Abstract
The role of zinc in the development and progression of prostate malignancy and its potential application in the prevention and treatment of prostate cancer (PCa) are contemporary critical issues for the medical/scientific community and the public-at-large. The overwhelming clinical and experimental evidence provides a compelling rational basis for the expectation and concept that prostate zinc accumulation is an important factor in the development and progression of prostate malignancy; and that zinc could be efficacious in the prevention and treatment of PCa. In contrast, various epidemiologic studies have produced divergent and conflicting results regarding the efficacy of dietary and supplemental zinc against PCa. Before reaching any definitive conclusions regarding this complex issue, one should have a complete understanding of the clinical and experimental evidence associated with the involvement of zinc in the normal and malignant prostate. Also, an understanding of interacting effects of confounding factors on the absorption, assimilation, and bioavailability of supplemental dietary zinc is important. The purpose of this review is to present the current state of the clinical and experimental information regarding zinc relationships in the normal prostate and in the pathogenesis PCa. The evidence in support of a potential beneficial effect of zinc supplement versus potential harmful effects on PCa is assessed. A discussion of the divergent results of the epidemiologic studies is presented along with a description of important factors and conditions that impact or mask the effects of dietary zinc on PCa development and progression. We also hope to bring more attention to the medical and research community of the critical need for concerted clinical and basic research regarding zinc and PCa, for the development of appropriate human prostate models to investigate these relationships, for further appropriately designed epidemiologic studies, and for future well-controlled clinical trials.
Similar content being viewed by others
References
LC Costello RB Franklin (1998) ArticleTitleThe novel role of zinc in the intermediary metabolism of prostate epithelial cells and its implications in prostate malignancy Prostate 35 285–296 Occurrence Handle10.1002/(SICI)1097-0045(19980601)35:4<285::AID-PROS8>3.0.CO;2-F Occurrence Handle9609552
LC Costello RB Franklin (2000) ArticleTitleThe intermediary metabolism of the prostate: a key to understanding the pathogenesis and progression of prostate malignancy Oncology 59 269–282 Occurrence Handle10.1159/000012183 Occurrence Handle11096338
LC Costello RB Franklin (2001) ArticleTitleThe metabolism of prostate malignancy: insights into the pathogenesis of prostate cancer and new approaches for its diagnosis and treatment Oncol Spect 2 452–457
LC Costello RB Franklin (2002) ArticleTitleTestosterone and prolactin regulation of metabolic genes and citrate metabolism of prostate epithelial cells Horm Metabol Res 34 417–424 Occurrence Handle10.1055/s-2002-33598
DW West ML Slattery LM Robison TK French AW Mahoney (1991) ArticleTitleAdult dietary intake and prostate cancer risk in Utah: a case-control study with special emphasis on aggressive tumors Cancer Causes Control 2 85–94 Occurrence Handle10.1007/BF00053126 Occurrence Handle1873441
SO Andersson A Wolk R Bergstrom et al. (1996) ArticleTitleEnergy, nutrient intake and prostate cancer risk: a population-based case-control study in Sweden Int J Cancer 68 716–722 Occurrence Handle10.1002/(SICI)1097-0215(19961211)68:6<716::AID-IJC4>3.0.CO;2-6 Occurrence Handle8980172
HD Vlajinac JM Marinkovic MD Ilic NI Kocev (1997) ArticleTitleDiet and prostate cancer: a case-control study Eur J Cancer 33 101–107 Occurrence Handle10.1016/S0959-8049(96)00373-5 Occurrence Handle9071908
AR Kristal JL Stanford JH Cohen K Wicklund RE Patterson (1999) ArticleTitleVitamin and mineral supplement use is associated with reduced risk of prostate cancer Cancer Epidemiol Biomarkers Prev 8 887–892 Occurrence Handle10548317
