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i THE FUNCTION OF ZINC TRANSPORTERS IN HUMAN CELLS BY LOVELEEN KUMAR, BSc., MSc. Submitted in fulfilment of requirements for the degree of Doctor of Philosophy DEAKIN UNIVERSITY JULY 2014
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THE FUNCTION OF ZINC TRANSPORTERS IN HUMAN CELLS

BY

LOVELEEN KUMAR, BSc., MSc.

Submitted in fulfilment of requirements for the degree of Doctor of Philosophy

DEAKIN UNIVERSITY

JULY 2014

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Acknowledgements

I would sincerely like to thank my supervisor Professor Leigh Ackland for

giving me the opportunity to undertake my PhD under her invaluable

guidance with continual support, encouragement and infinite enthusiasm.

Thank you so much Leigh for having faith in me and being wonderful

supervisor one could ever wish for.

I would like to thank my co-supervisor Dr Agnes Michalczyk, not only for

providing invaluable supervision and encouragement but being a great friend

who I could talk to during hard times. Thanks a lot Agnes for being always

there to support me.

I am grateful to Professor Julian Mercer for allowing me to undertake my

PhD candidature in the CCMB. I would also like to thank him for his expert

advice at the discussion sessions that made me think in detail.

Special thanks to Prof Andy Sinclair for providing me the scholarship and the

mentoring sessions we had, it made me concentrate on the main goal.

I would like to thank my Lab Manager Mr. Michael Holmes for having faith in

my capability and providing me with opportunity to work as a technical officer

to financially support my family. I am very grateful to our school manager

Marita Reynolds to sanction my study leave to finish off my writting. I would

like to extend that thanks to all Technical staff, who gave enormous mental

support and friendly environment that helped me come out of my grief.

Special thanks to Maria and Linda who were always there to hear my long

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conversations and gave me expert advice. Thank you so much for being

great friends.

Thanks to everyone from CCMB for being helpful especially David, Lee and

Dean for their technical advice. To everyone involved in teaching as I

enjoyed demonstrating undergraduate students.

I might have forgotten some names to mention but their great wishes have

been playing a big role along the journey of PhD. Thanks to them for their

well wishes that helped me to fulfil this goal.

Finally, I would like to save the biggest thanks to my husband Vivek and kids,

Vansh and Lehar for their unconditional love and faith in me. They are the

main reason for me to submit this work. I feel really lucky to have best kids

who understood the importance of their mums dream and spend days and

nights without me. My husband who stood like a strong pillar beside me

while, going through the tough times of our lives. Thank you so much. I don’t

have words to express my gratitude but would like to say

“Love, Affection, Care and Pride,

All were there by my side.

I bow my Heart with a glitter in my eye,

I owe you all Thanks for the rest of my life.”

At the end I would like to dedicate this thesis to my Dad and Grandpa, two

important members in my life, I lost during my candidature. It’s your

upbringing that set my mind to submit this work.

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Publications Arising from this Project

The data presented in thesis has been submitted or is currently in preparation for publication.

Kumar Loveleen, Michalczyk Agnes, McKay Jill, Ford Dianne, Kambe Taiho, Hudek Lee, Varigos George, Taylor Philip, and Ackland M Leigh. “Altered expression of zinc transporters SLC30A5 and 6 (ZnT5 and 6) underlie a mammary gland disorder of reduced zinc secretion into milk” Manuscript submitted to Human Molecular Genetics

Kumar Loveleen, Michalczyk Agnes and Ackland M Leigh. “Functional analysis to determine co-dependency of ZnT5 and ZnT6 in neuronal cells” Manuscript in preparation

Kumar Loveleen, Michalczyk Agnes, Suphioglu Cenk, Sinclair Andrew and Ackland M Leigh. “Effect of Zinc and DHA on hZnT5 and hZnT6 transporters in neuronal cells” Manuscript in preparation

Kumar Loveleen, Michalczyk Agnes and Ackland M Leigh. “In silico molecular characterization of ZnT family members” Manuscript in preparation

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List of Contents

Access to Thesis – A .......................................................................................... ii

Candidature Declaration ................................................................................... iii

Acknowledgements ........................................................................................... iv

Publications Arising From This Project ........................................................... vi

List of Contents ................................................................................................ vii

List of Figures .................................................................................................. xiv

List of Tables ................................................................................................... xvii

List of Abbreviations ..................................................................................... xviii

Abstract ............................................................................................................ xxi

Chapter 1 Introduction ....................................................................................... 1

1.1 History of Zinc .................................................................................... 2

1.2 Chemistry of Zinc ............................................................................... 2

1.3 Zinc homeostasis ............................................................................... 3

1.3.1 Zinc absorption ....................................................................... 4

1.3.2 Zinc distribution ...................................................................... 5

1.3.3 Zinc transport ......................................................................... 5

1.3.4 Zinc storage ............................................................................ 6

1.3.5 Zinc excretion ......................................................................... 6

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1.4 Biological/physiological roles of zinc .............................................. 7

1.4.1 Zinc and nucleic acids ............................................................ 7

1.4.2 Zinc and Membranes .............................................................. 8

1.4.3 Zinc and Cell signaling ........................................................... 9

1.4.4 Zn and immune system ........................................................ 11

1.4.5 Zn and oxidative stress......................................................... 11

1.4.6 Zn and apoptosis .................................................................. 12

1.5 Zinc Deficiency ................................................................................. 13

1.6 Neonatal requirement of zinc .......................................................... 16

1.7 Zinc supplementation ...................................................................... 17

1.8 Zinc and diseases ............................................................................ 18

1.8.1 Zinc and cancer .................................................................... 18

1.8.2 Zinc and Alzheimer’s disease ............................................... 19

1.8.3 Zn and cardiovascular disease ............................................. 19

1.8.4 Zinc and Wilson disease18 ................................................... 20

1.9 Inherited disorders of zinc deficiency ............................................ 20

1.9.1 Acrodermatitis enteropathica ................................................ 20

1.9.2 Mammary gland disorder of zinc secretion ........................... 21

1.10 Zinc and lipids interactions in the brain ...................................... 22

1.10.1 DHA .................................................................................... 23

1.10.2 DHA and Brain ................................................................... 23

1.10.3 Link between DHA and zinc ............................................... 24

1.11 Cellular zinc transport ................................................................... 25

1.11.1 Bacterial zinc transporters .................................................. 25

1.11.1.1 Cellular zinc import systems ............................... 25

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1.11.1.2 Cellular zinc export systems ............................... 27

1.11.2 Eukaryotic zinc transport .................................................... 28

1.11.2.1 Zrt, Irt-like Proteins (ZIP) or SLC39 family .......... 28

1.11.2.2 Cation Diffusion Facilitators (CDF) or SLC30

family .................................................................. 29

1.11.3 Zinc transport in Saccharomyces cerevisiae ...................... 32

1.11.3.1 Cellular zinc uptake ............................................ 32

1.11.3.2 Cellular zinc efflux .............................................. 33

1.11.4 Mammalian zinc transporters ............................................. 34

1.11.4.1 ZIP family ........................................................... 35

1.11.4.2 ZNT family .......................................................... 42

1.11.4.3 NRAMP (Natural Resistance-Associated

Macrophage Proteins) or SLC11 family .............. 54

1.12 Project aims .................................................................................... 55

Chapter 2 - Material and Methods ................................................................... 57

2.1 Case history summaries .................................................................. 58

2.2 Sample collection and cell culture ................................................. 58

2.3 Plasmid preparation and cell transfection ..................................... 61

2.4 siRNA Construction and Transfection ........................................... 61

2.5 Quantitative Real Time PCR (qRT-PCR) ......................................... 64

2.6 PCR and sequencing for coding & promoter regions ................... 67

2.7 Transcription Factor Binding Site Analysis ................................... 71

2.8 Western Blots ................................................................................... 71

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2.9 Immunofluorescence ....................................................................... 74

2.10 Alkaline phosphatase assay ......................................................... 75

2.11 ZnT5 and ZnT6 Pyrosequencing Assay ....................................... 76

2.12 Physiological zinc uptake and efflux ............................................ 77

2.13 Bioinformatic in silico analysis..................................................... 79

2.14 Statistical Analysis ........................................................................ 80

Chapter 3 - Altered expression of zinc transporters SLC30A5 and

SLC30A6 (ZnT5 and 6) underlie a mammary gland disorder

of reduced zinc secretion into milk ............................................. 81

3.1 Introduction ...................................................................................... 82

3.2 Results ....................................................................................... 87

3.2.1 mRNA expression levels of hZnT5 and hZnT6 are

reduced in Mothers 1 and 2 ................................................ 87

3.2.2 Sequencing of hZnT2. .......................................................... 89

3.2.3 Sequence analysis of hZnT5 and hZnT6 cDNA from

patient cells and controls .................................................... 89

3.2.4 Analysis of exon-intron structure of hZnT6 gene .................. 90

3.2.5 Promoter Analysis ................................................................ 92

3.2.6 Western Blot analysis of hZnT5 and hZnT6 ......................... 92

3.2.7 Intracellular localization ........................................................ 95

3.2.8 Alkaline phosphatase activity ............................................... 98

3.2.9 DNA methylation .................................................................. 98

3.2.9.1 hZnT5 methylation .............................................. 98

3.2.9.2 hZnT6 methylation ............................................ 101

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3.3 Discussion ..................................................................................... 102

3.4 Conclusion ..................................................................................... 113

Chapter 4 - Functional analysis to determine co-dependency of ZnT5

and ZnT6 in neuronal cells ........................................................ 114

4.1 Introduction .................................................................................... 115

4.2 Results ..................................................................................... 117

4.2.1 Overexpression constructs ................................................. 117

4.2.2 Knockdown constructs ....................................................... 120

4.2.3 ZnT5 and ZnT6 interactions ............................................... 121

4.2.4 Alkaline phosphatase activity ............................................. 124

4.2.5 65 Zn accumulation ............................................................. 124

4.2.6 65 Zn Efflux ......................................................................... 126

4.3 Discussion ..................................................................................... 129

4.4 Conclusion ..................................................................................... 136

Chapter 5 - Effect of Zinc and DHA on hZnT5 and hZnT6 transporters in

neuronal cells ............................................................................... 137

5.1 Introduction ................................................................................... 138

5.2 Results ..................................................................................... 141

5.2.1 Pre-treatment of neuronal cells with DHA induced zinc

efflux ................................................................................. 141

5.2.2 DHA treatment reduced intracellular pools of labile zinc .... 143

5.2.3 DHA treatments enhanced neurite outgrowth ..................... 143

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5.2.4 hZnT5 and hZnT6 contains DHA regulatory elements in

their promoter regions....................................................... 145

5.2.5 hZnT5 and hZnT6 mRNA levels were influenced by DHA

and zinc ............................................................................ 148

5.2.6 High doses of DHA in presence of Zn increased the

protein expression of hZnT5 and hZnT6 ........................... 150

5.2.7 DHA does not affect localisation of hZnT5 and hZnT6 in

M17 neuronal cells ........................................................... 153

5.2.8 DHA does not influence the alkaline phosphatase activity . 155

5.2.9 hZnT5 and hZnT6 predicted variants in M17 neuronal

cells by RT-PCR ............................................................... 155

5.3 Discussion ..................................................................................... 161

5.4 Conclusion ..................................................................................... 168

Chapter 6 - In silico molecular characterization of ZnT family members .. 169

6.1 Introduction .................................................................................... 170

6.2 Results ..................................................................................... 172

6.2.1 Characteristic features of ZnT family members .................. 172

6.2.2 Transmembrane domain (TMD) analysis of ZnT members 172

6.2.3 Identity/Similarity Matrix Results ......................................... 180

6.2.4 Phylogenetic analysis of SLC30 (ZnT) family members ..... 180

6.2.5 Analysis of promoter region ................................................ 180

6.2.6 Syntany analysis of transcription binding factors in

promoter region of ZnT family members ........................... 183

6.2.7 Analysis of miRNA in the 3’ region of ZnT family members 187

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6.2.8 Predicted three dimensional structure of ZnT’s .................. 189

6.3 Discussion..................................................................................... 194

6.4 Conclusion .................................................................................... 204

Chapter 7 – Summary ..................................................................................... 205

References ...................................................................................................... 209

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List of Figures

Figure 1.1 Comparison of the effects of zinc intoxication versus deficiency ....... 14

Figure 1.2 Predicted structure of the members of ZIP family .............................. 30

Figure 1.3 Predicted structure of the members of ZnT family ............................. 31

Figure 3.1 Photograph of patient (infant number 1) showing dermatitis on feet .. 85

Figure 3.2 Real-time RT-PCR analysis of hZnT mRNAs in cells from Mother

1 or Mother 2 and corresponding controls ......................................... 88

Figure 3.3.1 Analysis of fragments of hZnT6 cDNA from lymphoblasts and

fibroblasts from Mother 1, Mother 2 and corresponding controls to

elucidate splice site variants .............................................................. 91

Figure 3.3.2 Diagram to illustrate the different exon-intron structure of the

hZnT6 gene. ...................................................................................... 93

Figure 3.4 Diagramatic presentation of promoter region of hZnT5 and hZnT6

genes ................................................................................................ 94

Figure 3.5 Western blot analysis of proteins from two mothers with zinc

deficient infants ................................................................................. 96

Figure 3.6 Intracellular/Subcellular localization of hZnT5 and hZnT6 ................. 97

Figure 3.7 Alkaline phosphatase activity ............................................................. 99

Figure 3.8 Bislphide pyrosequencing for DNA methylation of hZnT5 and

hZnT6 genes ................................................................................... 100

Figure 3.9 ZnT5 and ZnT6 changes in mothers producing zinc deficient milk .. 112

Figure 4.1 Overexpression and knockdown constructs of ZnT5 ....................... 118

Figure 4.2 Overexpression and knockdown constructs of ZnT6 ....................... 119

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Figure 4.3 Expression of ZnT5 in response to ZnT6 overexpression and

Knockdown ...................................................................................... 122

Figure 4.4 Expression of ZnT6 in response to ZnT5 overexpression and

knockdown ...................................................................................... 123

Figure 4.5 Alkaline phosphatase activity ........................................................... 125

Figure 4.6 65Zinc accumulation ......................................................................... 127

Figure 4.7 65Zinc Efflux ..................................................................................... 128

Figure 5.1 65Zinc efflux studies ......................................................................... 142

Figure 5.2 Intracellular pools of labile zinc ........................................................ 144

Figure 5.3 Impact of DHA on morphology of M17 neuronal cells ...................... 146

Figure 5.4 RAREs and MREs in the promoter region of hZnT5 and hZnT6 ...... 147

Figure 5.5 SYBR-Green Real-time RT-PCR analysis of hZnT5 and hZnT6

mRNA from Zn and DHA treated M17 neuronal cells ...................... 149

Figure 5.6 SYBR-Green Real-time RT-PCR analysis of hZnT5 and hZnT6

mRNA from Vitamin E and DHA treated M17 neuronal cells ........... 151

Figure 5.7 Western blot analysis of proteins from Zn and DHA treated M17

neuronal cells .................................................................................. 152

Figure 5.8 Immunofluoresence analysis of hZnT5 and hZnT6 protein

localisation in M17 neuronal cells .................................................... 154

Figure 5.9 Alkaline phosphatase activity ........................................................... 156

Figure 5.10 Predicted variants for hZnT5 gene................................................. 157

Figure 5.11 Predicted variants for hZnT6 gene................................................. 158

Figure 6.1 Diagram to illustrate Exon-Intron structure of ZnT9 ......................... 174

Figure 6.2 Analysis of transmembrane domains of ZnT members .................... 175

Figure 6.2.1 Analysis of transmembrane domains of ZnT3 .............................. 177

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Figure 6.2.2 Analysis of transmembrane domains of ZnT9 .............................. 178

Figure 6.2.3 Analysis of transmembrane domains of ZnT5 .............................. 179

Figure 6.3 Identity/Similarity Matrix ................................................................... 181

Figure 6.4 Phylogenetic tree of the ZnT family members ................................. 182

Figure 6.5 Microsyntany analysis of transcription binding factors present in

promoter region of ZnT family members ......................................... 186

Figure 6.6.1 Predicted 3-dimensional structures of ZnT2 and ZnT3 ................. 190

Figure 6.6.2 Predicted 3-dimensional structures of ZnT8 and ZnT6 ................. 191

Figure 6.7 Homology Model of ZnT3 homodimer .............................................. 193

Figure 6.8 Alternating access mechanism for Zn2+/H+ antiport by YiiP ........... 201

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List of Tables

Table 2.1 Primer Table for overexpression and knock-down constructs ............. 63

Table 2.2 Real-Time PCR Primers ..................................................................... 66

Table 2.3 Primers used for Genomic DNA PCR ................................................. 68

Table 2.4 Primers used for RT-(Reverse transcriptase) PCR ............................. 70

Table 5.1 Splice variants generated by RT-PCR for hZnT5 and hZnT6 genes . 160

Table 6.1 Characteristic features of ZnT family members ................................ 173

Table 6.2 (i) Important transcription binding factors among all ZnT members .. 184

Table 6.2 (ii) Important transcription binding factors among all ZnT members . 185

Table 6.3 miRNA binding sites in 3’ region of ZnT family members .................. 188

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List of Abbreviations

65Zn Radiolabelled zinc

Aβ β-amyloid

ABC ATP Binding Cassette

AD Alzheimer’s Disease

ALP Alkaline Phosphatase

Asp Aspartic acid

bp base pairs

BT Breast Tissue

CDF Cation Diffusion Fascilitators

CHO Chinese hamster ovary cells

CREB Cyclic AMP Response Element-Binding Protein

CT Threshold cycle

CTD C-terminal Domain

Cys Cysteine

DBD DNA Binding Domain

DHA Docosahexaenoic Acid

DMEM Dulbecco’s Modified Eagle Medium

DNA Deoxyribonucleic Acid

dNTP Deoxyribonucleotide Triphosphate

EDTA Ethylene di-amine tetra acetic acid

ER Endoplasmic reticulum

ERE Estrogen Responsive Element

ESP Early secretory pathway

EST Expressed sequence tag

EZS Early Zinc Signal

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FBS Fetal Bovine Serum

GAPDH Glyceraldehyde-3-phosphate dehydrogenase

His Histidine

IGF-1 Insulin-like growth factor-1

K.D. Knock Down

LBD Ligand Binding Domain

LPS Lipopolysaccharide

LBD Ligand Binding Domain

LZS Late Zinc Signal

MRE Metal Responsive Element

MT Metallothionein

MTF-1 Metal response element-binding transcription factor 1

O.E. Over Expression

ORF Open Reading Frames

PBS Phosphate Buffered Saline

PCR Polymerase Chain Reaction

PRE Progesterone Responsive Element

PUFA Poly Unsaturated Fatty Acids

RA Retinoic Acid

RAREs Retinoic Acid Responsive Elements

RNA Ribonucleic Acid

RND Resistance, Nodulation, Division protein family

RPMI Roswell Park Memorial Institute developed media

RT Reverse Transcriptase

RT-PCR Reverse Transcription Polymerase Chain Reaction

RXR Retinoic X Receptor

siRNA Small interfering RNA

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SNP Single Nucleotide Polymorphism

TBF Transcription Binding Factor

TBS Tris Buffered Saline

TGN trans-Golgi network

TMHMM Transmembrane Hidden Markov Model

TMD Trans Membrane Domain

TNAP Tissue Non-specific Alkaline Phosphatase

TPEN N, N, N, N-tetrakis (2-pyridylmethyl) ethyl-enediamine

Trp Tryotophan

UPR Unfolded protein response

UTR Untranslated Regions

ZIP Zrt Irt-like Proteins

ZIRTL Zinc-Iron Regulated Transporter-like

ZTL ZnT-Like Transporter

ZnT Zinc Transporter protein

Znu Zinc uptake protein

Zn Zinc

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Abstract

Zinc is an essential micronutrient that is required for the normal growth and

development of all organisms. Hence uptake and transport play a vital role in

maintaining zinc homeostasis. Two membrane-bound protein families,

SLC30 (ZnT) and SLC39 (Zip) are involved in the transportation of cellular

zinc.

This study contributes to the knowledge of zinc homeostasis involving

members of the ZnT family, in particular ZnT5 and ZnT6, and their role in the

molecular basis of an inherited disorder of zinc metabolism in humans, and

their function in cultured neuronal cells.

Two cases of zinc deficiency in neonates were investigated. Zinc levels in the

milk of both mothers were reduced by at least 75% compared to normal. A

reduction in alkaline phosphatase activity in maternal lymphoblasts was

consistent with a loss of zinc transport activity. Significant reduction of mRNA

expression and protein levels of human zinc transporters, SLC30A5 (ZnT5)

and SLC30A6 (ZnT6), in maternal tissue were observed, suggesting a causal

link to the zinc deficiency disorder. Lymphoblasts and fibroblasts isolated

from both mothers showed altered DNA methylation in ZnT5 at epi-labile

CpG sites, and novel splice variants along with full-length expression in

ZnT6. Altered DNA methylation, likely accounts for reduced ZnT5 mRNA

expression and low protein levels in lymphoblasts. Reduced ZnT6 mRNA

expression and protein levels in lymphoblasts may be secondary to reduced

ZnT5 expression, given that ZnT5 and ZnT6 function as a heterodimer with

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regards to zinc transport. These results suggest that these two cases of zinc

deficiency in neonates caused by a mammary gland disorder are due to

defects in the human zinc transporters ZnT5 and ZnT6.

The co-dependency of ZnT5 and ZnT6 on each other was investigated in

neuronal cells by using overexpressed and knockdown constructs of these

genes. ZnT5 expression levels of mRNA and protein in cells with

overexpression and knockdown constructs of the ZnT6 gene was not altered,

but on the other hand ZnT6 mRNA and protein levels in cells with

overexpression and knockdown constructs of the ZnT5 gene were altered by

the changes in ZnT5. This indicates the possibility of these two transporters

to work together in neuronal cells.

The omega-3 fatty acid, DHA is crucial for neurological function. Low dietary

intake of DHA has been linked to Alzheimer’s disease and DHA deficiency

causes neuronal cell death. Previous studies show that DHA affects zinc

transport and zinc transporter levels in neuronal cells. The aim of the current

study was to explore the molecular basis of the link between the omega-3

fatty acid DHA and zinc metabolism through the ZnT5 and ZnT6 transporters.

M17 neuronal cells exposed to DHA showed a significant reduction in

intracellular zinc levels and increased zinc efflux, compared to untreated

cells. DHA treatment induced neurite outgrowth in cultured cells. Both QRT-

PCR and western blot analysis showed high expression of ZnT5 and ZnT6

transporters at the transcription and translation levels. A link between DHA,

zinc and activation of ZnT5 and ZnT6 transporters was established where

RARE’s (retinoic acid responsive elements) were located in the promoter

regions of the ZnT5 and ZnT6 genes, for ligand activated transcription factors

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which could switch on gene expression. In conclusion, the ZnT5 and ZnT6

transporters may be regulated by DHA through a pathway involving changes

in zinc fluxes.

Using bioinformatics tools and soft-wares, all members of ZnT family were

analysed for their structure and the phylogenetic relationships between them.

Some of the members are very diverse from others. A total of 10 members of

ZnT family were characterized into four main subfamilies, according to the

similarity amongst different members based on their coding and promoter

regions. Hormonally influenced transcription binding sites present in

promoter region of the genes have been reported and considered in relation

to regulation of the transcription and translation of the genes. Three

dimensional structural models were generated and analysed by comparison

to Yiip where X-ray structure crystallography has previously been reported

The results presented in this thesis provide novel data about the role of ZnT5

and ZnT6 in an inherited disorder of zinc deficiency in premature babies and

in brain cells where a relationship between zinc fluxes, zinc transporter

expression and DHA exposure was found.

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CHAPTER 1

Introduction

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1.1 History of zinc

Zinc is an essential trace element that is required for growth and

development of all organisms. Zinc has been known to humans for

centuries. It was used as an alloy with copper, called brass since the 5th

Millennium BC. At the beginning of the sixteenth century metallic zinc was

isolated (Sieveking et al., 1970). Later on, it was found that zinc is

essential for the function of the living organisms when growth of bread

mould Aspergillus niger was found dependant on this mineral (Raulin et al.,

1869) similarly studies on higher plants, rodents and humans confirmed

the indispensability of zinc for growth and development of all forms of the

life (Maze, 1914; Todd et al., 1934; Prasad et al., 1963).

1.2 Chemistry of zinc

Zinc is a small, stable metal ion with d-shell filled with 2 s electrons. The

natural redox state for zinc is Zn (II) and it does not undergo oxidation or

reduction processes (Vallee and Falchuk, 1993). Other chemical features

that enable zinc to have a fundamental role in many biological processes

include its amphoteric character, which allows it to participate in both

hydrate and hydroxide metal complexes. Zinc’s Lewis acid properties and

its multiple coordination geometries, enable it to co-ordinate 2 to 8 ligands

with 4, 5 and 6 most frequently found in catalytic sites (Williams, 1984;

Auld, 2001). Considering all the features of zinc in addition to the relatively

rapid exchange of the ligands from its complexes (Vallee and Auld, 1993),

it is not surprising that zinc participates in almost all cellular processes

from cell division, development and differentiation to apoptosis (Beyersman

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and Haase, 2001). Zinc, along with other elements including copper, iron,

selenium, is classified as an essential trace element as it is required in

milligram amounts in the diet and its absence results in severe malfunction

leading even to death if prolonged deficiency occurs.

1.3 Zinc homeostasis

Inside cells, approximately half of the zinc is located in the cytoplasm and

cytosolic organelles. An additional 30 to 40% is found in the nucleus while

a small proportion is associated with cell membranes (Vallee and Falchuk

,1993). The majority of the intracellular zinc is bound by proteins and only

very small proportion could be classified as free zinc. An estimation of the

free intracellular zinc concentration depends on selection of the

quantitative technique used and ranges from 24 pM using 65Zn

measurements (Simons, 1991) to 2 nM when the fluorescent probe Mag-

Fura-2 was used (Sensi et al., 1997).

The human body contains up to 2 g of zinc with the greatest proportion

present in muscle and bones (80%-90%) followed by skin, liver, retina,

prostate and other tissues (Jackson, 1989). The zinc content of most of

tissue remains constant even with the intake change as high as 10-fold.

This is mainly achieved through the homeostatic action of gastrointestinal

system regulating the zinc absorption and excretion in accordance to

requirements (Johnson et al., 1993).

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1.3.1 Zinc absorption

Dietary zinc is absorbed in small intestine, mainly in the distal duodenum

and proximal jejunum where it enters the enterocytes and is transferred

across the basolateral membrane to portal circulation (Lee et al., 1989).

Studies measuring the fractional absorption of the zinc using stable isotope

tracers show that increased dietary zinc intake causes a decline in the

efficiency of zinc absorption (Jackson et al., 1984) while with reduced

intake fractional absorption dramatically increases (Wada et al., 1985;

Taylor et al., 1991; Lee et al., 1993). While the zinc content of the diet may

vary considerably, the intracellular zinc concentration remains relatively

constant, for example approximately 200 M in eukaryotic cells (Palmiter

and Findley, 1995). The absorption of zinc can also be affected by different

ligands present in the lumen of the gut that gets secreted by body or are

produced by consumed food. Some animal amino acids like cysteine,

histidine, tryptophan (Wapnir and Stiel, 1986) and low molecular weight

ligands like piconilic acid (Evans, 1983), citrate (Lonnerdal et al., 1980)

facilitates zinc absorption. Similarly other dietary nutrients like phytates,

reduce the zinc absorption by forming indigestible complexes with zinc

(O’Dell and savage, 1960). Other metals like calcium, cadmium, copper

and iron in high concentration can also reduce the absorption of zinc as

they will be competing against zinc for metabolic sites (Breskin et al., 1983;

Hill and matrone, 1970; Oberleas et al., 1966; Van Campen., 1969).

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1.3.2 Zinc distribution

Absorbed zinc is transported into the blood. Although most of the blood

zinc (75-80%) is firmly bound to carbonic anyhydrase in erythrocytes, the

primary source of zinc accessible to the cells is found in the plasma and

represents less than 1% of whole body zinc (Vallee and Gibson, 1949).

The majority of plasma zinc (60-70%) is loosely bound to albumin and

tightly to 2-macroglobulin (~30%). The rest is associated with –globulin,

free amino acids present in ionic form (Prasad and Oberleas, 1970).

Radiolabelled zinc (65Zn) studies have indicated that virtually all absorbed

zinc is transported through the body by albumin (Smith and Cousin, 1980).

Plasma zinc concentrations are relatively constant despite the fact that all

absorbed zinc enters the circulation. Plasma zinc homeostasis is achieved

by maintaining a rapid plasma zinc turnover (~150 times a day) (King et al.,

2000). Plasma zinc concentrations only fall with short-term extremely low

zinc intakes, prolonged mild deficiency or marginal intake during increase

zinc demand: pregnancy, lactation and infancy (reviewed in Krebs, 2000).

1.3.3 Zinc transport

Zinc transporters mediate cellular zinc uptake, efflux and intracellular

distribution. Two major families of zinc transporters exist: Cation Diffusion

Facilitators (CDF) also known as the SLC30 family and Zrt Irt-like Proteins

(ZIP), known as the SLC39 family. The detailed function and

characterisation of these two families is described in section 1.11.

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1.3.4 Zinc storage

Zinc is transported from small intestine to the liver from where it is

redistributed to the other tissues. The muscle, skin, hair, bones and testis

hold relatively high concentrations of zinc but in severe zinc deficiency the

decline in tissue zinc was only noticed in plasma, liver, testis and bones

(reviewed in Jackson et al., 1982). During such prolonged deficiencies,

firstly the plasma zinc decreases giving signal to selected tissues to

conserve zinc (King et al., 2000). The decline in bone zinc happens most

likely due to decrease zinc uptake rather than enhanced release (Zhou et

al., 1993).

1.3.5 Zinc excretion

The gut is the major organ in the regulation of zinc excretion from the body.

Fecal zinc consists of the unabsorbed exogenous fraction and a significant

fraction of endogenous excreted zinc, originating from pancreatic

secretion, bile and intestinal zinc release and sloughing of mucosal cells

(Krebs, 2000). Zinc is also excreted from the body through the urine but

these losses are low compared to gastrointestinal losses and do not

fluctuate readily with zinc uptake. Only very low levels of dietary zinc

intakes can rapidly reduce urinary excretion (Johnson et al., 1993).

Additional small amounts of zinc can be lost from the body with sweat,

menstrual blood and shedding of skin, hair and nails (reviewed in

Underwood, 1981).

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1.4 Biological/physiological roles of zinc

Zinc is an essential trace element required for the structural stability of a

variety of proteins involved in transcription and protein trafficking, as well

as for the catalytic activity of metalloenzymes and serves as a cofactor in a

variety of biochemical reactions. Furthermore, many studies have been

undertaken to understand the role of zinc in various vital cell processes

such as in the function of nucleic acids, cell signalling, membrane stability

and cell death.

1.4.1 Zinc and nucleic acids

A direct role for zinc in DNA transcription became evident when some

classes of RNA polymerases were discovered to be zinc-dependant, for

example six subunits of yeast RNA polymerase II contain zinc-finger

domains (Cramer at al., 2000). Additionally, four structural proteins (L24,

L37, L37a and L44) of the large ribosomal subunit are also zinc-binding

molecules (Ban et al., 2000). The DNA binding domain of glucocorticoid

and estrogen receptors that enhance the expression of some genes in

response to specific hormones for example cortisol or estrogen contains

two atoms of zinc (Freedman et al., 1988).

Zinc deficiency reduces the activity of deoxythymidine kinase, an enzyme

responsible for the phosphorylation of deoxythymidine, a crucial step for

DNA synthesis (Chesters et al., 1990). Deoxythymidine kinase is not a

metalloenzyme but its expression is regulated by zinc-dependent factor

binding in the promoter region (Chesters et al., 1995). Also, most likely zinc

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affects the chromatin structure and function through the binding to histone

deacetylases, which regulate transcription of DNA (Finnin et al., 1999).

In 1984 Ginsberg et al. discovered presence of zinc in TFIIIA transcription

factor from Xenopus laevis. One years latter conserved, repetitive motif of

TFIIIA containing Cys and His ligands were called zinc-finger domain (Miller

et al., 1985). The motif found in TFIIIA is classified as classical zinc-finger

and contains multiple Cys2His2 sequence separated by the TGEKP linker –

presumably DNA binding site (Laity et al., 2000). The example of classical

Cys2His2 zinc-finger transcription factor can be metal response element-

binding transcription factor MTF-1 (Bittel et al., 1998). Zinc enzymes and

proteins are used in most of the cellular processes from controlling of DNA

and RNA stability through transcription processes, cell signaling, membrane

stability and free radicals scavenging to cell apoptosis (for more details see

Section 1.4.2,1.4.3, 1.4.5).

1.4.2 Zinc and Membranes

Zinc deficiency affects erythrocytes and platelets plasma membranes. Zinc

depletion in rat red blood cells significantly decreased the plasma

membrane zinc content without an observable reduction in the total cellular

Zn content. Upon zinc repletion, the membrane zinc level was quickly

restored (Taylor et al., 1988). An increase in the osmotic fragility of

erythrocytes was another feature observed in Zn-deficient rats, and this

could be reversed by zinc supplementation (O’Dell et al., 1987).

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The deleterious effects of zinc deficiency on membrane can be explained,

to some extent, by the repressed activity of enzymes for example the

calcium pump, Ca-ATPase (Johanning et al., 1990). Zinc may alter

membrane metabolism through alteration of membrane lipid metabolism.

Nutritional zinc deficiency affects synthesis of cholesterol, phospholipids,

fatty acids and lipoproteins (Cunnane, 1988). The mechanism of these

processes is not clear but Zelenski et al. (1999) has demonstrated the role

of a zinc metalloenzyme Site-2 protease in the control of cholesterol

biosynthesis. In this way zinc maintains the integrity and balance of the

membrane lipids.

