Part I:-The untold story of a micronutrient??
Role of Zn in the etiogenesis
of diabetes !!!!
Glucagon secretion & role of Zinc :--Zn controls a multitude of processes within the
pancreas including glucagon secretion digestive enzyme activity and insulin
packaging secretion and signaling .Zinc import modulates glucagon secretion
through Zet and Irt like protein transporters expressed in pancreatic a cells
How
it causes hyperglycaemia? A) What happens at
pancreatic level due to deficiency of Zn in a human?? Zinc acts on the cell
membrane of pancreatic B cells. Thereby Zn
is involved in systemic glycemic control through zinc transporters on
the cell membrane of pancreatic B cells thus regulating insulin biosynthesis
within these cells.
B) Zinc
cause à crystallization of the hormone. This
is caused at pancreas as zinc binds to insulin causing the crystallization of
the hormone. But if deficiency of Zn à its impaired crystallization of native insulin
at pancreatic islets cells . This impaired crystallization can lead to both type 1 and type 2 diabetes .Pancreatic
exocrine function is influenced by zinc in zymegen granules which regulates digestive
enzyme activity and nutrient absorption .
C) The other role played by Zn at Pancreas:-Suboptimal
zinc status decreases insulin secretion from the pancreas and severe zinc
deficiency induces hyperglycemia and hyperinsulinemia and
hyperinsulinemia. Additionally , :-deficiency of Zn at level of
pancreas( dear member please keep in mind that
Zn is an antioxidant& we frequently prescribe Zn incases male
subfertility . A contd supply
intracellular oxidants is essential for synthesis of insulin. But in absence of
adequate Zn à more free radicals associated with decrease in the antioxidant
capabilities of zinc encourage the complications of diabetes.
To
conclude:-Pancreatic
dysregulation of zinc metabolism can impair glycemic control cause pancreatic
cancer and chronic pancreatitis. `
Part II : Zn & Cardiovascular system
Zinc
protects the vasculature through its anti inflammatory and antioxidant effects
and affects hemostasis which has implications for atherosclerosis and
thrombosis. A zinc deficiency can cause bleeding and clotting abnormalities and
has also been associated with congestive heart failure myocardial infarction arrhythmias and
diabetic cardiomyopathy through its involvement in diabetes pathology
Immune
system
The
development of immune cells and gene expression that controls cellular
functions cell signaling and cytokine secretion are all modulated by zinc which
thus plays a role in both the adaptive and the innate immune response.
Innate
immunity
Zinc
deficiency disrupts innate immunity by
reducing the lytic activity of natural
killer cells impairs NKT cell cytotoxicity and immune signaling impacts the
neuroendocrine immune pathway and alters
cytokine production in mast cells.
Adaptive
Immunity
The adaptive
immune response is controlled by B cells which mediate humoral immunity and T
cells which mediate cytotoxic effects. B cells depend on
zinc for proliferation zinc is essential for T cell differentiation and it
maintains Th1/Th2 balance
Suboptimal zinc levels lead to high levels of apoptosis in pre
B and T cells
Control of
zinc homeostasis must be intact for
proper immune functioning and a zinc deficiency increase bacterial invasion by
promoting an inflammatory response thus damaging the mucosa in the
gastrointestinal and respiratory tracts.
Iron
metabolism and zinc
A
majority of iron is associated with
hemoglobin which controls a number of enzymatic processes and is involved in
the genesis of reactive oxygen species .
the involvement of other related metals particularly divalent cations like zinc
in iron metabolism are increasingly
being recognized . Zinc protects the
cell from free radical damage
maintaining an adequate levels of
metallothioneins and it prevents the interaction between chemical groups with
Iron to form free radicals
Zinc
interacts with iron metabolism
Zinc can
modulate Hepcidin transferrin ferroportin and ceruloplasmin which can influence iron
transport and mobilization . Its
interaction with divalent metal protein 1 can further regulate gene
expression
Zinc
stimulates erythropoisies
Zinc was
found to stimulate erythropois is resulting in red blood cell proliferation
and stimulation of immature RBCs which has potential benefits in anemia.
Zinc influences
red blood cell membrane stability and integrity
A study to
evaluate the expression of zinc transporters in RBCs in healthy individuals who
were administered a zinc depletion diet found that , in addition to zinc
transporters zinc depletion also influenced dematin a protein which maintains
membrane structure of erythrocytes. The
amount of erythrocyte dematin in the plasma membrane was shown to be highly
sensitive to the host’s zinc intake
Zinc can
modulate iron metabolism by interaction with a number of proteins including
Hepcidin It stimulates erythropoisies and also maintains the structural
integrity of erythrocytes as recently evidenced by the zinc responsiveness of
membrane dematin thus effecting the erythroid system.
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