{"id":364,"date":"2017-02-20T09:29:39","date_gmt":"2017-02-20T09:29:39","guid":{"rendered":"http:\/\/seleniumfacts.com\/?p=364"},"modified":"2017-02-28T01:26:45","modified_gmt":"2017-02-28T01:26:45","slug":"statin-medications-selenium","status":"publish","type":"post","link":"https:\/\/seleniumfacts.com\/index.php\/statin-medications-selenium","title":{"rendered":"Statin medications and selenium"},"content":{"rendered":"<figure id=\"attachment_374\" aria-describedby=\"caption-attachment-374\" style=\"width: 300px\" class=\"wp-caption alignright\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-374 size-medium\" src=\"http:\/\/seleniumfacts.com\/wp-content\/uploads\/2017\/02\/Wheelchair-300x252.png\" width=\"300\" height=\"252\" srcset=\"https:\/\/seleniumfacts.com\/wp-content\/uploads\/2017\/02\/Wheelchair-300x252.png 300w, https:\/\/seleniumfacts.com\/wp-content\/uploads\/2017\/02\/Wheelchair.png 493w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-374\" class=\"wp-caption-text\"><strong>Statin medications. What do we know? Yes, the statins are good at inhibiting the body&#8217;s own production of cholesterol. But the statins have the unintended side-effect of also inhibiting the body&#8217;s production of Coenzyme Q10 and of inhibiting the body&#8217;s ability to form selenoproteins. The inhibition of Coenzyme Q10 and selenoprotein production may lead to premature ageing and to\u00a0 degenerative diseases.<br \/><\/strong><\/figcaption><\/figure>\n<p><strong>Statin medications: good news and bad news?\u00a0 On the one hand, statin medications are effective at reducing cholesterol levels, and, are good, apparently, at reducing the number of deaths from heart attacks.\u00a0\u00a0 On the other hand, we have seen a very considerable rise in the number of cases of chronic heart failure \u2026 in the same period that statin medications have been prescribed.\u00a0 Drs. Okuyama and Langsjoen and their colleagues have explained the pharmacological mechanisms by which this medical paradox may be occurring [Okuyama].<\/strong><\/p>\n<p><strong>Statins inhibit the body\u2019s production of Coenzyme Q10<\/strong><br \/>\nOkay, I was aware of the evidence from well-designed studies linking the taking of statin medications to decreased plasma levels of Coenzyme Q10. \u00a0 <a href=\"http:\/\/www.q10facts.com\/statin-medications-and-coenzyme-q10\/\" target=\"_blank\">Coenzyme Q10<\/a> is an important factor in cellular energy production and is an important lipid-soluble antioxidant [Folkers, Littarru, McMurray].\u00a0 And I knew that the energy-deprived heart is a failing heart [Folkers, Molyneux, Mortensen].\u00a0 So, I knew that anyone taking a statin medication needs to talk to his or her cardiologist about taking a good Coenzyme Q10 supplement.<\/p>\n<p><strong>Statins also inhibit the body\u2019s production of selenoproteins<\/strong><br \/>\nBut Drs. Okuyama and Langsjoen go further in their explanation of the <strong><em>unintended consequences of taking a statin medication.<\/em><\/strong>\u00a0 Further than the inhibiting effect of the statins on the body\u2019s bio-synthesis of Coenzyme Q10.<\/p>\n<p>They explain how the statin medications inhibit the body\u2019s production of the selenium containing proteins called selenoproteins.\u00a0 Among these selenoproteins are the glutathione peroxidases and the thioredoxin reductases.\u00a0 These selenoproteins function as antioxidant enzymes to help suppress the oxidative damage caused to lipids and proteins and DNA by harmful free radicals.<\/p>\n<p><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/25655639\" target=\"_blank\">Drs. Okuyama and Langsjoen<\/a> argue that the statin medications\u2019 impairing of the body\u2019s production of selenoproteins might well be a factor in the marked increase in cases of congestive heart failure in recent years.\u00a0\u00a0 After all, it is known that selenium deficiency is associated with the development of dilated cardiomyopathy (= decreased ability of the weakened heart to pump blood).<\/p>\n<p><strong>Keshan disease and selenium deficiency<\/strong><br \/>\nRight.\u00a0 I had read about the often fatal heart disease called Keshan disease in a selenium-poor region of China and about the successful treatment of <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/22705420\" target=\"_blank\">Keshan disease<\/a> with selenium supplementation [Chen]. \u00a0 I was immediately interested in what Drs. Okuyama and Langsjoen have to say.\u00a0 I had to do a <em>Medline <\/em>search to see what other evidence there is for a link between the taking of statin medications and decreased production of selenoproteins.<\/p>\n<p><strong>Side-effects of statin medications and selenoprotein production<\/strong><br \/>\nRather quickly, I found the published articles by the researchers Moosmann and Behl and Kromer and Moosmann at the Johannes Gutenberg University in Mainz, Germany.