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(Journal of Nutrition. 2000;130:496S-502S.)
© 2000 The American Society for Nutritional Sciences


Supplement

History of Zinc as Related to Brain Function1

Harold H. Sandstead2, Christopher J. Frederickson*,{dagger} and James G. Penland**

Department of Preventive Medicine and Community Health and * Center for Bioengineering and Department of Neuroscience, University of Texas Medical Branch, Galveston, TX 77555-1109; {dagger} NeuroBioTex, Incorporated, Galveston, TX 77550; and ** U.S. Department of Agriculture, Agricultural Research Service Grand Forks Human Nutrition Research Center, Grand Forks, ND 58201

2To whom correspondence should be addressed.


    ABSTRACT
 TOP
 ABSTRACT
 INTRODUCTION
 Zinc in brain tissue
 Brain development
 Brain function in animals
 Findings in humans
 REFERENCES
 
Zinc (Zn) is essential for synthesis of coenzymes that mediate biogenic-amine synthesis and metabolism. Zn from vesicles in presynaptic terminals of certain glutaminergic neurons modulates postsynaptic N-methyl-D-aspartate (NMDA) receptors for glutamate. Large amounts of Zn released from vesicles by seizures or ischemia can kill postsynaptic neurons. Acute Zn deficiency impairs brain function of experimental animals and humans. Zn deficiency in experimental animals during early brain development causes malformations, whereas deficiency later in brain development causes microscopic abnormalities and impairs subsequent function. A limited number of studies suggest that similar phenomena can occur in humans.


KEY WORDS: • zinc • brain • hippocampus • neurotransmission • cognition


    INTRODUCTION
 TOP
 ABSTRACT
 INTRODUCTION
 Zinc in brain tissue
 Brain development
 Brain function in animals
 Findings in humans
 REFERENCES
 
Knowledge of the relationship of zinc nutriture to brain development and function has come from research in several disciplines. Many advances occurred in parallel with limited cross-disciplinary communication. In this review we attempt "bridge the gap" and provide a coherent story.


    Zinc in brain tissue
 TOP
 ABSTRACT
 INTRODUCTION
 Zinc in brain tissue
 Brain development
 Brain function in animals
 Findings in humans
 REFERENCES
 
Sheline et al. (1943)Citation first reported 65Zn uptake by brain in dogs and mice. Uptake was slower and the amount retained was less than that in other tissues. A decade later, Maske (1955)Citation serendipitously discovered that diphenylthiocarbizone (dithizone) stains a pool of Zn that is strikingly localized. Staining of hippocampal mossy fibers was intense. Subsequently, Hu and Friede (1968)Citation measured Zn in 24 regions of human brain by atomic absorption spectroscopy. Concentrations in hippocampus were highest, but gray matter of the cortex was nearly as rich. White matter had the lowest concentrations. Concentrations of Zn in newborn brain were lower than in adults.

Soon after Maske, McLardy (1960)Citation found Zn in mossy-fiber "giant" boutons. Later, he reported several other Zn-containing fiber systems (McLardy 1970Citation ). After McLardy (1960)Citation , von Euler (1962)Citation found that bathing the surface of the hippocampus with H2S-saturated saline removed Zn and changed the evoked potential response after electrical stimulation. He noted that the H2S caused a variety of changes and therefore was cautious in concluding that removal of Zn caused the changes.

Nearly simultaneously with the above anatomical studies, Zeigler et al. (1964)Citation measured the effect of Zn deficiency on the kinetics of Zn in chick brain. Zn deficiency increased the 65 Zn uptake but had no apparent effect on the concentration of stable Zn. Cox et al. (1969)Citation used rats to confirm that Zn deficiency had little effect on the concentration of Zn in brain. He also showed that high intakes of Zn increased the concentration of Zn in brain. About a decade later, Wallwork et al. (1983)Citation used weanling rats to confirm that Zn deficiency has little effect on brain Zn, with the exception of a decreased concentration of Zn in the olfactory bulb. In addition, he found that brain copper was increased by Zn deficiency.

