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(Journal of Nutrition. 2000;130:1500S-1508S.)
© 2000 The American Society for Nutritional Sciences


Supplement

The Role of Zinc in Growth and Cell Proliferation1 ,2

Ruth S. MacDonald

Nutritional Sciences Program, University of Missouri, Columbia, MO 65211


    ABSTRACT
 TOP
 ABSTRACT
 INTRODUCTION
 Zinc in DNA replication
 Zinc and growth hormone
 Zinc and insulin-like growth...
 Zinc regulation of DNA...
 Zinc and mitogen signal...
 REFERENCES
 
The inhibition of growth is a cardinal symptom of zinc deficiency. In animals fed a zinc-inadequate diet, both food intake and growth are reduced within 4–5 d. Despite the concomitant reduction in food intake and growth, reduced energy intake is not the limiting factor in growth, because force-feeding a zinc-inadequate diet to animals fails to maintain growth. Hence, food intake and growth appear to be regulated by zinc through independent, although well coordinated, mechanisms. Despite the long-term study of zinc metabolism, the first limiting role of zinc in cell proliferation remains undefined. Zinc participates in the regulation of cell proliferation in several ways; it is essential to enzyme systems that influence cell division and proliferation. Removing zinc from the extracellular milieu results in decreased activity of deoxythymidine kinase and reduced levels of adenosine(5')tetraphosphate(5')-adenosine. Hence, zinc may directly regulate DNA synthesis through these systems. Zinc also influences hormonal regulation of cell division. Specifically, the pituitary growth hormone (GH)–insulin-like growth factor-I (IGF-I) axis is responsive to zinc status. Both increased and decreased circulating concentrations of GH have been observed in zinc deficiency, although circulating IGF-I concentrations are consistently decreased. However, growth failure is not reversed by maintaining either GH or IGF-I levels through exogenous administration, which suggests the defect occurs in hormone signaling. Zinc appears to be essential for IGF-I induction of cell proliferation; the site of regulation is postreceptor binding. Overall, the evidence suggests that reduced zinc availability affects membrane signaling systems and intracellular second messengers that coordinate cell proliferation in response to IGF-I.


KEY WORDS: • zinc • cell proliferation • IGF-I • growth hormone • DNA synthesis


    INTRODUCTION
 TOP
 ABSTRACT
 INTRODUCTION
 Zinc in DNA replication
 Zinc and growth hormone
 Zinc and insulin-like growth...
 Zinc regulation of DNA...
 Zinc and mitogen signal...
 REFERENCES
 
Zinc deficiency in animals is characterized by growth inhibition and decreased food intake. Although zinc was first recognized as essential for growth in rats > 65 y ago (Todd et al. 1934Citation ), the first limiting role of zinc in growth has not been defined. Reduced food intake occurs within 4–5 d of feeding a zinc-depleted diet to rats (Giugliano and Millward 1984Citation ), hence an energy deficit could explain the impairment in growth. However, force-feeding a zinc-depleted diet to rats failed to correct growth and exacerbated the clinical symptoms of the deficiency (Park et al. 1986Citation ). When zinc is inadequate to maintain growth or cellular metabolism, reduced food intake may be a protective mechanism to allow survival. The failure to correct growth with increased food intake suggests that growth is the first limiting role for zinc. Growth occurs through cell division and requires DNA, RNA and protein synthesis. Zinc participates in a wide variety of cellular processes as a cofactor for many enzymes and influences gene expression through transcription factors (Wu and Wu 1987Citation ). Growth is regulated hormonally by several systems, but the main influence on somatic growth is provided by growth hormone (GH)3 and insulin-like growth factor-I (IGF-I). GH and IGF-I are affected by zinc deficiency, but these changes do not fully explain the growth inhibition. Zinc may also affect mitogenic hormone signal pathways that specifically direct cell proliferation. Figure 1Citation illustrates the relationships among these events. This review summarizes the role of zinc in DNA replication, hormone directed cell division and mitogenic signal pathways.



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Figure 1. Effects of zinc deficiency on metabolic processes associated with growth.

 

    Zinc in DNA replication
 TOP
 ABSTRACT
 INTRODUCTION
 Zinc in DNA replication
 Zinc and growth hormone
 Zinc and insulin-like growth...
 Zinc regulation of DNA...
 Zinc and mitogen signal...
 REFERENCES
 
More than 200 enzymes require zinc as a functional component, and these enzymes affect most major metabolic processes. Despite the diversity of functions that zinc metalloenzymes affect, correlations between loss of enzyme activity and characteristics of zinc-deficiency have proved unsuccessful. In animal models, growth inhibition occurs before changes occur in tissue zinc concentrations. Hence, changes in zinc metalloenzymes are not considered the first limiting effect on growth in zinc deficiency (Chesters 1991Citation ). A direct role for zinc in DNA and protein synthesis is also evident. Zinc is present in the cell nucleus, nucleolus and chromosomes, and zinc stabilizes the structure of DNA, RNA and ribosomes (Wu and Wu, 1987Citation ). Numerous enzymes associated with DNA and RNA synthesis are also zinc metalloenzymes, including RNA polymerase (Wu et al. 1992Citation ), reverse transcriptases and transcription factor IIIA (Wu and Wu 1987Citation ). The zinc in these enzymes is tightly bound and forms a variety of structures that are functionally important to the enzyme (Chesters 1991Citation ). One common structure is the zinc finger domains in which the zinc ion forms a loop in the polypeptide chain by creating a bridge between cysteine and histidine residues. Many proteins containing zinc fingers have been discovered, with this motif being one of three considered fundamental for eukaryotic regulatory proteins to bind specific DNA sequences (Vallee and Auld 1995Citation ). Bunce (1994Citation ) recently reviewed the relationships among the clinical effects of zinc deficiency on embyrogenesis, growth and differentiation and regulation of the nuclear hormone receptor superfamily. Because these receptors are regulated by zinc finger domains, limited zinc availability may impair their responsiveness and thereby explain the reproductive effects of zinc deficiency. It appears likely that transcription factor control of gene expression is a site for zinc regulation. However, further characterization of these relationships will require a more thorough understanding of the changes in zinc flux and distribution within the cell nucleus.