1.4.3 Zinc and Cell signalling

Zinc plays important role in cell signalling from signal molecule production

and recognition through second messenger metabolism to protein

phosphorylation. Zinc itself can act as signalling ion in neurons, by

attenuating the activity of NMDA glutamate receptors or by increasing the

activity of GABA receptors (Westbrook and Mayer, 1987). In hepatocytes,

an increase in the extracellular zinc concentration increases the

intracellular concentration of calcium, through release of calcium from

cellular stores (McNulty and Taylor, 1999) leading to the activation of

calcium-dependent protein kinases. Intracellular glucocorticocoid and

estrogen receptor bind their substrate through the zinc domains. Zinc

deficiency decreases production of hepatic insulin-like growth factor-I (IGF-

I) (Roth and Kirchgessner, 1994) but also increases the expression of IGF-

I binding protein-3, which competes with IGF-I receptor in IGF-I coupling

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(MacDonald et al., 1998). In a zinc sufficient state, the receptor activation

by IGF-I causes a cascade of phosphorylation and leads to cellular

response for example the induction of cell division (MacDonald, 2000).

Zinc levels influence second messenger metabolism through regulating the

activity of cyclic adenosine monophosphate (cAMP) and cyclic guanosine

monophosphate (cGMP). Francis et al. (1994) have found two zinc-binding

motifs in the catalytic region of cyclic nucleotide phosphodiesterase V,

which regulate its activity and hence the degradation of cAMP and cGMP.

Other members of cGMP and cAMP- families were shown to be inhibited

by zinc concentrations higher than 1 uM while in some cases low zinc

concentration was able to activate the enzyme (Percival et al., 1997;

Kovala et al., 1997; He et al., 2000). These observations suggest that zinc

may have a direct physiological role in regulating the activity of cyclic

nucleotides.

A direct role of zinc in protein phosphorylation is suggested from studies on

the regulation of protein kinase C. This enzyme contains two independent

zinc-binding domains, each able to link 2 atoms of zinc in the region of the

lipid-binding region (Quest et al., 1992; Hommel et al., 1994). The zinc

chelator 1,10-phenanthroline was able to inhibit activity of PKC, pointing to

a role of chelatable zinc pools in regulation of the enzyme (Forbes et al.,

1991).

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1.4.4 Zinc and immune system

Zinc is crucial for immune responses, affecting proliferation of T and B-

lymphocytes, baseline and antibody dependent activity of killer

lymphocytes and phagocytotic and bacterial capacities of neutrophils. Zinc

deficiency induces impaired haemostasis as a result of defective platelet

aggregation and a decrease in T cell number (Tapiero and Tew, 2003). In

mast cells cytokine production gets altered as a result of reduced lytic

activity of natural killer T cells (NKT) due to zinc deficiency (Muzzioli et al.,

2009; Mochegiani et al., 2003). Zinc supplementation enhanced innate

immunity against enterotoxigenic E. coli infection in children due to

increased C3 complement along with increased phagocytosis and T cell

functionality (Sheikh et al., 2010).

1.4.5 Zinc and oxidative stress

Zinc deficiency enhances the production of free radicals that can lead to

peroxidation of lipids (Burke and Fenton, 1985) and protein oxidation

(DiSilvestro and Blostein-Fujii, 1997), hence can result in the susceptibility

of the organism to oxidative tissue injury. Zinc also increases the

production of metallothioneins that act as free radical scavengers (Maret,

1994). Zinc plays a protective role in preventing oxidation of δ-

aminolevulinate dehydrogenase sulphydryl groups from oxidation (Gibbs et

al., 1985).

In all living organisms, cells require adequate levels of antioxidants as a

defence mechanism to avoid any harmful effect of an excessive production

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of reactive oxygen species (ROS), also known as free radicals. During the

inflammatory processes, the activation of phagocytes or the action of

bacterial products with specific receptors are capable of promoting the

assembly of NADPH oxidase, which catalyses the production of high

amounts of the superoxide anion radical. Neutrophils and macrophages

get recognized under these particular circumstances to produce

superoxide free radicals that are essential for defence against invading

microbes (Puertollano et al., 2011).

1.4.5 Zinc and apoptosis

Apoptosis is programmed cell death involved in several biological events

due to harmful substances or induced by organism due to physiological or

environmental changes. Zinc is described as an inhibitor of apoptosis,

where as its depletion induces death in many cell lines (Seve et al., 2002).

Low cellular zinc concentrations can enhance apoptosis in different cell

types eg fibroblasts, glioma, hepatocytes, T cell precursors and testicular

cells. Zinc acts as an inhibitor of caspase-3, caspase-8, and caspase-9

which are cysteine proteases and have basic role in apoptosis (Thornberry

and Lazebnik, 1998; Truong-Tran et al., 2001). The movement of

intracellular zinc is maintained by several zinc transporters to have a

balance between life and programmed cell death (Seve et al., 2002). Zinc

deficiency can also induce apoptosis by altering signal transduction growth

factors controlled by receptor tyrosine kinases (Clegg et al., 2005).

However zinc can have a negative effect in cases when excessive

accumulation in synaptic spaces mediates apoptotic cell death in the

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developing rodent brain (Capasso et al., 2005; Cho et al., 2010). A

comparison of the effects of zinc deficiency and zinc intoxication (excess

zinc) have been illustrated in figure 1.1 (Plum et al., 2010).

1.5 Zinc Deficiency

The main symptoms of zinc deficiency are anorexia, loss of appetite, smell

and taste failure, severe skin lesions, impaired immune response,

diarrhoea, hypogonadism and neurological disorders.

Zinc is such an important element in human health that even a small

deficiency can lead to disaster. The history of recognizing the significance

of zinc in the human body is remarkably short considering the importance

of zinc in biology. In 1961, the first case of zinc deficiency was reported in

a man from Iran, outlining the symptoms of zinc deficiency with severe

anemia, growth retardation, hypogonadism, rough skin and mental lethargy

(Prasad et al., 1961). The anemia was successfully treated with iron

supplementation but the other symptoms only disappeared upon oral zinc

therapy (Prasad et al., 1963a, Prasad, 1966). Later in Egypt, patients

demonstrating similar symptoms were also studied. Their body zinc levels

were low relative to normal, classifying them as zinc deficient (Prasad et

al., 1963b). Similarly, many other studies recognised that zinc deficiency

was a widespread problem in the world.

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Figure 1.1 Comparison of the effects of zinc intoxication

versus deficiency.

Intoxication by excessive exposure to, or intake of zinc (left hand side) and

deprivation of zinc by malnutrition or medical conditions (right hand side) and

their effect on different organ systems.

Effects that affect several organs or could not be attributed to a certain organ

system are classified as systemic symptoms.

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Plum et al., 2010

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In pregnant women, zinc deficiency may lead to fetal brain cells decrease

and may affect their development. Zinc deficiency in children can impact

normal growth and intellectual development. In adult males, zinc deficiency

may lead to prostatic hyperplasia, affecting the reproductive function and

fertility. Malnutrition and high phytate diet are the most common causes of

zinc deficiency not only in developing countries but also in some groups

from industralised countries including vegans, vegetarians and low

socioeconomic groups (Freeland-Graves et al., 1980; Ramakrishnan,

2002). National food balance datasheets were used to estimate that

approximately half of world’s population is at risk of zinc deficiency

(Wuehler et al., 2005).

A significant issue is the lack of a quick and reliable method to determine

body zinc status. Most of the time plasma zinc concentrations are used to

estimate zinc status, however it may not be affected in mild zinc deficiency

and even more plasma zinc levels are altered by infections or stress.

Plasma zinc concentrations can remain unchanged in case of severe zinc

deficiency because zinc can be released from tissues (reviewed in Aggett

and Comerford, 1995; Krebs and Hambidge, 2001). The zinc concentration

in red blood cells is not readily changed even in severe deficiency. The

response of leukocytes to zinc changes is more rapid but assay is very

laborious. Measurement of zinc in hair and nails can be misleading, as the

zinc concentrations may remain normal in severe deficiency due to growth

arrest of these tissues. Several others commonly used methods also

present some problems. Possibly the best approach to diagnosis of zinc

deficiency is to measure zinc levels in several body compartments and to

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correlate it to the extent of which zinc supplementation ameliorates the

symptoms of the deficiency (reviewed in Thompson, 1991; Agget,t 1991;

Aggett and Comerford, 1995; Prasad, 1985; Krebs and Hambidge, 2001).

1.6 Neonatal requirement of zinc

Lactation is one of the physiological stages of life when demand for zinc

rapidly increases to compensate for the secretion into the milk in lactating

women. It was demonstrated that the fractional zinc absorption during

lactation increases nearly 2 fold while endogenous fecal loses may remain

unchanged (Fung et al., 1997). Zinc levels in human milk change with

progression of lactation from the highest in colostrums (~8.12 g/ml),

reduced to 50% (~4.56 g/ml) in first week of lactation and then through

gradually decline to ~ 20% in next 12 months to a level of ~0.9 g/ml

(Casey et al., 1985; Krebs et al., 1995; Krebs, 1998; Dorea, 2012).

Compared to cow’s milk, the zinc concentration in human milk is on

average two times lower but its bioavailability for infants is very high. The

fractional zinc absorption in infants reaches 55% from human milk (Krebs

et al., 1996).

The zinc requirements of the infant up to 6 months of age are usually met

by an exclusive breast-milk diet despite the decline in breast milk zinc

concentration, which is not compensated by the increase in volume of milk

consumed. It is mainly due to infant’s very efficient fractional absorption of

highly available zinc from the milk and conservation of endogenous losses

(Krebs and Hambidge, 1986). After 6 months, the breast milk diet needs

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be complemented with additional food, especially meat, to provide

adequate zinc status in infants (Krebs and Westcott, 2002).

1.7 Zinc supplementation

The minimum zinc requirements for humans with satisfactory growth and

health vary a lot due to different factors like type of diet consumed, stress

and climatic conditions. The recommended daily intake ranges between 3-

5 mg/day for infants, 7-10 mg/day for children up to 10 years of age and

12-15 mg/day for older children and adults (Aggett and Comerford, 1995;

Tapiero and Tew, 2003; MacDonald, 2000), and the tolerable upper intake

level of zinc recommended is 25mg/day by Scientific Committee for Food

(SCF, 2003). The major source of the everyday zinc supply in humans is

dietary. The richest sources of dietary zinc include seafood, specifically

oysters, red meat, dairy products and nuts (Underwood, 1981). Many types

of food are relatively rich in zinc for example cereals, corn and vegetables

however intake of the zinc from the diet containing these foods may not be

adequate. The reason for this is the presence of phytate (inositol

hexaphosphate) in these foods, which have an inhibitory effect on zinc

absorption. The phosphate groups in phytate bind zinc, creating insoluble

complexes, which are not absorbed by gastrointestinal system through the

lack of phytases (Lonnerdal, 2000).

The efficiency of zinc supply is dependent on the dose and length of the

treatment. High doses of zinc supplementation and prolonged use can result

in zinc accumulation that can further impact the immune system

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(Mocchegiani et al., 2001). Consumption of 12 mg Zn/day is considered a

physiological dose of zinc for a short period (1 month) and restores immune

efficiency in Down’s syndrome individuals (Licastro et al., 1993). Zinc

treatment has been successful in curing patients with acrodermatitis

enteropathica and Wilson’s disease. At the same time, there are cases of

acute and chronic zinc poisoning due to excess zinc which is toxic (Pagani et

al., 2007), therefore a suitable range between 0.1 and 0.5 mM cellular level

of zinc must be controlled within a cell (Eide, 2006).

1.8 Zinc and diseases

Zinc is one of the most important trace elements present in human body with

numerous functions therefore it is not surprising that zinc deficiency can have

devastating effect on human health and hence can lead to a variety of

diseases.

1.8.1 Zinc and cancer

Zinc plays an important role in prevention of cancer by providing host

defence against prognosis and the treatment of several malignancies

(Dhawan and Chadha, 2010). The involvement of zinc in cancer development

was shown by abnormal levels of zinc in different types of cancer (John et al.,

2010). Reduced zinc serum levels have been demonstrated in patients with

different malignancies, for example breast cancer (Schlag et al., 1978),

gallbladder (Gupta et al., 2005) and lung (Issell et al., 2006).

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1.8.2 Zinc and Alzheimer’s disease

Zinc metabolism is altered in Alzheimer’s disease (AD) and other

neurodegenerative diseases (Aschner, 1996; Wang et al., 2010). In AD

patients brain β-amyloid (Aβ) plaques are formed and post-mortem studies of

AD brains showed accumulation of zinc in those A-Beta plaques (Dong et al.,

2003; Friedlich et al., 2004; Stoltenberg et al., 2005). Zinc is the only

physiologically available metal that can precipitate Aβ because Ab peptide

has zinc-binding sites. The abnormal increase of zinc in the brains of AD

patients demonstrated that zinc binding to Aβ plays a role in the formation of

amyloid plaques (Faller, 2009). Similarly zinc chelating agents like clioquinol

(CQ) and DP-109, that are known to modulate brain zinc levels can inhibit the

formation of amyloid plaques (Cherny et al., 2001; Bush, 2000, 2002; Lee et

al., 2004a). The disruption of zinc homeostasis is a potential therapeutic

strategy for AD (Wang et al., 2010).

1.8.3 Zinc, diabetes and cardiovascular disease

Worldwide cardiovascular disease (CVD) is the leading cause of deaths. With

advance age, plasma zinc levels drop and show a strong association with

increasing CVD cardiovascular disease (Little et al., 2010). The trace

element zinc is also known to play an important role in pancreatic islets

where it acts as a specific structural component of the insulin molecule and

helps in insulin secretion (Ynsa et al., 2009). It is also involved in synthesis

and signaling of insulin, glucagon secretion (Bosco et al., 2010). Shokrzadeh

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et al (2009) showed a high excretion of zinc in the group with diabetes

mellitus and congestive heart failure.

1.8.4 Zinc and Wilson disease

Wilson disease is an inherited autosomal recessive disorder that results due

to copper imbalance and results in defect in ATP7B gene and neurological

disturbance. The zinc supplementation in Wilson’s disease enhances the

intestinal and hepatic metalothioneins (MTs) synthesis that protects the

hepatic system from high copper levels (Stefanidou and Maravelias, 2004).

The intensive zinc treatment does not cure Wilson patient’s, but it does

improve some clinical symptoms of these patients. Even though zinc

treatment has some side effects, none of them are severe and hence zinc

acetate is recommended for long-term management of patients with Wilson’s

disease (Huster, 2010; Shimizu et al., 2010).

Zinc deficiencies are also associated with number of other diseases for

example: renal disease, sickle cell anemia, alcoholism, AIDS, burns, and

others (Keen and Gershwin, 1990; Mocchegiani and Fabris, 1995; Fraker et

al., 2000; Mocchegiani et al., 2000).

1.9 Inherited disorders of zinc deficiency

1.9.1 Acrodermatitis enteropathica

Acrodermatitis enteropathica (AE) is rare, recessively inherited disorder,

described and named by Danbolt and Closs (1942). The symptoms of this

condition are similar to those of zinc deficiency and include skin lesions,

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diarrhea, alopecia and neuropsychological disturbances. Symptoms appear

after weaning, suggesting a protective function of human milk (Danbold and

Closs, 1942). Expressed breast milk and an ionophore, diiodoquine were

firstly used to control effects of the disease but in 1974 Moynahan found that

zinc therapy rapidly corrected the symptoms. Low plasma zinc levels, low

alkaline phosphatase activity and a rapid response to zinc treatment were

shown to be good indicators for the presence of this disorder (Danks, 1985).

Atherton et al. (1979) demonstrated a defect of mucosal zinc uptake in the

small intestine of patients with acrodermatitis enteropathica, confirming a zinc

deficiency disorder. Kinetic assays in cultured fibroblasts from patients with

acrodermatitis enteropathica show decreased rate of cellular zinc

accumulation (Grider et al., 1998; Grider and Young, 1996). The region

suspected to carry the gene responsible for this disorder was recently

mapped to chromosome region 8q24.3 (Wang et al., 2001). Intensive search

of this region has identified a novel gene encoding a zinc transporting

molecule termed ZIP4, which harboured a selection of point mutations and

deletions in patients with acrodermatitis enteropathica (Wang et al., 2002;

Kury et al., 2002; Kury et al., 2001; Nakano et al., 2003).

1.9.2 Mammary gland disorder of zinc secretion

A disorder leading to zinc deficiency has been found in some premature

babies. This condition, unlike acrodermatitis enteropathica, manifests itself in

infants during breast-feeding. Plasma zinc levels and alkaline phosphatase

activity are reduced in zinc deficient infants but are normal in the mothers.

The zinc uptake from the small intestinal mucosa of affected babies is normal

or even increased (Aggett et al., 1980). The zinc levels in the breast milk zinc

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from the mothers of the zinc deficient infants are significantly lower than in

control mothers of premature and term babies (Zimmerman et al., 1982). Oral

zinc supplements induce a complete remission of symptoms when given to

infants but have no effect on zinc levels in milk when provided to mothers

(Weymouth et al., 1982). These results strongly suggest a role for mammary

gland in regulation of zinc secretion into the milk and defect of such transport

in this disorder. The zinc requirements for premature infants are higher than

the term infants, as they are rapidly growing and their zinc storage is

inadequate. Also their capacity to absorb zinc may be impaired, making them

especially prone to develop acrodermatitis. Interestingly, some cases of term

babies suffering from this condition have also been reported (Kuramoto et al.,

1991; Glover and Atherton, 1988). Although this constellation of alimentary

zinc deficiency has been described as early as 1979 but still most of the

cases were initially misdiagnosed and received inappropriate topical and oral

therapy.

The ‘Lethal milk’ (lm) mouse is a murine model of the human premature

babies zinc deficiency as the pups nursed on lm/lm dams develop symptoms

characteristic for nutritional zinc deficiency and die before weaning (Piletz

and Ganschow, 1978a; Piletz and Ganschow, 1978b).

1.10 Zinc and lipids interactions in the brain

Zinc regulates neuronal cell proliferation, survival and differentiation. It play

a vital role in neural development, learning and memory (Frederickson et al.,

2005). Disturbances in lipid metabolism were reported in zinc deficient

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patients and zinc-deficient pregnant rats had impaired transport of poly

unsaturated fatty acids (PUFA) to the foetus (Cunnane, 1988). These reports

showed the association between zinc and lipids specifically poly unsaturated

fatty acids.

1.10.1 DHA

DHA (Docosahexaenoic Acid) is a long-chain fatty acid that belongs to the

Omega-3 fatty acid family. Omega-3 are essential fatty acids that cannot be

synthesised by the human body and adequate amounts are required for

normal function of body. There are 3 main forms of Omega-3, Alpha-linolenic

acid (ALA), Eicosapentanoic acid (EPA) and DHA. DHA is the most complex

form of Omega-3 and is difficult to include in our diet as only few foods

contain a significant amount.

The retina has the highest concentration of DHA in the human body. DHA is

considered as an essential component of breast milk where newborn babies

utilise it for brain, nerve and eye tissue development. The minimum intake of

DHA is set to be 500 mg (Burr et al., 1989; Krishnamurti et al., 2002).

1.10.2 DHA and Brain

In human brains, fat content is greater than 50% by mass and DHA

represents 30% of brain mass. Epidemiological studies have shown an

inverse association between prognosis of Alzheimer Disease (AD) and

omega-3 dietary intake. Decreased blood levels of omega-3 fatty acids have

been associated with several neurodegenerative conditions eg. AD,

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schizophrenia and depression (Fenton et al., 2000; Young and Conquer,

2005). A population based study in Netherlands demonstrated that

consumption of fish was inversely related to dementia and AD (Kalmijn et al.,

1997). In another human study progression of AD, total intake of DHA was

associated with reduced risk of AD (Morris at al., 2003). Overall communities

with regular consumption of fish have shown reduced prevalence of

neurodegenerative disease and cognitive decline in elderly men (van Glender

et al., 2007; He et al., 2004). Low levels of plasma DHA have been reported

with dementia and AD patients (Tully et al., 2003). Patients having highest

quartile of blood DHA concentration showed lower risk of developing

dementia as compared to patients having lowest three quartile of blood DHA

concentration with the mean value upto nine years (Schaefer et al., 2006).

1.10.3 Link between DHA and zinc

Alterations in both zinc and DHA homeostasis are associated with

neurodegenerative disorders (Lukiw et al., 2005; Cuajungco and Lees, 1997).

Rats fed an omega-3 DHA deficient diet showed altered zinc homeostasis

and demonstrated a strong link between DHA and zinc (Jayasooriya et al.,

2005). Abnormalities in brain zinc metabolism can trigger β-amyloid

formation (Bush et al., 1994). Zinc is one of the metals found in high levels in

brains from human AD patients and transgenic Tg2576 mice (APP mice),

which are prone to develop amyloid plaques (Suh et al., 2000). In studies of

AD brains, zinc chelation caused the precipitation of Aβ suggesting the

association of zinc with AD (Cherny et al., 1999). Similarly ZnT3 knockout

mice (APP mice) showed reduced amyloid plaques (lee et al., 2002). In

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current study, ZnT5 and ZnT6 have shown association with DHA in presence

of zinc in neuronal cells (Discussed in chapter 5).

1.11 Cellular zinc transport

As any other metal or ion, zinc gets distributed in different cells by specific

transporters called zinc transporters. Different organisms have different

mechanism of transportation. Bacterial transport system has been well

studied and documented in literature, and provide the basic platform for

understanding transportation mechanisms in many other organisms. The

following sections discuss transportation of zinc in both prokaryotes and

eukaryotes.

1.11.1 Bacterial zinc transporters

Zinc is an essential trace element for bacteria as for any other organism.

More is known about bacteria than any other organism. Many different zinc

transporters have been discovered in various types of bacteria and

interestingly, almost every transport system is controlled by its own regulator

(Hantke, 2001). Transportation in bacteria has provided excellent approach

to investigate zinc transport function in eukaryotes. Three families for zinc

efflux and two families for zinc uptake have been reported in bacteria.

1.11.1.1 Cellular zinc import systems

The high affinity zinc uptake process in bacteria is mediated by the ABC

(ATP Binding Cassette) transporter family. The first described

representatives of this family were E. coli Znu (zinc uptake) proteins. The

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znuA gene encodes protein localized to the periplasmic compartment while

ZnuB is part of cytoplasmic membrane and znuC gene encodes an ATPase

component, positioned in the cytoplasm. Together the whole znuABC

complex can transport Zn2+, Mn2+ and possibly Fe2+ (Patzer and Hantke,

1998; Hantke, 2001). This complex comes into action when bacteria grow in

environments characterized by very low zinc availability (Yatsunyk et al.,

2008). Another example of a transporter belonging to ABC family is the Pzp1

protein of Hemophilus influenzae. The growth of pzp1 mutant was inhibited,

indicating an important function of transporter in the life of organism (Lu et

al., 1997). Recent study showed involvement of another zinc uptake protein

ZinT (formerly known as YodA), which originally identified as cadmium stress

stimulated protein in E. coli (Puskarova et al., 2002; Ho et al., 2008). Zin T is

involved in periplasmic zinc binding under zinc limiting conditions (Kershaw

et al., 2007; Graham et al., 2009). Another study demonstrated the direct

interaction of ZinT with ZnuA for zinc uptake (Petrarca et al., 2010).

Another zinc transporter ZupT was found in bacteria, where metal uptake

was carried out under conditions of moderate zinc availability by the low-

affinity zinc uptake. ZupT (ygiE), represents the first bacterial member of the

ZIP family that mediates zinc uptake. Either ZupT (ygie) or znuABC is

necessary for growth under zinc-limited conditions (Gabbianelli et al., 2011;

Hantke, 2005). Pit transporter has also been proposed to influx zinc in

exchange for inorganic phosphate (Beard et al., 2000). YciABC membrane

protein in B. subtilis has been identified as possible low-affinity zinc

transporter (Gaballa and Helmann, 2002).

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1.11.1.2 Cellular zinc export systems

Several members of the Cation Diffusion Facilitators (CDF) family have been

identified in bacteria and most of them play a role in export not only of Zn2+

but also of Co2+ and Cd2+. The zinc transporter CzcD from Ralstonia

metallidurans is a representative of this family, which has been found to

protect this organism against the high concentration of zinc present in

decantation tanks of a zinc factory where it was found (Anton et al., 1999).

zitB (formerly ybgR) encodes an additional zinc transporter that belongs to

the CDF family of proteins. Three bacterial CDF homologs, YiiP and ZitB

from E. coli and CzcD from Ralstonia have been characterized functionally

and are related to their mammalian counterparts (Lu and Fu, 2007).

The best characterised members of Resistance, Nodulation, Division (RND)

heavy metal efflux family are mainly from Cupriavidus (previously called

Ralstonia and Alcaligenes) in the form of three transporters CzcA, CzcB and

CzcC organised in sophisticated complex (Valencia et al., 2013). CzcA is

zinc-proton exchanger localized to the cytoplasmic membrane whereas CzcC

is found in outer membrane. Both of them are connected together through

CzcB, which resides in the periplasm. The whole complex forms channel,

allowing extrusion of toxic metals from the cytoplasm to the extracellular

space (Rensing et al., 1997). The RND types of exporters are only identified

in a few gram-negative bacteria (Hantke, 2001).

P-type ATPases are large family of cation transporting, ATP-dependant

proteins found in prokaryotes as well as in eukaryotes, which can transport

variety of ions: Cu+, Ag+, Zn2+, Cd2+ and Pb2+. The E. coli ZntA cytoplasmic

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membrane protein is an example of such transporter, which confers

resistance to Cd2+ and Zn2+.

All three types of zinc efflux transporters can protect bacteria from high, toxic

concentrations of zinc.

1.11.2 Eukaryotic zinc transport

In eukaryotes the ATP-dependant zinc transporters have not been identified

to date. However members belonging to two metal transporter families have

been implicated in transmembrane transport of zinc but the detailed

mechanisms of their active zinc transport have yet to be elucidated. The Zrt,

Irt-like Proteins (ZIP) family is involved in transporting extracellular zinc into

cell or stored intracellular zinc into the cytoplasm. Many members of this

family has been identified in eukaryotes. The members of cation diffusion

facilitator (CDF) play a similar role in eukaryotes as it was described for

bacteria in the efflux of zinc out of the cell. Additionally they can also

sequester zinc into intracellular organelles.

1.11.2.1 Zrt, Irt-like Proteins (ZIP) or SLC39 family

The name of the family comes from the first identified members, iron

transporter from plant Arabidopsis thaliana (Irt1) and yeast Saccharomyces

cerevisiae the zinc transporter Zrt1 (Eide et al., 1996; Zhao and Eide, 1996a).

Over 80 genes have recently been included in this family, originating from

such distantly related organisms as for example, yeast and humans (Gaither

and Eide, 2001). Most of ZIP proteins have been predicted to contain eight

transmembrane domains and long, cytoplasmic, histidine-rich loop between

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domains III and IV, which may facilitate zinc binding. Transmembrane

domains IV and V of all ZIP members contain conserved histidine residues

(Figure 1.2). They may help to bind and move zinc ion throughout the

transmembrane channel (Eng et al., 1998; Guerinot, 2000). The region

possibly accountable for recognition of the zinc is the loop between

transmembrane domains II and III (Gaither and Eide, 2001). However, the

mechanism of the zinc transport by ZIPs is not fully understood. Proposed

mechanisms include exchange of zinc with another ion or diffusion of zinc

through the plasma membrane due to concentration gradient (Eide, 2000).

1.11.2.2 Cation Diffusion Facilitators (CDF) or SLC30 family

The many members of the CDF family encode putative zinc efflux genes. The

recent analysis of database sequences has revealed the presence of 104

CDF members originating from all phylogenetic levels (Gaither and Eide,

2001). The predicted CDF gene products are proteins with six

transmembrane domains, except for the yeast Msc2 and the mammalian

ZnT-5 transporters (Li and Kaplan, 2001; Kambe et al., 2002). Their carboxy

and amino termini are localised to the cytoplasmic side of the cell membrane.

A histidine-rich intracellular loop, a potential zinc-binding region, is found

between transmembranes IV and V in all representatives of this family

(McMahon and Cousins, 1998). A second potential zinc binding region with

multiple histidines is found in the C-terminus (Figure 1.3).

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Figure 1.2 Predicted structure of the members of ZIP family

Transmembrane domains are shown in purple and conserved histidine

residues are highlighted in green.

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Figure 1.3 Predicted structure of the members of ZnT family

Transmembrane domains are shown in yellow and conserved histidine

residues are highlighted in green.

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The most conserved domains among CDF family are highly amphipathic

transmembrane domains: I, II and V but their function has not yet been

elucidated (Gaither and Eide, 2001).

1.11.3 Zinc transport in Saccharomyces cerevisiae

Even though it is single-celled, the yeast has all the characteristic traits of

eukaryotic cells, including organelles and DNA confined to a nucleus. Yeast

chromosomes are not circular, which is a characteristic feature of

prokaryotes. Several yeasts, in particular S. cerevisiae, have been widely

used in genetics and cell biology, largely because it is a simple eukaryotic

cell, serving as a model for all eukaryotes, including humans. S. cerevisiae is

generally regarded as the most well understood eukaryotic organism

(Guldener et al., 2005). Studies on zinc transporters and their regulators in

the yeast Saccharomyces cerevisiae have facilitated our general

understanding of zinc transport.

1.11.3.1 Cellular zinc uptake

The first two uptake zinc transporters to be identified in yeast were the ZRT1

and ZRT2 gene products. The ZRT1 and ZRT2 genes share (44%) amino

acid sequence identity and a high similarity (67%) and both belong to the ZIP

family (Eide, 2003). The ZRT1 is a high affinity zinc transporter, which is

active in cells cultured in the presence of a low concentration of zinc. The

zrt1 yeast mutant grew poorly on zinc-deficient medium, demonstrating a

disruption to the high affinity zinc uptake system but not to the low affinity

one (Zhao and Eide, 1996a). This second system was found to be controlled

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by the transporter ZRT2, a low affinity zinc transporter that is active in zinc

replete cells (Zhao and Eide, 1996b). Interestingly, the zrt1 zrt2 mutant was

found to be viable but required a high concentration of zinc to grow (Zhao

and Eide, 1996b). This finding suggests the existence of an additional uptake

system, which recently was attributed to iron, copper and zinc transporter

FET4 (Waters and Eide, 2002). FET4 is yeast specific and homology does

not match to any other eukaryotic member, although it can be related to

bacterial protein COG5478.

Another member of the ZIP family, ZRT3 was isolated from yeast and found

to be induced under the zinc limiting conditions. It is closely related to zinc

uptake transporter ZupT from E. coli (Grass et al., 2002). Out of remaining

ZIP proteins, only Atx2p has been characterized that resides in in the Golgi

complex. It’s involvement in zinc homeostasis has not been investigated yet

but might function in the transport of manganese from the lumen to the

cytoplasm (Lin and Culotta, 1996). Phosphate transporter Pho84 has also

been suggested to participate in uptake as ZnPO4 (Jensen et al., 2003). The

last ZIP protein in yeast, Yi1023cp is not fully characterized but is closely

related to human ZIP4 protein (lyons et al., 2004).

1.11.3.2 Cellular zinc efflux

An excess of the metal could be toxic for the organism, therefore a

detoxification mechanism is present to efflux extra zinc out of the cell or by

compartmentalization. In an abundance of intracellular zinc, Zrc1 and Cot1

facilitate the sequestration of zinc into the vacuoles. Both proteins are closely

related (60% identity) and demonstrate the conserved features characteristic

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for CDF family (Eide, 1998). The ZRC1 gene was identified in search for

genes conferring resistance to zinc. Overexpression of ZRC1 allows cells to

withstand high zinc concentrations while the zrc1 mutant shows increased

zinc sensitivity (Kobayashi et al., 1996). The COT1 gene was isolated by a

similar method as a cadmium resistance gene (Conklin et al., 1992). Later its

suppression of zinc toxicity was also demonstrated (Conklin et al., 1994).

Zrc1 and Cot1 were found to localise to the membrane of vacuole, further

supporting their role in zinc detoxification (Li and Kaplan, 1998; MacDiarmid

et al., 2002). The mechanism of zinc transport into the vacuole by Zrc1 and

Cot1 is based on Zn2+/H+ exchange (MacDiarmid et al., 2002).

Another member of CDF family, Msc2 was discovered during the study on

chromatid recombination (Thompson and Stahl, 1999), is believed to

transport zinc into the lumen of the endoplasmic reticulum. The predicated

protein structure of Msc1 indicates 12 transmembrane domains with two

histidine-rich regions that is unusual for the CDF family but six of the C-

terminal domains show highly conserved region with other members of the

family (Gaither and Eide, 2001). Msc2 interacts with fourth CDF protein

Zrg17. These two proteins function as a complex to transport zinc into the

secretory pathway (Ellis, 2005).

1.11.4 Mammalian zinc transporters

Zinc metabolism came into existence by identification and characterization of

zinc transporters. Zinc transport proteins were identified in 1997/98. All of

these proteins have transmembrane domains and are encoded by two solute

linked carrier gene families ZnT (SLC30) and Zip (SLC39). In human cells

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total of 10 ZnT’s and 15 Zip’s have been reported. These two families play

opposite roles in cellular zinc homeostasis. ZnT transporters tends to reduce

intracellular availability of zinc by promoting zinc efflux from cells or

sequestering into intracellular vesicles whereas Zip transporters increase

intracellular zinc availability by promoting extra cellular zinc uptake or by

releasing vesicular zinc into the cytoplasm. Both the ZnT and Zip transporter

families perform tissue specific expression and different response to dietary

zinc deficiency or to physiologic stimuli via hormones and cytokines.

Metallothionein is also included for its primary role in binding the intracellular

free zinc and redistributing it to zinc-dependant molecules.

1.11.4.1 ZIP family

The first members of ZIP family, ZIP1, ZIP2 and ZIP3 genes were isolated

from Arabidopsis thaliana when they restored the growth of zinc uptake yeast

mutant (zrt1 zrt2) on zinc-limited medium. The ZIP4 gene was identified by

plant database search however it did not rescue the growth of yeast mutant.

All mammalian ZIP sequences, isolated later, have been named after plant

transporters: ZIP1 to ZIP15. The study on yeast and plant ZIP family has

facilitated the characterization of the human genes.

ZIP1

The human Zip1 gene, hZip1 was identified in expressed sequence tag

(EST) database by homology to Arabidopsis thaliana ZIP1 gene (Grotz et al.,

1998; Lioumi et al., 1999). It is expressed in human prostate cells, where it

was found to be upregulated in response to testosterone and prolactin and

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down-regulation in response to high zinc (Costello et al., 1999). In another

study, hZIP1 was isolated from prostate cDNA library and designated ZIRTL

(Zinc-Iron Regulated Transporter-Like) Gaiter and Eide (2001). In human

erythroleukemia (K562) cells overexpression of ZIRTL increased zinc uptake

activity and antisense oligonucleotide inhibition of hZIP1 expression reduced

zinc uptake. Similar results were obtained in prostate cell line (Franklin et al.,

2003). hZIP1 protein is associated with organelles in cells cultured in zinc

adequate medium but goes to the cell surface when zinc is limited (Wang et

al., 2004), where a di-leucine sorting signal of ZIP1 is required for the

endocytosis of protein (Huang and Krischke, 2007). In mice, ZIP1 was not

regulated by dietary zinc.

