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• W3119504295 endingPage "111153" @default.
• W3119504295 startingPage "111153" @default.
• W3119504295 abstract "Management of inflammatory bowel disease (IBD) has always been a challenge for physicians. Current treatment protocols may cause numerous adverse effects. Selenium is known for its putative antiinflammatory properties. Selenium is needed for the biosynthesis of enzymatically active selenoproteins, which contribute to antioxidative defense, and effective function of immune systems. Several studies have shown that patients with IBD have a lower selenium level compared to healthy subjects. Hence, experimental studies mimicking ulcerative colitis and Crohn's disease investigated the effect of selenium supplementation on IBD. Previous studies indicated the following: 1) Selenoproteins can curb the inflammatory response and attenuate oxidative stress. This antiinflammatory property caused remission in animal models of colitis. 2) Selenium supports protective gut microbiota, which indirectly improves management of IBD. 3) Selenium may block some of the predominant tumorigenesis pathways proposed in colitis-associated colorectal cancer. 4) Selenium supplementation showed promising results in preliminary clinical studies, particularly in patients with selenium deficiency. While selenium supplementation seems to be beneficial for IBD, clinical studies have remained too preliminary in this regard. Randomized clinical trials are needed to measure the short-term and long-term effects of selenium on both active and quiescent IBD, particularly in patients with IBD who have documented selenium deficiency. • Selenium deficiency is a common finding in inflammatory bowel disease and increases with disease severity. • Selenium contributes to effective function of antioxidant system and alleviates colitis. • Selenium contributes to mucosal healing by modification of immune response. • Selenium may improve gut protective microbiota, which are decreased in inflammatory bowel disease. • Selenium may prevent colorectal cancer by modulation of several signaling pathways." @default.
• W3119504295 created "2021-01-18" @default.
• W3119504295 creator A5011510270 @default.
• W3119504295 creator A5062198742 @default.
• W3119504295 date "2021-05-01" @default.
• W3119504295 modified "2023-10-01" @default.
• W3119504295 title "The rationale for selenium supplementation in inflammatory bowel disease: A mechanism-based point of view" @default.
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