<\/p>\n<p>They show how the statin medications reduce the body\u2019s production of cholesterol by <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/15031036\" target=\"_blank\">inhibiting the biological pathway<\/a> in which mevalonic acid and its derivative mevalonate are produced.\u00a0 Mevalonate is necessary for the production of cholesterol.\u00a0 Less mevalonate equals less cholesterol.<\/p>\n<p>However, mevalonate is also needed for the body\u2019s production of isopentenyl pyrophosphate (IPP), and IPP is necessary for the body\u2019s production of the amino acid selenocysteine [Moosmann].<\/p>\n<p><strong>Less selenocysteine = fewer selenoproteins<\/strong><br \/>\nWe know that the selenium that we ingest from food and supplements does not float around in the blood and in the cells in its elemental form.\u00a0 The selenium is incorporated either into the amino acid selenomethionine or into the amino acid selenocysteine.\u00a0 Similarly, selenocysteine does not exist freely in the cells.<\/p>\n<p>Selenocysteine is incorporated into the <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/19627257\" target=\"_blank\">25 known selenoproteins<\/a>.\u00a0 There are some 22,000 proteins in the human body.\u00a0 Only 25 of these proteins are selenoproteins containing selenocysteine.\u00a0 Despite their relative rarity, the selenoproteins are important for many and various functions:<\/p>\n<ul>\n<li>antioxidant function<\/li>\n<li>heart muscle function<\/li>\n<li>skeletal muscle function<\/li>\n<li>immune function<\/li>\n<li>thyroid function<\/li>\n<li>reproductive function<\/li>\n<li>cancer preventive function [Bellinger]<\/li>\n<\/ul>\n<p><strong>Unintended consequence of statin medications<\/strong><br \/>\nIn severely abbreviated form, the statins have the following adverse side-effects related to the production of selenoproteins:<\/p>\n<ul>\n<li>statins block the formation of mevalonate<\/li>\n<li>less mevalonate means less production of selenocysteine<\/li>\n<li>less selenocysteine means fewer selenoproteins formed<\/li>\n<\/ul>\n<p><strong>Inhibition of selenoprotein synthesis even more serious than inhibition of Coenzyme Q10 bio-synthesis?<\/strong><br \/>\nIf the body\u2019s production of Coenzyme Q10 is blocked by the use of statin medications, then it is possible to compensate for this adverse effect of the statin medications by taking a good Coenzyme Q10 supplement with meals [Folkers, Littarru].<\/p>\n<p>In the case of the statin medications\u2019 (unintended) inhibition of the synthesis of selenoproteins, however, the answer is not so easy.\u00a0 Increasing the dosages and frequency of selenium supplementation will not be helpful if the problem is that the body cannot use the selenium to produce the amino acid selenocysteine.<\/p>\n<p>The blocking of the metabolizing of mevalonate by the statin medications effectively deprives the body of the IPP substance that it needs for the development and maturation of selenocysteine.\u00a0 And the selenoproteins need selenocysteine to become selenoproteins [Moosmann].\u00a0 This is a <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/15031036\" target=\"_blank\">serious side-effect of the statin medications<\/a>.<\/p>\n<p><strong>The connection to heart failure?<\/strong><br \/>\nRemember: we are defining heart failure as a disease in which the heart muscle is deprived of energy.\u00a0 Heart failure is characterized by the following adverse events:<\/p>\n<ul>\n<li>low levels of cellular ATP production<\/li>\n<li>increased mitochondrial dysfunction<\/li>\n<li>increased oxidative damage from harmful free radicals<\/li>\n<li>increased endothelial dysfunction<\/li>\n<li>poor calcium handling [Sharma]<\/li>\n<\/ul>\n<p>Heart failure is a disease with a poor prognosis despite the many medical and device therapies available to cardiologists [Mortensen, Sharma].\u00a0 <a href=\"http:\/\/www.q-symbio.com\/what-is-q-symbio\" target=\"_blank\">Adjuvant treatment with Coenzyme Q10 supplements<\/a> &#8212; in addition to conventional heart failure medication &#8212; has been shown to help significantly.<\/p>\n<p>Drs. Okuyama and Langsjoen and their fellow researchers have described the adverse effects of statin medications on Coenzyme Q10 and selenium function in the heart muscle.<\/p>\n<p>They have raised the question whether the epidemic proportions of heart failure in our times might be aggravated by the extensive use of statin medications.\u00a0 They have urged that the guidelines for the use of statins be critically reevaluated.