The Association of Plasma Selenium and Selenoprotein P Levels with Depression Severity and Anxiety Symptoms Among Medical Students in Latvia

<i>Background and Objectives</i>: Oxidative stress has been identified as a key process involved in different diseases, particularly depression. Selenium (Se) protects against oxidative stress, one of the pathogenic mechanisms involved in affective disorders. Selenium is incorporated int...

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Main Authors: Zanda Birģele, Paula Marija Vimba, Anastasija Ševčenko, Andrejs Šķesters, Gunta Ancāne, Laura Valaine
Format: Article
Language:English
Published: MDPI AG 2024-12-01
Series:Medicina
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Online Access:https://www.mdpi.com/1648-9144/61/1/3
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author Zanda Birģele
Paula Marija Vimba
Anastasija Ševčenko
Andrejs Šķesters
Gunta Ancāne
Laura Valaine
author_facet Zanda Birģele
Paula Marija Vimba
Anastasija Ševčenko
Andrejs Šķesters
Gunta Ancāne
Laura Valaine
author_sort Zanda Birģele
collection DOAJ
description <i>Background and Objectives</i>: Oxidative stress has been identified as a key process involved in different diseases, particularly depression. Selenium (Se) protects against oxidative stress, one of the pathogenic mechanisms involved in affective disorders. Selenium is incorporated into antioxidant selenoproteins, such as selenoprotein P, which acts as the main selenium-transport protein in plasma and as an extracellular oxidant defense mechanism. This study aimed to determine whether lower selenium and selenoprotein P levels correlate with high levels of depression and anxiety symptoms. <i>Materials and Methods</i>: The research design was a quantitative cross-sectional study among employed fourth-year medical students at Riga Stradins University in Latvia. The respondents were selected using convenience samples. The symptoms of anxiety were assessed using the Generalized Anxiety Disorder-7 (GAD-7) scale, and the symptoms of depression were assessed using the Patient Health Questionnaire-9 (PHQ-9) scale. <i>Results</i>: A total of 32 respondents participated; 90.6% (<i>n</i> = 29) were female. A significant association was found between selenoprotein P and symptoms of depression (<i>p</i> = 0.006), as well as between selenoprotein P and symptoms of anxiety (<i>p</i> = 0.012). The median selenium level was not significantly lower (<i>p</i> = 0.214) in the study group compared to the control group. <i>Conclusions</i>: There is a statistically significant correlation between selenoprotein P and symptoms of depression and anxiety, and there is a tendency for students with symptoms of depression and anxiety to have lower selenium levels. However, alternative unrecognized oxidative stress mechanisms involved in the development of symptoms of depression and anxiety, involving selenium and selenoprotein P pathways, may exist. Consequently, further research assessing possible alternative pathways and the effect size is required.
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spelling doaj-art-633de7591a5544db89c80d7b7ee428e82025-01-24T13:40:12ZengMDPI AGMedicina1010-660X1648-91442024-12-01611310.3390/medicina61010003The Association of Plasma Selenium and Selenoprotein P Levels with Depression Severity and Anxiety Symptoms Among Medical Students in LatviaZanda Birģele0Paula Marija Vimba1Anastasija Ševčenko2Andrejs Šķesters3Gunta Ancāne4Laura Valaine5Clinic of Psychosomatic medicine and Psychotherapy, Riga Stradiņš University, LV-1046 Riga, LatviaFaculty of Medicine, Riga Stradiņš University, LV-1007 Riga, LatviaFaculty of Medicine, Riga Stradiņš University, LV-1007 Riga, LatviaInstitute of Occupational Safety and Environmental Health, Riga Stradiņš University, LV-1067 Riga, LatviaDepartment of Psychosomatic Medicine and Psychotherapy, Riga Stradiņš University, LV-1046 Riga, LatviaDepartment of Psychosomatic Medicine and Psychotherapy, Riga Stradiņš University, LV-1046 Riga, Latvia<i>Background and Objectives</i>: Oxidative stress has been identified as a key process involved in different diseases, particularly depression. Selenium (Se) protects against oxidative stress, one of the pathogenic mechanisms involved in affective disorders. Selenium is incorporated into antioxidant selenoproteins, such as selenoprotein P, which acts as the main selenium-transport protein in plasma and as an extracellular oxidant defense mechanism. This study aimed to determine whether lower selenium and selenoprotein P levels correlate with high levels of depression and anxiety symptoms. <i>Materials and Methods</i>: The research design was a quantitative cross-sectional study among employed fourth-year medical students at Riga Stradins University in Latvia. The respondents were selected using convenience samples. The symptoms of anxiety were assessed using the Generalized Anxiety Disorder-7 (GAD-7) scale, and the symptoms of depression were assessed using the Patient Health Questionnaire-9 (PHQ-9) scale. <i>Results</i>: A total of 32 respondents participated; 90.6% (<i>n</i> = 29) were female. A significant association was found between selenoprotein P and symptoms of depression (<i>p</i> = 0.006), as well as between selenoprotein P and symptoms of anxiety (<i>p</i> = 0.012). The median selenium level was not significantly lower (<i>p</i> = 0.214) in the study group compared to the control group. <i>Conclusions</i>: There is a statistically significant correlation between selenoprotein P and symptoms of depression and anxiety, and there is a tendency for students with symptoms of depression and anxiety to have lower selenium levels. However, alternative unrecognized oxidative stress mechanisms involved in the development of symptoms of depression and anxiety, involving selenium and selenoprotein P pathways, may exist. Consequently, further research assessing possible alternative pathways and the effect size is required.https://www.mdpi.com/1648-9144/61/1/3oxidative stressseleniumselenoprotein Pdepressionanxiety
spellingShingle Zanda Birģele
Paula Marija Vimba
Anastasija Ševčenko
Andrejs Šķesters
Gunta Ancāne
Laura Valaine
The Association of Plasma Selenium and Selenoprotein P Levels with Depression Severity and Anxiety Symptoms Among Medical Students in Latvia
Medicina
oxidative stress
selenium
selenoprotein P
depression
anxiety
title The Association of Plasma Selenium and Selenoprotein P Levels with Depression Severity and Anxiety Symptoms Among Medical Students in Latvia
title_full The Association of Plasma Selenium and Selenoprotein P Levels with Depression Severity and Anxiety Symptoms Among Medical Students in Latvia
title_fullStr The Association of Plasma Selenium and Selenoprotein P Levels with Depression Severity and Anxiety Symptoms Among Medical Students in Latvia
title_full_unstemmed The Association of Plasma Selenium and Selenoprotein P Levels with Depression Severity and Anxiety Symptoms Among Medical Students in Latvia
title_short The Association of Plasma Selenium and Selenoprotein P Levels with Depression Severity and Anxiety Symptoms Among Medical Students in Latvia
title_sort association of plasma selenium and selenoprotein p levels with depression severity and anxiety symptoms among medical students in latvia
topic oxidative stress
selenium
selenoprotein P
depression
anxiety
url https://www.mdpi.com/1648-9144/61/1/3
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