Zinc about it – zinc and calf immunity

Micronutrients, such as vitamins and trace minerals, are critical for supporting growth, performance, health and maintaining redox balance. Zinc (Zn), an essential micronutrient, aids the functioning of innate and adaptive immune cells. This scoping review aims to assemble and evaluate the evidence available for the role of Zn within calf immunity. Relevant literature was identified within Web of Science, PubMed, and CABI using search terms specific to the major innate and adaptive immune cell populations. There was no evidence that Zn supplementation altered neutrophil, natural killer cell, or T-cell functions. However, there was limited evidence to support Zn supplementation with reduced monocyte numbers, but there was no evidence to associate the monocytopenia with improvements in monocyte function. There is moderate evidence to suggest that Zn supplementation was beneficial for maintaining epithelial barriers of integumental and mucosal surfaces. The evidence supports supplementation above the current industry recommendations for improving immunoglobulin (Ig) production, with the strongest results being observed for IgG and IgM. Moreover, Zn supplementation was associated with reduced proinflammatory cytokine production, which may reduce inflammation-associated hypophagia and warrants further investigation. Furthermore, Zn reduced the duration of clinical signs in animals facing respiratory disease and diarrhea. However, consensus is needed about the optimal dose, route, and Zn formulation most appropriate for supporting immunity. In conclusion, while the literature supports that Zn could enhance calf immunity, there is insufficient evidence to adequately determine the extent to which Zn impacts innate immune cell and T-cell functions. Determination of the immune cell functions susceptible to modification by Zn supplementation is an important knowledge gap for enhancing the understanding of Zn and calf immunity.


Introduction
Micronutrients comprise a small percentage of the diet by volume; however, they are pivotal in optimizing growth, performance, immune function, and redox balance (1).Dairy calves experience oxidative stress (OS), the cell damage that results from redox imbalance (2), throughout the preweaning period (3).This OS impairs immune function (4).Recent research has shown that antioxidant supplementation supports a more robust immune response in dairy calves (5,6).
Zinc is the most abundant metal found in humans and acts as an essential cofactor for numerous enzymes, with approximately 10% of the human proteome being able to bind Zn (7).Severe Zn deficiency is detrimental to immune function in various species, including cattle (8)(9)(10).Consequently, diets are routinely formulated to prevent Zn deficiency (11).In humans and adult cattle, there is evidence to support the role of Zn in maintaining redox balance and supporting immune function during critical periods of physiologic stress (12, 13).However, more research is needed to support Zn supplementation above recommendations in dairy calves.This scoping review aims to assemble and evaluate the evidence available for the effect of Zn on calf immunity.This will be followed by a more specific discussion about how these changes in immune function translate into calf health improvements.

Scoping review methodology
Unique terms for the major cell types within the innate and adaptive immune systems were selected to ensure the search was comprehensive.The terms described in Table 1 were used to identify relevant Web of Science, PubMed, and CABI literature.Subsequently, inclusion and exclusion criteria (Table 2) were applied, and duplicates were removed to identify the articles relevant to each search category (Figure 1, Table 3).Each cell type was evaluated and reported independently throughout the article for organizational purposes.Although we considered T-and B-cells separate search categories, several articles evaluated lymphocytes altogether.Therefore, T-cell-and B-cell-specific outcomes were described in unique sections, and non-cell-typespecific outcomes were described in a general lymphocyte section.A schematic summary of the findings is also included (Figure 2).
3 Zinc and innate immunity

Neutrophils
No change in neutrophil function was reported after feeding low (60 milligram (mg) per kilogram (kg) dry matter (DM)) and medium (150 mg/kg DM) doses of Zn Methionine (Met)-Zn Lysine (Lys) or a high (300 mg/kg DM) dose of Zn oxide to 6-week-old dairy heifers (Table 4) (14).Neutrophil phagocytosis and intracellular killing were evaluated ex vivo at 0, 2, 4, and 6 weeks of the study (14).It is important to highlight that Zn treatments below 300 mg/kg DM did not increase serum or liver Zn concentrations, making it difficult to interpret a lack of change in neutrophil function at lower doses.Furthermore, there was no reduction in neutrophil phagocytosis or intracellular killing to suggest immuno-suppression, which had been observed with high  Zn doses in vitro (36).Based on this research, there is insufficient evidence to determine the extent to which Zn supplementation can alter neutrophil function in dairy calves.

