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Selenium in Human Health and Disease

Lookup NU author(s): Professor Dianne Ford, Professor John Hesketh

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Abstract

This review covers current knowledge of selenium in the environment, dietary intakes, metabolism and status, functions in the body, thyroid hormone metabolism, antioxidant defense systems and oxidative metabolism, and the immune system. Selenium toxicity and links between deficiency and Keshan disease and Kashin-Beck disease are described. The relationships between selenium intake/status and various health outcomes, in particular gastrointestinal and prostate cancer, cardiovascular disease, diabetes, and male fertility, are reviewed, and recent developments in genetics of selenoproteins are outlined. The rationale behind current dietary reference intakes of selenium is explained, and examples of differences between countries and/or expert bodies are given. Throughout the review, gaps in knowledge and research requirements are identified. More research is needed to improve our understanding of selenium metabolism and requirements for optimal health. Functions of the majority of the selenoproteins await characterization, the mechanism of absorption has yet to be identified, measures of status need to be developed, and effects of genotype on metabolism require further investigation. The relationships between selenium intake/status and health, or risk of disease, are complex but require elucidation to inform clinical practice, to refine dietary recommendations, and to develop effective public health policies. Antioxid. Redox Signal. 14, 1337-1383.


Publication metadata

Author(s): Fairweather-Tait SJ, Bao YP, Broadley MR, Collings R, Ford D, Hesketh JE, Hurst R

Publication type: Review

Publication status: Published

Journal: Antioxidants & Redox Signaling

Year: 2011

Volume: 14

Issue: 7

Pages: 1337-1383

Print publication date: 06/01/2011

ISSN (print): 1523-0864

ISSN (electronic): 1557-7716

Publisher: MARY ANN LIEBERT INC

URL: http://dx.doi.org/10.1089/ars.2010.3275

DOI: 10.1089/ars.2010.3275


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