Selenium

By Dr. Alice R. Laule

A few weeks ago, friends of mine who are biomedical researchers e-mailed me an article they were preparing for publication concerning selenium. I was already considering that as a topic for this month’s letter, and some of the facts they e-mailed me helped me make my decision.

            Selenium is a powerful little micronutrient. One of its vital roles is in the production of the anti-oxidant, glutathione reductasse. Watch for a future article on the anti-oxidant cascade and the importance of glutathione. We do not thrive without it, as you will see below. Additionally, selenium is necessary for the conversion of the thyroid hormone T4 into its metabolically active form, T3. When a patient seems to be clinically hypothyroid, sometimes all that is needed is selenium. There are also numerous studies that indicate selenium is useful in preventing some types of cancer, and in treating viral illness. It is also found in dandruff shampoos. As a co-factor with vitamin E it is anti-inflammatory and may even help prevent Alzheimer’s disease. Selenium is incorporated into immune cells, and is involved in blood clotting.

            Selenium in many of its forms is toxic, and its need in human nutrition was only realized in the last part of the 20th century. Selenium deficiency is common, particularly where the soils are depleted. In 1972, the USDA estimated that 75% of Americans were selenium deficient. Only in a region around the Dakotas is there sufficient selenium. Elsewhere, ranchers know that their sheep, cattle and horses need to be fed supplemental selenium in mineral blocks. We are just now beginning to realize that humans have the same need.

            My friends, the biomedical researchers, were particularly interested in the work of Dr. Harold Foster, a medical geographer. By studying the distribution of disease as related to geography, Dr. Foster has discovered some fascinating information. Most of the sub-Saharan countries have an incidence of AIDS as high as 25%. Senegal, however, has only a 1-2% incidence. This coincides with the fact that Senegal is the only country in the area that has adequate selenium in the soil. This makes sense, in the light of other studies available on AIDS and selenium showing that HIV (and other retroviruses) actually deplete the selenium stores of the body, which then cannot produce glutathione. The decline in selenium parallels the decline of the CD4 cells of the immune system, allowing free rein for the virus to replicate more vigorously, promoting the downward spiral and deadliness of AIDS.

            You see, glutathione is a reverse transcriptase inhibitor — it reduces the

ability of the virus to reproduce itself. Glutathione  production  requires selenium, and three amino acids, tryptophan, cysteine and glutamine.  By supplementing selenium and the three amino acids to increase glutathione lives may be prolonged. Dr. Foster has written about a double blind clinical study in Uganda using these supplements in which the results are apparently very good.

             Dr. Will Taylor has spent decades researching selenium as an inhibitor of viral replication. Initially, he discovered  the presence of selenium receptors on the protein coat of viruses. For those who need a review of viral anatomy, a virus is a pretty simple organism. It consists of a wad of genetic material (DNA or RNA), enclosed in an outer protein coat, and equipped with a syringe-like mechanism that allows the virus to inject itself into a host cell. That’s it — just that simple. About a decade ago, Dr. Taylor spoke of an unknown mechanism by which selenium acted as a “birth control pill” for the virus so that in the presence of selenium, the viruses did not reproduce. In reviewing his work recently, I discover that the mechanism is still not proven. It appears to be a very complex gene-related mechanism, by which the virus codes for production of a selenium containing protein, sort of like a viral form of glutathione peroxidase. Since viral replication is triggered by the presence of a lot of free radicals, perhaps the presence of its own glutathione reduces free radicals and signals the virus to stay latent, fail to reproduce. Whatever the exact mechanism, many viruses do this — the Ebola virus, Coxsackie viruses, even possibly influenza and herpes.

            In fact, Dr. Taylor reports an experiment in  which the same strain of

Coxsackie  virus was inoculated into two groups of mice. One group of mice had lots of selenium and the other group had been purposefully selenium depleted. The mice with plenty of selenium did not get infected, but the selenium depleted ones did. The scary thing then is this: when virus was recovered from the selenium depleted mice it had evidently turned into a much worse virus. When it was transferred back to the mice that didn’t get infected the first time around, they were not able to fight off this new, more virulent virus, and they got sick.

            If there are as many selenium depleted individuals in the world as some studies indicate, this becomes fairly scary news. Fortunately, there are also plenty of studies  that indicate even in the face of severe viral epidemics, treatment with selenium can be helpful. There is a viral disease called Keshan’s disease which causes heart failure in young people in a region of China. It has been successfully treated and prevented with selenium supplementation. An outbreak of hemorrhagic fever in China in the late 1980’s was treated and lives were saved with selenium supplementation. Selenium is quickly becoming more than just a supplement of some nutritional value — it is actually becoming a public health consideration.

            Dr. Taylor states that selenium is probably also important in gene regulation, in cell signaling (the way our cells talk to one another), in rheumatoid disease, and other aspects of immune system regulation that we have only barely glimpsed at this time.

             I hope I haven’t overwhelmed you with too much scientific terminology, but I find selenium fascinating. There’s actually a whole lot more I did not include. I recommend 50-200 mcg. daily for everyone. It’s just one more way to —

Stay healthy —  Alice R. Laule, M.D.

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