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硒缺乏

Selenium Deficiency

作者信息

Shreenath Aparna P., Hashmi Muhammad F., Dooley Jennifer

机构信息

University of Tennessee

National Health Service

PMID:29489289
Abstract

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.

摘要

硒是一种必需的微量矿物质,对维持人体健康至关重要。硒主要以硒蛋白的形式存在,在人体正常生理过程和新陈代谢中发挥着多种作用。特别是谷胱甘肽过氧化物酶(G-Px)这种硒蛋白,有助于抗氧化防御,保护身体免受活性氧和氮物种的破坏作用。另一个重要的硒依赖性功能涉及碘甲状腺原氨酸脱碘酶,它促进无活性的甲状腺素或四碘甲状腺原氨酸(T4)转化为活性甲状腺激素三碘甲状腺原氨酸(T3)。硒的影响还扩展到免疫系统,影响其正常功能,并影响艾滋病病毒向艾滋病的发展进程。研究表明,硒缺乏与包括心血管疾病、不孕症、肌肉退行性疾病和认知能力下降在内各种健康状况的风险增加有关。目前的研究正在调查硒在癌症治疗中的潜在作用。自1817年被发现以来,在过去的200年里,我们对硒在人类健康中的重要性的理解不断发展。硒以前被认为是一种致癌物,现在被认为是一种关键营养素,其治疗范围与毒性范围很窄。历史上,硒缺乏与一种称为克山病的心肌病有关,该病最初于20世纪30年代在中国被记录。对居住在克山病流行地区的个人补充硒已证明该病的发病率显著降低,突出了硒的治疗潜力。

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