TJA Key PB Silcocks GK Davey PN Appleby DT Bishop (1997) ArticleTitleA case-control study of diet and prostate cancer Br J Cancer 76 678–687 Occurrence Handle9303371
MF Leitzmann MJ Stampfer K Wu GA Colditz WC Willett EL Giovannucci (2003) ArticleTitleZinc supplement use and risk of prostate cancer J Natl Cancer Inst 95 1004–1007
LN Kolonel CN Yoshizawa JH Hankin (1988) ArticleTitleDiet and prostatic cancer: a case-control study in Hawaii Am J Epidemiol 127 999–1012 Occurrence Handle3358418
NK Dhar TC Goel PC Dube AR Chowdhury AB Kar (1973) ArticleTitleDistribution and concentration of zinc in the subcellular fractions of benign hyperplastic and malignant neoplastic human prostate Exp Mol Pathol 19 139–142 Occurrence Handle10.1016/0014-4800(73)90073-7 Occurrence Handle4127820
P Gonic D Oberleas T Knechtges AS Prasad (1969) ArticleTitleAtomic absorption determination of zinc in the prostate Invest Urol 6 345–347 Occurrence Handle5773519
FK Habib MK Mason PH Smith SR Stitch (1979) ArticleTitleCancer of the prostate: early diagnosis by zinc and hormone analysis Br J Cancer 39 700–704 Occurrence Handle87214
R Lahtonen (1985) ArticleTitleZinc and cadmium concentrations in whole tissue and in separated epithelium and stroma from human benign prostatic hypertrophic glands Prostate 6 177–183 Occurrence Handle2579370
F Gyorkey K-W Min JA Huff P Gyorkey (1967) ArticleTitleZinc and magnesium in human prostate gland: normal, hyperplastic, and neoplastic Cancer Res 27 1349–1353
JO Ogunlewe DN Osegbe (1989) ArticleTitleZinc and cadmium concentrations in indigenous blacks with normal, hypertrophic, and malignant prostate Cancer 63 1388–1392 Occurrence Handle2465818
A Feustal R Wennrich D Steiniger P Klauss (1982) ArticleTitleZinc and cadmium concentration in prostatic carcinoma of different histological grading in comparison to normal prostate tissue and adenofibromyomatosis (BPH) Urol Res 10 301–303 Occurrence Handle6186062
VY Zaichick TV Sviridova SV Zaichick (1997) ArticleTitleZinc in the human prostate gland: normal, hyperplastic, cancerous Int Urol Nephr 29 565–574
J Kurhanewicz DB Vigneron H Hricak P Narayan P Carroll SJ Nelson (1996) ArticleTitleThree dimensional hydrogen-1 MR spectroscopic imaging of the in situ human prostate with high spatial resolution Radiology 198 795–805 Occurrence Handle8628874
A Heerschap GJ Jager M VanDer Graaf et al. (1997) ArticleTitleIn vivo proton MR spectroscopy reveals altered metabolite content in malignant prostate tissue Anticancer Res 17 1455–1460 Occurrence Handle9179183
GP Liney LW Turnbull M Lowry LS Turnbull AJ Knowles A Horsman (1997) ArticleTitleIn vivo quantification of citrate concentration and water T2 relaxation time of the pathologic prostate gland using 1H MRS and MRI Magn Reson Imag 15 1177–1186 Occurrence Handle10.1016/S0730-725X(97)00182-3
D Vartsky S Shilstein A Bercovich et al. (2003) ArticleTitleProstatic zinc and prostate specific antigen: an experimental evaluation of their combined diagnostic value J Urol 170 2258–2262 Occurrence Handle10.1097/01.ju.0000095795.86327.b8 Occurrence Handle14634392
LC Costello RB Franklin P Narayan (1999) ArticleTitleCitrate in the diagnosis of prostate cancer Prostate 38 237–245 Occurrence Handle10.1002/(SICI)1097-0045(19990215)38:3<237::AID-PROS8>3.0.CO;2-O Occurrence Handle10068348
Costello L, Franklin RB, Kurhanewicz J (2002) The metabolic characterization of prostate malignancy by magnetic resonance spectroscopy. In: Encyclopedia of Cancer, Academic Press, in press
J Kurhanewicz MG Swanson SJ Nelson DB Vigneron (2002) ArticleTitleCombined magnetic resonance imaging and spectroscopic imaging approach to molecular imaging of prostate cancer J Magn Reson Imag 16 451–463 Occurrence Handle10.1002/jmri.10172
KL Zakian S Eberhardt H Hricak et al. (2003) ArticleTitleTransition zone prostate cancer: metabolic characteristics at 1H MR spectroscopic imaging–initial results Radiology 229 241–247 Occurrence Handle12920178
