Influence of maternal selenium status on human milk selenium concentration and glutathione peroxidase activity

This study assessed whether relationships existed between maternal indices of selenium (Se) nutrition and milk content of Se and activity of glutathione peroxidase (GSH-Px). Samples of milk (n = 72) collected at 4, 8, 12, and 16 wk postpartum and blood from lactating (n = 10) and control (n = 8) women were analyzed. Plasma and erythrocyte Se concentrations and plasma GSH-Px activity were significantly lower in lactating than in control women. Maternal plasma Se concentration was positively correlated with plasma GSH-Px activity (r = 0.53, p less than 0.01) and with milk Se content (r = 0.61, p less than 0.01) and GSH-Px activity (r = 0.51, p less than 0.01). Stage of lactation did not influence either milk or blood values. Milk Se concentration was positively correlated with milk GSH-Px activity (r = 0.81, p less than 0.001). Results indicate that human milk Se content and GSH-Px activity are directly influenced by maternal Se nutrition.     

Maternal diet and selenium concentration in human milk from an Italian population

Background

Low selenium (Se) status is associated with several diseases. International organizations have proposed intakes of Se for general populations, including infants. Studies of the association of Se concentration in breast milk and maternal diet have yielded inconsistent results. We evaluated the relation between the intake of food items during pregnancy and Se concentration in human milk after delivery and compared infant intake of Se from breast milk with the recommended intakes.

Methods

This cross-sectional study was part of the baseline assessment of a prospective cohort of Italian mother–child pairs enrolled in 1999–2001. Se concentration was measured in the milk of 100 women included in the cohort and correlated with the intake of food items during pregnancy and lactation as reported in a food frequency questionnaire.

Results

Among foods consumed in pregnancy, only eggs had a positive, but weak, correlation with Se concentration in milk (r = 0.20, P = 0.04). Fish intake during lactation was also weakly correlated with Se in milk (r = 0.21, P = 0.04). Se content of breast milk in our population was lower than that noted in other international studies; however, very few children who were exclusively breastfed were estimated not to have met the recommended Se intake.

Conclusions

Future research should aim to verify whether infants in this part of Italy still meet the recommended nutrient intake of Se and to assess the influence of the concurrent diet of lactating mothers on the Se content of their milk.Key words: selenium, human milk, maternal diet     

The influence of selenium-enriched milk proteins and selenium yeast on plasma selenium levels and rectal selenoprotein gene expression in human subjects

Certain forms of dietary Se may have advantages for improving human Se status and regulating the risk for disease, such as cancers, including colorectal cancer (CRC). The present study compared the effects of a Se-enriched milk protein (dairy-Se) with a Se-rich yeast (yeast-Se) on plasma Se levels and rectal selenoprotein gene expression since we reasoned that if these genes were not regulated, there was little potential for regulating the risk for CRC in this organ. A total of twenty-three healthy volunteers with plasma Se in the lower half of the population range were supplemented with dairy-Se (150 μg/d) or yeast-Se (150 μg/d) for 6 weeks, followed by 6 weeks of washout period. Blood was sampled every 2 weeks, and rectal biopsies were obtained before and after Se supplementation and after the washout period. Plasma Se levels and glutathione peroxidase (GPx) activity, and rectal mRNA of selenoprotein P (SeP), cytosolic GPx-1 (GPx-1), gastrointestinal GPx-2 (GPx-2) and thioredoxin reductase-1 (TrxR-1) were measured. Plasma Se levels increased rapidly in both Se groups (P < 0·001); plasma GPx activity was not significantly changed. Rectal SeP mRNA increased at 6 weeks compared with baseline in both Se groups (P < 0·05); only dairy-Se resulted in a sustained elevation of SeP after the washout period (P < 0·05). Rectal GPx-1 and GPx-2 mRNA were higher with dairy-Se (P < 0·05) than with yeast-Se at 6 weeks. In conclusion, three rectal selenoprotein mRNA were differentially regulated by dairy-Se and yeast-Se. Changes in rectal selenoproteins are not predicted by changes in plasma Se; dairy-Se effectively regulates the expression of several rectal selenoproteins of relevance to the risk for CRC.     

