Selenium Deficiency
- PMID: 29489289
- Bookshelf ID: NBK482260
Selenium Deficiency
Excerpt
Selenium is an essential trace mineral that is vital in maintaining human health. Selenium primarily exists as selenoproteins, which have diverse roles in the body's regular physiological processes and metabolism. In particular, glutathione peroxidase (G-Px), a selenoprotein, contributes to antioxidant defense, safeguarding the body against the damaging effects of reactive oxygen and nitrogen species. Another significant selenium-dependent function involves iodothyronine deiodinases, which facilitate the conversion of inactive thyroxine or tetraiodothyronine (T4) into the active thyroid hormone triiodothyronine (T3).
Selenium's impact extends to the immune system, influencing its proper function and affecting the progression of HIV to AIDS. Research suggests that selenium deficiency is associated with an increased risk of various health conditions, including cardiovascular diseases, infertility, myodegenerative disorders, and cognitive decline.
Current research is investigating the potential role of selenium in cancer treatment. Our understanding of selenium's significance in human health has evolved over the past 200 years since its discovery in 1817. Previously considered a carcinogen, selenium is now recognized as a crucial nutrient with a narrow therapeutic-to-toxic range.
Historically, selenium deficiency was associated with a type of cardiomyopathy known as Keshan disease, which was initially documented in China in the 1930s. The administration of selenium supplementation to individuals residing in areas where Keshan disease is endemic has demonstrated a significant reduction in the incidence of this condition, underscoring selenium's therapeutic potential.
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Sections
- Continuing Education Activity
- Introduction
- Etiology
- Epidemiology
- Pathophysiology
- History and Physical
- Evaluation
- Treatment / Management
- Differential Diagnosis
- Prognosis
- Complications
- Deterrence and Patient Education
- Pearls and Other Issues
- Enhancing Healthcare Team Outcomes
- Review Questions
- References
References
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- Kieliszek M, Błażejak S. Selenium: Significance, and outlook for supplementation. Nutrition. 2013 May;29(5):713-8. - PubMed
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- Ambroziak U, Hybsier S, Shahnazaryan U, Krasnodębska-Kiljańska M, Rijntjes E, Bartoszewicz Z, Bednarczuk T, Schomburg L. Severe selenium deficits in pregnant women irrespective of autoimmune thyroid disease in an area with marginal selenium intake. J Trace Elem Med Biol. 2017 Dec;44:186-191. - PubMed
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- Oropeza-Moe M, Wisløff H, Bernhoft A. Selenium deficiency associated porcine and human cardiomyopathies. J Trace Elem Med Biol. 2015;31:148-56. - PubMed
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- Zhou H, Wang T, Li Q, Li D. Prevention of Keshan Disease by Selenium Supplementation: a Systematic Review and Meta-analysis. Biol Trace Elem Res. 2018 Nov;186(1):98-105. - PubMed
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