<\/p>\n<p>In the meantime, a randomized controlled trial in which healthy <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4666408\/\" target=\"_blank\">elderly study participants, aged 70 &#8211; 88 years<\/a>, were given 200 micrograms of a high selenium yeast preparation and 200 milligrams of Coenzyme Q10 daily for four years has shown significant benefits for the active treatment group as compared with the placebo group:<\/p>\n<ul>\n<li>reduced heart disease mortality<\/li>\n<li>better heart function shown on echocardiograms<\/li>\n<li>reduced levels of a bio-marker for heart disease<\/li>\n<\/ul>\n<p><strong>Bottom line for us as patients<\/strong><br \/>\nAnyone taking a statin medication should surely talk with his or her cardiologist about the potentially harmful effects of the statin medications on the body\u2019s Coenzyme Q10 status and the body\u2019s glutathione peroxidase status.<\/p>\n<p>Moreover, we should be aware that there seems to be a special inter-relationship between selenium and Coenzyme Q10 such that the two supplements <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/25511910\" target=\"_blank\">taken in combination<\/a> enhance the effect, each of the other.<\/p>\n<p>&nbsp;<\/p>\n<p>Sources<\/p>\n<p>Bellinger, F. P., Raman, A. V., Reeves, M. A., &amp; Berry, M. J. (2009). Regulation and function of selenoproteins in human disease. The Biochemical Journal, 422(1), 11-22.<\/p>\n<p>Chen, J. (2012). An original discovery: selenium deficiency and Keshan disease (an endemic heart disease). Asia Pacific Journal of Clinical Nutrition, 21(3), 320-326.<\/p>\n<p>Folkers, K., Vadhanavikit, S., &amp; Mortensen, S. A. (1985). Biochemical rationale and myocardial tissue data on the effective therapy of cardiomyopathy with coenzyme Q10. Proceedings of The National Academy of Sciences of The United States of America, 82(3), 901-904.<\/p>\n<p>Folkers, K, Langsjoen, P., Willis, R., Richardson, P., Xia, L.J.,\u00a0 Ye, C.Q., &amp; Tamagawa, H.\u00a0 (1990\u201d.\u00a0 Lovastatin decreases coenzyme Q levels in humans. Proceedings of The National Academy of Sciences of The United States of America 87, no. 22: 8931-8934.<\/p>\n<p>Kromer, A., &amp; Moosmann, B. (2009). Statin-induced liver injury involves cross-talk between cholesterol and selenoprotein biosynthetic pathways. Molecular Pharmacology, 75(6), 1421-1429.<\/p>\n<p>Littarru, G. P., &amp; Langsjoen, P. (2007). Coenzyme Q10 and statins: biochemical and clinical implications. Mitochondrion, 7 SupplS168-S174.<\/p>\n<p>McMurray, J. V., Dunselman, P., Wedel, H., Cleland, J. F., Lindberg, M., Hjalmarson, A., &amp; Wikstrand, J. (2010). Coenzyme Q10, rosuvastatin, and clinical outcomes in heart failure: a pre-specified substudy of CORONA (controlled rosuvastatin multinational study in heart failure). Journal of The American College of Cardiology, 56(15), 1196-1204.<\/p>\n<p>Molyneux, S. L., Florkowski, C. M., George, P. M., Pilbrow, A. P., Frampton, C. M., Lever, M., &amp; Richards, A. M. (2008). Coenzyme Q10: an independent predictor of mortality in chronic heart failure. Journal of The American College of Cardiology, 52(18), 1435-1441.<\/p>\n<p>Moosmann, B., &amp; Behl, C. (2004). Selenoproteins, cholesterol-lowering drugs, and the consequences: revisiting of the mevalonate pathway. Trends in Cardiovascular Medicine, 14(7), 273-281.<\/p>\n<p>Moosmann, B., &amp; Behl, C. (2004). Selenoprotein synthesis and side-effects of statins. Lancet (London, England), 363(9412), 892-894.<\/p>\n<p>Mortensen, S. A., Rosenfeldt, F., Kumar, A., Dolliner, P., Filipiak, K. J., Pella, D., &amp; &#8230; Littarru, G. P. (2014). The effect of coenzyme Q10 on morbidity and mortality in chronic heart failure: results from Q-SYMBIO: a randomized double-blind trial. JACC. Heart Failure, 2(6), 641-649.<\/p>\n<p>Sharma, A., Fonarow, G. C., Butler, J., Ezekowitz, J. A., &amp; Felker, G. M. (2016). Coenzyme Q10 and Heart Failure: A State-of-the-Art Review. Circulation. Heart Failure, 9(4), e002639.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Statin medications: good news and bad news?\u00a0 On the one hand, statin medications are effective at reducing cholesterol levels, and, are good, apparently, at reducing the number of deaths from heart attacks.\u00a0\u00a0 On the other hand, we have seen a very considerable rise in the number of cases of chronic heart failure \u2026 in the &hellip; <\/p>\n<p class=\"link-more\"><a href=\"https:\/\/seleniumfacts.com\/index.php\/statin-medications-selenium\" class=\"more-link\">Continue reading<span class=\"screen-reader-text\"> &#8220;Statin medications and selenium&#8221;<\/span><\/a><\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[5,13],"tags":[],"class_list":["post-364","post","type-post","status-publish","format-standard","hentry","category-antioxidant-function","category-cardiovascular-disease"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - 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