Distribution of serum selenium, copper, and zinc in normal human pregnancy

The distribution of the serum levels of selenium, zinc, and copper in human pregnancy at various gestational ages were determined from two ethnically and geographically different populations (Rosebud Indian Reservation and southeastern South Dakota) of 410 normal subjects. As gestation age increased, there was a significant increase and a slight decrease in the mean levels of copper and zinc, respectively. No change in the levels of selenium was observed. Significantly higher levels of both pregnancy and non-pregnancy serum copper were observed in the Rosebud population compared to that in southeastern South Dakota, possibly due to the significantly higher level of copper in the Rosebud water. No differences were observed in the zinc or selenium levels between the two populations. Serial measurements of these trace metals during the third trimester of pregnancy were performed on 18 subjects, and supported the trends described for copper and selenium. No decrease in zinc was observed in the individual subjects.     

Distribution of selenium and glutathione peroxidase in the rat

The selenium content was determined in the adrenals, brain, erythrocytes, femur, hair, heart, kidneys, lungs, muscle, pancreas, plasma, spleen, testes, and thymus of rats, which had been fed a commercial rat diet containing 0.3 mg Se/kg diet. In the plasma, the erythrocytes, and the soluble fraction of the tissues (with the exception of femur and hair) the activity of the glutathione peroxidase (GSH-Px) was measured, using both hydrogen peroxide and t-butyl hydroperoxide as substrates. From the masses of the tissues and the values for the selenium content and the GSH-Px activity, the distribution of the element and the enzyme in the body was calculated. For selenium the main pools were the muscle and the liver, and for the GSH-Px, the liver and the erythrocytes. By comparing the selenium content and the GSH-Px activity the percentage of the tissue selenium, which was bound to the enzyme in the soluble tissue fraction, was estimated. This percentage differed considerably from tissue to tissue, the highest value being found in the erythrocytes and the smallest in the testes. According to this estimation the majority of the selenium in the rat is not contained in the GSH-Px but in other compounds.     

Predictors of selenium concentration in human toenails

To assess the validity of the selenium concentration in human toenails as a measure of selenium intake and to determine other correlates of toenail selenium level, the authors examined the predictors of toenail selenium within two subgroups of a large cohort study of US women. Mean toenail selenium was higher among 38 consumers of selenium supplements (0.904 micrograms/g, standard deviation (SD) 0.217) than among 96 nonusers (0.748 micrograms/g, SD 0.149; p less than 0.001), and a dose-response relation was observed among supplement users (Spearman's r = 0.32; p = 0.05). In a second subgroup of 677 women, selenium supplement use was also associated with higher mean toenail selenium (0.906 micrograms/g, SD 0.214, among 18 users and 0.801 micrograms/g, SD 0.148, among 659 nonusers; p = 0.02), and the dose-response relation was also significant (Spearman's r = 0.50; p = 0.03). The geographic variation in toenail selenium levels was consistent with the geographic distribution of selenium in forage crops. Toenail selenium declined with age and was significantly reduced among cigarette smokers (mean = 0.746, SD 0.124, among 146 current smokers and mean = 0.817, SD 0.159, among 311 never smokers; p less than 0.001) but was not materially affected by alcohol consumption. A dietary selenium score calculated from a food frequency questionnaire failed to predict toenail selenium level, demonstrating the suspected inability of diet questionnaires to measure individual selenium intake because of the highly variable selenium composition of different samples of the same food.(ABSTRACT TRUNCATED AT 250 WORDS)     

Pteroylpolyglutamates in human milk

Considerable variation exists in reported values for total folate content and the pteroylpolyglutamate (PteGlun) content of human milk. We investigated possible methodological sources of this variation. In two laboratories, milk folate content (with and without folate conjugase) was determined microbiologically. No differences in total milk folate or PteGlun (n greater than 3) content were found between laboratories. PteGlun was found to comprise a significant fraction of total milk folate (28%). Use of rennin did not alter total folate content nor the percent of PteGlun in human milk. Heating (121 degrees C for 5 min) increased folate concentrations (190%, P less than 0.0001), indicating that release of folate from binding protein is necessary for folate utilization by Lactobacillus casei. Although human milk folate conjugase, (FC) activity was approximately one-twentieth that of plasma FC activity, it was not sufficient to autolyze endogenous PteGlun. Thus, microbiological protocols that do not use folate conjugase and do not release folate from binding proteins will seriously underestimate milk folate values.     

