Tag: Cancer

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Selenium for Adjuvant Cancer Treatment

Cancer treatment. What do we know at the present time about the effectiveness of selenium as an adjuvant treatment in cancer patients?
In a 2024 systematic review, researchers have evaluated the existing evidence from data from 12 studies with 2,483 adult patients undergoing cancer treatment. The types of cancer included non-Hodgkin lymphoma, head and neck cancer, thyroid cancer, acute myeloid or acute lymphocytic leukemia, stage I non-small lung cancer, breast cancer, cervical and endometrial cancer, prostate cancer, and non-invasive urothelial carcinoma [Krannich 2024].

Cancer patient
More information is needed about the effects of adjuvant treatment of cancer patients with selenium supplements. Similarly, more information is needed about the concurrent use of selenium supplements in patients receiving chemotherapy and radiation therapy.

The researchers’ analysis of the available data does not give a clear picture of the efficacy of selenium administration to adult cancer patients. One reason is that several of the evaluated studies did not report measurements of the patients’ serum selenium levels at the beginning or the end of the study. The studies that did report serum selenium levels used different ways to measure selenium levels. Moreover, the duration of the selenium administration and the type of selenium preparation and the dosage varied from study to study [Krannich 2024]. read more

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Selenoprotein P Status and Colorectal Cancer Mortality

Selenium deficiency, especially as manifested in low circulating levels of selenoprotein P, is associated significantly with an increased risk of colorectal cancer incidence and mortality [Pal 2024; Brezina 2025]. SELENOP is a selenium-dependent glycoprotein that is the primary transporter of selenium to the tissues and organs. SELENOP also acts to reduce oxidative stress and systemic inflammation [Schöttker 2024; Brezina 2025].

Newspaper article about cancer
Colorectal cancer risk is elevated in selenium and SELENOP deficiency. Serum SELENOP concentration is perhaps the single most useful parameter for prognosis once the diagnosis has been made. SELENOP concentrations below 2.5 mg/L indicate severe deficiency. Concentrations below 5.0 mg/L suggest elevated risk.

In the Colorectal Cancer Study of Austria (CORSA Study), researchers analyzed data from 519 participants (n = 153 tumor-free controls, n = 255 patients with adenomas, and n = 111 patients with colorectal cancer). The median age of the study participants was 65 years. Nearly two-thirds of the study participants were male. The study participants’ median plasma selenium concentration was a very low 65.7 mcg/L. Their median SELENOP concentration was also low:  2.7 mg/L. During a median follow-up period of 5,424 days (almost 15 years), there were 210 deaths (40 %) [Brezina 2025]. read more

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Selenium Status and Mortality Risk

All-cause mortality, cancer mortality, and cardiovascular disease mortality are all three significantly associated with selenium status in the blood. Higher selenium status correlates with lower mortality risk. In particular, the inverse relationship with all-cause mortality was strong among different study populations in different countries and in different study regions. The inverse relationship was strong with different selenium measurement methods, with different study recruitment years, and with different study sizes and study follow-up lengths [Cui 2025].

Grave of Edith Piaf in the Pere Lachaise cemetery
Nearly a billion people in the world live in selenium-poor regions. Low selenium status in humans is strongly associated with an increased mortality risk.

These are the conclusions from a systematic review and meta-analysis of 20 observational studies that enrolled 67,534 study participants. The studies included 17 studies of all-cause mortality, 7 studies of cancer mortality, and 9 studies of cardiovascular disease mortality. The review shows that a concentration increase of one standard deviation in serum or plasma selenium biomarkers was associated with 13% lower all-cause mortality, 15% lower cancer mortality, and 11% lower cardiovascular mortality [Cui 2025]. read more

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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

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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

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Selenium May Reduce the Risk of Heart Disease and Some Cancers

Reduced risk of heart disease and reduced risk of some cancers. Increasing the daily intake of selenium among individuals with low selenium status may reduce the risk of cardiovascular disease and some cancers. The available data seem to show that most adults in the Nordic and Baltic countries, with the exception of adults in Finland, have low selenium intakes and low selenium status [Alexander & Olsen 2023].

Jan Alexander
Prof. Jan Alexander, MD, PhD, Norwegian Institute of Public Health in Oslo, says: There are various factors that influence cardiovascular disease mortality and cancer incidence: diet, lifestyle, genetics, inter alia. The impact of these factors varies from one Nordic country to the next.

Selenium is an essential trace element. The human body cannot synthesize it. It must come from the diet and supplements. Selenium is a vital component of selenoproteins that are critical to normal health and physiological functioning. This is the fundamental message from a 2023 selenium scoping review conducted for the Nordic Nutritional Recommendations 2023 [Alexander & Olsen 2023]. read more

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ChatGPT Answers About Different Forms of Selenium Supplements

In our last article, we asked ChatGPT about the health benefits of selenium supplements in Europe. This time, we asked what is the best form of selenium supplement?

ChatGPT about selenium
We asked ChatGPT for information about the various forms of selenium supplements.

