Increasing Natural Killer Cell Activity of Mineral Nanomaterial ALP1018 in Healthy Adults: A Randomized, Double-Blind, Placebo Comparative Clinical Trial
Soon-Ae Kim, Seyl Kim, Hyungyung Chai, Junlae Cho, Yu-Jin Paek
Nutrients, doi:10.3390/nu16060850
This randomized, double-blind, placebo comparative clinical trial aimed to determine the immune-enhancing effects and safety of a nanomaterial with iron and zinc (ALP1018) in healthy adults. Participants who met the inclusion criteria were recruited for this study (n = 80) and randomly assigned to either the test group (n = 40), which was given Alp1018 in capsule form, or the placebo group (n = 40), which was given crystal cellulose capsules of identical appearance, weight, and flavor for 8 weeks. Compared to baseline, natural killer (NK) cell activity (%) increased in the test group after 8 weeks, although there were no changes in the placebo group. Furthermore, in the subgroup analysis of Coronavirus disease 2019 (COVID-19) affected participants, significantly increased NK cell activity was observed in the test group at 4 (p < 0.05) and 8 weeks (p < 0.05). No significant differences were observed in cytokine levels between the two groups. ALP1018 supplementation appeared to enhance immune function by improving NK cell activity without adverse effects in healthy adults.
Conflicts of Interest: Author Seyl Kim and Junlae Cho was employed by the company Ferramed Inc. that manufactures ALP1018. Hyungyung Chai was employed by the company MediCRO Co. The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
References
Cronin, Woolf, Weiss, Penninger, The Role of Iron Regulation in Immunometabolism and Immune-Related Disease, Front. Mol. Biosci,
doi:10.3389/fmolb.2019.00116
Gaforio, Ortega, Algarra, Serrano, Alvarez De Cienfuegos et al., Cells Mediate Increase of Phagocytic Activity but Not of Proinflammatory Cytokine (Interleukin-6 [IL-6], Tumor Necrosis Factor Alpha, and IL-12) Production Elicited in Splenic Macrophages by Tilorone Treatment of Mice during Acute Systemic Candidiasis, Clin. Diagn. Lab. Immunol,
doi:10.1128/CDLI.9.6.1282-1294.2002
Gineau, Cognet, Kara, Lach, Dunne et al., Partial MCM4 Deficiency in Patients with Growth Retardation, Adrenal Insufficiency, and Natural Killer Cell Deficiency, J. Clin. Investig,
doi:10.1172/JCI61014
Grier, Forbes, Monaco-Shawver, Oshinsky, Atkinson et al., Human Immunodeficiency-Causing Mutation Defines CD16 in Spontaneous NK Cell Cytotoxicity, J. Clin. Investig,
doi:10.1172/JCI64837
Guan, Ni, Hu, Liang, Ou et al., Clinical Characteristics of Coronavirus Disease 2019 in China, N. Engl. J. Med,
doi:10.1056/NEJMoa2002032
Hallquist, Sherman, Effect of Iron Deficiency on the Stimulation of Natural Killer Cells by Macrophage-Produced Interferon, Nutr. Res,
doi:10.1016/S0271-5317(89)80071-5
Kwon, Kim, Kim, Molecular Checkpoints Controlling Natural Killer Cell Activation and Their Modulation for Cancer Immunotherapy, Exp. Mol. Med,
doi:10.1038/emm.2017.42
Li, Morimoto, Nakadai, Qu, Matsushima et al., Healthy Lifestyles Are Associated with Higher Levels of Perforin, Granulysin and Granzymes A/B-Expressing Cells in Peripheral Blood Lymphocytes, Prev. Med,
doi:10.1016/j.ypmed.2006.08.017
Ma, Li, Cai, Peng, Huyan et al., The Role of NK Cells in Fighting the Virus Infection and Sepsis, Int. J. Med. Sci,
doi:10.7150/ijms.59898
Mace, Bigley, Gunesch, Chinn, Angelo et al., Biallelic Mutations in IRF8 Impair Human NK Cell Maturation and Function, J. Clin. Investig,
doi:10.1172/JCI86276
Mace, Orange, Emerging Insights into Human Health and NK Cell Biology from the Study of NK Cell Deficiencies, Immunol. Rev,
doi:10.1111/imr.12725
Mace, Paust, Conte, Baxley, Schmit et al., Human NK Cell Deficiency as a Result of Biallelic Mutations in MCM10, J. Clin. Investig,
doi:10.1172/JCI134966