ZIP2

The human ZIP2 gene was identified by sequence homology to A. thaliana

ZIP2. Human erythroleukemia K562 cells transfected with hZIP2 construct

accumulated more 65Zn than control cells suggesting that hZIP2 was involved

in zinc uptake. hZIP2 mRNA is not detected in many human tissue and cell

lines, which may be related to the low levels of expression of this transporter

or its limited tissue distribution.

The ZIP2 protein was localised to the plasma membrane in K562 cells

(Gaither and Eide, 2000) and treatment of the cells with the zinc chelator

TPEN gave a 27-fold up-regulation. In response to zinc supplementation, the

expression of hZIP2 was only slightly down regulated (~1.5-fold) (Cousins et

al., 2003). These results confirm the potential role of hZIP2 in zinc uptake. In

mice, the gene is expressed in skin, liver, ovary and visceral yolk sac and did

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not respond to dietary zinc deficiency (Dufner-Beattie et al., 2003). This gene

may be regulated in a cell-specific manner or post-translational mechanisms

are involved in its regulation.

ZIP3

The human ZIP3 gene has been identified by sequence homology to fungal

and plant ZIPs (Gaither and Eide, 2000) however no experimental data has

been reported. The mouse ZIP3 gene was identified from mouse ESTs. The

predicted mZIP3 protein shows 78% identity to human ZIP3. The expression

of mZIP3 gene in HEK293 cells resulted in increased zinc uptake. This

uptake was inhibited by Cu2+, Cd2+, Mn2+, Mg2+ and Ni2+ suggesting that

mZIP3 may be capable of transporting broad range of metals. The mRNA

expression of mZIP3 was limited to few tissues with highest level in testis.

Similarly to the mZIP1 and mZIP2 the transcriptional expression of mZIP3 in

small intestine and visceral yolk sac was not responsive to mouse nutritional

zinc deficiency (Dufner-Beattie et al., 2003).

ZIP4

The human ZIP4 gene was first identified by sequence homology to the other

ZIP members. The hZIP4 mRNA expression was detected in the kidney,

colon, duodenum, jejunum, and most of the intestinal tract. Two alternative

forms of the protein exist, short form of 622 amino acids and the long form of

647 amino acids. The hZIP4 gene spans 4.7kb and has 12 exons.

Using immunohistochemisny, hZIP4 was shown to localize to the luminal

plasma membrane of the enterocyte (Kury et al., 2002). ZIP4 transcriptional

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up-regulation was observed during restricted zinc levels induced by the

transcription factor Kruppel-like factor 4 (KLF4) (Weaver et al., 2007).

Mutations in both of the hZIP4 alleles and heterozygous deletions result in

the zinc deficiency disorder, acrodermatitis enteropathica (Kury et al., 2002).

When treated with zinc, a quick recovery of patients with acrodematitis

enteropathica was observed, suggesting that hZIP4 may not be the only

functional zinc uptake protein (Wang et al., 2002). As zinc is necessary for

many different processes in the body, it may be required to transport zinc to

different cells and intracellular sites, through a variety of zinc transporters.

ZIP5

ZIP5 proteins share 30% homology with ZIP4 and mouse and human ZIP5

are very similar in sequence with 84% identity (Wang et al., 2004). It shows

high expression in liver, kidney, pancreas, small intestine and colon. Unlike

ZIP4, ZIP5 is present in the basolateral surface of these cell types under zinc

replete conditions but gets internalized during dietary zinc deficiency (Dufner-

Beattie et al, 2004). During zinc deficiency, ZIP5 mRNA remains associated

with polysomes while the protein is internalized and degraded in enterocytes,

acinar cells and endoderm cells (Weaver et al., 2007).

ZIP6

ZIP6 (LIV-1) was identified in MCF-7 and ZR-75 breast cancer cells for the

first time and their expression was stimulated by estrogen treatment

(Manning et al., 1988). It is considered as the founder of LZT (LIV-1

subfamily of ZIP zinc transporters) Tissues like placenta, mammary gland

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and prostrate, which are sensitive to hormones, showed high expression for

ZIP6 gene (Taylor and Nicholas, 2003). These are present in the plasma

membrane of these cells and act as an importer of zinc. These also have

been associated with the prognosis of breast cancer and ZIP6 is considered

as a reliable marker for estrogen receptor positive cancers (Scheider et al.,

2006; Tozlu et al., 2006). In dendritic cells under decreased intracellular zinc

conditions, after exposure to lipopolysaccharide (LPS) ZIP6 expression goes

down. A cell-permeable zinc chelator, TPEN, mimicked the effects of LPS,

whereas zinc supplementation or overexpression of the gene encoding ZIP6,

a zinc transporter whose expression was reduced by LPS, inhibited LPS-

induced upregulation of major histocompatibility complex (MHC) class II and

costimulatory molecules (Kitamura et al., 2006).

ZIP7

ZIP7 was found originally by homology to mouse KE4 gene and the human

HKE4 gene was mapped to the centromeric side of the HLA class II region of

chromosome 6 (Ando et al., 1996). Protein expression of ZIP7 is repressed

under high zinc conditions, whereas there were no effects of zinc on ZIP7

gene expression and intracellular localization, neither did zinc deficiency

affect the intracellular distribution of ZIP7 in mammalian cells suggesting that

ZIP7 is a functional zinc transporter that acts by transporting zinc from the

Golgi apparatus to the cytoplasm of the cell (Huang et al., 2005; Taylor et al.,

2007). This transporter shows association with the prognosis of breast

cancer as studies on MCF-7 and tamoxifen-resistant (TamR) MCF-7

demonstrated that ZIP7 is required for increasing intracellular zinc levels that

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can lead to activation of epithelial growth factor receptor/IGF-I receptor/Src

signaling as well as growth and invasion (Taylor et al., 2008).

ZIP8

Refining the mouse chromosomal location of cadmium lead to the

identification of mouse ZIP8 as the transporter responsible for cadmium

induced toxicity in the testis (Dalton et al., 2000; Dalton et al., 2005). ZIP8

was expressed in lung, kidney, testis, liver, brain, small intestine and the

membrane fraction of mature red blood cells (RBCs) (Wang et al., 2007; Ryu

et al., 2008). The localization of this transporter during zinc deficient

conditions is plasma membrane but during adequate zinc conditions it gets

internalized (Wang et al., 2007), in contrast, in mature RBCs after zinc

dietary deficiency no changes were observed in the localization (Ryu et al.,

2008). In primary human lung epithelia and BEAS-2B cell cultures, ZIP8

expression is stimulated by TNF-α. TNF-α induces the expression of a

glycosylated protein that gets translocated to the plasma membrane and

mitochondria. Increased Zip8 expression resulted in an increase in

intracellular zinc content and coincided with cell survival in the presence of

TNF-α. This study suggested that upregulation of Zip8 is sufficient to protect

lung epithelia against TNF-α-induced cytotoxicity (Besecker et al., 2008).

ZIP9

National Institute of Health Mammalian Gene collection Program identified

human and mouse ZIP9 by sequencing a cDNA clone containing a complete

ORF for gene (Strausberg et al., 2002). Sequence homology confirms this as

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a member to ZIP family but this is the only member in subfamily I (Taylor et

al., 2007).

ZIP10

The expression of ZIP10 gets suppressed by induction of MTF-1 unlike ZNT1

zinc transporter (Wimmer et al., 2005). rZIP10 localises in plasma membrane

and high expression was observed with zinc supplementation, which is in

contrast to mouse and zebra fish where its expression goes down with zinc

supply (Pawan et al., 2007). mRNA expression of this transporter in breast

cancer samples suggested the association of ZIP10 with metastasis of breast

cancer to the lymph nodes (Kagara et al., 2007).

ZIP11

It is member of gufA subfamily of ZIP transporters and is named after the

Myxococcus xanthus gene, which has unknown function (Yu et al., 2013).

ZIP12

ZIP12 was found on the basis of screening of a schizophrenia susceptibility

locus on chromosome 10p for proteins that may be involved in zinc transport.

An association was demonstrated by missense homozygous mutation in

ZIP12 and frequency of schizophrenia development in a small group of

patients (Bly, 2006).

ZIP13

ZIP13 is a member of the LIV-I subfamily of ZIP zinc transporters (Taylor et

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al., 2007). Mice deficient in Zip13 showed changes in bone, teeth and

connective tissue of the clinical spectrum of human Ehlers-Danlos syndrome

(EDS). The ZIP13 knockout mice show defects in the maturation of

osteoblasts, chondrocytes, odontoblasts, and fibroblasts. This study revealed

that a crucial role of ZIP13 in connective tissue development is due to its

involvement in the BMP/TGF-beta signaling pathways (Fukada et al., 2008).

ZIP14

This member belongs to LZT subfamily and its function has been associated

with inflammation. Zip14 expression was shown up-regulated through IL-6,

and suggested that it plays a major role in the mechanism responsible for

hypozincemia that accompanies the acute-phase response to inflammation

and infection (Liuzzi et al., 2005). Two different mRNA transcripts have been

identified so far ZIP14A and ZIP14B (Liuzzi and Cousins, 2004; Girijashanker

et al., 2008). Both ZIPA and ZIPB are localized to the apical surface of cells

(Tominaga et al., 2005; Liuzzi et al., 2005). An alternative transcript variant of

SLC39A14, caused by pre-mRNA splicing (SLC39A14-exon4B), has also

been suggested as a biomarker for colorectal cancer (CRC) (Sveen et al.,

2012).

1.11.4.2 ZNT family

Members of mammalian CDF family are denoted ZnT (zinc Transporters)

and were first described in rodents (Palmiter and Findley, 1995) but now

human othologues have been identified (Huang and Gitsher, 1997; Palmiter

et al., 1996a). The exact mechanism by which the ZnT proteins transport zinc

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is unclear. A total of 10 mammalian members are known for this family. Their

detailed structural features like transmembrane domains (TMD), total length,

number of exons, N and C terminal regions are explained in chapter six.

ZnT1

ZnT-1 was the first described zinc transporter in mammalian cells and shows

similarity to the yeast metal efflux genes ZRC1 and COT1. It was discovered

in complementation studies by transforming a rat kidney cDNA library into

zinc sensitive strain of baby hamster kidney (BHK) cells and selecting cells

surviving in high concentration of zinc (Palmiter and Findley, 1995). The ZnT-

1 gene product is a small protein, comprising of 507 amino acids, which is

ubiquitously expressed (Palmiter and Findley, 1995). The ZnT1 mRNA

expression is zinc responsive (McMahon and Cousins, 1998) through MTF-1

(metal-responsive element-binding transcription factor-1), which binds to its

metal responsive element (MRE) in the promoter region (Langmade et al.,

2000). A recent study demonstrated that a tumor suppressor PTEN

(phosphatase and tensin homologue deleted on chromosome 10) modulates

the MTF-1 mediated expression of ZnT1 and metallothionein (Lin et al.,

2012). ZnT1 interacts with other proteins. For example, it decreases cell

surface expression of functional L-type calcium channels (LLCCs) by

interacting to β-subunit of LTCC (Levy et al., 2009) or downregulates the

transcription factors stimulated by MTF1, c-jun and Elk by forming

heterocomplexes with EVER proteins (Lazarczyk et al., 2008). It is also

known to modulate Raf-1 activity via direct interaction (Jirakulaporn and

muslin, 2004).

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The ZnT1 protein is mainly localised to the plasma membrane (Palmiter and

Findley, 1995) but its subcellular localization shows diversification. It is

present in basolateral membrane in enterocytes but at the apical membrane

in pancreatic acinar cells (Cousins et al., 2006; Cousins and McMohan,

2000; Liuzzi and Cousins, 2004). Another study also revealed its presence in

the endoplasmic reticulum (ER) by forming complexes with EVER proteins in

human keratinocytes where it gives rise to rare autosomal recessive disorder

epidermodysplasia verruciformis (Lazarczyk et al., 2008). It’s mRNA and

protein expression has been studied for liver, intestine and brain (McMohan

and Cousins, 1998; Liuzzi et al., 2001)

ZnT2

Another member of the CDF family sharing all their features is the ZnT2 gene

product. Rat ZnT2 was isolated using a similar strategy as for ZnT1. The

remaining BHK zinc resistant clones, which did not contain ZnT-1 cDNA were

sequenced and one of the newly identified clone was termed ZnT2 as it

shared sequence similarity to ZnT1 (Palmiter et al., 1996a). Mouse intestine,

testis and kidney tested positively for ZnT2 mRNA expression (Palmiter et

al., 1996b). At the cellular level, the protein product of this gene was detected

in cytoplasmic vesicles characterised by their high zinc content as detected

by the Zinquin probe (Palmiter et al., 1996a). Zinc-sensitive BHK mutant cells

transformed with ZnT2 construct were resistant to high zinc concentrations,

but the total cell zinc content was increased, implying that this gene product

has a function in delivering access of zinc to secretory vesicles (Palmiter et

al., 1996a). ZnT2 expression has been observed in small intestine, kidney,

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placenta and liver (McMohan and Cousins, 1998). ZnT2 expression gets

upregulated by prolactin a lactogenic hormone in mammary cells via

JAK2/STAT5 signalling pathway (Qian et al., 2009). STAT5 and

glucocorticoid receptor interaction regulates ZnT2 expression in pancreatic

acinar cells (Guo et al., 2010).

The subcellular localization for ZnT2 is very diverse. It has been localized in

secretory vesicles of mammary gland, pancreas and prostrate (Kelleher et

al., 2011). It has been observed in endosomal/lysosomal acidic

compartments (Falcon-Perez and Dell’Angelica, 2007; Palmiter et al.,

1996a). Mitochondrial localization of ZnT2 via its association with the inner

membrane has also been reported (Seo et al., 2011). SNPs (Single

Nucleotide Polymorphism) in ZnT2, changes the subcellular localization that

can affect cellular zinc metabolism (Seo and Kelleher, 2010). ZnT2 gene is

associated with 75% reduction of zinc levels in milk that resulted in transient

zinc deficiency and dermatitis in infants (Chowanadisai et al., 2006).

ZnT3

The third CDF zinc transporter gene, ZnT3 was cloned from a mouse brain

cDNA library using a rat ZnT2 cDNA probe. The gene product is highly

similar to ZnT2 (52% identity). It contains six transmembrane domains but

the histidine-rich fragment is shorter than in other ZnT family members. The

mRNA expression of ZnT3 was reported to be restricted to testis and brain

(Palmiter et al., 1996b) with strong expression in synapses of glutamatic

neurons in the hippocampus and neocortex, suggesting a role for it in

packaging zinc into synaptic vesicle (Sensi et al., 2009; Wenzel et al., 1997).

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Synaptic vesicular zinc is depleted in Znt3-knockout mice (Cole et al., 1999).

As zinc released into the synaptic cleft is an important modulator of neuronal

activity (Sensi et al., 2009), ZnT3 plays an important role in presynaptic

Erk1/2 signalling during hippocampus dependent learning (Sindreu et al.,

2011).

Mice with mutant of AP-3 (mocha mouse) showed loss of ZnT3 or disturbed

localization hence indicates that synaptic localization of ZnT3 is controlled by

AP-3 (Kantheti et al., 1998). Estrogen decreases the expression of ZnT3 by

down regulating the expression of δ-subunit adaptor protein complex (AP-3

δ) that determines the level of ZnT3 (Lee et al., 2004). Knockouts of ZnT3

showed age dependent learning disabilities and memory loss (Adlared et al.,

2010; Martel et al., 2011). Other than its role in brain, it has been reported to

regulate insulin production in pancreatic β cells, where ZnT3-knoclout mice

showed mildly impaired glucose metabolism after streptozotocin treatment

(Smidt et al., 2009) and retinal cells (Smidt and Rungby, 2012).

ZnT4

The ZnT4 gene was found during an attempt to scan for the gene underlying

the ‘pallid’ mouse mutant (Huang and Gitschier, 1997). The ZnT4 protein, in

addition to all features characteristic for whole family, exhibited the presence

of a ‘leucine zipper’ motif in the N-terminal region, which may facilitate

protein-protein binding (Murgia et al., 1999). Ubiquitous expression of the

ZnT4 gene product was detected in rat tissue and cells with strongest signals

from the mammary gland, brain and testis. The ability of ZnT4 to transport

zinc was confirmed by complementation of a zinc-sensitive ( zrc1) yeast

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mutant. The most interesting discovery was revealed following the

sequencing of ZnT-4 gene in the ‘lethal milk’ mouse. A nonsense mutation at

arginine codon 297 resulted in premature protein termination, producing a

nonfunctional protein (Huang and Gitschier, 1997). This finding suggested

the possibility that ZnT-4 was responsible for secreting zinc into the milk in

the mouse and hence may underline a zinc-deficiency disorder found in

premature babies. In 2003, however, Michalczyk et al., found no mutations or

changes in ZnT4, indicating that this gene did not cause the neonatal zinc

deficiency disorder.

Immunocytochemistry of a c-myc tagged protein revealed localisation of

ZnT4 to cytoplasmic vesicles mainly in close relation to the perinuclear

region (Murgia et al., 1999).Overall the localization has been seen in

intracellular vesicles, the trans-Golgi network as well as endosomal

compartments (Falcon-Perez and Dell’Angelica, 2007; Ho et al., 2004;

Palmiter and Huang, 2004). It also has been reported to be present in the

plasma membrane in some cells (Henshall et al., 2003; Overbeck et al.,

2008). Altered expression of ZnT4 has been reported in AD brain (Smith et

al., 2006), although no evidence to describe the underlying mechanism is

known.

ZnT5

Almost simultaneously two independent groups reported the identification of

another member of CDF family designated ZnT-5 or ZTL1 (ZnT-Like

Transporter). The ZnT-5 gene was isolated from the mouse EST sequences

while searched with ZRC1 gene. The mouse gene was estimated to code for

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761 amino acids whereas human ZnT-5 with high homology to mZnT-5

(94%) consists of 765 amino acids. The predicted protein structure of both

mouse and human ZnT-5 transporters has showed 15 transmenbrane

domains with 6 C-terminal domains characteristic of CDF transporter family

(Kambe et al., 2002). The part of ZTL1 gene was isolated from EST

databases during the homology search with ZnT1 and then ZTL1 sequence

was extended using 5’RACE system. This 523 amino acids protein (172-666

amino acids identical to hZnT-5) has 12 predicted membrane-spanning

domains.

In promoter region of hZTL1 five metal response elements (MRE) were

identified, suggesting the regulation by MTF-1 (Cragg et al., 2002). Both

hZnT-5 and hZTL1 transcripts are widely expressed but hZnT-5 was the

most abundant in pancreatic cells (Kambe et al., 2002; Cragg et al., 2002).

The electron microscopy revealed the association of hZnT-5 protein with

zinc-rich secretary granules that accumulate insulin in cells suggesting a

role of this transporter in delivering zinc for formation of insulin crystals. In

the HeLa cells transfected with inducible hZnT-5, this gene product was

detected in Golgi apparatus. The 65Zn uptake into the isolated hZnT-5-

induced Golgi vesicles was higher than in uninduced vesicles. This transport

was dependant on time, temperature and concentration and was saturable

(Kambe et al., 2002).

The myc-tagged hZTL1 was localized to apical side of the CaCo-2 cells. The

endogenous expression of hZTL1 was induced in Caco-2 cells grown in high

zinc concentrations.Increased 65Zn uptake was recorded in Xenopus laevis

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oocytes when injected with hZTL1 cRNA demonstrating saturable and pH

dependant features (Cragg et al., 2002). The ZnT-5-null mice showed poor

growth, muscle weakness and developed osteopenia due to impairment of

osteoblast maturation. More than half of hZTL1 knockout male mice died

from sinus bradycardia indicating that this protein is required for regulation of

cardiac conduction system (Inoue et al., 2002).

ZnT5 protein expression goes down in human ileal mucosa with high dietary

zinc intake (Cragg et al., 2005). Similarly exposure of high zinc to (human

epithelial colorectal) Caco-2 cells resulted in inhibition of ZnT5 transcription

and translation even though the the mRNA stability is increased by high

doses of zinc (Jackson et al., 2007). The expression of ZnT5 is

transcriptionally up regulated by unfolded protein response (UPR) inducer,

which is mediated by the transcription factor XBPI through the conserved

UPR element (5’-TGACGTGG-3’) in its promoter region (Ishihara et al.,

2006). ZnT5 expression is increased by LPS or interlukein-6 in the liver

(Lichten and Cousins, 2009; Liuzzi et al., 2005). ER (endoplasmic reticulum)

bound transcription binding factor, CREBH is activated in response to

proinflammatory cytokines and LPS and binds to UPR sequence (Zhang et

al., 2006). ZnT5 form heterodimer complexes with ZnT6 and participate in

TNAP (Tissue Non-specific Alkaline Phosphatase) activation in early

secretory pathway (explained in detail in chapter 5). Endogenous ZnT5 is

concentrated in cytoplasmic vesicles, such as COPII-coated vesicles in HeLa

cells (Suzuki et al., 2005a) and is associated with insulin granules membrane

in pancreatic β cells (Kambee et al., 2002).It also plays important role in

cellular events, for example it is essential for nuclear factor-kB activation

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through the FcεRI-indused (Fc epsilon receptor I) translocation of the protein

kinase C (PKC) to plasma membrane in mast cells (Nishida et al., 2009).

ZnT6

The mouse ZnT6 transporter was discovered using the mouse ZnT-4

sequence to search EST databases. The amino acid sequence of mouse

ZnT-4 demonstrates similarities to rat ZnT2, mouse ZnT3 and ZnT4 (32%,

33% and 33% identities, respectively). The predicted protein structure of this

gene resembles the other members of ZnT family except it lacks histidines in

the second intracellular loop, presenting serine residues instead (Huang et

al., 2002). Site-directed mutagenesis demonstrated that these serines were

crucial for zinc binding function (Palmiter and Huang, 2004). An abundant

mRNA expression of mZnT-6 was detected in brain, liver and small intestine

whereas protein expression was demonstrated in brain, small intestine and

kidney but not in liver, suggesting tissue-specific translational or

posttranslational regulation. Expression of mZnT6 suppressed the growth of

yeast zrt1, zrt3 and msc2 mutant, defective in accumulation of

cytoplasmic zinc, when grown in media with normal zinc levels but zinc

supplementation rescued yeast growth.

In cultured rat NRK and human MCF-7 cells, the protein product of ZnT6 was

localized predominantly to the TGN however it was redistributed from TGN to

vesicular cytoplasmic compartment in response to zinc treatment. The

cellular role of ZnT-6 was suggested be either delivering zinc into zinc-

dependant enzymes in TGN or export of the excess of zinc through vesicular

transport (Huang et al. 2002). High expression of ZnT6 has been observed in

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hippocampus gyrus of the human brain in AD and Pick disease (Ryu et al.,

2008).

ZnT7

The mouse ZnT7 transporter was discovered using the mouse ZnT1

sequence to search EST databases (Kirschke and Huang, 2003). The

closest homoloque of the mZnT-7 gene was the C-terminal part of the

mZnT5 gene (47% identity). The predicted protein structure of ZnT7

resembles other members of ZnT family with exception of the presence of a

second intracellular loop very rich in histidine residues. The mRNA

expression of mZnT7 gene was detected in most tissues tested but was most

abundant in the liver, spleen and small intestine. The mZnT7 protein was

detected in the small intestine and lungs at different sizes of 85, 65 and 43

kDa possibly due to some modifications, possibly phosphorylation or

glycosylation. Mouse ZnT7 protein was not expressed in brain, liver, kidney

and heart despite the presence of mRNA in these tissues, suggesting

translational or posttranslational regulation.

Perinuclear localization of mZnT7 protein was detected in small intestinal

epithelial cells and in lung fibroblasts where it co-localised with Golgi

apparatus markers. An additional punctuate vesicular cytoplasmic pattern

was found that was distinct from the punctuate staining of ZnT4 or ZnT6.

Accumulation of zinc in the Golgi apparatus was identified with Zinquin probe

in CHO cells expressing mZnT7 which had been exposed to increased

concentrations of zinc. Therefore it is possible that ZnT7 transporter delivers

zinc into the Golgi apparatus (Kirschke and Huang, 2003). ZnT7 is

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predominantly localized in the cis-face or the forming face of the Golgi

apparatus (Chi et al., 2006). ZnT7 forms homo-dimers to activate TNAP in

early secretory pathway (Suzuki et al., 2005a). Disruption of ZnT7 in DT40

cells resulted in 20% decrease in TNAP suggesting partial dependence of

TNAP activity on ZnT7. ZnT7-knockout mice resulted in zinc deficient

phenotype that did not respond to dietary zinc supplementation and had

decreased body fat composition (Huang et al., 2007). ZnT7 has been shown

to up regulate insulin gene expression via Mtf1 (Huang et al., 2010). This

study suggests that ZnT7 plays a crucial role in maintaining cellular zinc

homeostasis and might be involved in the regulation of body composition.

ZnT8

ZnT8 was first time identified in the insulin granules of pancreatic beta cells

and shown to facilitate the accumulation of zinc from the cytoplasm into

intracellular vesicles (Chimienti et al., 2004). It was also expressed in other

tissues including glucagon secreting pancreatic α cells (Wijesekara et al.,

2010). The islet-specific expression of ZnT8 is regulated by the β cell

enriched transcription factor Pdx-1 through an intronic enhancer (Pound et

al., 2011; Tamaki et al., 2009). ZnT8 protein was expressed in fetal

pancreatic cells and showed down regulation in the islets of diabetic mice by

using mouse diabetic models (Tamaki et al., 2009). It also plays an essential

role in zinc accumulation in the insulin granules, where insulin binds to zinc

to form zinc-insulin crystals.

Insulin granules in Znt8-knockout mice are immature with pale insulin “pro-

granules” (Lemaire et al., 2009; Wijesekara et al., 2010). Overexpression of

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ZnT8 in insulinoma cells enhances glucose-stimulated insulin secretion

(Chimienti et al., 2006). The non-synonymous SNP of ZnT8 (rs13266634)

that introduced the substitution (arginine to tryptophan) at amino acid 325 at

the C-terminal region is associated with increased susceptibility for type 2

diabetes (Sladek et al., 2007). Recent study suggests that ZnT8 contributes

to the risk of developing type 2 diabetes through β-cell- and non-β-cell-

specific effects (Hardy et al., 2012).

ZnT9

ZnT9 gene was originally isolated from human embryonic lung cells (Sim and

Chow, 1999). The total length consisting 569 amino acids protein has a

putative cation efflux motif, a DNA excision repair motif and a nuclear

receptor interaction sequence. It is considered to be associated with cytocol

and nuclear fractions and not to the membranes even though has predicted

six trans-membrane domains (Sim and Chow, 1999). ZnT9 also shares

homology with cation efflux domain (pfam01545), renamed as GAC63, as it

acts as a component of the p160 coactivator signal transduction pathway

(Chen et al., 2005). ZnT9 seems to be expressed ubiquitously and its mRNA

expression is not affected either by high dose of zinc or by zinc depletion in

peripheral blood lymphocytes (Overbeck et al., 2008). To date, no studies

have assessed the function of this protein.

ZnT10

ZnT10 was discovered using sequence homology with ZnT1 (Seve et al.,

2004). EST (expressed sequence tag) analysis revealed the fetal restricted

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expression profile to the fetal brain and liver for ZnT10. Recently ZnT10 has

been reported to localize in the early/recycling endosomes in vascular

smooth muscle cells (Patrushev et al., 2012). ZnT10 along with ZnT3

regulates cellular senescence induced by angiotensin II in the vesicular

smooth muscle cells by reducing cytosolic zinc concentrations (Patrushev et

al., 2012). It plays key role in the regulation of manganese homeostasis,

although the mechanism is not yet discovered and reported to be involved in

parkinson’s by causing hypermanganesemia (Quadri et al., 2012; Tuschl et

al., 2012).

1.11.4.3 NRAMP (Natural Resistance-Associated Macrophage

Proteins) or SLC11 family

The DCT1/DMT1/Nramp2 gene is proton-coupled divalent metal transporter

playing a crucial role in intestinal iron uptake but also capable of Mn2+, Cu2+,

Zn2+ and PB2+ transport (Gunshin et al., 1997; Nevo and Nelson, 2006).

Mammalian members of the SLC11 family are thought to have 12

transmembrane domains (TMDs) (Czachorowski et al., 2009) with a

conserved hydrophobic core of 10 TMDs (Cellier at al., 1996; Cellier at al.,

1995), with no similarity to either ZIP of CDF families. Iron deficiency induces

the mRNA and protein expression of DCT1/DMT1/Nramp2 (Yeh et al., 2000).

The DCT1/DMT1/Nramp2 protein is localized to apical membrane of

duodenal enterocytes (Canonne-Hergaux et al., 1999) however in a variety of

other tissues it shows endosomal and lysosomal vesicular localization (Roth

et al., 2000; Tabuchi et al., 2000). The mammalian SLC11 family is

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55

comprised of two members; SLC11A1 and SLC11A2. The specific role of this

transporter in zinc homeostasis has not been studied yet.

1.12 Project aims

Zinc is an essential trace element required by all organisms for normal

functioning, as it plays critical roles as a structural component of proteins and

a co-factor in catalysis of many enzymes. Even though many transporters

have been identified in bacteria, yeast and rodent cells, the biological

assimilation and transport of zinc into cells is still not well understood. The

functions of many of the ZnT/SLC30A (putative zinc exporters) and

ZIP/SLC39A transporters are yet to be elucidated. This thesis describes an

investigation into the molecular basis of an inherited disorder of zinc

deficiency in milk that identified defects in ZnT5 and ZnT6 zinc transporters.

Following this, further investigation to characterise the role of ZnT5 and ZnT6

was carried out in neuronal cells as these two transporters are known to be

linked with brain zinc homeostasis. The link between the omega-3 fatty acid

DHA and zinc fluxes was investigated as both have been proven to play a

crucial role in normal functioning of human brains. To better understand the

relationship of ZnT5 and ZnT6 with rest of the family members,

bioinformatics tools were used.

The main aims of this project are:

1. To analyse the role of ZnT family members in inherited disorder of premature

babies with zinc deficiency causing impaired zinc secretion into milk.

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56

2. To investigate the dependency between hZnT5 and hZnT6 in M17

neuronal cells.

3. To establish the effect of the lipid, DHA, on zinc transporter expression in

M17 cells.

4. To characterize in-silico associations between different members of the

ZnT family.

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CHAPTER 2

Materials and Methods

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2.1 Case history summaries

Infant number I was born premature at 36 weeks and was breast-fed for

three months, without fortified milk. A red necrolytic rash developed at two

months of age (Figure 3.1a, b). Zinc deficiency was confirmed at three

months post-partum by tests showing zinc blood levels of 4.5 μmoles/l; 0.29

μg/ml (reference range 10.3–18.1 μmoles/l; 0.67-1.18 μg/ml). Breast milk zinc

from the mother of infant I (Mother 1) was 0.29 μg/ml, which was less than

one quarter that of the normal zinc level (1.35 μg/ml) at the corresponding

stage of lactation. Treatment with zinc (50 mg/day) to infant resulted in a

dramatic improvement in the rash within three days. Infant number II was

born premature at 37 weeks gestation and developed dermatitis affecting the

face and perioral skin, with scalp scale and similar symptoms as that of infant

number I. The maternal milk zinc level (Mother 2) at seven months was 0.2

μg/ml, which was considerably less than the normal zinc level (0.85 μg/ml).

On commencing treatment with zinc (50 mg/day), the rash cleared in three

days and hair started to grow fully (Michalczyk et al. 2003). It is interesting

that both mothers who produced zinc-deficient milk had no clinical symptoms

of zinc deficiency themselves.

2.2 Sample collection and cell culture

Ethical approval for the collection of blood and skin biopsies was obtained

from Deakin University Melbourne, Australia (EC32-2000) and the Royal

Children’s Hospital Parkville, Australia (ERC 2025B). Fibroblast and

lymphoblast cell lines from patients (Mother 1 and Mother 2) and respective

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controls (two lymphoblast and two fibroblasts) from healthy mothers were

established as previously described (Michalczyk et al. 2003). Immortalised

fibroblasts from zinc deficient disorder mothers and two separate controls

from healthy people were cultured in BME supplemented with 10% FBS

(Bovogen; Melbourne, Australia). Lymphoblasts were grown as suspended

cultures in RPMI 1640 culture media (Thermo Fisher Scientific; Melbourne,

Australia) supplemented with 20% FBS. Normal resting breast tissue was

obtained from breast biopsies performed for diagnosis of breast disease. The

tissue was immediately frozen at -80ºC until use. The human epithelial breast

cell line PMC42-LA, a variant of PMC42 cell line, originally derived from a

pleural effusion (Whitehead et al., 1983), was cultured in RPMI 1640

supplemented with 10% FBS (Bovogen; Melbourne, Australia) at 37ºC in 5%

CO2. PMC42-LA and fibroblasts were passaged when confluent using 0.05%

trypsin-EDTA solution in PBS (Sigma-Aldrich; Sydney, Australia).

Lymphoblasts were pelleted when the culture reached high density by

centrifugation and distributed to new flasks.

Two different neuoblastoma cell lines M17 and SY5Y were cultured in

Nunclon 75 cm2 culture flasks in OPTI-MEM (Thermo Fisher Scientific;

Melbourne, Australia) and RPMI respectively supplemented with 10% FBS.

Cells were grown to confluency in 75 cm2 culture flasks before subculturing

into new flasks for experiments. After four to five days when cells reached up

to 70% confluency, five out of ten flasks were treated with different

concentrations of DHA (Sigma-Aldrich; MO, USA) (0, 5, 10, 15, 20 μg/ml) for

48 hours. Another five flasks received additional treatment of 5 μM of ZnCl2

along with different concentrations of DHA (0, 5, 10, 15, 20 μg/ml) for 48

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hours. Cell culture media with specific amount of DHA and Zn were

incubated overnight in warm room at 37ºC on a medium speed shaker before

used for cell treatments. 0μg/ml DHA and 5 μM of ZnCl2 was considered as

control sample. To check the effect of vitamin E (Sigma-Aldrich, Sydney,

Australia) on DHA, cells were treated with and without vitamin E (0 μg/ml and

20 μg/ml) and DHA (0 μg/ml and 20 μg/ml). The cells were passaged when

confluent using 0.025% trypsin-EDTA solution in phosphate buffered saline

(PBS) (Sigma-Aldrich, Sydney, Australia). Cells were pelleted by

centrifugation, rinsed three times with PBS and immediately frozen at -80 C

for further analysis.

