The Turkish Journal of Pediatrics
2013 , Vol 55 , Num 3
Selenium Levels, Selenoenzyme Activities and Oxidant/Antioxidant Parameters in H1N1-Infected Children
Departments of Toxicology, Faculty of Pharmacy, 1Hacettepe University, Ankara, and 2Atatürk University, Erzurum, 3Division
of Pediatric Infectious Diseases, Hacettepe University Faculty of Medicine, 4Department of Biochemistry, Dışkapı Children's
Health and Diseases, Hematology, Oncology Training and Research Hospital, Ankara, Turkey, 5Charité-Universitätsmedizin
Berlin, Institute for Experimental Endocrinology, Berlin, Germany, and 6University of London, The School of Pharmacy,
London, United Kingdom. E-mail: bgiray@hacettepe.edu.tr
Selenium (Se) is an essential trace element, and it shows its biological functions
within low molecular Se compounds and Se-containing proteins, known as
“selenoproteins”. Glutathione peroxidases (GPxs) and thioredoxin reductases
(TrxRs) are the most important selenoproteins functioning as antioxidant
enzymes. These enzymes protect the body from the endogenous products of
cellular metabolism that have been implicated in DNA damage, mutagenesis,
and carcinogenesis. H1N1 virus is a subtype of the influenza A virus and
was an endemic in humans in 2009 and 2010. Taking into account the high
incidence of Se deficiency and the high mortality and morbidity rates in H1N1
infection, this study was designed to investigate the plasma and erythrocyte
Se levels, selenoenzyme activities and other oxidant/antioxidant parameters
in H1N1-infected children during the 2009-2010 pandemic. We observed a
significant increase in C-reactive protein levels (245%) and marked decreases
in both plasma and erythrocyte Se levels (11%, both) and in GPx1 (45%),
GPx3 (16%) and TrxR (30%) activities in H1N1-infected children compared
to the control group. In addition, significant decreases were observed in
erythrocyte catalase (CAT) (38%), total superoxide dismutase (SOD) (42%)
and glutathione S-transferase (GST) (19%) activities and in erythrocyte total
glutathione (GSH) (18%) and plasma GSH (10%) concentrations, while marked
increases were observed in plasma lipid peroxidation levels (27%). However,
we did not find a significant difference in selenoprotein P (SePP) levels
between the groups. Our findings show that Se-dependent and -independent
blood redox systems are down-regulated in H1N1 influenza. These findings
emphasized the critical role of Se as an effective redox regulator and the
importance of Se status in infections, particularly in H1N1 influenza.
Keywords :
H1N1, selenium, selenoenzymes, influenza, antioxidant enzymes, lipid
peroxidation.