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Zinc Acetate
Also known as: 557-34-6, Zinc diacetate, Zinc(ii) acetate, Dicarbomethoxyzinc, Acetic acid, zinc salt, Zinc acetate anhydrous
Molecular Formula
C4H6O4Zn
Molecular Weight
183.5  g/mol
InChI Key
DJWUNCQRNNEAKC-UHFFFAOYSA-L
FDA UNII
H2ZEY72PME

A salt produced by the reaction of zinc oxide with acetic acid and used as an astringent, styptic, and emetic.
1 2D Structure

Zinc Acetate

2 Identification
2.1 Computed Descriptors
2.1.1 IUPAC Name
zinc;diacetate
2.1.2 InChI
InChI=1S/2C2H4O2.Zn/c2*1-2(3)4;/h2*1H3,(H,3,4);/q;;+2/p-2
2.1.3 InChI Key
DJWUNCQRNNEAKC-UHFFFAOYSA-L
2.1.4 Canonical SMILES
CC(=O)[O-].CC(=O)[O-].[Zn+2]
2.2 Other Identifiers
2.2.1 UNII
H2ZEY72PME
2.3 Synonyms
2.3.1 MeSH Synonyms

1. Anhydrous Zinc Acetate

2. Galzin

3. Zinc Acetate Anhydrous

4. Zinc Acetate Dihydrate

5. Zinc Acetate, Anhydrous

2.3.2 Depositor-Supplied Synonyms

1. 557-34-6

2. Zinc Diacetate

3. Zinc(ii) Acetate

4. Dicarbomethoxyzinc

5. Acetic Acid, Zinc Salt

6. Zinc Acetate Anhydrous

7. Acetic Acid, Zinc(ii) Salt

8. Zinc Di(acetate)

9. Zn(oac)2

10. Zinc Acetate Basic

11. H2zey72pme

12. Chebi:62984

13. Acetic Acid, Zinc Salt (2:1)

14. Mfcd00012454

15. Nsc-75801

16. 82279-57-0

17. Zinc Acetate, Anhydrous

18. Siltex Cl 4

19. Ccris 3471

20. Hsdb 1043

21. Einecs 209-170-2

22. Unii-h2zey72pme

23. Nsc 75801

24. Zinc;diacetate

25. Ai3-04465

26. Zinc (ii) Acetate

27. Zincum Aceticum

28. Anhydrous Zinc Acetate

29. Zinc Acetate Carrageenan

30. Zn(ii)ac2

31. Za/cg

32. Schembl51

33. Zinc Acetate [mi]

34. Zinc Acetate 35% 40m

35. (ch3co2)2zn

36. Dsstox_cid_18770

37. Dsstox_rid_79392

38. Zinc Acetate [inci]

39. Dsstox_gsid_38770

40. Zinc Acetate [who-dd]

41. Zincum Aceticum [hpus]

42. Chembl1200928

43. Dtxsid8038770

44. Zinc Acetate, Trace Metals Grade

45. Tox21_302016

46. Zinc Acetate Anhydrous [hsdb]

47. Akos015837576

48. Nanodtpa Component Zinc Acetate

49. Anhydrous Zinc Acetate [mart.]

50. Db14487

51. Ncgc00255475-01

52. Cas-557-34-6

53. E650

54. Sy010404

55. Cs-0013863

56. Ft-0689089

57. Z0044

58. E70002

59. Nano-dtpa Capsule Component Zinc Acetate

60. Nanodtpa Zn-dtpa Component Zinc Acetate

61. A918239

62. Q204639

2.4 Create Date
2005-08-01
3 Chemical and Physical Properties
Molecular Weight 183.5 g/mol
Molecular Formula C4H6O4Zn
Hydrogen Bond Donor Count0
Hydrogen Bond Acceptor Count4
Rotatable Bond Count0
Exact Mass181.955750 g/mol
Monoisotopic Mass181.955750 g/mol
Topological Polar Surface Area80.3 Ų
Heavy Atom Count9
Formal Charge0
Complexity25.5
Isotope Atom Count0
Defined Atom Stereocenter Count0
Undefined Atom Stereocenter Count0
Defined Bond Stereocenter Count0
Undefined Bond Stereocenter Count0
Covalently Bonded Unit Count3
4 Drug and Medication Information
4.1 Drug Information
1 of 2  
Drug NameGalzin
PubMed HealthZinc Acetate (By mouth)
Drug ClassesZinc Supplement
Drug LabelZinc acetate as the dihydrate is a salt of zinc used to inhibit the absorption of copper in patients with Wilson's disease. Its structural formula is:C4H6O4Zn2H2OM.W. 219.51.Zinc acetate occurs as white crystals or granules, freely sol...
Active IngredientZinc acetate
Dosage FormCapsule
RouteOral
Strengtheq 25mg zinc; eq 50mg zinc
Market StatusPrescription
CompanyTeva

2 of 2  
Drug NameGalzin
PubMed HealthZinc Acetate (By mouth)
Drug ClassesZinc Supplement