To induce cellular differentiation, M17 cells were grown on porous Transwell

filters (BD Falcon; Sydney, Australia) coated with thin layer of diluted (1in 5

dilution) extracellular matrix gel from Engelbreth Holm-Swarm mouse

sarcoma (Sigma-Aldrich; Sydney, Australia) (EHS matrix). Cells were treated

with 1μg/ml of Retinoic acid (RA) Sigma-Aldrich, Sydney, Australia) for 14

days. Media was changed every second day with fresh RA. Cells were

treated with 1 μM of mitotic inhibitor (5-fluoro-2’-deoxyuridine, 1-β-D-ribo

furano syluracil) (Sigma-Aldrich; Sydney, Australia) for four days.

Differentiated M17 cells were treated with different concentrations of Zn and

DHA as explained above for 48 hours. Cultures were viewed with an

Olympus CK2 inverted phase-contrast microscope.

Cells were grown in 75 cm2 culture flasks (Nunc; NY, USA) and collected for

western blot, Quantitative Real Time PCR, DNA sequence analysis, alkaline

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phosphatase assay and methylation studies from all different cell lines

mentioned above.

2.3 Plasmid preparation and cell transfection

A previously developed hZnT5 and hZnT6 overexpressing cDNA in pA-puro

vector (Suzuki T et al., 2005a) were used to transfect M17 neuroblastoma

cells using polyethylenimine solution (Shin et al., 2005). Sequence identity

was confirmed with sequencing of the inserts using specific primers for puro

vector (Table 2.1). Specifically, 20 μg of plasmid DNA was diluted in 150 mM

NaCl to a concentration of 10 μg/ml. Polyethylenimine (Lecocq et al., 2000)

pH 5.0 was added to DNA/NaCl solution to a final concentration of 0.813

mg/ml. The mixture was vortexed for 10sec and incubated for 30 minutes at

room temperature. The mixture was diluted in 15ml RPMI with 10% FBS and

added to a 75cm2 culture flask containing 75% confluent M17 cells for

overnight. Transfected cells were selected using 2.5 μg/ml puromycin

(Invitrogen Life Technologies, Melbourne, Australia) in OPTI-MEM 10% FBS

medium over four weeks. Fresh medium with antibiotics was added every

three days.

2.4 siRNA Construction and Transfection

A pSilencer TM 4.1-CMV hygro Kit (Ambion, Australia) was used to create

hZnT5, hZnT6 and control siRNAs (short interfering RNA) according to the

manufacturer protocol. The sequence identity of the siRNA inserted region

for hZnT5 and hZnT6 knocked-down constructs were confirmed by sequence

analysis using CMV-4.1(F) and CMV-4.1(R) primers (Table 2.1). Three

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different siRNA constructs were prepared for knock downs of ZnT5 and ZnT6

genes. The sequences of oligonucleotides are shown in Table 2.1.

After comparing the efficacy of each knocked-out construct, the best one was

chosen to continue the experiments.M17 cells were grown to 70% confluency

in OPTI-MEM 10% FBS medium. 20 μg of plasmid DNA containing siRNA for

ZnT5, ZnT6 and control were gently mixed with 3.75 ml of serum free OPTI-

MEM media and 6 μl of Reagent Plus (Lipofectamin transfection kit,

Invitrogen Life Technologies, Melbourne, Australia). After 5 mins of

incubation 15 μl of lipofectamin was added to the solution followed by a

gentle mix and incubation at room temperature for 30 minutes. The mixture

was added to 15 ml OPTI-MEM 10% FBS medium and transferred to a

75cm2 culture flask containing 70% confluent M17 cells. After overnight

incubation at 37ºC, cells were washed with normal media. Transfected cells

were selected using 400 μg/ml hygromycin B (Roche; Roche Diagnostics,

Germany) in OPTI-MEM 10% FBS medium over eight weeks. Fresh medium

with antibiotics was added every three days.

Cells with ZnT6 knocked down showed a great reduction in mRNA using all

three different siRNA but for ZnT5 transfections the best results were gained

by using one siRNA with forward and reverse sequence (ZnT5 S-3(F); ZnT5

S-3(R) (Table 2.1). The maximum number of passages for cells to retain the

disruption was three to four. Once siRNA was stably transfected and

checked by quantitative real-time PCR (qRT-PCR) and western blot analysis,

double knockdowns with two genes disrupted (ZnT5 + ZnT6 together) was

attempted.

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Table 2.1 Primer Table for overexpression and knock-down constructs

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Forward primer (5’-3’) Reverse primer (5’-3’)

ZnT5 S-1(F)

GATCCGAATAGTACAGCAGGTTACTTCAAGA

GAGTAACCTGCTGTACTATTCTTA

ZnT5 S-1(R)

AGCTTAAGAATAGTACAGCAGGTTACTCTCTT

GAAGTAACCTGCTGTACTATTCG

ZnT5 S-2(F)

GATCCGGATTAATATCATACCGAGTTCAAGA

GACTCGGTATGATATTAATCCTTA

ZnT5 S-2(R)

AGCTTAAGGATTAATATCATACCGAGTCTCTT

GAACTCGGTATGATATTAATCCG

ZnT5 S-3(F)

GATCCCACGTCCTGTCTGGAGGAGTTCAAGA

GACTCCTCCAGACAGGACGTGTTA

ZnT5 S-3(R)

AGCTTAACACGTCCTGTCTGGAGGAGTCTCT

TGAACTCCTCCAGACAGGACGTGG

ZnT6 S-1(F)

GATCCGGCTTTAAATAGGCTTCCTTTCAAGA

GAAGGAAGCCTATTTAAAGCCTTA

ZnT6 S-1(R)

AGCTTAAGGCTTTAAATAGGCTTCCTTCTCTT

GAAAGGAAGCCTATTTAAAGCCG

ZnT6 S-2(F)

GATCCGACCATGATAGACTCTAACTTCAAGA

GAGTTAGAGTCTATCATGGTCTTA

ZnT6 S-2(R)

AGCTTAAGACCATGATAGACTCTAACTCTCTT

GAAGTTAGAGTCTATCATGGTCG

ZnT6 S-3(F)

GATCCCTCCAGCTAAACCTAGTAGTTCAAGA

GACTACTAGGTTTAGCTGGAGTTA

ZnT6 S-3(R)

AGCTTAACTCCAGCTAAACCTAGTAGTCTCTT

GAACTACTAGGTTTAGCTGGAGG

CMV-4.1 (CMV-4.1 vector) (F)

AGGCGATTAAGTTGGGTA

CMV-4.1 (CMV-4.1 vector) (R)

CGGTAGGCGTGTACGGTG

Actin (pA-puro vector) (F)

GCAGCCAATCAGAGCGG

SV40pA (pA-puro vector) (R)

GAAATTTGTGATGCTATTGC

F primer (pA-puro vector)

TCGGCTTCTGGCGTGTGACCGGCGGCTCTA

R primer (pA-puro vector)

TTTCCACACCCTAACTGACACACATTCCAC

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To attain double knock-downs, single gene disrupted (ZnT5 or ZnT6) M17

cells were tried to transfect with another siRNA, using the same method.

2.5 Quantitative Real Time PCR (qRT-PCR)

Patient and two different control fibroblasts from healthy mothers, PMC42-LA

grown in 75 cm2 culture flasks were collected by trypsinisation (0.05%) and

washed three times in PBS. M17 and SY5Y cells with different treatments

(cell culture section 2.2) were collected by 0.025% trypsinisation followed by

PBS washes. Retinoic acid induced differentiated M17 cells on transwell

filters were harvested for mRNA analysis by treating with 1 ml of 5 mg/ml

dispase (Gibco; Melbourne, Australia) dissolved in PBS for half an hour and

collected. Cells overexpressing ZnT5 and ZnT6 and cells with knockdown

siRNA ZnT5 and ZnT6 constructs were collected by trypsinisation (0.025%)

and PBS washes. Control and patient lymphoblasts were collected by

centrifugation.

Total RNA was extracted from cells using a QIAGEN RNeasy Mini kit

(QIAGEN; Melbourne, Australia), following manufacturer’s instructions.

Extracted RNA was purified by using DNase 1 treatment following the

manufacturer’s protocol of the DNA free kit (Ambion; Melbourne, Australia).

The purified RNA concentrations were estimated on a nanospec (Nanodrop

1000, Thermo Scientific) at wavelengths of 260/280 nm. Once quantified,

RNA was converted to cDNA using the High Capacity cDNA Reverse

Transcription Kit (Applied Biosystems; Melbourne, Australia) following the

manufactures protocol. Amplification reactions were performed with 20 μl

sample volumes containing 8 μl SYBR Green Master Mix (Applied

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Biosystem; Melbourne, Australia), 0.3 μM of forward and reverse primers

(Table 2.2) and 20 ng cDNA (RNA content prior to RT step).

The PCR reaction was performed at 50ºC 2 min, 95ºC 10 min (1 cycle), 95ºC

15 sec, 60ºC 1 min (40 cycles). Samples were analysed in triplicate using

7500 Real Time PCR System (Applied Biosystems; Melbourne, Australia).

An internal control of -actin (Table 2.2) was used to normalise.

RNA quantities and efficiency of reverse transcription. Fluorescence

produced by incorporation of SYBR green dye into double stranded DNA was

recorded after the elongation phase of each repetitive cycle. The specificity

of each reaction was determined by analysis of the melting point dissociation

curve generated at the end of each PCR. The threshold cycle value (CT),

defined as the cycle number when fluorescence levels exceed the threshold

value was calculated after each reaction. The CT value of -actin was

subtracted from the transporter CT value to produce CT for each sample.

The relative RNA expression level of each sample was calculated using the

equation 2-ΔΔCT, where CT is the difference between the control CT and

the sample CT.

Amplification was performed for hZnT1, hZnT2, hZnT3, hZnT4, hZnT5,

hZnT6, hZnT7, hZnT8, hZnT9, hZnT10 for lymphoblast and fibroblast from

patient and control cells. Breast tissue from resting breast was analysed

using hZnT5 and hZnT6 primers. M17 and SY5Y neuronal cells with different

treatments of DHA and Zn, vitamin E, differentiated cells as explained in

(materials and method section cell culture 2.2).

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Table 2.2 Real-Time PCR Primers

Primers to ZnT1were designed to GenBank sequence Accession No AF323590

Primers to ZnT2 were designed to GenBank sequence Accession No NM_032513

Primers to ZnT3 were designed to GenBank sequence Accession No U76010

Primers to ZnT4 were designed to GenBank sequence Accession No AF025409

Primers to ZnT5 were designed to GenBank sequence Accession No AF461760

Primers to ZnT6 were designed to GenBank sequence Accession No XM_059432

Primers to ZnT7 were designed to GenBank sequence Accession No AY094606

Primers to ZnT8 were designed to GenBank sequence Accession No NM_173851

Primers to ZnT9 were designed to GenBank sequence Accession No NM_006345

Primers to ZnT10 were designed to GenBank sequence Accession No NM_018713

Primers to -actin were designed to GenBank sequence Accession No E00829

Primers to GAPDH were designed to GenBank sequence Accession No NM_002046

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Forward Primer

Reverse Primer

PCR product length in

(bp)

ZnT1-RealF1 CTGGTGAACGCCATCTTCCT

ZnT1-RealR1 CAATCTCGTGCGGCTCGAT

183

ZnT2-RealF2 TGTGATCCTGGTGTTGATGGA

ZnT2-RealR2 CAGGCTGTGCAGGGCTTCT

103

ZnT3-RealF1 CACCCTCCGAGACGTTCTTC

ZnT3-RealR1 GGCACCGACAACAGCGTAT

90

ZnT4-RealF2 AACCAGTCTGGTCACCGTCA

ZnT4-RealR2 CTATCCTGCCCATGGTTACG

93

ZnT5-RealF1 CCAGCGCTCGATTAACAAAATA

ZnT5-RealR1 TGTGAACAGCTTTTAGGAGATCA

134

ZnT6-RealF2 TCCTTTTTTGGCAAGTTGTTACG

ZnT6-RealR2 AAGCAGGAAGCCAGTACATATCAAG

111

ZnT7-RealF1 TTGCCCCTGTCCATCAAAG

ZnT7-RealF2 AGACCTAAACCAGCCCGAGATC

81

ZnT8-RealF1 GTGGCGGCCAACATTGTACTA

ZnT8RealF2 CACAAAAGCAGCTCTGACGCT

102

ZnT9-RealF1 ACACCAGATCCTTCTCATCCGT

ZnT9-RealF2 CAAGATAGTCCTGCACCCATCA

101

ZnT10-RealF1 CTTCCCGCTTATCAAGGAGACC

ZnT10-RealF2 GCTAATTCCAGGCACAGCAGAG

106

AC-RealF GACAGGATGCAGAACGAGAT

AC-RealR TGATCCACATCTGCTGGAAGGT

138

GAPDH-RealF CCACCCATGGCAAATTCC

GAPDH-RealR TGGGATTTCCATTGATGACAA

70

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Overexpression and knocked-down constructs of ZnT5 and ZnT6 were

analysed using hZnT5, hZnT6 primers (Table 2.2).

2.6 PCR and sequencing for coding & promoter regions

DNA was isolated from patient and control fibroblasts and lymphoblast cells

using the Wizard® Genomic DNA Purification Kit (Promega) following the

manufacturer’s instructions. DNA concentrations were checked on a

nanospec (Nanodrop 1000, Thermo Scientific) at wavelengths of 260/280

nm. The promoter regions of hZnT5 and hZnT6 genes (4000bp upstream

from the start codon) were amplified using different primer sets (Table 2.3)

from patient and control lymphoblast and fibroblast cells. hZnT2 intron-exon

structure analysis was also performed using different set of primers

(Table2.3).

The coding regions of hZnT5, hZnT6 and hZnT2 were amplified by RT-PCR

(Reverse transcriptase) for patient and control lymphoblast and fibroblast

cells using cDNA. 5' and 3' untranslated regions (UTR) were analysed to find

any changes between patient and control samples for hZnT5 and hZnT6

genes (Table 2.4). Similarly hZnT2, hZnT5, hZnT6 open reading frames

(ORF) were analysed by RT-PCR using cDNA from M17 cells with different

Zn and DHA treatments (refer section cell culture 2.2).

PCR amplification was performed using 55 pmol of forward and reverse

primers. These were added to the PCR mixture consisting of 200 ng of

DNA/200 ng of cDNA, 200 μM of each dNTP, PCR buffer, 1.5 mM MgCl2 and

1U Taq DNA polymerase (Sigma-Aldrich, Melbourne, Australia).

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Table 2.3 Primers used for Genomic DNA PCR

Primers to ZnT2 were designed to GenBank sequence Accession No NM_032513

Primers to ZnT5 were designed to GenBank sequence Accession No AF461760

Primers to ZnT6 were designed to GenBank sequence Accession No XM_059432

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Forward Primer Reverse Primer PCR product length in (bp)

ZnT5-P1F TCAGGCTCCTCTCATTCTCC

ZnT5-P1R TGTTTCTTACAGCCCCGAAC

1105

ZnT5-P2F GGCAAGTCCATAAAGTGAAAGC

ZnT5-P2R CTGAGGAGGAGAATGGCTTG

1166

ZnT5-P3F CAAGCCATTCTCCTCCTCAG

ZnT5-P3R GACCAAAATTTGCCTCCTCA

994

ZnT5-P4F GAGACAGGGTTTTGCCATGT

ZnT5-P4R CAAGCAGAACACTCGCCTTT

931

ZnT5-P5F TGGGAATACAGCCCAGTAGG

ZnT5-P5R GACCAGCTTAATGCCAGAGC

443

ZnT5-P6F CCATACTGCCCAGACCCTTA

ZnT5-P6R ATGGCGAAACCCTGTCTCTA

787

ZnT5-P7F AGCCACAAAAGCAGTCACCT

ZnT5-P7R AAAATTTGCCTCCTCAGCAA

434

ZnT5-P9F TCCCCAAATTTCCCAGAGTA

ZnT5-P9R GTGGGGAGCTTACAAAATGG

670

ZnT5-P10F CCATACTGCCCAGACCCTTA

ZnT5-P10R GAGACCAGCCTGACCAACAT

805

ZnT5-P11F CCATCTGGACCCATCAGTCT

ZnT5-P11R CCTGGCCCTGAATTCTTTCT

718

ZnT5-P13F TGACCACAAGGCAGACAAAG

ZnT5-P13R AAGAATTCGAGGCAAGTCCA

1123

ZnT6-P1F AAGGGTGTCAGCAGAGATGG

ZnT6-P1R GGGACTGTCATGATGGGATT

882

ZnT6-P2F CACCTTCTCACCGTGTCCTT

ZnT6-P2R AGGCAGGAGAATTGCTTGAA

1185

ZnT6-P3F TCTCACCCAGGCTTCATCTC

ZnT6-P3R TGTAGCACGTGTGTTTGTCAGA

1263

ZnT6-P4F TTAAGCATTTGGGATGAAGGA

ZnT6-P4R GTGCTCGAGTTTTCCCAGAA

984

ZnT6-P5F GGAGGCCAAGGCAGGTAG

ZnT6-P5R GAATTGCTTGAACCCAGGAG

606

ZnT6-P6F TTTCTTCCTGGCTTGCAGAT

ZnT6-P6R GGTTTCACCATGTTGTGCAG

662

ZnT6-P7F ZnT6-P7R 255

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TGGGCAGCTTAAATAACAGAAA GTGATTCAGCCTTTGGGAAG

ZnT6-P8F TCAGCAACCCTAATCCAACC

ZnT6-P8R TGTAGCACGTGTGTTTGTCA

434

ZnT6-P10F GGAGGCCAAGGCAGGTAG

ZnT6-P10R ATGGCAAAACCCCGTCTC

700

ZnT6-P11F ACCCATCAGAAGAAATAAACCA

ZnT6-P11R ATTTGAGGCCAGGCACAGT

958

ZnT2IE-1F CGTCCTCACTCAGCAACACC

ZnT2IE-1R TCTTCGTTCCCTCACCTCAC

657

ZnT2IE-2F AGGACTCCCATTCCCCTATC

ZnT2IE-2R AGGAGAATAACGTCACCCATGT

583

ZnT2IE-3F ATATTGGTGGCCCATTTCAC

ZnT2IE-3R ACAGAGGCCATGGTTGACAT

503

ZnT2IE-4F ATATGAGGGGTGGGGTAAGG

ZnT2IE-4R ACAGCTCCCAGTGTTCTTGG

527

ZnT2IE-5F GCCCTATCTCTCATGGCTGT

ZnT2IE-5R CCACCTACCCTTCAGGTTGT

533

ZnT2IE-6F TTCTGAACTGTGGTCTGTCCTT

ZnT2IE-6R GAACTGCCACACCTGAAAGC

501

ZnT2IE-7F TCAGTGTTAAGAGTGGAGAGGAA

ZnT2IE-7R AACCCCAGCCTCAGTTTCTT

530

ZnT2IE-8F TACCTGGCAGAGGAATGGAA

ZnT2IE-8R GAAAGGGAACATTTGGCTCA

848

ZnT2IE-9F TATGAATCTGAGCCCCTCCA

ZnT2IE-9R CAAGTGACCAAACCCACCTC

912

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Table 2.4 Primers used for RT-(Reverse transcriptase) PCR

Primers to ZnT2 were designed to GenBank sequence Accession No NM_032513

Primers to ZnT5 were designed to GenBank sequence Accession No AF461760

Primers to ZnT6 were designed to GenBank sequence Accession No XM_059432

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Forward Primer

Reverse Primer

PCR product length in

(bp) ZnT5-A GCAGCGGCGAGACATGAGGAG

ZnT5-B CACTACCACTCCTCCAGACAG

1113

ZnT5-C

TCTCTCATTATGCCTTTTGC ZnT5-D

GCATCTTTAATCAGTGGAACA 1127

ZnT5-E CAGCATTGGTGTGATCGTATC

ZnT5-F AAGATTCCTTGATCCAGTAGT

629

ZnT6-A AGAACGGCTTCCGGCGGG

ZnT6-B GAGGCATTGGGATTACGTGA

1124

ZnT6-C AAGTCTTACTCCAGACAACA

ZnT6-D AATGTGAACAAGACTACTAT

759

ZnT6-C1F TTGACTCCTTGGCTTCCAAT

ZnT6-C1R AAAGGAGAGAAACTTTAACAAAAATC

974

ZnT2-C1F AGACACGGGAGCGCTTG

ZnT2-C1R ATGATGTTCACAGCCACAGC

788

ZnT2-C2F GTGACGGGGGTACTGGTGTA

ZnT2-C2R TGCCTGACAGTCCTTCATGT

639

ZnT2-C3F TCGCCATTGCTCAGAATACA

ZnT2-C3R GGGAGGCTCAAATGAGAGTG

630

ZnT2-C4F GGACCCTCACACTCTCATTTG

ZnT2-C4R GCCAACTGGCTCTTGTTCTC

686

ZnT2-C5F ACTGGTGTACCTGGCTGTGG

ZnT2-C5R CCGAGTAGTCCTCGATCTGG

605

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The following PCR amplification conditions were applied: one cycle at 94 °C

for 3 min, 35 cycles at 94 °C for 45 s, annealing temperature for 30 s, 72 °C

for 60 s, with final extension at 72 °C for 10 min. PCR products were run on

1.5% Agarose (Amresco; Ohio, USA) gels and bands were excised, purified

and sent for sequencing to Monash Sequencing Centre, Melbourne. Results

were aligned to the original sequence using Sequencer 4.2 software to

identify any modifications.

2.7 Transcription Factor Binding Site Analysis

Genomic sequences were entered into MatInspector (Genomatix Software -

http://www.genomatix.de/en/index.html) to determine transcription factor

binding sites in the regions of interest. The resultant data was exported to

excel. Transcription binding motifs relevant to lactation (STAT-5), metal

homeostasis (MRE) Metal Responsive Element and other hormonal

influenced transcription binding factors (ERE) Estrogen Responsive element,

(PRE) Progesterone Responsive Element and (RXR) Retinoic X Receptor

were identified manually by scanning the conserved binding motif sequences

through the promoter region upto 4000bp upstream of start codon for all

members of ZnT family.

2.8 Western Blots

Lymphoblasts and fibroblasts from patient and control cells, PMC42-LA cells

and resting breast tissue were collected were analysed for protein

expression. M17 cells treated with different Zn and DHA concentrations, cells

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overexpressing ZnT5 and ZnT6 and with knockdowns containing siRNA

ZnT5 and ZnT6 constructs were also collected for protein analysis.

Cell pellets were resuspended in lysis buffer (1% w/v sodium dodecyl

sulphate (Sigma-Aldrich; Sydney, Australia), 10 mM Tris-hydrochloric acid,

pH of 6.8, containing one Mini EDTA-free protease inhibitor cocktail tablet

(Roche Applied Science) per 10 ml. Cells were disrupted by passing through

a 25-gauge needle 8-10 times and sonicated (40% power output, 30% duty

cycle) on ice, three times for 15 sec with 30 sec break between each

sonication, by using a Microsone Ultrasonic cell disrupter (Misonix

Incorporated, NY, USA). Samples were then stored at -80ºC until needed for

analysis.

Quantification of protein concentration in cell lysates were performed using

BCA protein assay kit (Pierce; Melbourne, Australia), following the

manufacturer’s instructions. Protein samples were prepared with 6x loading

dye (10% glycerol, 20% SDS, 1.5 M Tris-HCl pH 6.8, 1.8 M bromophenol

blue, dH2O, 10% merceptophenol). Page RulerTM Prestained Protein ladder

(Fermentas) was used as a protein molecular weight marker. Sixty

micrograms of each extract was fractionated by 10% SDS-PAGE using Bio-

Rad Mini Protein Gel system for 1.5 hours at 125 V according to

manufacturer’s instructions. Proteins were transferred to nitrocellulose

membranes (Whatman; Dassal, Germany) at 10 V for 90 minutes using a

Trans-Blot Transfer Cell (Bio-Rad) in 25 mM Tris, 200 mM glycine pH 8.3

and 20% methanol.

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Membranes were then stained with 0.1% Ponceau S (Sigma-Aldrich;

Sydney, Australia). Ponceau S stain was removed with 0.1% NaOH (Sigma-

Aldrich; Sydney, Australia). Membrane was blocked for one hour with 1 %

casein in TBS (0.05 M Tris and 0.15 M NaCl). Blots were incubated overnight

at 4oC with monoclonal antibodies for ZnT5 (Kambe et al.; 2002 JBC

277:19049) diluted at 1:500 and ZnT6 (Abnova mouse monoclonal

#H00055676-M01) diluted at 1:250 in 1% casein (Sigma-Aldrich; Sydney,

Australia). After washes with TBS proteins were detected using 1:4000

dilution of HRP (horseradish peroxidase) conjugated sheep anti-mouse

antibody (Millipore; Melbourne, Australia) for 1.5 hours at room temperature.

After removal of excess secondary antibody, membranes were rinsed twice

in TBS for 10 min and then twice more in TBS with 0.1% tween 20 (Sigma-

Aldrich; Sydney, Australia). Proteins were detected by enhanced

chemiluminescence (Immobilon Western Chemiluminescent HRP Substrate;

Millipore; Melbourne, Australia) according to manufacturer’s instructions.

Images were captured using LAS-3000 FujiFilm Lumino-Image Analyzer (Fuji

Photo Film; Tokyo, Japan). Blots were stripped for 5-10 min using Reblot

Plus Strong (Millipore; Melbourne, Australia) solution and then reprobed with

β-actin monoclonal antibody diluted 1/5000 followed by goat anti-mouse

secondary antibody to determine the protein loading for lysates.

Densitometry to quantify results was performed using Fuji Film Multi Gauge

V3.0 computer software, and ratios for protein levels were calculated relative

to β-actin. β-actin and Ponceau S stains were used as controls.

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2.9 Immunofluorescence

Fibroblasts from patients and controls and PMC42-LA cells were grown on

10mm diameter glass cover slips. Breast tissue (BT) blocks (1cm3) were

immersed in OCT (Tissue Tek; Sydney, Australia) and frozen in liquid

nitrogen for 3 minutes followed by sectioning (8-10 μm thickness) on gelatin

(5%) coated slides using Leica CM1800 cryostat at between -17 and -20ºC.

M17 cells were grown overnight in tissue culture treated 8 well μ-slide Ibidi

chambers (DKSH; Melbourne, Australia) followed by 0, 10, 20 μg/ml DHA

with and without 5 μM of zinc for 48 hours. Stably transfected overexpressing

ZnT5 and ZnT6 and knockdown cells containing siRNA ZnT5 and ZnT6 and

respective controls having empty vectors were grown in tissue culture treated

(8 well μ-slide) Ibidi chambers.

When cells reached 50% confluency on coverslips, they were rinsed with

PBS (after 48 hours for M17 treated chambers), and fixed in 4%

paraformaldehyde (Sigma-Aldrich; Sydney, Australia) for 5 minutes, 10min

for BT. After 2 washes with PBS (Amresco; Ohio, USA), they were

permeabilized with 0.1% TX-100 (Sigma-Aldrich; Sydney, Australia) for 10

minutes (Breast Tissue (BT) 5% for 5 min) followed by blocking in 1% BSA

for 10 minutes (3% for 90 min). Cells were incubated overnight at 4oC with

primary antibody diluted in 1% BSA in PBS (ZnT5 1/100, ZnT6 1/75). After

three PBS washes, a secondary antibody Alexa Flour 488 anti-mouse

(Chemicon; Melbourne, Australia) diluted at 1:2000 was added and then

incubated for 2 hours at room temperature following three washes with PBS.

Coverslips were mounted on glass slides, a rectangle coverslip was mounted

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on BT slides, using ProLong Gold antifade reagent (Invitrogen; Melbourne,

Australia). Confocal images were obtained using a Leica confocal

microscope system TCS SP2 (Leica; Melbourne, Australia).

Cultured M17 cells were grown on 10 mm diameter glass cover slips in 12

well plates. Cells were treated with 10 μM ZnCl2 for one hour followed by

three washing with PBS of 2 mins each. Half of the wells were again treated

with 15 μg/ml of DHA for additional one hour at 37oC followed by three 2

mins PBS washes. Cells grown on coverslips without additional ZnCl2 and

DHA were used as a control. Immediate after different treatments all cells

were incubated for 30 mins with 5 μM of Zinquin ((ethyl-[2-methyl-8-p-

toluenesulfonamido-6-quinolyloxy]acetate), generously supplied by Dr Peter

Zalewski, Department of Medicine, University of Adelaide, Adelaide,

Australia) at 37oC.

Another set of cells treated with zinc and DHA were checked for the recovery

of fluorescence where after DHA treatment, cells were washed with PBS and

placed with fresh media for different times (3, 6, 9, 24 hours). After 3 PBS

washes coverslips were mounted on a drop of Fluoroguard (BioRad, Sydney,

Australia). Epifluorescence was viewed with an Olympus BX50 microscope

with a PlanApo 60X 1.4 oil objective using UV light filter range 365 nm-

395nm.

2.10 Alkaline phosphatase assay

Fibroblast and lymphoblast from patients and controls, PMC42-LA, breast

tissue, DHA and Zn treated M17 cells, overexpressing ZnT5 and ZnT6 or

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with knockdowns containing siRNA ZnT5 and ZnT6 and respective controls

were collected for TNAP (Tissue Non specific Alkaline Phosphatase) activity.

Collected pellets were lysed using ALP lysis buffer (10 mM Tris-HCL, pH 7.5,

0.5 mM MgCl2, 0.1% Triton-X 100). 20 μg of total cellular proteins were pre-

incubated in lysis buffer for 10 minutes at room temperature. A 100ul volume

of substrate solution (2 mg/ml p-nitrophenyl phosphate in 1M diethanolamine

buffer, ph 9.8, containing 0.5 mM MgCl2) (Sigma-Aldrich; Sydney, Australia)

was added. After 10 minutes incubation at room temperature, p-nitrophenol

released by TNAP, a soluble yellow substance, was measured at 405 nm

absorbance. Shrimp ALP (Roche Applied Sciences, Germany) was used as

a standard.

2.11 ZnT5 and ZnT6 Pyrosequencing Assay

Bisulfite Pyrosequencing for DNA methylation analysis

Bisulfite conversion of DNA was performed using EZ DNA Methylation

Gold™ kit (Zymo Research) following the manufacturers’ protocol. Briefly,

2μg of genomic DNA was incubated with CT conversion reagent and

incubated at the following temperatures; 98°C for 10 min, 64°C for 2.5hr and

held at 4°C. DNA was then transferred to a spin column, washed,

desulphonated, purified and finally eluted in a 10μl volume.

Quantitative Bisulfite Pyrosequencing was used to determine the percentage

methylation at individual CpG sites within the ZnT5 and ZnT6 promoter

regions (NT_022184.15; 11212499-11212863). Briefly, 0.2 μg of bisulfite

treated DNA was added as a template in PCR reaction using 12.5 μl Hot Star

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Taq mastermix (Qiagen), total volume 25 μl. Primer sequences and PCR

conditions are shown in Table X Biotin-labelled PCR products were captured

with streptavidin sepharose beads (GE Healthcare), and made single

stranded using a Pyrosequencing Vacuum Prep Tool (Qiagen). Sequencing

primers were annealed to the single stranded PCR product by heating to

80°C, followed by slow cooling. Pyrosequencing was then carried out on a

Pyromark MD system. Cytosine methylation was quantified using proprietary

PyroQ CpG 1.0.6 software. All PCR and pyrosequencing reactions were

carried out in duplicate.

Assay validations were carried out to rule out any amplification bias of

primers for methylated DNA and to assess assay reproducibility using

methods described previously (White et al 2006). All primers were found to

be unbiased and data reproducible. Zero and 100% methylated controls

(Epitect control DNA, Qiagen, 59568) were routinely run alongside samples

as internal controls.

2.12 Physiological zinc uptake and efflux

M17 cells containing overexpression constructs or siRNA for ZnT5 and ZnT6

and control cells containing empty vectors were seeded with similar numbers

of cells in 12 well plates (Nunc). At around 95-100% cell confluency, cell

cultured media was replaced with 400 l fresh media containing 5 M ZnCl2

and 1 Ci/ml of 65Zn (Oak Ridge National Laboratory, Oak Ridge, TN). The

plates were treated for 0, 5, 10, 20, 40 and 60 minutes in triplicates for

uptake experiments. For each experiment the triplicates represent one time

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point. Immediately 400 l of media was removed for the zero time point and

cells were then washed with 5 mM EDTA to remove any surface bound zinc.

Cells were collected in 600 l of PBS. Cells in PBS and EDTA wash were

retained and the counts per minute of 65Zn were obtained (Perkin-Elmer 1480

automatic gamma counter). Cells in PBS were lysed with 10% SDS and

homogenised using 21 gauge needle and the total protein amounts were

measured using Pierce BCA protein assay kit (Thermo scientific). This

collection protocol was repeated for 5, 10, 20, 40 and 60 minutes time points.

Picomoles of zinc per microgram of protein were calculated for both

adsorbed and internalized zinc.

For efflux experiments, cells at 85% confluency were incubated in 5 M

ZnCl2 and 1 Ci of 65Zn/ml for 24 hours. The 65Zn was removed and the cells

were incubated in 5 M ZnCl2 with no 65Zn for 0, 5, 10, 20, 40 and 60

minutes. Cells in PBS, media and EDTA wash were retained for radioactive

analysis followed by protein estimation as described above for the uptake

experiments.

M17 cells were grown in the absence or presence of DHA (20 μg/ml) for 18

hours in culture medium containing radiolabelled 65Zn (1 Ci of 65Zn/ml) and 5

M ZnCl2. The culture medium was replaced with medium containing 5 M

ZnCl2 with no 65Zn and cellular zinc efflux was measured over a period of one

hour including time points at 0, 2, 5, 10, 20 and 60 minutes. The specific

activity of the zinc was determined and zinc efflux was expressed as pmol

Zn/μg DNA.

