMixed of SAS (experimental unit = steer; 15 to 20/treatment) as a 2 × 2 factorial, with fixed effects of DIET, DUR, and the interaction. Individual initial (d -42) BW was used as a covariate in BW analysis. Average DMI of d -11 to d -2 (pre-trucking) was used as a covariate in post-transit DMI analysis. Blood parameters were log-transformed and analyzed as repeated measures with repeated effect of day. Pre-transit (d -1) concentrations were used as a covariate. Pre-transit average daily gain (ADG) and dry matter intake (DMI) were greater (P ≤ 0.02) and feed efficiency (gain to feed; G:F) tended to be greater (P = 0.10) in Zn100 vs. Zn0. BW on d -1 and 7 (P = 0.01) was greater for Zn100 than Zn0. There was a DIET effect and DUR tendency on post-transit G:F where Zn0 was greater than Zn100 (P ≤ 0.01) and 18H tended to be greater than 8H (P = 0.05). 56-d post-transit ADG was least for Zn100-8H (DIET×DUR, P = 0.02). Post-transit DMI was greatest for Zn0-8H with Zn100-8H being the lowest and other treatments being not different (DIET × DUR, P = 0.04). Diet did not affect L- lactate or NEFA concentrations (P &amp;gt; 0.13). NEFA was greater for 18H vs. 8H on d 1 and 2 but less on d 7 (DUR×DAY, P &amp;lt; 0.01). There was a DUR×DAY effect (P ≤ 0.01) for L-Lactate where 8H tended to be greater than 18H on d 1, but by d 2 8H was lesser than 18H, and on d 7 they were not different. In conclusion, longer transit duration increases some indicators of muscle fatigue and Zn supplementation improved pre-transit performance. Receiving Zn supplementation after trucking also improved the post-transit performance of those not previously supplemented with Zn.

17 Effects of trace mineral source on dry matter digestibility of silage and mineral absorption

Abstract Copper, manganese, and zinc when coming from highly soluble sources in the rumen can strongly bind to diet fiber, which reduces it intestinal absorption and DM digestibility. Thus, the objective of this study was to evaluate the digestibility of dry matter and the apparent absorption of Cu, Mn, and Zn depending on different sources of these trace minerals. Four ruminally cannulated crossbred steers [body weight (BW = 560 ± 35 kg)] were used in a 4 × 4 Latin square design and offered corn silage ad libitum, and mineral supplement for four 21-d periods (14-d adaptation and 7-d data collection). Treatments assigned were: 1) Control (No Cu, Mn, and Zn); 2) Cu, Mn, and Zn-sulfate; 3) Cu, Mn, and Zn-organic; and 4) Cu, Mn, and Zn-hydroxychloride. In each period, two dry matter intake measurements and two total feces collections were carried out for 24 h. Thus, the digestibility of dry matter (DMd) and the apparent absorption (aA = trace minerals intake - trace minerals in feces/trace minerals intake) of Cu, Mn, and Zn were calculated. Data were subjected to analysis of variance (P &amp;lt; 0.05), and when significant, a multiple comparison test was performed (SNK test). No treatment x animal x period interactions were observed (P ≥ 0.05). The greatest DM digestibility was in the diets with Cu, Mn, and Zn-hydroxychloride and Cu, Mn, and Zn-organic, and the least DMd were Cu, Mn, and Zn-sulfate and control diet (P &amp;lt; 0.05), respectively 588, 575, 468 e, 449 g/kg (Table 1). Copper apparent absorption was greater (P &amp;lt; 0.05) in steers receiving Cu-hydroxychloride (0.14) and Cu-organic (0.12) and was equal (P ≥ 0.05) between those receiving Cu-sulfate (0.05) and those not receiving (-0.006) supplemental Cu. The sources did not affect (P ≥ 0.05) manganese aA, and the absorption of Mn was greater (P &amp;lt; 0.05) in steers receiving Mn than those not receiving. Diets with Zn-hydroxychloride (0.16) and Zn-organic (0.12) had greater (P &amp;lt; 0.05) aA than diet with Zn-sulfate (0.01), and steers that did not receive supplemental zinc (-0.10) had the least (P &amp;lt; 0.05) zinc aA. Low ruminal solubility trace minerals sources result in greater DM digestibility. Hydroxychloride and organic are more absorbable than Cu and Zn sulfates. Non-supplementation resulted in a net loss of Cu, Mn, and Zn, regardless of the type of trace minerals source.