Mahoro, Kwon, Kim, Bae, Kim et al., In Vitro and in Vivo Genotoxicity Evaluation of ALP1018, a Nanomineral Food Supplement, Food Chem. Toxicol,
doi:10.1016/j.fct.2024.114437
Morimoto, Takeshita, Inoue-Sakurai, Maruyama, Lifestyles and Mental Health Status Are Associated with Natural Killer Cell and Lymphokine-Activated Killer Cell Activities, Sci. Total. Environ,
doi:10.1016/S0048-9697(00)00782-8
Pegram, Andrews, Smyth, Darcy, Kershaw, Activating and Inhibitory Receptors of Natural Killer Cells, Immunol. Cell. Biol,
doi:10.1038/icb.2010.78
Rolles, Maywald, Rink, Influence of Zinc Deficiency and Supplementation on NK Cell Cytotoxicity, J. Funct. Foods
Shankar, Prasad, Zinc and Immune Function: The Biological Basis of Altered Resistance to Infection, Am. J. Clin. Nutr,
doi:10.1093/ajcn/68.2.447S
Spear, Sherman, Iron Deficiency Alters DMBA-Induced Tumor Burden and Natural Killer Cell Cytotoxicity in Rats, J. Nutr,
doi:10.1093/jn/122.1.46
Sun, Lanier, Nk, Cell Development, Homeostasis and Function: Parallels with CD8+ T Cells, Nat. Rev. Immunol,
doi:10.1038/nri3044
Van Eeden, Khan, Osman, Tervaert, Natural Killer Cell Dysfunction and Its Role in COVID-19, Int. J. Mol. Sci,
doi:10.3390/ijms21176351
Vito, Calcaterra, Coianiz, Terzoli, Voza et al., Natural Killer Cells in SARS-CoV-2 Infection: Pathophysiology and Therapeutic Implications, Front. Immunol,
doi:10.3389/fimmu.2022.888248
Vivier, Tomasello, Baratin, Walzer, Ugolini, Functions of Natural Killer Cells, Nat. Immunol,
doi:10.1038/ni1582
Wiley, Schooley, Smolak, Din, Huang et al., Identification and Characterization of a New Member of the TNF Family That Induces Apoptosis, Immunity,
doi:10.1016/1074-7613(95)90057-8
Wolf, Kissiov, Raulet, Roles of Natural Killer Cells in Immunity to Cancer, and Applications to Immunotherapy, Nat. Rev. Immunol,
doi:10.1038/s41577-022-00732-1
DOI record:
{
"DOI": "10.3390/nu16060850",
"ISSN": [
"2072-6643"
],
"URL": "http://dx.doi.org/10.3390/nu16060850",
"abstract": "<jats:p>This randomized, double-blind, placebo comparative clinical trial aimed to determine the immune-enhancing effects and safety of a nanomaterial with iron and zinc (ALP1018) in healthy adults. Participants who met the inclusion criteria were recruited for this study (n = 80) and randomly assigned to either the test group (n = 40), which was given Alp1018 in capsule form, or the placebo group (n = 40), which was given crystal cellulose capsules of identical appearance, weight, and flavor for 8 weeks. Compared to baseline, natural killer (NK) cell activity (%) increased in the test group after 8 weeks, although there were no changes in the placebo group. Furthermore, in the subgroup analysis of Coronavirus disease 2019 (COVID-19) affected participants, significantly increased NK cell activity was observed in the test group at 4 (p < 0.05) and 8 weeks (p < 0.05). No significant differences were observed in cytokine levels between the two groups. ALP1018 supplementation appeared to enhance immune function by improving NK cell activity without adverse effects in healthy adults.</jats:p>",
"alternative-id": [
"nu16060850"
],
"author": [
{
"affiliation": [
{
"name": "Department of Pharmacology, School of Medicine, Eulji University, Daejeon 34824, Republic of Korea"
}
],
"family": "Kim",
"given": "Soon-Ae",
"sequence": "first"
},
{
"affiliation": [
{
"name": "Department of Nanotech Research and Development, Ferramed Inc., Daejeon 34141, Republic of Korea"
}
],
"family": "Kim",
"given": "Seyl",
"sequence": "additional"
},
{
"affiliation": [
{
"name": "Research Institute, MediCRO Co., Ltd., Anyang 14067, Republic of Korea"
}
],
"family": "Chai",
"given": "Hyungyung",
"sequence": "additional"
},
{
"affiliation": [
{
"name": "Department of Nanotech Research and Development, Ferramed Inc., Daejeon 34141, Republic of Korea"
},
{
"name": "School of Pharmacy, University of Sydny, Sydney 2000, Australia"
