The DOI matches its Crossref record; 158 of the 159 references it cites were found in a registry or an index.
The immune system and the impact of zinc during aging
Open accessAbstract
The trace element zinc is essential for the immune system, and zinc deficiency affects multiple aspects of innate and adaptive immunity. There are remarkable parallels in the immunological changes during aging and zinc deficiency, including a reduction in the activity of the thymus and thymic hormones, a shift of the T helper cell balance toward T helper type 2 cells, decreased response to vaccination, and impaired functions of innate immune cells. Many studies confirm a decline of zinc levels with age. Most of these studies do not classify the majority of elderly as zinc deficient, but even marginal zinc deprivation can affect immune function. Consequently, oral zinc supplementation demonstrates the potential to improve immunity and efficiently downregulates chronic inflammatory responses in the elderly. These data indicate that a wide prevalence of marginal zinc deficiency in elderly people may contribute to immunosenescence.
Overview
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Figures


![Figure 3 Influence of zinc on age-related changes of immune function. Aging leads to an increase in pro-inflammatory cytokines and modulates the TH1–TH2 balance toward a TH2 response by reducing the TH-1 cytokines IFN-α and -γ and increasing IL-10. This reduces T cell help for immunoglobulin class switch and causes unspecific activation of B cells. Zinc counteracts the effects on [a] pro-inflammatory cytokines [27], [b] IFN-α [73], [c] IFN-γ [92], and [d] IL-10 [93].](/paper-figures/29aa273090634e2491ba076898136e6a/the-immune-system-and-the-impact-of-zinc-during-aging-figure-3.jpg)
Verification
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the citing paper
“Zinc deficiency can cause decreased levels of serum thymulin, a zinc dependent peptide hormone produced by thymic epithelial cells, with an activity that is progressively reduced with age, with a peak in pre-adolescence (78, 104, 108).”
From Immunosenescence and Its Hallmarks: How to Oppose Aging Strategically? A Review of Potential Options for Therapeutic Intervention (2019) · cites this paper as [104]
In the citing paper
“Even slight deficiencies in zinc can have important consequences (104–107).”
From Immunosenescence and Its Hallmarks: How to Oppose Aging Strategically? A Review of Potential Options for Therapeutic Intervention (2019) · cites this paper as [104]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Citations
Cites
The biochemical basis of zinc physiology
Vallée, B. L., & Falchuk, K. H. (1993) · Physiological Reviews · doi:10.1152/physrev.1993.73.1.79 · Cited by 3,005
Zinc requirements and the risks and benefits of zinc supplementation
Maret, W., & Sandstead, H. H. (2006) · Journal of Trace Elements in Medicine and Biology · doi:10.1016/j.jtemb.2006.01.006 · Cited by 1,139
Counting the Zinc-Proteins Encoded in the Human Genome
Andreini, C., Banci, L., Bertini, I., & Rosato, A. (2006) · Journal of Proteome Research · doi:10.1021/pr050361j · Cited by 1,109
Posnett, D. N., Sinha, R., Kabak, S., & Russo, C. (1994) · The Journal of Experimental Medicine · doi:10.1084/jem.179.2.609 · Cited by 761
Mammalian Zinc Transporters: Nutritional and Physiologic Regulation
Lichten, L. A., & Cousins, R. J. (2009) · Annual Review of Nutrition · doi:10.1146/annurev-nutr-033009-083312 · Cited by 749
Mammalian Zinc Transport, Trafficking, and Signals
Cousins, R. J., Liuzzi, J. P., & Lichten, L. A. (2006) · Journal of Biological Chemistry · doi:10.1074/jbc.r600011200 · Cited by 714
Increased cytokine production in mononuclear cells of healthy elderly people
Fagiolo, U., Cossarizza, A., Scala, E., Fanales‐Belasio, E., Ortolani, C., Cozzi, E., Monti, D., Franceschi, C., & Paganelli, R. (1993) · European Journal of Immunology · doi:10.1002/eji.1830230950 · Cited by 665
Letter: Hypoglycaemia in propranolol-treated dialysis patients.
Jensen, H. A., Bjaeldager, P., & Broch‐Møller, B. (1976) · PubMed · Cited by 649
The Incidence of Herpes Zoster
Donahue, J. G. (1995) · Archives of Internal Medicine · doi:10.1001/archinte.1995.00430150071008 · Cited by 618
Ibs, K.-H., & Rink, L. (2003) · Journal of Nutrition · doi:10.1093/jn/133.5.1452s · Cited by 603
Self-citation
Research works printed but not linked: 1
- Kaplan J, Hess JW, Prasad AS: Impaired interleukin-2 production in the elderly: Association with mild zinc deficiency. J Trace Elem Exp Med. 1988, 1: 3-8.
Cited by
Sorted by citations
Zinc and human health: an update
Chasapis, C. T., Loutsidou, A. K., Spiliopoulou, C., & Stefanidou, M. E. (2011) · Archives of Toxicology · doi:10.1007/s00204-011-0775-1 · Cited by 1,072
Aiello, A., Farzaneh, F., Candore, G., Caruso, C., Davinelli, S., Gambino, C. M., Ligotti, M. E., Zareian, N., & Accardi, G. (2019) · Frontiers in Immunology · doi:10.3389/fimmu.2019.02247 · Cited by 693
Heavy metal toxicity: An update of chelating therapeutic strategies
Kim, J.-J., Kim, Y.-S., & Kumar, V. (2019) · Journal of Trace Elements in Medicine and Biology · doi:10.1016/j.jtemb.2019.05.003 · Cited by 662
COVID-19: The Inflammation Link and the Role of Nutrition in Potential Mitigation
Zabetakis, I., Lordan, R., Norton, C., & Τσούπρας, Α. (2020) · Nutrients · doi:10.3390/nu12051466 · Cited by 553
Nutritional Modulation of Immune Function: Analysis of Evidence, Mechanisms, and Clinical Relevance
Wu, D., Lewis, E. D., Pae, M., & Meydani, S. N. (2019) · Frontiers in Immunology · doi:10.3389/fimmu.2018.03160 · Cited by 505
Metadata
- Authors
- Haase, H., & Rink, L.
- Affiliations
- RWTH Aachen University (DE)
- Corresponding author
- Rink, Lothar
- Venue
- Immunity & Ageing
- Published
- 2009-06-12
- Volume
- 6
- Issue
- 1
- Pages
- 9-9
- ISSN
- 1742-4933 (ISSN-L)
- PMC
- PMC2702361
- OpenAlex
- W2124890716
- Cited by
- 334
- References
- 157
- Citations by year
- 2026: 14 · 2025: 20 · 2024: 18 · 2023: 14 · 2022: 30 · 2021: 38 · 2020: 31 · 2019: 18 · 2018: 13 · 2017: 17 · 2016: 16 · 2015: 13 · 2014: 17 · 2013: 16 · 2012: 28
- FWCI
- 19.04
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Immunity & Ageing (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- RWTH Publications (RWTH Aachen) (submittedVersion, cc-by)
- Topics
- Health Sciences › Nursing › Nutrition and Dietetics › Trace Elements in Health
- Health Sciences › Medicine › Hematology › Iron Metabolism and Disorders
- Health Sciences › Medicine › Physiology (medical) › Nutrition and Health in Aging
- Keywords
- zinc, zinc deficiency, immunosenescence, aging, innate immunity, adaptive immunity, thymus, T helper cells, Th2 shift, vaccine response, oral zinc supplementation, chronic inflammation, older adults
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review