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2.13 Bioinformatic in-silico analysis

All members of SLC30 family (total 10 members) coding region (ORF) and

the 5’ and 3’ UTR’s sequences were collected from NCBI database with

specific Accession numbers listed in Table 2.2. For phylogenetic analysis, the

nucleotide sequences were aligned using Clustal-X (version 1.83) algorithm.

A phylogenetic tree was created using the bootstrapped Neighbour Joining

(N-J) algorithm of 100 replicates. Tree view program was used to visualise

the tree.

TMD (Transmembrane domains) were analysed by submitting amino acid

sequences to “TMHMM” and “TOPCONS” online database for predicting total

number of TMD’s. The presence of miRNA (micro RNA) was checked by

using “miRBase” online database. Identity and similarity matrix was generated

using MatGAT v2.0 (version 2). to find out similarity or exact identity between

different members of ZnT family.

To predict 3D structures, the sp3 structure prediction database was used,

where amino acid sequences were submitted to online database and

neighbours were generated for viewing as multiple structural alignment or 3D

superimposition in PDB file formats and viewed using Cn3D 4.3.1software for

structure analysis. The list of neighbours is sorted by Z-score (A measure of

the statistical significance of the result relative to an alignment of random

structures already reported in database). Match was considered significant if

ZSCORE value was greater than 6.3. Similarities with a Z-score lower than 2

were considered spurious (not considered genuine or true).

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To analyse the promoter regions, sequences up to 4000bp upstream of the

translation site were collected for analysis. A similarity/Identity matrix was

used to find the homology between different members of SLC30 family for

coding and promoter regions. Important Transcription Binding Factors (TBF)

(described in section 2.7) were reported for all members and further analysed

for micro syntany analysis by arranging them in order of their occurrence

between all members.

2.14 Statistical Analysis

All experiments were repeated in triplicate, and values expressed as means ±

SD. Two tailed t-Test was used to determine statistical variation between

treatments/ patients and controls. p<0.05 was considered significant.

Data distributions were examined by the Kolmogorov-Smirnov test and all

data sets were normally distributed. Analysis of variance was used to

examine methylation in patients vs. controls and type of sample (lymphocyte

vs fibroblast), and the interaction between these fixed factors, at each

individual CpG, and across the mean of the investigated CpGs in a given

gene. A P value of <0.05 was considered statistically significant.

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CHAPTER 3 Altered expression of zinc transporters SLC30A5 and

SLC30A6 (ZnT5 and 6) underlie a mammary gland disorder of reduced zinc

secretion into milk

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3.1 INTRODUCTION

The most frequently occurring form of zinc deficiency is caused by nutritional

insufficiency. In rare cases, however, zinc deficiency is found in breast-fed

babies, who present with symptoms characteristic of nutritional zinc

deficiency, including dermatitis, diarrhoea, alopecia, loss of appetite,

impaired immune function and neuropsychiatric changes (Aggett et al., 1980;

Prasad, 1985). This form of zinc deficiency is a consequence of reduced

levels of zinc in the maternal milk and has been reported in pre-term babies

(27 to 33 weeks gestation) (Aggett et al., 1980; Zimmerman et al., 1982;

Weymouth et al., 1982; Connors et al., 1983; Parker et al., 1982; Heinen et

al., 1995) and less commonly in full term babies (Stevens and Lubitz, 1998;

Glover and Atherton, 1988; Khoshoo et al., 1992; Bye et al., 1985).

Pedigree analysis indicates that the condition is inherited (Sharma et al.,

1988). Zinc levels in the maternal milk of the zinc-deficient breast fed babies

were less than 40% that of normal milk at matched weeks of lactation

(Weymouth et al., 1982; Zimmerman et al., 1982). Maternal zinc deficiency

was not responsible for the low zinc levels in breast milk (Weymouth et al.

1982; Zimmerman et al., 1982).

Several reports have linked zinc deficiency caused by reduced zinc levels in

the milk to defects in SLC30A2 (ZnT2). In a family where two exclusively

breast-fed infants developed zinc deficiency associated with low milk zinc

concentration, a mis-sense mutation that substituted a conserved histidine, at

amino acid 54, with arginine (H54R) was reported (Chowanadisai et al.,

2006). In another two unrelated families, the production of zinc-deficient milk

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was linked to a (G87R) mutation that resulted in a glycine to arginine

substitution at a different locus from the previous study (Lasry et al., 2012).

More recently, two novel missense mutations in the SLC30A2 (ZnT2) genes

were reported in a Japanese mother, who secreted zinc-deficient breast milk

where milk zinc levels were reduced by 90% of that of normal (Itsumura et

al., 2013).

An inherited disorder of mice with similar phenotype to the human condition

of reduced secretion of zinc into milk has been described (Piletz et al., 1978).

Newborn pups who were nursed on ‘lethal milk’, homozygous mutant dams

(lm/lm), developed dermatitis, alopecia and showed stunted growth, leading

to death within a week. In the mouse disorder, a defect in the secretion of

zinc from the mammary gland was demonstrated (Ackland and Mercer, 1992;

Lee et al., 1992). A nonsense mutation at arginine codon 297 in the ZnT4

zinc transporter, resulting in premature protein termination, was reported to

be responsible for the mouse disorder (Huang and Gitschier, 1997). A study

of the human orthologue (hZnT4) of the murine ZnT4 gene in two women

with zinc-deficient milk including sequence analysis of cDNA, real time RT-

PCR and Western blot analysis of cells showed no differences between

patient and control cells, which demonstrated that unlike the mouse disorder,

defects in hZnT4 were not responsible for the human disorder of reduced

secretion of zinc into milk (Michalczyk et al., 2003). In these patients it is

likely, therefore, that the maternal mammary gland defect in zinc secretion is

different from the “lethal milk” mouse model and that other candidate hZnT

transporters may underlie the mammary zinc transport defect.

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The following clinical presentation of two cases of zinc deficiency has

previously been reported (Michalczyk et al., 2003). Infant 1 was born

premature at 36 weeks and was breast-fed for three months. A red,

necrolytic rash developed at two months of age (Figure 3.1a, b). Zinc

deficiency was confirmed at three months post-partum by tests showing zinc

blood levels of 4.5 μmoles/l; 0.29 μg/ml (reference range 10.3–18.1 μmoles/l;

0.67 -1.18 μg/ml). The level of breast milk zinc from the mother of Infant 1

(Mother 1) was 0.29 μg/ml, which was less than one quarter that of the

normal zinc level (1.35 μg/ml) at the corresponding stage of lactation.

Treatment of the infant with zinc (50 mg/day) resulted in a dramatic

improvement in the rash within three days. Infant 2 was born premature at 37

weeks gestation and developed dermatitis affecting the face and perioral

skin, with scalp scale and similar symptoms as that of Infant 1. The maternal

milk zinc level (Mother 1) at seven months was 0.2 μg/ml, which was

considerably less than the normal zinc level (0.85 μg/ml). On commencing

treatment with zinc (50 mg/day), the rash cleared in three days and hair

started to grow fully. It is interesting to note that both mothers who produced

zinc-deficient milk had no clinical symptoms of zinc deficiency themselves.

A study of the human orthologue (SLC30A4) of the murine Slc30a4 gene in

these two mothers with zinc-deficient milk, including sequence analysis of

cDNA, real time PCR and Western blot analysis, showed no differences

between patient and normal control cells (two lymphoblasts and two

fibroblasts from healthy mother), which concluded that unlike the mouse

disorder, defects in SLC30A4 were not responsible for the human disorder of

reduced secretion of zinc into milk (Michalczyk et al., 2003). In these patients

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Figure 3.1 Photograph of patient (infant number 1) showing

dermatitis on feet

Zinc-deficient Infant 1 born at 37 weeks gestation, showing necrolytic rash at

extremities with blistering and desquamation (a) and (b).

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it is likely, therefore, that the maternal mammary gland defect in zinc

secretion is different from the “lethal milk” mouse model and that other

candidate SLC30A transporters may underlie the mammary zinc transport

defect. In this study we sequenced ZnT2 to detect mutations associated with

two unrelated mothers who produced zinc-deficient milk and investigated

whether modifications in other ZnT transporters may underlie this mammary

gland disorder. Analysis of cells from mothers of zinc deficient babies

showed alterations in ZnT5 and ZnT6 mRNA and protein, and epigenetic

changes to ZnT5, relative to unaffected mothers.

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3.2 RESULTS

3.2.1 mRNA expression levels of hZnT5 and hZnT6 are

reduced in Mothers 1 and 2

Expression levels of hZnT1, hZnT2, hZnT3, hZnT4, hZnT5, hZnT6, hZnT7,

hznT8, hZnT9, hZnT10 mRNA were measured in control (lymphoblasts and

fibroblasts from healthy mother), Mother 1 and Mother 2 cells using real-time

RT-PCR, to detect changes in gene expression at transcription level. The

control reactions lacking either primers and/or template cDNA were negative

for all analysed samples. The dissociation curve analysis of all PCR products

revealed the single peaks of expected Tm (data not shown), confirming the

specificity of all designed primers.

The transcript levels of both hZnT5 and hZnT6 were significantly lower in

lymphoblasts from Mother 1 (hZnT5=0.26+/-0.12; hZnT6=0.22+/-0.12)

compared to controls (hZnT5=1+/-0.11 and hZnT6=1+/-0.09) (p<0.05, t-test).

In Mother 2, while the transcript levels of hZnT5 were significantly lower in

lymphoblasts (hZnT5=0.35+/-0.08) compared to controls (hZnT5=1+/-0.22),

there was no significant decrease in hZnT6 (0.81+/-0.1) compared to healthy

controls (1+/-0.15) (p<0.05, t-test) (Figure 3.2a).

In fibroblasts from Mother 1, hZnT5 and hZnT6 transcript levels

(hZnT5=0.14+/-0.09; hZnT6=0.4+/-0.11) were lower than in the control

(hZnT5=1+/-0.12 and hZnT6=1+/-0.13) (Figure 3.2b).

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Figure 3.2 Real-time RT-PCR analysis of hZnT mRNAs in cells

from Mother 1 or Mother 2 and corresponding

controls.

SYBR-Green real-time RT-PCR analysis of hZnTs mRNA was performed

using the cells from Mother 1 or Mother 2 and corresponding controls. (a)

Comparison of the hZnT1, hZnT3, hZnT7, hZnT9 and hZnT10 relative mRNA

expression levels between Mother 2 cultured fibroblasts and corresponding

controls revealed no significant differences (p 0.05, t-test). The significant

reduction (p<0.05, t-test) of hZnT5 and hZnT6 transcript levels was detected

in Mother 2 cells in comparison to control. (b) No differences were observed

in hZnT1, hZnT3, hZnT7, hZnT9 and hZnT10 mRNA in lymphoblasts from

Mother 1 and Mother 2 versus controls (p 0.05, t-test) however significant

down-regulation (p<0.05, t-test) of Mother 1 and Mother 2 cells were found

as compared to controls for hZnT5 and hZnT6 transcripts. (c) In human

resting breast tissue the hZnT5 and hZnT6 expression was detected. The

difference of 48-fold was observed between hZnT5 and hZnT6 transcript

levels (p<0.05, t-test). The bars represent the mean (±SD) of 3 independent

experiments. Stars indicate statistically significant differences (p<0.05, t-test).

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Mean value of two different lymphoblasts and fibroblasts from healthy

mothers was taken/used to put error bars. No differences in the mRNA

expression levels of hZnT1, hZnT3, hZnT4, hZnT7, hZnT9, hZnT10 of

fibroblasts and lymphoblasts from Mother 1 and Mother 2 were found

relative to controls (p>0.05, t-test) (Figure 3.2a, 3.2b). hZnT2 and hZnT8

mRNA transcripts were not found in any patient nor in control cells.

As the mammary gland was the source of the zinc deficient milk, human

breast tissue was analysed for the presence of ZnT5 and ZnT6 transcripts.

ZnT6 transcripts were 48 times more abundant than ZnT5 transcripts in

normal mammary tissue (Figure 3.2c).

3.2.2 Sequencing of hZnT2

As this transporter has been linked with the zinc deficiency disorder, the ORF

of hZnT2 was sequenced in lymphoblasts and fibroblasts from control and

patient samples. No nucleotide differences were seen between control,

Mother 1 and Mother 2. Exon-Intron splice variants were also analysed using

nine different set of primers (Table-2.3 and 2.4) corresponding to alternative

splice sites for hZnT2 gene. No changes were observed for this transporter.

3.2.3 Sequence analysis of hZnT5 and hZnT6 cDNA from

patient cells and controls

As there was reduced expression of hZnT5 and hZnT6 mRNA in fibroblast

and lymphoblast cells from Mother 1 and Mother 2 compared to control cells,

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sequence analysis of cDNA was carried out to detect changes in the coding

regions of these genes. In hZnT5 two single nucleotide modifications from

the Genbank sequence (AF461760) at position 1692 (C T) and 1800 (T

A) from the start codon were identified in some control and patient cells.

These modifications did not alter the amino acid sequence of hZnT5.

cDNA sequencing indicated no differences in the coding region of the hZnT6

gene between patients and corresponding controls (lymphoblasts and

fibroblasts from healthy mothers) and in all lymphoblasts tested (both

patients and controls). A full-length hZnT6 mRNA and a variant that was

missing 43 nucleotides starting from position 216 (Figure 3.3a) were found in

lymphoblasts. Similarly, in all fibroblasts (patients and controls) two versions

of hZnT6 ORF were detected, one full length and another with 49 nucleotides

missing from position 757 to 806 from start codon (Figure 3.3b).

Sequence analysis was also performed at 5’ and 3’ untranslated (UTR)

regions of hZnT5 and hZnT6 genes to find any changes present in the micro

RNA (miR) binding regions. miR-1303 for ZnT6 and miR-1273 for ZnT5

transporter were found at position +356 and +217 from start codon

respectively, but no differences were found between patient vs control

samples.

3.2.4 Analysis of exon-intron structure of hZnT6 gene

To investigate whether the different hZnT6 mRNA variants found in fibroblast

and lymphoblast cells were due to alternate splicing, analysis of exon-intron

structure of the gene was performed.

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Figure 3.3.1 Analysis of fragments of hZnT6 cDNA from

lymphoblasts and fibroblasts from Mother 1,

Mother 2 and corresponding controls to

elucidate splice site variants.

Fragment of hZnT6 cDNA from lymphoblast and fibroblast showing a deletion

of 43 and 49 nucleotides (double dots) respectively in control, Mother 1and

Mother 2 along with full length cDNA. (a, b).

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The genomic sequence of hZnT6 was obtained using BLASTn search of

human genome available from GenBank. The hZnT6 gene consists of 14

exons positioned on chromosomes 2p22.3.

The variant detected in lymphoblasts corresponds with absence of exon IV

and the variant detected in fibroblasts corresponds with absence of exon IV

(Figure 3.3c). Thus the variants detected appear to result from alternative

splicing of the hZnT6 transcript.

3.2.5 Promoter Analysis

To establish whether reduced levels of hZnT5 or hZnT6 were due to changes

in the promoter regions of these genes, sequence analysis was carried out

on the DNA up to 4000 base pairs upstream from the start codons of hZnT5

and hZnT6. These regions both contained the following transcriptional

regulatory elements: MRE (Metal Responsive Element), STAT-5 (binding site

for prolactin), TATA binding site, PRE (Progesterone Responsive Element),

and GRE (Gonadotrophin Responsive Element). In addition the region in

hZnT5 contained an Insulin Responsive Element (IRE). Point changes were

observed at position -1155 (T :), -1325 (G C) from the start codon and -

545 (A G), -1735 (C T) in control and Mother 1 fibroblasts for hZnT5 and

hZnT6 respectively (Figure 3.4b), but did not affect any of the above

transcription factor binding sites.

3.2.6 Western Blot analysis of hZnT5 and hZnT6

Western blot analysis was used to detect the expression of hZnT5 and

hZnT6 proteins in patient and control fibroblasts and lymphoblasts.

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Figure 3.3.2 Diagram to illustrate the different exon-intron

structure of the hZnT6 gene.

In lymphoblasts the full length mRNA coexisted with the alternatively spliced

form (missing exon IV); In fibroblasts, an alternatively spliced form of hZnT6

which did not show exon IX was present, together with full length version of

mRNA. (c)

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Figure 3.4 Diagramatic presentation of promoter region of

hZnT5 and hZnT6 genes

(a) Diagramtic representation of important transcription factor binding sites

present 4000 bp upstream of the translation start point. The location and

order of the indicated transcription binding factors is only approximate as

hZnT5 and hZnT6 have multiple binding sites for different transcription

factors. The number of binding sites present in each sequence is indicated by

the number in the coloured box in the diagram for each gene. Abbreviations

used in the diagram: PRE (Progesterone Response Element), ERE

(Estrogen Response Element), Stat-5 (binding site for prolectin), IRE (Insulin

Response Element), MRE (Metal Response Element). (b) Point changes

identified at different positions on hZnT5 and hZnT6 genes in affected

mothers and controls.

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A significant reduction in hZnT5 and hZnT6 proteins was observed for

Mother 1 and Mother 2 lymphoblasts as compared to control lymphoblasts

(mean value taken from two sepeate lymphoblasts and fibroblasts cells).

No changes were observed in fibroblasts for hZnT6 protein expression but

there was a significant reduction between Mother 2 and control for hZnT5. In

lymphoblasts the major band detected with the ZnT5 antibody was of size 57

kDa with a less intense band seen at 55 kDa, while in fibroblasts a single

band of size 55 kDa was detected (Figure 3.5a). In lymphoblasts, no

differences in ZnT5 band sizes were seen between control extracts and

extracts from Mother 1 and Mother 2. Using the ZnT6 antibody, two bands of

size 55 kDa and 57 kDa with equal intensity were found in lymphoblasts and

one band of 55 kDa in fibroblasts. Similar band intensity was observed in

control and in Mother 1 and Mother 2 extracts (Figure 3.5b). Lysates of the

human breast carcinoma line PMC42 and human breast tissue were tested

for the presence of hZnT5 and hZnT6 proteins. The hZnT5 antibody detected

a weak band of size 57kDa in PMC42 cell extracts while a strong band of 55

kDa was seen in breast tissue (Figure 3.5a). The ZnT6 antibody showed

negligible amounts of hZnT6 in the PMC42 cells and a strong band at 55 kDa

in the breast tissue (Figure 3.5b).

3.2.7 Intracellular localization

Confocal microscopy of patient and control fibroblast cells to determine the

intracellular localisation of hZnT5 and hZnT6 proteins showed a granular

cytoplasmic distribution for both hZnT5 and hZnT6 that was similar in Mother

2 (Figure 3.6a, 6e) and control fibroblasts (Figure 3.6b, 6f) respectively.

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Figure 3.5 Western blot analysis of proteins from two

mothers with zinc deficient infants.

Expression levels of hZnT5 and hZnT6 protein were analysed using

appropriate antibodies.

A band of the predicted size of 55 kDa was detected in all the fibroblasts and

a major band of 57 kDa band along with minor band at 55 kDa was present

for all the lymphoblasts for hZnT5. Both lymphoblasts and fibroblasts showed

significant decrease in patient cells as compared to controls (a).

A band was detected around 55 KDa for all fibroblast cells (patient and

control) for hZnT6 gene. Lymphoblast showed two bands of equal intensity at

55 and 57 kDa sizes. No significant differences were observed between

control and patient fibroblasts but patient lymphoblasts showed significant

decrease as compared to controls (b).

PMC-42 showed band at ~57 kDa and BT breast tissue at ~55 kDa using

both antibodies. An antibody to housekeeping human β-actin along with

Ponceau S was used to indicate the relative levels of protein loaded on the

gel from mothers 1 and 2 and corresponding controls Densitometry was

performed to compare the results.

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Figure 3.6 Intracellular/Subcellular localization of hZnT5 and

hZnT6

Immunostaining of hZnT5 (upper row) and hZnT6 (lower row) in control

fibroblast (a, e), Mother 2fibroblast (b, f), PMC-42 (c, g) and human breast

tissue (d, h) E denotes luminal epithelial cells and L denotes lumen of the

duct. Control and Mother 2 fibroblast cells grown on cover slips were fixed by

4% paraformaldehyde and stained with hZnT5 and hZnT6 antibodies

respectively followed by secondary antibody conjugated with Alexa 488.

hZnT5 and hZnT6 localization was also tested in PMC-42 cells and human

breast tissue cryo-sections following the same procedure. Images shows

granular cytoplasmic and peri-nuclear localization of hZnT5 (a, b, c, d) and

hZnT6 (e, f, g, h) in control fibroblast, Mother 2 fibroblast, PMC-42 and

human breast tissue respectively. Scale bar = 10 μm.

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Images of lymphoblasts suggested a similar distribution of hZnT5 and hZnT6

between patient and control cells, although this was difficult to ascertain due

to the small volume of cytoplasm in lymphoblasts (data not shown).

A similar localization pattern was observed for PMC42 (Figure 3.6c, 6g) cells

and breast tissue (Figure 3.6d, 6h) for hZnT5 and hZnT6 respectively.

3.2.8 Alkaline phosphatase activity

Significantly reduced alkaline phosphatase activity was found in patient

lymphoblasts (Mother 1 and Mother 2) relative to control lymphoblasts

(Figure 3.7). In fibroblasts, alkaline phosphatase levels were low and no

significant differences were detected between Mother 1, Mother 2 and

controls (two different fibroblasts from healthy mothers were analysed).

Alkaline phosphatase activity was also detected in PMC42 cells and breast

tissue and overall breast tissue showed maximum activity.

3.2.9 DNA methylation

3.2.9.1 hZnT5 methylation

In lymphoblasts, CpG site 2 was found to be significantly less methylated in

Mother 1 (4%) and Mother 2 (4%) compared with control samples (13%)

(Figure 3.8a). In contrast the reverse was seen in fibroblasts where Mother 2

methylation (52%) was greater than in the control sample (38%) (Figure

3.8b), Methylation levels at all four sites were significantly higher in

fibroblasts than lymphoblasts with the exception of CpG1 and CpG2 for the

controls (Figure 3.8b).

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Figure 3.7 Alkaline phosphatase activity

Total alkaline phosphatase activity was detected at 405nm wave length using

p-nitrophenol as a substrate for patient and control lymphoblast’s,

fibroblast’s, PMC-42 and breast tissue. Activity was measured in U/μg of total

protein. Significant differences were found for patient and control

lymphoblasts. Mother 1 showed maximum decrease in activity followed by

Mother 2 as compared to control lymphoblasts. No differences were

measured between Mother 2 and control fibroblasts. Breast tissue showed

maximum ALP activity. The bars represent the mean (±SD) of 3 independent

experiments. Stars indicate statistically significant differences (p<0.05, t-test).

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Figure 3.8 Bislphide pyrosequencing for DNA methylation of

hZnT5 and hZnT6 genes

(a) Lymphoblasts showed statistical significant hypomethylation in Mother 1 and

Mother 2 as compared to control at CpG site 2 for hZnT5 gene. All other sites CpG 1,

3, and 4 showed no changes between patient and control samples. The bars

represent the mean (±SD) of 3 independent experiments. Stars indicate statistically

significant differences (p<0.05, t-test).

(b) Fibroblasts showed statistical significant hypermethylation in Mother 2 fibroblast

as compared to control at CpG site 2 for hZnT5 gene. All other sites CpG 1, 3, and 4

showed no changes between patient and control samples. The bars represent the

mean (±SD) of 3 independent experiments. Stars indicate statistically significant

differences (p<0.05, t-test).

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3.2.9.2 hZnT6 methylation

Methylation within the ZnT6 gene was below the detectable levels in extracts

from Mother 1, Mother 2 and control samples in lymphoblasts and fibroblasts.

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3.3 Discussion

Low levels of zinc in the maternal milk combined with a response by the

infants to zinc therapy indicated a defect in the maternal breast affecting

secretion of zinc into milk. The observation that neither mother was suffering

from zinc deficiency suggested that specific defects to zinc exporters in the

mothers’ breast tissue were involved in this pathology. Zinc transporters are

involved with the activity of tissue non-specific alkaline phosphatase (TNAP)

(Suzuki et al., 2005a). Significant reduction in the alkaline phosphatase

(ALP) activity of Mother I and Mother II lymphoblasts was detected relative to

control lymphoblasts. In fibroblasts, ALP activity was very low, and this may

have accounted for the lack of differences detected between the affected

Mothers and the control. The reduced TNAP in lymphoblasts is consistent

with a reduced function of zinc export in the Mother I and Mother II cells

relative to controls.

Missense mutations in ZnT2 have been reported to underlie cases of

maternal defects of zinc secretion into milk (Chowanadisai et al., 2006; Lazry

et al., 2012; Itsumura et al., 2013). All reported studies on ZnT2 in premature

babies with zinc deficiency have been based on patient's DNA extracted from

mother's blood cells for the identification of novel mutations or modified

tissue cultures for the expression levels (Chowanadisai et al., 2006; Itsumura

et al., 2013). No studies have previously reported hZnT2 expression in

human lymphoblast or fibroblast cell lines. In the two cases reported in the

current study, no detectable ZnT2 mRNA was found in either lymphoblasts or

fibroblasts from the two mothers who produced zinc-deficient milk. To rule

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out the possibility of ZnT2 being responsible for this disorder, sequence

analysis of the ORF and exon-intron splice variants was performed on patient

and control samples from the two different cell types, but no changes were

found. This confirmed that ZnT2 mutations were not responsible for the

production of zinc deficient milk in mothers of premature babies with zinc

deficiency. This raised the possibility that more than one molecular defect

could be responsible for this condition. Multiple members of the solute carrier

family 30 (SLC30 zinc transport) may participate in the export of zinc into

milk and there may be some redundancy amongst zinc transporters. This

possibility is supported by observations that in mothers with ZnT2 mutations,

some zinc was still present in the milk (Itsumura et al., 2013: Lasry et al.,

2012).

Analysis of transcript levels of all other identified members of the mammalian

ZnT/SLC30A family was performed. Significantly reduced levels of hZnT5

mRNA in fibroblasts and lymphoblasts from Mother 1 and Mother 2

compared to controls were observed. A reduction of hZnT6 transcripts was

found in lymphoblasts and fibroblasts from Mother 1 but not in Mother 2,

relative to control cells. Thus it is feasible that defects in hZnT5 and/or

possibly hZnT6 may underline the mammary defect of reduced zinc secretion

into milk as both mRNA and proteins of these transporters were present in

human mammary tissue obtained from the resting breast. Both ZnT5 and

ZnT6 are located in the early secretory pathway (Kambe et al., 2002,

Kirschek, 2003; Huang et al., 2002; Kambe et al., 2011) consistent with a

role in transport of zinc into intracellular vesicles that are destined for

secretion. ZnT5 mRNA is highly expressed in β-cells and the protein is

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located in insulin-containing cells where it may participate in transport of zinc

into secretory granules (Kambe et al., 2002; Suzuki et al., 2005a). Thus in

mammary epithelial cells the ZnT5 transporter may have compatible role in

sequestration of zinc into vesicles destined for secretion from mammary

epithelial cells.

Sequence analysis of hZnT5 from Mother 1, Mother 2 and control

lymphoblast and fibroblasts indicated that some samples had two single

nucleotide modifications compared with the GenBank sequence (AF461760)

at positions 1692 and 1800 from the start codon. These were silent

mutations, thus excluding defects in the ORF of hZnT5 as a causal factor in

relation to defective secretion of zinc into milk or in explaining the reduced

mRNA levels.

In cells from Mother 1, Mother 2 and controls, we found alternative splice

variants of ZnT6. In lymphoblasts, in addition to the full-length transcript, a

variant that lacked exon IV was present. In fibroblasts, a variant that lacked

exon IX was detected in addition to the full-length transcript. Similar

transcripts were found in extracts from both mothers and controls, indicating

that the alternate splicing was not associated with the zinc deficient

phenotype. Splice variants of ZnT5 differing in the 5’ and 3’ regions have

previously been found in Caco-2 cells, where one form contained all 17

exons, while the other lacked exons 1, 2, 4 and exons 15-17, (Jackson et al.,

2007; Thornton et al., 2011). We did not detect splice variants in either

lymphoblasts or fibroblasts.

Protein analysis indicated the presence of two isoforms for both hZnT5 and

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hZnT6. Bands of 55 kD and 57 KDa were found in lymphoblasts. A 55 kDa

band was the only band seen in fibroblasts. The 55 kDa protein was also the

single dominant band in the mammary gland. The band sizes detected in

both mothers and control were consistent with previously reported sizes of 55

and 57 and 60 KDa found in a range of human cells and tissues (Kambe et

al., 2002; Cragg, 2002: Cragg, 2008). Identified bands of 55 kDa for the ZnT6

protein corresponded with predicted size of the splice variant found in

lymphoblasts where exon IV was missing 43 nucleotides (Fig 3.5b).

Although we found alternatively spliced mRNA in both lymphoblasts and

fibroblasts, we detected two protein sizes only in lymphoblasts for the ZnT6

transporter. This could be due to the low abundance of the protein product of

the shorter transcripts in fibroblasts. Alternatively our antibody might not

detect the variant found in fibroblasts.

The protein levels of hZnT5 and hZnT6 in lymphoblasts and fibroblasts were

measured to establish if they were reduced, consistent with the mRNA data,

in lymphoblasts from affected mothers. Both hZnT5 and hZnT6 protein levels

were reduced compared to the control. In fibroblasts however, the protein

levels of hZnT5 and hZnT6 of cells from the affected mothers were no

different from the control. The reasons for the differences in the fibroblast

data between mRNA and protein are not clear.

Both SLC30A6 mRNA and protein were more strongly expressed in normal

breast tissue than in isolated lymphoblasts and fibroblasts. The high

expression of the transporters in normal breast cannot necessarily be

attributed to a greater expression in mammary epithelial cells as the breast

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tissue also contains lipids, endothelial cells and smooth muscle fibres. The

breast cancer epithelial cell line PMC42 expressed approximately one tenth

the amount of ZnT5 and ZnT6 protein of the mammary tissue and

considerably less than lymphoblasts and fibroblasts. This may be related to

the transformed state of these cells or their cancer origin. It is not known if

ZnT5 and ZnT6 are altered in breast cancer tissue or cell lines, although

recently expression of ZnT5 and ZnT6 has been found up-regulated in grade

IV gliomas as compared to grade II gliomas (Lin et al., 2013). ZnT5 mRNA

levels were also increased in prostate cancer (Franz et al., 2013).

The mammary gland hZnT6 mRNA levels were 48 times greater than ZnT5.

Assuming that ZnT5/ZnT6 operates as a heterodimer, this difference in

transcript levels suggests that hZnT6 may have an additional function in

mammary gland, possible accounting for the additional splice variants.

ZnT5 and ZnT6 form heterodimers within the early secretory pathway and

this oligomerization is required for their zinc transport function (Kambe,

2012). The ZnT5/6 heterodimer transports zinc from the cytosol into vesicles

in HeLa cells (Kambe et al., 2002). ZnT6 is not directly involved in zinc

transport across the cell membrane as it does not have a zinc-binding site

within the TMDs because of the lack of conserved hydrophilic residues but it

may function as a modulator (Fukunaka et al., 2009). Based on the X-ray

structure of YiiP, a ZnT homologue in E. coli, (Lu and Fu, 2009; Lu & Fu,

2007) has four hydrophilic residues in TMDs II and V form the zinc-binding

sites for ZnT6. Thus if one of either hZnT5 or hZnT6 protein is reduced it may

impair the function of the dimer in transporting zinc.

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Changes in hZnT5 and hZnT6 mRNA and protein levels in the mothers

producing zinc-deficient milk indicate the possibility that these transporters

may be implicated in the zinc deficiency disorder although no mutations were

detected in the coding region. The suppression of gene expression could be

due to mutations in the gene promoter regions where important transcription

binding sites are present. Changes or mutations within these binding sites

can interfere with transcriptional machinery and hence suppressing

expression of the target gene.

Both hZnT5 and hZnT6 possess a number of hormone responsive elements

including MRE (Metal Responsive Element), STAT-5 (binding site for

prolactin), TATA binding site, PRE (Progesterone Responsive Element) and

GRE (Gonadotrophin Responsive Element). hZnT5 also includes an IRE

(Insulin Responsive Element). The presence of these elements is consistent

with these transporters having a hormone-responsive role in mammary

function, in particular milk secretion, which is controlled by prolactin. To

detect changes in important binding sites present in the promoter region of

our genes of interest, promoter analysis was performed 4000bp upstream of

the translation start site. However, no changes were observed within these

binding sites. We then investigated miRNAs present in 3’ region of these

transporters, as modifications at 3’ regions could alter the expression of

genes. Again, no changes were observed.

The immunolocalisation studies indicated that the distribution of both hZnT5

and hZnT6 protein was similar in fibroblasts, lymphoblasts and breast tissue

and were consistent with the vesicular described localisation of the two

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proteins described previously (Huang et al., 2002; Suzuki et al., 2004; Suzuki

et al., 2005).

DNA methylation is an epigenetic modification that plays an important role in

regulation of gene expression. This determines whether a genome region is

transcriptionally active or repressed, and hence controls cell specific gene

expression (Robertson KD. 2005; Bird A., 2002). Since CpG islands are

present in the promoter region of hZnT5 and hZnT6 genes, their expression

may potentially be regulated by promoter methylation status. DNA

methylation is involved in the down-regulation of other members of the SLC

family of transporters (Hong et al., 2005; Kikuchi et al., 2006; Zschocke et al.,

2007; Philibert et al., 2007; Gonen et al., 2008). DNA hypermethylation

downregulates ZIP8 in cadmium resistant metallothionin null mice (Fujishiro

et al., 2009). Methylation caused by factors including diet may exert

influences during the neonatal development, seen for example with folate,

where a deficiency during pregnancy in mice leads to reduced Zip4

methylation in the offspring (McKay et al., 2011), where as folate is a methyl

donor. Promoter methylation of the hZnT5 gene contributes to reduced

expression of an associated reporter gene that leads to decreased zinc

absorption from intestinal cells (Coneyworth et al., 2009). Increased DNA

methylation of CpG islands in the promoter region of Zip6 was observed in

splenocytes of aged mice relative to young mice and contributed to age-

related deficiency of cellular zinc. Similar hypermethylation was found for

ZnT1 and ZnT5 zinc transporters (Wong et al., 2013). DNA hypomethylation

was responsible for homocysteine-induced cyclin-A gene silencing and

growth inhibition in endothelial cells (Jamaludin et al., 2007).

