Abstract
The discovery that all of the symptoms of a rare but lethal human hereditary disorder—acrodermatitis enteropathica—are due to simple zinc deficiency not only confirmed that the element is essential for man but also established beyond dispute that human deficiency states occur which, unless corrected, will lead to death through combined immune deficiency. Independent confirmation of the immunological role of zinc came with the recognition that a lethal disorder affecting Friesian calves, transmitted as an autosomal recessive trait and characterized by thymic hypoplasia, is also a trace element deficiency disorder which responds promptly to simple supplementation of the animal’s diet with zinc. The symptoms of the disorder in the human infant and calf are almost identical and appear with the introduction of mixed feeding during weaning.
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References
Andresen E., Flagstad, T., Basse, A., and Brummerstedt, E., 1970, Evidence of a lethal trait A46, in black pred Danish cattle of Friesian descent, Nord. Veterinaermed. 22: 473–485.
Andresen, E. A., Basse, A., Brummerstedt, E., and Flagstd, T., 1973, Zinc and the immune system in cattle, Lancet 2: 839–840.
Behar, M., 1977, Protein-calorie deficits in developing countries, Ann. N.Y. Acad. Sci. 300: 176–187.
Berger, N. A., and Skinner, A. M., 1974, Characterization of lymphocytic transformation induced by zinc ions, J. Cell Biol. 61: 45–55.
Bos, L. P., Van Vloten, W. A., Smit, A. R. D., and Nubem, 1977, Zinc deficiency with skin lesions as seen in acrodermatitis enteropathica and intoxication with zinc during parenteral nutrition, Neth. J. Oned. 20: 263–266.
Bowen, H. J. M., 1966, Trace Elements in Biochemistry, Academic Press, New York.
Chesters, J. K., 1972, The role of zinc ions in the transformation of lymphocytes by phytohaemagglutinin, Biochem. J. 130: 133–139.
Chvapil, M., 1973, New aspects in the biological role of zinc: A stabilizer of macromolecules and biological membranes, Life Sci. 13: 1041–1049.
Danbolt, N., and Closs, K., 1942, Acrodermatitis enteropathica, Acta Derm. Venereol. 23: 127.
Dillaha, C. J., Lorincz, A. L., and Aavick, O. R., 1953, Acrodermatitis enteropathica, J. Am. Med. Assoc. 152: 509–512.
Douglas, S. D., and Schopfer, K., 1976, Host-defense mechanisms in protein-energy malnutrition, Clin. Ex. Immunol. 5: 1–5.
Douglas, S. D., and Faulk, W. P., 1977, Immunological Aspects of Protein Calorie Malnutrition: Recent Advances in Chemical Immunology I (R. A. Thompson, ed.), Churchill Livingstone, Edinburgh.
Eichorn, G. L., and Shin, Y. A., 1968, Interaction of metal ions with polynucleotides and related compounds. XII. The relative effects of various metal ions on DNA helicity, J. Am. Chem. Soc. 90: 7323–7328.
Endre, L., Katona, Z., Gyurkovits, K., 1975, Zinc defi- ciency in acrodermatitis enteropathica, Lancet 1:11%.
Faulk, W. P., Demaeyer, E. M., and Davis, A. J. S., 1974, Some effects of malnutrition on the immune response in man, Am. J. Clin. Nutr. 27: 638–646.
Feinendegen, L. E., Bond, V. P., Cronkite, E. P., and Hughes, W. L., 1964, RNA turnover in normal rat bone marrow, Am. N.Y. Acad. Sci. 113: 727–741.
Flagstad, T., 1976, Lethal trait A 46 in cattle, Nord. Veterinaermed. 27: 160–169.
Fraker, P. J., Haas, S. M., and Luecke, A. W., 1977, Effect of zinc deficiency on the Immune response of the Young Adult. A/J mouse. J. Nutr: 107, 1889–1895.
Fridovitch, I., 1974, Superoxide dismutase, in: Molecular Mechanisms in Oxygen Activation, Chap. 11 ( O. Hayaishi, ed.), pp. 453–477, Academic Press, New York.
Golden, M. H. N., Golden, B. E., Harland, P. S., and Jackson, A. A., 1978, Zinc and immunocompetence in protein energy malnutrition, Lancet 1: 1226–1228.
Hansson, O., 1963, Acrodermatitis enteropathica, Acta Derm. Venereol. 43: 465–471.
Harris, G., 1973, DNA synthesis and the production of antibodies by lymphoid tissues, Differentiation 1: 300–318.
Higuchi, K., and Mijazaki, Y., 1956, Acrodermatitis enteropathica, Hifu To Hinyo 18: 473–482.
Hoekstra, W. G., Suttle, J. W., Ganther, H. E., and Mertz, W., 1974, Trace Element Metabolism in Animals 2, University Park Press, Baltimore.
Jameson, S., 1976, Effects of zinc deficiency in human reproduction, Acta Med. Scand. Suppl. 593: 1–89.
Kirchner and Rühl, 1973, Zinc deficiency, Lancet 1: 13–17.
Kronneman, J. V. D., Mey, G. J. W., and Helder, A., 1975, Hereditary zinc deficiency in Dutch Friesian cattle, Zentralbl. Veterinaermed. Reihe A 22: 201–208.
Mason, B., 1966, Principles of Geochemistry, 3rd ed. Wiley, New York.
