Zinc – Essential Trace Mineral for Human Health

Zinc โ€” scientific infographic poster
Zinc enzyme cofactor functions

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Table of Contents

  1. Enzymatic Functions
  2. Immune System Function
  3. Wound Healing
  4. Protein Synthesis
  5. DNA Synthesis and Cell Division
  6. Taste and Smell
  7. Reproductive Health
  8. Growth and Development
  9. Antioxidant Defense
  10. Skin Health
  11. Neurological Function
  12. Intake, Food Sources and Absorption
  13. What Trials Report: Colds, Eyes and Safety
  14. Deficiency and Excess
  15. Key Research Papers
  16. Connections
  17. Featured Videos

Zinc is an essential trace mineral present in every cell, and it takes part in a wide range of biological processes including enzymatic catalysis, immune defense, wound repair, growth, and nerve signaling. A 2017 review puts the body's total zinc at 2–3 grams and lists the prostate, pancreas and bone among the tissues with the highest concentrations (Wessels 2017). The body has only small zinc pools to draw on rather than a large store (King 2011), so its supply depends on regular intake from food.

Enzymatic Functions

Zinc serves as a structural or catalytic cofactor in more than 300 enzymes (Prasad 2013); the NIH Office of Dietary Supplements describes it as required for the catalytic activity of hundreds of enzymes.

Immune System Function

A 2017 review calls zinc a "gatekeeper of immune function" because of its broad influence on both innate and adaptive immunity (Wessels 2017). In Prasad's studies of mild human zinc deficiency, natural killer cell activity, T-helper cell IL-2 activity and serum thymulin activity all fell (Prasad 2013).

For a detailed discussion, see Zinc for Immune Function.

Wound Healing

Zinc participates in every phase of wound repair, from initial hemostasis and inflammation through proliferation and tissue remodeling.

For a detailed discussion, see Zinc for Wound Healing.

Protein Synthesis

Zinc is integral to the machinery of protein synthesis at multiple levels.

DNA Synthesis and Cell Division

Zinc is essential for faithful DNA replication and orderly cell division, making it critically important during periods of rapid growth.

Taste and Smell

Zinc plays a specialized role in the chemical senses of taste (gustation) and smell (olfaction).

Reproductive Health

Zinc is vital for reproductive function in both males and females.

Male Reproductive Function

Female Reproductive Function

Growth and Development

Zinc is indispensable for normal growth from conception through adolescence.

Antioxidant Defense

Although zinc is not a classical antioxidant in the way that vitamins C and E are, it contributes significantly to the body's antioxidant defense systems.

Skin Health

The skin contains approximately 5% of the body's total zinc (Ogawa 2018).

Neurological Function

Zinc is highly concentrated in the brain, particularly in the hippocampus, amygdala, and cerebral cortex, where it plays roles in neurotransmission, synaptic plasticity, and neuroprotection.

Intake, Food Sources and Absorption

The US Food and Nutrition Board set the Recommended Dietary Allowance (RDA) for adults aged 19 and over at 11 mg of zinc a day for men and 8 mg for women, 11 mg in pregnancy and 12 mg during lactation. The Tolerable Upper Intake Level (UL) for adults is 40 mg a day from food and supplements combined; it was set on the basis of intakes that have an adverse effect on copper status, and it does not apply to people receiving zinc as medical treatment. These figures are as tabulated in the NIH Office of Dietary Supplements zinc fact sheet (updated September 28, 2022). The full table by age is on the Zinc: Food Sources & Daily Intake page.

According to the same fact sheet, the richest food sources of zinc are meat, fish and seafood. Oysters contain more zinc per serving than any other food (3 ounces of raw farmed Eastern oysters: 32 mg), but beef supplies 20% of the zinc Americans get from food because it is eaten so often. Eggs and dairy foods also contain zinc, and fruits and vegetables contain very little. The table gives zinc per 100 g as listed in USDA FoodData Central (SR Legacy data), with each record linked:

