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Journal ArticleDOI

Selenium, Selenoproteins and Viral Infection

04 Sep 2019-Nutrients (Nutrients)-Vol. 11, Iss: 9, pp 2101
TL;DR: The formal identification of viral selenoproteins in the genome of molluscum contagiosum and fowlpox viruses demonstrated the importance of selenocsteine in viral cycle.
Abstract: Reactive oxygen species (ROS) are frequently produced during viral infections. Generation of these ROS can be both beneficial and detrimental for many cellular functions. When overwhelming the antioxidant defense system, the excess of ROS induces oxidative stress. Viral infections lead to diseases characterized by a broad spectrum of clinical symptoms, with oxidative stress being one of their hallmarks. In many cases, ROS can, in turn, enhance viral replication leading to an amplification loop. Another important parameter for viral replication and pathogenicity is the nutritional status of the host. Viral infection simultaneously increases the demand for micronutrients and causes their loss, which leads to a deficiency that can be compensated by micronutrient supplementation. Among the nutrients implicated in viral infection, selenium (Se) has an important role in antioxidant defense, redox signaling and redox homeostasis. Most of biological activities of selenium is performed through its incorporation as a rare amino acid selenocysteine in the essential family of selenoproteins. Selenium deficiency, which is the main regulator of selenoprotein expression, has been associated with the pathogenicity of several viruses. In addition, several selenoprotein members, including glutathione peroxidases (GPX), thioredoxin reductases (TXNRD) seemed important in different models of viral replication. Finally, the formal identification of viral selenoproteins in the genome of molluscum contagiosum and fowlpox viruses demonstrated the importance of selenoproteins in viral cycle.
Citations
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Journal ArticleDOI
TL;DR: It is suggested that all the potential interventions be implemented to control the emerging COVID‐19 if the infection is uncontrollable and the current children's RNA‐virus vaccines including influenza vaccine should be immunized for uninfected people and health care workers.
Abstract: An outbreak of a novel coronavirus (COVID-19 or 2019-CoV) infection has posed significant threats to international health and the economy. In the absence of treatment for this virus, there is an urgent need to find alternative methods to control the spread of disease. Here, we have conducted an online search for all treatment options related to coronavirus infections as well as some RNA-virus infection and we have found that general treatments, coronavirus-specific treatments, and antiviral treatments should be useful in fighting COVID-19. We suggest that the nutritional status of each infected patient should be evaluated before the administration of general treatments and the current children's RNA-virus vaccines including influenza vaccine should be immunized for uninfected people and health care workers. In addition, convalescent plasma should be given to COVID-19 patients if it is available. In conclusion, we suggest that all the potential interventions be implemented to control the emerging COVID-19 if the infection is uncontrollable.

1,009 citations


Cites background from "Selenium, Selenoproteins and Viral ..."

  • ...have believed that an impaired immune response is due to the deficiency of a particular nutritional element.(10) Vitamin A deficiency is strongly involved in measles and diarrhea(11) and measles can become severe in vitamin A‐deficient children....

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  • ...benign or mildly pathogenic virus can become highly virulent in the deficient host under oxidative stress.(10) Deficiency in selenium also...

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  • ...ciency impacts not only the immune response but also the viral pathogen itself.(10) Dietary selenium deficiency that causes oxidative stress in the host can alter a viral genome so that a normally...