Monocytes/macrophages
Zn supplementation had mixed results on monocyte counts with a tendency to decrease numbers (Table 5) (15,16).However, an assessment of the effect of Zn on monocyte function was not performed in these studies.Zn-supplemented 50-day-old calves had reduced circulating monocyte numbers 40 days after subcutaneous supplementation of Zn edetate (1 mg/kg body weight) or diphenyl diselenide (0.3 mg/kg body weight) combined with Zn edetate (1 mg/kg body weight) (15).In contrast, circulating monocyte counts were increased for 24 hours after being challenged with bovine herpes virus (BHV) and Mannheimia haemolytica to cause bovine respiratory disease (BRD) in heifers (272 ± 3.4 kg) treated with Zn sulfate (100 mg/kg DM or 200 mg/kg DM) or combined supplementation of Zn Met -Zn sulfate (80 mg/kg DM -20 mg/ kg DM) for 30 days (16).Heifers who received the combined supplementation tended to have the lowest circulating monocyte values from day -3 to 7 post-challenge.Improved monocyte functionality could explain the reduction in circulating immune cell numbers.However, neither article evaluated monocyte function, making it difficult to appreciate Zn supplementation's impact on monocytes beyond being associated with reduced circulating numbers.Future research is warranted to investigate the role of Zn supplementation on specific monocyte functions such as phagocytosis, respiratory burst, or activation.Ultimately, there is insufficient evidence to make conclusions about the extent to which Zn supplementation alters monocyte numbers and functionality.

Other innate immune cells
Zinc supplementation (1,000 mg/day) did not alter the expression of activation surface markers (CD2, CD16, CD25, CD44, CD45RO) in natural killer (NK) cells in weaned beef steers (Table 6) (17).In contrast, when the same surface markers were assessed in CD8 + NK cells, there was increased CD16 expression (Table 6) (17).These results indicate that Zn supplementation can alter phenotypic activation markers; however, conclusions were limited by inconsistent expression of activation surface markers (17).Future work validating activation marker expression with functional immune outcomes would help elucidate Zn's role in NK cell function.

Barrier integrity
Epithelial surfaces are anatomic barriers that constantly protect from invading pathogens, representing an important but rudimentary component of the innate immune system (37).Many clinical signs associated with hypozincemia represent skin dysfunction, including alopecia, rough coat, dry and scaling skin, and skin lesions (8).These clinical signs respond well to Zn supplementation and are often self-limiting (8,38).Parakeratosis is a Zn-responsive skin condition in dairy cattle that commonly occurs in young animals, dry cows fed large amounts of calcium, and during Zn deficiency.Regardless of the cause, the lesions resolve with 500 mg/day -2,000 mg/day Zn sulfate supplementation (18,19).Moreover, skin lesions associated with tail root eczema respond well to Zn therapy (Zn chloride or Zn oxide) with 800 mg/day resolving clinical signs 3 to 9 days faster than 240 mg/day (20).
Fungal skin infections such as facial eczema caused by the fungal toxin sporidesmin respond well to zinc supplementation.Facial eczema in calves 6-12 months of age, was successfully treated with 60 mg Zn sulfate per 1 liter of water for 28 days (21).Moreover, a Zn oxide bolus protected calves (6-12 months of age) that were exposed to pastures laden with sporidesmin (22).Although there were no clinical signs of facial eczema, Zn-supplemented animals had less liver damage, as evidenced by reduced hepatic enzyme release.Contracture and epithelialization are important skin functions for wound healing.Wound healing of surgically created lesions was faster with Zn oxide supplementation (40 mg/kg DM) when weaned calves were Zn deficient (39); however, when 400 mg/ kg DM of Zn sulfate and Zn oxide were supplemented to 6-monthold heifers without Zn deficiency, there was no difference in the rate of wound closure (23).This suggests the existence of a threshold of Zn concentrations for wound healing, with supplementation above that cutoff being of limited value.
Epithelial barriers line mucosal surfaces and prevent pathogen invasion, especially in the gastrointestinal tract.In vitro, Zn oxide

