Selenium Deficiency Is Associated with Mortality Risk from COVID-19 Article Swipe
Arash Moghaddam
,
Raban Heller
,
Qian Sun
,
Julian Seelig
,
Asan Cherkezov
,
Linda Seibert
,
Julian Hackler
,
Petra Seemann
,
Joachim Diegmann
,
Maximilian Pilz
,
Manuel Bachmann
,
Waldemar B. Minich
,
Lutz Schomburg
·
YOU?
·
· 2020
· Open Access
·
· DOI: https://doi.org/10.3390/nu12072098
YOU?
·
· 2020
· Open Access
·
· DOI: https://doi.org/10.3390/nu12072098
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.
Related Topics
Concepts
Coronavirus disease 2019 (COVID-19)
2019-20 coronavirus outbreak
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)
Betacoronavirus
Coronavirus Infections
Pandemic
Medicine
Biology
Outbreak
Virology
Internal medicine
Disease
Infectious disease (medical specialty)
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.3390/nu12072098
- https://www.mdpi.com/2072-6643/12/7/2098/pdf?version=1594870179
- OA Status
- gold
- Cited By
- 354
- References
- 47
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W3038198963
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W3038198963Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.3390/nu12072098Digital Object Identifier
- Title
-
Selenium Deficiency Is Associated with Mortality Risk from COVID-19Work title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2020Year of publication
- Publication date
-
2020-07-16Full publication date if available
- Authors
-
Arash Moghaddam, Raban Heller, Qian Sun, Julian Seelig, Asan Cherkezov, Linda Seibert, Julian Hackler, Petra Seemann, Joachim Diegmann, Maximilian Pilz, Manuel Bachmann, Waldemar B. Minich, Lutz SchomburgList of authors in order
- Landing page
-
https://doi.org/10.3390/nu12072098Publisher landing page
- PDF URL
-
https://www.mdpi.com/2072-6643/12/7/2098/pdf?version=1594870179Direct link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
-
https://www.mdpi.com/2072-6643/12/7/2098/pdf?version=1594870179Direct OA link when available
- Concepts
-
Coronavirus disease 2019 (COVID-19), 2019-20 coronavirus outbreak, Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), Betacoronavirus, Coronavirus Infections, Pandemic, Medicine, Biology, Outbreak, Virology, Internal medicine, Disease, Infectious disease (medical specialty)Top concepts (fields/topics) attached by OpenAlex
- Cited by
-
354Total citation count in OpenAlex
- Citations by year (recent)
-
2025: 13, 2024: 30, 2023: 65, 2022: 95, 2021: 115Per-year citation counts (last 5 years)
- References (count)
-
47Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.(SELENOP) | 96 |
| abstract_inverted_index.COVID-19. | 70 |
| abstract_inverted_index.[SELENOP] | 187 |
| abstract_inverted_index.causality | 261 |
| abstract_inverted_index.causative | 11 |
| abstract_inverted_index.collected | 83 |
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| abstract_inverted_index.essential | 29 |
| abstract_inverted_index.inversely | 57 |
| abstract_inverted_index.mortality | 46 |
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| abstract_inverted_index.reference | 127, 179 |
| abstract_inverted_index.remaining | 241 |
| abstract_inverted_index.response. | 44 |
| abstract_inverted_index.surviving | 210 |
| abstract_inverted_index.survivors | 239 |
| abstract_inverted_index.validated | 99 |
| abstract_inverted_index.(COVID-19) | 7 |
| abstract_inverted_index.SARS-CoV-2 | 0 |
| abstract_inverted_index.biomarkers | 102 |
| abstract_inverted_index.comparison | 125 |
| abstract_inverted_index.diagnostic | 258 |
| abstract_inverted_index.discussion | 290 |
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| abstract_inverted_index.strengthen | 275 |
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| abstract_inverted_index.hypothesized | 63 |
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| corresponding_author_ids | https://openalex.org/A5024940207 |
| countries_distinct_count | 1 |
| institutions_distinct_count | 13 |
| corresponding_institution_ids | https://openalex.org/I39343248, https://openalex.org/I75951250, https://openalex.org/I7877124 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/3 |
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| sustainable_development_goals[0].display_name | Good health and well-being |
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| citation_normalized_percentile.is_in_top_10_percent | True |