JE Cooper I Farid (1964) ArticleTitleThe role of citric acid in the physiology of the prostate. Lactic/citrate ratios in benign and malignant prostatic homogenates as an index of prostatic malignancy J Urol 92 533–536 Occurrence Handle14226486
LC Costello Y Liu RB Franklin MC Kennedy (1997) ArticleTitleZinc inhibition of mitochondrial aconitase and its importance in citrate metabolism of prostate epithelial cells J Biol Chem 272 28875–28881 Occurrence Handle10.1074/jbc.272.46.28875 Occurrence Handle9360955
LC Costello Y Liu J Zou RB Franklin (1999) ArticleTitleEvidence for a zinc uptake transporter in human prostate cancer cells which is regulated by prolactin and testosterone J Biol Chem 274 17499–17504 Occurrence Handle10.1074/jbc.274.25.17499 Occurrence Handle10364181
RB Franklin J Ma J Zou BI Kukoyi P Feng LC Costello (2003) ArticleTitlehZIP1 is a major zinc uptake transporter for the accumulation of zinc in prostate cells J Inorg Biochem 96 435–442 Occurrence Handle10.1016/S0162-0134(03)00249-6 Occurrence Handle12888280
I Rishi H Baidouri JA Abbasi et al. (2003) ArticleTitleProstate cancer in African-American men is associated with down-regulation of zinc transporters Appl Immunohistochem Mol Morph 11 253–260 Occurrence Handle10.1097/00129039-200309000-00009
FW Beck AS Prasad CE Butler WA Sakr O Kucuk FH Sarkar (2004) ArticleTitleDifferential expression of hZnT-4 in human prostate tissues Prostate 58 374–381 Occurrence Handle10.1002/pros.10344 Occurrence Handle14968438
M Hasumi K Suzuki H Matsui H Koike K Ito H Yamanaka (2003) ArticleTitleRegulation of metallothionein and zinc transporter expression in human prostate cancer cells and tissues Cancer Lett 200 187–195 Occurrence Handle10.1016/S0304-3835(03)00441-5 Occurrence Handle14568174
P Feng TL Li ZX Guan RB Franklin LC Costello (2002) ArticleTitleDirect effect of zinc on mitochondrial apoptogenesis in prostate cells Prostate 52 311–318 Occurrence Handle10.1002/pros.10128 Occurrence Handle12210492
P Feng JY Liang TL Li et al. (2002) ArticleTitleZinc induces mitochondria apoptogenesis in prostate cells Mol Urol 4 31–35
P Feng TL Li ZX Guan RB Franklin LC Costello (2003) ArticleTitleEffect of zinc on prostatic tumorigenicity in nude mice Ann NY Acad Sci 1010 316–320 Occurrence Handle10.1196/annals.1299.056 Occurrence Handle15033742
RB Franklin LC Costello (1997) Intermediary energy metabolism of normal and malignant prostate epithelial cells RK Naz (Eds) Prostate: Basic and Clinical Aspects CRC Press New York 115–150
CV Dang GL Samenza (1999) ArticleTitleOncogenic alterations of metabolism Trends Biochem Sci 24 68–72 Occurrence Handle10.1016/S0968-0004(98)01344-9 Occurrence Handle10098401
JM Argiles FJ Lopez-Soriano (1990) ArticleTitleWhy do cells have such a high glycolytic rate Med Hypotheses 32 151–155 Occurrence Handle10.1016/0306-9877(90)90039-H Occurrence Handle2142979
LG Baggetto (1992) ArticleTitleDeviant energetic metabolism of glycolytic cancer cells Biochimie 74 959–974 Occurrence Handle10.1016/0300-9084(92)90016-8 Occurrence Handle1477140
RG Uzzo P Leavis W Hatch et al. (2002) ArticleTitleZinc inhibits nuclear factor-kappa B activation and sensitizes prostate cancer cells to cytotoxic agents Clin Cancer Res 8 3579–3583 Occurrence Handle12429649
K Ishii T Otsuka K Iguchi et al. (2004) ArticleTitleEvidence that the prostate-specific antigen (PSA)/Zn2+ axis may play a role in human prostate cancer cell invasion Cancer Lett 207 79–87 Occurrence Handle10.1016/j.canlet.2003.09.029 Occurrence Handle15050736
K Ishii S Usui Y Sugimura et al. (2001) ArticleTitleAminopeptidase N regulated by zinc in human prostate participates in tumor cell invasion Int J Cancer 92 49–54 Occurrence Handle10.1002/1097-0215(200102)9999:9999<::AID-IJC1161>3.3.CO;2-J Occurrence Handle11279605