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Journal ArticleDOI
20 May 2020
TL;DR: It would seem prudent for individuals to consume sufficient amounts of essential nutrients to support their immune system to help them deal with pathogens should they become infected.
Abstract: The immune system protects the host from pathogenic organisms (bacteria, viruses, fungi, parasites). To deal with this array of threats, the immune system has evolved to include a myriad of specialised cell types, communicating molecules and functional responses. The immune system is always active, carrying out surveillance, but its activity is enhanced if an individual becomes infected. This heightened activity is accompanied by an increased rate of metabolism, requiring energy sources, substrates for biosynthesis and regulatory molecules, which are all ultimately derived from the diet. A number of vitamins (A, B6, B12, folate, C, D and E) and trace elements (zinc, copper, selenium, iron) have been demonstrated to have key roles in supporting the human immune system and reducing risk of infections. Other essential nutrients including other vitamins and trace elements, amino acids and fatty acids are also important. Each of the nutrients named above has roles in supporting antibacterial and antiviral defence, but zinc and selenium seem to be particularly important for the latter. It would seem prudent for individuals to consume sufficient amounts of essential nutrients to support their immune system to help them deal with pathogens should they become infected. The gut microbiota plays a role in educating and regulating the immune system. Gut dysbiosis is a feature of disease including many infectious diseases and has been described in COVID-19. Dietary approaches to achieve a healthy microbiota can also benefit the immune system. Severe infection of the respiratory epithelium can lead to acute respiratory distress syndrome (ARDS), characterised by excessive and damaging host inflammation, termed a cytokine storm. This is seen in cases of severe COVID-19. There is evidence from ARDS in other settings that the cytokine storm can be controlled by n-3 fatty acids, possibly through their metabolism to specialised pro-resolving mediators.

282 citations

Journal ArticleDOI
TL;DR: Findings shed light on a human selenium-deficiency disease, a cardiomyopathy known as Keshan disease, named after the area in northeast China where it was endemic, which showed a seasonal variation, suggesting a viral cofactor that was later identified as coxsackievirus B3.

270 citations


Cites background from "Selenium, Selenoproteins and Viral ..."

  • ...Such viral mechanisms could contribute to the well-documented oxidative stress associated with many RNA virus infections (2, 5, 6, 14, 15); increased viral replication (hence increased mutation rate); and observed higher pathogenicity or mortality under selenium deficiency, as reported here for SARSCoV-2....

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  • ...Indeed, multiple cellular and viral mechanisms involving selenium and selenoproteins could influence viral pathogenicity, including virally encoded selenium-dependent glutathione peroxidases [reviewed in (14, 15)]....

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Journal ArticleDOI
TL;DR: The careful individual assessment for the possible dietary, nutritional, medical, lifestyle, and environmental risks, together with the proper relevant risk management strategies, is the sensible way to deal with the pandemic of SARS-CoV-II.

240 citations

Journal ArticleDOI
TL;DR: It is concluded that Se status analysis in COVID patients provides diagnostic information and strengthens the notion of a relevant role of Se for COVID convalescence and support the discussion on adjuvant Se supplementation in severely diseased and Se-deficient patients.
Abstract: SARS-CoV-2 infections underlie the current coronavirus disease (COVID-19) pandemic and are causative for a high death toll particularly among elderly subjects and those with comorbidities. Selenium (Se) is an essential trace element of high importance for human health and particularly for a well-balanced immune response. The mortality risk from a severe disease like sepsis or polytrauma is inversely related to Se status. We hypothesized that this relation also applies to COVID-19. Serum samples (n = 166) from COVID-19 patients (n = 33) were collected consecutively and analyzed for total Se by X-ray fluorescence and selenoprotein P (SELENOP) by a validated ELISA. Both biomarkers showed the expected strong correlation (r = 0.7758, p < 0.001), pointing to an insufficient Se availability for optimal selenoprotein expression. In comparison with reference data from a European cross-sectional analysis (EPIC, n = 1915), the patients showed a pronounced deficit in total serum Se (mean ± SD, 50.8 ± 15.7 vs. 84.4 ± 23.4 µg/L) and SELENOP (3.0 ± 1.4 vs. 4.3 ± 1.0 mg/L) concentrations. A Se status below the 2.5th percentile of the reference population, i.e., [Se] < 45.7 µg/L and [SELENOP] < 2.56 mg/L, was present in 43.4% and 39.2% of COVID samples, respectively. The Se status was significantly higher in samples from surviving COVID patients as compared with non-survivors (Se; 53.3 ± 16.2 vs. 40.8 ± 8.1 µg/L, SELENOP; 3.3 ± 1.3 vs. 2.1 ± 0.9 mg/L), recovering with time in survivors while remaining low or even declining in non-survivors. We conclude that Se status analysis in COVID patients provides diagnostic information. However, causality remains unknown due to the observational nature of this study. Nevertheless, the findings strengthen the notion of a relevant role of Se for COVID convalescence and support the discussion on adjuvant Se supplementation in severely diseased and Se-deficient patients.