Magnesium in human milk

Reported concentrations for magnesium in breast milk vary over a wide range (15 to 64 mg/L) with a median value of 31 mg/L and 75% of reported mean concentrations below 35 mg/L. Constitutional variables such as adolescent motherhood, gestation length, maternal undernutrition, metabolic disorders (diabetes, galactosemia), race, stage of lactation, sampling techniques (foremilk and hindmilk), as well as environmental variables such as socio-cultural diversity, smoking habits, dietary calcium and magnesium (including supplementation), vegetarianism, calciotropic agents (immunoreactive calcitonin, vitamin D), medication (hormonal contraceptives, magnesium sulfate) are critically reviewed in relation to changes in milk magnesium concentrations. Magnesium secretion into breast milk does not seem to be affected by the studied variables.     

Bioavailability of selenium from bovine milk as assessed in subjects with ileostomy

OBJECTIVE: To assess the absorption of dietary selenium in humans, especially of milk selenium. DESIGN:: 1-day meal studies in subjects with ileostomy. SETTING: Hospital outpatient clinics. SUBJECTS: Three subjects in the pilot study and nine subjects in the main study (eight men/ four women). INTERVENTION: Different beverages, 1 l/day, were given in addition to basal diets (soft drink, 1 week; low-fat milk, 3 weeks; fermented low-fat milk, 3 weeks and soft drink, 1 week). Ileostomy effluents were collected during the last 2 days in each of the four periods. RESULTS: On days when the subjects were given 1 l of low-fat milk, the estimated fractional absorption of total dietary selenium was 65.5 (2.3)% (mean (s.d.), n=18), which was similar to the value when fermented low-fat milk was given (64.1 (3.2)%). However, both the calculated amount of milk selenium absorbed (10.9 (2.4) vs 9.4 (1.7) microg selenium) and its fractional absorption (73.3 (16.1) vs 64.1 (11.2)%, n=18) were significantly higher for milk than for fermented milk. CONCLUSIONS: Selenium from milk and other sources is well absorbed in subjects with ileostomy. The real absorption may be even higher than the values shown.     

Bioavailability of selenium from selenium-enriched milk assessed in the artificially reared neonatal pig

There is interest in pre-farm gate fortification of the diet with highly bioavailable selenium (Se) to improve public health, so the aim of the present study was to determine the bioavailabilities of Se from Se-enriched whole milk and milk replacers supplemented with exogenous Se in neonatal pigs. Milk enriched with Se (1070 μg Se/kg dry matter (DM); HSeM) was obtained from cows supplemented with selenised yeast while the control milk diet (135 μg Se/kg DM; LSeM) was made using milk powder from non-supplemented cows. Additional diets were formulated by adding selenised yeast (HSP) or selenate (HSN) to the LSeM diet to give final Se concentrations of 1070 μg Se/kg DM. Neonatal pigs were trained to drink milk and then randomly allocated to their four respective diets and slaughter times (0, 7, 14, 28 and 42 days of feeding). Plasma Se increased over the first 21 days in pigs consuming HSeM, reaching a value over three times higher than the LSeM pigs. Plasma Se concentrations plateaued at 45, 125, 122 and 170 μg/mL for LSeM, HSN, HSP and HSeM pigs, respectively ( P  < 0.001). After 28 days, muscle Se plateaued at 47, 106, 237 and 486 μg/kg for LSeM, HSN, HSP and HSeM pigs, respectively ( P  < 0.001). Colonic selenoprotein P gene expression was greater ( P  = 0.024) in pigs fed HSeM compared with LSeM while the HSP and HSN were intermediate. These data suggest that Se in milk from cows fed selenised yeast is highly bioavailable and may offer a means of delivering supplemental Se to humans.