People with low selenium levels have more severe eye symptoms from Graves' disease.
Mechanism
Synthesis from 2 studies
Low selenium means the eye tissues can't fight off harmful chemicals, which triggers swelling and redness. Adding selenium restores the body's natural defenses, stops the damage, and calms the immune response, reducing eye symptoms.
Most probable mechanism
When selenium levels are low, the body cannot make enough protective proteins that neutralize harmful chemicals in the eye tissues. This allows damage to build up, which triggers immune cells to attack the area around the eyes, causing swelling, redness, and pain. Adding selenium restores these protective proteins, stops the damage, and calms the immune response, reducing swelling and symptoms.
Selenium is absorbed from the gut and transported to orbital tissues via selenoprotein P
Selenium is incorporated into selenoproteins including glutathione peroxidases and thioredoxin reductases in orbital fibroblasts and immune cells
Selenoproteins reduce hydrogen peroxide and lipid peroxides, lowering oxidative stress in orbital tissues
Reduced oxidative stress inhibits NF-κB signaling in orbital fibroblasts, decreasing production of IL-6, TNF-α, and IFN-γ
Lower cytokine levels reduce recruitment and activation of T cells and macrophages in orbital fat and muscle
Decreased immune cell infiltration and cytokine activity reduce vascular permeability, edema, and tissue remodeling in orbital soft tissues
Evidence from Studies
Supporting (2)
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Contradicting (0)
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