Roles of Zinc in the Pathophysiology of Acute Diarrhea

被引:15
作者
Kulkarni, Hemant [1 ,2 ]
Mamtani, Manju [1 ]
Patel, Archana [1 ,3 ]
机构
[1] Lata Med Res Fdn, Nagpur, Maharashtra, India
[2] Texas Biomed Res Inst, San Antonio, TX 78227 USA
[3] Indira Gandhi Govt Med Coll, Nagpur 440018, Maharashtra, India
关键词
Zinc; Diarrhea; Prevention and control; Treatment; Supplementation; Mechanism; Enterocyte proliferation; Intestinal ion transport; DEVELOPING-COUNTRIES; ORAL ZINC; IN-VITRO; POOLED ANALYSIS; GLOBAL BURDEN; ION SECRETION; VITAMIN-A; SUPPLEMENTATION; CHILDREN; DEFICIENCY;
D O I
10.1007/s11908-011-0222-8
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
Zinc has caught wide scientific attention for the conceptual promise it has to offer for prevention, control and treatment of acute diarrhea. This review focuses on the mechanisms by which zinc might contribute to the pathogenesis of acute diarrhea and the degree of success achieved in diarrhea control and treatment by zinc supplementation. Animal and in vitro studies have continued to fascinate the scientific fraternity and form a solid basis for the potential use of zinc supplementation against diarrhea. However, emerging evidence in terms of controlled studies in humans beckons a more complete understanding of the mechanistic basis for zinc supplementation. Current evidence indicates that studies specifically addressing the variability in response to zinc supplementation need to be undertaken to better comprehend these mechanisms.
引用
收藏
页码:24 / 32
页数:9
相关论文
共 73 条
[31]   Zinc inhibits cAMP-stimulated Cl secretion via basolateral K-channel blockade in rat ileum [J].
Hoque, KM ;
Rajendran, VM ;
Binder, HJ .
AMERICAN JOURNAL OF PHYSIOLOGY-GASTROINTESTINAL AND LIVER PHYSIOLOGY, 2005, 288 (05) :G956-G963
[32]   Supplementation of infant formula with the probiotic Lactobacillus reuteri and zinc:: Impact on enteric infection and nutrition in infant rhesus monkeys [J].
Kelleher, SL ;
Casas, T ;
Carbajal, N ;
Lönnerdal, B .
JOURNAL OF PEDIATRIC GASTROENTEROLOGY AND NUTRITION, 2002, 35 (02) :162-168
[33]   REVERSIBLE INTESTINAL MUCOSAL ABNORMALITY IN ACRODERMATITIS ENTEROPATHICA [J].
KELLY, R ;
DAVIDSON, GP ;
TOWNLEY, RRW ;
CAMPBELL, PE .
ARCHIVES OF DISEASE IN CHILDHOOD, 1976, 51 (03) :219-222
[34]   In vivo iron and zinc deficiency diminished T- and B-selective mitogen stimulation of murine lymphoid cells through protein kinase C-mediated mechanism [J].
Klecha, AJ ;
Salgueiro, J ;
Wald, A ;
Boccio, J ;
Zubillaga, M ;
Leonardi, NM ;
Gorelik, G ;
Cremaschi, GA .
BIOLOGICAL TRACE ELEMENT RESEARCH, 2005, 104 (02) :173-183
[35]  
Kosek M, 2003, B WORLD HEALTH ORGAN, V81, P197
[36]   GAAP-1: a transcriptional activator of p53 and IRF-1 possesses pro-apoptotic activity [J].
Lallemand, C ;
Palmieri, M ;
Blanchard, B ;
Meritet, JF ;
Tovey, MG .
EMBO REPORTS, 2002, 3 (02) :153-158
[37]  
Larson CP, 2008, J HEALTH POPUL NUTR, V26, P356
[38]   Oral zinc for treating diarrhoea in children [J].
Lazzerini, Marzia ;
Ronfani, Luca .
COCHRANE DATABASE OF SYSTEMATIC REVIEWS, 2008, (03)
[39]  
Long KZ, 2007, NUTR REV, V65, P218, DOI [10.1301/nr.2007.may.218-232, 10.1111/j.1753-4887.2007.tb00299.x]
[40]   A meta-analysis of the effects of oral zinc in the treatment of acute and persistent diarrhea [J].
Lukacik, Marek ;
Thomas, Ronald L. ;
Aranda, Jacob V. .
PEDIATRICS, 2008, 121 (02) :326-336