Evidence map›Paper›PMID 29177978›Full record

ReviewEuropean journal of nutrition2018

Zinc deficiency as a mediator of toxic effects of alcohol abuse.

Anatoly V Skalny, Margarita G Skalnaya, Andrei R Grabeklis, Anastasia A Skalnaya, Alexey A Tinkov

Abstract readReview
PubMed Publisher
In one paragraph

Review in European journal of nutrition, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 1 pooled it
3.7field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 1 synthesis or guideline pooled it, 60 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. An emerging role for synaptic ZnPharmacology & therapeutics · 2026
    Review
  4. Article
  5. Article
  6. Alcohol Use Disorder Affects Brain Metals.bioRxiv : the preprint server for biology · 2026
    Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Review
  12. Review
  13. Article
  14. Article
  15. Review
  16. Article
  17. Review
  18. Review
  19. Synaptic ZnTranslational psychiatry · 2021
    Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 2 countries.

Anatoly V SkalnyYaroslavl State University, Sovetskaya St., 14, Yaroslavl, 150000, Russia.
Margarita G SkalnayaPeoples' Friendship University of Russia (RUDN University), Miklukho-Maklaya St., 6, Moscow, 105064, Russian Federation.
Andrei R GrabeklisYaroslavl State University, Sovetskaya St., 14, Yaroslavl, 150000, Russia.
Anastasia A SkalnayaLomonosov Moscow State University, Leninskie Gory, 1, Moscow, 119991, Russia.
Alexey A TinkovYaroslavl State University, Sovetskaya St., 14, Yaroslavl, 150000, Russia. tinkov.a.a@gmail.com.
Peoples' Friendship University of Russia · RULomonosov Moscow State University · RUYaroslavl State University · RU

Funding

Russian Foundation for Basic Research (RU) 15-04-08621
6 · The paper itself

Abstract

objectiveTo review data on the role of ethanol-induced alteration of Zn homeostasis in mediation of adverse effects of alcohol abuse.

methodsThe scholarly published articles on the association between Zn metabolism and alcohol-associated disorders (liver, brain, lung, gut dysfunction, and fetal alcohol syndrome) have been reviewed.

resultsIt is demonstrated that alcohol-induced modulation of zinc transporters results in decreased Zn levels in lungs, liver, gut, and brain. Zn deficiency in the gut results in increased gut permeability, ultimately leading to endotoxemia and systemic inflammation. Similarly, Zn deficiency in lung epithelia and alveolar macrophages decreases lung barrier function resulting in respiratory distress syndrome. In turn, increased endotoxemia significantly contributes to proinflammatory state in alcoholic liver disease. Finally, impaired gut and liver functions may play a significant role in alcoholic brain damage, being associated with both increased proinflammatory signaling and accumulation of neurotoxic metabolites. It is also hypothesized that ethanol-induced Zn deficiency may interfere with neurotransmission. Similar changes may take place in the fetus as a result of impaired placental zinc transfer, maternal zinc deficiency, or maternal Zn sequestration, resulting in fetal alcoholic syndrome. Therefore, alcoholic Zn deficiency not only mediates the adverse effects of ethanol exposure, but also provides an additional link between different alcohol-induced disorders.

conclusionsGenerally, current findings suggest that assessment of Zn status could be used as a diagnostic marker of metabolic disturbances in alcohol abuse, whereas modulation of Zn metabolism may be a potential tool in the treatment of alcohol-associated disorders.

Indexed as

AlcoholismEthanolFemaleHumansLiver Diseases, AlcoholicPregnancyZincEthanolZincEndotoxemiaEthanolGut permeabilityInflammationZinc

Identifiers

PMID29177978
OpenAlexW2770275161

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.