2014
DOI: 10.1016/j.jtemb.2014.03.010
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Elements of margin of safety, toxicity and action of sodium selenite in a lipopolysaccharide rat model

Abstract: Mechanisms of LPS and Na2SeO3 toxicity differ (i.e. NO, lactate). In septic shock 5H2O·Na2SeO3 toxicity increased, margin of safety decrease, but IP administration of dose considered as oxidant of 5H2O·Na2SeO3 showed beneficial effects.

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Cited by 11 publications
(13 citation statements)
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“…Due to the small differences between deficiency and toxic selenium excess, high availability of this element may negatively affect the cells. Among all known compounds of selenium, sodium selenite(IV) exhibits the highest toxicity [ 2 , 3 ].…”
Section: Introductionmentioning
confidence: 99%
“…Due to the small differences between deficiency and toxic selenium excess, high availability of this element may negatively affect the cells. Among all known compounds of selenium, sodium selenite(IV) exhibits the highest toxicity [ 2 , 3 ].…”
Section: Introductionmentioning
confidence: 99%
“…The general toxicity is a threat. The toxicity is characterized by cardio-respiratory distress symptoms similar to those of sepsis [30,56]. In addition Na 2 SeO 3 cytotoxity seems increased in sepsis as observed in a rat lipopolysaccharide (LPS) model.…”
Section: Discussionmentioning
confidence: 97%
“…SOFA score, cardiac and respiratory SOFA scores, and plasma lactate also have a similar evolution. Cardio-respiratory distress is a critical point of acute Na 2 SeO 3 toxicity, which is concentration and dose dependent [30,56]. There is therefore no argument in favor of a toxic effect of continuous infusion of Na 2 SeO 3 at a dose corresponding to 4 mg Se the first day.…”
Section: Discussionmentioning
confidence: 99%
“…70 Nevertheless, so far there are no definitive data about toxicity limits of sodium selenite in the critically ill despite numerous RCTs performed in different ICU patient populations performed without sufficient preclinical data in humans. 71 Therefore, before new well-powered RCTs may be conducted, more well-designed pharmacokinetic and safety studies giving high-dose sodium selenite monotherapy, particularly in patients with renal dysfunction, and exploring long-term toxicity are warranted. In Table 1, data about the lowest observed adverse effect level (LOAEL) and the no observed adverse effect level (NOAEL) for selenium are shown.…”
Section: Pharmacokinetics and Safety Of Selenium In Icu Patientsmentioning
confidence: 99%
“…In addition, a single dose of 250 mg is necessary to induce acute toxicity, named selenosis 70 . Nevertheless, so far there are no definitive data about toxicity limits of sodium selenite in the critically ill despite numerous RCTs performed in different ICU patient populations performed without sufficient preclinical data in humans 71 . Therefore, before new well‐powered RCTs may be conducted, more well‐designed pharmacokinetic and safety studies giving high‐dose sodium selenite monotherapy, particularly in patients with renal dysfunction, and exploring long‐term toxicity are warranted.…”
Section: Pharmacokinetics and Safety Of Selenium In Icu Patientsmentioning
confidence: 99%