Mp. Cuajungco et Gj. Lees, ZINC-METABOLISM IN THE BRAIN - RELEVANCE TO HUMAN NEURODEGENERATIVE-DISORDERS, Neurobiology of disease, 4(3-4), 1997, pp. 137-169
Zinc is an important trace element in biology. An important pool of zi
nc in the brain is the one present in synaptic vesicles in a subgroup
of glutamatergic neurons. In this form it can be released by electrica
l stimulation and may serve to modulate responses at receptors for a n
umber of different neurotransmitters. These include both excitatory an
d inhibitory receptors, particularly the NMDA and GABA(A) receptors. T
his pool of zinc is the only form of zinc readily stained histochemica
lly (the chelatable zinc pool), but constitutes only about 8% of the t
otal zinc content in the brain. The remainder of the zinc is more or l
ess tightly bound to proteins where it acts either as a component of t
he catalytic site of enzymes or in a structural capacity. The metaboli
sm of zinc in the brain is regulated by a number of transport proteins
, some of which have been recently characterized by gene cloning techn
iques. The intracellular concentration may be mediated both by efflux
from the cell by the zinc transporter ZrT1 and by complexing with apot
hionein to form metallothionein. Metallothionein may serve as the sour
ce of zinc for incorporation into proteins, including a number of DNA
transcription factors. However, zinc is readily released from metallot
hionein by disulfides, increasing concentrations of which are formed u
nder oxidative stress. Metallothionein is a very good scavenger of fre
e radicals, and zinc itself can also reduce oxidative stress by bindin
g to thiol groups, decreasing their oxidation. Zinc is also a very pot
ent inhibitor of nitric oxide synthase. Increased levels of chelatable
zinc have been shown to be present in cell cultures of immune cells u
ndergoing apoptosis. This is very reminiscent of the zinc staining of
neuronal perikarya dying after an episode of ischemia or seizure activ
ity. Thus a possible role of zinc in causing neuronal death in the bra
in needs to be fully investigated. Intraventricular injections of calc
ium EDTA have already been shown to reduce neuronal death after a peri
od of ischemia. Pharmacological doses of zinc cause neuronal death, an
d some estimates indicate that extracellular concentrations of zinc co
uld reach neurotoxic levels under pathological conditions. Zinc is rel
eased in high concentrations from the hippocampus during seizures. Unf
ortunately, there are contrasting observations as to whether this zinc
serves to potentiate or decrease seizure activity. Zinc may have an a
dditional role in causing death in at least some neurons damaged by se
izure activity and be involved in the sprouting phenomenon which may g
ive rise to recurrent seizure propagation in the hippocampus. In Alzhe
imer's disease, zinc has been shown to aggregate beta-amyloid, a form
which is potentially neurotoxic. The zinc-dependent transcription fact
ors NF-kappa B and Sp1 bind to the promoter region of the amyloid prec
ursor protein (APP) gene. Zinc also inhibits enzymes which degrade APP
to nonamyloidogenic peptides and which degrade the soluble form of be
ta-amyloid. The changes in zinc metabolism which occur during oxidativ
e stress may be important in neurological diseases where oxidative str
ess is implicated, such as Alzheimer's disease, Parkinson's disease, a
nd amyotrophic lateral sclerosis (ALS). Zinc is a structural component
of superoxide dismutase 1, mutations in which give rise to one form o
f familiar ALS. After HIV infection, zinc deficiency is found which ma
y be secondary to immune-induced cytokine synthesis. Zinc is involved
in the replication of the HIV virus at a number of sites. These observ
ations should stimulate further research into the role of zinc in neur
opathology. (C) 1997 Academic Press.