Selenium, selenium-containing drugs, antioxidant action: possibility of application in clinical practice

DOI: https://doi.org/10.29296/25877305-2022-11-15
Issue: 
11
Year: 
2022

Professor D. Dedov, MD
Tver State Medical University
Tver Regional Clinical Cardiology Dispensary

Aim: to study the literature data reflecting the antioxidant effect of selenium (Se) and the possibility of using selenium-containing preparations in clinical practice. Material and methods. The analysis of 33 foreign and Russian publications reflecting antioxidant action of Se and possibility of application of selenium-containing preparations in clinical practice was performed. Results. The problem of Se deficiency in nature is very topical. Se had antioxidant action, participated in improvement of immune functions, metabolic homeostasis. Increased Se concentration was associated with decreased serum total cholesterol and triglycerides. Optimal Se intake is important for normal reproductive function in men and women. The risk of Se deficiency increased in proportion to age. Decreased levels of certain selenoproteins could be associated with an increased likelihood of Parkinson's disease, Alzheimer's disease, and epilepsy. Conclusions. Plants were the main dietary source of Se for populations in most countries. They were able to metabolize and accumulate organic Se in edible parts for consumption. Russian SELENBIO for women selenium-containing complex could be useful to compensate for Se deficiency in elderly patients. This allowed to prevent the growth of oxidative stress – one of the leading mechanisms of aging.

Keywords: 
therapy
selenium
selenium-containing preparations
antioxidant effect
application
clinical practice
Parapharm company
SELENBIO for women