Zinc and adaptive immunity 4.1 T-cells
The capacity for T-cells to rapidly change from a quiescent to an activated state when the immune system has been stimulated is essential for a robust immune response to vaccines and pathogens alike (40,41).Zn supplementation only improved CD 25 activation surface marker expression with inorganic supplementation at 42 days in CD8 + T-cells.Organic supplementation as an amino complex did not improve any of the studied activation surface markers (CD2, CD16, CD25, CD44, CD45RO) in CD8 + T-cells with or without 14 days of additional Zn (1,000 mg/day) in weaned beef steers (Table 7) (17).Many subpopulations of T-cells contribute to an immune response; future work evaluating more populations of T cells, such as T helper, T regulatory, and gamma-delta T-cells, would increase our understanding of the impact of Zn on T-cell function.

B-cells
Immunoglobulins are an essential effector function of plasma cells and terminally differentiated B-cells, providing critical protection against pathogens (42).There were inconsistent results in immunoglobulin outcomes with Zn supplementation (Table 8).Zinc supplementation increased total immunoglobulin (Ig) in serum and plasma when Zn (30 -32 mg/kg DM) was fed to preweaning calves (29,30).Increased IgG concentrations were reported when 32-100 mg/kg DM Zn was supplemented to preweaning dairy calves (27,29,31,32).In contrast, 1-month-old beef calves supplemented with a Zn amino acid complex (40, 80, 120 mg/kg DM) showed no difference in IgG concentrations among the treatments (33).Serum and plasma IgM concentrations increased in preweaning calves when 32-100 mg/kg DM Zn was supplemented (27,(31)(32)(33).However, a threshold of Zn concentration seems to be in place as no further improvement was documented in beef calves supplemented with 120 mg/kg DM (33).Zn supplementation (32 mg/kg DM) in the form of nanoparticles increased plasma IgA concentrations (29).However, when Zn was supplemented as Zn oxide (40, 80, 120 mg/kg DM), Zn proteinate (80 mg/kg DM), Zn as an amino acid complex (40, 80, 120 mg/kg DM) or Zn Met (80 mg/kg DM) there were no changes in preweaning calf serum or plasma IgA concentrations (27,29,31,33).It is important to note that IgA is most abundant in external secretions; thus, serum and plasma samples may not be representative of changes in IgA production (44).Zn supplementation did not alter plasma IgE concentrations (29).
Antigen-specific antibody production is a hallmark of vaccination and is essential for controlling disease (45).Zinc supplementation (25 mg/kg DM) tended to increase BHV titers in response to vaccination (34).However, Zn supplementation did not increase BHV titers regardless of the amount and formulation in vaccinated beef calves (28, 43).Zinc (25 mg Zn/kg DM) failed to increase parainfluenza titers in weaned steers (34).Conversely, Zn as an amino acid complex (360 mg/day) increased bovine viral diarrhea virus and bovine respiratory syncytial virus titers    1 Denotes information relevant to the first experiment in this study. 2Denotes information relevant to the second experiment in this study.
compared to Zn sulfate (360 mg/day) in vaccinated beef heifers (43).Finally, Zn supplementation had mixed results when calves were immunized with non-bovine-specific antigens.Non-bovinespecific antigens were only increased in the study where the authors demonstrated an increase in systemic Zn status, making it difficult to interpret the absence of changes in titers at lower Zn doses (32,35).Heterogeneity of the dose, formulation, age at supplementation, and vaccines administered limited the ability to compare results among studies.In general, most articles documented higher Ig production in Zn-supplemented animals.However, there were mixed results regarding which outcomes were most affected.The strongest results were for total Ig and non-specific Ig classes, with unanimous improvement of at least one outcome (27,(29)(30)(31)(32)(33).Results indicate the possibility of a threshold for the beneficial effects of Zn supplementation.While 32 mg/kg DM -100 mg/kg DM Zn doses increased Ig production (27-35), higher doses (120 mg/kg DM -360 mg/day) showed mixed results with no improvement in any of the Ig outcomes in one study (33) and no changes in anti-BHV titers in another (43).Determining the optimal dose, formulation, and age at administration of Zn that has the potential to alter Ig production is an important knowledge gap that warrants further investigation.