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We investigated the possibility that DNA methylation could account for the

reduced levels of hZnT5 and hZnT6 transcripts found in cells from mothers

producing zinc-deficient milk. Methylation patterns are tissue-specific and

may differentially regulate gene expression in different cells (Thomson et al.,

2010; Schneider et al., 2010). In folate-methyl deficient rats, DNA

hypomethylation was found in hepatic tissue while DNA hypermethylation

was found in the brain (Pogribny et al., 2008) indicating differential tissue

response with the same nutritional deficiency. Our analyses indicated

differences in methylation levels between fibroblasts and lymphoblasts and

between affected mothers and controls. In fibroblasts, the methylation of

hZnT5 at one of 4 CpG sites measured was increased by 20% in Mother 2,

and this may account for reduced hZnT5 mRNA detected in these cells. In

lymphoblasts in Mothers1 and 2 the methylation of this same CpG site was

reduced by 65% compared to control lymphoblasts. A notable feature of the

methylation results was the large variation between control samples. In

contrast to this the variation within Mother 1 and Mother 2 samples was

smaller, but given the small numbers of samples it is not possible to

determine if the patients and controls actually differed in variability at this

position. Similar to the variations in nucleotide sequences within populations

(genetic polymorphisms), variations in methylation termed epi-

polymorphisms have been identified (Abraham et al., 2012), and may be

attributable to mechanisms including transposable elements (Waterland, and

Jirtle, 2003).

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Hypermethylation at this variable CpG in fibroblasts could be responsible for

reduced expression of the hZnT5 gene. In lymphoblasts, this CpG site was

hypomethylated in affected mothers compared with controls, but expression

levels were reduced at both the mRNA and protein levels. Although promoter

DNA hypermethylation, rather than hypomethylation, is generally regarded as

the suppressive epigenetic modification, this relationship is not always

observed, particularly with respect to individual CpG sites. Another study

revealed that several genes where both gain and loss of DNA methylation at

specific CpG sites was associated with both increased or reduced expression

(Ions et al., 2013), although direct causality was not demonstrated. The

difference in DNA methylation at this specific CpG site between affected

mothers and controls could thus in theory contribute to the differences in

gene expression observed in both lymphoblasts and fibroblasts, but is clearly

not the only determinant. The proximity of two transcription factor binding

sites (CDF-1, DEAF) to this CpG site indicate that altered patterns of DNA in

this region may have functional manifestations that arise through effects on

the action of these transcription factors. CDF-1 plays a role in progression

through the cell cycle (Dohna et al., 2000) (Lucibello et al., 1995) (Zwicker et

al., 1995). Thus ZnT5 transcription may be regulated in parallel with the cell

cycle in manner affected by DNA methylation in this region.

DEAF-1 binds to its own promoter and also suppresses the expression of

PTA (peripheral tissue antigen) (Yip et al., 2009). It also has other functions

in regulating epithelial cell gene expression and mammary gland

morphogenesis (Barker et al., 2008). Further evidence supports that CHR is

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111

a core element in transcriptional regulation by DREAM complexes (Muller et

al., 2012).

We detected no DNA methtylation in the (very selective) region of the hZnT6

promoter we analysed, thus can only conclude that differences in gene

expression were not associated with an increase in DNA methylation in this

region to a detectable level. We cannot exclude the possibility that DNA

methylation in other regions of the hZnT6 promoter differed between the

affected mothers and controls.

ZnT5 and ZnT6 genes in mothers producing zinc deficient milk are

summarized in Figure 3.9.

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Figure 3.9 ZnT5 and ZnT6 changes in mothers producing zinc

deficient milk

Summary of results for two mothers producing zinc deficient milk. Significant

increase and decrease is represented via an upward and downwards arrow

respectively. No changes or undiagnosed results are shown via horizontal

line.

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3.4 Conclusion

In summary, two cases of zinc deficiency in neonates caused by a maternal

defect in the transport of zinc into milk were investigated. Significant

reduction in hZnT5 and hZnT6 mRNA and protein were observed suggesting

a possible causal link to the zinc deficiency disorder. A significant functional

difference between affected mothers and control lymphoblasts was

confirmed by reduced alkaline phosphatase activity. There was an absence

of any modifications altering, amino acids in coding regions, transcription

binding sites in promoter region or 5’ and 3’ untranslated regions (UTR).

Novel splice variants along with full-length expression were detected in

hZnT6. Altered DNA methylation was observed in ZnT5 at epi-labile CpG

sites in lymphoblasts and fibroblasts from mothers producing zinc-deficient

milk compared with controls. This may account for reduced ZnT5 mRNA and

protein in lymphoblasts. The reduced hZnT6 mRNA and protein in

lymphoblasts may be secondary to reduced hZnT5 protein levels, given that

hZnT5 and hZnT6 function as a heterodimer in regards to zinc transport.

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CHAPTER 4

Functional analysis to determine co-dependency of ZnT5 and ZnT6 in neuronal

cells.

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4.1 Introduction

To elaborate the role of ZnT5 and ZnT6, further studies were carried out in

neuronal cells as zinc has a vital role in the normal functioning of neurons.

Out of a total of 10 members of the cdf family, each transporter works

differently in different cells. For example ZnT3 stores zinc in synaptic

vesicles; ZnT5, ZnT6 and ZnT7 stores zinc in the trans Golgi network. .Some

members of cdf family are important in brain and their altered expressions

have been linked to different disorders. ZnT6 levels are significantly

increased in the brain of Alzheimer disease (AD) patients (Lybartseva et al.,

2010; Lovell et al., 2006). Similarly elevated expression of ZnT6 have been

observed in hippocampus gyrus of the human brain with Alzheimer’s and

mild cognitive impairment (Smith et al., 2006).

ZnT5 and ZnT6 have been shown to work together to supply zinc to alkaline

phosphatases, a Zinc dependent enzyme, in the early secretory pathway

comprising the endoplasmic reticulum (ER) and Golgi apparatus (Suzuki et

al., 2005a). ZnT6 mRNA is expressed abundantly in the brain, liver and small

intestine but the protein has only been detected in brain and lung (Huang et

al., 2002; Yu et al., 2007; Suphioglu et al., 2010). These changes in mRNA

and protein levels suggest that ZnT6 expression is controlled at the

translational level in a tissue specific manner (Kambe et al., 2004).

ZnT5 is widely expressed in all mammalian tissues and ZnT5 null mice

develop muscle weakness, lean body composition, poor growth in male null

mice leading to death due to heart block at 15 weeks of age (Inoue et al.,

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2002), suggesting that ZnT5 plays a crucial role in cell survival. Regulation of

ZnT5 expression occurs at the transcription and post transcription (mRNA

stability) levels. ZnT5 protein expression is reduced in human ileal mucosa

with high dietary zinc intake (Cragg et al., 2005). Similarly, exposure of Caco-

2 cells to high doses of zinc results in inhibition of ZnT5 transcription and

translation (Jackson et al., 2007). The formation of ZnT5/ZnT6 heterodimer

complexes using a gene disruption/re-expression system in chicken DT40

cells indicates the possibility that ZnT5 functions in zinc ion transport across

the cellular membrane with ZnT6 acting as a modulator to enhance zinc

transport activity to the complex (Fukunaka et al., 2009). ZnT5 has been

showed to work as both uptake and efflux pump (Valentine et al., 2007;

Thornton et al., 2011).

In the current study the main aim was to investigate the role of ZnT5 and

ZnT6 in M17 cells. To investigate mututal dependency, real time q-PCR and

western analysis were performed on cells harbouring knockdown and

overexpressing constructs of ZnT5 and ZnT6. An alkaline phosphatase

assay was performed to establish whether both are required for enzyme

activity in human neuronal cells. Immuno analysis and 65Zn accumulation and

efflux experiments were performed to establish the intracellular localization

and to determine if ZnT5 and ZnT6 are required for cellular zinc

accumulation or zinc efflux.

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4.2 Results

4.2.1 Overexpression constructs

To investigate the function of ZnT5 and ZnT6 in neuronal cells, over-

expression and knocked-down constructs were created and the expression

levels of ZnT5 and ZnT6 mRNA were measured in control cells (containing

empty vectors) and cells overexpressing ZnT5 and ZnT6 constructs using

real-time PCR. Significant 48 and 50-fold increases in the mRNA expression

levels of ZnT5 and ZnT6 were found (p<0.05) between control and

overexpressed ZnT5 and ZnT6 genes respectively (Figure 4.1a, 4.2a). The

control reactions lacking either primers and or template cDNA were negative.

The dissociation curve analysis of all PCR products revealed single peaks of

expected Tm (data not shown), confirming the specificity of all designed

primers.

Significantly higher ZnT5 and ZnT6 protein expression levels were observed

in cells containing overexpression constructs of ZnT5 and ZnT6 genes as

compared to wild type controls. A 55 kDa band was detected using the ZnT5

antibody and the ZnT6 antibody produced a band approximately 57 kDa in

size (Figure 4.1b, 4.2b top bands). Densitometry performed to measure

differences in protein levels relative to β-actin, indicated significant increases

of 262% and 324% observed in cells overexpressing ZnT5 and ZnT6

respectively relative to control cells with empty vectors (p<0.05) (Figure 4.1b,

4.2b).

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Figure 4.1 Overexpression and knockdown constructs of

ZnT5

SYBR-Green real time RT-PCR analysis of cells overexpressing ZnT5

showed significant increase (P<0.05, t-test) in ZnT5 mRNA compared to

control containing empty vector (a). Western blot analysis showed one major

band at 55 kDa and densitometry analysis after comparing with β-actin as a

control, showed significant increase (P<0.05, t-test) in intensity of band

strength for cells overexpressing ZnT5 compared to empty vector controls (b).

Localization of ZnT5 in overexpressing construct showed strong perinuclear,

cytoplasmic vesicular labelling (cii) as compared to less intense but similar

labelling in control cells (ci).

Real time PCR data showed significant decrease in ZnT5 knockdown cells as

compared to control empty vectors (P<0.05, t-test) (d). Protein estimation by

western blot analysis showed significant decrease of ZnT5 protein (P<0.05, t-

test), in knockdown cells as compared to controls (e). Immunolabelling of

ZnT5 showed similar localization but reduced signal in ZnT5 knockdown cells

(fi, fii).

RNA expression level of each sample was calculated using the equation 2-

∆∆CT. All data presented are the results of 3 independent experiments.

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Figure 4.2 Overexpression and knockdown constructs of

ZnT6

Syber green real time analysis of cells overexpressing ZnT6 showed

significant increase in ZnT6 mRNA (P<0.05, t-test) compare to control

containing empty vector (a). Western blot analysis showed one major band at

~57 kDa and densitometry analysis after comparing with β-actin as a control,

showed significant increase (P<0.05, t-test) in intensity of band strength for

overexpressing ZnT6 as compared to control cells (empty vectors) (b).

Localization of ZnT6 in overexpressing construct showed strong perinuclear,

cytoplasmic vesicular labelling (cii) (indicating Trans Golgi consistent with

previous studies) as compared to less intense cytoplasmic vesicular labelling

in control cells (ci).

Real time analysis at mRNA level showed significant decrease in ZnT6

knockdown cells as compared to controls (P<0.05, t-test) (d). Protein

expression by western blot analysis showed significant decrease (P<0.05, t-

test) in ZnT6 knockdown cells as compared to controls (e). Immuno

localization of ZnT5 showed similar labelling but reduced signal in

knockdowns of ZnT6 as compared to control cells (fi, fii).

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Confocal images were obtained from cells containing overexpression

constructs for ZnT5 and ZnT6 and with empty vector controls. In control cells

the ZnT5 and ZnT6 protein was distributed evenly in cytoplasm with a

vesicular pattern (Figure 4.1ci, 4.2ci). Cells with overexpressing constructs

showed pronounced perinuclear label consistent with previous reported

studies for both transporters (Figure 4.1cii, 4.2cii).

4.2.2 Knockdown constructs

To demonstrate that our knock-down constructs were functional, ZnT5 and

ZnT6 mRNA expression levels were measured using real time PCR in control

cells containing empty vectors and cells with ZnT5 and ZnT6 siRNA knock-

down constructs. Significant 0.7 and 0.5 fold decreases in mRNA expression

levels were observed (p<0.05) in cells with knock-downs of ZnT5 and ZnT6

constructs relative to the empty vector controls (Figure 4.1d, 4.2d). The

control reactions with no primers or template cDNA from control (empty

vectors) and knockdown constructs were negative.

Consistent with previous western results, the ZnT5 and ZnT6 antibidies

produced a 55 kDa and a ~57 kDa band size respectively (Figure 4.1e, 4.2e

top bands). Densitometry was performed to detect differences in protein

levels relative to -actin. Significant decrease of 46% and 52% in band

intensity were observed in cells containing knockdown of ZnT5 and ZnT6

respectively, relative to cells with empty vectors (p<0.05) (Figure 4.1e, 4.2e).

Immuno-localization of ZnT5 and ZnT6 proteins showed a cytoplasmic,

vesicular localization in control cells (Figure 4.1fi, 4.2fi), and cells with ZnT5

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121

and ZnT6 knockdowns did not show altered localization of the proteins in

comparison to control. The only difference detected was reduced signal

intensity (Figure 4.1fii, 4.2fii).

4.2.3 ZnT5 and ZnT6 interactions

The effect of altered expression of ZnT5 and ZnT6 was investigated to

establish their inter-dependence. ZnT6 mRNA expression and protein levels

were measured in cells containing overexpression and knock-down ZnT5

constructs. Similarly ZnT5 mRNA and protein expression levels were

observed in cells containing overexpression and knockdown constructs of

ZnT6. When ZnT6 was overexpressed, no change was detected in

expression of ZnT5 mRNA (using ZnT5 specific real time PCR primers)

(Figure 4.3a) or in protein levels (ZnT5 antibody) (Figure 4.3b). Similarly no

changes in mRNA levels (Figure 4.3d) or band intensity for western blot

(Figure 4.3e) were observed in cells containing ZnT6 knock-down constructs,

compared to controls (empty vectors) using ZnT5-specific primers and ZnT5-

antibody (p>0.05). ZnT6 overexpression and knockdown had no impact on

the localization of ZnT5 protein (Figure 4.3ci, 4.3ciii; 4.3fi, 4.3fiii).

In contrast, ZnT6 showed responses following ZnT5 overexpression and

knockdown in M17 cells. Cells in which ZnT5 was overexpressed, showed a

3-fold increase in ZnT6 at the mRNA level (Figure 4.4a) and a 105%

increase at protein level (Figure 4.4b) (p<0.05). Similarly in cells with ZnT5

knockdown constructs there was a 57% decrease in ZnT6 mRNA (Figure

4.4d) and a 40% decrease at the protein level (Figure 4.4e) (p<0.05). No

differences were observed in band sizes for ZnT5 and ZnT6 genes.

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Figure 4.3 Expression of ZnT5 in response to ZnT6

overexpression and Knockdown

Real time PCR analysis showed increased expression of ZnT5 in

overexpressing cells with ZnT5 gene but no differences in expression levels

between cells overexpressing ZnT6 and control were observed using ZnT5

qRT-PCR primers (a) (p>0.05, t-test). Western blot analysis showed no

differences in the band intensities (b) (p>0.05, t-test) between overexpressing

ZnT6 and control cells using ZnT5 antibody. Overexpressing ZnT6 had no

impact on the localization of ZnT5 (ci, ciii).

mRNA expression levels measured by Real time PCR showed no changes

between ZnT6 knockdown compared with respective controls (p>0.05, t-test)

using ZnT5 specific primers (d). Protein expression by western blot analysis

showed no differences in band intensities between ZnT6 knockdown and

control cells (e) (p>0.05, t-test). ZnT6 knockdown did not show any changes

of ZnT5 localization compared to controls (fi, fiii).

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Figure 4.4 Expression of ZnT6 in response to ZnT5

overexpression and knockdown

Real time PCR analysis showed significant increase in cells overexpressing

ZnT5 and ZnT6 as compared to control cells using ZnT6 qRT primers at

mRNA level(P<0.05, t-test) (a). Western blot analysis showed increase in the

band intensities and showed significant increase in cells overexpressing ZnT5

as compared to control cells (empty vectors) using ZnT6 antibody (b)

(P<0.05, t-test). Overexpressing ZnT5 showed slight increase in the intensity

of perinuclear localization of ZnT6 as compared to respective control (ci, ciii).

A significant decrease was observed at mRNA level between ZnT5

knockdown compared to controls using ZnT6 qRT primers (P<0.05, t-test)

(d). Protein expression by western blot analysis showed significant decrease

(P<0.05, t-test) in band intensities between ZnT5 knockdown and control

cells using ZnT6 antibody (e). Slight decrease in labelling signal was

observed between ZnT5 knockdown as compared to controls (fi, fiii), but

localization pattern remained same.

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Consistent with the real time and protein expression data, cells

overexpressing ZnT5 showed an increase in the perinuclear labelling of ZnT6

(Figure 4ci, 4ciii), and a decrease in ZnT6 signal intensity was observed for

ZnT5 knock-down cells compared to their respective controls (Figure 4.4fi,

4.4fiii).

4.2.4 Alkaline phosphatase activity

Alkaline phosphatase is a zinc-dependent enzyme that requires ZnT5 and

ZnT6 for its activity (Suzuki et al., 2005a; Suzuki et al., 2005b). TNAP (tissue

nonspecific alkaline phosphatase) activity was measured using total cellular

protein from cells with ZnT5 and ZnT6 overexpressing and knock-down

constructs with respective empty vector controls. When compared with

controls, cells overexpressing ZnT5 and ZnT6 genes showed an increase

from 0.2 U/μg of protein to 0.26 U/μg, an increase of 24% and 0.24 U/ μg an

increase of 16% respectively in alkaline phosphatase activity (p<0.05)

(Figure 4.5a). Similarly in cells harbouring a knock-down construct of ZnT5 a

reduction in alkaline phosphatase activity from 0.15 U/μg of protein to 0.10

U/μg (representing 31%) was found and in cells harbouring a ZnT6 knock-

down construct, 0.10 U/ μg (30%) reduction as compared to control cells was

found (p<0.05) (Figure 4.5b).

4.2.5 65 Zn accumulation

To demonstrate the relative roles of ZnT5 and ZnT6 in zinc accumulation,

overexpression and knock-down constructs were created, and zinc

accumulation was measured up to one hour following the addition of 65Zn to

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Figure 4.5 Alkaline phosphatase activity

TNAP of the total cellular protein was measured in cells containing

overexpressing and knockdown constructs of ZnT5 and ZnT6 along with their

controls (empty vectors). Activity was measured in U/μg of total protein.

Overexpressing ZnT5 (O.E.5) and ZnT6 (O.E.6) showed significant increased

activity as compared to controls (P<0.05) (a). Knockdown constructs of ZnT5

(K.D.5) and ZnT6 (K.D.6) showed significant decrease in alkaline

phosphatase activity compared to controls (P<0.05) (b). Each value is the

mean ±S.D. of triplicate experiments. Stars indicate the statistically significant

difference (P<0.05, t-test).

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cells. Cells overexpressing ZnT5 and ZnT6 showed no differences in

accumulation of 65Zn, compared to controls at any given time point (p<0.05)

(Figure 4.6b, 4.6d). Cells with knock-downs of ZnT5 and ZnT6 also showed

no differences when compared to controls (P<0.05) (Figure 4.6a, 4.6c).

Overall, all cells, irrespective of knockdown or overexpression status showed

an increase in accumulation of zinc to 0.3 pmoles of Zn/μg protein at 60

minutes.

4.2.6 65 Zn Efflux

Zinc efflux was measured at different time points from zero up to one hour in

cells with overexpressed and knock-down constructs that had been treated

with 65Zn for 24 hours, followed by replacement of 65Zn-containing medium

with normal media. No statistical differences were observed between cells

overexpressing ZnT5 and ZnT6 compared to their respective controls (Figure

7b, 7d). Similarly no significant differences were observed between cells with

knock-down constructs of ZnT5 and ZnT6 compared to empty vectors

(p<0.05) (Figure 7a, 7c).

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Figure 4.6. 65Zinc accumulation

Zinc accumulation was measured up to one hour starting from 0 minutes

followed by 5, 10, 20 and 40 minutes in pmoles of Zn/μg protein.

Overexpressing ZnT5 and ZnT6 cells showed no changes in accumulation of

zinc, compared to controls at any given time point (p<0.05) (b, d). ZnT5 and

ZnT6 knockdown cells also showed no differences (p<0.05) (a, c).

Knockdowns, overexpressions and controls, showed increase in

accumulation of zinc starting from 0 pmoles of Zn/μg protein to 0.3 pmoles of

Zn/μg by one hour. Each value is the mean ±S.D. of triplicate experiments.

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Figure 4.7 65Zinc Efflux

Zinc efflux was measured for overexpression and knockdown constructs of

ZnT5 and ZnT6 and respective controls. After treatment 65Zn containing

medium was replaced with normal media. No differences were observed

between cells overexpressing ZnT5 and ZnT6 compared to their respective

controls at any given time upto one hour (p<0.05) (b, d). Similarly there were

no changes between knock-down ZnT5 and ZnT6 cells compared to empty

vectors (p<0.05) (a, c). Each value is the mean ±S.D. of triplicate

experiments.

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4.3 Discussion

In this study we have shown an interactive relationship between ZnT5 and

ZnT6 at transcriptional and translational levels in human neuronal M17 cells.

In M17 cells, expression of all members of the ZnT family has been

previously reported, where ZnT6 showed highest expression level of mRNA

relative to other family members (Suphiouglu et al., 2010). The results of my

investigation on ZnT5 and ZnT6 interactions indicates a dependency of ZnT6

on ZnT5, where an overexpression construct containing the ZnT5 gene

induced a significantly higher expression of ZnT6 gene at both the

transcriptional (3 fold increase) and translational levels (105% increase).

Additionally M17 cells with knockdown constructs of ZnT5 produced down-

regulation of ZnT6 gene at transcriptional (57% decrease) and translational

(40% decrease) levels.

The magnitude of the differences between the mRNA levels and protein

expression are quite similar for both genes. In contrast to the dependence of

ZnT6 on ZnT5, ZnT5 expression was not dependent on ZnT6. It is possible

that ZnT5 can function independently from ZnT6 as well as participating in

ZnT5/ZnT6 heterodimer function. ZnT5 is found in the β-cells of pancreas

and involved in delivery of zinc into insulin granules (Kambe et al., 2002).

Similarly another study has found that ZnT5 is involved in processing and

activation of PKC (protein kinase C) and in Zn-mediated regulation of mast

cell-dependent allergic responses (Nishida et al., 2009). There is no evidence

for the involvement of ZnT6 in these processes.

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ZnT6 lacks the His-rich region in the cytoplasmic loop between IV and V

transmembrane domain (TMD) that is a characteristic feature of ZnT

members. It also lacks two His residues in the transmembrane domain II and

V (instead has leucine 60 and phenylalanine 201) that are highly conserved

among all members and plays important role in zinc transport function

(Kambe et al., 2004), instead ZnT6 has many potential protein kinase C and

CK2 phosphorylation and N-glycosylation sites (Huang et al., 2002).

Fukunaka et al., (2009) demonstrated by changing leucine and phenylalanine

to conserved hydrophilic histidine residues (ZnT6L66H-F201H), that ZnT6 is not

involved in the zinc binding site of the ZnT5/ZnT6 heterodimers and is

unlikely to function in zinc transport across the cellular membrane. Another

study from Ohana et al., (2009) demonstrated by direct measurement of zinc

transport that ZnT5 is an essential component for zinc transport, where-as

ZnT6 is catalytically non-functional. ZnT6 is not directly involved in transport

of zinc but may function as a component that helps to facilitate the activity (as

have phosphorylation and glycosylation sites) of ZnT5 in ZnT5/ZnT6

heterodimer complex and hence zinc transport activity (Huang et al., 2002).

Oligomerization is essential for zinc transport activity. Most ZnT transporters

are thought to form homo-dimers. ZnT5, ZnT6 and ZnT7 have been

demonstrated to work together in early secretory pathway (ESP), where

ZnT7 forms homo-oligomers and ZnT5 and ZnT6 form heterodimers. A

number of transporters form heterodimers as an essential function for their

biological activity. For example Cis4/Zrg17 (Saccharomyces cerevisiae) and

Msc2p/Zrg17p (Schizosacchaomyces pombe) form heterodimers in yeast,

are homologues of ZnT5/ZnT6 and play crucial role in the early secretory

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pathway in transport of zinc in endoplasmic reticulum and Golgi membranes

(Ellis et al., 2005; Fang et al., 2008). A recent study demonstrated the

possibility of ZnT3 and ZnT10 forming a hetero-oligomer although whether

that complex is functional is not yet known (Patrushev et al., 2012). Hetero-

oligomeric complex formation is not only important for biological activity but

could also play role in subcellular translocation. For example transporters

ABCG5 and ABCG8, members of the ATP binding cassette, remain in

endoplasmic reticulum when expressed alone and do not migrate to the

plasma membrane for excretion of sterol out of the cell (into bile) without

heterodimer formation (Graf et al., 2003), even though it's not the case for

ZnT5 and ZnT6.

ALP’s contain tightly bound zinc that is essential for the enzyme activity

(Suzuki et al., 2005a). The TNAP activity was higher in cells containing ZnT5

and ZnT6 over-expression constructs compared to their respective controls.

Significant reduced TNAP activity was detected in cells with knockdown

constructs of ZnT5 and ZnT6 genes. Similar to our results, in a previous

study ~45% and ~20% TNAP reduction has been reported in ZnT5 and ZnT6

knock-down cells respectively in chicken derived DT40 cells (Suzuki et al.,

2005b), while ‘overexpression’ of ZnT5 had no effect on TNAP activity. The

lack of effect of overexpression on TNAP in DT40 cells could be explained on

the basis of tissue specificity, as these transporters may function differently in

different cells. Furthermore, there may be redundancy between Zn

transporters that could mask the individual effects of transporters. The DT40

cell line derived from chicken lymphocytes has a high homologous

recombination activity, where genetic recombination revealed an

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unexpectedly high frequency of targeted integration into the homologous

gene loci of DT40 and expresses most of the ZnT members and hence has

been extensively used in the molecular study on the expression and

interaction of the whole range of zinc transporters (Suzuki et al., 2005a).

Evidence supports the concept that metal transporters perform other roles in

addition to metal transport. For example the CTR1, copper transporter in

Xenopus laevis plays a critical role in membrane associated fibroblast growth

factor (FGF) signalling complex where it transduces FGF signals

independently of copper levels (Haremaki et al., 2007). ZnT5/ZnT6

heterodimers provide zinc for TNAP enzymatic activity in early secretory

pathway (Fukunaka et al., 2009), in a similar way that ATP7A interacts

directly with extracellular superoxide dismutase to supply copper in the early

secretory pathway (Quin et al., 2006). Fukunaka et al. (2011) suggested the

possibility that ZnT5/ZnT6 heterodimers are not only involved in supplying

zinc for enzymatic activity but also for the stabilization of TNAP. He explained

that the formation of these complexes activates TNAP with a two-step

mechanism by regulating TNAP stability in ER (Endoplasmic Reticulum),

which is independent of zinc transport activity and by providing zinc to TNAP

in early secretory pathway (ESP) in the Golgi apparatus, where apo ALP’s

(non-active form) gets converted to holo ALP’s (active form) after getting zinc

(Suzuki et al., 2005b). Stored zinc in the early secretory pathway may be

transported from intracellular compartments to the cytosol for different

physiological functions by ZIPs (Yamasaki et al., 2007) or other zinc

transporting proteins like calcium channels where L-Type calcium Channel

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(LTCC) α1D subunit located on endoplasmic reticulum membrane acts as a

gatekeeper for zinc wave; (Yamasaki et al., 2012).

Consistant with our study, a 55 kDa band size was detected for ZnT5 in

different human derived cell lines, larynx carcinoma (Hep-2), cervix

carcinoma (HeLa), placental choriocarcinoma (JAR) (Kambe et al., 2002). In

mouse study band sizes of 51 and ~55 kDa were detected in brain and lung

respectively for ZnT6 as compared to 57 kDa size in present study, such

differences have been attributed to posttranslational modifications (Huang et

al., 2002).

Immuno-localization indicates that ZnT5 and ZnT6 proteins are located within

the interior of the cell. Similar cytoplasmic vesicular and perinuclear

localization was observed for ZnT5 and ZnT6 in Hep2 and HeLa cells (Suzuki

T., 2005b). An increase in intensity of label was observed in cells with

overexpression constructs of ZnT5 and ZnT6 genes compared to wild type

cells. The signal was strongest near the nucleus and was similar in

appearance to that previously report, where a Golgi marker GM130,

overlapped with ZnT5 (Kambe et al., 2002; Nishida et al., 2009). Similarly a

decreased signal was observed in cells with knock-down constructs,

compared to wild type cells, for both genes. No differences in localization

were detected in cells with ZnT5 overexpression and knock-down constructs

for ZnT6 expression and vice versa. This observation is consistent with

previous study where subcellular localization of ZnT5 and ZnT6 was the

same when they were expressed alone or together (co-localization) (Suzuki

et al., 2005b). The results indicate that even though these transporters show

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some extent of dependency on each other, this interaction is not impacting

their localization in the neuronal cells.

We investigated a function for the zinc transporters ZnT5 and ZnT6 in M17

neuronal cells for a role in the accumulation and efflux of zinc using 65Zn.

Knock-down and overexpression constructs of ZnT5 and ZnT6 genes did not

affect cellular zinc accumulation or efflux over a period of 1 hour (Figure 4.6,

4.7). This result suggests that both transporters are not working at the

plasma membrane. Previous studies support these findings showing that

overexpression of ZnT5 and ZnT6 did not make the cells resistant to high

concentrations of zinc indicated by a growth inhibition analysis in yeast

(Kambe et al., 2002). Similarly in another study, knockouts of ZnT5 and ZnT6

showed no significant changes in the total cellular zinc contents as compared

to wild type cells (Suzuki et al., 2005). This observation is in contrast to that

found for the copper transporters ATP7A and ATP7B where overexpression

results in cell resistance to excess copper (Petris et al., 1996).

No changes observed with 65Zn experiment between overexpression,

knockdown and wild type constructs at any time point up to one hour

suggests that these transporters are not likely to be working in the early zinc

pathway. A theory classifies intracellular zinc signals into two categories

EZS, early transcription independent zinc signalling and LZS, late

transcription dependent zinc signalling (Hirano et al., 2008). EZS occurs in

the zinc wave where zinc levels in cell change rapidly within several minutes

with extracellular stimulation (Yamasaki et al., 2007). In LZS the extracellular

stimulus can affect intracellular signalling pathways by changing the

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intracellular zinc levels mediated by changing the expression of zinc

transporters. This theory is consistent with our results observed discussed in

chapter 5, where external stimulus (DHA) changed the zinc fluxes after 48

hours. To relate these transporters to late transcription dependent zinc

signalling, our radiolabeled studies need to be extended for at least few

hours.

We attempted to prepare double knockdowns of ZnT5 and ZnT6 to study the

effect of removal of both proteins from the cells but our persistent attempts

were unsuccessful. In particular cells harbouring ZnT5 knockdowns did not

last more than three passages which indicates the importance of this

transporter for cell survival. This suggests that ZnT5 and ZnT6 may function

as a heterodimer in neuronal cells, similar to that found in other cells.

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4.4 Conclusion

In summary, we conclude that ZnT5 and ZnT6 may function as a heterodimer

in neuronal cells, similar to that found in other cells. The ZnT5/ZnT6

heterodimer most likely has a role in transporting zinc in the secretory

pathway as the activity of ALP depends on both ZnT5 and ZnT6 expression.

ZnT6 expression was altered in ZnT5 knock out and overexpression cells,

suggesting some interdependency of ZnT6 on ZnT5. Both ZnT5 and ZnT6

may also function independently. The possibility of ZnT6 performing

additional functions in addition to form heterodimer with ZnT5, is suggested

by the number of splice variants reported in neuronal cells in chapter 5. To

our knowledge this is the first study on ZnT5/ZnT6 co-dependency to be

carried out with human neuronal cells.

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CHAPTER 5

Effect of Zinc and DHA on hZnT5 and hZnT6 transporters

in neuronal cells

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5.1 INTRODUCTION

The omega-3 polyunsaturated fatty acids (PUFA) are important components

of the human diet as they cannot be synthesized by mammals (Sinclair et al.,

2002). The mammalian brain is rich in PUFA. DHA is the main PUFA in brain

and makes up approximately 3% of the dry weight of the human brain

(Svennerholm et al., 1968). It has been demonstrated in a rat study where

the impaired brain functions due to DHA deficiency (rats fed on very low DHA

diet) can be recovered when DHA levels return to normal (Moriguchi and

Salem, 2003). In cultured rodent neuronal cells, DHA protects cells from

apoptotic death induced by serum deprivation (Kim et al., 2000) with an anti

apoptotic effect that was DHA-specific. DHA also helps in promoting

differentiation of developing photoreceptors (Rotstein et al., 1997).

Both DHA (docosahexaenoic acid) and zinc play crucial role in brain function.

Alterations in DHA levels and zinc homeostasis are key features of

degenerative brain disorders (Garcia and Kim, 1997; Cuajungco and Faget,

2003). A link between zinc and PUFA metabolism is established, where the

clinical symptoms of zinc deficiency and PUFA deficiency are similar. There

is a link between DHA deficiency and altered zinc homeostasis in the brain of

rats fed on a DHA-deficient diet, that resulted in high hippocampal zinc levels

(Jayasooriya et al., 2005). Although these studies demonstrated a

relationship between DHA metabolism and zinc homeostasis, the molecular

mechanisms of this interaction have not been clearly understood.

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Zinc homeostasis in the brain, including the uptake and efflux of zinc from

cells, is regulated by membrane-bound zinc transporters. Such transporters

belong to members of the solute carrier 39 (SLC39) also known as Zip’s and

the solute carrier 30 (SLC30) or ZnT’s, respectively (Overbeck, 2008).

Differential expression of zinc transporters has been reported in the brain.

ZnT6 mRNA levels are higher in cortical regions of patients with Alzheimer

disease (Beyer et al., 2012). Increased ZnT6 expression was demonstrated

in the hippocampus gyrus of early and late Alzheimer disease subjects along

with a trend towards a significant elevation in mild cognitive impairment,

compared to age matched controls (Smith et al., 2006). An elevation of ZnT6

in hippocampus gyrus and cerebellum was also observed in preclinical

Alzheimer’s (Lyubartseva et al., 2010). Another study also found an

association of ZnT6 with neurofibrillary tangles (Leung et al., 2008). Among

all zinc efflux transporters, ZnT5 showed the strongest immunoreaction in A-

beta positive plaques of cerebral cortex from Alzheimer’s patient (zhang et

al., 2008).