232 citations


Cites background from "Selenium, Selenoproteins and Viral ..."

  • ...Firstly, Se status may already have been relatively low in the patients before disease, constituting a risk factor for viral infection as shown previously for other diseases [11,12]....

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  • ...infections, spread, and virulence development [11,12,42], but also to reduce the individual risk for cardiovascular mortality [44–47], cancer [21,48,49], and death from severe disease [10,14,39]....

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  • ...spread, and virulence development [11,12,42], but also to reduce the individual risk for cardiovascular mortality [44–47], cancer [21,48,49], and death from severe disease [10,14,39]....

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  • ...Se deficiency is an established risk factor for viral infections [11]....

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References
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Journal ArticleDOI
TL;DR: The recent declines in morbidity and mortality due to AIDS are attributable to the use of more intensive antiretroviral therapies.
Abstract: Background and Methods National surveillance data show recent, marked reductions in morbidity and mortality associated with the acquired immunodeficiency syndrome (AIDS). To evaluate these declines, we analyzed data on 1255 patients, each of whom had at least one CD4+ count below 100 cells per cubic millimeter, who were seen at nine clinics specializing in the treatment of human immunodeficiency virus (HIV) infection in eight U.S. cities from January 1994 through June 1997. Results Mortality among the patients declined from 29.4 per 100 person-years in 1995 to 8.8 per 100 person-years in the second quarter of 1997. There were reductions in mortality regardless of sex, race, age, and risk factors for transmission of HIV. The incidence of any of three major opportunistic infections (Pneumocystis carinii pneumonia, Mycobacterium avium complex disease, and cytomegalovirus retinitis) declined from 21.9 per 100 person-years in 1994 to 3.7 per 100 person-years by mid-1997. In a failure-rate model, increases in t...

9,116 citations

Journal ArticleDOI
TL;DR: A study was conducted to evaluate the impact of protease inhibitors on the rates of selected opportunistic processes and mortality in patients with AIDS and found similar results.
Abstract: To the Editor: Palella et al. (March 26 issue)1 reported that the use of more intensive antiretroviral therapies is responsible for declines in both morbidity and mortality in patients with AIDS. We conducted a study to evaluate the impact of protease inhibitors on the rates of selected opportunistic processes and mortality and found similar results. Our study population came from a public human immunodeficiency virus (HIV) outpatient clinic in New Orleans. All subjects and data were from the Adult Spectrum of Disease study, a prospective study funded by the Centers for Disease Control and Prevention examining the natural history of . . .

4,921 citations


"Selenium, Selenoproteins and Viral ..." refers background in this paper

  • ...Note that these experiments were performed before the emergence of the HAART....

