Selenium levels in colorectal cancer : A systematic review and meta-analysis of serum, plasma, and colorectal specimens

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BACKGROUND: Colorectal cancer (CRC) is a growing public health problem. Several clinical studies have shown a potentially protective effect of selenium (Se), but the reports are inconsistent. The objective of the study was to examine the evidence for relation between serum/tissue Se status and CRC.

METHOD AND MATERIALS: In this Systematic Review and Meta-Analysis, we searched Cochrane Library, EBSCOhost, EMBASE, ProQuest, PubMed/MEDLINE, Scopus, and Web of Science for studies reporting serum/plasma/whole blood/tissue Se concentrations in CRC patients and controls for articles published till August 2023. Meta-analysis was performed, and study quality, heterogeneity, and small study effects were assessed. Based on a random effects model, summary mean differences in serum levels of Se between CRC patients and healthy controls, and Se levels between malignant and matched non-malignant tissue specimens were assessed.

RESULTS: After initial screening, a total of 24 studies (18 serum and 6 tissue studies) with a pooled total of 2640 participants were included in the meta-analysis. CRC patients had significantly lower serum Se levels than healthy controls, being the difference between the two equal to 3.73 µg/dl (95% CI: 6.85-0.61). However, the heterogeneity was very high, I2= 99% (p < 0.01). Our meta-analysis showed higher Se levels in CRC cancerous specimens than in matched healthy colon tissue: the increase was equal to 0.07 µg/g wet tissue weight (95% CI: 0.06-0.09; p= 0.02).

CONCLUSIONS: CRC patients have lower serum and higher colon cancerous tissue Se levels. Some factors, such as Se levels in different tumor grades of CRC need to be further considered for a more conclusive association between Se levels and risk of CRC.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:84

Enthalten in:

Journal of trace elements in medicine and biology : organ of the Society for Minerals and Trace Elements (GMS) - 84(2024) vom: 12. März, Seite 127429

Sprache:

Englisch

Beteiligte Personen:

Pal, Amit [VerfasserIn]
Dhar, Aninda [VerfasserIn]
Shamim, Muhammad Aaqib [VerfasserIn]
Rani, Isha [VerfasserIn]
Negi, Ram Rattan [VerfasserIn]
Sharma, Aaina [VerfasserIn]
Chatterjee, Namrata [VerfasserIn]
Goyal, Anmol [VerfasserIn]
Sadashiv [VerfasserIn]
Kaur, Bandhan [VerfasserIn]
Tondolo, Vincenzo [VerfasserIn]
Rongioletti, Mauro [VerfasserIn]
Samantaray, Subha Ranjan [VerfasserIn]
Hoque, Mehboob [VerfasserIn]
Pawar, Anil [VerfasserIn]
Goswami, Kalyan [VerfasserIn]
Squitti, Rosanna [VerfasserIn]

Links:

Volltext

Themen:

Colorectal cancer
Journal Article
Selenium
Systematic Reviews and Meta-analysis

Anmerkungen:

Date Revised 17.03.2024

published: Print-Electronic

Citation Status Publisher

doi:

10.1016/j.jtemb.2024.127429

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM369833503