Food (USDA description, shortened)Zinc, mg per 100 gFDC ID
Oysters, Eastern, wild, cooked (moist heat)78.6171980
Oysters, Pacific, cooked (moist heat)33.2174250
Hemp seed, hulled9.9170148
Pumpkin and squash seed kernels, dried7.81170556
Crab, Alaska king, cooked (moist heat)7.62174202
Beef, composite of trimmed retail cuts, lean and fat, cooked6.34170609
Cashew nuts, raw5.78170162
Beef liver, braised5.3168626
Lamb, ground, broiled4.67172544
Cheddar cheese, sharp3.74170899
Natto (fermented soybeans)3.03172443
Chickpeas, cooked (boiled)1.53173799
Egg, whole, fried1.39173423
Lentils, cooked (boiled)1.27175254
Brown rice, long-grain, cooked0.71169704

Phytate and absorption. Beans, nuts, seeds and whole grains contain zinc, but less of it is absorbed than from animal foods, because these plant foods contain phytates (the storage form of phosphorus in plants), which bind zinc in the intestine into an insoluble complex. The fact sheet gives the share of zinc absorbed from food as ranging from 5% to more than 50%, depending on how much plant food, and so phytate, the diet contains. A review of dietary factors identifies phytate as having a strong negative effect on zinc absorption from composite meals, names inositol hexaphosphate and pentaphosphate as the forms responsible, and reports that reducing phytate by phytase enzymes, germination or fermentation markedly improves absorption, while more protein in a meal increases it (Lönnerdal 2000). The fact sheet also describes soaking beans, grains and seeds for several hours before cooking as reducing phytate's binding of zinc, and organic acids in fermented foods as possibly increasing absorption.

What Trials Report: Colds, Eyes and Safety

A horizontal scale of daily zinc intake from 0 to 100 milligrams. Markers show the adult RDA of 8 mg for women and 11 mg for men, the adult upper limit of 40 mg, the 50 mg level the NIH fact sheet links to reduced copper absorption when taken for weeks, the over-75 mg daily doses in the lozenge trials of the 2017 meta-analysis, and the 80 mg dose in the AREDS eye-disease formula, which also contained 2 mg of copper. ZINC: REFERENCE INTAKES AND DOSES STUDIED milligrams of zinc per day, adults · figures as stated in the sources on this page above the adult upper limit (set on copper status) 0 25 50 75 100 mg/day RDA 8 women · 11 men UL 40 50 for weeks can interfere with copper absorption NIH Office of Dietary Supplements lozenge trials, over 75 AREDS 80 given with 2 mg copper The doses tested in cold and eye trials sit above the adult upper limit, which was set to protect copper status.
The scale runs from 0 to 100 mg of zinc a day. Figures from the NIH Office of Dietary Supplements zinc fact sheet (RDA, UL, the 50 mg copper finding), Hemilä 2017 (lozenge trials over 75 mg a day) and AREDS report no. 8 (80 mg zinc with 2 mg copper), all cited in this section.

Zinc lozenges and the common cold

The current Cochrane review (Nault 2024) included 34 placebo-controlled trials with 8,526 participants; 17 tested lozenges, and zinc gluconate lozenge doses ranged from 45 to 276 mg a day. It found that zinc may make little or no difference to the risk of catching a cold (RR 0.93, 95% CI 0.85 to 1.01; low-certainty evidence). Used as treatment, zinc may shorten a cold, by a mean of 2.37 days (95% CI 0.53 to 4.21 days; 8 studies, 972 participants; low-certainty evidence), and it probably increases non-serious adverse events such as unpleasant taste and stomach upset (RR 1.34, 95% CI 1.15 to 1.55). The authors noted wide variation in the interventions and incomplete reporting across the trials.

A 2017 meta-analysis limited to lozenge trials giving more than 75 mg of zinc a day (seven trials, 575 participants) found colds 33% shorter on average (95% CI 21% to 45%): 40% in the three zinc acetate trials and 28% in the four zinc gluconate trials, a difference that was not significant. Trials giving 192–207 mg a day did not find a larger effect than trials giving 80–92 mg a day (Hemilä 2017). An earlier Cochrane review of zinc for the common cold (Singh 2013) was withdrawn in April 2015 over concerns about the calculation and analysis of its data, and remains withdrawn after a 2016 editorial investigation; its figures are not used here.

