The Relationship Between Selenium Levels and Breast Cancer: A Systematic Review and Meta-Analysis - Biological Trace Element Research
- ️Alizadeh, Sajjad
- ️Sun May 25 2014
Abstract
Breast cancer is the most common cancer type. In several studies, hints have been provided that there is a correlation between selenium deficiency and the incidence of breast cancer. Findings of these published reports are, however, inconsistent. This study serves as a pioneering study aiming at combining the results of studies using a meta-analytic method. A total of 16 articles published between 1980 and 2012 worldwide were selected through searching PubMed, Scopus, and Google scholar databases, and the information were analyzed using a meta-analytic method [random effects model]. I 2 statistics were used to examine heterogeneity. The information was then analyzed by STATA version 12. In this study, due to the non-uniform methods used to measure selenium concentrations, selenium levels were measured in the various subgroups in both case and control groups. There were significant correlations between selenium concentration and breast cancer [P < 0.05]. Hence, the mean risk differentiating criteria were estimated to be 0.63 [95 % confidence interval [95% CI] 0.93 to 0.32] in serum and toenails. Subgroup analysis showed that the value in toenails was −0.07 [95% CI −0.16 to 0.03] and in serum −1.04 [95% CI 1.71 to −0.38]. In studies in which selenium concentrations were measured in serum, a significant correlation was observed between selenium concentration and breast cancer. In contrast, in studies in which selenium concentration was measured in toenails, the correlation was not significant. Therefore, the selenium concentration can be used as one predictor for breast cancer.
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References
Fisch T, Pury P, Probst N, Bordoni A, Bouchardy C, Frick H, Jundt G, De Weck D, Perret E, Lutz JM (2005) Variation in survival after diagnosis of breast cancer in Switzerland. Ann Oncol 16:1882–1888. doi:10.1093/annonc/mdi404 [16216833]
Grau AM, Ata A, Foster L, Ahmed NU, Gorman DR, Shyr Y, Stain SC, Pearson AS (2005) Effect of race on long-term survival of breast cancer patients: transinstitutional analysis from an inner city hospital and university medical center. Am Surg 71:164–170 [16022018]
Foo CS, Su D, Chong CK, Chng HC, Tay KH, Low SC, Tan SM (2005) Breast cancer in young Asian women: study on survival. ANZ J Surg 75:566–572. doi:10.1111/j.1445-2197.2005.03431.x [15972049]
Kim KJ, Huh SJ, Yang JH, Park W, Nam SJ, Kim JH, Lee JH, Kang SS, Lee JE, Kang MK, Park YJ, Nam HR (2005) Treatment results and prognostic factors of early breast cancer treated with a breast conserving operation and radiotherapy. Jpn J Clin Oncol 35:126–133. doi:10.1093/jjco/hyi039 [15741302]
Abdel-Salam OME et al (2011) The antioxidant status of the plasma in patients with breast cancer undergoing chemotherapy. OJMI 1:29–35
Bakir MA et al (2004) The determination of selenium concentration in blood and tumors tissues of breast cancer patients in Syria using instrumental neutron activation analysis. J Radioanal Nucl Chem 260(3):607–612
Bratakos MS (1990) Selenium status of cancer patients in Greece. Sci Total Environ 92:207–222
Charalabopoulos K et al (2006) Selenium in serum and neoplastic tissue in breast cancer: correlation with CEA. Br J Cancer 95:674–676
Clark LC (1996) Effects of selenium supplementation for cancer prevention in patients with carcinoma of the skin. A randomized controlled trial. Nutritional Prevention of Cancer Study Group. JAMA 276(24):1957–1963
Combs GF (2005) Current evidence and research needs to support a health claim for selenium and cancer prevention. J Nutr 135(2):343–347
Cui Y et al (2007) Levels of zinc, selenium, calcium, and iron in benign breast tissue and risk of subsequent breast cancer. Cancer Epidemiol Biomarkers Prev 16(8):1682–1685
Curado MP (2011) Breast cancer in the world: incidence and mortality”. Salud Publica Mex 53:372–384
Dennert G, Zwahlen M, Brinkman M, Vinceti M, Zeegers MPA, Horneber M (2011) Selenium for preventing cancer, Copyright © 2011 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd, 5:1–120. http://www.thecochranelibrary.com
Feng JF et al (2012) Serum total oxidant/antioxidant status and trace element levels in breast cancer patients. Int J Clin Oncol 17:575–583
Fritz H et al (2011) Selenium and lung cancer: a systematic review and meta analysis. PLoS One 6(11):1–7
Foster HD, Kennedy G, Maisonneuve K, Krewski D, Ghadirian P (2008) A case-control study of toenail selenium, mercury, arsenic and cadmium and cancer of the breast, colon and prostate in Montreal. Trends Cancer Res 4:15–18