ChatGPT answered that the best form of selenium supplement depends on various factors. These factors include individual health needs, dietary habits, and preferences. Each different form of selenium supplement has its own set of advantages and considerations.

  • Selenomethionine: This form of selenium is found in foods like Brazil nuts, grains, and legumes. The body absorbs selenomethionine well.
  • Sodium selenite: This is an inorganic form of selenium. It is generally considered to have lower bioavailability compared to organic forms like selenomethionine and selenium yeast.
  • Selenium yeast: Selenium yeast is produced by fermenting the yeast Saccharomyces cerevisiae in the presence of selenium. It contains various species of selenium including selenomethionine. The yeast is inactivated in the supplements.

Editor’s note: The presence of various other species of selenium in the selenium yeast may be important for cancer prevention. By other species, we mean the selenium species other than the selenomethionine that is in the selenium yeast supplements.

  • In the Nutritional Prevention of Cancer study, researchers administered 200 mcg/day of selenium-enriched yeast for an average of 5.4 years. The study results showed a significant reduction of colorectal, lung, prostate, and total cancer incidence [Clark 1996].
  • In the SELECT study, researchers administered selenium in the form of selenomethionine, 200 mcg/day. The supplementation with selenomethionine alone and also together with vitamin E did not show any reduction of the risk of colorectal, lung, or prostate cancer after 5.5 years of follow-up [Lippman 2009].

Thus, it seems that the protective effect against cancer may have come from one or more of the other selenium species in the selenium yeast preparation, not from the selenomethionine in the preparation [Bjørnstedt 2010]. read more

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Selenium-Enriched Yeast Supplementation Studies

The rationale for taking a selenium-enriched yeast preparation: one or more of the selenium compounds in the preparation other than selenomethionine may be the selenium species that has specific effects against cancer. This is an area for further research.

Glass of beer made using brewer's yeast
Selenium-enriched yeast preparations use Saccharomyces cerevisiae, commonly known as as brewer’s yeast. The yeast is grown in a selenium-enriched medium in which the yeast absorbs the selenium. The finished preparation is pasteurized, causing the yeast cells to die. Selenium-enriched yeast preparations contain many organic selenium compounds in addition to selenomethionine.

This week, we focus on studies conducted with a selenium-enriched yeast preparation containing at least 20 different species of selenium in addition to selenomethionine [Bendahl & Gammelgaard 2004].

Randomized, double-blind, controlled clinical trials are the gold standard method for testing the safety, absorption, and efficacy of nutritional supplements and medical drugs. Below, we summarize some of the important clinical trials of nutritional interventions using selenium-enriched yeast. read more

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Selenium and Radiation Therapy for Cancer Patients

Cancer patients tend to have reduced serum selenium concentrations compared to healthy controls. Adjuvant selenium supplementation improves the protection of healthy tissue in tumor patients undergoing radiation therapy [Muecke 2018].

Cologne cathedral in Germany
15 years of experience with adjuvant selenium supplementation in radiation oncology in Germany has yielded a solid knowledge database. As a result,  some radiation oncologists measure the patient’s selenium levels during therapy and compensate in cases of selenium deficiency. Even so, it is important to remember that selenium status is  a relatively small piece in the bigger puzzle of therapeutic success in radiation oncology.

In a 2018 review of 15-years of experience with selenium supplementation in radiation oncology, Muecke et al [2018] reported on two randomized controlled trials. The researchers observed positive effects of the supplemental selenium and no adverse effects in the patients undergoing radiation therapy:

  • 81 patients with uterine cancer
  • 39 patients with head and neck tumors
Selenium Deficit in Cancer Patients

In the majority of the tumor patients (carcinomas of the uterus, head and neck, lungs, rectum or prostate) whom they examined, German researchers found a relative selenium deficit in whole blood or serum [Muecke 2018]. read more

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Selenium Supplementation and Chemotherapy in Cervical Cancer Patients

Selenium yeast supplementation administered concurrently with chemotherapy and radiation therapy effectively increased blood selenium levels in cervical cancer patients with inadequate selenium status. The selenium yeast supplementation was used as an adjuvant treatment to the standard chemotherapy and radiation therapy. It significantly decreased the hematologic toxicity of the chemoradiotherapy [Yang 2023].

Cancer and selenium
Each year, worldwide, half a million women are diagnosed with cervical cancer, and 300 000 die from the disease. In most cases, the human papilloma virus is the cause of the disease [Cohen 2019]. The trace element selenium has antiviral properties. Cell studies and mouse studies of cervical cancer have shown that different selenium species have anticancer effects in cervical cancer induced by human papilloma virus or by chemical carcinogens [Jablonska 2021].
In a randomized controlled trial, researchers randomly assigned 104 patients diagnosed with stage IIB cervical cancer receive 100 mcg selenium yeast tablets (n=50) or matching placebos twice daily (n=54) for five weeks [Yang 2023].

All patients in both groups received the standard treatment including pelvic external irradiation, concurrent five cycles of chemotherapy, and brachytherapy [Yang 2023]. read more