Nemoto Kaoru Kondo Yukihiro Himeno Seiichiro Suzuki Yasutomo Hara Shuntaro Akimoto Masao Imura Nobumasa (2000) ArticleTitleModulation of telomerase activity by zinc in human prostatic and renal cancer cells Biochem Pharmacol 59 401–405 Occurrence Handle10.1016/S0006-2952(99)00334-2 Occurrence Handle10644048
HJ Sommerfeld AK Meeker MA Piatyszek GS Bova JW Shay DS Coffey (1996) ArticleTitleTelomerase activity: a prevalent marker of malignant human prostate tissue Cancer Res 56 218–226 Occurrence Handle8548767
S Boissier M Ferreras O Peyruchaud et al. (2000) ArticleTitleBisphosphonates inhibit breast and prostate carcinoma cell invasion, an early event in the formation of bone metastases Cancer Res 60 2949–2954 Occurrence Handle10850442
S Samman DC Roberts (1988) ArticleTitleThe effect of zinc supplements on lipoproteins and copper status Atherosclerosis 70 247–252 Occurrence Handle3365292
RK Chandra (1984) ArticleTitleExcessive intake of zinc impairs immune responses JAMA 252 1443–1446 Occurrence Handle10.1001/jama.252.11.1443 Occurrence Handle6471270
M Ferencik L Ebringer (2003) ArticleTitleModulatory effects of selenium and zinc on the immune system Folia Microbiol 48 417–426
TH Karlsen H Sommerfelt S Klomstad et al. (2003) ArticleTitleIntestinal and systemic immune responses to an oral cholera toxoid B subunit whole-cell vaccine administered during zinc supplementation Infection Immunity 71 3909–3913 Occurrence Handle10.1128/IAI.71.7.3909-3913.2003 Occurrence Handle12819076
E Mocchegiani M Muzzioli R Giacconi (2000) ArticleTitleZinc, metallothioneins, immune responses, survival and ageing Biogerontology 1 133–143 Occurrence Handle10.1023/A:1010095930854 Occurrence Handle11707929
RK Chandra (2002) ArticleTitleNutrition and the immune system from birth to old age Eur J Clin Nutr 3 IssueID56 Suppl S73–S76 Occurrence Handle10.1038/sj.ejcn.1601492
AS Prasad CS Mantzoros FW Beck JW Hess GJ Brewer (1996) ArticleTitleZinc status and serum testosterone levels of healthy adults Nutrition 12 344–348 Occurrence Handle10.1016/S0899-9007(96)80058-X Occurrence Handle8875519
C Chen NS Weiss FZ Stanczyk et al. (2003) ArticleTitleEndogenous sex hormones and prostate cancer risk: a case-control study nested within the Carotene and Retinol Efficacy Trial Cancer Epidemiol Biomarkers Prev 12 1410–1416 Occurrence Handle14693730
P Rivera R Tagle S Mir R Gonzalez (2003) ArticleTitleRelationship between serum testosterone levels and prostatic cancer Actas Urol Espanol 27 788–792
T Raivio H Santti G Schatzl et al. (2003) ArticleTitleReduced circulating androgen bioactivity in patients with prostate cancer Prostate 55 IssueID3 194–198 Occurrence Handle10.1002/pros.10234 Occurrence Handle12692785
G Schatzl WJ Reiter T Thurridl et al. (2000) ArticleTitleEndocrine patterns in patients with benign and malignant prostatic diseases Prostate 44 219–224 Occurrence Handle10.1002/1097-0045(20000801)44:3<219::AID-PROS6>3.0.CO;2-I Occurrence Handle10906738
A Feustel R Wenrich (1986) ArticleTitleZinc and cadmium plasma and erythrocyte levels in prostatic carcinoma, BPH, urological malignancies, and inflammation Prostate 8 75–79 Occurrence Handle2418432
P Whelan BE Walker J Kelleher (1983) ArticleTitleZinc, vitamin A, and prostate cancer Br J Urol 55 525–528 Occurrence Handle6194843
JO Ogunlewe DN Osegbe (1989) ArticleTitleZinc and cadmium concentrations in indigenous blacks with normal, hypertrophic, and malignant prostate Cancer 63 1388–1392 Occurrence Handle2465818
M Lekili A Ergen I Celebi (1991) ArticleTitleZinc plasma levels in prostatic carcinoma and BPH Int Urol Nephrol 23 151–154 Occurrence Handle1713903
Z Chirulescu C Chiriloiu A Suciu R Pirvulescu (1987) ArticleTitleVariations of zinc, calcium and magnesium in normal subjects and in patients with neoplasias Med Intern 25 257–61
Y Liu LC Costello RB Franklin (1997) ArticleTitleProlactin and testosterone regulation of mitochondrial zinc in prostate epithelial cells Prostate 30 26–32 Occurrence Handle10.1002/(SICI)1097-0045(19970101)30:1<26::AID-PROS4>3.0.CO;2-J Occurrence Handle9018332
