Review Article

Roles of Zinc Signaling in the Immune System

Table 1

Zn transporters in physiology and pathophysiology.

Gene symbolProtein nameMutation typePhenotype and disorder Reference

SLC39A1ZIP1KOAbnormal embryonic development[15]

SLC39A2ZIP2KOAbnormal embryonic development[16]

SLC39A3ZIP3KOAbnormal embryonic and T-cell development[14]

SLC39A4ZIP4KO Embryonic lethality[18, 2022, 60]
MutationAE

SLC39A5ZIP5MutationAutosomal dominant nonsyndromic high myopia[23]

SLC39A8ZIP8Hypomorphic mutationImpaired multiple-organ organogenesis and hematopoiesis [2426, 61]
Abnormal innate immune function
KO Osteoarthritis
SNPSchizophrenia

SLC39A10ZIP10KOAbnormal early B-cell development[27, 28]
Impaired humoral immune response

SLC39A12ZIP12KO Attenuation of pulmonary hypertension in a hypoxic atmosphere[29]

SLC39A13ZIP13KO Connective tissue dysplasia[34, 62]
MutationSCD-EDS

SLC39A14ZIP14KOGrowth retardation and impaired gluconeogenesis [3538]
Impaired hepatocyte proliferation during liver regeneration after hepatectomy
Decreased insulin signaling, hypertrophied adipocytes, and increased adipose cytokine production and plasma leptin
MutationParkinsonism-dystonia and neurodegeneration with hypermanganesemia in childhood

SLC30A1ZnT1KOEmbryonic lethality[39, 63]
Abnormal vulva formation

SLC30A2ZnT2Mutation
KO
Low Zn in milk [4043]

SLC30A3ZnT3KOProne to seizures
Alzheimer’s disease-like abnormalities
[45, 64]

SLC30A4ZnT4MutationLethal milk: lm
Low Zn in milk
[46]

SLC30A5ZnT5KOGrowth retardation, osteopenia, hypodontia, and male-specific cardiac death [47, 48]
Impaired mast-cell functions

SLC30A7ZnT7KOReduced body fat accumulation [49, 50]
Insulin resistance, glucose intolerance, and hyperglycemia on a high-fat diet

SLC30A8ZnT8KOType 2 diabetes mellitus [5156]
SNPType 1 and 2 diabetes mellitus

SLC30A10ZnT10MutationParkinsonism, dystonia, hypermanganesemia, polycythemia, and chronic liver disease[5759]

Mice with a targeted ZIP3 deletion show lower DP thymocyte counts but increased number of CD4+ SP or CD8+ SP thymocytes under a Zn-limiting condition.
Patients with ZIP4 mutation (AE) show severe ZnD symptoms characterized by immunodeficiency with thymic atrophy and lymphopenia, and by recurrent infections. Epidermal LCs, which inhibit ICD triggered by the ATP release from epidermal keratinocytes, are significantly reduced in the lesions of AE patients, resulting in inflammatory skin manifestations. However, oral Zn supplementation allows LCs to recolonize and improve clinical symptoms in these patients.
Fetal fibroblasts from ZIP8 hypomorphic mice exhibit dysregulated Zn uptake and increased NF-κB activation due to insufficient control of IκB kinase. Consistent with this, mice given ZnD dietary intakes develop excessive inflammation to polymicrobial sepsis.
Mice with a targeted disruption of ZIP10 show impaired early B-cell development and antibody response, due to increased caspase activity and decreased CD45R PTPase activity, respectively.