Selenoprotein P deficiency is associated with higher risk of incident heart failure
Jujic, Amra LU ; Molvin, John LU ; Schomburg, Lutz ; Hartmann, Oliver ; Bergmann, Andreas ; Melander, Olle LU
and Magnusson, Martin
LU
(2023)
In Free Radical Biology & Medicine
207.
p.11-16
- Abstract
- Abstract
Introduction
Selenium deficiency has been associated with mortality, cardiovascular disease and worsened prognosis in heart failure (HF). In a recent population-based study, high selenium levels were shown to be associated with reduced mortality and reduced incidence of HF, but only in non-smokers. Here, we aimed to examine if selenoprotein P (SELENOP), a main selenium carrier protein, is associated with incident HF.
Materials and methods
SELENOP concentrations were measured in plasma of 5060 randomly selected subjects from the population-based prospective cohort “Malmö Preventive Project” (n = 18240) using an ELISA approach. Exclusion of subjects with prevalent HF (n = 230) and subjects with missing data on... (More) - Abstract
Introduction
Selenium deficiency has been associated with mortality, cardiovascular disease and worsened prognosis in heart failure (HF). In a recent population-based study, high selenium levels were shown to be associated with reduced mortality and reduced incidence of HF, but only in non-smokers. Here, we aimed to examine if selenoprotein P (SELENOP), a main selenium carrier protein, is associated with incident HF.
Materials and methods
SELENOP concentrations were measured in plasma of 5060 randomly selected subjects from the population-based prospective cohort “Malmö Preventive Project” (n = 18240) using an ELISA approach. Exclusion of subjects with prevalent HF (n = 230) and subjects with missing data on co-variates included in the regression analysis (n = 27) resulted in complete data for 4803 subjects (29.1% women, mean age 69.6 ± 6.2 years, 19.7% smokers). Cox regression models adjusted for traditional risk factors were used to analyse SELENOP's association with incident HF. Further, subjects within the quintile with the lowest SELENOP concentrations were compared to subjects in the remaining quintiles.
Results
Each 1 standard deviation increment in SELENOP levels was associated with lower risk of incident HF (n = 436) during a median follow-up period of 14.7 years (hazard ratio (HR) 0.90; CI95% 0.82–0.99; p = 0.043). Further analyses showed that subjects in the lowest SELENOP quintile were at the highest risk of incident HF when compared to quintiles 2–5 (HR 1.52; CI95% 1.21–1.89; p = 2.5 × 10−4).
Conclusion
Low selenoprotein P levels are associated with a higher risk of incident HF in a general population. Further studies are warranted. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/d35366c0-dc31-4295-b868-8134e9566f01
- author
- Jujic, Amra
LU
; Molvin, John
LU
; Schomburg, Lutz
; Hartmann, Oliver
; Bergmann, Andreas
; Melander, Olle
LU
and Magnusson, Martin
LU
- organization
- publishing date
- 2023
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Free Radical Biology & Medicine
- volume
- 207
- pages
- 11 - 16
- publisher
- Elsevier
- external identifiers
-
- pmid:37423559
- scopus:85164349559
- ISSN
- 0891-5849
- DOI
- 10.1016/j.freeradbiomed.2023.07.007
- language
- English
- LU publication?
- yes
- id
- d35366c0-dc31-4295-b868-8134e9566f01
- date added to LUP
- 2023-07-13 18:43:02
- date last changed
- 2024-01-05 03:11:58
@article{d35366c0-dc31-4295-b868-8134e9566f01,
abstract = {{Abstract<br/>Introduction<br/>Selenium deficiency has been associated with mortality, cardiovascular disease and worsened prognosis in heart failure (HF). In a recent population-based study, high selenium levels were shown to be associated with reduced mortality and reduced incidence of HF, but only in non-smokers. Here, we aimed to examine if selenoprotein P (SELENOP), a main selenium carrier protein, is associated with incident HF.<br/><br/>Materials and methods<br/>SELENOP concentrations were measured in plasma of 5060 randomly selected subjects from the population-based prospective cohort “Malmö Preventive Project” (n = 18240) using an ELISA approach. Exclusion of subjects with prevalent HF (n = 230) and subjects with missing data on co-variates included in the regression analysis (n = 27) resulted in complete data for 4803 subjects (29.1% women, mean age 69.6 ± 6.2 years, 19.7% smokers). Cox regression models adjusted for traditional risk factors were used to analyse SELENOP's association with incident HF. Further, subjects within the quintile with the lowest SELENOP concentrations were compared to subjects in the remaining quintiles.<br/><br/>Results<br/>Each 1 standard deviation increment in SELENOP levels was associated with lower risk of incident HF (n = 436) during a median follow-up period of 14.7 years (hazard ratio (HR) 0.90; CI95% 0.82–0.99; p = 0.043). Further analyses showed that subjects in the lowest SELENOP quintile were at the highest risk of incident HF when compared to quintiles 2–5 (HR 1.52; CI95% 1.21–1.89; p = 2.5 × 10−4).<br/><br/>Conclusion<br/>Low selenoprotein P levels are associated with a higher risk of incident HF in a general population. Further studies are warranted.}},
author = {{Jujic, Amra and Molvin, John and Schomburg, Lutz and Hartmann, Oliver and Bergmann, Andreas and Melander, Olle and Magnusson, Martin}},
issn = {{0891-5849}},
language = {{eng}},
pages = {{11--16}},
publisher = {{Elsevier}},
series = {{Free Radical Biology & Medicine}},
title = {{Selenoprotein P deficiency is associated with higher risk of incident heart failure}},
url = {{http://dx.doi.org/10.1016/j.freeradbiomed.2023.07.007}},
doi = {{10.1016/j.freeradbiomed.2023.07.007}},
volume = {{207}},
year = {{2023}},
}