Effects of zinc in podocytes and cortical collecting duct in vitro and Dahl salt-sensitive rats in vivo

Zinc is one of the essential divalent cations in the human body and a fundamental microelement involved in the regulation of many cellular and subcellular functions. Experimental studies reported that zinc deficiency is associated with renal damage and could increase blood pressure. It was proposed that zinc dietary supplementation plays a renoprotective role. Our study aimed to investigate the effects of zinc on intracellular signaling in renal cells and explore the correlation between dietary zinc and the progression of salt-induced hypertension. The impact of extracellular zinc concentrations on two different kidney epithelial cell types - podocytes and principal cells of the cortical collecting duct (CCD), was tested. In podocytes, a rise in extracellular zinc promotes TRPC6 channel-mediated calcium entry but not altered intracellular zinc levels. However, we observe the opposite effect in CCD cells with no alteration in calcium levels and steady-state elevation in intracellular zinc. Moreover, prolonged extracellular zinc exposure leads to cytotoxic insults in CCD cells but not in podocytes, characterized by increased cell death and disrupted cytoskeletal organization. Next, we tested if dietary zinc plays a role in the development of hypertension in Dahl salt-sensitive rats. Neither zinc-rich nor deficient diets impact the regular development of salt-sensitive hypertension. These results suggest specialized roles for zinc in renal function, implicating its involvement in proliferation and apoptosis in CCD cells and calcium signaling and cytoskeletal dynamics modulation in podocytes. Further research is required to elucidate the detailed mechanisms of zinc action and its implications in renal health and disease.

The interplay between oxidative stress, zinc, and metabolic dysfunction in polycystic ovarian syndrome.

Polycystic ovarian syndrome (PCOS) is a functional endocrine disorder characterized by hyperandrogenism, ovulatory dysfunction, and polycystic ovarian morphology that has been associated with chronic disease and comorbidities including adverse metabolic and cardiac disorders. This review aims to evaluate the role of oxidative stress and zinc in the metabolic dysfunction observed in PCOS, with a focus on insulin resistance. Recent studies indicate that oxidative stress markers are elevated in PCOS and correlate with hyperandrogenemia, obesity, and insulin resistance. Zinc, an essential trace element, is crucial for metabolic processes, particularly in the pancreas for beta-cell function and glucagon secretion. Insufficient zinc levels have been linked to diabetes, obesity, and lipid metabolism disorders. This review aims to highlight the interplay between oxidative stress, zinc, and metabolic dysfunction in PCOS, suggesting that zinc supplementation could mitigate some metabolic and endocrine manifestations of PCOS.

Trace Element Supplementation in Burn Patients: Exploring the Relationship Between Burn Size and Mineral Needs.

Trace element deficiency is an adverse nutritional outcome that can occur with burn injuries, and can interfere with a patient's recovery. The aim of this study was to review the efficacy of our predominately enteral trace element supplementation strategy and determine the burn size at which patients are at risk for trace element deficiency. We reviewed 53 burn patients admitted to our burn center from August 1, 2019 to May 31, 2022 who had their trace element levels and C-reactive protein monitored in two-week increments. Receiver operating characteristic analysis indicated a 22.1% BSAB cutoff for zinc supplementation to prevent deficiency with 91.7% sensitivity and 92.6% specificity, and a 27.5% BSAB cutoff with 88.9% sensitivity and 81% specificity for copper. No patient in our cohort developed selenium deficiency, regardless of burn size. Patients with greater than 30% body surface area burned developed deficiencies in both zinc and copper within the first two weeks of hospitalization. Our results provide guidance for trace element replacement based on burn size.

Functional carbon nanodots enhance tomato tolerance to zinc deficient soils: Mechanisms and structure-function relationships

Zinc (Zn) deficiency is a global problem disorder affecting both crops and humans. Herein, modified functional carbon nanodots (MFCNs) with various structures and characteristics were developed to regulate tomato yields and Zn migration in plant–soil systems affected by Zn deficiency through structure–function relationships. Sulfur-doped FCNs (S-FCNs), nitrogen-doped FCNs (N-FCNs), and nitrogen‑sulfur co-doped FCNs (N,S-FCNs) were hydrothermally modified using FCNs as precursors. Their regulatory effects on tomatoes growing in Zn-deficient alkaline soils were studied in pot culture experiments. Specifically, 8 mg kg−1 of FCNs and S-FCNs improved tomato yields by 132 % and 108 %, respectively, compared with the control. However, N-FCNs and N,S-FCNs showed no significant effect on yield compared with the control (P < 0.05). Moreover, the application of FCNs or S-FCNs significantly improved fruit quality and nutritional value, including Zn content (by 26.3 % and 22.0 %, respectively) and naturally occurring antioxidants (by 3.37- and 2.08-fold for lycopene, 1.31- and 1.18-fold for flavonoids, and 2.28- and 1.89-fold for phenolics, respectively; P < 0.05). Although N-FCNs and N,S-FCNs increased Zn contents, they inhibited the synthesis of naturally occurring antioxidants in fruits. Zn bioaccessibility, uptake, and transportation in plant-soil systems were regulated by MFCNs through both direct and indirect mechanisms, including ionic reactions, plant physiology, and environmental effects. MFCNs regulated plant tolerance to Zn deficiency not only by affecting root activity, redox homeostasis, micronutrient balance, chelator synthesis, genetic expression, and plant photosynthesis but also by influencing rhizosphere soil properties and the microbial environment. Based on their dual role as “plant growth regulators” and “soil conditioners”, MFCNs may have general applicability in agriculture. This study highlights the behavior of MFCNs in plant-soil systems, providing innovative nanotools for enhancing Zn availability, crop stress resistance and environmental preservation in sustainable agriculture.