Studies by Haug (1967)Citation built on the work of McLardy (1960)Citation . With the use of electron microscopy and a modified silver-sulfide stain (Timm 1958Citation ), Haug showed electron-dense silver particles that were located within the mossy-fiber giant boutons, evenly distributed, and not in mitochondria. Later, Haug et al. (1971)Citation showed that transection of mossy-fiber axons caused a rapid disappearance of Zn from the vesicles in the presynaptic boutons (terminals).

Nearly two decades after von Euler, Hesse et al. (1979)Citation confirmed that Zn status can affect synaptic responses in the hippocampus. Using Zn-deprived rats, he showed decreases in evoked responses after repeated low frequency stimulation of the dentate gyrus. In contrast, repeated stimulation of commissural axons did not result in decreased evoked responses. Hesse suggested that his findings were caused by a decrease in vesicle Zn. More recent findings suggest that this is unlikely. Commissural axon terminals were shown to contain as much vesicle Zn as mossy-fiber terminals (Frederickson et al. 1992Citation , Long et al. 1995Citation ).

Shortly after Hesse (1979)Citation , Frederickson et al. (1982Citation and 1983)Citation , with the use of stable-isotope dilution mass spectrometry, found that ~8% of Zn in the hippocampus is in vesicles. Soon after, three groups showed that Zn is released from axon terminals during electrophysiologic activity. Howell et al. (1984)Citation showed that electrical stimulation in vitro caused uptake of 65 Zn tracer by presynaptic terminals of mossy-fiber axons, and that previously incorporated 65 Zn was released. Assaf and Chung (1984)Citation reported similar findings on the basis of the chemical analysis of poststimulation superfusate, and Sloviter (1985)Citation showed by electron microscopy and modified silver stain (Timm 1958Citation ) that electrical stimulation decreased vesicle Zn in mossy-fiber axon terminals. About the same time Perez-Clausell and Danscher (1985)Citation showed by electron microscopy and modified silver stain (Timm 1958Citation ) that Zn is present in ~10% of the clear round vesicles of Gray’s Type I (excitatory) synaptic boutons. These authors subsequently showed (Perez-Clausell and Danscher 1986Citation ) by in vivo sulfide binding that Zn released from vesicles can move from the synaptic cleft to the extracellular space.

Peters et al. (1987)Citation and Westbrook et al. (1987)Citation showed that vesicle Zn that is released into the synaptic cleft during neurotransmission modulates N-methyl-D-aspartate (NMDA)4 -specific postsynaptic receptors for glutamate in a rapid, dose-dependent and reversible manner. Consistent with Zn having a modulator role, Fukahori et al. (1988)Citation found lower Zn concentrations in the dentate area of the hippocampus of a strain of mice with a high propensity for seizures. Zn deficiency decreased hippocampal Zn and increased seizures, whereas high intakes of Zn increased hippocampal Zn and decreased seizures (Fukahori and Itoh 1990Citation ). Mitchell et al. (1990)Citation confirmed that Zn status can affect seizure susceptibility. In vivo chelation of Zn with dithizone increased the sensitivity of rats to kainic acid–induced seizures. Morton et al. (1990)Citation also found that Zn status affected seizure threshold. Subcutaneous administration of Zn decreased noise-induced seizures in DBA/2J mice, but had no effect on seizures caused by kainic acid.

Findings of Frederickson et al. (1990)Citation were consistent with vesicle Zn affecting cognition. Reversible chelation of Zn in vivo "produced a time-locked and selective disruption of hippocampal-dependent spatial-working memory." Subsequently, Browning et al. (1994 and 1995) found in Guinea pigs that Zn deficiency decreased the concentration of postsynaptic NMDA-specific glutamate-mediated calcium channels in cortical synaptosomes.

Palmiter (1996aCitation and 1996b)Citation and Palmiter and Findley (1995)Citation reported specific Zn-transporter (Zn-T) membrane proteins. ZnT-1 facilitates Zn efflux from cells; ZnT-2 facilitates Zn uptake by endosomal vesicles; and ZnT-3 in facilitates Zn uptake by the Zn-containing vesicles of axon terminals of glutaminergic neurons.