During the first 5 d of feeding a zinc-deficient diet to rats, a linear decrease in thymidine incorporation into DNA was observed in liver, kidney spleen and testes (Williams and Chesters 1970Citation ). Thymidine kinase catalyzes the phosphorylation of deoxythymidine to deoxythymidine monophosphate in the pyrimidine salvage pathway. The activity of thymidine kinase increases dramatically during G1 and early S phases of the cell cycle and is often used as a marker of cell proliferation. The decrease in thymidine kinase occurred before a decline in food intake or body weight and therefore was not associated with decreased nutrient availability. After 11 d of feeding the deficient diet, less total DNA was present in liver and kidney compared with controls. An explanation for the apparent decrease in DNA synthesis was thought to be due to reduced thymidine kinase activity (Chesters et al. 1990Citation ). Thymidine kinase is not a zinc metalloenzyme, but the transcription of the enzyme appears to be regulated by zinc availability. In Swiss 3T3 cells, sequestering zinc by addition of the chelator diethylenetriaminepentaacetic acid (DTPA) resulted in decreased thymidine kinase mRNA (Chesters et al. 1990Citation ). The inhibition was reversed by adding zinc and iron, but not iron alone, with the chelator. Zinc appears to regulate thymidine kinase mRNA through zinc-dependent protein binding to the promoter region of the gene (Chesters et al. 1995Citation ). The role of zinc appears to be through regulation of thymidine kinase transcription, and not mRNA stability (Prasad et al. 1996Citation ). The decreased thymidine mRNA observed in cells incubated with DTPA did not fully explain the decrease in thymidine incorporation. When cells were transfected with an SV40 thymidine kinase construct, the addition of DTPA did not decrease thymidine kinase mRNA, but thymidine incorporation was inhibited (Chesters et al. 1993Citation ). Therefore, decreased thymidine kinase mRNA was not sufficient to explain inhibition of DNA synthesis in the absence of zinc. The authors proposed that zinc was required for two distinct steps in the sequence of events that induce DNA synthesis. First, zinc affected the entry of cells into S phase, and second, zinc influenced thymidine kinase mRNA. The mechanism by which zinc affects entry of cells into S phase has not been defined.


    Zinc and growth hormone
 TOP
 ABSTRACT
 INTRODUCTION
 Zinc in DNA replication
 Zinc and growth hormone
 Zinc and insulin-like growth...
 Zinc regulation of DNA...
 Zinc and mitogen signal...
 REFERENCES
 
The pituitary contains a higher concentration of zinc than other organs, and zinc enhances pituitary hormone function (Henkin 1976Citation ). As the pituitary is the source of GH, a primary endocrine regulator of somatic growth, several studies have investigated the role of GH in the inhibition of growth due to zinc deficiency. Zinc deficiency caused failure of GH secretion from the pituitary (Root et al. 1979Citation ), and circulating GH concentrations are decreased by zinc deficiency in rats (Roth and Kirchgessner 1997Citation ). The level of GH in the blood of rats fed a zinc-deficient diet or pair-fed for 2 d was lower than zinc-adequate controls (Roth and Kirchgessner 1997Citation ). In zinc-depleted rats, GH levels remained constant through d 32, but between d 2 and 7, GH increased in the pair-fed rats and remained similar to that in zinc-adequate rats throughout the study period (Fig. 2Citation ). The concentration of GH in the pituitary was significantly increased in both the pair-fed and zinc-depleted animals compared with the zinc-adequate rats on d 22 and 32. An explanation for the elevation of pituitary GH is not readily evident, because both normal and decreased blood levels of GH (pair-fed and zinc-depleted, respectively) were observed. Pituitary release of GH in response to GH-releasing factor was not different between zinc-adequate and deficient rats (Dorup et al. 1991Citation ), which indicated that the GH secretory pathway in the pituitary was functional in zinc-deficient rats.



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Figure 2. Serum growth hormone concentrations in rats fed zinc-adequate or -deficient diets. Sprague-Dawley rats were fed a zinc-adequate diet (60 mg/kg; +ZnAL) or a zinc-deficient diet (1.3 mg/kg; -ZnAL) or pair-fed the zinc-adequate diet to the intake of the deficient rats (+ZnPF) for 32 d, and serum GH concentrations were measured. Data are from Roth and Kirchgessner 1997Citation .