Lymphocytosis
Zinc supplementation was associated with temporary increases in lymphocyte numbers (Table 9) (15,16).Duration of the lymphocytosis differed between the two studies; however, variations in Zn dose, route of administration, formulation, and concurrent disease may have contributed to the inconsistency.Zinc supplementation (1 mg/kg body weight, subcutaneous Zn edetate) increased circulating lymphocytes for 20 days in 50-day-old calves around weaning (15).However, the lack of immune stimulation in calves limited conclusions about Zn-driven changes in lymphocyte production, as unstimulated lymphocytes in circulation provide limited evidence about the capacity of immune cells to mount an effective response.Moreover, beef heifers supplemented with Zn sulfate (100 mg/kg DM) for 30 days before a challenge with BRD pathogens demonstrated increased lymphocyte counts for 7 days compared to the Zn sulfate (200 mg/kg DM) and Zn Met -Zn sulfate (80 mg/kg DM -20 mg/kg DM) treatments (16).Nevertheless, the lack of an unsupplemented group in the study limited conclusions about the ability of Zn to increase lymphocyte numbers during disease.Lymphocyte counts alone provide little evidence about changes in overall immune function; future work integrating changes in circulating lymphocyte numbers with functional outcomes would provide a more comprehensive analysis of immune function.

Cytokine production
Cytokines are proteins secreted by immune cells to induce a response in other immune cells, which is an essential form of intercellular communication for directing immune responses and inflammation (46).Currently, there needs to be more consensus regarding the impact of Zn on cytokine production.Several articles evaluated circulating cytokines and cytokine production as outcomes (Table 9), but the marked variation in the cytokine profiles assessed by each study leaves insufficient evidence to determine the extent to which Zn reliably impacts cytokine production.Zinc supplementation (80 mg/kg DM, Zn proteinate, and Zn Met) did not influence plasma IL-8 or TGF-b concentrations in preweaning calves (27).However, Zn supplementation (80 mg/kg DM, Zn oxide) increased serum IL-10 concentrations after 14 days in newborn dairy calves, but this effect was temporary and disappeared by 28 days (31).Additionally, Zn supplementation increased IL-2 concentrations with 80 mg/kg DM Zn as an amino acid complex (33), but not 40 mg/kg DM (33) or doses greater than 80 mg/kg DM (i.e., 120 mg/kg DM -300 mg/ kg DM) in preweaning calves (14,33).There were mixed results for circulating interferon g (IFNg ) concentrations when Zn was supplemented: no change in IFNg concentrations was reported when 32 to 100 mg/kg DM Zn was supplemented regardless of the Zn formulation (i.e., Zn Met, Zn proteinate, Zn oxide, Zn sulfate, or Zn nanoparticles) (27,29,31).However, when Zn sulfate (200 mg/ kg DM) was supplemented to beef heifers, IFNg concentrations after being challenged with BHV and M. haemolytica were higher than in groups who received less Zn supplementation (16).Zn supplementation only increased IFNg concentrations with higher doses of Zn sulfate (200 mg/kg DM) in acute BRD (16).The authors suggested that this was the result of increased pathogen burden, as heifers also had increased vaginal temperature and increased platelet counts (16).In the context of BRD, however, acute inflammation is essential for controlling the disease state, and it is only when that acute inflammation is uncontrolled that it is considered detrimental (47).Given that the IFNg concentrations were no longer elevated 24 hours after the challenge and every animal received the same challenge dose, it remains unclear if the increased IFNg concentrations resulted from a robust acute immune response or uncontrolled inflammation.