In vitro studies showed that oxidation of metallothionein (MT) by glutathione disulfide (GSSG) released Zn to specific ligands (Maret 1994Citation and 1995Citation ). This suggests that one function of MT is to serve as a store for Zn. Induction of liver MT by Zn was described nearly three decades ago (Bremner and Davies 1975Citation , Richards and Cousins 1975Citation , 1976aCitation and 1976bCitation , Winge et al. 1975Citation ). Soon after, Cherian (1977)Citation showed that Zn bound to liver MT can be released to other ligands. Subsequently, Sas and Pethes (1981)Citation showed that Zn deficiency decreases incorporation of 65Zn into brain MT, and Brady (1983)Citation found that the MT concentration in brain of suckling rats is similar to that in kidney and greater than that in heart, lung, spleen and thymus. Ebadi and Swanson (1987)Citation characterized brain MT in rats and Gulati et al. (1987)Citation showed that MT in monkey brain is not inducible by Cd. Later, Hao et al. (1994)Citation reported high concentrations of metallothionein-I (MT-I) mRNA in cerebellum, hippocampus and the ventricles. The same year, Gasull et al. (1994)Citation confirmed that Zn status influences MT concentrations and that there are substantial differences in MT-I and MT-II concentrations among different regions of brain. In addition, Masters et al. (1994)Citation showed that the mRNA for isoform MT-III, a metallothionein unique to brain, is present in glutaminergic neurons that have Zn-containing vesicles. They also showed that MT-III in cultured cells stimulates Zn uptake. Later, Erickson et al. (1997)Citation ) showed that mice lacking the MT-III gene had low Zn concentrations in hippocampus, whereas, at the same time, their histochemically reactive Zn in presynaptic vesicles appeared similar to that of controls. The MT-III–deficient mice were highly susceptible to kainic acid–induced seizures and postsynaptic neuron injury (like other zinc-deficient rodents). In contrast, mice with the extra MT-III gene were resistant to seizures and postsynaptic neuron injury. These findings suggest that MT-III might influence the release of vesicle Zn into the synaptic cleft.

Extension of the in vitro studies, cited above, of the oxidation of MT by GSSG (Maret 1994Citation ) revealed that certain selenium compounds also release Zn from MT (Jacob et al. 1999Citation ). In addition glutathione (GSH) (Jiang et al. 1998bCitation ) and ATP (Jiang et al. 1998aCitation ) facilitate Zn release by GSSG. In addition, oxidation of certain Zn-binding ligands by GSH releases Zn to thionein (Maret et al. 1999Citation ).

Churchich et al. (1989)Citation reported that Zn-ATP is required by pyridoxal (PL) kinase for the formation of pyridoxal-5-phosphate (PLP). Subsequently, Yamada et al. (1990)Citation and Nakano and McCormick (1991)Citation found that Zn-ATP is also required by flavokinase for synthesis of flavin mononucleotide (FMN), the precursor of FAD. PLP and FAD are coenzymes for biogenic-amine synthesis (Dakshinamurti et al. 1990Citation ) and monoamine oxidase (MAO) metabolism, respectively (Hsu et al. 1988Citation ). The susceptibility of these processes to Zn deficiency is unknown.

High concentrations of extracellular Zn can kill neurons. Yokoyama et al. (1986)Citation found that 30 µmol/L or more of Zn in tissue culture killed neurons. Soon after, Frederickson et al. (1988Citation and 1989)Citation reported the toxicity of Zn for neurons in vivo. With the use of a quinoline fluorescence technique, they found that kainic acid–induced seizures caused loss of Zn from the presynaptic axon terminals of hippocampal mossy fibers and that, coincidentally, the postsynaptic neurons showed intense fluorescence for Zn and signs of degeneration. Soon after, Tonder et al. (1990)Citation found similar abnormalities in rats that had been subjected to cerebral ischemia. Recently, Choi (1996)Citation , Sensi et al. (1997)Citation , Yin and Weiss (1995) and Yin et al. (1998)Citation suggested mechanisms whereby Zn enters postsynaptic neurons. They include passage through voltage-gated calcium channels, transporter-mediated exchange with intracellular sodium, passage through NMDA receptor–gated channels and penetration through calcium-permeable {alpha}-amino-3-hydroxy-5-methyl-4-isoxazole-propionate (AMPA)- or kainate receptor–gated channels.