Drug LabelZinc acetate as the dihydrate is a salt of zinc used to inhibit the absorption of copper in patients with Wilson's disease. Its structural formula is:C4H6O4Zn2H2OM.W. 219.51.Zinc acetate occurs as white crystals or granules, freely sol...
Active IngredientZinc acetate
Dosage FormCapsule
RouteOral
Strengtheq 25mg zinc; eq 50mg zinc
Market StatusPrescription
CompanyTeva

4.2 Therapeutic Uses

/Zinc acetate USP is used as/ an astringent in low concentrations and an irritant at high concentrations. It also has mild antibacterial actions similar to those of zinc sulfate. When applied to cuts, it exerts styptic action. After oral ingestion ... .

Osol, A. (ed.). Remington's Pharmaceutical Sciences. 16th ed. Easton, Pennsylvania: Mack Publishing Co., 1980., p. 718


THERAP CAT: Styptic, astringent

O'Neil, M.J. (ed.). The Merck Index - An Encyclopedia of Chemicals, Drugs, and Biologicals. 13th Edition, Whitehouse Station, NJ: Merck and Co., Inc., 2001., p. 1810


THERAP CAT (VET): Antiseptic, astringent, protective (topical)

O'Neil, M.J. (ed.). The Merck Index - An Encyclopedia of Chemicals, Drugs, and Biologicals. 13th Edition, Whitehouse Station, NJ: Merck and Co., Inc., 2001., p. 1810


Orally administered zinc inhibits copper absorption through the intestine. Oral zinc /acetate/ therapy /for Wilson's disease/ is probably a safe and effective maintenance treatment for patients who were initially treated with chelating agents, and seems to be an appropriate first-line therapy for presymptomatic and pregnant patients. Combination drug therapy of a chelating agent and zinc has no advantages when compared with zinc only, during maintenance therapy.

Chang, L.W. (ed.). Toxicology of Metals. Boca Raton, FL: Lewis Publishers, 1996, p. 377


For more Therapeutic Uses (Complete) data for ZINC ACETATE (9 total), please visit the HSDB record page.


4.3 Drug Warning

Zinc does appear in breast milk and zinc-induced copper deficiency in the nursing baby may occur. Therefore, it is recommended that women on zinc therapy not nurse their babies.

US Natl Inst Health; DailyMed. Current Medication Information for Galzin - Zinc Acetate (April 2006). Available from, as of August 26, 2010: https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?id=1081


Transient elevations in serum amylase, lipase, and alkaline phosphatase have been observed in patients with Wilson's disease receiving zinc acetate therapy (25 or 50 mg elemental zinc 3 times daily) ... Whether the increase in these enzyme levels in serum is indicative of pancreatic injury remains questionable.

Bingham, E.; Cohrssen, B.; Powell, C.H.; Patty's Toxicology Volumes 1-9 5th ed. John Wiley & Sons. New York, N.Y. (2001)., p. 2:265


FDA Pregnancy Risk Category: A /CONTROLLED STUDIES SHOW NO RISK. Adequate, well-controlled studies in pregnant women have failed to demonstrate a risk to the fetus in any trimester of pregnancy./

US Natl Inst Health; DailyMed. Current Medication Information for Galzin - Zinc Acetate (April 2006). Available from, as of August 26, 2010: https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?id=1081


If this drug is used during pregnancy, the possibility of fetal harm appears remote. Because studies cannot rule out the possibility of harm, however, zinc acetate should be used during pregnancy only if clearly needed. While zinc acetate should be used during pregnancy only if clearly needed, copper toxicosis can develop during pregnancy if anti-copper therapy is stopped.