 
Prasad et al. (1969Citation ) administered bovine GH (40 µg/d) by subcutaneous injection for 2 wk to rats that had previously been fed a zinc-depleted diet for 3 wk and found no stimulation of growth compared with rats not fed GH. A small increase in growth occurred in hypophysectomized rats fed the zinc-depleted diet when treated with GH, but the increase was much less than that induced by zinc. A smaller dose of bovine GH (20 µg/d) administered for 3 wk was also ineffective in stimulating growth in zinc-depleted rats (Oner et al. 1984Citation ). Similarly, human GH (20 µg/d) administered to rats fed a zinc-deficient diet failed to stimulate growth (Dicks et al. 1993Citation ). Hence, the administration of exogenous GH to zinc-depleted rats was insufficient to overcome the growth inhibition, despite an increase in circulating GH levels (1.0 and 2.7 ng/mL in vehicle and growth hormone–treated animals, respectively). It is also of interest that the response to GH in zinc-deficient rats and rats pair-fed a zinc-adequate diet was similar in these studies, that is, growth was not stimulated in either group by GH. Because GH administration did not increase food intake in the zinc-deficient animals (Dicks et al. 1993Citation ), the overall failure to stimulate growth may have been due to inadequate dietary intake. Perhaps GH could not induce growth due to an energy deficiency.

A primary target for GH action is bone (Ohlsson et al. 1998Citation ). To determine whether bone growth in zinc-deficient rats was responsive to GH, Cha and Rojhani (1997Citation ) implanted miniosmotic pumps containing GH in the hindlimb of hypophysectomized rats. GH stimulated tibial-epiphyseal cartilage width in zinc-adequate or pair-fed rats but not in zinc-deficient rats. Bone growth in zinc-deficient rats was therefore resistant to GH. GH stimulates the secretion of IGF-I from the liver, and IGF-I is thought to mediate part of the somatogenic activity of GH in bone (Ohlsson et al. 1998Citation ). The GH administered to the zinc-depleted rats failed to increase circulating IGF-I concentrations (Dicks et al. 1993Citation , Oner et al. 1984Citation ), which may explain the failure to stimulate growth. Zinc potentiates the action of IGF-I (Matsui and Yamaguchi 1995Citation ) and increases endogenous IGF-I synthesis (Yamaguchi and Hashizume 1994Citation ) in cultured bone cells. Therefore, failure of GH to stimulate bone growth in zinc-deficient animals may have been due to limited zinc availability in the bone cells, independent of their IGF-I or GH status.

Growth hormone contains a zinc-binding site that is structurally and functionally important (Cunningham et al. 1991Citation ). At concentrations of zinc greater than micromolar, zinc promotes the formation of a GH dimer. The high concentrations of zinc in the pituitary, therefore, may provide for formation of dimerized GH, which is less susceptible to degradation. Dimerized GH has a low affinity for GH receptors, so the presence of high concentrations of zinc in pituitary secretions may prevent the association of GH with cellular receptors proximal to the pituitary. This may be necessary to ensure GH reaches receptors in the periphery. The binding of GH to the prolactin receptor, but not to the GH receptor, requires zinc (Cunningham et al. 1990Citation ). The presence of 50 µmol/L zinc resulted in an 8000-fold increase in binding affinity of GH to the prolactin receptor. In contrast, these concentrations of zinc slightly inhibited GH binding to the GH receptor. Because prolactin receptors mediate lactogenic responses and GH receptors mediate somatogenic responses, the dependence of prolactin receptors on zinc does not fully correlate with the observed growth inhibition of zinc-deficient animals. However, GH and prolactin receptors belong to the cytokine superfamily of receptors (Cunningham et al. 1990Citation ), so future work may demonstrate other roles for zinc in mediating the activity of these hormones.


    Zinc and insulin-like growth factor-I
 TOP
 ABSTRACT
 INTRODUCTION
 Zinc in DNA replication
 Zinc and growth hormone
 Zinc and insulin-like growth...
 Zinc regulation of DNA...
 Zinc and mitogen signal...
 REFERENCES
 
Insulin-like growth factor-I mediates a diversity of cellular events, including stimulation of amino acid and glucose uptake and regulation of the cell cycle; it associates with a membrane-associated receptor, which possesses tyrosine kinase activity (De Meyts et al. 1994Citation ). On activation of the receptor by IGF-I, a cascade of phosphorylations occurs within the cell that mediate the cellular responses. Insulin-like growth factor-I associates with IGF binding proteins in the circulation; at least eight distinct binding proteins have been identified thus far (Rajaram et al. 1997Citation ). There is increasing evidence that IGF binding proteins are not inert carrier proteins but rather form a complex system for regulating the availability of IGF-I to cells. Circulating levels of IGF-I are readily influenced by nutritional status (Underwood 1996Citation ). Specifically, decreased serum IGF-I occurs in humans and animals when dietary energy or protein intake is inadequate. In humans, zinc deficiency decreased circulating IGF-I concentrations independently of total energy intake (Cossack 1991Citation ). Serum IGF-I was lower in rats fed a zinc-deficient diet for 2 wk compared with zinc-adequate controls (Bolze et al. 1987Citation , Cossack 1984Citation , Dorup et al. 1991Citation ), and the decrease in IGF-I corresponded to a decrease in serum zinc (Dorup et al. 1991Citation ). Furthermore, tibial zinc concentration, which is a sensitive measure of zinc status, was positively correlated with serum IGF-I concentration (Cossack 1984Citation ). The decreased concentration of IGF-I in the serum of zinc-depleted rats was not corrected by a high protein diet, but the addition of zinc to a low protein diet increased serum IGF-I (Cossack, 1986Citation ). Total nutrient intake clearly influences serum IGF-I concentrations in the short term, as a linear decrease in plasma IGF-I occurred in rats fasted for 72 h (Cossack 1988Citation ). Refeeding initiated almost complete recovery of plasma IGF-I levels within 48 h, even if the refeeding diet lacked adequate zinc. However, plasma IGF-I levels continued to increase only in rats fed diets containing 90 or 140 mg/kg zinc. When the refeeding diet contained 30 mg/kg zinc, plasma IGF-I decreased after 72 h and had returned to the fasting level by 192 h.