In general, endogenous pyrogens (i.e., IL-6, tumor necrosing factor, IL-1b) demonstrated mixed results but tended to decrease with Zn supplementation (16,27,29,31).When beef heifers were supplemented for 30 days before and during a challenge that modeled BRD, Zn (80 mg/kg DM -20 mg/kg DM, Zn Met -Zn sulfate) increased IL-6 concentrations for the first 6 hours postchallenge; then, between hours 6 -36, Zn (200 mg/kg DM, Zn sulfate) decreased IL-6 concentrations (16).However, when preweaning calves were supplemented with organic Zn sources (80 mg/kg DM) without concurrent disease, there were no differences in IL-6 concentrations (27).As a potent proinflammatory cytokine, IL-6 is essential for driving disease-associated inflammation (48).In the context of BRD, an acute increase in IL-6 may be beneficial for controlling infection, while a rapid decline in IL-6 might signal disease resolution and the prevention of uncontrolled inflammation.Moreover, tumor necrosing factor concentrations were reduced by supplementing Zn nanoparticles (32 mg/kg DM) in preweaning calves without concurrent disease (29).Furthermore, Zn supplementation with 80 mg/kg DM, regardless of formulation, decreased circulating IL-1b concentrations in calves during the first month of life (27,31).The duration of Zn supplementation was important for IL-1b concentrations as exhibited by longer (28 days vs. 14 days) supplementation being necessary for IL-1b decreases (31).Beyond the role proinflammatory cytokines play in controlling the immune response, there is evidence in cattle that tumor necrosing factor and IL-1b drive inflammation-associated hypophagia (49).In applied work Zn supplemented heifers with BRD had increased DM intake, further supporting Zn as a tool for reducing inflammation-associated hypophagia (50).The diversity of the cytokine profiles evaluated limited comparisons among studies, but it seems that Zn supplementation reduces proinflammatory cytokine production.Future research is warranted to determine if reductions in proinflammatory cytokine production translate into improved health outcomes for calves.Moreover, differences were observed based on the presence or absence of immune cell stimulation, such as concurrent disease, limiting the comparability of results among studies.Ultimately, there is insufficient evidence to determine the impact of Zn on cytokine production in dairy calves.

Blastogenic responses
Blastogenesis is the process of cells expanding and dividing.The capacity to rapidly expand cell populations is essential for a robust immune response (51).Zinc supplementation did not impact blastogenic responses to mitogens (Table 9) (14,28).It is important to recognize that neither article showed increased serum Zn concentrations with Zn supplementation.However, changes in systemic Zn concentrations were highly dependent on the formulation and dose of Zn supplemented.Similarly, liver Zn concentrations were only increased when Zn Met-Zn Lys was supplemented at 300 mg/kg DM but not at 150 mg/kg DM or when Zn oxide was supplemented (14).Although serum Zn concentrations are of limited use when quantifying an animal's Zn status, except in the case of overt deficiency (52), it is difficult to interpret a lack of change in lymphocyte function without evidence that Zn supplementation was able to alter systemic Zn status successfully.Moreover, neither article justified the Zn concentrations utilized for improving lymphocyte function, and the dose of Zn necessary to alter lymphocyte functions may differ from that which is required to elevate systemic Zn status.Together, these limitations make it difficult to determine if the lack of change in lymphocyte functions is due to an inappropriate Zn dose or a lack of response to Zn supplementation.

