Abstract
Selenium appears to have a multifactorial role in HIV-1 infection. Selenium status affects HIV disease progression and mortality [1] through various potential mechanisms. Selenium protects against oxidative stress through its function as a biological antioxidant required for the activity of gluthatione peroxidase. Adequate selenium status may also be essential in controlling viral emergence and evolution [2]. In addition, selenium may enhance resistance to infection through modulation of both cellular and humoral immunity. Plasma selenium levels affect interleukin production and subsequent changes in Thl/Th2 cytokine responses [3]. Interacting with selenium status, other nutritional factors are important in HIV-1 progression and mortality. The causative factors, including disease stage, nutritional status at the onset of the disease, types of treatment and compliance, and secondary infections may be acting independently or in combination. Treatment of malnutrition, and the accompanying micronutrient deficiencies, thus, requires a carefully individualized approach. This chapter will review the current research on the relationship of nutritional status to HIV-1 disease progression and mortality, as well as the factors that may affect this relationship, with emphasis on the role of selenium.
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Baum, M.K., Campa, A., Miguez-Burbano, M.J., Burbano, X., Shor-Posner, G. (2001). Role of selenium in HIV/AIDS. In: Hatfield, D.L. (eds) Selenium. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-1609-5_20
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DOI: https://doi.org/10.1007/978-1-4615-1609-5_20
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