US Natl Inst Health; DailyMed. Current Medication Information for Galzin - Zinc Acetate (April 2006). Available from, as of August 26, 2010: https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?id=1081


For more Drug Warnings (Complete) data for ZINC ACETATE (7 total), please visit the HSDB record page.


4.4 Drug Indication

Zinc can be used for the treatment and prevention of zinc deficiency/its consequences, including stunted growth and acute diarrhea in children, and slowed wound healing. It is also utilized for boosting the immune system, treating the common cold and recurrent ear infections, as well as preventing lower respiratory tract infections.


5 Pharmacology and Biochemistry
5.1 Pharmacology

Zinc is involved in various aspects of cellular metabolism. It has been estimated that approximately 10% of human proteins may bind zinc, in addition to hundreds of proteins that transport and traffic zinc. It is required for the catalytic activity of more than 200 enzymes, and it plays a role in immune function wound healing, protein synthesis, DNA synthesis, and cell division. Zinc is an essential element for a proper sense of taste and smell and supports normal growth and development during pregnancy, childhood, and adolescence. It is thought to have antioxidant properties, which may be protective against accelerated aging and helps to speed up the healing process after an injury; however, studies differ as to its effectiveness. Zinc ions are effective antimicrobial agents even if administered in low concentrations. Studies on oral zinc for specific conditions shows the following evidence in various conditions: **Colds:** Evidence suggests that if zinc lozenges or syrup are taken within 24 hours after cold symptoms start, the supplement may shorten the length of colds. The use intranasal zinc has been associated with the loss of the sense of smell, in some cases long-term or permanently. **Wound healing:** Patients with skin ulcers and decreased levels of zinc may benefit from oral zinc supplements. **Diahrrea**: Oral zinc supplements can reduce the symptoms of diarrhea in children with low levels of zinc, especially in cases of malnutrition.


5.2 FDA Pharmacological Classification
5.2.1 Pharmacological Classes
Decreased Copper Ion Absorption [PE]; Copper Absorption Inhibitor [EPC]
5.3 ATC Code

A - Alimentary tract and metabolism

A16 - Other alimentary tract and metabolism products

A16A - Other alimentary tract and metabolism products

A16AX - Various alimentary tract and metabolism products

A16AX05 - Zinc acetate


5.4 Absorption, Distribution and Excretion

Absorption

Zinc is absorbed in the small intestine by a carrier-mediated mechanism. Under regular physiologic conditions, transport processes of uptake do not saturate. The exact amount of zinc absorbed is difficult to determine because zinc is secreted into the gut. Zinc administered in aqueous solutions to fasting subjects is absorbed quite efficiently (at a rate of 60-70%), however, absorption from solid diets is less efficient and varies greatly, dependent on zinc content and diet composition. Generally, 33% is considered to be the average zinc absorption in humans. More recent studies have determined different absorption rates for various populations based on their type of diet and phytate to zinc molar ratio. Zinc absorption is concentration dependent and increases linearly with dietary zinc up to a maximum rate. Additionally zinc status may influence zinc absorption. Zinc-deprived humans absorb this element with increased efficiency, whereas humans on a high-zinc diet show a reduced efficiency of absorption.


Route of Elimination

The excretion of zinc through gastrointestinal tract accounts for approximately one-half of all zinc eliminated from the body. Considerable amounts of zinc are secreted through both biliary and intestinal secretions, however most is reabsorbed. This is an important process in the regulation of zinc balance. Other routes of zinc excretion include both urine and surface losses (sloughed skin, hair, sweat). Zinc has been shown to induce intestinal metallothionein, which combines zinc and copper in the intestine and prevents their serosal surface transfer. Intestinal cells are sloughed with approximately a 6-day turnover, and the metallothionein-bound copper and zinc are lost in the stool and are thus not absorbed. Measurements in humans of endogenous intestinal zinc have primarily been made as fecal excretion; this suggests that the amounts excreted are responsive to zinc intake, absorbed zinc and physiologic need. In one study, elimination kinetics in rats showed that a small amount of ZnO nanoparticles was excreted via the urine, however, most of the nanoparticles were excreted via the feces.