In our previous study, we reported that zinc transporters were expressed in

human neuronal M17 cells and ZnT6 transporter was highly expressed

relative to other ZnT’s (Suphioglu et al., 2010). The reduced zinc uptake and

low intracellular levels of zinc in the DHA-treated cells was associated with a

reduction in the expression of ZnT3, a zinc transporter that regulates

vesicular zinc storage in neuronal cells (Suphioglu et al., 2010). ZnT5 and

ZnT6 have also been proven to form heterodimers and are known to function

together in transportation of zinc (Fukunaka et al., 2011). In neuronal NT2

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cells, zinc deficiency impaired the ability of retinoic acid (that acts similar to

DHA), to induce differentiation (Gower winter et al., 2013).

The aim of the current study was to explore the molecular basis of the link

between the omega-3 fatty acid DHA and zinc metabolism through hZnT5

and hZnT6 transporters.

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5.2 RESULTS

5.2.1 Pre-treatment of neuronal cells with DHA induced zinc

efflux

To test the effect of incorporated DHA on zinc efflux from cells, M17 cells

were grown with (20 μg/ml) and without (0 μg/ml) DHA enriched medium for

48 hours. Cells were then grown in 65Zn and further incubated for 18 hours,

with or without DHA. The culture medium was then replaced with medium

containing no 65Zn and cellular zinc efflux was measured over a period of one

hour. M17 that had been pre-treated with DHA showed an increased level of

zinc efflux, relative to untreated cells (Figure 5.1). Zinc efflux was measured

in pico moles (pm) of zinc per μg of DNA. At time 0 mins, the zinc

concentration in the culture media was less in DHA treated cells as

compared to untreated cells (+DHA 28.1±0.2 pm Zn/μg DNA; -DHA 41.6±2.5

pm Zn/μg DNA) (P<0.05) but at time intervals from 2 mins (+DHA 45±1.1 pm

Zn/μg DNA; -DHA 35.1±0.3 pm Zn/μg DNA), 5 mins (+DHA 59.7±1.7 pm

Zn/μg DNA; -DHA 53.1±0.6 pm Zn/μg DNA), 20mins (+DHA 94.3±0.1 pm

Zn/μg DNA; -DHA 79.5±1.9 pm Zn/μg DNA) to 60 mins (+DHA 104.1±0.8 pm

Zn/μg DNA; -DHA 77.7±0.9 pm Zn/μg DNA) mins the efflux of 65Zn was

progressively greater in the cells treated with DHA as compared to untreated

cells (P<0.05). At a time interval of 10 mins the changes in Zn efflux between

+DHA and –DHA were not significant (+DHA 65.3±2.0 pm Zn/μg DNA; -DHA

61.2±1.6 pm Zn/μg DNA) (P>0.05).

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Figure 5.1 65Zinc efflux studies

M17 cells cultured in DHA-enriched medium (20 μg/ml) or control medium (0

μg/ml) for 2 days were incubated for 18 hours in culture medium containing

radiolabelled 65Zn, with or without DHA. The culture medium was replaced

with medium containing no 65Zn and cellular 65Zn efflux was measured in

pmol/μg DNA over a period of one hour. M17 cells that had been pre-treated

with DHA (solid bars) showed an increased level of zinc efflux in media,

relative to untreated cells (open bars) at different time points. The data are

shown as means (n = 3, *p<0.05).

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5.2.2 DHA treatment reduced intracellular pools of labile zinc

Neuronal M17 cells were tested for the presence of labile zinc pools using

Zinquin after treating with zinc and DHA as described in Materials and

Methods section. Granular cytoplasmic labelling was observed for Zinquin in

all cells tested (Figure 5.2A, 5.2B). Significant differences were found

between control cells with no treatment (Figure 5.2Aa) where very weak

granular cytoplasmic label was observed that was in contrast to a strong

labelling visible in cells treated with10 M zinc for 30 mins (Figure 5.2Ab) and

cells treated with 10 M zinc for 30 mins followed by 15 g/ml DHA for 30

mins (Figure 5.2Ac) where almost no visible labelling was detected. Addition

of DHA caused significant reduction in the granular cytoplasmic labelling

(free zinc inside the cell) (Figure 5.2Ac). To confirm these results DHA

containing media was removed and cells were again incubated with normal

media for 3, 6, 9 and 24 hours. The strength of Zinquin staining was

progressively increased with the incubation time (Figure 5.2B). At 24 hours

incubation in normal media, the staining was almost regained to original

strength of control cells (Figure 5.2Bg).

5.2.3 DHA treatments enhanced neurite outgrowth

Along with release of zinc from the cells after incubation with DHA, we

observed another interesting aspect of DHA treatment, increase in the length

of the neuronal cells extensions, a process called neurulation (Ikemoto et al.,

1997, Frances et al., 2004).

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Figure 5.2 Intracellular pools of labile zinc.

Neuronal M17 cells grown on cover slips with and without 10 M of zinc, and

15 μg/ml DHA were incubated for 30 mins in 5 M Zinquin. Labile zinc was

detected with UV filter range 365 to 395nm using Olympus microscope.

Maximum labile zinc was observed in cells treated with 10 M zinc (Ab)

followed by no treatment (Aa) and 10 M zinc followed by 15 g/ml DHA

(Ac). A gradual increase of labile zinc labelling was seen in recovered DHA

treated cells at 3 hours (Bd), 6 hours (Be), 9 hours (Bf) and 24 hours (Bg)

after replacing DHA enriched media with normal media. Scale bar represents

10μm.

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With supplementation of DHA to M17 neuronal cells, not only neurite length

increased but also the number of branches per neuron increased (Figure

5.3b, 5.3d). Addition of zinc to the cells did not change the effect of DHA on

neurite length (Figure 5.3c).

5.2.4 hZnT5 and hZnT6 contains DHA regulatory elements in

their promoter regions

Greater efflux of zinc in DHA treated neuronal cells along with reduction in

Zinquin labelling in these cells indicate that DHA might play a role in zinc

fluxes. As zinc fluxes are mediated by zinc transporters, hZnT5 and hZnT6

efflux transporters were analysed for the presence of RAREs (Retinoic Acid

Responsive Elements) and MRE (Metal Responsive Element). RXR is a

member of nuclear hormone receptors family that comprises ligand activated

transcription factors. RXR binds to target genes at specific DNA sequence

called RAREs to promote transcription, resulting increase in target genes

expression (Blomhoff, 2006). DHA acts as an agonist to RA (Retinoic Acid)

and has been demonstrated to work as an endogenous ligand for the

activation of RXR (De Urquiza et al., 2000). The DHA binding motif, called

RAREs, with core sequence hexad (Ra/gGKg/tTCA) that can be configured

into variety of structured motifs (Glass, 1994) was identified in promoter

region of both hZnT5 and hZnT6 genes at specified positions along with MRE

(Metal Responsive Element) with core sequence (TGCRa/gCNC) starting

from the start codon. Multiple copies of core sequence of MRE’s (2, 3) and

RARE’s (3, 7) were found in 4000 bp upstream in the promoter region for

hZnT5 and hZnT6 respectively at specified positions (Figure 5.4a, 5.4b).

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Figure 5.3 Impact of DHA on morphology of M17 neuronal

cells

Neuronal M17 cells cultured with and without DHA showed increased neurite

length along with more individual branches per neuron with DHA

supplementation as compared to DHA free media (b,d). The addition of zinc

had no influence on DHA induced neurite growth (a,c).

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Figure 5.4 RAREs and MREs in the promoter region of hZnT5

and hZnT6

Diagrammatic representation of binding sites for important transcription

binding factors for DHA and metals (zinc in this study), RAREs (Retinoic Acid

Responsive Elements with conserved consensus sequence Ra/gGKg/tTCA)

and MREs (Metal Responsive Elements with conserved consensus sequence

TGCRa/gCNa/g/t/cC) at different positions in the promoter region (4000 bp)

upstream of the translation start point for hZnT5 (a) and hZnT6 (b) genes.

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5.2.5 hZnT5 and hZnT6 mRNA levels were influenced by DHA

and zinc

To investigate if treatment with DHA changed the transcriptional levels of

ZnT5 and ZnT6, mRNA expression levels of both transporters were

measured in control cells and cells exposed to different zinc and DHA

treatments (as described in Materials and Methods section 2.5) using real-

time quantitative PCR. No differences in the mRNA expression levels of

hZnT5 and hZnT6 were found between cells exposed to different DHA

treatment without zinc (p>0.05, t-test) (Figure 5.5a, 5.5b). The addition of 5

μM of zinc added to the culture medium together with different amounts of

DHA, produced increase in expression for both hZnT5 and hZnT6 genes with

increase in DHA concentrations. At 5 μg/ml and 10 μg/ml of DHA, increased

trend in mRNA expression was observed but was not significant (p>0.05, t-

test). Significant increased expression was observed for hZnT5 and hZnT6

genes at 15 μg/ml (1.4; 1 fold increase) (2.40±0.35; 1.89±0.17) and 20 μg/ml

(1.7; 1.7 fold increase) (2.72±0.19; 2.57±0.38) (p<0.05, t-test) DHA levels

respectively (Figure 5.5a, 5.5b). Similar results were also observed with

another neuronal cell line SY5Y (data not shown). Retinoic Acid (RA) induced

differentiated M17 cells were also analysed by real time PCR to check the

effect of differentiation on mRNA expression levels for hZnT5 and hZnT6

genes but similar results as for undifferentiated cells were observed (data not

shown).

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Figure 5.5 SYBR-Green Real-time RT-PCR analysis of hZnT5

and hZnT6 mRNA from Zinc and DHA treated M17

neuronal cells

Comparison of the hZnT5 and hZnT6 mRNA expression levels between no

zinc and different DHA treated cells revealed no significant differences

(p 0.05, t-test). With addition of 5 μM of zinc to different DHA treatments

significant increase was observed at 15 μg/ml and 20 μg/ml of DHA for hZnT5

and hZnT6 genes (p<0.05, t-test). No significant increase or decrease in

mRNA expression level was detected at 5 μg/ml and 10 μg/ml DHA treatment

with 5 μM zinc (p>0.05, t-test) (a, b).

The CT was calculated by subtracting the -actin cycle threshold (CT) value

(the cycle number in which the fluorescence emitted exceeds the threshold

level) from that of the hZnT5 and hZnT6. Relative RNA expression levels of

each sample was calculated using the equation 2-∆∆CT, where ∆∆CT is a

difference between the treated (DHA treatments) ∆CT and control ∆CT. All

data presented are the results of 3 independent experiments. The data are

shown as means (n = 3, *p<0.05).

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To check the influence of vitamin E on DHA treatments, cell pellets collected

from different DHA and vitamin E treatments were analysed for hZnT5 and

hZnT6 by quantitative real time PCR analysis.

No significant mRNA differences were detected between –DHA ± vitamin E

(1.03±0.03; 1.08±0.14) for ZnT5 (1.05±0.14; 1.17±0.11) for ZnT6 (p>0.05, t-

test) and +DHA ± vitamin E (0.97±0.09; 1.08±0.03) for ZnT5 (1.09±0.19;

1.35±0.05) for ZnT6 (p>0.05, t-test) (Figure 5.6a, 5.6b). As vitamin E did not

impact the results of DHA treatment, vitamin E was not added in subsequent

experiments.

The control reactions lacking either primers and or template cDNA were

negative for all analysed samples. The dissociation curve analysis of all PCR

products revealed the single peaks of expected Tm (data not shown),

confirming the specificity of all designed primers.

5.2.6 High doses of DHA in presence of zinc increased the

protein expression of hZnT5 and hZnT6

To determine if the described above changes in mRNA levels translated to

different protein products, expression levels of hZnT5 and hZnT6 proteins

were analysed in all DHA treated cells with and without zinc for 48 hours,

using two different monoclonal antibodies (Materials and Methods section

2.8). The hZnT5 antibody produced a major 55 kDa band in all lanes

representing different treatments (Figure 5.7a). A major 57 kDa size band

was detected for different treatments using hZnT6 antibody (Figure 5.7b).

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Figure 5.6 SYBR-Green Real-time RT-PCR analysis of hZnT5

and hZnT6 mRNA from Vitamin E and DHA treated

M17 neuronal cells

Comparison of the hZnT5 and hZnT6 mRNA expression levels between no

zinc and different DHA treated cells revealed no significant differences

(p 0.05, t-test). With addition of 5 μM of zinc to different DHA treatments

significant increase was observed at 15 μg/ml and 20 μg/ml of DHA for hZnT5

and hZnT6 genes (p<0.05, t-test). No significant increase or decrease in

mRNA expression level was detected at 5 μg/ml and 10 μg/ml DHA treatment

with 5 μM zinc (p>0.05, t-test) (a, b).

Vitamin E addition showed no significant changes to mRNA expression levels

with or without addition of DHA (p>0.05, t-test) (a, b).

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Figure 5.7 Western blot analysis of proteins from zinc and

DHA treated M17 neuronal cells

Expression levels of hZnT5 and hZnT6 protein were analyzed using hZnT5

and hZnT6 antibodies. A predicted band size of 55 KDa and 57 KDa for

hZnT5 and hZnT6 respectively were present for all different treatments of

zinc and DHA (a, b top lane). The expression levels of a human β-actin along

with ponceau S staining was used to indicate the relative levels of protein

loaded on the gel (a, b middle lane). Densitometry analysis showed

significant differences with (p<0.05, t-test) at 15 μg/ml and 20 μg/ml of DHA

for hZnT5 and hZnT6 genes with consistent 5 μM of zinc in the culture

medium (a, b bottom bar graph). Overall increase expression was observed

with increase in the amount of DHA in presence of zinc for both genes but at

5 μg/ml and 10 μg/ml the differences were not significant. Data is

representative of three similar independent experiments. The data are shown

as means (n = 3, *p<0.05) .

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Consistent with real time results no significant changes were detected with

different treatments of DHA without additional zinc added to the culture

medium (p>0.05, t-test). Significant differences were observed at 10 μg/ml

(50% increase; non-significant for hZnT6) (140±3.5), 15 μg/ml (85%; 80%

increase) (185±7.07; 180±0.70) and 20 μg/ml (118%; 135% increase)

(218±10.60; 235±7.77) of DHA for hZnT5 and hZnT6 respectively in

presence of 5 μM of Zn (p<0.05, t-test). No changes were detected at 5

μg/ml for hZnT5 and 5 μg/ml and 10 μg/ml DHA for hZnT6 in presence of 5

μM Zn (p>0.05, t-test).

Ponceau S stain was used to check relative levels of proteins transferred to

the membrane. A housekeeping control protein, -actin expression was also

tested and used as a loading control.

5.2.7 DHA does not affect localisation of hZnT5 and hZnT6 in

M17 neuronal cells

Confocal images were obtained following different zinc and DHA treatments

of M17 cells using hZnT5 and hZnT6 antibodies to determine the intracellular

localization of these transporters. The transporters were distributed evenly in

cytoplasm showing a vesicular pattern possibly associated with zincosomes

(Zaleweski et al., 1993) that store labile zinc inside the cell. DHA treatment

had no effect on the localisation of the hZnT5 (Figure 5.8a,b,c,d,e,f) and

hZnT6 (Figure 5.8g,h,i,j,k,l) zinc transporters as for all different treatments,

granular distribution throughout the cytoplasm with some perinuclear

localisation was observed.

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Figure 5.8 Immunofluoresence analysis of hZnT5 and hZnT6

protein localisation in M17 neuronal cells

Neuronal M17 cells treated with 0 μM Zn 0 μg/ml DHA (a,g), 0 μM Zn 10

μg/ml DHA (b,h), 0 μM Zn 20 μg/ml DHA (c,i), 5 μM Zn 0 μg/ml DHA (d,j), 5

μM Zn 10 μg/ml DHA (e,k), 5 μM Zn 20 μg/ml DHA (f,l) for 48 hours and

grown in 8 well Ibidi chambers were stained with hZnT5 and hZnT6

antibodies followed by fluorescent secondary antibody conjugated with Alexa

488. Images shows granular cytoplasmic and peri nuclear localization of

hZnT5 (a,b,c,d,e,f) and hZnT6 (g,h,I,j,k,l). Different DHA treatments in and

absence of Zn did not change the protein localisation in cells for hZnt5 and

hZnT6. Scale bar represent 20 μm.

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5.2.8 DHA does not influence the alkaline phosphatase

activity

Alkaline phosphatase activity assay has been used as an indicator of

enzymatically available intracellular zinc levels (Fukunaka et al, 2009).

Collected pellets were lysed with lysis buffer and total alkaline phosphatase

activity was detected at 405 nm wave length using p-nitrophenol as a

substrate in M17 cells exposed to different DHA and zinc treatments for 2

days. No significant differences were found between controls and any of the

treatments (p>0.05, t-test) (Figure 5.9).

5.2.9 hZnT5 and hZnT6 predicted variants in M17 neuronal

cells by RT-PCR

M17 neuronal cells with different DHA and zinc treatments were analysed for

an effect of DHA on alternative splice variants of hZnT5 and hZnT6 genes.

Different fragments covering the full ORF (Open Reading Frame) of hZnT5

and hZnT6 genes showing major band representing full length fragment

along with additional bands present were analysed irrespective of zinc and

DHA treatments (Figure 5.10.1, 5.10.2). This confirmed that DHA was not

influencing alternative splicing of ZnT5 and ZnT6. The bands shown in figure

could be novel splice variants associated specifically to neuronal cells.

Individual band sizes from different fragments were matched to intron-exon

map of full length expressed transcript from published NCBI database.

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Figure 5.9 Alkaline phosphatase activity

To measure activity cell lysates were incubated with p-nitrophenyl substrate

following treatments with DHA and zinc for 48 hours. Total alkaline

phosphatase activity was detected at 405 nm wave length. First five lanes

with no zinc and increasing DHA levels from 0, 5, 10, 15 and 20 μg/ml and

second five lanes with consistent 5μM zinc and increasing levels of DHA as

before showed no significant differences (p>0.05, t-test) . All data presented

are the results of 3 independent experiments. The data are shown as means

(n = 3, *p<0.05).

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Figure 5.10.1 Predicted variants for hZnT5 gene.

To see the effect of DHA, the full length of hZnT5 gene using three different

primer pairs was amplified by RT-PCR using cDNA from different treatments

of DHA with and without zinc for 48 hours as explained in section 2.6.

No differences were observed between cells with different treatments of DHA

and zinc, but additional bands (possible variants) were observed in gels for

hZnT5 gene along with full length gene. Individual band sizes from different

fragments were matched to intron-exon map of full length expressed

transcript from published NCBI data-base for hZnT5. After confirming the

sizes with NCBI sequences, all additional bands in gels correspond to

possible splice variants.

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Figure 5.10.2 Predicted variants for hZnT6 gene

The full length of hZnT6 gene was amplified using two different primer pairs

by RT-PCR using cDNA from different treatments of DHA with and without

zinc for 48 hours (section 2.6).

No differences were observed between cells with different treatments of DHA

and zinc, but additional bands (possible variants) were observed in agarose

gels for hZnT6 gene along with full length expression. Individual band sizes

from different fragments were matched to intron-exon map of full length

expressed transcript from published NCBI data-base for hZnT6. After

confirming the sizes with NCBI sequences, all additional bands in gels

correspond to possible splice variants.

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After comparing the sizes with NCBI sequences, all additional bands

corresponding to possible splice variants were identified (Table 5.1). To

further confirm that these additional bands are real splice variants, sequence

analysis is required.

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Table 5.1 Splice variants generated by RT-PCR for hZnT5 and

hZnT6 genes

Table showing different predicted splice variants covering open reading

frame (ORF) for hZnT5 and hZnT6 genes generated by reverse transcriptase

PCR. Three and two separate fragments for ZnT5 and ZnT6 respectively

were analysed using specific primers to cover the whole length of the genes.

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hZnT5Fragment 1 Fragment 2 Fragment 31113bp (Full length exons 1-9) 1127bp( Full length exon 9-13) 629bp( Full length exon 13-16)990bp (Exon 2 missing) 998bp (Exon 12 missing) 501bp (Exon 15 missing)749bp (Exon 2-5 missing) 841bp (exon 11, 12 missing)

hZnT6Fragment 1 Fragment 21124bp (Full length exon 1-14) 759bp( Full length exon11-14)1037bp (Exon 2 missing) 711bp (Exon 12 missing)952bp (Exon 2,3 missing) 642bp (Exon 12, 13 missing)909 (Exon2-4 missing)726bp (Exon 2-7 missing)362bp (Exon 2-10 missing)340bp (Exon 2,9,12,14 missing)259bp (Exon 2-13 missing)

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5.3 DISCUSSION

The experiments described in the current chapter investigated the effect of

DHA on the expression of the hZnT5 and hZnT6 transporters, previously

reported to have a role in the mammalian brains (Lyubartseva et al., 2010;

Smith et al., 2006; Zhang et al., 2008).

M17 cells that had been treated for 48 hours with DHA and then incubated

with 65Zn showed a 20% increase in zinc efflux in comparison to untreated

cells. Previous experiments demonstrated the effect of DHA in cell culture,

where DHA treatment of human neuronal M17 cells resulted in a decrease in

the cellular uptake of 65Zn (Suphioglu et al., 2010). Consistent with this in

vivo studies reported a link between DHA and brain zinc metabolism where

mice raised on a DHA-deficient diet had higher hippocampal levels of free

zinc than control animals and where the free zinc was sequestered in the

brain tissue by up-regulation of ZnT3 transporter (Jayasooriya et al., 2005).

A different technique was used to confirm the zinc movement in cultured M17

cells where they were treated with the zinc fluorophore, Zinquin. Free zinc

was predominantly detected in fluorescently labelled cytoplasmic granules,

similar to that reported before "zincosomes" that are known to sequester free

zinc (Zalewski et al, 1993). The level of fluorescence in the M17 cells was

increased upon addition of 5μM extracellular zinc, indicating an increase in

intracellular free zinc located in zincosomes. The addition of DHA to zinc

treated cells resulted in a decrease of Zinquin fluorescence within first 30

minutes and when the DHA was removed, the Zinquin fluorescence

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increased over the next few hours and by 12 to 24 hours, it returned to levels

seen in the absence of zinc. This is consistent with the 65Zn efflux results, an

observation where DHA inhibits zinc uptake and promotes zinc efflux

(Suphioglu et al., 2010). Removal of DHA resulted in restoration of the

intracellular zinc which commenced within hours and was complete over 24

hours. The cellular basis of the DHA effect is not clear but as it occurs over a

relatively short time it may involve a direct effect on membrane dynamics

rather than through an effect on gene expression. A direct effect of DHA on

membrane structure/function is possible and this may regulate the function of

transmembrane transporters including the ZnT’s but how specific this effect is

not clear. It has been observed that hydroxyl derivative of DHA (2-

hydroxyldocosahexaenoic acid) OHDHA can change the brain membrane

lipid composition by increasing the concentration of long chain PUFA in the

brain of a transgenic mouse model of Alzheimer’s disease (Torres et al.,

2013).

DHA may have long-term effects on cell membranes. An example of this is a

study where the phosphatidylserine (PS) content was increased post 24

hours DHA treatment and up to 48 hours and was found to modulate/facilitate

signal transduction pathway in neuronal membranes (Kim et al., 2000). There

are many examples of DHA-induced activation of molecules including DHA

playing a role in signal transduction pathways by increasing the

phosphatidylserine (PS) content in neuronal membranes which then can

promote the activation of Raf-1 and PI-3 kinase pathways (Kim et al., 2000;

Akbar and Kim 2002). Such evidence suggests that long term effect of DHA

treatment could be mediated by the transporters.

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DHA treatment induced neurite outgrowth and branch formation of M17

neuronal cells that is consistent with previous reports. In vitro studies show

DHA enhances the NGF-induced neurite growth in PC12 cells (Ikemoto et al.,

1997). DHA supplementation in cultured foetal mouse brain cells can

stimulate the proliferation of neuronal cells (Bourre et at.,1983). Addition of

DHA promotes the extension of neurite length and number of branches in rat

hippocampal neuronal cells (Calderon and Kim 2004; Calderon and Kim

2007). Raf-1 and PI-3 kinase pathways have been shown to be engaged in

induction of neurite growth in H19-7 and PC12 hippocampal cell lines (Wood

et al., 1993; Kuo et al., 1996; Kobayashi et al., 1997; Kita et al., 1998).

Additionally following DHA deficiency, reduction of neurotrophic factor NGF in

hippocampus reduced the neurite and dendrite development (Ikemoto et al.,

2000). The effect of the DHA may be to induce neurite outgrowth to maximise

the cell surface area for uptake and efflux.

Zinc treatment did not affect neurite outgrowth in our experiments on M17

cells. However, Zip12 a putative zinc uptake transporter was needed for

neurite growth in frog suggesting that zinc is required for neurite outgrowth in

some systems (Chowandisai et al., 2012). The different transporters perform

specific functions in different cell lines. ZnT3 stores zinc in the synaptic

vesicles and ZnT5 and ZnT6 are known to provide zinc in trans-Golgi and

endoplasmic reticulum for making it available for TNAP (Tissue Non-Specific

Alkaline Phosphatase activity) which is then released into the cytoplasm,

probably by ZIPs. Studies have been carried out in rodents where low dietary

zinc intake in rats and mice impairs neurite outgrowth in the brain (Gao et al.,

2009; Dvergsten et al. 1984). CREB (Cyclic AMP Response Element-Binding

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Protein) activity and neurite outgrowth are closely associated during neuronal

differentiation. RA induces rapid CREB phosphorylation which is a critical

step that controls CREB transcriptional activity and neurite outgrowth (Canon

et al., 2004)

The alterations of zinc fluxes may be mediated by members of the ZnT

family, thus DHA may influence zinc transport via controlling zinc transporter

expression. RARES are promoter sequences that are binding sites for RXR,

a nuclear transcription factor/nuclear hormone receptor that can be activated

by DHA (Lengqvist et al., 2004). RXR regulates many cellular processes

including differentiation. RXR can bind to DNA as a homodimer, heterodimer

with other nuclear receptors or as a monomer resulting in activation of

different signalling pathways (Mangelsdorf and Evans, 1995) (Chen et al.,

1998). hZnT5 has three RAREs and hZnT6 has seven RAREs binding sites

in the promoter region. Thus it is possible that DHA regulates ZnT5/ZnT6

transcription and hence can influence zinc fluxes.

The physiological effect of RXR action has been demonstrated where DHA

was shown to be a natural endogenous ligand that binds directly to the LBD

(Ligand Binding Domain) of RXR in mouse brain (De Urquiza et al., 2000).

DHA has potential effects on RXR mediated gene transcription in vivo by

playing an important role as an active signalling receptor complex (Lengqvist

et al., 2004). RXR is also involved in nervous system development (Solomin

et al., 1998; Mascrez et al., 1998). DHA is known to generate derivatives or

metabolites during the cell culture that can activate RXR (Mukherjee et al.,

2004).

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Toshiyuli (2011) proposed a theory, where intracellular signals can be

affected by (EZS) transcription independent Early zinc Signalling and (LSZ)

transcription dependent Late zinc Signalling. ESZ happens within several

minutes upon extracellular stimulation and in LZS, intracellular zinc levels are

altered several hours after extracellular stimulation, through changes in zinc

transport expression. The external stimulus could be an RXR ligand eg DHA,

that may induce the transcription of zinc transporters by activation of RXR in

the LZS pathway, which occurs after few hours and is consistent with our

results. In the presence of DHA that acts as a true RXR ligand, gene

expression gets turned on by converting RXR apo-LBD (ligand binding

domain) to the holo form thus activating the formation of co-activator

complexes with histone acetyltranferase, to decompress/open chromatin that

will initiate or trigger transcription and hence translation (Moras and

Gronemeyer 1998) of ZnT5 and ZnT6 genes. Also this is supported by

previous study where DHA induces histone acetylation (Sadli et al., 2012),

and reduces hyperphosphorylation (Torres et al., 2013), but it still does not

explain involvement of zinc in DHA dependent transcription.

Zinc deficiency down-regulates the expression of RXR and impairs

differentiation of human neuronal precursor cells (Gower-Winter et al., 2013).

Reduced zinc availability impairs the ability of RXR to bind to response

elements altering the transcription of target genes, which would reduce the

ability of (RA) retinoic acid (agonist to DHA) to promote neuronal

differentiation that is needed for the mouse development and adult

neurogenesis (Morris and Levenson 2013). Zinc deficiency impairs the ability

of retinoic acid to induce differentiation in the human neuronal cell line (NT2)

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which confirms that zinc plays a vital role in cell differentiation in similar way

as DHA (Gower-Winter et al., 2013). Furthermore zinc deficiency causes

apoptosis in mouse brain (Gao et al., 2009).

The zinc transporters ZnT5 and ZnT6 showed significant increased

transcriptional and translational expression levels with high doses of DHA (15

& 20μg/ml) in the presence of zinc. Our results suggest that zinc is required

for the DHA effect and under physiological zinc (5μM) levels and high doses

of DHA, DHA acts as a ligand and binds to RXR via LBD (Ligand Binding

Domain) which further binds to DBD (DNA Binding Domain) which has a

conserved consensus sequence complimentary to the RAREs present in the

promoter region of hZnT5 and hZnT6 genes. Zinc being a metal binds to

Metal Responsive Elements (MRE) and probably forms complexes with

RAREs to initiates transcription and hence can affect the protein expression

of these transporters.

The 10 μM DHA increased hZnT5 expression but had no effect on hZnT6

levels. Therefore the increased efflux in the presence of zinc could be a

result of increased ZnT5 protein levels. ZnT5 and 6 are known to form

heterodimers within the early secretory pathway and this oligomerization is

required for their zinc transport function (Kambe T, 2012). The ZnT5/6

heterodimer transports zinc from the cytosol into vesicles in HeLa cells

(Kambe et al., 2002). ZnT6 is not directly involved in zinc transport across the

cell membrane as it does not have a zinc-binding site within the TMDs due to

the lack of conserved hydrophilic residues but it may function as a modulator

(Fukunaka et al., 2009). Thus if one of either hZnT5 or hZnT6 protein is

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reduced it may impair the function of the dimer in transporting zinc.

α-Tocopherol (Vitamin E) is a lipid soluble antioxidant and has been found

together with PUFA-enriched phospholipid domains of the cell membrane by

co-localization studies (Atkinson et al., 2010). Vitamin E deficiency during

embryogenesis depleted DHA and arachidonic acid, and increased hydroxy-

fatty acids derived from these PUFA, suggesting that vitamin E is necessary

to protect these critical fatty acids (Lebold et al., 2013). To determine the

effect of vitamin E on DHA treatments, cells were treated with and without

DHA and vitamin E but no changes were observed with the addition of

vitamin E.

M17 cells showed no effect of DHA on ALP activity. This means that the

increase in hZnT5 and hZnT6 caused by DHA does not affect the delivery of

zinc to ALP and its subsequent function.

DHA did not induce modifications in alternative splicing of hZnT5 and hZnT6

nor did it alter the localisation of the proteins within cells. Both hZnT5 and

hZnT6 proteins showed a granular cytoplasmic, perinuclear localization.

Splice variants of ZnT5 affecting the 5’ and 3’ regions have previously been

found in Caco-2 cells, where one form contained all 17 exons, while the other

lacked exons 1, 2, 4 and exons 15-17, (Jackson et al., 2007; Thornton et al.,

2011). Even though no changes were observed in addition to DHA, RT–PCR

of the coding regions did show additional splice variants along with full length

expression indicating the possible additional roles of protein products of the

splice variants for hZnT5 and hZnT6 transporters, in processes different than

just pumping zinc in and out of the cell.

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5.4 Conclusion

Significant increase in efflux of zinc with addition of DHA indicates

involvement of DHA in zinc transport across the plasma membrane. Higher

mRNA and protein expression with higher doses of DHA in the presence of

zinc suggests that DHA acts as a ligand for the activation of RXR which then

could turn on gene expression by interaction with RAREs and MREs present

within close proximity of transcription binding factor complexes in the

promoter region of ZnT5 and ZnT6 genes. There appears to be a short-term

effect of DHA visualised by Zinquin staining, but there may also be possible

longer-term effects mediated by ZnT5 protein.

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CHAPTER 6

In silico molecular characterization of ZnT family

members

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6.1 Introduction

Zinc transporters in mammals are classified into two metal transporter

families, the ZIP (ZRT/IRT-like proteins) and Cation Diffusion Facilitator (CDF

families) (Kambe et al., 2004; Liuzzi & Cousins, 2004). In bacteria, the ABC

transporters and P-type ATPases have been shown to function as zinc

transporters (Hantke K, 2001) but neither of them plays a physiological role in

zinc transport in eukaryotes (Gaither et al., 2001).

The Cation Diffusion Facilitator family was first established as a group that

encoded proteins that confer metal resistance to cells (Nies and Silver,

1995). The members of this large superfamily share similar topology across

diverse range of organisms including bacteria, fungi, nematodes, insects,

plants and mammals (Haney et al., 2005). The CDF family is also assigned

as solute carrier 30 (SLC30A). More than 100 members of the SLC30 family

are found in organisms at all phylogenetic levels. This family is divided into

three subfamilies. Subfamily I consists a large proportion of prokaryotic

members, whereas subfamily II and III contains eukaryotic and prokaryotic

members in a similar proportion (Gaither and Eide, 2001).

Ten different SLC30A (ZnT) members have been reported to date that

belong to the Zn-CDF group of CDF superfamily (Mountanini et al., 2007).

ZnT transporters are considered to mobilize zinc under physiological

conditions across the biological membranes (Fukada & Kambe, 2011;

Montanini et al., 2007). However recent reports have suggested that ZnT10

plays an important role as a manganese (Mn) transporter as when defective,

this gene causes Mn accumulation in liver and brain (Quadri et al., 2012;

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Tuschl et al., 2012). Similarly ZnT4 can bind to other divalent cations such as

copper, nickel and cobalt (Murgia et al., 1999).

The x-ray structures of ZnT members have not yet been confirmed but

sequence homology to the Yiip crystal structure in E.coli helped researchers

to understand the function of these transporters (Lu and Fu, 2007).

