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AIDS, Zinc Deficiency, and Thymic Hormone Failure FREE

N. Fabris; E. Mocchegiani; M. Galli; L. Irato; A. Lazzarin; M. Moroni
[+] Author Affiliations

Edited by Drummond Rennie, MD, Senior Contributing Editor; Sharon Iverson, Assistant Editor.


JAMA. 1988;259(6):839-840. doi:10.1001/jama.1988.03720060011011
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To the Editor.  —It has been proposed that thymic secretory function, as assessed by determining levels of circulating thymulin—like activity,1 is greatly reduced in patients with acquired immunodeficiency syndrome (AIDS) or AIDS-related complex.2,3 In fact, in both young3 and adult2 patients, levels of circulating thymulin, as measured by the rosette inhibition bioassay, are either undetectable or below the values found in age-matched healthy subjects. These findings have been interpreted as showing human immunodeficiency virus (HIV)—induced injury of the thymic epithelial cells that synthesize and release thymic hormones.4Since thymulin is biologically active, and therefore measurable by bioassay only when the nonapeptide thymulin is bound to a zinc ion,5 a reduced circulating level may depend not only on defective production by the thymus, but also on decreased zinc binding, as might occur in zinc deficiencies.6 In these conditions, inactive, zinc—unbound thymulin molecules are found

REFERENCES

Bach JF, Dardenne M, Pleau JM, et al:  Isolation, biochemical characteristics and biological activity of a circulating thymic hormone in the mouse and in the human. Ann NY Acad Sci 1975;;249:186-191.
Dardenne M, Safai B, Bach JF:  Low serum thymic hormone levels in patients with acquired immunodeficiency syndrome. N Engl J Med 1983;;1:48-49.
Incefy GS, Pahwa S, Pahwa R, et al:  Low circulating thymulin—like activity in children with AIDS and AIDS-related complex. AIDS Res 1986;;2:109-116.
Savino W, Dardenne M, Papiernik M, et al:  Thymic hormone—containing cells: Characterization and localization of serum thymic factor in young mouse thymus studied by monoclonal antibodies. J Exp Med 1982;;156:628-634.
Dardenne M, Pleau JM, Nabama B, et al:  Contribution of zinc and other metals to the biological activity of the serum thymic factor. Proc Natl Acad Sci USA 1982;;79:5370-5374.
Fabris N, Mocchegiani E, Amadio L, et al:  Thymic hormone deficiency in normal aging and Down's syndrome: Is there a primary failure of the thymus? Lancet 1984;;1:983-986.
Fabris N, Mocchegiani E, Mariotti S, et al:  Thyroid function modulates thymic endocrine activity. J Clin Endocrinol Metab 1986;;62:474-478.
Caselli M, Bicocchi R:  Taux serique du zinc chez les malades atteints du syndrome d'immunodeficit acquis. La Presse Medicale 1986;;37:1877-1878.
Chandra RK:  Trace element regulation of immunity and infection. J Am Coll Nutr 1985;;4:5-16.

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Bach JF, Dardenne M, Pleau JM, et al:  Isolation, biochemical characteristics and biological activity of a circulating thymic hormone in the mouse and in the human. Ann NY Acad Sci 1975;;249:186-191.
Dardenne M, Safai B, Bach JF:  Low serum thymic hormone levels in patients with acquired immunodeficiency syndrome. N Engl J Med 1983;;1:48-49.
Incefy GS, Pahwa S, Pahwa R, et al:  Low circulating thymulin—like activity in children with AIDS and AIDS-related complex. AIDS Res 1986;;2:109-116.
Savino W, Dardenne M, Papiernik M, et al:  Thymic hormone—containing cells: Characterization and localization of serum thymic factor in young mouse thymus studied by monoclonal antibodies. J Exp Med 1982;;156:628-634.
Dardenne M, Pleau JM, Nabama B, et al:  Contribution of zinc and other metals to the biological activity of the serum thymic factor. Proc Natl Acad Sci USA 1982;;79:5370-5374.
Fabris N, Mocchegiani E, Amadio L, et al:  Thymic hormone deficiency in normal aging and Down's syndrome: Is there a primary failure of the thymus? Lancet 1984;;1:983-986.
Fabris N, Mocchegiani E, Mariotti S, et al:  Thyroid function modulates thymic endocrine activity. J Clin Endocrinol Metab 1986;;62:474-478.
Caselli M, Bicocchi R:  Taux serique du zinc chez les malades atteints du syndrome d'immunodeficit acquis. La Presse Medicale 1986;;37:1877-1878.
Chandra RK:  Trace element regulation of immunity and infection. J Am Coll Nutr 1985;;4:5-16.
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