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zinc and immunity 760 zinc and immunity<br />

Zeta potential<br />

Na +<br />

Cl –<br />

RBC RBC<br />

RBC<br />

Complete<br />

antibody<br />

I. Complete antibody bridges<br />

the zeta potential<br />

Epitopes<br />

Na +<br />

Cl –<br />

RBC<br />

Incomplete<br />

antibody<br />

II. Incomplete antibody incapable<br />

of bridging the zeta potential<br />

Albumin/<br />

colloid<br />

RBC RBC<br />

III. Albumin reduces the zeta<br />

potential and thus allows<br />

the cells to agglutinate<br />

Comparison of ability of complete antibody to bridge the ζ potential with<br />

the inability of complete antibody to do so.<br />

H N<br />

O<br />

HO-CH2 O<br />

NH 3<br />

The synthesis of antibodies to T-cell-dependent antigens<br />

is decreased. In zinc deficiency, a selective decline in the<br />

number of CD4 + helper T cells is observed, as are strikingly<br />

decreased proliferative responses to phytomitogens,<br />

including phytohemagglutinin (PHA). Zinc deficiency is<br />

O<br />

N<br />

Zidovudine.<br />

CH 3<br />

also associated with decreased formation of monocytes<br />

and macrophages and altered chemotaxis of granulocytes.<br />

Wound healing is impaired in deficient individuals, who<br />

also show greatly increased susceptibility to infectious<br />

diseases that are especially severe.<br />

zinc and immunity<br />

Zinc is found in all tissues and fluids of the body. It is<br />

mainly an intracellular ion, over 95% is found within cells;<br />

60 to 80% of the cellular zinc is located in the cytosol.<br />

About 85% of the total body zinc is present in skeletal<br />

muscles and bones. Zinc is absorbed all along the small<br />

intestine but is taken up primarily in the jejunum. It has<br />

catalytic, structural, and regulatory functions. Catalytic<br />

roles are present in all six classes of enzymes. More than<br />

50 enzymes require zinc for normal activity; its role in<br />

zinc metalloenzymes is usually structural. Regulation of<br />

gene expression is also a significant biochemical function.<br />

Classic symptoms of zinc deficiency in experimental animals<br />

include retarded growth, depressed immune function,<br />

skin lesions, depressed appetite, skeletal abnormalities, and<br />

impaired reproduction. In humans, zinc deficiency causes<br />

severe growth retardation and sexual immaturity. Acute<br />

zinc toxicity may occur with intake in the range of 1 to 2 g,<br />

which leads to gastric distress, dizziness, and nausea. High<br />

chronic intake from supplements (150 to 300 mg/day) may<br />

impair immune function and reduce concentrations of high<br />

density lipoprotein cholesterol. High intakes of zinc have<br />

been used to treat Wilson’s disease, a copper accumulation<br />

disorder. Zinc is believed to induce synthesis of metallothionein<br />

in intestinal mucosal cells. Zinc is relatively nontoxic,<br />

but the chronic use of zinc supplements may induce nutrient<br />

imbalances and physiological effects. Diagnosis of zinc<br />

deficiency is difficult because of the lack of a sensitive,<br />

specific indicator. Stress, infection, food intake, short-term<br />

fasting, and hormonal status all influence plasma zinc<br />

levels. Zinc deficiency is best assessed by using a combination<br />

of dietary, static, and functional signs of depletion. Red<br />

meat and shellfish constitute the best food sources.<br />

Peter Doherty and Rolf Zinkernagel, Nobel Laureates in Medicine, for their<br />

work on major histocompatibility complex (MHC) restriction.

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