The anorexia, and subsequent decreased energy intake, associated with feeding a zinc-depleted diet may be the cause of decreased serum IGF-I. In some studies, serum IGF-I levels in zinc-depleted and pair-fed rats were not different from each other but were lower compared with those of zinc-adequate ad libitum–fed rats (Bolze et al. 1987Citation , Clegg et al. 1995Citation ). Roth and Kirchgessner (1997Citation ) measured IGF-I levels periodically for 32 d in rats fed a zinc-adequate diet ad libitum or pair-fed or rats fed a zinc-deficient diet ad libitum (Fig. 3Citation ). Serum IGF-I increased in the zinc-adequate ad libitum–fed rats during the study at a faster rate than in either the pair-fed or zinc-depleted rats. However, there was no difference between the pair-fed and zinc-depleted rats until d 32. To determine whether zinc exerted an effect on plasma IGF-I that was independent of food intake, Roth and Kirchgessner (1994Citation ) maintained food intake by intragastric feeding. Force-feeding a zinc-depleted diet to rats for 14 d resulted in a 28% decrease in serum IGF-I compared with rats fed a zinc-adequate diet, although food intake was similar. Hence, in the absence of adequate zinc, serum IGF-I concentrations are not maintained even when energy intake is adequate.



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Figure 3. Serum insulin-like growth factor-I (IGF-I) concentrations in rats fed zinc-adequate or -deficient diets. Sprague-Dawley rats were fed a zinc-adequate diet (60 mg/kg; +ZnAL) or a zinc-deficient diet (1.3 mg/kg; -ZnAL) or pair-fed the zinc-adequate diet to the intake of the deficient rats (+ZnPF) for 32 d, and serum IGF-I concentrations were measured. Data are from Roth and Kirchgessner (1997Citation ).

 
Because serum IGF-I levels are decreased with zinc deficiency and IGF-I promotes growth, we speculated that maintaining serum IGF-I levels during zinc deficiency would prevent the growth inhibition. We used two techniques to maintain serum IGF-I concentrations in zinc-depleted rats (Browning et al. 1998Citation ). The first technique was to implant miniosmotic pumps containing IGF-I or vehicle intraperitoneally into immature, male Wistar rats. After recovery from the surgery, the rats were divided into two groups and fed either a zinc-adequate or a zinc-deficient diet. Body weight gain was significantly less after d 8 in rats fed the zinc-deficient compared with those fed the zinc-adequate diet, but the administration of IGF-I did not affect growth in either diet group (Fig. 4Citation ). After 8 d, serum IGF-I levels were similar in the zinc-depleted rats treated with IGF-I and the zinc-adequate rats not treated with IGF-I. Insulin-like growth factor-I levels in zinc-depleted rats not treated with IGF-I were significantly lower than those of any other treatment group.



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Figure 4. Serum insulin-like growth factor-I (IGF-I) and body weight gain in rats fed zinc-adequate or -deficient diets with or without IGF-I. Rats were implanted intraperitoneally with miniosmotic pumps containing vehicle (-IGF-I) or IGF-I (2.4 mg/kg body weight daily; +IGF-I) and then fed a zinc-adequate diet (+Zn) or a zinc-deficient diet (-Zn) for 8 d. Panel A: Serum IGF-I concentration determined in extracted serum by radioimmunoassay. Panel B: Cumulative body weight gain on d 8. Bars within each parameter with different letters are different (P < 0.01) (from Browning et al. 1998).

 
The second technique used to maintain serum IGF-I levels during zinc depletion of rats was to administer megestrol acetate to induce food intake. Megestrol acetate is a synthetic progestin used clinically to correct anorexia in patients with cancer or AIDS. We found that 100 mg megestrol acetate/kg body weight fed orally maintained food intake of zinc-deficient rats to levels consumed by the zinc-adequate rats through 18 d of treatment (Browning et al. 1998Citation ). After 8 d, serum IGF-I levels were similar in the zinc-depleted, megestrol acetate–treated rats compared with the zinc-adequate rats (Fig. 5Citation ). However, although food intake and serum IGF-I levels were maintained, growth inhibition persisted in the zinc-deficient rats. These findings suggest that maintaining serum IGF-I or food intake, or both, in zinc-deficient rats is not sufficient to correct the growth inhibition associated with zinc deficiency.



