This review summarizes the evidence that apoptosis is modulated by int
racellular excess or deficiency of Zn2+,considers mechanisms whereby Z
n2+ may influence apoptosis, and delineates gaps in current knowledge
and opportunities for research. The experimental evidence supports fou
r major conclusions: [I] Zinc deficiency, resulting from dietary depri
vation of mice, or exposure of cultured cells to membrane-permeable Zn
2+-chelators, can induce apoptosis; [2] Zinc supplementation, either b
y pretreating mice with ZnSO4, or adding 4, Zn2+ to the media of cell
cultures, can prevent apoptotic death. Zn2+ protects against the apopt
osis induced by diverse physical, chemical, or immunologic stimuli in
cultured cells of lymphoid, hepatic, or neoplastic origin; [3] Zn2+ do
es not affect the triggering events or earliest signs of apoptosis, bu
t acts later in the apoptotic pathway,preventing endonucleosomal fragm
entation and subsequent cytolysis; and [4] An intracellular pool of ch
elatable Zn2+ plays a critical role in apoptosis, possibly by modulati
ng the activation or activity of endonuclease(s). These conclusions sh
ould alert pharmacologists and physicians to the potential therapeutic
applications of zinc compounds and zinc chelators in clinical disorde
rs and diseases that involve apoptosis, and to the relevance of zinc n
utrition in such conditions.