Garland M et al (1995) Prospective study of toenail selenium levels and cancer among women. J Natl Cancer Inst 87(7):497–505
Liberati A, Tetzlaff J, Mulrow C, Gøtzsche P, Ioannidis J, Devereaux CD, Kleijnen DJ, Moher D (2009) The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate healthcare interventions: explanation and elaboration. BMJ 339:b2700. doi:10.1136/bmj.b2700
Hartung J, Knapp G, Sinha BK (2008) Statistical meta-analysis with application. John Willey and Sons, INC, USA
Harris HR et al (2012) Selenium intake and breast cancer mortality in a cohort of Swedish women. Breast Cancer Res Treat 134:1269–1277
Hunter DJ et al (1990) A prospective study of selenium status and breast cancer risk. JAMA 264(9):1128–1131
Lopez-Saez JB et al (2003) Selenium in breast cancer. Oncology 64:227–231
Männistö S et al (2000) Toenail selenium and breast cancer case-control study in Finland. Eur J Clin Nutr 54:98–103
Mcconnell KP et al (1980) The relationship of dietary selenium and breast cancer. J Surg Oncol 15:67–70
Moradi M et al (2008) A comparative study of selenium concentration and glutathione peroxidase activity in normal and breast cancer patients. Public Health Nutr 12(1):59–63
Rayman MP (2005) Selenium in cancer prevention: a review of the evidence and mechanism of action. Proc Nutr Soc 64(4):527–542
Rejali L et al (2007) Serum selenium level and other risk factors for breast cancer among patients in a Malaysian hospital. Environ Health Prev Med 12:105–110
Schrauzer GN (1985) Selenium in the blood of Japanese and American women with and without breast cancer and fibrocystic disease. Jpn J Cancer Res 76(5):374–377
Suzana S (2009) Relationship between selenium and breast cancer: a case-control study in the Klang Valley. Singap Med J50(3):265–268
Singh P (2005) Association between breast cancer and vitamin C, vitamin E and selenium levels: results of a case- control study in India. Asian Pac J Cancer Prev 6:177–180
Sunde RA (2006) Selenium. In: Bowman BA, Russell RM (eds) Present knowledge in nutrition”, 9th edn. ILSI Press, Washington, D.C., pp 480–497
Strain JJ et al (2009) Thyroid hormones and selenium status in breast cancer. Nutr Cancer 27(1):48–52
Van den Brandt PA et al (1994) Toenail selenium levels and the risk of breast cancer. Am J Epidemiol 140(1):20–24
Van’T veer P et al (1990) Selenium in diet, blood, and toenails in relation to breast cancer: a case-control study. Am J Epidemiol 131(6):987–994
Wen Kuo H et al (2002) Serum and tissue trace elements in patients with breast cancer in Taiwan. Biol Trace Elem Res 89:1–5
Acknowledgments
The authors extend their gratitude to the Student Research Committee, Ilam University of Medical Sciences for its support.
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Authors and Affiliations
Msc Biochemistry, Department of Medical Microbiology, School of Medicine, Ilam University of Medical Sciences, Ilam, Iran
Nasim Babaknejad & Fatemeh Sayehmiri
Department of Social Medicine, School of Medicine, Ilam University of Medical Sciences, Ilam, Iran
Kourosh Sayehmiri & Ali Delpesheh
Psychosocial Injuries Research Center, Ilam University of Medical Sciences, Ilam, Iran
Kourosh Sayehmiri & Ali Delpesheh
Msc Biochemistry, Students Research Committee, Ilam University of Medical Sciences, Ilam, Iran
Somaye Bahrami
School of Medicine, Ilam University of Medical Sciences, Ilam, Iran
Parya Rahimifar, Farhad Hemati & Sajjad Alizadeh
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- Nasim Babaknejad
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- Fatemeh Sayehmiri
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- Kourosh Sayehmiri
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- Parya Rahimifar
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- Somaye Bahrami
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- Ali Delpesheh
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- Farhad Hemati
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- Sajjad Alizadeh
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Correspondence to Fatemeh Sayehmiri.
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Babaknejad, N., Sayehmiri, F., Sayehmiri, K. et al. The Relationship Between Selenium Levels and Breast Cancer: A Systematic Review and Meta-Analysis. Biol Trace Elem Res 159, 1–7 (2014). https://doi.org/10.1007/s12011-014-9998-3
Received: 16 February 2014
Accepted: 28 April 2014
Published: 25 May 2014
Issue Date: June 2014
DOI: https://doi.org/10.1007/s12011-014-9998-3