Selenium and Mitochondrial Disorders and Telomere Attrition

Selenium supplements may be beneficial as an adjuvant treatment for patients with mitochondrial disorders. This is especially true in many parts of Europe and the Middle East where the soil and the foodstuffs have poor selenium content [Stoffaneller & Morse 2015]. Specifically, individuals with mitochondrial dysfunction need the antioxidant and anti-inflammation effects of selenium-dependent selenoproteins [Alehagen 2021; Opstad 2022].

Prof Jan Aaseth
The mitochondria are the organelles in our cells that generate the ATP energy that our cells need to function. They are our essential mini power plants. However, mitochondrial dysfunction is associated with generation of toxic oxygen, telomere shortening, cell death, and biological aging. Pictured: Prof. Jan Aaseth, MD, PhD, Innlandet Hospital & Inland Norway University of Applied Sciences.

Mitochondrial dysfunction can be defined as the diminished capacity of the mitochondria in the cells to convert sugars into energy, i.e., the diminished capacity of the cells to generate ATP energy [Miwa 2022].

Mitochondrial dysfunction is closely associated with biological aging and with cell senescence (the cessation of cell division) [Miwa 2022]. read more

Selenium Status and Immune Function

Selenium is one of the micronutrients known to have an important and specific impact on immune system activity.

T-helper cell
Administration of selenium enhances the immune response of T-helper 1 cells and the stimulation of T cells. Depicted here: T-helper cell. Selenium also acts as a co-factor to achieve a more effective immune response to COVID vaccination.

In a 2022 review, Munteanu and Schwartz summarize the relevant research data on the modulation of immune function by micronutrients, including selenium and zinc [Munteanu 2022].

For selenium, the authors find the following evidence of a beneficial effect of selenium on immune system function:

  • Selenium, as a component of the amino acid selenocysteine, improves the synthesis of inflammatory mediators.
  • Selenium treatment leads to a decline in the gene expression of the pro-inflammatory cytokines IL-1 and TNF-alpha. This indicates that selenium has an anti-inflammatory effect in the body.
  • Selenium enhances the immune response of T-cells and T-helper 1 cells. T-cells work to destroy cells that have been infected by bacteria or viruses. Th1 cells are also responsible for fighting against bacteria and viruses.
  • Selenium supplementation increases the concentration of antibodies that enhance vaccine effects.
  • Selenium acts as a co-factor in the immunity that is mediated by the influenza vaccine. Selenium also serves as a co-factor to achieve a more effective immune response to COVID vaccination.
  • Selenium contributes to the defense against bacterial and vital pathogens through its effects on redox signaling activities.
  • -Selenium supplementation of patients with cancer increases antibody concentrations of the immunoglobulins IgA and IgG as well as increases the number of neutrophils.

Selenium – A Crucial Micronutrient for a Functional Immune System

Munteanu & Schwartz [2022] make the following additional points about an adequate supply of selenium:

  • Selenium improves not only in the functioning of the immune system but also the functioning of thyroid metabolism and the functioning of the cardiovascular system.
  • Selenium may play a role in the prevention of some forms of cancers.

Selenium and COVID-19

Munteanu & Schwartz [2022] report that selenium together with zinc exerts a protective role in COVID-19 patients. The combination of selenium and zinc is associated with a higher chance of survival. read more

Thyroid Disorders and Selenium Supplementation

Thyroid disorders.

Many clinicians treating autoimmune thyroid diseases are using selenium supplementation as one treatment modality even though, in the official guidelines, selenium supplementation is recommended only in the treatment of mild Graves orbitopathy [Winther 2020].

Thyroid gland
The thyroid gland is the butterfly-shaped organ in the front part of the neck. Thyroid hormones regulate body temperature, heart rate, and weight gain or loss. Autoimmune thyroid disorders occur when immune system cells attack thyroid gland cells. Autoimmune thyroid disorders cause overproduction of thyroid hormones (hyperthyroidism) and underproduction of thyroid hormones (hypothyroidism). Graves’ disease is the most common autoimmune hyperthyroidism. Hashimoto’s thyroiditis is the most common autoimmune hypothyroidism.

Some clinicians consider supplementation with selenium to be a pharmaceutical action that should be taken only with thyroid disorder patients with well-defined symptoms in order to alleviate the symptoms, to improve the course of the disease, or to provide a cure. Typically, in such cases, the selenium treatment is conducted for short periods, and the health benefits and side effects are evaluated and weighed [Schomburg 2020].