Oxidative stress
Oxidative stress, the cell damage that results from redox imbalance, is known to reduce immune cell functions such as cytokine production, antigen-specific antibody production (53), and proliferation (54).Only one study evaluated oxidative status using reactive oxygen species (ROS) in serum and found that ROS was lower in supplemented animals (15).Malondialdehyde (MDA), a byproduct of lipid peroxidation, was reduced with Zn supplementation in preweaning calves (15,27,29,31,33).The reduction in MDA was limited to cattle treated with 80 mg/kg DM organic Zn or less, with cattle fed below or above this range not exhibiting changes in MDA (27,31,33).Moreover, the formulation of Zn may be important as inorganic Zn at the same dose (80 mg/kg DM) did not reduce MDA (31).Although organic and inorganic Zn formulations are proposed to have similar bioavailability in ruminants, it is suggested that they are metabolized differently (55).This could explain why no difference was observed in serum Zn concentrations between organic and inorganic Zn supplementation despite differences in the OS outcomes (31).Generally, total antioxidant capacity increased in response to Zn supplementation (27,29,31,33).As noted for MDA, the improvement was limited to cattle treated with 80 mg/kg DM Zn or less (27,29,33).However, Zn supplemented as Zn proteinate (27) or at 120 mg/kg DM Zn amino acid complex did not improve total antioxidant capacity (33).Zn supplementation had mixed results for antioxidant enzymes with increased activity of glutathione peroxidase (15,29) and superoxide dismutase activity when supplemented for 60 days or longer (30,33).However, when Zn was supplemented for less than 60 days, there was no improvement in superoxide dismutase regardless of formulation or dose (15,27,29,31).Glutathione peroxidase was not different when supplemented with Zn as an amino acid complex (33).Moreover, when Zn as an amino acid complex was supplemented at 1,000 mg/day, there was no difference in superoxide dismutase activity within red blood cell lysates from weaned beef steers (17).Furthermore, Zn supplementation did not affect catalase activity (29).This suggests that antioxidant enzyme responsiveness to Zn supplementation may depend on the enzyme being evaluated and the dose, duration, and formulation of Zn used.Zn supplementation consistently reduced markers of OS (Table 10).However, future work analyzing changes in prooxidant production relative to antioxidant potential would provide a better understanding of changes in both aspects of redox balance (2).Moreover, MDA is an imprecise biomarker for OS as the thiobarbituric acid utilized in MDA colorimetric assays is a nonspecific chromogen prone to cross-reaction (56), and most of the MDA measured is generated ex vivo (57).Isoprostanes offer a more stable byproduct of lipid peroxidation, and their quantification via high-performance liquid chromatography is nowadays considered the gold-standard method for assessing lipid peroxidation (58).Additionally, caution should be used when interpreting individual antioxidants and antioxidant enzymes as an assessment of antioxidant capacity as it does not accurately reflect the complexity of the systemic antioxidant system (59).Furthermore, additional work determining the extent to which these changes in oxidative status translate into improvements in cell function is warranted.

Applications for calves
There is substantial evidence for the role of Zn in immunity.For a more comprehensive discussion of the topic, please refer to the review by Wessels, Maywald (7).Zinc deficiency is associated with immunosuppression and has been fundamental in demonstrating the importance of Zn for immune function (10, 59).This has been well characterized in Holstein dairy calves due to the lethal trait A46, a genetic disorder that compromises intestinal Zn absorption (10, 59).Calves with A46 have marked reductions in circulating lymphocyte numbers and lymphocyte function (10).
The recommendations for Zn supplementation in dairy calves are formulated to prevent nutritional deficiencies (11).However, these industry recommendations do not account for the potential benefits associated with Zn supplementation above these recommendations during periods of stress or disease, as demonstrated in non-bovine species (60-62).Many articles discuss the benefits of supplemental Zn in reducing the incidence of diarrhea (27,63,64) and expediting recovery from diarrhea in dairy calves (65).Similarly, Zn may improve calf recovery from respiratory disease as calves challenged with BHV that were supplemented with Zn had increased DM intake and required fewer days to recover post-BHV-challenge than unsupplemented counterparts (50).Future research is warranted to investigate these differences as they could influence Zn administration under field conditions.