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Figure 5. Serum insulin-like growth factor-I (IGF-I) and body weight gain in rats fed zinc-adequate or -deficient diets with or without megestrol acetate (MA) treatment. Rats were fed a zinc-adequate diet (+Zn) or a zinc-deficient diet (-Zn) and treated with corn oil (-MA) or MA (50 mg/kg body weight twice daily in corn oil; +MA) orally for 8 d. Panel A: Serum IGF-I concentration determined in extracted serum by radioimmunoassay. Panel B: Cumulative body weight gain on d 8. Bars within each parameter with different letters are different (P < 0.01) (from Browning et al. 1998Citation ).

 
Growth hormone stimulates hepatic synthesis and secretion of IGF-I via association with GH receptors in the liver. Decreased hepatic IGF-I release could therefore be explained by a defect in hepatic GH receptors or postreceptor signaling. Evidence for defective GH stimulation of IGF-I secretion was provided by Roth and Kirchgessner (1994Citation ). Force-feeding a zinc-deficient diet resulted in increased serum GH but decreased IGF-I concentrations compared with zinc-adequate controls. The refractory response to GH induced by force-feeding or exogenous administration (Dicks et al. 1993Citation , Oner et al. 1984Citation ) suggests a lack of hepatic response to GH. Hepatic GH receptor and GH binding protein, as well as IGF-I mRNA, were lower in rats fed a zinc-deficient diet compared with pair-fed or zinc-adequate control rats (McNall et al. 1995Citation ). A decrease in serum and liver GH binding and hepatic GH receptor and GH binding protein mRNA has also been observed in rats fed a zinc-deficient diet for 30 d (Ninh et al. 1995Citation ). The decreased GH binding was associated with decreased serum IGF-I and hepatic IGF-I mRNA. The decreases in mRNA were not due to overall decreased gene transcription associated with reduced energy intake, because all values were lower than those in pair-fed controls. These findings suggest that GH regulation of hepatic IGF-I production is impaired in zinc-depleted animals, at the level of the GH receptor. As discussed earlier, numerous zinc finger–containing transcription factors have been identified; hence, regulation of specific genes may be influenced by zinc availability.

The evidence reviewed demonstrates that zinc deficiency in the rat is characterized by decreased food intake, decreased growth, low circulating levels of GH and IGF-I, decreased hepatic production of IGF-I, GH receptor and GH binding protein and unresponsiveness to exogenous GH (Fig. 6Citation ). Several lines of evidence suggest that decreased hepatic production of IGF-I due to failure to respond to GH explains the growth failure observed in zinc deficiency. However, maintaining serum IGF-I levels by exogenous administration or by inducing food intake (Browning et al. 1998Citation ) in zinc-deficient rats does not correct the growth inhibition. Therefore, changes in the GH-IGF axis alone cannot explain the growth inhibition observed in zinc deficiency. Hence, zinc is required for some aspect of growth regulation at the cellular level that is independent of the effects observed on circulating IGF-I and GH.



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Figure 6. Effects of zinc deficiency on the growth hormone (GH)–insulin-like growth factor-I (IGF-I) axis in rats. GHBP, growth hormone binding protein; GHR, growth hormone receptor.

 

    Zinc regulation of DNA synthesis in cultured cells
 TOP
 ABSTRACT
 INTRODUCTION
 Zinc in DNA replication
 Zinc and growth hormone
 Zinc and insulin-like growth...
 Zinc regulation of DNA...
 Zinc and mitogen signal...
 REFERENCES
 
Based on experiments in which the timing of the zinc requirement for DNA synthesis in cultured cells was examined, Chesters and Boyne (1991Citation ) hypothesized that zinc was required for the accumulation and maintenance of a protein that mediated the entry of cells into S phase. It was found that zinc was required between 6 and 13 h after the stimulation of cells from quiescence, which corresponded with the mid-to-late G1 phase (Chesters et al. 1989Citation ). Activation of the IGF-I receptor has been proposed to be the restriction point of the G1-to-S phase transition (Campisi and Pardee 1984Citation ). Hence, an alternative explanation for the requirement for zinc in DNA synthesis would be that zinc is required for IGF-I mediation of the G1-to-S phase transition. To investigate the role of zinc in IGF-I regulation of cell division, we used the cell culture model developed and characterized by Chesters et al. (1989Citation ). Swiss 3T3 cells were seeded onto culture dishes in complete medium [Dulbecco’s modified Eagle’s medium (DMEM) with 10% fetal bovine serum) and allowed to grow for 3 d. The medium was then replaced with DMEM containing 2% serum for 2 d to induce quiescence. Cell division was stimulated by incubating the cells overnight with medium containing 10% serum. To investigate the role of zinc, DTPA (600 µM) with or without zinc (400 µM) was added to the stimulating medium. Radiolabeled thymidine incorporation (4-h uptake) was measured as a marker of DNA synthesis and cell division. Using this model, we verified that DTPA inhibited thymidine uptake, and adding zinc with DTPA restored thymidine uptake to control levels (MacDonald et al. 1998Citation ). The response to zinc was specific, because adding calcium, iron or cadmium with DTPA did not increase thymidine uptake.