Zinc in the AREDS eye-disease trial

The Age-Related Eye Disease Study enrolled 3,640 people aged 55–80 with signs of age-related macular degeneration (AMD) and followed them for an average of 6.3 years. Participants took antioxidants (vitamin C, vitamin E and beta carotene), zinc 80 mg as zinc oxide with copper 2 mg as cupric oxide, both, or placebo. Antioxidants plus zinc significantly reduced the odds of developing advanced AMD (OR 0.72, 99% CI 0.52 to 0.98); for zinc alone the reduction (OR 0.75, 99% CI 0.55 to 1.03) was significant only in the higher-risk group (AREDS Research Group 2001). The NIH fact sheet adds that the follow-up AREDS2 study found a formula with 25 mg of zinc gave the same protection, a finding its researchers viewed as preliminary. Prasad's review describes the copper as added to prevent zinc-induced copper deficiency (Prasad 2013).

Zinc-induced copper deficiency

The NIH fact sheet states that zinc doses of 50 mg or more, if used for weeks, can interfere with copper absorption, reduce immune function and lower HDL cholesterol, and that the adult upper limit was set on the basis of zinc's effect on copper status. Chronic, excessive use of zinc-containing denture adhesive creams has been linked to copper deficiency and neurologic disease. A 2005 report described three patients whose zinc-induced copper deficiency was first recognized on bone marrow examination; they had anemia and severe or moderate neutropenia, and two had progressive peripheral neuropathy (Willis 2005). The Zinc Toxicity: Copper Deficiency page covers this in detail.

Intranasal zinc and loss of smell

On June 16, 2009 the US Food and Drug Administration advised consumers to stop using three over-the-counter intranasal zinc cold remedies, a nasal gel and two nasal swab products, because they were associated with loss of the sense of smell (anosmia), which the agency said may be long-lasting or permanent. The FDA had received more than 130 reports; many people said the loss occurred with the first dose (FDA news release, June 16, 2009, archived copy). A 2006 case series of 17 patients with anosmia after intranasal zinc gluconate gel described deep sniffing during application, an immediate burning sensation, and loss of smell within 48 hours (Alexander 2006). The warning concerns zinc applied inside the nose, not zinc taken by mouth.

Deficiency and Excess

Too little or too much zinc both cause problems. Deficiency impairs immunity, healing, taste and smell, growth, and skin health, while chronic excess can trigger copper deficiency, nausea, and immune suppression. Symptoms, causes, and treatment of each are covered in Zinc Deficiency and Zinc Toxicity (Excess Zinc).