}
],
"family": "Cho",
"given": "Junlae",
"sequence": "additional"
},
{
"ORCID": "http://orcid.org/0000-0001-9573-8849",
"affiliation": [
{
"name": "Department of Family Medicine, Hallym University Sacred Heart Hospital, Anyang 14068, Republic of Korea"
}
],
"authenticated-orcid": false,
"family": "Paek",
"given": "Yu-Jin",
"sequence": "additional"
}
],
"container-title": "Nutrients",
"container-title-short": "Nutrients",
"content-domain": {
"crossmark-restriction": false,
"domain": []
},
"created": {
"date-parts": [
[
2024,
3,
15
]
],
"date-time": "2024-03-15T18:05:25Z",
"timestamp": 1710525925000
},
"deposited": {
"date-parts": [
[
2024,
3,
15
]
],
"date-time": "2024-03-15T18:24:10Z",
"timestamp": 1710527050000
},
"funder": [
{
"award": [
"S3035146"
],
"name": "the Technology Development Program"
},
{
"name": "Eulji University"
}
],
"indexed": {
"date-parts": [
[
2024,
3,
16
]
],
"date-time": "2024-03-16T00:39:12Z",
"timestamp": 1710549552160
},
"is-referenced-by-count": 0,
"issue": "6",
"issued": {
"date-parts": [
[
2024,
3,
15
]
]
},
"journal-issue": {
"issue": "6",
"published-online": {
"date-parts": [
[
2024,
3
]
]
}
},
"language": "en",
"license": [
{
"URL": "https://creativecommons.org/licenses/by/4.0/",
"content-version": "vor",
"delay-in-days": 0,
"start": {
"date-parts": [
[
2024,
3,
15
]
],
"date-time": "2024-03-15T00:00:00Z",
"timestamp": 1710460800000
}
}
],
"link": [
{
"URL": "https://www.mdpi.com/2072-6643/16/6/850/pdf",
"content-type": "unspecified",
"content-version": "vor",
"intended-application": "similarity-checking"
}
],
"member": "1968",
"original-title": [],
"page": "850",
"prefix": "10.3390",
"published": {
"date-parts": [
[
2024,
3,
15
]
]
},
"published-online": {
"date-parts": [
[
2024,
3,
15
]
]
},
"publisher": "MDPI AG",
"reference": [
{
"DOI": "10.1111/j.0022-202X.2005.23856.x",
"article-title": "Old Meets New: The Interaction Between Innate and Adaptive Immunity",
"author": "Clark",
"doi-asserted-by": "crossref",
"first-page": "629",
"journal-title": "J. Investig. Dermatol.",
"key": "ref_1",
"volume": "125",
"year": "2005"
},
{
"article-title": "NK Cells Mediate Increase of Phagocytic Activity but Not of Proinflammatory Cytokine (Interleukin-6 [IL-6], Tumor Necrosis Factor Alpha, and IL-12) Production Elicited in Splenic Macrophages by Tilorone Treatment of Mice during Acute Systemic Candidiasis",
"author": "Gaforio",
"first-page": "1282",
"journal-title": "Clin. Diagn. Lab. Immunol.",
"key": "ref_2",
"volume": "9",
"year": "2002"
},
{
"DOI": "10.1111/j.1365-2567.2009.03123.x",
"article-title": "Natural Killer Cell Cytotoxicity: How Do They Pull the Trigger?",
"author": "Topham",
"doi-asserted-by": "crossref",
"first-page": "7",
"journal-title": "Immunology",
"key": "ref_3",
"volume": "128",
"year": "2009"
},
{
"DOI": "10.1038/ni1582",
"article-title": "Functions of Natural Killer Cells",
"author": "Vivier",
"doi-asserted-by": "crossref",
"first-page": "503",
"journal-title": "Nat. Immunol.",
"key": "ref_4",
"volume": "9",
"year": "2008"
},
{
"DOI": "10.1016/j.smim.2014.02.003",
"article-title": "NK Cell Development and Function—Plasticity and Redundancy Unleashed",
"author": "Cichocki",
"doi-asserted-by": "crossref",
"first-page": "114",
"journal-title": "Semin. Immunol.",
"key": "ref_5",
"volume": "26",
"year": "2014"
},
{
"DOI": "10.1038/nri3044",
"article-title": "NK Cell Development, Homeostasis and Function: Parallels with CD8+ T Cells",
"author": "Sun",
"doi-asserted-by": "crossref",
"first-page": "645",
"journal-title": "Nat. Rev. Immunol.",
"key": "ref_6",
"volume": "11",
"year": "2011"
},
{
"DOI": "10.3389/fmolb.2019.00116",
"doi-asserted-by": "crossref",
"key": "ref_7",
"unstructured": "Cronin, S.J.F., Woolf, C.J., Weiss, G., and Penninger, J.M. (2019). The Role of Iron Regulation in Immunometabolism and Immune-Related Disease. Front. Mol. Biosci., 6."