E Mocchegiani M Muaaioli R Giacconi (2000) ArticleTitleZinc, metallothioneins, immune responses, survival and ageing Biogerontology 1 133–143 Occurrence Handle10.1023/A:1010095930854 Occurrence Handle11707929
MP Vaquero (2002) ArticleTitleMagnesium and trace elements in the elderly: intake, status and recommendations J Nutr Health Aging 6 147–153 Occurrence Handle12166371
L Padro R Benacer S Foix et al. (2002) ArticleTitleAssessment of dietary adequacy for an elderly population based on a Mediterranean model J Nutr Health Aging 6 31–33 Occurrence Handle11813078
C Ekmekcioglu (2001) ArticleTitleThe role of trace elements for the health of elderly individuals Nahrung 45 309–316 Occurrence Handle10.1002/1521-3803(20011001)45:5<309::AID-FOOD309>3.0.CO;2-0 Occurrence Handle11715341
KP High (2001) ArticleTitleNutritional strategies to boost immunity and prevent infection in elderly individuals Clin Infect Dis 33 1892–1900 Occurrence Handle10.1086/324509 Occurrence Handle11692301
LN Kolonel (1996) ArticleTitleNutrition and prostate cancer Cancer Causes Control 7 83–44 Occurrence Handle10.1007/BF00115640 Occurrence Handle8850437
JA Thomas (1999) ArticleTitleDiet, micronutrients and the prostate gland Nutr Rev 4 95–103
EA Platz KJ Helzlsouer (2001) ArticleTitleSelenium, zinc, and prostate Epidemiol Rev 23 93–101 Occurrence Handle11588860
MF Leitzmann E Giovannucci (2004) ArticleTitleResponse: Re: zinc supplement use and risk of prostate cancer J Natl Cancer Inst 96 1108–1109 Occurrence Handle15265974
B Lonnerdal (2000) ArticleTitleDietary factors influencing zinc absorption J␣Nutr 130 1378S–1383S Occurrence Handle10801947
NF Krebs (2000) ArticleTitleOverview of zinc absorption and excretion in the human gastrointestinal tract J Nutr 130 1374S–1377S Occurrence Handle10801946
JC King DM Shames LB Woodhouse (2000) ArticleTitleZinc homeostasis in humans J Nutr 130 1360S–1366S Occurrence Handle10801944
E Giovannucci EB Rimm A Wolk et al. (1998) ArticleTitleCalcium and fructose intake in relation to risk of prostate cancer Cancer Res 58 442–447 Occurrence Handle9458087
E Giovannucci (1998) ArticleTitleDietary influences of 1,25(OH)2 vitamin D in relation to prostate cancer: a hypothesis Cancer Causes Control 9 567–582 Occurrence Handle10.1023/A:1008835903714 Occurrence Handle10189042
JM Chan E Giovannucci SO Andersson J Yuen HO Adami A Wolk (1998) ArticleTitleDairy products, calcium, phosphorous, vitamin D, and risk of prostate cancer Cancer Causes Control 9 559–566 Occurrence Handle10.1023/A:1008823601897 Occurrence Handle10189041
C Rodriguez ML McCullough AM Mondul et al. (2003) ArticleTitleCalcium, dairy products, and risk of prostate cancer in a prospective cohort of United States men Cancer Epidemiol Biomarkers Prev 12 597–603 Occurrence Handle12869397
AR Kristal JH Cohen P Qu JL Stanford (2002) ArticleTitleAssociations of energy, fat, calcium, and vitamin D with prostate cancer risk Cancer Epidemiol Biomarkers Prev 11 719–725 Occurrence Handle12163324
CA Krone LC Harms (2004) ArticleTitleRe: zinc supplement use and risk of prostate cancer J Natl Cancer Inst 95 1556
MK Siddiqui S Srivastava PK Mehrotra (2002) ArticleTitleEnvironmental exposure to lead as a risk for prostate cancer Biomed Environ Sci 15 298–305 Occurrence Handle12642986
Z-X Guan B Kukoyi P Feng MC Kennedy RB Franklin LC Costello (2003) ArticleTitleKinetic identification of a mitochondrial zinc uptake transporter in prostate cells J Inorg Biochem 97 199–206 Occurrence Handle10.1016/S0162-0134(03)00291-5 Occurrence Handle14512198
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Costello, L.C., Franklin, R.B., Feng, P. et al. Zinc and Prostate Cancer: A Critical Scientific, Medical, and Public Interest Issue (United States). Cancer Causes Control 16, 901–915 (2005). https://doi.org/10.1007/s10552-005-2367-y
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/s10552-005-2367-y