Key Research Papers

  1. Prasad AS (2013). Discovery of human zinc deficiency: its impact on human health and disease. Advances in Nutrition 4(2):176-90. — PubMed PMID: 23493534
  2. Wessels I, Maywald M, Rink L (2017). Zinc as a gatekeeper of immune function. Nutrients 9(12):1286. — PubMed PMID: 29186856
  3. King JC (2011). Zinc: an essential but elusive nutrient. American Journal of Clinical Nutrition 94(2):679S-84S. — PubMed PMID: 21715515
  4. Andreini C, Banci L, Bertini I, Rosato A (2006). Counting the zinc-proteins encoded in the human genome. Journal of Proteome Research 5(1):196-201. — PubMed PMID: 16396512
  5. Lönnerdal B (2000). Dietary factors influencing zinc absorption. Journal of Nutrition 130(5S Suppl):1378S-83S. — PubMed PMID: 10801947
  6. Nault D, Machingo TA, Shipper AG, et al. (2024). Zinc for prevention and treatment of the common cold. Cochrane Database of Systematic Reviews 5:CD014914. — PubMed PMID: 38719213
  7. Hemilä H (2017). Zinc lozenges and the common cold: a meta-analysis comparing zinc acetate and zinc gluconate, and the role of zinc dosage. JRSM Open 8(5):2054270417694291. — PubMed PMID: 28515951
  8. Singh M, Das RR (2013). Zinc for the common cold. Cochrane Database of Systematic Reviews (6):CD001364. — PubMed PMID: 23775705 — Withdrawn (withdrawn by Cochrane in April 2015 over concerns about the calculation and analysis of its data, and kept withdrawn in 2016 after an editorial investigation of how some means and standard deviations were derived; superseded by Nault et al. 2024, above; withdrawal notice: PubMed PMID: 25924708)
  9. Age-Related Eye Disease Study Research Group (2001). A randomized, placebo-controlled, clinical trial of high-dose supplementation with vitamins C and E, beta carotene, and zinc for age-related macular degeneration and vision loss: AREDS report no. 8. Archives of Ophthalmology 119(10):1417-36. — PubMed PMID: 11594942
  10. Willis MS, Monaghan SA, Miller ML, et al. (2005). Zinc-induced copper deficiency: a report of three cases initially recognized on bone marrow examination. American Journal of Clinical Pathology 123(1):125-31. — PubMed PMID: 15762288
  11. Alexander TH, Davidson TM (2006). Intranasal zinc and anosmia: the zinc-induced anosmia syndrome. Laryngoscope 116(2):217-20. — PubMed PMID: 16467707
  12. Wilkinson EA (2014). Oral zinc for arterial and venous leg ulcers. Cochrane Database of Systematic Reviews 9:CD001273. — PubMed PMID: 25202988
  13. Thatcher BJ, Doherty AE, Orvisky E, et al. (1998). Gustin from human parotid saliva is carbonic anhydrase VI. Biochemical and Biophysical Research Communications 250(3):635-41. — PubMed PMID: 9784398
  14. Kumbargere Nagraj S, George RP, Shetty N, et al. (2017). Interventions for managing taste disturbances. Cochrane Database of Systematic Reviews 12:CD010470. — PubMed PMID: 29260510
  15. Prasad AS, Mantzoros CS, Beck FW, et al. (1996). Zinc status and serum testosterone levels of healthy adults. Nutrition 12(5):344-8. — PubMed PMID: 8875519
  16. Kim AM, Bernhardt ML, Kong BY, et al. (2011). Zinc sparks are triggered by fertilization and facilitate cell cycle resumption in mammalian eggs. ACS Chemical Biology 6(7):716-23. — PubMed PMID: 21526836
  17. Que EL, Duncan FE, Bayer AR, et al. (2017). Zinc sparks induce physiochemical changes in the egg zona pellucida that prevent polyspermy. Integrative Biology 9(2):135-44. — PubMed PMID: 28102396
  18. Duncan FE, Que EL, Zhang N, et al. (2016). The zinc spark is an inorganic signature of human egg activation. Scientific Reports 6:24737. — PubMed PMID: 27113677
  19. Carducci B, Keats EC, Bhutta ZA (2021). Zinc supplementation for improving pregnancy and infant outcome. Cochrane Database of Systematic Reviews 3:CD000230. — PubMed PMID: 33724446
  20. Brown KH, Peerson JM, Rivera J, Allen LH (2002). Effect of supplemental zinc on the growth and serum zinc concentrations of prepubertal children: a meta-analysis of randomized controlled trials. American Journal of Clinical Nutrition 75(6):1062-71. — PubMed PMID: 12036814
  21. Ogawa Y, Kinoshita M, Shimada S, Kawamura T (2018). Zinc in keratinocytes and Langerhans cells: relevance to the epidermal homeostasis. Journal of Immunology Research 2018:5404093. — PubMed PMID: 30622978
  22. Wang K, Zhou B, Kuo YM, et al. (2002). A novel member of a zinc transporter family is defective in acrodermatitis enteropathica. American Journal of Human Genetics 71(1):66-73. — PubMed PMID: 12032886
  23. Al-Gurairi FT, Al-Waiz M, Sharquie KE (2002). Oral zinc sulphate in the treatment of recalcitrant viral warts: randomized placebo-controlled clinical trial. British Journal of Dermatology 146(3):423-31. — PubMed PMID: 11952542
  24. Swardfager W, Herrmann N, Mazereeuw G, et al. (2013). Zinc in depression: a meta-analysis. Biological Psychiatry 74(12):872-8. — PubMed PMID: 23806573

PubMed Topic Searches

  1. PubMed: Zinc, phytate and absorption
  2. PubMed: Zinc-induced copper deficiency

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Connections

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