},
{
"DOI": "10.1093/ajcn/68.2.447S",
"article-title": "Zinc and Immune Function: The Biological Basis of Altered Resistance to Infection",
"author": "Shankar",
"doi-asserted-by": "crossref",
"first-page": "447S",
"journal-title": "Am. J. Clin. Nutr.",
"key": "ref_8",
"volume": "68",
"year": "1998"
},
{
"DOI": "10.1016/j.fct.2024.114437",
"article-title": "In Vitro and in Vivo Genotoxicity Evaluation of ALP1018, a Nanomineral Food Supplement",
"author": "Mahoro",
"doi-asserted-by": "crossref",
"first-page": "114437",
"journal-title": "Food Chem. Toxicol.",
"key": "ref_9",
"volume": "184",
"year": "2024"
},
{
"article-title": "Natural Killer Cells in Antiviral Immunity",
"author": "Strunz",
"first-page": "112",
"journal-title": "Nat. Rev. Immunol.",
"key": "ref_10",
"volume": "22",
"year": "2021"
},
{
"DOI": "10.1038/emm.2017.42",
"article-title": "Molecular Checkpoints Controlling Natural Killer Cell Activation and Their Modulation for Cancer Immunotherapy",
"author": "Kwon",
"doi-asserted-by": "crossref",
"first-page": "e311",
"journal-title": "Exp. Mol. Med.",
"key": "ref_11",
"volume": "49",
"year": "2017"
},
{
"DOI": "10.1016/j.coi.2008.03.005",
"article-title": "Line of Attack: NK Cell Specificity and Integration of Signals",
"author": "Bryceson",
"doi-asserted-by": "crossref",
"first-page": "344",
"journal-title": "Curr. Opin. Immunol.",
"key": "ref_12",
"volume": "20",
"year": "2008"
},
{
"DOI": "10.1038/s41577-022-00732-1",
"article-title": "Roles of Natural Killer Cells in Immunity to Cancer, and Applications to Immunotherapy",
"author": "Wolf",
"doi-asserted-by": "crossref",
"first-page": "90",
"journal-title": "Nat. Rev. Immunol.",
"key": "ref_13",
"volume": "23",
"year": "2022"
},
{
"DOI": "10.1126/science.7025208",
"article-title": "Natural Killer Cells: Their Roles in Defenses against Disease",
"author": "Herberman",
"doi-asserted-by": "crossref",
"first-page": "24",
"journal-title": "Science",
"key": "ref_14",
"volume": "214",
"year": "1981"
},
{
"DOI": "10.1016/j.ypmed.2006.08.017",
"article-title": "Healthy Lifestyles Are Associated with Higher Levels of Perforin, Granulysin and Granzymes A/B-Expressing Cells in Peripheral Blood Lymphocytes",
"author": "Li",
"doi-asserted-by": "crossref",
"first-page": "117",
"journal-title": "Prev. Med.",
"key": "ref_15",
"volume": "44",
"year": "2007"
},
{
"DOI": "10.1016/S0048-9697(00)00782-8",
"article-title": "Lifestyles and Mental Health Status Are Associated with Natural Killer Cell and Lymphokine-Activated Killer Cell Activities",
"author": "Morimoto",
"doi-asserted-by": "crossref",
"first-page": "3",
"journal-title": "Sci. Total. Environ.",
"key": "ref_16",
"volume": "270",
"year": "2001"
},
{
"DOI": "10.1016/0091-7435(92)90068-S",
"article-title": "Healthy Lifestyles Are Associated with Higher Natural Killer Cell Activity",
"author": "Kusaka",
"doi-asserted-by": "crossref",
"first-page": "602",
"journal-title": "Prev. Med.",
"key": "ref_17",
"volume": "21",
"year": "1992"
},
{
"DOI": "10.1615/CritRevImmunol.2021037643",
"article-title": "Role of GATA2 in Human NK Cell Development",
"author": "Wang",
"doi-asserted-by": "crossref",
"first-page": "21",
"journal-title": "Crit. Rev. Immunol.",
"key": "ref_18",
"volume": "41",
"year": "2021"
},
{
"DOI": "10.1172/JCI61014",
"article-title": "Partial MCM4 Deficiency in Patients with Growth Retardation, Adrenal Insufficiency, and Natural Killer Cell Deficiency",
"author": "Gineau",
"doi-asserted-by": "crossref",
"first-page": "821",
"journal-title": "J. Clin. Investig.",
"key": "ref_19",
"volume": "122",
"year": "2012"
},
{
"DOI": "10.1172/JCI134966",
