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Publication: High-dose zinc oral supplementation after stem cell transplantation causes an increase of TRECs and CD4+ naive lymphocytes and prevents TTV reactivation

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Reference
Title High-dose zinc oral supplementation after stem cell transplantation causes an increase of TRECs and CD4+ naive lymphocytes and prevents TTV reactivation
Topic Zinc
Author Iovino, L, Mazziotta, F, Carulli, G, Guerrini, F, Morganti, R, Mazzotti, V, Maggi, F, Macera, L, Orciuolo, E, Buda, G, Benedetti, E, Caracciolo, F, Galimberti, S, Pistello, M, Petrini, M
Year 2018
Journal Leukemia Research
DOI https://doi.org/10.1016/j.leukres.2018.04.016

Author's Abstract The abstract and the information and conclusions contained therein were written by the authors of the publication.

Introduction: Zinc plays an important role in thymic function and immune homeostasis. We performed a pro- spective clinical trial using a high-dose zinc oral supplementation to improve the immune reconstitution after hematopoietic stem cell transplant (HSCT).

Patients and methods: We enrolled 18 patients undergoing autologous HSCT for multiple myeloma. Nine patients were randomized to receive only a standard antimicrobial prophylaxis; whereas, nine patients received in ad- dition 150 mg/day of zinc from day +5 to day +100 after transplant. Results: CD4+ naïve lymphocytes and TRECs showed a significant increase from day +30 until day +100 only in the zinc-treated group. Moreover, the load of Torquetenovirus, a harmless virus that replicates in course of immunedepression, increased at day +100 only in the control group. No severe adverse events were reported during the zinc consumption. Conclusion: First data from the ZENITH trial suggest that high-dose zinc supplementation is safe and may en- hance the thymic reconstitution after HSCT.



This publication is referenced in the following studies:

  1. Iovino et al. (2018): High-dose zinc oral supplementation after stem cell transplantation causes an increase of TRECs and CD4+ naive lymphocytes and prevents TTV reactivation