Serum selenium measurements in women with early-stage breast cancer with and without chemotherapy-induced ovarian failure

Hollie A. Breedlove, Anne M. Smith, Raymond F. Burk, Kristina E. Hill, Charles L. Shapiro

Research output: Contribution to journalArticlepeer-review

15 Scopus citations

Abstract

Blood selenium has been shown to decline as breast cancer progresses and fluctuate with estrogen. The objective of this study was to determine the effect of estrogen depletion resulting from chemotherapy-induced ovarian failure on serum selenium and selenoproteins in stage I/II premenopausal breast cancer patients. Serum selenium, glutathione peroxidase (GPx) activity, and selenoprotein P (SelP) were measured and a dietary questionnaire was completed at baseline (before chemotherapy) and 6, 12, and 24 months after start of chemotherapy. Twelve months after the start of adjuvant chemotherapy 33 (75%) patients developed ovarian failure (OF) and 11 (25%) retained menstrual function (non-OF). Dietary selenium intake was 30-58% above the Recommended Dietary Allowance for both groups. By six months the mean estradiol (pg/ml) was lower in the OF group than in the non-OF group (32±5 versus 140±62 pg/ml, p=0.01) and this difference was maintained at 12 and 24 months. However, there was no differences in serum selenium, GPx activity, or SelP in the OF and non-OF groups at 6, 12, and 24 months. Selenium status in premenopausal breast cancer patients, as measured by serum selenium, GPx and SelP, was within the normal range before and following adjuvant chemotherapy, and was not affected by chemotherapy-induced ovarian failure.

Original languageEnglish
Pages (from-to)225-230
Number of pages6
JournalBreast Cancer Research and Treatment
Volume97
Issue number3
DOIs
StatePublished - Jun 2006
Externally publishedYes

Keywords

  • Breast cancer
  • Chemotherapy
  • Estrogen
  • Glutathione peroxidase
  • Ovarian failure
  • Selenium
  • Selenomethionine
  • Selenoprotein P

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