Selenium and Cancer Treatment

Adult cancer patients who have a selenium deficiency can benefit from selenium supplementation during their radiotherapy and/or chemotherapy. This is the conclusion from a 2024 systematic review. The researchers examined the pooled data from 12 clinical studies enrolling 2,483 patients. The reviewed studies investigated the use of selenium substitution therapy in adult cancer patients undergoing cancer treatment [Krannich 2024].

Doctor advising cancer patient
A review of 15 years of selenium supplementation has shown promising results in radiation therapy in tumor patients with a relative selenium deficit.

The researchers defined selenium deficiency as serum or plasma selenium concentrations below 80 mcg/L or as whole blood selenium concentrations below 100 mcg/L. Furthermore, they regarded serum or plasma selenium levels over 130 mcg/L as replete status [Krannich 2024]. read more

Selenium and Cancer Prevention – the Evidence

The evidence for the use of selenium supplementation in cancer prevention is still inconclusive. Rataan et al suggest that the fault may lie in the design of the existing studies. At least two factors have contributed to this lack of conclusive evidence:

  • the use of different compounds in the tests of selenium and cancer
  • the different blood selenium levels of the study participants at baseline
Cancer patients
Selenium supplementation of individuals with low dietary intakes of selenium may help prevent the development of certain types of cancer.

As an example, Rataan et al cite the differences between the Nutritional Prevention of Cancer (NPC) trial and the Selenium and Vitamin E Cancer Prevention Trial (SELECT). In the NPC study, the researchers used a selenium-enriched yeast supplement. This yeast formulation contained mostly selenomethionine but also contained several other selenium species including Se-methylselenocysteine. In the SELECT study, the researchers used a 100% selenomethionine supplement. It now seems clear that the chemopreventive effect of selenium that was seen in the NPC study but not seen in the SELECT study must have come from some selenium species other than selenomethionine. The most likely chemopreventive selenium species is the Se-methylselenocysteine [Rataan 2022; Marshall 2017]. read more