In 3T3 cells incubated with DTPA, radiolabeled IGF-I receptor binding was slightly decreased compared with incubation with DTPA plus zinc, as determined by Scatchard analysis of displacement data (Fig. 7Citation ). Although this finding was consistent, the decrease in binding of cells was not sufficient to explain the inhibition of thymidine uptake observed in cells incubated with DTPA. Furthermore, using an immunocytochemical technique and flow cytometry to quantify receptor number per cell, we found no significant change in receptor number when cells were incubated with DTPA compared with DTPA plus zinc (Thornton et al. 1998Citation ). The binding experiments were performed using radiolabeled IGF-I as the ligand, displaced by unlabeled IGF-I to determine specific IGF-I binding to the cells. Recent evidence suggests that IGF-I availability for binding to surface receptors is mediated by the presence of IGF binding proteins (Rajaram et al. 1997Citation ). Because radiolabeled IGF-I binds to both receptor and binding proteins, we speculated that changes in IGF binding proteins might be occurring in zinc-depleted cells that affected the IGF-I binding results. Using Western immunoblotting, we found a significant increase in IGF binding protein-3 concentration in 3T3 cells incubated with DTPA compared with DTPA plus zinc or control cultures (Fig. 8ACitation ). Hence, increased IGF binding protein-3 in cells incubated with DTPA would perhaps sequester IGF-I and render it unavailable to bind, and hence activate, the membrane receptor. Blocking IGF binding protein-3 with an antibody resulted in significantly greater IGF-I stimulation of thymidine uptake compared with cells incubated without the antibody (Fig. 8BCitation ), indicating IGF binding protein-3 sequestered IGF-I and reduced the IGF-I–IGF-I receptor interaction. Based on these results and additional evidence from experiments using des(1-3)IGF-I (which has weak binding affinity to IGF binding proteins), we conclude that IGF-I receptor number is not affected in 3T3 cells incubated with DTPA, but an increase in IGF binding protein-3 occurs. The increased IGF binding protein-3 may prevent IGF-I binding to the receptor and thereby prevent initiation of DNA synthesis.



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Figure 7. Scatchard analysis of insulin-like growth factor-I (125I-IGF-I) binding in 3T3 cells incubated with diethylenetriaminepentaacetic acid (DTPA) or DTPA plus zinc. Cells were plated in complete medium for 2 d and then exposed to medium with 2% serum to induce quiescence for 2 d. Cell proliferation was stimulated by returning the cells to complete medium. 125I-IGF-I binding was performed at 4°C for 16 h. Graded amounts of unlabeled IGF-I were added to separate dishes to provide a displacement curve. The data were analyzed by Scatchard analysis.

 


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Figure 8. Insulin-like growth factor binding protein-3 (IGFBP-3) concentration in 3T3 cells incubated with diethylenetriaminepentaacetic acid (DTPA) or DTPA plus zinc (DTPA + Zn) and inhibition of IGF-I–stimulated thymidine uptake by anti-IGF binding protein-3 antibody. Panel A: Cells were plated in complete medium for 2 d and then exposed for 2 d to medium with 2% serum to induce quiescence. Cell proliferation was stimulated by returning the cells to complete media (None) with 600 µmol/L DTPA (D) or complete media with 600 µmol/L DPTA plus 400 µmol/L zinc (D + Z). IGFBP-3 was determined in cell lysates by Western immunoblotting. The reactive bands were visualized by chemiluminescence, and bands were quantified by densitometry. Data are expressed as relative intensities. Panel B: Insulin-like growth factor (IGF-I)–stimulated thymidine incorporation (4-h uptake) was determined in 3T3 cells after incubation in medium containing 2% serum for 2 d. The cells were incubated in serum-free medium with 0.1% albumin, platelet-derived growth factor and epidermal growth factor, followed by stimulation with IGF-I in the presence of anti-IGF binding protein-3 (IGF-I + Ab) or IGF-I alone (IGF-I).

 
Using a modification of the cell culture model, we further demonstrated that zinc is essential for IGF-I stimulation of cell division (MacDonald et al. 1998Citation ). Cells were treated as described, except instead of stimulating from quiescence with DMEM and 10% fetal bovine serum, we placed the cells into serum-free medium containing 0.1% bovine serum albumin. The cells were then sequentially stimulated with platelet-derived growth factor (PDGF; 3 h), epidermal growth factor (EGF; 0.5 h) and IGF-I (16 h) as previously described (MacDonald et al. 1998Citation ). In this model, we added DTPA or DTPA plus zinc with the growth factors individually and in combination and measured thymidine uptake. A summary of these experiments is shown in Figure 9ACitation . Cells were stimulated with PDGF, EGF and IGF-I in medium containing DTPA; zinc was added with the growth factor indicated. When zinc was not added or was added with PDGF and EGF, thymidine uptake was inhibited. Adding zinc with IGF-I or all three growth factors resulted in significant thymidine uptake. Hence, in the absence of zinc, IGF-I stimulation of thymidine uptake was prevented. Furthermore, we demonstrated that the addition of zinc alone, without growth factors, stimulates thymidine uptake slightly but less than the response to zinc and IGF-I combined (Fig. 9BCitation ). These results clearly demonstrate that zinc is required for IGF-I stimulation of thymidine uptake.