Other in vitro evidence of the toxicity of Zn was provided by Bush et al. (1993Citation , 1994aCitation , 1994bCitation and 1994cCitation ). At physiologic concentrations and pH, Zn complexed with "amyloid protein precursor," and "A-ß-1–40," a component of cerebral amyloid that is present in spinal fluid. A-ß-1–40 solubility was decreased and resistance of the resulting amyloid to tryptic digestion was increased. Bush suggested that a similar in vivo phenomenon might contribute to dementia.


    Brain development
 TOP
 ABSTRACT
 INTRODUCTION
 Zinc in brain tissue
 Brain development
 Brain function in animals
 Findings in humans
 REFERENCES
 
Hurley and Swenerton (1966)Citation first reported that severe Zn deprivation of rats during organogenesis causes brain malformations. They also found decreased DNA synthesis in embryonic brain tissue (Swenerton et al. 1969Citation ). Later, McKenzie et al. (1975)Citation showed that maternal Zn deprivation during the last third of gestation decreased brain DNA. Sandstead et al. (1972)Citation found low 3H-thymidine incorporation into DNA and 35S into protein in Zn-deficient neonatal rats on postnatal d 11. Later, Fosmire et al. (1975)Citation found a decrease in brain polysomes and protein per cell in Zn-deprived pups on postnatal d 5. Consistent with these findings, Duerre et al. (1977)Citation discovered that Zn deficiency impaired the incorporation of 3H-leucine into brain histone- and nonhistone-proteins on postnatal d 10, and Buell et al. (1977)Citation showed that Zn deficiency decreased brain growth, DNA, RNA and protein concentrations in pups, aged 21 d. In addition, division and migration of external granular cells of the cerebellum were retarded. Dvergsten (Dvergsten 1984Citation , Dvergsten et al. 1983Citation , 1984aCitation and 1984bCitation ) described the histologic effects of severe Zn deficiency on cerebellum of rat pups, aged 21 d. Granule cell number relative to Purkinje cells was decreased ~60%. Dendrite growth of Purkinje, basket and stellate cells was decreased and the height of the Purkinje cells dendrite arbor and its branching were severely decreased. Consistent with immaturity, ribosomes were clustered in the basal cytoplasm of Purkinje cells. In addition, asymmetric synapses between parallel fibers (axons of granule cells) and dendrites of the Purkinje, basket and stellate cells were decreased ~40%.


    Brain function in animals
 TOP
 ABSTRACT
 INTRODUCTION
 Zinc in brain tissue
 Brain development
 Brain function in animals
 Findings in humans
 REFERENCES
 
Williams and Mills (1970)Citation and Chesters and Quarterman (1970)Citation reported cyclic feeding in Zn-deficient rats. Wallwork et al. (1981)Citation and Wallwork and Sandstead (1983)Citation showed that plasma Zn concentrations were inversely related to the cycle and that concentrations of glucose and amino acids in plasma, and amino acids in brain, did not appear related to the cycle. Subsequently, Reeves and O’Dell (1984)Citation found that dietary restriction of tyrosine decreased the concentrations of tyrosine and catecholamines in the hypothalamus and increased the appetite of Zn-deficient rats. More recently, Selvais et al. (1997)Citation found that Zn-deficient Wistar rats had galanin mRNA and increased neuropeptide Y (NPY) mRNA in hypothalamus. NPY in the suprachiasmatic nuclei of the geniculohypothalamic tract was inversely related to the appetite cycle. Zn repletion decreased NPY mRNA toward normal. In contrast, in Zucker rats, which have high basal NPY, Zn deficiency had no effect on NPY.

Macapinlac et al. (1967)Citation first noted that Zn-deficient squirrel monkeys were apathetic. Subsequently, Caldwell et al. (1970)Citation found that Zn-deficient rats were more hesitant and made more errors in a simple water maze than the pair-fed control rats. Hesse et al. (1979)Citation confirmed their findings. Subsequently, Gordon et al. (1982)Citation showed that severe Zn deficiency caused less activity and grooming in aged rats (300 d old); Massaro (1982)Citation reported that moderate Zn deprivation impaired complex behaviors; and Valdes et al. (1982)Citation found an association between lateralization of Zn in the brain and spatial preference in rats.