References: 
  1. Natasha, Shahid M., Niazi N.K. et al. A critical review of selenium biogeochemical behavior in soil-plant system with an inference to human health. Environ Pollut. 2018; 234: 915–34. DOI: 10.1016/j.envpol.2017.12.019
  2. Liaskos M., Fark N., Ferrario P. et al. First review on the selenium status in Germany covering the last 50 years and on the selenium content of selected food items. Eur J Nutr. 2022. DOI: 10.1007/s00394-022-02990-0
  3. Kiełczykowska M., Kocot J., Paździor M. et al. Selenium - a fascinating antioxidant of protective properties. Adv Clin Exp Med. 2018; 27 (2): 245–55. DOI: 10.17219/acem/67222
  4. Ullah H., Liu G., Yousaf B. et al. A comprehensive review on environmental transformation of selenium: recent advances and research perspectives. Environ Geochem Health. 2019; 41 (2): 1003–35. DOI: 10.1007/s10653-018-0195-8
  5. Mirończuk A., Kapica-Topczewska K., Socha K. et al. Selenium, Copper, Zinc Concentrations and Cu/Zn, Cu/Se Molar Ratios in the Serum of Patients with Acute Ischemic Stroke in Northeastern Poland-A New Insight into Stroke Pathophysiology. Nutrients. 2021; 13 (7): 2139. DOI: 10.3390/nu13072139
  6. Brenneisen P., Steinbrenner H., Sies H. Selenium, oxidative stress, and health aspects. Mol Aspects Med. 2005; 26 (4–5): 256–67. DOI: 10.1016/j.mam.2005.07.004
  7. Barchielli G., Capperucci A., Tanini D. The Role of Selenium in Pathologies: An Updated Review. Antioxidants (Basel). 2022; 11 (2): 251. DOI: 10.3390/antiox11020251
  8. Handy D.E., Joseph J., Loscalzo J. Selenium, a Micronutrient That Modulates Cardiovascular Health via Redox Enzymology. Nutrients. 2021; 13 (9): 3238. DOI: 10.3390/nu13093238
  9. Rose A.H., Hoffmann P.R. Selenoproteins and cardiovascular stress. Thromb Haemost. 2015; 113 (3): 494–504. DOI: 10.1160/TH14-07-0603
  10. Handy D.E., Joseph J., Loscalzo J. Selenium, a Micronutrient That Modulates Cardiovascular Health via Redox Enzymology. Nutrients. 2021; 13 (9): 3238. DOI: 10.3390/nu13093238
  11. Steinbrenner H., Sies H. Protection against reactive oxygen species by selenoproteins. Biochim Biophys Acta. 2009; 1790 (11): 1478–85. DOI: 10.1016/j.bbagen.2009.02.014
  12. Andrade I.G.A., de Souza F.I.S., Fonseca F.L.A. et al. Selenium-related nutritional status in patients with common variable immunodeficiency: association with oxidative stress and atherosclerosis risk. BMC Immunol. 2021; 22 (1): 31. DOI: 10.1186/s12865-021-00425-9
  13. Lopes Junior E., Leite H.P., Konstantyner T. Selenium and selenoproteins: from endothelial cytoprotection to clinical outcomes. Transl Res. 2019; 208: 85–104. DOI: 10.1016/j.trsl.2019.01.004
  14. Al-Mubarak A.A., van der Meer P., Bomer N. Selenium, Selenoproteins, and Heart Failure: Current Knowledge and Future Perspective. Curr Heart Fail Rep. 2021; 18 (3): 122–31. DOI: 10.1007/s11897-021-00511-4
  15. Steinbrenner H., Speckmann B., Klotz L.O. Selenoproteins: Antioxidant selenoenzymes and beyond. Arch Biochem Biophys. 2016; 595: 113–9. DOI: 10.1016/j.abb.2015.06.024
  16. Wang Y., Rijntjes E., Wu Q. et al. Selenium deficiency is linearly associated with hypoglycemia in healthy adults. Redox Biol. 2020; 37: 101709. DOI: 10.1016/j.redox.2020.101709
  17. Hasani M., Djalalinia S., Sharifi F. et al. Effect of Selenium Supplementation on Lipid Profile: A Systematic Review and Meta-Analysis. Horm Metab Res. 2018; 50 (10): 715–27. DOI: 10.1055/a-0749-6655
  18. Ju W., Ji M., Li X. et al. Relationship between higher serum selenium level and adverse blood lipid profile. Clin Nutr. 2018; 37 (5): 1512–7. DOI: 10.1016/j.clnu.2017.08.025
  19. Bizerea-Moga T.O., Pitulice L., Bizerea-Spiridon O. et al. Evaluation of Serum Selenium Status by Age and Gender: A Retrospective Observational Cohort Study in Western Romania. Nutrients. 2021; 13 (5): 1497. DOI: 10.3390/nu13051497
  20. Ojeda M.L., Carreras O., Nogales F. The Role of Selenoprotein Tissue Homeostasis in MetS Programming: Energy Balance and Cardiometabolic Implications. Antioxidants (Basel). 2022; 11 (2): 394. DOI: 10.3390/antiox11020394
  21. Méplan C. Trace elements and ageing, a genomic perspective using selenium as an example. J Trace Elem Med Biol. 2011; 25 (Suppl 1): S11–6. DOI: 10.1016/j.jtemb.2010.10.002
  22. Baudry J., Kopp J.F., Boeing H. et al. Changes of trace element status during aging: results of the EPIC-Potsdam cohort study. Eur J Nutr. 2020; 59 (7): 3045–58. DOI: 10.1007/s00394-019-02143-w
  23. Bjørklund G., Shanaida M., Lysiuk R. et al. Selenium: An Antioxidant with a Critical Role in Anti-Aging. Molecules. 2022; 27 (19): 6613. DOI: 10.3390/molecules27196613
  24. Alehagen U., Opstad T.B., Alexander J. et al. Impact of Selenium on Biomarkers and Clinical Aspects Related to Ageing. A Review. Biomolecules. 2021; 11 (10): 1478. DOI: 10.3390/biom11101478
  25. Steinbrenner H., Sies H. Selenium homeostasis and antioxidant selenoproteins in brain: implications for disorders in the central nervous system. Arch Biochem Biophys. 2013; 536 (2): 152–7. DOI: 10.1016/j.abb.2013.02.021
  26. Socha K., Klimiuk K., Naliwajko S.K. et al. Dietary Habits, Selenium, Copper, Zinc and Total Antioxidant Status in Serum in Relation to Cognitive Functions of Patients with Alzheimer's Disease. Nutrients. 2021; 13 (2): 287. DOI: 10.3390/nu13020287
  27. Pereira M.E., Souza J.V., Galiciolli M.E.A. et al. Effects of Selenium Supplementation in Patients with Mild Cognitive Impairment or Alzheimer's Disease: A Systematic Review and Meta-Analysis. Nutrients. 2022; 14 (15): 3205. DOI: 10.3390/nu14153205
  28. Robberecht H., De Bruyne T., Davioud-Charvet E. et al. Selenium Status in Elderly People: Longevity and Age-Related Diseases. Curr Pharm Des. 2019; 25 (15): 1694–706. DOI: 10.2174/1381612825666190701144709
  29. Savarino L., Granchi D., Ciapetti G. et al. Serum concentrations of zinc and selenium in elderly people: results in healthy nonagenarians/centenarians. Exp Gerontol. 2001; 36 (2): 327–39. DOI: 10.1016/s0531-5565(00)00218-7
  30. Zhang S., Rocourt C., Cheng W.H. Selenoproteins and the aging brain. Mech Ageing Dev. 2010; 131 (4): 253–60. DOI: 10.1016/j.mad.2010.02.006
  31. D'Amato R., Regni L., Falcinelli B. et al. Current Knowledge on Selenium Biofortification to Improve the Nutraceutical Profile of Food: A Comprehensive Review. J Agric Food Chem. 2020; 68 (14): 4075–97. DOI: 10.1021/acs.jafc.0c00172
  32. Полубояринов П.А., Елистратов Д.Г., Швец В.И. Метаболизм и механизм токсичности селенсодержащих препаратов, используемых для коррекции дефицита микроэлемента селена. Тонкие химические технологии. 2019; 1 (14): 5–24 [Poluboyarinov P.A., Elistratov D.G., Shvets V.I. Metabolism and mechanism of toxicity of selenium-containing supplements used for optimizing human selenium status. Fine Chemical Technologies. 2019; 14 (1): 5–24 (in Russ.)]. DOI: 10.32362/2410-6593-2019-14-1-5-24
  33. Полубояринов П.А., Елистратов Д.Г. Исследование биофортификации растений астрагала шерстистоцветкового (astragalus dasyanthus pall.) аминокислотой L-селеноцистином. Вопросы биологической, медицинской и фармацевтической химии. 2019; 12 (22): 64 [Poluboyarinov P.A. Biofortification of Astragalus astragalus woolly-flowered (Astragalus dasyanthus Pall.) plants with the amino acid L-selenocysteine. Problems of biological, medical and pharmaceutical chemistry. 2019; 22 (12): 64 (in Russ.)].