Fluorescent imaging showed mammalian ZnT-mediated zinc transport is

catalysed by H+/Zn2+ exchange and identify the zinc binding site of ZnT

proteins that are essential for zinc transport (Ohana et al., 2009). Similar

studies in bacteria, yeast and plant ZnT homologues support this notion

(Guffanti et al., 2002; Kawachi et al., 2008; MacDiarmid et al., 2002).

The main aim of this study is to understand the relationship between different

members of ZNT family on the basis of their structure and similarity not just

by comparing with the coding region but by taking into the consideration of

important regulatory factors present in the promoter region. An analysis was

carried out on all members of the ZnT family using different softwares, for

prediction of their structure and transmembrane domains after comparing

sequence homology to YiiP. In the current study both coding and promoter

regions were analysed to characterize individual members within different

families. Other factors that played an important role in the overall regulation

of these genes/transporters were also considered as the part of analysis that

include transcription binding factors and microRNA’s.

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6.2 RESULTS

6.2.1 Characteristic features of ZnT family members

A total of 10 different members of ZnT family have been characterised so far.

All members are present on different chromosomes either on the minus or

plus strand of the DNA. Most ZnT genes encode for one transcript but there

are some that can have different variants, for example ZnT2 (SLC30A2) and

ZnT5 (SLC30A5) have 2 variants and ZnT6 (SLC30A6) have 3 variants.

A characteristic feature of this family is the presence of 6 transmembrane

domains (TMD) with the exception of ZnT5 (SLC30A5) that has 15 and ZnT3

(SLC30A3) with 4 TMD. All members of the family have different no of exons

that give rise to total amino acid sequence (Table-6.1).

Out of ten distinct ZnTs, ZnT9 has not been described in detail, hence exon–

intron structure analysis was performed in the current study. A schematic

presentation of ZnT9 showed a total of 18 exons located on chromosome 4

at the plus strand encoding 568 amino acids (Figure 6.1). The total length of

the exons in base pairs (bp) is provided underneath the boxes.

6.2.2 Transmembrane domain (TMD) analysis of ZnT members

Transmembrane domains were analysed using TMHMM (Transmembrane

Hidden Markov Model) online database. The characteristic feature of ZnT

family members is the presence of 6 TMD with both C and N terminals facing

the cytoplasmic side (Figure 6.2a).

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Table 6.1 Characteristic features of ZnT family members.

10 members of ZnT family were analysed to show their position on

chromosome, number.of exons, transmembrane domains (TMD), number of

variants and total number of amino acids contributing to the full length

protein.

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Figure 6.1 Diagram to illustrate Intron-Exon structure of ZnT9

A total of 18 exons of ZnT9 gene interspersed by introns were found on

chromosome 4. The width of the exon boxes represents the length of

individual exons. The exact length in base pairs (bp) of each exon is written

underneath the box.

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Figure 6.2 Analysis of transmembrane domains of ZnT

members

(ai) Six transmembrane domains of the ZnT members is shown in red,

cytoplasmic loops and C and N terminals are shown in blue and green

fragments represents extracellular loops.

(aii) The exact location of start and finish of transmembrane domain, inside

and outside loops for all ZnT members is compiled in table form. TMD2 and

TMD6 are highlighted for ZnT3 as low probability prediction by using TMHMM

software. Allocation of ZnT members in four different Groups on the basis of

TMD analysis is shown by different colours shading.

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Using TMHMM data base, most of the members comply with the

characteristic feature of having six TMD with following exceptions: ZnT3

having 4 TMD with high probability and 2 with low probability, ZnT9 with 5

TMD and very unusual ZnT5 with 15 TMD (Figure 6.2.1b, 6.2.2c, 6.2.3d). To

confirm the probability of unusual numbers of TMD’s, another software called

TOPCONS was used for the prediction. Six TMD were predicted for ZnT3

with two additional TMD number 2 and 6 that were predicted with low

probability while the other four were predicted with high probability using

TMHMM database (Figure 6.2.1bi, bii). The two low probability TMD are

highlighted in the table (Figure 6.2aii). ZnT9 showed similar 5 TMD and ZnT5

predicted 16 TMD’s using TOPCONS online database (data not shown). ZnT

proteins usually have long C terminal tails with the longest found in ZnT6

(214 amino acids) and the shortest found in ZnT7 (89 amino acids). The

length and the amino acid sequences upstream of the first trans membrane

domain, at N terminal side varies among different members.

Comparison within all members of the ZnT family on the basis of total

number of TMD’s and their individual location, reveals four different groups.

Group II consist of, ZnT2, ZnT8, ZnT3 and ZnT4 that shows high similarity to

each other. Similarly, Group I comprises ZnT1 and ZnT10. ZnT6 and ZnT7

have been put in Group III where TMD’s position is very similar and the

fourth category Group IV consists of transporters that did not match to the

rest of the members and comprises ZnT5, ZnT9 and with additional splice

variants of ZnT2 and ZnT5. The table of comparison highlights all different

groups with different colours and position of trans membrane domains within

N and C terminus (Figure 6.2aii).

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Figure 6.2.1 Analysis of transmembrane domains of ZnT3

(bi) Graphical representation of TMHMM data showing 4 TMD for ZnT3

transporter with C and N terminals inside the cell.

(bii) Graphical representation of TOPCON data showing 6 TMD for ZnT3

transporter with C and N terminals inside the cell.

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Figure 6.2.2 Analysis of transmembrane domains of ZnT9

(c) Graphical representation of ZnT9 transporter showing 5 TMD’s with C

terminal facing outside the cell using TMHMM data.

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Figure 6.2.3 Analysis of transmembrane domains of ZnT5

(di) Graphical representation of ZnT5 showing 15 TMD with C-terminal

outside the cell and N-terminal being inside.

(dii) Schematic presentation of TMD structure of ZnT5, stating the starting

point of each TMD from starting codon and total length underneath in base

pairs.

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6.2.3 Identity/Similarity Matrix Results

Analysis of all members of ZnT family was performed using MatGAT

software to test for similarity and identity in the coding and promoter region.

The matrix of the coding region showed maximum similarity for ZnT2, ZnT3,

ZnT4 and ZnT8. ZnT9 was least similar to any rest of the transporters among

ZnT family (Figure 6.3a). When the promoter region was analysed, ZnT1,

ZnT2 and ZnT3 were similar and ZnT7 was the least similar to the rest of the

family members (Figure 6.3b).

6.2.4 Phylogenetic analysis of SLC30 (ZnT) family members

To investigate potential evolutionary relationships, human SLC30 proteins

were aligned using clustal X and a phylogenetic tree was constructed using

Neighbor-joining (N-J) algorithm. The robustness of the tree was confirmed

by the relatively high bootstrapping values for each branch and by comparing

it to the parsimony maximum likelihood PHYLIP 3.68 algorithm, which

produced a similar branching structure (data not shown). After analysis

different members were classified to different groups according to the

sequence similarity between them. Group I comprises ZnT2, ZNT3, ZnT4

and ZnT8, Group II has ZnT1 and ZnT10, Group III with ZnT5 and ZnT7 and

Group IV ZnT6 and ZnT9 (Figure 6.4).

6.2.5 Analysis of promoter region

The promoter region of a gene is considered as non-coding, but still can

regulate gene expression, as it consists of binding sites for transcription

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Figure 6.3 Identity/Similarity Matrix

MatGAT v2.0 output matrix showing identity/similarity of ZnT family

members. The upper matrix contains the identity of the data set and the

lower is the similarity. (a) is showing identity and similarity data of coding

region from 10 different transporters from ZnT family (b) is showing

identity/similarity data of promoter region (4000bp from start codon) from 10

different transporters of ZnT family.

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Figure 6.4 Phylogenetic tree of the ZnT family members

Amino acid sequences of human ZnT proteins were collected and aligned

using Clustal X, and a phylogenetic tree was generated using the Neighbor-

joining (N-J) algorithm and visualized with the Tree View program. Branch

labels indicate the robustness of the tree over 100 bootstrap replicates, while

the scale bar indicates an evolutionary distance of 0.05 amino acid

substitution per site.

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factors. To analyse the important transcription binding factors (TBF) for all

members of ZnT family, 4000bp upstream of translation start site were

scanned manually. Metal Responsive Elements (MRE) and hormonal

influenced transcription binding factors like Estrogen Responsive Elements

(ERE), Gonadotrophin Responsive Elements (GRE), Insulin Responsive

Sequence (IRS) and Retinoic X Receptor (RXR), Stat-5 were analysed in this

study. TATA and CTC box are considered as the start of initial transcription

complex, hence they were also analysed. Some of the TBF had multiple

binding sites present in some of the transporters. Data on the presence of

TBF sites in promoter region of ZnT family members along with their

individual position from the start of translation start site (+1 ATG) is

summarised in Table 6.2i. ERE and PRE transcription binding factor sites

have long conserved sequences interspersed with random 3 nucleotides in

between them. The position of the individual consensus sequence for half

binding site is summarised in Table 6.2ii for all members of the ZnT family.

6.2.6 Syntany analysis of transcription binding factors in

promoter region of ZnT family members

Syntany analysis was performed on important transcription binding factors

sites (mentioned in previous section) present in the promoter region of all

reported ZnT’s. A schematic diagram was created showing similarity among

TBF present in different transporters (Figure 6.5). The TATA box was

considered a standard centre point and other transcription factors were

arranged around in the order of their occurrence in the promoter region.

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Table 6.2 Important transcription binding factors among all

ZnT members

Table is showing important transcription binding factors of ZnT1 to ZnT10

along with their conserved binding sequence and number of times they are

present in the promoter region (4000bp) upstream from translation start side.

Their individual positions are also specified in base pairs from the start point.

TATA and CTC box that are considered to be the start of transcription along

with Metal Responsive Elements (MRE), Stat-5 and other hormonal

influenced transcription binding factors like Estrogen Responsive Elements

(ERE), Gonadotrophin Responsive Elements (GRE), Insulin Responsive

Sequence (IRS) and Retinoic X Receptor (RXR) have been summarised in

(Table 2i). ERE and PRE have long conserved site with two core segments

interspersed with three nucleotides between them. These half sites have

been highlighted with different colours and their positions are specified

underneath for all transporters with multiple existence in the promoter region

(Table 2ii).

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Figure 6.5 Microsyntany analysis of transcription binding

factors present in promoter region of ZnT family

members

Schematic representation of important transcription binding factors present in

the promoter region among all members of ZnT family. The TATA box is

located in the centre of the diagram and the transcription factors are arranged

in relation to their proximity in the promoter region. MRE along with other

hormonal influenced transcription binding factors like ERE, GRE, IRS and

Stat-5 are considered in this diagram. After alignment, ZnT’s have been

classified in different subfamilies represented by different colours, according

to similarity of TBF sites arrangement between different members.

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In the case where more than one TATA box was present for different ZnT

transporters, the closest to the translation site was considered for the

analysis. MRE along with other hormonal influenced transcription binding

factors like ERE, GRE, IRS and Stat-5 were considered in this analysis. After

alignment, transporters were been sorted/allocated to different subfamilies

according to their similarity in TBF sites occurrence in their promoters.

ZnT2/3/4 and ZnT8 were grouped together in Group I. ZnT1/10 were placed

in Group II, ZnT5/7 in Group III and ZnT6/9 in Group IV.

6.2.7 Analysis of miRNA in the 3’ region of ZnT family

members

Micro RNA’s ‘miRNA’ binding sites, are present in the 3’ end of the

untranslated regions of the gene and plays an important role in providing

stability. All members of SLC30A family were analysed using online

“miRBase” database and out of total 10 transporters ZnT3, ZnT5 and ZnT6

showed presence of single miRNA binding sites in Homo sapiens. The

position of miRNA sites in respective transporter was counted from the start

of translation and is shown in Table 6.3. ZnT7 did not have any reported

miRNA binding site in Homo sapiens but showed their presence in Mus

musculais and Canis familaris. Similarly ZnT3 shows additional miRNA

binding sites in Mus musculais and ZnT5 and ZnT6 in Pan troglodytes.

Details on all reported miRNA are summarised in Table 6.3.

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Table 6.3 miRNA binding sites in 3’ region of ZnT family

members

Table showing reported miRNA sites present in different ZnT members along

with detailed information about their position and location on plus or minus

strand on the respective chromosomes. The bolded miRNAs in ZnT3, ZnT5

and ZnT6 have been reported previously in Homo sapiens. Position shown in

+number represent the prensence of miRNA from the start codon for

respective transporter. Additional miRNA shown in table (non-bolded) have

also been reported in other species like Mus musculais, Pan troglodytes and

Canis familaris.

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6.2.8 Predicted three dimensional structure of ZnT’s

The three dimensional structures of ZnT transporters were predicted using

Cn3D 4.3.1software, after submitting PDB files generated from sp3 structure

prediction database. The list of neighbours were sorted by Z-score value (a

measure of the statistical significance of the result relative to an alignment of

random structures already reported in database). A match was considered

significant if the ZSCORE value was greater than 6.3. Out of all ZnT

members only four members came up with a significant ZSCORE, ZnT2

(6.52), ZnT3 (17.19), ZnT6 (6.95) and ZnT8 (6.74). Out of these four

transporters ZnT3, ZnT2 and ZnT8 showed homology with YiiP, ZnT

homologue in E.coli. ZnT6 showed similarity with mosquito-larvicidal Cry4aa

toxin from Bacillus thuringiensis (Boonserm et al., 2006).

In the three dimensional predicted structures generated using Cn3D

software, TMD’s were highlighted in yellow colour according to analysis using

THMM software. ZnT2 (Figure 6.6.1a), ZnT6 (Figure 6.6.2d) and ZnT8

(Figure 6.6.2c) showed six TMDs, which is a characteristic feature of this

family but ZnT3 (Figure 6.6.1b) showed four TMDs with high probability

(showed in yellow) and 2 with low probability (blue). As YiiP acts as a ZnT’s

homologue in E.coli, ZnT2, ZnT3 and ZnT8 were considered for further

analysis. Even though six TMDs were highlighted in predicted three

dimensional structure of ZnT6, the topology would not be considered

relevant, as it’s prediction is based on mosquito larvicidal Cry4aa toxin from

Bacillus thuringiensis which, phylogenetically is different to ZnT’s.

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Figure 6.6.1 Predicted 3-dimensional structures of ZnT2 and

ZnT3

Diagram of three dimensional structure of ZnT2 (a) and ZnT3 (b) generated

by Cn3D 4.3.1software with sequence homology to YiiP. TMDs are

highlighted in yellow and numbered from T1-T6. ZnT3 which has four TMD’s

with high probability, shown in yellow are numbered and additional two TMD’s

with low probability shown in blue (b). Identical residues are highlighted with

red colour.

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Figure 6.6.2 Predicted 3-dimensional structures of ZnT8 and

ZnT6

Diagram of three dimensional structure of ZnT8 (d) generated by Cn3D

4.3.1software with sequence homology to YiiP and ZnT6 (c) to mosquito-

larvicidal Cry4aa toxin from Bacillus thuringiensis. TMDs are highlighted in

yellow and numbered from T1-T6. Identical residues are highlighted with red

colour.

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As the ZSCORE value was maximum for ZnT3, it was analysed in detail. All

of transporters are considered to form dimers with themselves (homo-dimers)

similarly to YiiP or between other members (hetero-dimers) for example

ZnT5/ZnT6.

Considering the highest similarity of ZnT3 with YiiP, homodimer formation

was analysed using YiiP sequence in 3-D structure (Figure 6.7). Chain A and

chain B representing each subunit/protomer from YiiP and Chain A from

ZnT3 transporter superimposed on YiiP on right side. The identical regions

between YiiP and ZnT3 were highlighted with red colour and transmembrane

domains were represented by pink colour and numbered 1 to 4 on right hand

side when aligned with YiiP structure having six transmembrane helixes,

represented by blue colour. α helices and β strands in C-terminal domain

(CTD) are labelled as H1 and H2 and S1 to S3 respectively. Zinc ions are

represented by grey spheres and labelled as Z1 to Z4 as there are four zinc

binding sites for Yiip’s and ZnT’s. Out of four sites Z1 is the known conserved

zinc binding site for ZnT’s (Lu and Fu 2007).

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Figure 6.7 Homology Model of ZnT3 homodimer

The homology modelling was based on the crystal structure of YiiP and was

generated by the Cn3D 4.3.1 program. ZnT3 viewed from membrane plane

showing homo-dimers. Zinc ions are represented by grey spheres and are

labelled as Z1 to Z4. Transmembrane domains of ZnT3 are represented by

pink colour and numbered 1 to 6 on right hand side when aligned with YiiP

structure by X-ray crystallography having six transmembrane helixes

(represented by blue colour). Alpha helices and β strands in C-terminal

domain (CTD) are labelled as H1 and H2 and S1 to S3 respectively.

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6.3 DISCUSSION

ZnT members (SLC30A family) are named starting from ZnT1 to ZnT10

based on their order of characterization (Palmiter and Huang, 2004). Out of

all members, exon-intron structures have already been described, except for

ZnT9 (Seve et al., 2004)

ZnT9 consists of 18 exons present on chromosome 4 at the + strand with 5

transmembrane domains and total length of 568 amino acids. ZnT9 was first

described as a human HUEL protein (Sim and Chow, 1999). ZnT9 has

stretches of homology to cation efflux domain pfam01545 and has been now

renamed as GAC63 because it acts as a component of the p160 co-activator

signal transduction pathway (Chen et al., 2005), and considered a misnomer

(where classification was inappropriate) in relation to being a member of ZnT

(Kambe, 2012).

Phylogenetic analysis along with Similarity/identity matrix, characterises ZnT

protein members into 4 groups according to their sequence homology to

each other. ZnT2/3/4 and ZnT8 were put together in group I, ZnT10/1 in

group II, ZnT5/7 in group III and ZnT6/9 in group IV. Similar results have

been reported recently where different members have been characterized in

subgroups or subfamilies (Kambe, 2012; Huang and Tepamorndech, 2013).

The characterization indicates that during evolution they have been

diversified to perform different functions in tissue specific manner.

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The three dimensional structures of ZnT transporters have not yet

determined but the characteristic feature of this family is the presence of 6

TMD (transmembrane domains) with cytoplasmic C and N terminals. All

members comply with this topology with the exception of ZnT9 and ZnT5 that

are predicted to have an odd number of TMD, 5 and 15 respectively and the

C terminal remains outside the cell. ZnT5 is the longest among all

transporters of ZnT family with total of 765 amino acids. The carboxyl-

terminal with 365 amino acid residues consists of 6 TMD as a characteristic

feature of all members along with an exceptionally long amino terminal

consisting of additional nine TMD fused to the conserved six TMD at the N-

terminal end of the protein (Kambe et al., 2002). The function of this

additional region is not known. The predicted protein size for ZnT5 is 84 KDa

but none of the reported studies showed that high size instead different

reports showed a band size around 55 KDa, suggesting that not all of the

exons may be present in the mature protein. ZnT3 showed 4 TMD with high

probability with two additional TMD with low probability. As for ZnT3 it has

been reported to have 6 TMD. Another software called “TOPCONS” was

used in the current study to confirm the prediction and 6 TMD were predicted

with same additional low probability TMD numbered two and six. ZnT9

prediction of 5 TMD domains was the same using this additional prediction

software.

Most ZnT members have a histidine rich loop with an HX1-6H cluster (H is

histidine and X is often serine and glycine) between TMD IV and V that is

exposed to cytoplasm. This region is absent in ZnT6 and instead it has

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serine-rich region (Fukanda and Kambe, 2011; Kambe et al., 2004). Deletion

and mutational analyses of this loop in ZnT transporters suggests that it

plays a key role as a potential zinc binding site or might be involved in zinc

delivery from cytoplasm to zinc binding site within TMDs (Kawachi et al.,

2008; Suzuki et al., 2005a). ZnT6 is not directly involved in transport of zinc

(Discussed in chapter 4 and chapter 5). His-rich region of AtMTP1 (metal

tolerance protein in Arabidopsis thaliana) acts as a buffering pocket to catch

and stock zinc in the vacuole and acts as a sensor of the cytoplasmic free

zinc ions (Kawachi et al., 2008). Similarly His-rich loop in ZnT5 is essential

for the activation of TNAP (tissue non-specific alkaline phosphatase) (Suzuki

et al., 2005b)

Both N and C terminals play an important role in zinc transport across the

cell membrane and ensure the structural stability of proteins. If there are

alterations in either of the region, transporters do not function properly, as it

was illustrated by deletion of C-terminal tail of ZnT1 and ZnT5 that produced

a toxic phenotype, where cells could not survive as this region is important

for the stability of the protein structure. Similarly at N-terminal deletion of the

first TMD of ZnT1 resulted in zinc sensitivity and deletion of first two

membrane spanning domains resulted in non-functional molecule (Fukunaka

et al., 2009; Palmiter and Findley., 1995). Consistent with these findings the

ZnT3 C-terminal region regulates intracellular zinc trafficking by forming a

covalent di-tyrosine bond in response to oxidative stress (Salazar et al.,

2009). The C terminal region of ZnT5 plays an important role in formation of

hetero-oligomer complex by identifying ZnT6 as a partner molecule

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(Fukunaka et al., 2009). Interaction between ZnT1 and protein kinase Raf-1

also demonstrated the importance of C-terminal region in protein-protein

interactions where Raf-1 binds to the carboxyl-terminal of ZnT1 and its

activity is dependent on Znt1 function (Jirakulaporn and Muslin, 2004).

The function of some ZnT transporters can be related to the post

transcriptional modifications that create different splice variants of ZnT

transporters that might show different topology by lacking TMDs but still

retain their zinc transport activity. For example ZnT2 has two different

isoforms ZnT2-1 (long form) and ZnT2-2 (short form), and both forms are

functional and transport zinc to the secretory granules (long form) and to the

plasma membrane (short form) (Lopez and Kelleher, 2009). ZnT5 has two

isoforms; one is present in the trans-Golgi and forms heterodimers with ZnT6

to work as a zinc efflux; another splice variant, ZnT5B (hZTL1) is localized in

the plasma membrane and function as zinc uptake from the extracellular

environment, which is contradictory to function of all other members of ZnT

family (Valentine et al., 2007: Crag et al., 2002). ZnT5B has unique

characteristic features where it lacks 171 amino acids at N-terminal and

cytosolic C-terminal tail and instead has a non-conserved extra TMD at C-

terminal. Fukunaka, (2009) suggested that changes in C-terminus of ZnT5

transporter could make the topological changes in domains and can lead to

different localisation pattern of resulting proteins

Posttranslational modifications have been proposed for some transporters for

example ZnT6 produced different size proteins in different tissues (Huang et

al., 2002), but their exact functions are not known. ZnT2 is the only confirmed

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example showing posttranslational modifications, where glycosylation

resulted in 52 kDa band size instead of non-glycosylated 42 kDa (Kelleher

and Lonnerdal, 2003).

Oligomerization is crucial for the zinc transport activity of ZnT transporters.

Most of the ZnT transporters form homo-dimers, apart from ZnT5 and ZnT6

which form heterodimers. In homodimer formation each oligomer contains a

zinc binding site within the TMDs. ZnT6 lacks that conserved hydrophilic

residues in TMD and is not directly involved in zinc transport across the cell

membrane but might function as modulator/facilitator (Fukunaka et al., 2009;

Fukunaka et al., 2011). Another recent study also highlights the possibility of

ZnT3 and ZnT10 forming an hetero-oligomer to prevent the increase in

reactive oxygen species (ROS) levels by modulating the expression of

catalse, although how these complexes may function is yet unknown

(Patrushev et al., 2012).

In analysing protein origin or phylogeny, the major emphasis is concentrated

on the coding region as the Open Reading Frame (ORF). New research

indicates the importance of the promoter region, where the surroundings of

the ORF may have a great impact on the regulation of the coding region. The

surrounding sequences of the ZnT transporters were analysed by looking for

the important transcription binding factor sites present in the promoter region

at the 5’ end and for micro RNAs present in the 3’ end that could play a vital

role in the regulation of different genes. For example miR-373 induces

tumour growth in pancreatic cancer, where zinc transporter ZIP4 activates

the zinc-dependent transcription factor CREB and requires this transcription

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factor to increase miR-373 expression through the regulation of its promoter

(Zhang et al., 2013). Similarly miR-488 regulates zinc transporter ZIP8 during

osteoarthritis (Song et al., 2013). All reported micro RNA’s in ZnT

transporters have been listed in table 3 in different species along with Homo

sapiens. Similarly TBF’s present in the 3’ promoter region play an important

role in regulation of different genes. After arranging hormonally influenced

transcription binding factor sites around the TATA box (start of transcription),

a similar arrangement of their occurrence based on presence of TBF sites

showed the same characterisation in different groups of ZnT transporters as

for the coding region (Figure 6.5).

The 5 and 3 prime regions of all known transporter 3D structures were

analysed using online databases. Similarities with Yiip were seen and the

TMD were highlighted according to the TMHMM analysis (Figure 6.2aii). The

X-ray structure of Yiip has been determined (Lu and Fu, 2009; Lu and Fu

2007). Yiip is a ZnT homologue in E.coli and exists as a Y-shaped structure

that forms homo-dimers of two 33 kDa integral membrane proteins, have six

TMD with cytoplasmic C and N terminals.

The YiiP structure has provided a basic platform for researchers to

understand the structural and functional properties of CDF family as most of

the prediction is based on its X-ray structure. Each YiiP protomer/subunit

contains four zinc binding sites. Site A is present within TMD and is

considered as the primary zinc transport site and consist four conserved

hydrophilic residues Asp45, Asp49 in TM2 and His153 and Asp157 in TM5. Site

B resides at the interface between the membrane and cytoplasmic domain.

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The other two are located in the cytoplasmic domain and considered as site

C which has a metallochaperone like structures with an αββα fold (Lu and

Fu, 2009; Lu and Fu 2007). Site C functions as a binuclear (two zinc binding

sites) zinc-sensing site in the cytoplasmic domain to activate the export of

zinc. Zinc binds at this site and induces a scissor like movement that affects

the helices orientation in TMDs and zinc coordination gets modulated at site

A (Kambe, 2012). In another alternative access mechanism for Zn2+/H+

antiport in YiiP explains that inward and outward facing conformation (Figure

6.8) can bind to Zn2+ or H+. This movement of proton can provide the driving

force to export zinc out of the cytoplasm. (Coudray et al., 2013).

Based on the structure of the YiiP, 3-D models of ZnT3, ZnT5 and ZnT8 have

been generated (Ohana et al., 2009; Salazar et al., 2009; Weijers, 2010).

Sites A is highly conserved among ZnT members. Four hydrophilic residues

in TMDs II and V that are involved in the formation of zinc binding site and

correspond to site A in YiiP, are highly conserved. One aspartic acid is

replaced with histidine in ZnT transporters and hence they have two histidine

and two aspartic acid residues in their TMDs. Mutations in the histidine and

aspartic acid conserved regions for ZnT5 abolish the zinc transport activity

(Ohana et al., 2009) and confirms that these sites Asp599 and His451 are

crucial for the zinc transport activity.

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Figure 6.8 Alternating access mechanism for Zn2+/H+ antiport

by YiiP

This mechanism involves inward-facing (A and B) and outward-facing (C and

D) conformations where both inward and outward facing confirmations are

able to bind Zn2+ or H+. The movement of protons provides a driving force to

export Zn2+ out of the cytoplasm. The conformation in A corresponds to that

observed in the helical tubes, whereas the conformation in C corresponds to

the X-ray structure solved in the presence of Zn2+.

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The zinc binding site in the cytoplasmic C-terminal portion that corresponds

to site C in YiiP, has not yet been investigated, hence there is no

confirmation on how ZnT transporters recognise the cytoplasmic zinc

concentration.

However, tyrosine mediated dimerization with putative conserved motif YXXE

at Y357-372 for transporter ZnT3 was observed at C-terminal and it might

play role in zinc transport function (Salazar et al., 2009). Our results for

predicting 4 TMD with high probability and 2 TMD with low probability for

ZnT3 when compared with previous reported 6 TMDs indicated that

predicted 4 TMD’s (high probability) using TMHMM software are same to

previous reported 6 TMD’s with the addition of TMD 2 and 6 with low

probability and still contain all the conserved regions for potential zinc

binding. The variation in results can be explained by the fact that these are

all predictions.

Homology models of ZnT8 with Yiip, predicted that both Arg325 and Trp325

amino acids located in the α2-helix of the C-terminal domain are shielded by

the planar surface of the three cytoplasmic β-strands and probably are

unable to affect the sensing capacity of the C-terminal domain to transport

zinc (Weijers, 2010).

All the data presented indicates that ZnT transporters play crucial role in

physiological and pathological events (Fukunaka & kambe, 2011; Kambe et

al., 2008). Recent work has greatly helped us in understanding their

architecture and functions, but the mechanisms involved in zinc mobilisation

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and subsequent molecular events are still not fully understood. The main

limitation is lack of X-ray structures for the ZnT transporters. The regulatory

mechanisms involving post-translational modifications have still not been

described for known ZnT’s as compared to ZIPs. For example protein kinase

CK2 mediated phosphorylation was shown to regulate zinc transport by ZIP7

transporter (Taylor et al., 2012).

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6.4 Conclusion

Overall after comparing promoter and coding region among different

members: ZnT2, ZnT3, ZnT4 and ZnT8 show high sequence homology to

one another, not only by comparing coding region but also similar pattern

were observed for the important transcription binding factors present in the

promoter region, which reinforces that these members can be put together in

Group I. They have very similar structures (3D structure analysis) to deal with

zinc and are under control of similar stimuli of hormones (TBF sites present

in promoter region for different hormones). Belonging to the same group,

hoewever, does not render these transporters to have similar physiological

functions. They are expressed in cell and tissue-specific ways. A different

transport mechanism has been described for ZnT3 in neurons, where the

activity of ZnT3 is increased by direct interaction with a chloride channel 3

(ClC-3), or vesicular glutamate transporter Vglut1 in neuroendocrine PC12

cells (Salazar et al., 2005; Salazar et al., 2004). Similar specific mechanisms

may also operate in other ZnT transporters in a cell or tissue specific

manner. ZnT7 and ZnT5 are put together in Group III. ZnT1 and ZnT10 are

considered in group II even though recent studies revealed the involvement

of ZnT10 in transport of Mn and so this group may potentially be sub-divided

further into separate group. ZnT6 and ZnT9 are put together in group IV with

the consideration that these two are least similar to any rest of the members.

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CHAPTER 7

Summary

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Zinc is an essential trace element that is required for all living organisms. In

recent years the mechanisms underlying zinc transport have received more

attention and molecular approaches have contributed new tools to better

understand the role of membrane-bound zinc transport proteins. The main

aim of my PhD project was to study the zinc transporters from SLC30A (ZnT)

family. The data presented within this thesis contributes to the current

understanding of mechanisms of zinc homeostasis in different human cell

types.

My first approach was to look for defects in the expression of zinc transporter

proteins of the SLC30 family that could contribute to or underlie an inherited

disorder of zinc deficiency that lead to the production of zinc-deficient milk.

We concluded that two cases reported in chapter 3 with neonatal zinc

deficiency are caused by a defect in the transport of zinc into milk with

significant reduction in both ZnT5 and ZnT6 transporters. Defects in these

two transporters have not previously been implicated in neonatal zinc

deficiency. Two additional novel splice variants were identified in fibroblasts

and lymphoblast cells. If more patients with this disorder were available,

further studies could be carried out to determine if they possessed the

methylation changes or mutations in ZnT2 gene, as have previously been

reported for this disorder. A larger cohort should be investigated to truly

demonstrate the observations arose from methylation studies at population

level. To further confirm the methylation effect on zinc transport, methylation

of these genes (ZnT5 and ZnT6) should be tested in culture using the

enzymes for gene methylations.

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To further investigate the role of ZnT5 and ZnT6, their dependency on each

other was checked in neuronal cells as they are known to play a vital role in

brain. We concluded for the first time that in neuronal cells ZnT6 expression

(mRNA and protein) is dependent on ZnT5 gene. Overexpression and

knockdown constructs of ZnT5 and ZnT6 genes did not show any changes in

the accumulation or efflux of of zinc when compared to empty vectors

suggesting that their main role is not to pump zinc in and out of the cell but

probably to provide the zinc for zinc requiring enzymes for example alkaline

phosphatase by storing them in the vesicles. To understand the zinc wave

mechanism of transcription-dependent late zinc signalling mentioned by

(Fukada et al., 2011), further analysis using 65Zn experiments with additional

times up to 24 hours would provide more insights into ZnT5 and ZnT6-

mediated zinc transportation. There have been other zinc transporters that

have been proven to have some role in neuronal cells. It would be interesting

to know whether they have any relation with ZnT5 and ZnT6 or they work

independently to these two transporters.

After confirming the dependency of ZnT6 on ZnT5, the effect of DHA, a

polyunsaturated fatty acid and zinc was investigated in neuronal cells to

better understand their interactions. We found out that DHA reduces the

intracellular labile zinc pools with increases neurite outgrowth. The

expression levels of ZnT5 and ZnT6 proteins increases with higher DHA

concentrations in the presence of zinc, hence establishing a causal relation

between zinc and DHA metabolism. The DHA induced activation of ZnT5 and

ZnT6 is probably through retinoic acid responsive elements (RARE’s) located

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in the promoter region of these genes. Future studies could be carried out to

confirm this notion by use of a luciferase assay for the promoter analysis.

The final object of this project was to understand how ZnT5 and ZnT6

transporters are related to rest of the ZnT family members. Our results

obtained by using different variety of bioinformatics softwares confirmed that

they are not similar to each other. ZnT5 showed close similarity with ZnT7

and ZnT6 showed similarity with ZnT9, but these two groups are very diverse

from other members and hence been put in two different subfamilies. Along

with phylogeny tree, to characterize all members in four subfamilies “syntany

analysis” was performed on the basis of occurrence of important transcription

binding sites present in the promoter region. For future studies similar

syntany analysis of ZnT related gene loci (genes present upstream and

downstream) can be analysed, as has previously been shown for Ikaros-

related genes (John et al., 2009). More detailed analysis of individual

members of ZnT family could be performed by identification of specific zinc

binding motifs and how they interact with zinc to transport this metal in and

out of the cell. To further understand their evolutionary history, a comparison

could be performed between ZnT’s and ZiP’s.

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References

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Abraham A.L., Nagarajan M., Veyrieras J.B., Bottin H., Steinmetz L.M. & Yvert G. (2012) Genetic modifiers of chromatin acetylation antagonize the reprogramming of epi-polymorphisms. PLoS Genet 8, e1002958.

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Aggett P.J. (1991) The assessment of zinc status: a personal view. Proc Nutr

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