Abstract
To our knowledge, data on the effects of selenium supplementation on glycemic control and lipid concentrations in patients with diabetic nephropathy (DN) are scarce. The current study was done to determine the effects of selenium supplementation on glycemic control and lipid concentrations in patients with DN. This was a randomized double-blind placebo-controlled clinical trial in which 60 patients with DN were randomly allocated into two groups to receive either 200 μg of selenium supplements (n = 30) or placebo (n = 30) daily for 12 weeks. Blood sampling was performed for the quantification of glycemic indicators and lipid profiles at the onset of the study and after 12 weeks of intervention. Selenium supplementation for 12 weeks resulted in a significant decrease in serum insulin levels (P = 0.01), homeostasis model of assessment-estimated insulin resistance (HOMA-IR) (P = 0.02), homeostasis model of assessment-estimated B cell function (HOMA-B) (P = 0.009) and a significant rise in plasma glutathione peroxidase (GPx) (P = 0.001) compared with the placebo. Taking selenium supplements had no significant effects on fasting plasma glucose (FPG), quantitative insulin sensitivity check index (QUICKI) and lipid profiles compared with the placebo. Overall, our study demonstrated that selenium supplementation for 12 weeks among patients with DN had beneficial effects on plasma GPx, serum insulin levels, HOMA-IR, and HOMA-B, while it did not affect FPG, QUICKI, and lipid profiles.
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28 February 2020
The Editors-in-Chief are currently investigating this article [Bahmani, F., Kia, M., Soleimani, A. et al. Effect of Selenium Supplementation on Glycemic Control and Lipid Profiles in Patients with Diabetic Nephropathy. Biol Trace Elem Res 172, 282–289 (2016). https://doi.org/10.1007/s12011-015-0600-4] as concerns have been raised about integrity of the clinical trial reported here. There is also an ongoing investigation by the Iranian National Committee for Ethics in Biomedical Researches. Further editorial action will be taken as appropriate once the investigation into the concerns is complete and all parties have been given an opportunity to respond in full.
References
Muchova J, Orszaghova Z, Zitnanova I, Trebaticky B, Breza J, Durackova Z (2014) The effect of natural polyphenols on the oxidative stress markers in patients with diabetic nephropathy. Free Radic Biol Med 75(Suppl 1):S42. doi:10.1016/j.freeradbiomed.2014.10.795
Filippone EJ, Gupta A, Farber JL (2014) Normoglycemic diabetic nephropathy: the role of insulin resistance. Case Rep Nephrol Urol 4:137–143
Genuth S (2006) Insights from the diabetes control and complications trial/epidemiology of diabetes interventions and complications study on the use of intensive glycemic treatment to reduce the risk of complications of type 1 diabetes. Endocr Pract 12(Suppl 1):34–41
Bjornstad P, Maahs DM, Cherney DZ et al (2014) Insulin sensitivity is an important determinant of renal health in adolescents with type 2 diabetes. Diabetes Care 37:3033–3039
Sedighi O, Makhlough A, Shokrzadeh M, Hoorshad S (2014) Association between plasma selenium and glutathione peroxidase levels and severity of diabetic nephropathy in patients with type two diabetes mellitus. Nephrourol Mon 6, e21355. doi:10.5812/numonthly.21355, eCollection 2014
Kornhauser C, Garcia-Ramirez JR, Wrobel K, Perez-Luque EL, Garay-Sevilla ME (2008) Serum selenium and glutathione peroxidase concentrations in type 2 diabetes mellitus patients. Prim Care Diabetes 2:81–85
Darmaun D, Smith SD, Sweeten S, Sager BK, Welch S, Mauras N (2005) Evidence for accelerated rates of glutathione utilization and glutathione depletion in adolescents with poorly controlled type 1 diabetes. Diabetes 54:190–196
Hu Y, McIntosh GH, Young GP (2012) Selenium-rich foods: a promising approach to colorectal cancer prevention. Curr Pharm Biotechnol 13:165–172
Kalkan Ucar S, Coker M, Sozmen E, Goksen Simsek D, Darcan S (2010) An association among iron, copper, zinc, and selenium, and antioxidative status in dyslipidemic pediatric patients with glycogen storage disease types IA and III. J Trace Elem Med Biol 24:42–45
Naziroglu M, Yoldas N, Uzgur EN, Kayan M (2013) Role of contrast media on oxidative stress, Ca(2+) signaling and apoptosis in kidney. J Membr Biol 246:91–100
Naziroglu M, Guler M, Ozgul C, Saydam G, Kucukayaz M, Sozbir E (2014) Apple cider vinegar modulates serum lipid profile, erythrocyte, kidney, and liver membrane oxidative stress in ovariectomized mice fed high cholesterol. J Membr Biol 247:667–673
Rayman MP (2012) Selenium and human health. Lancet 379:1256–1268
Karamali M, Nourgostar S, Zamani A, Vahedpoor Z, Asemi Z (2015) The favourable effects of long-term selenium supplementation on regression of cervical tissues and metabolic profiles of patients with cervical intraepithelial neoplasia: a randomised, double-blind, placebo-controlled trial. Br J Nutr 114:2039–2045
Asemi Z, Jamilian M, Mesdaghinia E, Esmaillzadeh A (2015) Effects of selenium supplementation on glucose homeostasis, inflammation, and oxidative stress in gestational diabetes: Randomized, double-blind, placebo-controlled trial. Nutrition 31:1235–1242
Jamilian M, Razavi M, Fakhrie Kashan Z, Ghandi Y, Bagherian T, Asemi Z (2015) Metabolic response to selenium supplementation in women with polycystic ovary syndrome: a randomized, double-blind, placebo-controlled trial. Clin Endocrinol 82:885–891