"article-title": "Human NK Cell Deficiency as a Result of Biallelic Mutations in MCM10",
"author": "Mace",
"doi-asserted-by": "crossref",
"first-page": "5272",
"journal-title": "J. Clin. Investig.",
"key": "ref_20",
"volume": "130",
"year": "2020"
},
{
"DOI": "10.1172/JCI86276",
"article-title": "Biallelic Mutations in IRF8 Impair Human NK Cell Maturation and Function",
"author": "Mace",
"doi-asserted-by": "crossref",
"first-page": "306",
"journal-title": "J. Clin. Investig.",
"key": "ref_21",
"volume": "127",
"year": "2017"
},
{
"DOI": "10.1182/blood.V88.8.3022.bloodjournal8883022",
"article-title": "Identification of an Unusual Fcγ Receptor IIIa (CD16) on Natural Killer Cells in a Patient with Recurrent Infections",
"author": "Koene",
"doi-asserted-by": "crossref",
"first-page": "3022",
"journal-title": "Blood",
"key": "ref_22",
"volume": "88",
"year": "1996"
},
{
"DOI": "10.1172/JCI64837",
"article-title": "Human Immunodeficiency-Causing Mutation Defines CD16 in Spontaneous NK Cell Cytotoxicity",
"author": "Grier",
"doi-asserted-by": "crossref",
"first-page": "3769",
"journal-title": "J. Clin. Investig.",
"key": "ref_23",
"volume": "122",
"year": "2012"
},
{
"DOI": "10.1111/imr.12725",
"article-title": "Emerging Insights into Human Health and NK Cell Biology from the Study of NK Cell Deficiencies",
"author": "Mace",
"doi-asserted-by": "crossref",
"first-page": "202",
"journal-title": "Immunol. Rev.",
"key": "ref_24",
"volume": "287",
"year": "2019"
},
{
"DOI": "10.1056/NEJM198906293202605",
"article-title": "Severe Herpesvirus Infections in an Adolescent without Natural Killer Cells",
"author": "Biron",
"doi-asserted-by": "crossref",
"first-page": "1731",
"journal-title": "N. Engl. J. Med.",
"key": "ref_25",
"volume": "320",
"year": "1989"
},
{
"DOI": "10.1038/icb.2010.78",
"article-title": "Activating and Inhibitory Receptors of Natural Killer Cells",
"author": "Pegram",
"doi-asserted-by": "crossref",
"first-page": "216",
"journal-title": "Immunol. Cell. Biol.",
"key": "ref_26",
"volume": "89",
"year": "2011"
},
{
"DOI": "10.1081/CNV-120001185",
"article-title": "Biology of Natural Killer Cells in Cancer and Infection",
"author": "Miller",
"doi-asserted-by": "crossref",
"first-page": "405",
"journal-title": "Cancer Investig.",
"key": "ref_27",
"volume": "20",
"year": "2002"
},
{
"DOI": "10.1016/1074-7613(95)90057-8",
"article-title": "Identification and Characterization of a New Member of the TNF Family That Induces Apoptosis",
"author": "Wiley",
"doi-asserted-by": "crossref",
"first-page": "673",
"journal-title": "Immunity",
"key": "ref_28",
"volume": "3",
"year": "1995"
},
{
"DOI": "10.1016/j.molimm.2004.07.034",
"article-title": "Activation of NK Cell Cytotoxicity",
"author": "Smyth",
"doi-asserted-by": "crossref",
"first-page": "501",
"journal-title": "Mol. Immunol.",
"key": "ref_29",
"volume": "42",
"year": "2005"
},
{
"DOI": "10.1016/S0140-6736(20)30183-5",
"article-title": "Clinical Features of Patients Infected with 2019 Novel Coronavirus in Wuhan, China",
"author": "Huang",
"doi-asserted-by": "crossref",
"first-page": "497",
"journal-title": "Lancet",
"key": "ref_30",
"volume": "395",
"year": "2020"
},
{
"DOI": "10.1056/NEJMoa2002032",
"article-title": "Clinical Characteristics of Coronavirus Disease 2019 in China",
"author": "Guan",
"doi-asserted-by": "crossref",
"first-page": "1708",
"journal-title": "N. Engl. J. Med.",
"key": "ref_31",
"volume": "382",
"year": "2020"
},
{
"DOI": "10.3390/ijms21176351",
"doi-asserted-by": "crossref",
"key": "ref_32",
"unstructured": "Van Eeden, C., Khan, L., Osman, M.S., and Tervaert, J.W.C. (2020). Natural Killer Cell Dysfunction and Its Role in COVID-19. Int. J. Mol. Sci., 21."
