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Zinc: role in immunity, oxidative stress and chronic inflammation

Prasad, Ananda S

Current Opinion in Clinical Nutrition and Metabolic Care: November 2009 - Volume 12 - Issue 6 - p 646–652
doi: 10.1097/MCO.0b013e3283312956
Micronutrients: Edited by Hans K. Biesalski and Henry C. Lukaski
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Purpose of review Zinc is essential for multiple cellular functions including immunity. Many investigators have used zinc supplementation in an attempt to affect the outcome of various diseases. These efforts were aimed at either supporting immunity by zinc administration or correcting the zinc dependent immune functions in zinc deficient individuals.

Recent findings In this review, recent findings of zinc supplementation in various diseases have been presented. Beneficial therapeutic response of zinc supplementation has been observed in the diarrhea of children, chronic hepatitis C, shigellosis, leprosy, tuberculosis, pneumonia, acute lower respiratory tract infection, common cold, and leishmaniasis. Zinc supplementation was effective in decreasing incidences of infections in the elderly, in patients with sickle cell disease (SCD) and decreasing incidences of respiratory tract infections in children. Zinc supplementation has prevented blindness in 25% of the elderly individuals with dry type of AMD. Zinc supplementation was effective in decreasing oxidative stress and generation of inflammatory cytokines such as TNF-α and IL-1β in elderly individuals and patients with SCD.

Summary Zinc supplementation has been successfully used as a therapeutic and preventive agent for many conditions. Zinc functions as an intracellular signal molecule for immune cells.

Department of Internal Medicine, Division of Hematology/Oncology, Wayne State University, School of Medicine, Detroit, Michigan, USA

Correspondence to Ananda S. Prasad, MD, PhD 1122 Elliman Bldg., 421 East Canfield, Detroit, MI 48201, USA Tel: +1 313 577 1597; fax: +1 313 577 1128; e-mail: prasada@karmanos.org

Supported by NIH grant no. 5 RO1 A150698-04 and Labcatal Laboratories, Paris, France.

© 2009 Lippincott Williams & Wilkins, Inc.