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Figure 9. Effect of zinc on stimulation of thymidine incorporation by growth factors in 3T3 cells. Panel A: Cells were cultured in 2% serum for 2 d and then stimulated by growth factors, platelet-derived growth factor (P), epidermal growth factor (E) and insulin-like growth factor (I), with 600 µmol/L diethylenetriaminepentaacetic acid (DTPA). Zinc (400 µmol/L) was added with the growth factor indicated beneath the bar. Thymidine uptake (4 h) was determined and expressed as Bq incorporated/mg cell protein. Panel B: Cells were cultured in 2% serum for 2 d and then with DTPA (D) or DTPA plus zinc (D + Zn) with or without IGF-I. Thymidine uptake (4 h) was determined and expressed as Bq incorporated/mg cell protein.

 
A potential chemical signal that responds to mitogenic hormone stimulation and induces transition of cells from G1 to S phase of the cell cycle is diadenosine tetraphosphate (Grummt et al. 1986Citation ). Intracellular diadenosine tetraphosphate pools increase in cells in parallel with DNA synthesis rate, and diadenosine tetraphosphate stimulates DNA synthesis in quiescent cells. Diadenosine tetraphosphate regulation of cell division may provide a mechanism for responding to zinc availability, because cells incubated with EDTA failed to increase diadenosine tetraphosphate in response to mitogenic hormones.


    Zinc and mitogen signal transduction
 TOP
 ABSTRACT
 INTRODUCTION
 Zinc in DNA replication
 Zinc and growth hormone
 Zinc and insulin-like growth...
 Zinc regulation of DNA...
 Zinc and mitogen signal...
 REFERENCES
 
Mediation of cell division by growth factors requires binding of the ligand to its cognate receptor, which then activates intracellular signaling pathways. The IGF-I receptor possesses and intrinsic tyrosine kinase, which is thought to initiate a cascade of phosphorylations Fig. 10Citation ; (De Meyts et al. 1994Citation ). Hence, phosphorylation of the IGF-I receptor is thought to be the earliest response to ligand binding (Kato et al. 1993Citation ). The first cytosolic proteins to be activated by the IGF-I receptor tyrosine kinase are insulin response substrates-1/2. The tyrosine phosphorylation of these proteins initiates three distinct signaling pathways: phosphoinositol-3 kinase, mitogen-activated protein kinase and protein kinase C. Phosphoinositol-3 kinase is mainly thought to influence substrate uptake and fuel metabolism in the cell, whereas mitogen-activated protein kinase activation results in nuclear association and induction of transcription factors that direct cell proliferation. We speculated that failure to activate the phosphorylation cascade within cells in response to IGF-I might occur in zinc deficiency, which would explain the inhibition of DNA synthesis caused by zinc depletion. 3T3 cells, however, were not a useful model to study this phenomenon because of their low receptor number. We therefore used an NIH 3T3 cell line stably transfected with the IGF-I receptor promoter that overexpressed the IGF-I receptor B3 cells; (Blakesley et al. 1996Citation ). The B3 cells demonstrated decreased thymidine uptake when incubated with DTPA, which was reversed by zinc, similar to the Swiss 3T3 cells. By Western immunoblotting, we found IGF-I receptor phosphorylation to be similar in cells incubated with DTPA or DTPA plus zinc (Fig. 11Citation ). Similarly, insulin response substrates-1/2 phosphorylation was not affected by the zinc status of the cells. We therefore concluded that IGF-I receptor activation, at the level of receptor and insulin response substrates-1/2 phosphorylation, was not affected by zinc depletion and therefore could not explain the growth inhibition. The effects of zinc depletion on the IGF-I receptor signal cascade have not been further characterized. However, Hansson (1996Citation ) observed no affect on mitogen-activated protein kinase activity in cultured cells incubated with the chelator 1,10-phenanthroline compared with control cells. The addition of physiological concentrations of zinc to the cells increased mitogen-activated protein kinase activity and induced phosphorylation of cellular proteins. The author speculated that zinc at these high concentrations may be either a potent activator of protein phosphorylation or an inhibitor of protein phosphatases, which might explain the potentiation of wound healing by zinc-containing ointments.



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Figure 10. Insulin-like growth factor receptor–associated intracellular signaling cascades, which mediate cell proliferation.

 


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Figure 11. Insulin-like growth factor (IGF-I) receptor phosphorylation in stably transfected 3T3 cells overexpressing the IGF-I receptor (B3 cells) in response to diethylenetriaminepentaacetic acid (DTPA) and DTPA plus zinc (DTPA + Zn). B3 cells were cultured in completed medium, followed by 2 d in medium with 2% serum. They were then stimulated for 0, 3 or 10 min with 10 nmol/L IGF-I. Cell lysates were analyzed by electrophoresis, transferred to nitrocellulose and blotted with anti-phosphotyrosine antibody. Bands were visualized by chemiluminescence.