},
{
"DOI": "10.7150/ijms.59898",
"article-title": "The Role of NK Cells in Fighting the Virus Infection and Sepsis",
"author": "Ma",
"doi-asserted-by": "crossref",
"first-page": "3236",
"journal-title": "Int. J. Med. Sci.",
"key": "ref_33",
"volume": "18",
"year": "2021"
},
{
"DOI": "10.3389/fimmu.2022.888248",
"article-title": "Natural Killer Cells in SARS-CoV-2 Infection: Pathophysiology and Therapeutic Implications",
"author": "Calcaterra",
"doi-asserted-by": "crossref",
"first-page": "888248",
"journal-title": "Front. Immunol.",
"key": "ref_34",
"volume": "13",
"year": "2022"
},
{
"DOI": "10.1093/jn/122.suppl_3.604",
"article-title": "Zinc, Copper, and Iron Nutriture and Immunity",
"author": "Sherman",
"doi-asserted-by": "crossref",
"first-page": "604",
"journal-title": "J. Nutr.",
"key": "ref_35",
"volume": "122",
"year": "1992"
},
{
"DOI": "10.1093/jn/117.3.567",
"article-title": "Impaired Natural Killer Cell Activity in Iron-Deficient Rat Pups",
"author": "Sherman",
"doi-asserted-by": "crossref",
"first-page": "567",
"journal-title": "J. Nutr.",
"key": "ref_36",
"volume": "117",
"year": "1987"
},
{
"DOI": "10.1016/S0271-5317(89)80071-5",
"article-title": "Effect of Iron Deficiency on the Stimulation of Natural Killer Cells by Macrophage-Produced Interferon",
"author": "Hallquist",
"doi-asserted-by": "crossref",
"first-page": "283",
"journal-title": "Nutr. Res.",
"key": "ref_37",
"volume": "9",
"year": "1989"
},
{
"DOI": "10.1093/jn/122.1.46",
"article-title": "Iron Deficiency Alters DMBA-Induced Tumor Burden and Natural Killer Cell Cytotoxicity in Rats",
"author": "Spear",
"doi-asserted-by": "crossref",
"first-page": "46",
"journal-title": "J. Nutr.",
"key": "ref_38",
"volume": "122",
"year": "1992"
},
{
"DOI": "10.1016/0306-3623(94)90180-5",
"article-title": "Decreased Natural Killer (NK) Cell Activity in Zinc-Deficient Rats",
"author": "Erbas",
"doi-asserted-by": "crossref",
"first-page": "1499",
"journal-title": "Gen. Pharmacol. Vasc. Syst.",
"key": "ref_39",
"volume": "25",
"year": "1994"
},
{
"DOI": "10.1016/j.jff.2018.07.027",
"article-title": "Influence of Zinc Deficiency and Supplementation on NK Cell Cytotoxicity",
"author": "Rolles",
"doi-asserted-by": "crossref",
"first-page": "322",
"journal-title": "J. Funct. Foods",
"key": "ref_40",
"volume": "48",
"year": "2018"
}
],
"reference-count": 40,
"references-count": 40,
"relation": {},
"resource": {
"primary": {
"URL": "https://www.mdpi.com/2072-6643/16/6/850"
}
},
"score": 1,
"short-title": [],
"source": "Crossref",
"subject": [
"Food Science",
"Nutrition and Dietetics"
],
"subtitle": [],
"title": "Increasing Natural Killer Cell Activity of Mineral Nanomaterial ALP1018 in Healthy Adults: A Randomized, Double-Blind, Placebo Comparative Clinical Trial",
"type": "journal-article",
"volume": "16"
}