Cardiac effects of sodium selenite
Abstract:
The classical idea that selenium is toxic to the heart at levels higher than available in a balanced diet is not supported by experimental work. In mice, treatment with sodium selenite increased the LD50 of ouabain and 2,4-dinitrophenol, and increased the tolerance to nitrogen inhalation. Although sodium selenite had no effect on the dog heart with circulation intact, there was a reduction in coronary vascular resistance in the heart-lung preparation. In the isolated ventricular segment perfused with blood, the administration of sodium selenite caused a positive inotropic effect which appeared even after blockade of beta-adrenergic receptors and in segments perfused with a Krebs-bicarbonate solution that was deficient in oxygen. These results cannot be explained merely as the correction of a selenium deficiency but rather as a positive influence of sodium selenite on the heart that has been acutely stressed by oxygen lack, ouabain, or 2,4-dinitrophenol.
Insights
Selenium, specifically sodium selenite, demonstrates a protective effect on the heart under stress, contrary to traditional toxicity beliefs. This compound enhances cardiac tolerance to various stressors, suggesting a beneficial role in cardiac health.
Area of Science:
- Cardiology
- Toxicology
- Biochemistry
Background:
- The traditional view posits selenium toxicity to the heart at supra-dietary levels.
- Experimental evidence is needed to clarify the cardiac effects of selenium beyond deficiency correction.
Purpose of the Study:
- To investigate the effects of sodium selenite on cardiac function and tolerance to stressors.
- To determine if sodium selenite exerts a positive influence on stressed cardiac tissue.
Main Methods:
- Administered sodium selenite to mice and observed changes in LD50 (lethal dose, 50%) for ouabain and 2,4-dinitrophenol, and tolerance to nitrogen inhalation.
- Evaluated sodium selenite's effect on intact dog hearts and in isolated dog heart-lung preparations.
- Assessed the inotropic effects of sodium selenite on isolated ventricular segments under normal and oxygen-deficient conditions, with and without beta-adrenergic blockade.
Main Results:
- Sodium selenite increased the LD50 of ouabain and 2,4-dinitrophenol in mice, enhancing tolerance to nitrogen inhalation.
- In dog heart-lung preparations, sodium selenite reduced coronary vascular resistance.
- Sodium selenite induced a positive inotropic effect in isolated ventricular segments, even under oxygen deprivation and beta-adrenergic blockade.
Conclusions:
- The findings challenge the classical notion of selenium-induced cardiac toxicity.
- Sodium selenite demonstrates a direct positive influence on the heart, particularly when acutely stressed.
- These effects extend beyond the simple correction of selenium deficiency.
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