{"id":4046,"date":"2026-07-15T08:40:42","date_gmt":"2026-07-15T08:40:42","guid":{"rendered":"https:\/\/seleniumfacts.com\/?p=4046"},"modified":"2026-07-01T10:36:41","modified_gmt":"2026-07-01T10:36:41","slug":"selenium-and-inflammation-in-coronary-artery-disease","status":"publish","type":"post","link":"https:\/\/seleniumfacts.com\/index.php\/selenium-and-inflammation-in-coronary-artery-disease","title":{"rendered":"Selenium and Inflammation in Coronary Artery Disease"},"content":{"rendered":"<h5>Does selenium status affect biomarkers of inflammation in patients with coronary artery disease?<\/h5>\n<figure id=\"attachment_4050\" aria-describedby=\"caption-attachment-4050\" style=\"width: 300px\" class=\"wp-caption alignright\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-4050 size-medium\" title=\"Heart disease\" src=\"https:\/\/seleniumfacts.com\/wp-content\/uploads\/2026\/07\/Heart-disease-300x225.png\" alt=\"Coronary artery disease\" width=\"300\" height=\"225\" srcset=\"https:\/\/seleniumfacts.com\/wp-content\/uploads\/2026\/07\/Heart-disease-300x225.png 300w, https:\/\/seleniumfacts.com\/wp-content\/uploads\/2026\/07\/Heart-disease.png 640w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-4050\" class=\"wp-caption-text\"><strong>In patients with coronary artery disease, low selenium intakes and status are associated in elevated levels of inflammation in the blood circulation and in heart adipose tissue.<\/strong><\/figcaption><\/figure>\n<p><strong>In a 2026 Norwegian study, researchers examined and compared epicardial adipose tissue biopsies from two groups of heart disease patients [Opstad 2026]:<\/strong><\/p>\n<ul>\n<li>Coronary artery disease patients undergoing coronary artery bypass grafting (n = 52)<\/li>\n<li>Heart valve disease patients receiving valve replacement (n = 22)<\/li>\n<li>The heart valve disease patients had lower vulnerability to elevated inflammation levels. As such, they served as a control group to the group of coronary artery disease patients.<\/li>\n<\/ul>\n<p>The research team obtained the epicardial adipose tissue biopsies during <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/42351993\/\" target=\"_blank\" rel=\"noopener\">open-chest heart surgery<\/a>. They measured selenium concentrations in the blood circulation and in the epicardial adipose tissue of the heart disease patients.<\/p>\n<h6>Epicardium and epicardial adipose tissue<\/h6>\n<p>Note: What is the epicardium?<\/p>\n<p>The Cleveland Clinic explains that <a href=\"https:\/\/my.clevelandclinic.org\/health\/body\/epicardium\" target=\"_blank\" rel=\"noopener\">the epicardium<\/a> is the outer layer of the heart muscle and the inner layer of the pericardium that surrounds the heart. A layer of fat (= adipose tissue) separates the epicardium from the heart muscle. The epicardium protects the heart and helps the heart function [Cleveland Clinic staff 2025].<\/p>\n<h6>Selenium concentrations and levels of inflammation<\/h6>\n<p>Do lower selenium concentrations indicate higher levels of inflammation?<\/p>\n<p>The results of the Norwegian study showed the following associations [Opstad 2026]:<\/p>\n<ul>\n<li>Selenium concentrations were lower in patients with coronary artery disease than in the control heart valve patients.<\/li>\n<li>In the patients with coronary artery disease, serum selenium concentrations correlated inversely with levels of the central inflammation biomarkers IL-6 and hs-CRP.<\/li>\n<li>Higher selenium concentrations, i.e., selenium levels above the median linked to lower epicardial adipose tissue expression of CASP1 and NLRP3 and to reduced IL-6 levels.<\/li>\n<\/ul>\n<h6>Note: What are CASP1 and NLPR3?<\/h6>\n<p>CASP1 is an enzyme that triggers inflammation and fights infections. NLPR3 also triggers inflammation and releases pro-inflammatory cytokines.<\/p>\n<h5>Selenium and Selenoproteins in Epicardial Adipose Tissue<\/h5>\n<p>The Norwegian researchers\u2019 analysis of publicly available RNA sequencing data showed the presence of the following antioxidant selenoproteins in patients\u2019 epicardial adipose tissue [Opstad 2026]:<\/p>\n<ul>\n<li>GPX1<\/li>\n<li>GPX3<\/li>\n<li>GPX4<\/li>\n<li>SELENOP<\/li>\n<\/ul>\n<p>Thus, the lower selenium concentrations in patients with coronary artery disease suggests the following conclusions [Opstad 2026]:<\/p>\n<ul>\n<li>Selenium status in coronary artery disease is linked to elevated systemic inflammation and to elevated epicardial adipose tissue inflammation.<\/li>\n<li>There seems to be a role for selenoprotein-dependent antioxidant mechanisms in regulating cardiac adipose tissue inflammation.