Volume of Distribution

A pharmacokinetic study was done in rats to determine the distribution and other metabolic indexes of zinc in two particle sizes. It was found that zinc particles were mainly distributed to organs including the liver, lung, and kidney within 72 hours without any significant difference being found according to particle size or rat gender.


Clearance

In one study of healthy patients, the clearance of zinc was found to be 0.63 0.39 g/min.


Zinc salts are not equal in solubility, which is important in zinc absorption. The solubility of zinc salts is affected by gastric pH. Healthy subjects were given a single oral dose of 50 mg elemental zinc as the acetate ... under either high (pH > 5) or low (pH < 3) intragastric pH conditions. The mean plasma zinc area under the curve for zinc acetate at low pH (AL) /and/ ... at high pH (AH) ... were 524 /and/ 378 ... ug/hr/dL ...

Bingham, E.; Cohrssen, B.; Powell, C.H.; Patty's Toxicology Volumes 1-9 5th ed. John Wiley & Sons. New York, N.Y. (2001)., p. 2:266


Absorption /of zinc acetate/ by the GI tract is variable in animals and poor in humans. Accumulation occurred in the liver and pancreas. Some regulation of intake and output of zinc probably takes place in the intestines. In rats and mice, metallothionein, a low-molecular-mass cytoplasmic metalloprotein, takes considerable part in this process. Excreted predominantly with feces. Urinary excretion is negligible.

Sheftel, V.O.; Indirect Food Additives and Polymers. Migration and Toxicology. Lewis Publishers, Boca Raton, FL. 2000., p. 430


In a study with human volunteers, most of the zinc in a zinc acetate solution (0.1 mmol/L) administered by intestinal perfusion was absorbed from the jejunum, followed by the duodenum and the ileum (357, 230 or 84 nmol/ liter per min per 40 cm respectively). The absorption showed a linear increase at concentrations of 0.1- 1.8 mmol/ L.

WHO; Environ Health Criteria 221: Zinc p. 85 (2001)


The absorption of zinc from soluble zinc acetate, zinc sulfate ... and insoluble zinc oxide was compared in ten human volunteers who were dosed orally with 50 mg Zn in various forms separated by two weeks intervals. Bioavailability of zinc from the various forms was compared on the basis of plasma zinc levels and area under the plasma curve (AUC) analysis. Plasma peak levels were observed after about 2.5 hours for all forms, but maximal plasma Zn concentration amounted to 221 and 225 ug/dL for the acetate and the sulphate form while the peak plasma level for Zn from the oxide was only 159 ug/dL. When AUC values for the different zinc forms were compared, it appeared that the bioavailability of zinc oxide was about 60% of the bioavailability of the soluble forms. /Zinc salts/

European Chemicals Bureau; EU Risk Assessment Report- Zinc chloride, Vol.45 p.27 (2004). Available from, as of July 07, 2006: https://esis.jrc.ec.europa.eu/


5.5 Metabolism/Metabolites

Zinc is released from food as free ions during its digestion. These freed ions may then combine with endogenously secreted ligands before their transport into the enterocytes in the duodenum and jejunum.. Selected transport proteins may facilitate the passage of zinc across the cell membrane into the hepatic circulation. With high intake, zinc may also be absorbed through a passive paracellular route. The portal system carries absorbed zinc directly into the hepatic circulation, and then it is released into systemic circulation for delivery to various tissues. Although, serum zinc represents only 0.1% of the whole body zinc, the circulating zinc turns over rapidly to meet tissue needs.


5.6 Biological Half-Life

The half-life of zinc in humans is approximately 280 days.