Multicentric Post-Marketing Surveillance (PMS) Observational Study of Ascorbic Acid and Zinc Effervescent Tablets in Indian Patients with Vitamin C and Zinc Deficiency.

The objective of this Multicentric Post-Marketing Surveillance (PMS) study was to evaluate the safety and tolerance of vitamin C and zinc tablets in the Indian population experiencing deficiencies of these nutrients. Furthermore, the study aimed to provide insights into physicians' prescription practices and characterise the patient population receiving the study medication. This prospective observational study involved 358 participants from 8 study sites across India (including 2 government hospital sites), spanning a duration of approximately 12 weeks (3 months). The primary aim was to evaluate the safety and tolerability of zinc and ascorbic acid effervescent tablets for those who were deficient in zinc and vitamin C. Throughout the study period, adverse events were monitored and categorised by MedDRA Primary System Organ Class and Preferred Term. The analysis included evaluating the incidence, percentage, and correlation of adverse events with the treatment (safety population). Additionally, the frequencies of adverse drug reactions were examined across all enrolled patients. Vital signs and symptom-focused physical examinations were conducted during each visit in the safety population. Out of 358 (100%) patients, only 12 (3.35%) experienced minor symptoms in the study period. The majority of patients reported gastrointestinal disorders, i.e., two (0.6%) patients reported constipation and gastritis, respectively. Diarrhoea was reported by four (1.1%) patients. One (0.3%) patient reported gastrointestinal pain. Three (0.8%) patients reported vomiting. Diarrhoea was the most common symptom reported. All patients possess a mild intensity of adverse drug reactions in safety populations. The P-value is less than 0.05 (p-value < 0.05), and therefore there is a statistically significant relationship between the predictor variables and the response variable (i.e., the expected count of adverse drug reactions). The fixed-dose combination of vitamin C and zinc effervescent tablets appears to be safe and tolerable for the treatment of vitamin C and zinc deficiencies in Indian patients. The favorable outcome underscores the mild nature of the adverse reactions and the right medical interventions and support.<p>.

IMPACT OF DIFFERENT ZINC APPLICATION METHODS AND PHOSPHORUS DOSES ON GROWTH, YIELD AND GRAIN ZINC CONTENTS OF WHEAT

Wheat is a staple crop of around half of the world's population. About 30 percent of the world’s population is suffering from Zn deficiency. Zn deficiency problems can be encountered by agronomic and genetic biofortification. Phosphorus (P) is an important plant macronutrient and has an antagonistic relationship with Zn. A field study was performed to evaluate the impact of different Zn application methods and P doses on growth, yield, and grain Zn contents of wheat at the Agronomic Research Farm, University of Agriculture Faisalabad, Pakistan, using a high accumulation wheat variety Zincol-2016. Three doses of P (100, 150, and 200% of recommended P) along with three Zn application methods (seed priming, soil mixing, and foliar application) were applied to wheat using randomized complete block design (RCBD) with three replicates under split-plot arrangement. All agronomic practices were kept normal and uniform for all treatments. Parameters including growth, yield, and Zn content in wheat grains were monitored using standard protocols. The results were evaluated using Fisher’s analysis of variance at a 5% probability level. A comparison of means of treatments was performed using the least significant difference (LSD) test. The highest value of SPAD reading (56.38) was noted in treatment where Zn was applied as priming and P was applied at 200%. Maximum crop growth rate (63.17) was observed in P3 where Zn was applied as mix in soil. Maximum spike length (14.25), spikelets per spike (17.67), and Zn concentration were observed in P3 as a result of foliar application of Zn. Highest grain weight per spike (1.89g), no. of tillers (691.01), grain yield (4.09 t ha-1), biological yield (11.01 t ha-1), harvest index (36.54%) and NDVI (0.42 were observed in P3 where Zn was applied as soil mix.

Zinc adherence among caregivers of under five children with diarrhea in Gondar City, Northwest Ethiopia

IntroductionZinc with oral re-hydration salt supplementation provides much improved outcomes for managing childhood diarrhea. There is scarcity of evidence in the study area regarding zinc supplementation adherence and factors associated with. Thus, the aim of this study was to assess zinc supplementation adherence and associated factors among caregivers of under five children with diarrhea attending health centers in Gondar City.MethodsAn institutional based cross-sectional study was conducted with 405 caregivers of under-five children with diarrhea who received zinc supplementation in Gondar City health centers. Bivariable and multivariable logistic regression analysis were computed.Results35% (95% CI: 29.91, 39.21) of caregivers of under five children adhered for zinc supplementation. Adherence was observed among caregivers with good knowledge about zinc supplementation (AOR = 3.01 95%CI = 1.73, 5.24), and who received counseling (AOR = 8.4, 95%CI = 4.66, 15.13), presence of side effects (AOR = 0.35, 95% CI 0.20, 0.65) was negatively associated with zinc supplementation adherence.ConclusionIn the study area, more than one third of children with diarrhea were adhered to zinc supplementation. Thus, improving the knowledge of caregivers and enhancing counseling services on benefits, dosage, duration and side effects of zinc supplementation are vital to improve adherence in the area.