Other clinicians consider supplementation with selenium in a more holistic way and use selenium supplementation as a way to correct a nutritional deficiency of selenium, which is associated with thyroid disorders [Schomburg 2020]. read more

HIV Infection and Selenium Supplementation

HIV infection is associated with a higher risk of tuberculosis and death.  Selenium deficiency is associated with an increased risk of HIV infection. Several trials have shown that selenium supplementation of patients with HIV is associated with beneficial outcomes [Muzembo 2022].

HIV symptoms
HIV = human immunodeficiency virus.

Muzembo et al conducted a systematic review of six randomized controlled trials of selenium supplementation of HIV-infected patients. They reached the following conclusions [Muzembo 2022]:

  • Daily supplementation with 200 mcg selenium slowed the loss of CD4 cells in HIV-infected patients.
  • The length of selenium supplementation and HIV infection studies varied from 9 to 24 months.
  • The selenium supplements were well tolerated in all six studies.
  • Further investigation of the effects of daily selenium supplementation of HIV-infected patients is warranted.

Note: CD4 cells are a particular type of white blood cells that help the immune system fight infections. CD4 cells are also known as CD4 lymphocytes and helper T cells [MedlinePlus 2022].

If untreated, the HIV infection will destroy many CD4 cells, and the immune system will not be able to fight off opportunistic infections [MedlinePlus 2022]. read more

Selenium Supplementation and Alzheimer’s Disease

Clinical studies show a clear correlation between Alzheimer’s Disease and low selenium status.  Lower selenium status is associated with worse cognitive decline [Aaseth 2016].

In many regions of Europe and the Middle East, there is poor selenium content in the soil and, accordingly, lower intake of selenium from food sources [Stoffaneller & Morse 2015; Winther 2020].

Woman with Alzheimer's
Adequate levels of selenium are essential for brain function; in fact, the brain is one of the organs that is supplied with selenium at the expense of other organs and tissues in times of low selenium intake. Selenoprotein P plays a special role in delivering selenium to the brain and the neurons. Some of the glutathione peroxidase and thioredoxin reductase selenoenzymes are important intracellular antioxidants in neurons and glia cells of the central nervous system.

The daily intake of selenium from food in many European countries is well below the amount needed for optimal function of important selenoproteins. The needed intake of selenium from food is  estimated to be at least 105 mcg per day [Winther 2020, fig. 2].

Using evidence from human studies in various countries, Prof. Jan Aaseth and colleagues have documented the association between lower selenium  status and Alzheimer’s Disease and/or cognitive impairment [Aaseth 2016]. read more

Selenium and Viruses and Viral Infections

Viruses are very tiny germs that consist of genetic material (DNA or RNA) inside a protein coating. Unlike bacteria, viruses cannot survive on their own. They need host cells [MedlinePlus 2016].

Sneezing
When viruses invade the body, they hijack human cells and use the cells to reproduce themselves. The host immune system attempts to fight off the invasive viruses. If the immune system defense is not successful, then various viruses cause such infections as the common cold, influenza, and warts. Other viruses cause severe illnesses such as COVID-19, Ebola, and HIV/AIDS [MedlinePlus 2016].
Antibiotics are not effective against viruses. For some few viral infections, there are effective antiviral medicines. For others, vaccines may be an option. In any case, it is important to have a strong immune system to ward off or recover from viral infections.

Harmful free radicals play an important role in viral infections. The cells’ normal metabolism of oxygen generates reactive oxygen species as a by-product. At low and stable levels, these “free radicals” play a role in cell signaling and cell functioning. In the course of viral infections, however, the over-production of free radicals can overwhelm the body’s protective antioxidant systems and can cause oxidative stress [Guillen 2019]. read more

Selenium Deficiency and Thyroid Disorders

Selenium plays an important role in optimal immune and endocrine system function. The role that selenium plays with respect to thyroid function is complex [Chmura 2022]:

Thyroid system
Good thyroid system function promotes improved metabolism, better growth and development, and increased effect of catecholamines. Note: Catecholamines are hormones released in response to emotional or physical stress. (Attribution: Mikael Häggström, Public domain, via Wikimedia Commons.)

The thyroid gland is the organ with the greatest amount of selenium per gram of tissue.