Golub et al. (1994Citation and 1996)Citation measured effects of "moderate" Zn deprivation on behavior of prepubertal and adolescent nonhuman primates. Fifteen weeks of Zn deprivation in prepubertal animals decreased plasma Zn but had no apparent effect on growth. "Spontaneous motor activity was lower and performance of a visual-attention task and short-term-memory task were impaired." In adolescent females, "moderate" Zn deficiency retarded the adolescent growth spurt, and decreased daytime activity and attention.

Halas (Halas et al. 1977aCitation , 1976Citation and 1980Citation , Halas and Eberhardt 1975Citation , 1977bCitation , 1979Citation , 1983Citation , 1986Citation and 1987Citation , Halas and Sandstead 1975Citation and 1980Citation , Lokken et al. 1973Citation ) first measured the effects of developmental Zn deprivation in rats. The first experiment found that Zn deprivation of dams throughout lactation (birth to postnatal d 21) caused errors of choice during running of a "Tolman Honzig" maze without affecting the running time of offspring, aged 60–80 d (Lokken et al. 1973Citation ). The second experiment found that Zn deprivation on d 15–20 of gestation impaired avoidance of shock by young adult male offspring but had no similar effect on female offspring (Halas et al. 1976Citation , Halas and Sandstead 1975Citation ). The third experiment found that intrauterine Zn deprivation increased shock-induced aggression in nutritionally rehabilitated 75-d-old female offspring but not in males (Halas et al. 1975Citation and 1977bCitation ). The last experiment differed from all others in that Halas measured the effects of mild maternal Zn deficiency (10 µg/g diet) throughout gestation and lactation on subsequent performance of adult offspring (Halas et al. 1986Citation ). Pups and dams showed no overt signs of Zn deficiency other than mild growth deficit in pups. After weaning, the pups were fed a complete diet that was adequate in Zn. When tested at age 100 d, the previously Zn-deprived rats made many more errors in an open 17-arm radial maze than did controls. Penland and Sawler (1987)Citation measured the electroencephalogram (EEG) of rats from Halas’ last experiment. In addition to changes in EEG activity in the Zn-deprived group, brain zinc/copper ratios were positively correlated with left-minus-right hemisphere asymmetries in the EEG.

Developmental Zn deprivation was also studied in nonhuman primates. Early studies (Sandstead et al. 1978Citation , Strobel and Sandstead 1984Citation ) in a small number of animals found that maternal Zn deprivation in the last third of pregnancy changed maternal-infant interactions and impaired later ability to solve complex problems at about age 2 y; by age 3 y, problem-solving ability was similar to that of controls. More recently, Golub et al. (1995)Citation found that "marginal" Zn deprivation of dams throughout gestation caused a syndrome of lethargy, apathy and hypoactivity in offspring.


    Findings in humans
 TOP
 ABSTRACT
 INTRODUCTION
 Zinc in brain tissue
 Brain development
 Brain function in animals
 Findings in humans
 REFERENCES
 
Zn deficiency from dietary inadequacy was first described among poor Iranian farm boys by Prasad et al. (1961)Citation . Subsequently, the condition was identified among poor Egyptian farm boys who displayed dwarfism, hypogonadism, iron deficiency, hookworm and schistosomiasis (Prasad et al. 1963aCitation and 1963bCitation , Sandstead et al. 1967Citation ). These patients were similar in appearance to those with severe hookworm that were described in the first decade of this century by Dock and Bass (1910)Citation . Abnormal behaviors occurred in some. In the second decade of this century, the International Health Board of the Rockefeller Foundation (1919)Citation reported an association between hookworm infection and low cognitive performance in U.S. Army recruits and in children from South-Eastern mill towns. The same year Waite and Nelson (1919)Citation found a direct association between the severity of hookworm infection and impaired mental development in children from North Queensland, Australia. One suspects that Zn deficiency contributed to the cognitive abnormalities described.

Twenty-five years ago Henkin et al. (1975)Citation discovered that severe Zn deficiency impaired neuromotor and cognitive performance of adults. He induced Zn deficiency by administration of large doses of histidine, which caused high urinary excretion of Zn. All subjects developed abnormal taste and smell acuity. Some were ataxic, some were depressed, some hallucinated and some developed paranoia. Soon after Henkin’s report Moynahan (1976)Citation described abnormal behavior in a patient with acrodermatitis enteropathica, and Kay et al. (1976)Citation found abnormal behaviors in patients with Zn deficiency as a result of inadequate parenteral feeding.