Future directions
Even though substantial evidence supports an essential role for Zn and immunity, much work remains to be done characterizing Zn's mechanistic role in modulating immune cell function in dairy calves.The human literature supports the role of Zn in maintaining redox balance and mitigating OS (13,66,67).For example, Zn reduced OS and improved lymphocyte function in elderly adults (68).In calves, there was evidence that Zn mitigated OS, future work characterizing how reductions in OS translate into improved lymphocyte functionality and calf health is warranted.More recently, immunometabolism has become an emerging field, driven by the recognized influence of metabolites on immune cell signaling and function (69).Work characterizing the role of Zn in supporting immune cell metabolism and mitochondrial function is emerging in model organisms and human literature (70, 71).Future work harnessing metabolic and mitochondrial outputs is an opportunity worth exploring to address the reduced functionality of calf lymphocytes.Finally, while there is evidence to support Zn supplementation to reduce the duration and severity of clinical signs during disease in dairy calves, more mechanistic research is warranted to elucidate the extent to which Zn supports the immune system of dairy calves.Moreover, if Zn proves successful in modulating dairy calf immune function, more work evaluating novel approaches for supplementation will be necessary.For example, some initial work assessing pregnant cow trace mineral supplementation showed some promising results for improving the offspring's immunity (72), suggesting that immunomodulation could start in the prenatal stage.This scoping review highlights important knowledge gaps for the role of Zn in dairy calf immunity.There is evidence to support Zn supplementation above nutritional requirements for improving circulating cell numbers, but results are highly variable for each immune cell type.Moreover, there is moderate evidence to support the reduction of proinflammatory cytokines and increased antibody production.Furthermore, there was evidence to support Zn shortening the duration of clinical signs in calves with respiratory and gastrointestinal illness as well as improving DM intake in sick calves.However, there was a lack of research regarding the capacity of Zn to improve immune cell functionality.Furthermore, the heterogeneity in dosage, route, formulation, and duration of Zn administered to calves limited the integration of results among studies.Finally, while there is evidence to support Zn supplementation to calves while facing a disease, more mechanistic research is warranted to elucidate the extent to which Zn supports the immune system of calves.

(
Zinc OR Zn) AND (bovine OR calves OR calf OR cattle) AND (mast OR eosinophil OR basophil OR dendritic OR natural killer OR NK) Barrier Integrity (Zinc OR Zn) AND (bovine OR calves OR calf OR cattle) AND (skin OR epithelial OR endothelial OR wound OR barrier) T-cells (Zinc OR Zn) AND (bovine OR calves OR calf OR cattle) AND (Lympho* OR T cell OR Tcell OR T lympho* OR CD8 OR CD 8 OR CD4 OR CD 4 OR CD3 OR CD 3) B-cells (Zinc OR Zn) AND (bovine OR calves OR calf OR cattle) AND (Lympho* OR B cell OR Bcell OR B lympho* OR humoral OR antibody OR immunoglobulin OR titer)

TABLE 1
Search categories and terms for the specific immune cell sections.

TABLE 2
Inclusion and exclusion criteria applied to the search results for the neutrophil, monocyte/macrophage, other innate immune cells, Tcell, and B-cell sections.

TABLE 3
Results returned from each search and the application of the inclusion and exclusion criteria resulting in the unique number of articles critically evaluated for each section.Schematic summary of the effects of Zn on calf immunity based on the scoping review search.

TABLE 4
Summarized results of the neutrophil search.
RCT, randomized controlled trial; Zn, zinc; Met,methionine; Lys, lysine; mg, milligram; kg, kilogram; PO, per oral.*Only stimulations and outcomes relevant to the assessment of neutrophils are listed.

TABLE 5
Summarized results of the monocyte/macrophage search.

TABLE 6
Summarized results of the other innate immune cell search.
RCT, randomized controlled trial; Zn, zinc; mg, milligram; kg, kilogram; g, gram; d, day; AA, amino acid complex; PO, per oral; CD, cluster of differentiation; MFI, mean fluorescence intensity; NK, natural killer cells.*Only stimulations and outcomes relevant to the assessment of other innate immune cells are listed.

TABLE 7
Summarized results of the T-cell search.

TABLE 8
Summarized results of the B-cell search.

TABLE 9
Summarized results of the peripheral blood mononuclear cell outcomes.