Selenium Status and HIV Infections

HIV (human immunodeficiency virus) is still very much a public health concern. Deficiencies of certain micronutrients are known to play a role in the progression of HIV infections to AIDS (acquired immunodeficiency syndrome). In particular, adequate intakes of selenium are important because of selenium’s antioxidant and anti-inflammatory activities in HIV infection [Pourmoradian 2023].

Umbrella Study of Systematic Reviews of Selenium and HIV Studies

Symptoms of AIDS Poster
Selenium levels are often low in individuals infected with HIV virus. Selenium supplementation can slow the decline in CD4 cell counts, can reduce the risk of hospitalization, can prevent increases in the HIV-1 viral load, and can slow the progression of the infection to AIDS.

In a 2023 umbrella study of systematic reviews of studies of selenium in HIV patients, Pourmoradian et al found the following evidence:

  • Four reviews showed that selenium supplementation at the level of 200 mcg/day was effective in delaying CD4 decline in HIV-infected patients.
  • Three reviews showed that selenium supplementation at the level of 200 mcg/day significantly reduced HIV viral load.
  • The researchers suggested that the underlying mechanism of the selenium effect on HIV progression is the improvement of the immune response and the antioxidant defense system.
  • In particular, the selenium-dependent glutathione peroxidase (GSH-Px) enzyme system reduces the extent of oxidative stress, indirectly strengthens the immune system, and slows the progression of the disease.

Note: CD4 cells are lymphocytes that help to coordinate the immune response to infections. If an HIV patient’s CD4 cell count falls below 200 cells per cubic millimeter of blood, then the HIV infection is considered to have progressed to the AIDS stage. In healthy individuals, the CD4 count will be between 500 and 1,600 cells/cubic millimeter of blood. 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 Supplementation Strengthens Immune Response to Covid-19

The available vaccines do not seem up to the task of preventing infection by the fourth wave of the Covid-19 virus. Accordingly, people in high-risk groups may want to start on a course of supplementation to address possible deficiencies of selenium, zinc, and vitamin D to strengthen their immune response [Alexander 2020].

Covid-19 vaccine
Resistance to Covid-19 and other viral infections, strengthening of immune system function, and reducing chronic inflammation all depend on adequate intakes of zinc, selenium, and vitamin D [Alexander 2020].
In this article, we will address the importance of adequate selenium intakes. Readers are encouraged to google zinc and Covid-19 and vitamin D and Covid-19 on their own.

Early initiation of adequate selenium, zinc, and vitamin D supplementation in high-risk individuals and in high-risk areas and, certainly, as soon as possible after the time of suspected infection with the Covid-19 virus can help the immune system [Alexander 2020]. read more