Institute of Internal Medicine, University of Debrecen Medical and Health Science Center, Debrecen, Hungary.
J Cell Mol Med. 2013 Mar;17(3):350-5. doi: 10.1111/jcmm.12013. Epub 2013 Feb 13.
Selenium is an essential trace element with potential anti-atherogenic and antioxidant effects. Experimental data suggest that selenium might be beneficial in the prevention of atherosclerosis and its complications, whereas human epidemiological studies have yielded conflicting results. Data on hair selenium status in hyperlipidemic patients are still lacking. Therefore, we analysed selenium concentrations by X-ray fluorescence in the hair of 81 statin-naïve patients with newly diagnosed Fredrickson-type IIa and IIb hyperlipoproteinemia and compared their data with 43 healthy volunteers. We also assessed the frequency of other classical risk factors of atherosclerosis. Hair selenium levels were found to be significantly higher in hyperlipidemic patients compared with volunteers with normal lipid levels. Also, a significantly increased number of traditional atherosclerosis risk factors were observed in hyperlipidemic patients with hair selenium concentrations above the median in contrast to those with below. Our results suggest that high hair selenium status might be associated with adverse blood lipid profile together with an increased number of traditional risk factors in a selenium-deplete population. These findings warrant further investigations to study the impact of selenium supplementation on the incidence of cardiovascular events.
硒是一种必需的微量元素,具有潜在的抗动脉粥样硬化和抗氧化作用。实验数据表明,硒可能有益于预防动脉粥样硬化及其并发症,而人类流行病学研究则得出了相互矛盾的结果。关于高血脂患者头发中硒状况的数据仍然缺乏。因此,我们通过 X 射线荧光分析了 81 名新诊断为弗雷德里克森 IIa 和 IIb 型高脂血症的他汀类药物初治患者的头发中的硒浓度,并将其数据与 43 名健康志愿者进行了比较。我们还评估了其他经典动脉粥样硬化危险因素的频率。与血脂水平正常的志愿者相比,高血脂患者的头发硒水平明显更高。此外,与头发硒浓度低于中位数的患者相比,头发硒浓度高于中位数的高血脂患者观察到更多的传统动脉粥样硬化危险因素。我们的结果表明,在缺硒人群中,高头发硒状态可能与不良的血脂谱以及更多的传统危险因素有关。这些发现需要进一步研究,以研究硒补充对心血管事件发生率的影响。