Metabolic and functional aspects of zinc in Down syndrome
Keywords:
nutritional state, metabolism, Down Syndrom, zincAbstract
This study reports the functional aspects of zinc as well as its participation in the metabolic changes present
in individuals with Down syndrome. Most of the studies performed observed that the nutritional status
related to zinc in these patients is inadequate, with changes in the antioxidant and immunological systems
and in the metabolism of thyroid hormones. In vitro studies show that zinc participates as a cofactor of the
enzyme deiodinase type II in the peripheral conversion of thyroxin into triiodothyronine, and that this reaction is decreased in individuals with Down syndrome, contributing to the manifestation of disorders such as
subclinical hypothyroidism. Changes in zinc compartmentation in the body of these individuals also favor an
excessive expression of the copper/zinc enzyme (Cu/Zn) superoxide dismutase, with increased oxidative stress,
and also changes in the immune system. In Down syndrome, zinc supplementation has been shown to
improve thyroid hormone metabolism and immune function. Therefore, the metabolic role of zinc in Down
syndrome should be further researched, knowing that this mineral can.
References
Groner Y, Elroy-Stein O, Avaraham KB. Cell damage by excess Cu/Zn SOD and Down‘s sydrome. Biomed Pharmacother. 1994; 48(5-6):231-40.
Moreira LMA, El-Hani CN, Gusmão F. A síndrome de Down e sua patogênese: considerações sobre o determinismo genético. Rev Bras Psiquiatr. 2000; 22(2):96-9.
Kanavin OJ, Aaseth J, Birketvedt GS. Thyroid hypofunction in Down’s syndrome: is it related to oxidative stress? Biol Trace Elem Res. 2000; 78 (1-3):35-42.
Bucci I, Napolitano G, Giuliani C, Lio S, Minnurucci A, Di Giacomo F, et al. Zinc sulfate supplementation improves thyroid function in hypozincemic Down children. Biol Trace Elem Res. 1999; 67(3):257-68.
Sandström B. Bioavailability of zinc. Eur J Clin Nutr. 1997; 1(Suppl):S17-S9.
Marreiro DN, Fisberg M, Cozzolino SMF. Zinc nutritional status and its relationships with hyperinsulinemia in obese children and adolescents. Biol Trace Elem Res. 2004; 100(2): 137-50.
Romano C, Pettinato R, Ragusa L, Barone C, Alberti A, Failla P. Is there a relationship between zinc and the peculiar comorbidities of Down syndrome? Down Syndr Res Pract. 2002; 8(1):25-8.
Nishiyama S, Futagoishi-Suginohara Y, Matsukura T, Higashi A, Shinohara M, Matsuda I, et al. Zinc supplementation alters thyroid hormone metabolism in disabled patients with zinc deficiency. J Am Coll Nutr. 1994; 13(1):62-7.
Cousins RJ, McMahon RJ. Integrative aspects of zinc transporters. J Nutr. 2000; 130(Suppl 5): 1384-7.
Hempe JM, Cousins RJ. Cysteine-rich intestinal protein and intestinal metallothionein: an inverse relationship as a conceptual model for zinc absorption in rats. J Nutr. 1992; 122(1):89-95.
Zhou JR, Erdman JW. Phytic acid in health and disease. Crit Rev Food Sci Nutr. 1995; 35(6): 495-508.
Lee HH, Prasad AS, Brewer GJ, Owyang C. Zinc absorption in human small intestine. Am J Physiol. 1989; 256(1 Pt 1):G87-91.
Aggett PJ, Comerford JG. Zinc in human health. Nutr Rev. 1995; 53(9):S11-22.
Palmiter RD, Findley SD. Cloning and functional characterization of a mammalian zinc transporter that confers resistance to zinc. Embo J. 1995; 14(4):639-49.
McMahon RJ, Cousins RJ. Mammalian zinc transporters. J Nutr. 1998; 128(4):667-70.
Cousins RJ. Absorption, transport and hepatic metabolism of copper and zinc: Special referece to metallothionein and ceruloplasmin. Physiol Rev. 1985; 65(2):238-309.
Cousins RJ. A role of zinc in the regulation of gene expression. Proc Nutr Soc. 1998; 57(2):307-11.
Peretz A, Neve J, Jeghers O, Leclercq N, Praet JP, Vertongen F, et al. Interest of zinc determination in leucocyte fractions for the assessement of marginal zinc status. Clin Chim Acta. 1991; 203(1):35-46.
Hinks LJ, Clayton BE. Zinc and copper concentratins in leucocytes and eritrocytes in healthy adults and the effect of oral contraceptives. J Clin Pathol. 1983; 36(9):1016-21.
Prasad AS. Clinical, biochemical and nutritional spectrum of zinc deficiency in human subjects: an update. Nutr Res. 1983; 41(7):197-211.
Cozzolino SMF. Biodisponibilidade de minerais. Rev Nutr. 1997; 2(10):87-98.
Maret W. Zinc biochemistry, physiology and homeostasis: recent insights and current trends. Bio Metal. 2001; 14:187-90.
Todd WR, Elvehjem CA, Hart EB. Zinc in the nutrition of the rat. Am J of Physiology. 1934; 107:146-56.
Sandstead HH. Understanding zinc: recent observations and interpretations. J Lab Clin Med. 1994; 124(3):322-7.
