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Selenium	metabolism	and	its	clinical	significance
Dr.	RohiniC	Sane
Brazil	nuts
DIETARY		SOURCES	OF	SELENIUM
Selenium	metabolism
• Stimulant	of	Growth
• Requirement	:	50-100	microgram	/day
• Normal	serum	Selenium	level:
63-160	micrograms/L	(adults	)and	16-71(	<2yrs	of	age	)
Selenium	dependent	enzymes	 Site	of	enzyme	
Glutathione	peroxidase	 Human	(RBC)
Formate	dehydrogenase	 E.	Coli
Glycine	reductase Clostridium
RDA	for	Selenium
Functions of Selenium	
1.Synthesis	of	T₃	from	T₄	: T	₄										T₃			Deiodinase +	Selenium			(	selenium	
deficiency	-Hypothyroidism)	
2.	Prevent	liver	cirrhosis	,muscular	dystrophy	
3.	Selenium	essential	for	development	of	spermatozoa	(	middle	piece	)
4.	Seleno –Cysteine	required	for	termination	of	protein	biosynthesis	
5.	Anti	oxidant	(	vitamin	E	decreases	seleniu requirement	)à prevents	lipid	peroxidationà maintains	cell	
membrane	integrity	)
6.	Selenium		Prevents	carcinogenesis	(	binds	Mercury,	cadmium	prevents	toxic	effect	)	
7.prevents		Keshan’s disease	à multifocal	myocardial	infarction	,	cardiac	enlargement
Selenium	functions	as	an	Antioxidant
Selenium	functions	as	an	Antioxidant
Selenium	Metabolism
Site	of	absorption	of	Selenium	in	human	body
Selenosis :Selenium	Toxicity
qSelenosis :dietary	intake	>	900	micrograms/day
• Causes :	metal	polishes	&	anti	rust	compounds	
• Symptoms :	hair	loss	,falling	of	nails	,weight	loss	,diarrhea	,Garlic	odor	
methylation	(	Adenosyl	Methionine	)
H+Se Hydrogen	Se														Dimethyl	Selenide
vManagement of Selenosis with Halogenated Hydroselenium
Effects	of	Selenosis in	human	body
Functions	of	Selenocysteine
Keshan Disease	associated	with	Selenium	deficiency
Keshan Disease	associated	with	Selenium	deficiency
Selenium metabolism and its clinical significance

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