McPherson, E. A., Beattie, I. S., and Young, G. B., 1964, An inherited defect in Friesian Cattle, Nord. Veterinaermed. 16: 533–540, (Suppl. I).
Mills, C. F., Dalgarno, A. C., Williams, R. B., and Quarterman, J., 1967, Zinc deficiency and the zinc requirements of calves and lambs, Br. J. Nutr. 21: 751.
Mills, C. F., Quartermain, J., Chesters, J. K., Williams, R. B., and Dalgarno, A. C., 1966, Metabolic role of zinc, Am. J. Clin. Nutr. 22: 1240–1249.
Moynahan, E. J., 1966, Acrodermatitis enteropathica with secondary lactose intolerance, Proc. R. Soc. Med. 59: 455–457.
Moynahan, E. J., 1973, Le zinc et le poil dans l’acrodermatitis enteropathica, Bull Soc. France Dermal. 80: 541–542.
Moynahan, E. J., 1974, Acrodermatitis enteropathica: A lethal inherited human zinc deficiency disorder, Lancet 2: 399–400.
Moynahan, E. J., 1976, Zinc deficiency and disturbances of mood and visual behaviour, Cancer 1: 91.
Moynahan, E. J., 1979, Trace elements in man, Philos. Trans. R. Soc. London B 288: 65–79.
Neumann, C. G., Lawler, G. J., Stiehm, E. R., Swedseid, M. E., Newton, C., Herbert, J., Ammann, A. J., and Jacob, M., 1975, Immunologic responses in malnourished children, Am. J. Clin. Nutr. 28: 89–99.
Pekarek, R. S., and Beisel, W. R., 1971, Characterization of the endogenous mediator(s) of serum zinc and iron depression during infection and other stresses, Proc. Soc. Exp. Biol. Med. 138: 728–732.
Pekarek, R. S., and Beisel, W. R., 1974, Redistribution and sequestering of essential trace elements during acute infection, Nutr. Proc. Int. Congr. IX 1972: 183188.
Pelc, S. R., 1964, Labelling of DNA and cell division in so-called non-dividing tissues, J. Cell Biol. 22: 21–28.
Pelc, S. R., 1972, Metabolic DNA, Int. Rev. Cytol. 32: 327.
Powanda, M. C., Cockerell, G. L., and Pekarek, R. S., 1973, Amino acid and zinc movement in relation to protein synthesis early in inflammation, Am. J. Physiol. 225: 399–401.
Prasad, A. S., Halstead, J. A., and Nadini, M., 1961, Syndrome of iron-deficiency anaemia hepatosplenomegaly, hypogonadism, dwarfism and geophagia, Am. J. Med. 31: 532–546.
Prasad, A. S., Miale, A., Farid, A., Schulert, A., and Sandstead, H. H., 1963, Zinc metabolism in patients with the syndrome of iron deficiency anaemia, hypogonadism, and dwarfism, J. Lab. Clin. Med. 61: 537–549.
Prasad, A. S., 1977, Trace Elements in Human Health and Disease, Vol. I: Zinc and Copper, Vol. II: Essential and Toxic Elements, Academic Press, New York.
Quarterman, J., 1974, The effects of zinc deficiency on the adrens and the thymus in the rat, in: Trace Element Metabolism in Animals 2 ( W. G. Hoekstra, J. W. Suttee, H. E. Ganther, and W. Mertz, eds.), University Park Press, Baltimore.
Reinhold, J. G., Faradji, B., Abadi, P., and Ismail-Beigi, F., 1976, Bindings of zinc to fiber and other solids in wholemeal bread, in: Trace Elements in Human Health and Disease, Vol. I ( A. Prasad, ed.), Academic Press, New York.
Schonland, M., 1972, Depression of immunity in protein-calorie malnutrition: A post-mortem study, J. Trop. Pediatr. 18: 217–224.
Shanklin, S. H., Miller, E. B., Ullrey, D. E., Hoefer, J. A., and Luecke, R. W., 1968, Zinc requirements of baby pigs on casein diets, J. Nutr. 96: 101–108.
Smith, J. C., McDaniel, E. G., Fan, F. F., and Halsted, J. A., 1973, Zinc: A trace element essential in vitamin A metabolism, Science 181: 954–955.
Suskind, R. M., 1977, Malnutrition and the Immune Response, Raven Press, New York.
Underwood, E. J., 1977, Trace Elements in Human and Animal Nutrition, 4th Ed., Academic Press, New York.
Watts, T., 1969, Thymus weights in malnourished children, J. Trop. Pediatr. 15: 155–158.
Weissmann, K., and Flagstad, T., 1976, Hereditary zinc deficiency (adern disease) in cattle, an animal parallel to acrodermatitis enteropathica, Acta Derm. Venereol. 56: 15k - 154.
Weissmann, K., Hjorth, N., and Fischer, A., 1976, Zinc depletion syndrome with acrodermatitis during longterm intravenous feeding, Clin. Exp. Dermatol. 1: 237–242.
Willson, R. L., 1977, Iron, zinc, free radicals and oxygen in tissue disorders and cancer control, in: Iron Metabolism, pp. 331–354, Ciba Foundation Symposium 51, New York.
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Moynahan, E.J. (1981). Acrodermatitis Enteropathica and the Immunological Role of Zinc. In: Safai, B., Good, R.A. (eds) Immunodermatology. Comprehensive Immunology, vol 7. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-7228-2_30
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DOI: https://doi.org/10.1007/978-1-4615-7228-2_30
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