Vallee BL, Falchuk KH. The biochemical basis of zinc physiology. Physiol Rev. 1993; 73(1):79-118.
Szczurek EI, Bjornsson CS, Taylor CG. Dietary zinc deficiency and repletion modulate metallothionein immunolocalization and concentration in small intestine and liver of rats. J Nutr. 2001; 131(8): 2132-8.
Prasad AS. Essential and toxic trace elements in human health and disease. New York: Alan R Liss; 1988. p.3-53.
Bray TM, Bettger WJ. The physiological role of zinc as an antioxidant. Free Radical Biol Med.1990; 8(3): 281-91.
Rascon MVT, Toledano FL, A-Villalobos VS. Evaluation of plasma zinc levels in patients with Down syndrome. An Esp Pediatr. 1992; 37:391-3.
Lima AS. Estado nutricional relativo ao zinco em pacientes com Síndrome de Down [dissertação]. São Paulo: Faculdade de Ciências Farmacêuticas; 2002.
Purice M, Maximilian C, Duritriu I, Ioan D. Zinc and copper in plasma and erythrocytes of Down’s children. Endocrinologie. 1988; 26(2):113-7. 32.Napolitano G, Palka G, Lio S, Bucci I, De Remigis P, Stuppia L, Monaco F, et al. Is zinc deficiency a cause of hypotireoidism in Down syndrome? Ann Genet. 1990; 33(1):9-15.
Yenigun A, Ozkinay F, Cogulu O, Coker C, Cetiner N, Ozzlen G, et al. Hair zinc level in Down syndrome. Downs Syndr Res Pract. 2004; 9(2):53-7.
Soto-Quintana M, Nava A, Atencio F, Granadillo A, Fernádez V, Ocando D, et al. Diminished zinc plasma concentrations and alterations in the number of lymphocyte subpopulations in Down’s syndrome patients. Invest Clin. 2003; 44(1):51-60.
Siqueira WL, Oliveira E, Mustacchi Z, Nicolau J. Electrolyte concentrations in saliva of children aged 6-10 years with Down syndrome. Oral Surg. 2004; 98(1):76-9.
Licastro F, Mocchegiani E, Masi M, Fabris N. Modulation of the neuroendocrine system and immune functions by zinc supplementation in children with Down’s syndrome. J Trace Elem Electrolytes Health Dis. 1993; 7(4):237-9.
Licastro F. Immune-endocrine status and celiac disease in children with Down’s syndrome: relationships with zinc and cognitive efficiency. Brains Res Bull. 2001; 55(2):313-7.
De la Torre R, Casado A, Lopez-Fernandez E, Carrasosa D, Ramírez V, Saez J. Overexpression of copper-zinc superoxide dismutase in trisomy 21. Experientia. 1996; 52(9):871-3.
Neve J, Sinet PM, Molle L, Nicole A. Selenium, zinc and copper in Down’s syndrome (trisomy 21): blood levels and relations with glutatione peroxidase and superoxide dismutase. Clin Clim Acta. 1983; 133(2):209-14.
Teksen F, Sayli BS, Aydin A, Sayal A, Isimer A. Antioxidative metabolism in Down syndrome. Biol Trace Elem Res. 1998; 63(2):123-7.
Lee M, Hyun D, Jenner P, Halliwell B. Effect of overexpression of wild-type and mutant Cu/Zn-superoxide dismutases on oxidative damage and antioxidant defenses: relevance to Down’s syndrome and familial amyotrophic lateral sclerosis. J Neurochem. 2001; 76(4):957-65.
Salnikow K, Gao M, Voiltkun V, Huang X, Costa M. Altered oxidative stress responses in nickel-resistant mammalian cells. Cancer Res. 1994: 54(24): 6407-12.
Antonucci A, Di Baldassarre A, Di Giacomo F, Stuppia L, Palka G. Detection of apoptosis in peripheral blood cells of 31 subjects affected by down syndrome before and after zinc therapy. Ultrastruct Patho. 1997; 21(5):449-52.
Lockitch G, Puterman M, Godolphin W, Sheps S, Tingle AJ, Quigley G. Infection and immunity in Down’s syndrome: a trial of long-term oral doses of zinc. J Pediatr. 1989; 114(5):781-7.
Bjorksten B, Back O, Gustavson KH, Hallmans G, Hagglof B, Tarnvik A. Zinc and immune function in Down’s syndrome. Acta Paediatr Scand. 1980; 69(2):183-7.
Sustrova M, Strbak V. Thyroid function and plasma immunoglobulins in subjects with Down’s syndrome (DS) during ontogenesis and zinc therapy. J Endocrinol Invest. 1994; 17(6):385-90.
Licastro F, Chiricolo M, Mocchegiani E, Fabris N, Zannoti M, Beltrandi E, et al. Oral zinc supplementation in Down’s Syndrome subjects decreased infections and normalized some humoral and cellular immune parameters. J Intellect Disabil Res. 1994; 38(Pt 2):149-62.
Brigino EN, Good RA, Koutsonikolis A, Day NK, Kornfeld SJ. Normalization of cellular zinc levels in patients with Down’s syndrome does not always correct low thymulin levels. Acta Pediatr. 1996; 85(11):1370-2
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Raynério Costa MARQUES, Dilina do Nascimento MARREIRO
This work is licensed under a Creative Commons Attribution 4.0 International License.