Abstract
Zinc is essential for the immune system and elderly people have an increased probability for zinc deficiency, documented by a decline of serum or plasma zinc levels with age. Although most healthy elderly are not classified as clinically zinc deficient, even marginal zinc deprivation can affect immune function. Several striking similarities in the immunological changes during aging and zinc deficiency, including a reduction in the activity of the thymus and thymic hormones, a shift of the T helper cell balance towards TH2, decreased response to vaccination, and impaired functions of innae immune cells indicate that a wide prevalence of marginal zinc deficiency in elderly people may contribute to immunosenescence. Studies with oral zinc supplementation show the potential to improve the immune response of elderly people by restoration of the zinc levels, showing that balancing the zinc status may be a way to healthy aging. This review summarizes the current literature about zinc supplementation in the elderly and thereby defines the rationale for the immunological part of the ZINCAGE project.
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References
Beck FW, Prasad AS, Kaplan J, Fitzgerald JT, Brewer GJ (1997) Changes in cytokine production and T cell subpopulations in experimentally induced zinc-deficient humans. Am J Physiol 272:E1002–E1007
Bogden JD, Oleske JM, Lavenhar MA, Munves EM, Kemp FW, Bruening KS, Holding KJ, Denny TN, Guarino MA, Holland BK (1990) Effects of one year of supplementation with zinc and other micronutrients on cellular immunity in the elderly. J Am Coll Nutr 9:214–225
Bogden JD, Oleske JM, Munves EM, Lavenhar MA, Bruening KS, Kemp FW, Holding KJ, Denny TN, Louria DB (1987) Zinc and immunocompetence in the elderly: baseline data on zinc nutriture and immunity in unsupplemented subjects. Am J Clin Nutr 46:101–109
Boukaiba N, Flament C, Acher S, Chappuis P, Piau A, Fusselier M, Dardenne M, Lemonnier D (1993) A physiological amount of zinc supplementation: effects on nutritional, lipid, and thymic status in an elderly population. Am J Clin Nutr 57:566–572
Briefel RR, Bialostosky K, Kennedy-Stephenson J, McDowell MA, Ervin RB, Wright JD (2000) Zinc intake of the U.S. population: findings from the third National Health and Nutrition Examination Survey, 1988–1994. J Nutr 130:1367S–1373S
Bunker VW, Hinks LJ, Lawson MS, Clayton BE (1984) Assessment of zinc and copper status of healthy elderly people using metabolic balance studies and measurement of leucocyte concentrations. Am J Clin Nutr 40:1096–1102
Bunker VW, Hinks LJ, Stansfield MF, Lawson MS, Clayton BE (1987) Metabolic balance studies for zinc and copper in housebound elderly people and the relationship between zinc balance and leukocyte zinc concentrations. Am J Clin Nutr 46:353–359
Cakman I, Rohwer J, Schutz RM, Kirchner H, Rink L (1996) Dysregulation between TH1 and TH2 T cell subpopulations in the elderly. Mech Ageing Dev 87:197–209
Cossack ZT (1989) T-lymphocyte dysfunction in the elderly associated with zinc deficiency and subnormal nucleoside phosphorylase activity: effect of zinc supplementation. Eur J Cancer Clin Oncol 25:973–976
Duchateau J, Delepesse G, Vrijens R, Collet H (1981) Beneficial effects of oral zinc supplementation on the immune response of old people. Am J Med 70:1001–1004
Fabris N, Mocchegiani E, Amadio L, Zannotti M, Licastro F, Franceschi C (1984) Thymic hormone deficiency in normal ageing and Down’s syndrome: is there a primary failure of the thymus? Lancet 1:983–986
Fortes C, Forastiere F, Agabiti N, Fano V, Pacifici R, Virgili F, Piras G, Guidi L, Bartoloni C, Tricerri A, Zuccaro P, Ebrahim S, Perucci CA (1998) The effect of zinc and vitamin A supplementation on immune response in an older population. J Am Geriatr Soc 46:19–26
Girodon F, Blache D, Monget AL, Lombart M, Brunet-Lecompte P, Arnaud J, Richard MJ, Galan P (1997) Effect of a two-year supplementation with low doses of antioxidant vitamins and/or minerals in elderly subjects on levels of nutrients and antioxidant defense parameters. J Am Coll Nutr 16:357–365
Girodon F, Galan P, Monget AL, Boutron-Ruault MC, Brunet-Lecomte P, Preziosi P, Arnaud J, Manuguerra JC, Herchberg S (1999) Impact of trace elements and vitamin supplementation on immunity and infections in institutionalized elderly patients: a randomized controlled trial. MIN. VIT. AOX. geriatric network. Arch Intern Med 159:748–754