 
A third pathway that regulates cellular events in response to IGF-I receptor activation is protein kinase C (De Meyts et al. 1994Citation ). Protein kinase C is a zinc metalloenzyme (Hubbard et al. 1991Citation ), and zinc facilitates the binding of protein kinase C to the cytoskeleton (Forbes et al. 1990Citation ). However, protein kinase C activity was not affected by zinc deficiency in rats force-fed a zinc-depleted diet compared with controls (Kirchgessner et al. 1996Citation ). In Balb/c 3T3 cells, IGF-I stimulated phosphorylation of a synthetic substrate for protein kinase C (Kojima et al. 1993Citation ). The activation of protein kinase C was associated with induction of cell proliferation and was dependent on extracellular calcium. In neuronal cells (Kleppisch et al. 1992Citation ) and Balb/3T3 cells (Kojima et al. 1993Citation ), IGF-I stimulation of calcium influx was mediated by protein kinase C. Both IGF-I (Kojima et al. 1988Citation ) and IGF-II (Nishimoto et al. 1987Citation ) stimulated calcium influx in primed, competent Balb/3T3 cells. For both ligands, calcium influx was essential for stimulation of cell proliferation. We have also observed in Swiss 3T3 cells that calcium influx is required for cell proliferation, and IGF-I–stimulated calcium uptake requires zinc (data not shown). These findings are in agreement with animal studies that have demonstrated impaired calcium uptake in platelets (O’Dell and Emery 1991Citation ) and synaptosomes (Browning and O’Dell 1994Citation ) of zinc-deficient rats. Hence, evidence is mounting to suggest a regulatory role for zinc in calcium-dependent mitogenic signal transduction.

A novel zinc-binding protein, QM, was recently identified that binds to the leucine zipper region of c-Jun (Inada et al. 1997Citation ). The c-Jun N-terminal kinase (JNK) group of mitogen-activated protein kinases is activated in response to stress (Ip and Davis 1998Citation ). This signaling pathway also mediates the cell cycle (Pelech and Charest 1995Citation ). In the absence of zinc, QM failed to bind c-Jun. The binding of QM to c-Jun was also inhibited by phosphorylation of QM by protein kinase C. Hence, activation of protein kinase C, by IGF-I, for example, would result in reduced QM binding to c-Jun. The implication of these findings are that QM may be one of many transcription factors through which zinc availability affects gene transcription. The protein kinase C signal transduction pathway may also regulate the transcription of metallothionein genes (Yu et al. 1997Citation ). The metallothionein transcriptional factor-1 binds to metal response elements and activates metallothionein gene expression. Metallothionein transcriptional factor-1 possesses zinc finger domains and requires zinc for activity and therefore may serve as a sensor to regulate the activity of the metallothionein promoter in response to zinc concentrations. Metallothionein induction by zinc was inhibited in Chinese hamster ovary K1 cells by protein kinase C inhibitors. The authors speculated that protein kinase C phosphorylation of metallothionein transcriptional factor-1 could occur within the zinc finger domains but provided no experimental evidence to support this hypothesis.

In conclusion, zinc deficiency results in impaired cell division that cannot be overcome by correcting circulating mitogenic hormone concentrations or food intake. Zinc is an essential component of numerous metalloenzymes that direct DNA synthesis. The activity of these enzymes is not measurably affected in early zinc deficiency, although cell division is impaired. However, reduced zinc availability may compromise zinc-activated gene transcription of critical mitogenic signals (Chesters 1991Citation ). Impaired mitogenic hormone signal transduction may also occur, resulting in depressed cell division. Identification of zinc-binding and transport proteins that direct zinc distribution within the cell will be necessary to fully understand the complex role of zinc in regulation of cell division. Clearly, many proteins and regulatory systems are affected by zinc, and a highly organized and coordinated process is required to ensure survival of the animal when zinc intake is inadequate.


    ACKNOWLEDGMENTS
 
The author thanks Boyd O’Dell and Derek LeRoith for their collaboration with this work and Jimmy D. Browning, William H. Thornton, Jr. and LaVonna Wollard for technical support.


    FOOTNOTES
 
1 Presented at the international workshop "Zinc and Health: Current Status and Future Directions," held at the National Institutes of Health in Bethesda, MD, on November 4–5, 1998. This workshop was organized by the Office of Dietary Supplements, NIH and cosponsored with the American Dietetic Association, the American Society for Clinical Nutrition, the Centers for Disease Control and Prevention, Department of Defense, Food and Drug Administration/Center for Food Safety and Applied Nutrition and seven Institutes, Centers and Offices of the NIH (Fogarty International Center, National Institute on Aging, National Institute of Dental and Craniofacial Research, National Institute of Diabetes and Digestive and Kidney Diseases, National Institute on Drug Abuse, National Institute of General Medical Science (Washington DC)s and the Office of Research on Women’s Health). Published as a supplement to The Journal of Nutrition. Guest editors for this publication were Michael Hambidge, University of Colorado Health Science (Washington DC)s Center, Denver; Robert Cousins, University of Florida, Gainesville; Rebecca Costello, Office of Dietary Supplements, NIH, Bethesda, MD; and session chair, Craig McClain, University of Kentucky, Lexington. Back

2 Missouri Agricultural Experiment Station Journal Series number 12893. Supported by the University of Missouri-Columbia Food for the 21st Century and NRICGP/USDA Grant 95–00649 and 95–37200. Back

3 Abbreviations used: DMEM, Dulbecco’s modified Eagle’s medium; DTPA, diethylenetriaminepentaacetic acid; EGF, epidermal growth factor; GH, growth hormone; IGF-I, insulin-like growth factor-I; PDGF, platelet-derived growth factor. Back


    REFERENCES
 TOP
 ABSTRACT
 INTRODUCTION
 Zinc in DNA replication
 Zinc and growth hormone
 Zinc and insulin-like growth...
 Zinc regulation of DNA...
 Zinc and mitogen signal...
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