Kose SA, Naziroglu M (2015) N-acetyl cysteine reduces oxidative toxicity, apoptosis, and calcium entry through TRPV1 channels in the neutrophils of patients with polycystic ovary syndrome. Free Radic Res 49:338–346
Kose SA, Naziroglu M (2014) Selenium reduces oxidative stress and calcium entry through TRPV1 channels in the neutrophils of patients with polycystic ovary syndrome. Biol Trace Elem Res 158:136–142
Dhanya BL, Swathy RP, Indira M (2014) Selenium downregulates oxidative stress-induced activation of leukotriene pathway in experimental rats with diabetic cardiac hypertrophy. Biol Trace Elem Res 161:107–115
Wang C, Yang S, Zhang N et al (2014) Long-term supranutritional supplementation with selenate decreases hyperglycemia and promotes fatty liver degeneration by inducing hyperinsulinemia in diabetic db/db mice. PLoS One 9, e101315. doi:10.1371/journal.pone.0101315, eCollection 2014
Alizadeh M, Safaeiyan A, Ostadrahimi A et al (2012) Effect of L-arginine and selenium added to a hypocaloric diet enriched with legumes on cardiovascular disease risk factors in women with central obesity: a randomized, double-blind, placebo-controlled trial. Ann Nutr Metab 60:157–168
Faghihi T, Radfar M, Barmal M et al (2014) A randomized, placebo-controlled trial of selenium supplementation in patients with type 2 diabetes: effects on glucose homeostasis, oxidative stress, and lipid profile. Am J Ther 21:491–495
Chen H, Qiu Q, Zou C, Dou L, Liang J (2015) Regulation of hepatic carbohydrate metabolism by selenium during diabetes. Chem Biol Interact 232:1–6
Fasano E, Serini S, Mondella N et al (2014) Antioxidant and anti-inflammatory effects of selected natural compounds contained in a dietary supplement on two human immortalized keratinocyte lines. Biomed Res Int 2014:327452. doi:10.1155/2014/327452
Panduru NM, Saraheimo M, Forsblom C et al (2015) Urinary adiponectin is an independent predictor of progression to end-stage renal disease in patients with type 1 diabetes and diabetic nephropathy. Diabetes Care 38:883–890
Pisprasert V, Ingram KH, Lopez-Davila MF, Munoz AJ, Garvey WT (2013) Limitations in the use of indices using glucose and insulin levels to predict insulin sensitivity: impact of race and gender and superiority of the indices derived from oral glucose tolerance test in African Americans. Diabetes Care 36:845–853
Joven MH, Anderson RJ (2015) Update on blood pressure control and renal outcomes in diabetes mellitus. Curr Diab Rep 15:44. doi:10.1007/s11892-015-0613-6
Campbell SC, Aldibbiat A, Marriott CE et al (2008) Selenium stimulates pancreatic beta-cell gene expression and enhances islet function. FEBS Lett 582:2333–2337
De Cosmo S, Menzaghi C, Prudente S, Trischitta V (2013) Role of insulin resistance in kidney dysfunction: insights into the mechanism and epidemiological evidence. Nephrol Dial Transplant 28:29–36
Mima A (2013) Inflammation and oxidative stress in diabetic nephropathy: new insights on its inhibition as new therapeutic targets. J Diabetes Res 2013:248563
Antoniades C, Tousoulis D, Marinou K et al (2007) Effects of insulin dependence on inflammatory process, thrombotic mechanisms and endothelial function, in patients with type 2 diabetes mellitus and coronary atherosclerosis. Clin Cardiol 30:295–300
Ye SD, Zheng M, Zhao LL et al (2009) Intensive insulin therapy decreases urinary MCP-1 and ICAM-1 excretions in incipient diabetic nephropathy. Eur J Clin Investig 39:980–985
Brigelius-Flohe R, Banning A, Kny M, Bol GF (2004) Redox events in interleukin-1 signaling. Arch Biochem Biophys 423:66–73
Rees K, Hartley L, Day C, Flowers N, Clarke A, Stranges S (2013) Selenium supplementation for the primary prevention of cardiovascular disease. Cochrane Database Syst Rev 1, CD009671. doi:10.1002/14651858.CD009671.pub2
Zhang L, Gail MH, Wang YQ et al (2006) A randomized factorial study of the effects of long-term garlic and micronutrient supplementation and of 2-wk antibiotic treatment for helicobacter pylori infection on serum cholesterol and lipoproteins. Am J Clin Nutr 84:912–919
Krauss RM (2004) Lipids and lipoproteins in patients with type 2 diabetes. Diabetes Care 27:1496–1504
Tseng CH, Tseng CP, Chong CK, Cheng JC, Tai TY (2006) Independent association between triglycerides and coronary artery disease in Taiwanese type 2 diabetic patients. Int J Cardiol 111:80–85
Bos G, Dekker JM, Nijpels G et al (2003) A combination of high concentrations of serum triglyceride and non-high-density-lipoprotein-cholesterol is a risk factor for cardiovascular disease in subjects with abnormal glucose metabolism--the Hoorn study. Diabetologia 46:910–916
Acknowledgments
The present study was supported by a grant from the Vice-chancellor for Research, KUMS, and Iran.
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ZA contributed in conception, data collection, and manuscript drafting. FB, MK, AS, and AE contributed in conception, data collection, and manuscript drafting. All authors read and approved the final version of the paper.
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Bahmani, F., Kia, M., Soleimani, A. et al. Effect of Selenium Supplementation on Glycemic Control and Lipid Profiles in Patients with Diabetic Nephropathy. Biol Trace Elem Res 172, 282–289 (2016). https://doi.org/10.1007/s12011-015-0600-4
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DOI: https://doi.org/10.1007/s12011-015-0600-4