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  • ...Group GenomeStructure Virus Family Virus Epidemiological Study Epidemiological Intervention In Vitro Study In Vivo Study Viral Selenoprot V Negativesense single- stranded RNA Orthomyxoviridae Avian influenza (H9N2) SS sodium enriched yeast or sodium selenite ↓ viral shedding ↑ ISG expression and IFN [198] Avian Influenza A/duck/ Novosibirst56/05 (H5N1) CT = RK, BHK21 and Vero E6 cells SS = nutrient mixture containing selenium ↓ viral replication in late stages [199] Paramyxoviridae Parainfluenza-3 (PI3) SS = sodium selenite ↑ GPX activity after infection in Se group ↑ IgM after infection in Se group antibody titer after infection in Se group [200] Human metapneumovirus (HMPV) ↓ Se in infected people [193] Measles virus (MV) [183] VI Singlestranded RNA with a DNA intermediate Retroviridae Human immuno-deficiency virus 1 (HIV-1) ↓ Se in infected people [153,187,201–212] No significant variation of Se level in infected people [213–215] Low selenium level associated with low CD4 count [153,203,206,207,211] Low selenium level associated with a higher progression to AIDS [201–204,206] Low selenium level associated with vaginal shedding of HIV [216] High selenium level associated with vaginal shedding of HIV [217] No significant variation of Se level in infected people treated with HAART [218] More skin desease in Se deficient HIV infected people [211] No change in viral load SS = selenized yeast [137,139] SS = selenomethionine [219] SS = Sodium selenite [220] SS = not indicated [138,221] ↑ in CD4 count in Se group SS = selenized yeast yeast [137,139] SS = Sodium selenite [220] SS = not indicated [138,221] No change in CD4 count SS = selenomethionine [219,222] SS = not indicated [223] ↑ of viral shedding in Se group SS = selenomethionine [224] SS = not indicated [221] Se supplementation improves child survival if the mother is infected SS = selenomethionine [219] Se supplementation decreases diarrheal morbidity SS = selenomethionine [225] CT = Jurkat and HeLa cells Infection or TAT expression ↓ some selenoproteins but ↑ low molecular mass selenocompounds [142,226] CT = ACH2, Jurkat, ESb-L, KK1, U1 cells and monocytes SS = selenite Prevents HIV transcription by TNF alpha mediated NFkappaB activiation in chronically infected cells [227–229] CT = SupT1 GPX1 overexpression ↑ viral replication and cytopathic effects and inversely [230] CT = U937, monocytes derived macrophages TXNRD1 negatively regulates TAT activity by targeting disulfides bonds [231] In patients, a polymorphism a SELENOF is associated with a shorter time of progression to AIDS [232] [195,233, 234] Nutrients 2019, 11, 2101 17 of 33 Table 1....

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  • ...No vaccine is available until now, but an effective medication in decreasing the viral load and increasing the number of CD4 T-lymphocytes has been developed and is referred to highly active antiretroviral therapy (HAART) [128]....

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Journal ArticleDOI
TL;DR: It is argued that modulating the unique redox regulatory mechanisms of cancer cells might be an effective strategy to eliminate these cells.
Abstract: Increased generation of reactive oxygen species (ROS) and an altered redox status have long been observed in cancer cells, and recent studies suggest that this biochemical property of cancer cells can be exploited for therapeutic benefits. Cancer cells in advanced stage tumours frequently exhibit multiple genetic alterations and high oxidative stress, suggesting that it might be possible to preferentially eliminate these cells by pharmacological ROS insults. However, the upregulation of antioxidant capacity in adaptation to intrinsic oxidative stress in cancer cells can confer drug resistance. Abrogation of such drug-resistant mechanisms by redox modulation could have significant therapeutic implications. We argue that modulating the unique redox regulatory mechanisms of cancer cells might be an effective strategy to eliminate these cells.

4,369 citations


"Selenium, Selenoproteins and Viral ..." refers background in this paper

  • ...Oxidative stress leads to direct or indirect ROS-mediated damage of nucleic acids, proteins, and lipids, and this phenomenon has been implicated in many pathological conditions including carcinogenesis [36], neurodegeneration [37,38], atherosclerosis, diabetes [39], and aging [40]....

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Journal ArticleDOI
TL;DR: This review focuses on the molecular mechanisms through which ROS directly interact with critical signaling molecules to initiate signaling in a broad variety of cellular processes, such as proliferation and survival, ROS homeostasis and antioxidant gene regulation, mitochondrial oxidative stress, apoptosis, and aging.

3,372 citations


"Selenium, Selenoproteins and Viral ..." refers background in this paper

  • ...ROS can also arise from exogenous sources including drugs, xenobiotics, metals, radiation, smocking and infection [35]....

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Journal ArticleDOI
TL;DR: Selenium is needed for the proper functioning of the immune system, and appears to be a key nutrient in counteracting the development of virulence and inhibiting HIV progression to AIDS.

3,359 citations