  • An adequate supply of selenium is necessary for synthesizing the enzymes – the iodothyronine deiodinases – that are involved in the metabolism of thyroid hormones.
  • Selenium supplementation may give beneficial effects to patients with autoimmune diseases of the thyroid gland.
  • There is a significant correlation between selenium deficiency and thyroid gland dysfunction. Selenium deficiency is defined as serum or plasma selenium levels below 70 mcg/L. Optimal serum/plasma selenium levels are approximately 125 mcg/L [Winter 2020].
  • Selenium Deficiency and Thyroid Dysfunction

    A 2022 review highlights the following relationships between selenium deficiency and thyroid gland dysfunction [Chmura 2022]: read more

    Impact of Selenium Status on Biological Aging

    Aging. Getting up in years. Striving to live as long as possible and to be as strong and healthy as possible. At some point, good health becomes a more important concern than wealth. Optimal selenium status is important to good health [Alehagen 2021].

    Professor Jan Aaseth
    Professor Jan Aaseth, MD, PhD, researcher in internal medicine, endocrinology, and toxicology and specialist in selenium research.

    In a review article, Professor Urban Alehagen and Professor Jan Aaseth list the following conditions associated with biological aging [Alehagen 2021]:

    • chronic mild to moderate systemic inflammation
    • detrimental DNA alterations
    • mitochondrial dysfunction
    • oxidative stress caused by harmful free radicals
    • telomere shortening

    Getting old is inevitable. Biological aging necessarily involves a weakening of the immune system and increased susceptibility to diseases and environmental stresses.

    Selenium deficiency associated with aging and aging-related diseases

    Selenium deficiency is associated with mitochondrial dysfunction, oxidative stress, and inflammation [Alehagen 2021].

    Mitochondrial injuries are an important factor in the aging of human cells.  A by-product of the mitochondrial generation of ATP energy in the cells is the production of reactive oxygen species, some of which are useful and some of which are harmful. The leakage of these harmful free radicals from the mitochondrial respiratory chain increases with age, which results in cellular oxidative damage, whenever there are not enough antioxidants to neutralize the effects of the free radicals. read more

    Selenium and Coenzyme Q10 Supplementation To Prevent Heart Disease

    Heart disease prevention. In the KiSel-10 Study, combined supplementation of community living senior citizens for four years with an organic high selenium yeast (200 mcg selenium/day) and Coenzyme Q10 in the ubiquinone form (2 x 100 mg/day) prevented an increase in fibroblast growth factor 23 and reduced the risk of cardiovascular disease [Alehagen Feb 2022].

    what is fibroblast growth Factor 23?
    Prof. Urban Alehagen
    Prof. Urban Alehagen was among the first cardiologists to suspect that low selenium intakes might increase the risk of death from heart disease. He designed and conducted the KiSel-10 Study to test the hypothesis that combined selenium and Coenzyme Q10 supplementation might reduce the risk of cardiovascular disease.

    Professor Urban Alehagen explains that fibroblast growth factor 23 is a hormone that is secreted primarily from the osteocytes (i.e., mature bone cells) into the blood. From the blood circulation, the hormone acts on fibroblast growth factor receptors in the heart, intestine, kidney, and parathyroid gland [Alehagen Feb 2022].

    Fibroblast growth factor 23 is mainly active in the metabolism of vitamin D and phosphorus. However, there have been reports that indicate an association between increased fibroblast growth factor 23 levels and cardiovascular mortality even in the patients with no sign of kidney disease [Alehagen Feb 2022]. read more

    Adjuvant Treatment of Graves’ Hyperthyroidism with Selenium Yeast

    Thyroid disease. Hyperthyroidism. Adjuvant treatment of thyroid disease with selenium yeast supplementation. All topics of interest. At this writing (August 2022), we await the publication of the outcomes of the GRASS clinical trial. GRASS is the acronym for the selenium supplementation for patients with Graves’ hyperthyroidism study [study protocol described by Watt 2013].

    What is Graves’ Hyperthyroidism?

    Thyroid gland
    The thyroid gland is a butterfly-shaped endocrine gland in the neck below the Adam’s apple that makes and stores hormones that help regulate blood pressure, body temperature, heart rate, and the rate at which food is converted into energy. [This image is licensed under the Creative Commons Attribution-Share Alike 4.0 International license.]
    Hyperthyroidism is an autoimmune disease. It causes overactivity of the thyroid gland, resulting in too much production of the hormone thyroxine. Hyperthyroidism can cause an acceleration of the body’s metabolism; it can cause weight loss and rapid or irregular heartbeat.

    Hyperthyroidism is caused by a number of conditions, including Graves’ disease, which is a common cause. Graves’ disease is the result of immune system disorder. It can affect anyone, but it is more common in women and in individuals under the age of 40. read more