Role of selenium in the pathophysiology of cardiorenal anaemia syndrome
Abstract Chronic kidney disease (CKD) and cardiovascular disease (CVD) have multiple bidirectional mechanisms, and anaemia is one of the critical factors that are associated with the progression of the two disorders [referred to as cardiorenal anaemia syndrome (CRAS)]. Several lines of evidence indi...
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Wiley
2025-04-01
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| Series: | ESC Heart Failure |
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| Online Access: | https://doi.org/10.1002/ehf2.14893 |
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| author | Shigeyuki Arai Minoru Yasukawa Shigeru Shibata |
| author_facet | Shigeyuki Arai Minoru Yasukawa Shigeru Shibata |
| author_sort | Shigeyuki Arai |
| collection | DOAJ |
| description | Abstract Chronic kidney disease (CKD) and cardiovascular disease (CVD) have multiple bidirectional mechanisms, and anaemia is one of the critical factors that are associated with the progression of the two disorders [referred to as cardiorenal anaemia syndrome (CRAS)]. Several lines of evidence indicate that CRAS confers a worse prognosis, suggesting the need to clarify the underlying pathophysiology. Among the micronutrients (trace elements) that are essential to humans, inadequate iron status has previously been implicated in the pathogenesis of CRAS; however, the roles of other trace elements remain unclear. Selenium critically regulates the function of selenoproteins, in which selenocysteine is present at the active centres. The human genome encodes 25 selenoproteins, and accumulating data indicate that they regulate diverse physiological processes, including cellular redox homeostasis, calcium flux, thyroid hormone activity and haematopoiesis, all of which directly or indirectly influence cardiac function. The essential role of selenium in human health is underscored by the fact that its deficiency results in multiple disorders, among which are cardiomyopathy and abnormal erythrocyte morphology. Studies have shown that selenium deficiency is not uncommon in CKD patients with poor nutritional status, suggesting that it may be an under‐recognized cause of anaemia and cardiovascular disorders in these patients. In this review, we discuss the role of selenium in the pathophysiology of CKD, particularly in the context of the interconnection among CKD, cardiac dysfunction and anaemia. Given that selenium deficiency is associated with treatment‐resistant anaemia and an increased risk of CVD, its role as a key modulator of CRAS merits future investigation. |
| format | Article |
| id | doaj-art-e9b309f017fe4a07b5857217b3dc5e16 |
| institution | DOAJ |
| issn | 2055-5822 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Wiley |
| record_format | Article |
| series | ESC Heart Failure |
| spelling | doaj-art-e9b309f017fe4a07b5857217b3dc5e162025-08-20T02:55:48ZengWileyESC Heart Failure2055-58222025-04-0112277078010.1002/ehf2.14893Role of selenium in the pathophysiology of cardiorenal anaemia syndromeShigeyuki Arai0Minoru Yasukawa1Shigeru Shibata2Division of Nephrology, Department of Internal Medicine Teikyo University School of Medicine Tokyo JapanDivision of Nephrology, Department of Internal Medicine Teikyo University School of Medicine Tokyo JapanDivision of Nephrology, Department of Internal Medicine Teikyo University School of Medicine Tokyo JapanAbstract Chronic kidney disease (CKD) and cardiovascular disease (CVD) have multiple bidirectional mechanisms, and anaemia is one of the critical factors that are associated with the progression of the two disorders [referred to as cardiorenal anaemia syndrome (CRAS)]. Several lines of evidence indicate that CRAS confers a worse prognosis, suggesting the need to clarify the underlying pathophysiology. Among the micronutrients (trace elements) that are essential to humans, inadequate iron status has previously been implicated in the pathogenesis of CRAS; however, the roles of other trace elements remain unclear. Selenium critically regulates the function of selenoproteins, in which selenocysteine is present at the active centres. The human genome encodes 25 selenoproteins, and accumulating data indicate that they regulate diverse physiological processes, including cellular redox homeostasis, calcium flux, thyroid hormone activity and haematopoiesis, all of which directly or indirectly influence cardiac function. The essential role of selenium in human health is underscored by the fact that its deficiency results in multiple disorders, among which are cardiomyopathy and abnormal erythrocyte morphology. Studies have shown that selenium deficiency is not uncommon in CKD patients with poor nutritional status, suggesting that it may be an under‐recognized cause of anaemia and cardiovascular disorders in these patients. In this review, we discuss the role of selenium in the pathophysiology of CKD, particularly in the context of the interconnection among CKD, cardiac dysfunction and anaemia. Given that selenium deficiency is associated with treatment‐resistant anaemia and an increased risk of CVD, its role as a key modulator of CRAS merits future investigation.https://doi.org/10.1002/ehf2.14893cardiomyopathychronic kidney diseasemicronutrientsselenium deficiencytrace element |
| spellingShingle | Shigeyuki Arai Minoru Yasukawa Shigeru Shibata Role of selenium in the pathophysiology of cardiorenal anaemia syndrome ESC Heart Failure cardiomyopathy chronic kidney disease micronutrients selenium deficiency trace element |
| title | Role of selenium in the pathophysiology of cardiorenal anaemia syndrome |
| title_full | Role of selenium in the pathophysiology of cardiorenal anaemia syndrome |
| title_fullStr | Role of selenium in the pathophysiology of cardiorenal anaemia syndrome |
| title_full_unstemmed | Role of selenium in the pathophysiology of cardiorenal anaemia syndrome |
| title_short | Role of selenium in the pathophysiology of cardiorenal anaemia syndrome |
| title_sort | role of selenium in the pathophysiology of cardiorenal anaemia syndrome |
| topic | cardiomyopathy chronic kidney disease micronutrients selenium deficiency trace element |
| url | https://doi.org/10.1002/ehf2.14893 |
| work_keys_str_mv | AT shigeyukiarai roleofseleniuminthepathophysiologyofcardiorenalanaemiasyndrome AT minoruyasukawa roleofseleniuminthepathophysiologyofcardiorenalanaemiasyndrome AT shigerushibata roleofseleniuminthepathophysiologyofcardiorenalanaemiasyndrome |