Hambidge et al. (1975)Citation reviewed the effects of inadequately treated maternal acrodermatitis enteropathica on offspring. Some infants had brain malformations. Related to these observations, reports from Turkey suggested that low maternal Zn nutriture increased the occurrence of fetal anencephaly (Çavdar et al. 1983Citation and 1988Citation ).

Relevant to human fetal development and postnatal risk of behavioral deficits, nearly three decades ago, Jameson (1976)Citation found significantly higher maternal serum Zn concentrations among women who normally delivered mature infants than he found among women who had abnormal deliveries and/or abnormally developed infants. In the latter group, eight infants had congenital malformations. In addition, women with dysmature infants had significantly lower serum Zn concentrations than women who had uncomplicated deliveries of mature infants. Subsequently, Meadows et al. (1983Citation and 1981)Citation found that low Zn concentrations in maternal and newborn leukocytes were associated with fetal growth stunting. A subsequent double-blind randomized placebo-controlled Zn repletion trial by Cherry et al. (1989)Citation found significant decreases in premature delivery and a highly significant decrease in the need for respiratory assistance among newborn infants of normal-weight low income black teen-age girls. More recently, Goldenberg et al. (1995)Citation found higher birth weight and larger head size among infants of Zn-repleted low income mothers. Kirksey et al. (1991Citation and 1994)Citation first reported relationships between the maternal diet during pregnancy and postnatal behavior of infants. Mother-baby pairs were studied in an Egyptian village. Maternal consumption of foods derived from animals that were rich in Zn was positively associated with higher neonatal attention scores on the Brazelton Neonatal Development Assessment Scale. At 6 mo of age, motor performance scores on the Bayley Scales of Infant Development were inversely associated with maternal intakes of Zn from plants, dietary phytate and fiber during pregnancy.

Effects of postnatal Zn nutriture on infant development were reported by Friel et al. (1993)Citation . Linear growth and motor development were higher in newborns <1500 g that were given 11 mg Zn/L of formula from birth to 6 mo compared with infants given 6.7 mg Zn/L. Later, Sazawal et al. (1996)Citation reported that repletion with 10 mg Zn/d simultaneously with potentially limiting vitamins increased activity and energy expenditure of low income urban Indian children, aged 12–23 mo. Similarly, Bentley et al. (1997)Citation found that Guatemalan infants given 10 mg Zn/d for 7 mo sat up and played more than infants given placebo. Ashworth et al. (1998)Citation also found that Zn repletion improved behavioral ratings. His subjects were low-birth-weight Brazilian infants, aged 12 mo, who were given 5 mg Zn/d 6 d/wk during the first 8 postnatal weeks. Controls given 1 mg Zn/d lagged behind.

In children Thatcher et al. (1984)Citation found a direct association between an index of Zn status (hair Zn concentration) and reading performance on a standardized test. In addition, coherence of the frontal lobe EEG was related directly to the concentration of Zn in hair. Consistent with Thatcher, Wachs et al. (1995)Citation found that certain preadolescent behaviors of Egyptian children were associated with the consumption of foods that were derived from animals and are rich in Zn.

Sandstead et al. (1998)Citation and Penland (Penland 1999Citation , Penland et al. 1997Citation , 1999aCitation and 1999bCitation ) found in three groups of children that repletion of Zn nutriture, in the context of repletion of other potentially limiting micronutrients (Ronaghy et al. 1974Citation ), improved neuropsychological function. The subjects were low income urban (n = 740) and rural (n = 540) Chinese, aged 6–9 y, and low income urban U.S. Mexican-Americans, aged 6–9 y (n = 240). They participated in 10-wk double-blind, randomized, controlled treatment trials. Neuropsychological function was assessed by a computerized task set that was configured by Penland (1994)Citation for testing of many facets of neuropsychological function. All studies found that repletion with 20 mg Zn simultaneously with other potentially limiting micronutrients caused the greatest improvement in performance of a complex reasoning task, compared with controls. The Chinese subjects also showed improvement in other dimensions of neuropsychological function. Before these studies Gibson et al. (1989)Citation and Cavan et al. (1993)Citation found no improvement in cognition of low income children, aged 6–7 y, who were repleted with 10 mg Zn/d. The assessment tool measured global indices of cognition. We suspect the tool was insensitive.

