Haase Hajo, Mocchegiani Eugenio, Rink Lothar
Institute of Immunology, University Hospital, RWTH Aachen University, Pauwelsstrasse 30, 52074, Aachen, Germany.
Biogerontology. 2006 Oct-Dec;7(5-6):421-8. doi: 10.1007/s10522-006-9057-3.
Zinc is essential for the immune system and elderly people have an increased probability for zinc deficiency, documented by a decline of serum or plasma zinc levels with age. Although most healthy elderly are not classified as clinically zinc deficient, even marginal zinc deprivation can affect immune function. Several striking similarities in the immunological changes during aging and zinc deficiency, including a reduction in the activity of the thymus and thymic hormones, a shift of the T helper cell balance towards TH2, decreased response to vaccination, and impaired functions of innae immune cells indicate that a wide prevalence of marginal zinc deficiency in elderly people may contribute to immunosenescence. Studies with oral zinc supplementation show the potential to improve the immune response of elderly people by restoration of the zinc levels, showing that balancing the zinc status may be a way to healthy aging. This review summarizes the current literature about zinc supplementation in the elderly and thereby defines the rationale for the immunological part of the ZINCAGE project.
锌对免疫系统至关重要,老年人锌缺乏的可能性增加,血清或血浆锌水平随年龄下降证明了这一点。虽然大多数健康老年人未被归类为临床锌缺乏,但即使是边缘性锌缺乏也会影响免疫功能。衰老和锌缺乏期间免疫变化的几个显著相似之处,包括胸腺和胸腺激素活性降低、辅助性T细胞平衡向TH2偏移、对疫苗接种的反应降低以及先天免疫细胞功能受损,表明老年人中边缘性锌缺乏的广泛存在可能导致免疫衰老。口服锌补充剂的研究表明,通过恢复锌水平有可能改善老年人的免疫反应,这表明平衡锌状态可能是健康衰老的一种方式。本综述总结了目前关于老年人锌补充的文献,从而确定了ZINCAGE项目免疫学部分的理论依据。