The inhibition of growth is a cardinal symptom of zinc deficiency. In anima
ls fed a zinc-inadequate diet, both food intake and growth are reduced with
in 4-5 d, Despite the concomitant reduction in food intake and growth, redu
ced energy intake is not the limiting factor in growth, because force-feedi
ng a zinc-inadequate diet to animals fails to maintain growth. Hence, food
intake and growth appear to be regulated by zinc through independent, altho
ugh well coordinated, mechanisms. Despite the long-term study of zinc metab
olism, the first limiting role of zinc in cell proliferation remains undefi
ned. Zinc participates in the regulation of cell proliferation in several w
ays; it is essential to enzyme systems that influence cell division and pro
liferation. Removing zinc from the extracellular milieu results in decrease
d activity of deoxythymidine kinase and reduced levels of adenosine(5')tetr
aphosphate(5')-adenosine. Hence, zinc may directly regulate DNA synthesis t
hrough these systems. Zinc also influences hormonal regulation of cell divi
sion. Specifically, the pituitary growth hormone (GH)insulin-like growth fa
ctor-I (IGF-I) axis is responsive to zinc status, Both increased and decrea
sed circulating concentrations of GH have been observed in zinc deficiency,
although circulating IGF-I concentrations are consistently decreased. Howe
ver, growth failure is not reversed by maintaining either GH or IGF-I level
s through exogenous administration, which suggests the defect occurs in hor
mone signaling, Zinc appears to be essential for IGF-I induction of cell pr
oliferation; the site of regulation is postreceptor binding. Overall, the e
vidence suggests that reduced zinc availability affects membrane signaling
systems and intracellular second messengers that coordinate cell proliferat
ion in response to IGF-I.