In adults, Henrotte et al. (1977)Citation found that low concentrations of Zn in RBC were associated with lower frequency of the EEG during hyperventilation. Later he reported an association between Type A personality, high resting RBC Zn concentration and low urinary Zn concentration, as contrasted with Type B personality (Henrotte et al. 1985Citation ). When Type A subjects were exposed to stress, they excreted more Zn in their urine than did type B subjects. Goldstein and Pfeiffer (1978)Citation reported that treatment of schizophrenic patients with Zn was followed by a decrease in EEG amplitude (toward normal), in contrast to the effect of placebo. The change was consistent with a decrease in cortical excitability. Subsequently, Tang (1991)Citation reported lower concentrations of Zn in hair from female epileptic patients than from controls. In addition, the occurrence of seizures was associated with low plasma Zn concentrations during the past year.

Three pilot studies suggested that mild Zn deficiency might decrease cognition of adults. Tucker and Sandstead (1984)Citation found decreased memory for digits and decreases in several perceptual tasks in men who were fed diets that provided ~3.5 mg Zn/d while they were living in a highly controlled environment. Darnell and Sandstead (1991)Citation found in 11 ambulatory women with serum ferritin concentrations < 20 µg/L, that 8 wk of repletion with 30 mg Zn/d simultaneously with other potentially limiting micronutrients improved short-term visual memory (Wechsler 1981Citation ). In contrast, six similar women who were given only micronutrients showed no change in short-term visual memory. Penland (1991)Citation found decreased neuropsychological function in 11 men, aged 21–38 y, who were experimentally deprived of Zn. In random and double-blind trials, they were fed diets that provided 1, 2, 3 or 4 mg Zn/2000 kcal, each for intervals of 35 d (Johnson et al. 1993Citation ). The subjects were repleted with 10 mg Zn/d for 35 d at the end of the study. The low Zn diets decreased function similarly. Two psychomotor tasks (tracking and connect-the-dots), two attention tasks (orienting and misdirection), one perceptual task (search-count), three memory tasks (letter, shape and cube recognition) and one spatial task (maze) were impaired.

Relevant to Zn nutriture of the elderly, Burnet (1981)Citation suggested that low Zn nutriture increases the risk of dementia. He based his thesis on the requirement of Zn for DNA synthesis and repair (Lieberman and Ove 1962Citation , Lieberman et al. 1963Citation ). The more recent findings of Tully et al. (1995)Citation appear to support Burnet’s idea. They found a negative association between the serum Zn concentration 1 y before death and the frequency of "senile" and "diffuse" plaques in the brains of 12 elderly women who were examined postmortem.


    FOOTNOTES
 
1 Presented as part of the History of Nutrition Symposium entitled "Trace Element Nutrition and Human Health" given at the Experimental Biology 99 meeting held April 17–21 in Washington, DC. This symposium was sponsored by the American Society for Nutritional Sciences. The proceedings of this symposium are published as a supplement to The Journal of Nutrition. Guest editors for the symposium publication were Harold H. Sandstead, the University of Texas Medical Branch, Galveston, TX and Leslie M. Klevay, the U.S. Department of Agriculture Agricultural Research Service Grand Forks Human Nutrition Research Center, Grand Forks, ND.

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4 Abbreviations used: AMPA, {alpha}-amino-3-hydroxy-5-methyl-4-isoxazole-propionate; EEG, electroencephalogram; FMN, flavin mononucleotide; GSH, glutathione; GSSG, glutathione disulfide; MAO, monoamine oxidase; MT, metallothionein; NMDA, N-methyl-D-aspartate; NPY, neuropeptide Y; PL, pyridoxal; PLP, pyridoxal-5-phosphate; ZnT, zinc transporter.

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    REFERENCES
 TOP
 ABSTRACT
 INTRODUCTION
 Zinc in brain tissue
 Brain development
 Brain function in animals
 Findings in humans
 REFERENCES
 

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E. Ho and B. N. Ames
Low intracellular zinc induces oxidative DNA damage, disrupts p53, NFkappa B, and AP1 DNA binding, and affects DNA repair in a rat glioma cell line
PNAS, December 24, 2002; 99(26): 16770 - 16775.
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