beyond selenate . . . beyond
selenomethionine . . . beyond whole selenized yeast . . .
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But if immune enhancement, carcinogen
detoxification, antioxidant action, and even tissue concentrations
don’t explain selenium’s vigilance on the “enemy
within,” what does? To answer this question, scientists
asked the next question. What happens metabolically to
all of that “other” selenium – the selenium
that is not being accumulated in the tissues, and which is
not incorporated into proteins or into enzymes with antioxidant
or detoxifying properties?
As it turned out, the painstaking
work of uncovering the answer to this question was not just
an excuse for researchers to ask the government for more grant
money. Understanding the way that selenium is processed by
the body has led to a revolution in our understanding of how
selenium fights cancer. And with this knowledge in hand, scientists
have identified SeMC, the selenium supplement that maximizes
the body’s production of a key anti-cancer metabolite,
yet which minimizes the toxicity associated with some other
forms of the mineral.
While many scientists contributed
to the ultimate revelation, the breakthrough insights and key
experiments have come out of the labs of Dr. Clement Ip of
the Roswell Park Cancer Institute and Dr. Howard Ganther of
the University of Wisconsin’s Department of Nutritional
Sciences.14,17,19-29 Other key
research (spearheaded by Dr. John W. Finley of the USDA’s
Grand Forks Human Nutrition Research Center,30-33 Dr.
Henry Thompson of the AMC Cancer Research Center,25,34-39 Dr.
Ranabir Sinha of the Baylor College of Medicine,40-43 and
Dr. Julian Spallholz of the Texas Tech University Health Sciences
Center,44-46) has helped make
the full importance of these findings clear, integrating them
into unexpected corners of cancer-nutrition research and revealing
the mechanisms that underlie SeMC’s superiority.
The Fork in the Road
The metabolic pathways of different
forms of selenium are pictured in Figure 2. As you can see,
both selenomethionine and sodium selenite can be converted
into hydrogen selenide (H2Se). However, much of the selenium
in selenomethionine gets tied up into general body proteins,
while this doesn’t happen with inorganic selenium salts
(such as selenate or selenite). As a result, more hydrogen
selenide is formed when you take selenate or selenite than
when you take the same amount of selenium as selenomethionine.
Since their research had shown that inorganic forms of selenium
is the stronger cancer-fighter of the two,13,14,17 and
that inhibiting selenomethionine’s incorporation into
general bodily proteins (which frees up more selenium to be
metaboblized into hydrogen selenide) makes it more effective
in protecting against cancer,17 it
seemed clear that the anti-cancer effect of these two forms
of selenium was somehow dependent on their being converted
into hydrogen selenide.

If the formation of hydrogen selenide
is a critical step in the ability of inorganic forms of selenium
and selenomethionine to fight cancer, then the next logical
question is whether this fact is due to the hydrogen selenide
itself, or is instead related to something that the body forms
out of it. To answer this question, Ganther and Ip looked at
its two major metabolic fates (see Figure 2). Much of the hydrogen
selenide in the body is used to make the selenium-dependent
antioxidant and detoxification enzymes. But once these enzymes
are fully topped up, the body protects itself from the inherent
toxicity of hydrogen selenide by using a biochemical reaction
known as methylation to form the dramatically less-toxic methylselenol
(CH3SeH) metabolite. And methylselenol, in turn, is metabolized
into further, even more methylated derivatives (see
Figure 2).

Of the three possible anticancer
selenium compounds – hydrogen selenide itself, selenium-containing
antioxidant and detoxification enzymes, or methylated selenium
metabolites – Ganther and Ip were able to rule out the
enzymes, as we’ve already discussed.13,14 So
now there were two possibilities: hydrogen selenide, or one
of the methylated selenium compounds. Ip and Ganther resolved
the question simply and elegantly. They identified a series
of forms of selenium which the body directly converts into
the methylated forms of selenium, without passing through the
hydrogen selenide step. If hydrogen selenide itself was the
essential selenium metabolite, then these forms of selenium
would be ineffective in fighting cancer. But if one of the
methylated selenium compounds were the true secret of selenium’s
dynamic protective activity, then the compound that most readily
formed this metabolite would be pointing at the center of the
labyrinth.
The SeMC Solution
The results of this research can
be seen in Table 1. The bottom line: compounds which are most
directly converted into methylselenol, such as methylseleninic
acid, selenobetaine, and Se-Methylselenocysteine (SeMC), proved
to be the most potent, and among the least toxic, forms of
selenium. Using SeMC and other immediate precursors of methylselenol,
less selenium is needed to get the same anti-cancer effect … and
yet these forms of selenium are safe at doses where inorganic
selenium is toxic. In fact, SeMC has a lack of toxicity similar
to that of selenomethionine, which is much less effective at
fighting cancer. And unlike selenomethionine, SeMC doesn’t
build up in your tissues – a fact which resolves the
curious finding that you can predict a person’s cancer
risk from the amount of selenium in his or her diet or in the
local soil and water, but not from the amount of the mineral
in his or her tissues.

In terms of sheer potency, SeMC
is clearly the best selenium source to use. But when you consider
the potential toxicity of selenium, and the evidence from animal
studies that the amount of selenium that’s most effective
in fighting cancer is much higher than the doses usually used
in supplements (see Figure 1),3 SeMC
looks even better. If we think in terms of a “therapeutic
window” between the toxic and the effective dose, there
is nearly no room to maneuver when using inorganic selenium
or selenomethionine, while a wide gap separates the therapeutic
dose of SeMC and the dose at which toxicity emerges (Table
1). To put it another way: if we think in terms of a potency-to-toxicity
ratio, SeMC undeniably comes out on top, its ratio being about
twice as good as either selenite or selenomethionine.
Forms of selenium (such as selenite,
selenate, and selenomethionine), which must jump through the
hoops of first forming hydrogen selenide and being methylated
before they can form methylselenol are less effective than
those forms (such as SeMC) whose path to methylselenol has
no obstacles. Likewise, selenium compounds (such as selenobetaine
methyl ester, dimethylselenoxide, and trimethylselenonium)
which can only be “retroconverted” into methylselenol
by stripping them of their “extra” methyl groups
(see the sidebar, Don’t Try This at Home, Kids!) are
poor cancer-fighters.23,26 There’s
only one conclusion that you can draw from all of this: methylselenol
is the critical metabolite for cancer prevention. Since methylselenol itself can’t
be used as an anti-cancer supplement (because this critical
metabolite is too chemically unstable to be used in this way),
a direct
methylselenol precursor such as SeMC constitutes the most potent form of
selenium for cancer prevention.25
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Selenium
Article 1, Selenium
Article 2, Selenium Article 3