5.7 Mechanism of Action

**Zinc has three primary biological roles**: _catalytic_, _structural_, and _regulatory_. The catalytic and structural role of zinc is well established, and there are various noteworthy reviews on these functions. For example, zinc is a structural constituent in numerous proteins, inclusive of growth factors, cytokines, receptors, enzymes, and transcription factors for different cellular signaling pathways. It is implicated in numerous cellular processes as a cofactor for approximately 3000 human proteins including enzymes, nuclear factors, and hormones. Zinc promotes resistance to epithelial apoptosis through cell protection (cytoprotection) against reactive oxygen species and bacterial toxins, likely through the antioxidant activity of the cysteine-rich metallothioneins. In HL-60 cells (promyelocytic leukemia cell line), zinc enhances the up-regulation of A20 mRNA, which, via TRAF pathway, decreases NF-kappaB activation, leading to decreased gene expression and generation of tumor necrosis factor-alpha (TNF-alpha), IL-1beta, and IL-8. There are several mechanisms of action of zinc on acute diarrhea. Various mechanisms are specific to the gastrointestinal system: zinc restores mucosal barrier integrity and enterocyte brush-border enzyme activity, it promotes the production of antibodies and circulating lymphocytes against intestinal pathogens, and has a direct effect on ion channels, acting as a potassium channel blocker of adenosine 3-5-cyclic monophosphate-mediated chlorine secretion. Cochrane researchers examined the evidence available up to 30 September 2016. Zinc deficiency in humans decreases the activity of serum _thymulin_ (a hormone of the thymus), which is necessary for the maturation of T-helper cells. T-helper 1 (Th(1)) cytokines are decreased but T-helper 2 (Th(2)) cytokines are not affected by zinc deficiency in humans. The change of _Th(1)_ to _Th(2)_ function leads to cell-mediated immune dysfunction. Because IL-2 production (Th(1) cytokine) is decreased, this causes decreased activity of natural-killer-cell (NK cell) and T cytolytic cells, normally involved in killing viruses, bacteria, and malignant cells. In humans, zinc deficiency may lead to the generation of new CD4+ T cells, produced in the thymus. In cell culture studies (HUT-78, a Th(0) human malignant lymphoblastoid cell line), as a result of zinc deficiency, nuclear factor-kappaB (NF-kappaB) activation, phosphorylation of IkappaB, and binding of NF-kappaB to DNA are decreased and this results in decreased Th(1) cytokine production. In another study, zinc supplementation in human subjects suppressed the gene expression and production of pro-inflammatory cytokines and decreased oxidative stress markers. In HL-60 cells (a human pro-myelocytic leukemia cell line), zinc deficiency increased the levels of TNF-alpha, IL-1beta, and IL-8 cytokines and mRNA. In such cells, zinc was found to induce A20, a zinc finger protein that inhibited NF-kappaB activation by the tumor necrosis factor receptor-associated factor pathway. This process decreased gene expression of pro-inflammatory cytokines and oxidative stress markers. The exact mechanism of zinc in acne treatment is poorly understood. However, zinc is considered to act directly on microbial inflammatory equilibrium and facilitate antibiotic absorption when used in combination with other agents. Topical zinc alone as well as in combination with other agents may be efficacious because of its anti-inflammatory activity and ability to reduce P. acnes bacteria by the inhibition of P. acnes lipases and free fatty acid levels.


The active moiety in zinc acetate is zinc cation. Regardless of the ligand, zinc blocks the intestinal absorption of copper from the diet and the reabsorption of endogenously secreted copper such as that from the saliva, gastric juice and bile. Zinc induces the production of metallothionein in the enterocyte, a protein that binds copper thereby preventing its serosal transfer into the blood. The bound copper is then lost in the stool following desquamation of the intestinal cells.

US Natl Inst Health; DailyMed. Current Medication Information for Galzin - Zinc Acetate (April 2006). Available from, as of August 26, 2010: https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?id=1081


The mechanism of zinc's anticopper action is unique. It induces intestinal cell metallothionein, which binds copper and prevents its transfer into blood. As intestinal cells die and slough, the contained copper is eliminated in the stool. Thus, zinc prevents the intestinal absorption of copper.

Brewer GJ et al; Hepatology 31 (2): 364-70 (2000)


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