Goode HF, Penn ND, Kelleher J, Walker BE (1991) Evidence of cellular zinc depletion in hospitalized but not in healthy elderly subjects. Age Ageing 20:345–348
Hotz C, Peerson JM, Brown KH (2003) Suggested lower cutoffs of serum zinc concentrations for assessing zinc status: reanalysis of the second National Health and Nutrition Examination Survey data (1976–1980). Am J Clin Nutr 78:756–764
Ibs KH, Gabriel P, Rink L (2003) Zinc and the immune system of elderly. Adv Cell Aging Gerontol 13:243–259
Ibs KH, Rink L (2003) Zinc-altered immune function. J Nutr 133:1452S–1456S
Kaplan J, Hess JW, Prasad AS (1988) Impaired interleukin-2 production in the elderly: association with mild zinc deficiency. J Trace Elem Exp Med 1:3–8
Kreft B, Fischer A, Kruger S, Sack K, Kirchner H, Rink L (2000) The impaired immune response to diphtheria vaccination in elderly chronic hemodialysis patients is related to zinc deficiency. Biogerontology 1:61–66
Lindeman RD, Clark ML, Colmore JP (1971) Influence of age and sex on plasma and red-cell zinc concentrations. J Gerontol 26:358–363
Maret W, Sandstead HH (2006) Zinc requirements and the risks and benefits of zinc supplementation. J Trace Elem Med Biol 20:3–18
Mocchegiani E, Giacconi R, Muzzioli M, Cipriano C (2000a) Zinc, infections and immunosenescence. Mech Ageing Dev 121:21–35
Mocchegiani E, Muzzioli M, Giacconi R (2000b) Zinc, metallothioneins, immune responses, survival and ageing. Biogerontology 1:133–143
Mocchegiani E, Muzzioli M, Giacconi R, Cipriano C, Gasparini N, Franceschi C, Gaetti R, Cavalieri E, Suzuki H (2003) Metallothioneins/PARP-1/IL-6 interplay on natural killer cell activity in elderly: parallelism with nonagenarians and old infected humans. Effect of zinc supply. Mech Ageing Dev 124:459–468
Pepersack T, Rotsaert P, Benoit F, Willems D, Fuss M, Bourdoux P, Duchateau J (2001) Prevalence of zinc deficiency and its clinical relevance among hospitalised elderly. Arch Gerontol Geriatr 33:243–253
Prasad AS, Fitzgerald JT, Hess JW, Kaplan J, Pelen F, Dardenne M (1993) Zinc deficiency in elderly patients. Nutrition 9:218–224
Provinciali M, Montenovo A, Di Stefano G, Colombo M, Daghetta L, Cairati M, Veroni C, Cassino R, Della Torre F, Fabris N (1998) Effect of zinc or zinc plus arginine supplementation on antibody titre and lymphocyte subsets after influenza vaccination in elderly subjects: a randomized controlled trial. Age Ageing 27:715–722
Ravaglia G, Forti P, Maioli F, Bastagli L, Facchini A, Mariani E, Savarino L, Sassi S, Cucinotta D, Lenaz G, (2000a) Effect of micronutrient status on natural killer cell immune function in healthy free-living subjects aged >/ = 90 y. Am J Clin Nutr 71:590–598
Ravaglia G, Forti P, Maioli F, Nesi B, Pratelli L, Savarino L, Cucinotta D, Cavalli G, (2000b) Blood micronutrient and thyroid hormone concentrations in the oldest-old. J Clin Endocrinol Metabol 85:2260–2265
Senapati A, Jenner G, Thompson RP (1989) Zinc in the elderly. Quart J Med 70:81–87
Stafford W, Smith RG, Lewis SJ, Henery E, Stephen PJ, Rafferty J, Simpson GK, Bell PC, O’Rorke K (1988) A study of zinc status of elderly institutionalized patients. Age Ageing 17:42–48
Vallee BL, Falchuk KH (1993) The biochemical basis of zinc physiology. Physiol Rev 73:79–118
Wagner PA, Jernigan JA, Bailey LB, Nickens C, Brazzi GA (1983) Zinc nutriture and cell-mediated immunity in the aged. Int J Vit Nutr Res 53:94–101
Wörwag M, Classen HG, Schumacher E (1999) Prevalence of magnesium and zinc deficiencies in nursing home residents in Germany. Magnes Res 12:181–189
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This work was supported in part by the EU project ZINCAGE (Food-CT-2003-506850).
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"Presented at the ZincAge Conference, Madrid, February 10-13, 2006".
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Haase, H., Mocchegiani, E. & Rink, L. Correlation between zinc status and immune function in the elderly. Biogerontology 7, 421–428 (2006). https://doi.org/10.1007/s10522-006-9057-3
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DOI: https://doi.org/10.1007/s10522-006-9057-3