<\/li>\n<\/ul>\n<h5>Selenium supplementation and inflammation levels<\/h5>\n<figure id=\"attachment_3638\" aria-describedby=\"caption-attachment-3638\" style=\"width: 148px\" class=\"wp-caption alignright\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-3638 size-full\" title=\"Alehagen from Alex\" src=\"https:\/\/seleniumfacts.com\/wp-content\/uploads\/2025\/02\/Alehagen-from-Alex.png\" alt=\"Prof Urban Alehagen\" width=\"148\" height=\"192\" \/><figcaption id=\"caption-attachment-3638\" class=\"wp-caption-text\"><strong>Prof Urban Alehagen: Daily selenium supplements reduce blood concentrations of inflammation biomarkers.<\/strong><\/figcaption><\/figure>\n<p>Analysis of data from the <a href=\"https:\/\/www.q10facts.com\/the-kisel-10-study-a-new-pillar-in-coq10-heart-health-research-old\/\" target=\"_blank\" rel=\"noopener\">KiSel-10 randomized controlled trial<\/a> suggests that long-term supplementation with selenium plus Coenzyme Q10 in an elderly population with low selenium status is associated with a broad reduction in biomarkers linked to chronic low-grade inflammation [Alehagen 2015; Alehagen 2019; Alehagen 2022]:<\/p>\n<ul>\n<li>Lower hs-CRP<\/li>\n<li>Lower soluble P-selectin<br \/>\nLower sTNFR1 and sTNFR2<\/li>\n<li>Lower osteopontin and osteoprotegerin<\/li>\n<\/ul>\n<h5>Conclusion: Selenium and Inflammation in Heart Disease<\/h5>\n<p>Patients with coronary artery disease had lower serum selenium concentrations and lower epicardial selenium levels.<\/p>\n<p>The lower serum selenium concentrations were associated with increased systemic inflammation and elevated inflammation in epicardial adipose tissue.<\/p>\n<p>Thus, lower selenium intakes and lower selenium status may impair selenoprotein-dependent antioxidant defense.<\/p>\n<p>Elevated inflammation in tissue near the heart muscle and the coronary arteries may contribute to adverse cardiac remodeling and atherosclerosis progression [Opstad 2026].<\/p>\n<h5>Sources<\/h5>\n<p>Alehagen U et al. Levels of sP-selectin and hs-CRP decrease with dietary intervention with selenium and coenzyme Q10 combined: a secondary analysis of a randomized clinical trial. PLoS One. 2015;10(9):e0137680.<\/p>\n<p>Alehagen U et al. Decrease in inflammatory biomarker concentration by intervention with selenium and coenzyme Q10: a sub-analysis of osteopontin, osteoprotergerin, TNFr1, TNFr2 and TWEAK. J Inflamm (Lond). 2019 Mar 18;16:5.<\/p>\n<p>Alehagen U et al. Improved cardiovascular health by supplementation with selenium and coenzyme Q10: applying structural equation modelling (SEM) to clinical outcomes and biomarkers to explore underlying mechanisms in a prospective randomized double-blind placebo-controlled intervention project in Sweden. Eur J Nutr. 2022;61:3135-3148.<\/p>\n<p>Cleveland Clinic staff. Epicardium. Updated 6 Nov 2025. Retrieved from https:\/\/my.clevelandclinic.org\/health\/body\/epicardium.<\/p>\n<p>Opstad TB et al. Selenium status is associated with inflammation in epicardial adipose tissue in elderly patients with coronary artery disease. Antioxidants. 2026;15(6):687.<\/p>\n<p>The information presented in this review article is not medical advice. Readers should not use it as medical advice.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Does selenium status affect biomarkers of inflammation in patients with coronary artery disease? In a 2026 Norwegian study, researchers examined and compared epicardial adipose tissue biopsies from two groups of heart disease patients [Opstad 2026]: Coronary artery disease patients undergoing coronary artery bypass grafting (n = 52) Heart valve disease patients receiving valve replacement (n &hellip; <\/p>\n<p class=\"link-more\"><a href=\"https:\/\/seleniumfacts.com\/index.php\/selenium-and-inflammation-in-coronary-artery-disease\" class=\"more-link\">Continue reading<span class=\"screen-reader-text\"> &#8220;Selenium and Inflammation in Coronary Artery Disease&#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":[13],"tags":[270,59,35,73],"class_list":["post-4046","post","type-post","status-publish","format-standard","hentry","category-cardiovascular-disease","tag-coronary-artery-disease","tag-heart-disease","tag-selenium","tag-selenoproteins"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.0 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Coronary artery disease patients have low selenium in heart tissue<\/title>\n<meta name=\"description\" content=\"Coronary artery disease patients have low selenium concentrations in blood and heart tissue resulting in elevated inflammation levels\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" 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