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Maternal selenium deficiency during pregnancy in association with autism and ADHD traits in children: The Odense Child Cohort.
Demircan, Kamil; Chillon, Thilo Samson; Jensen, Richard Christian; Jensen, Tina Kold; Sun, Qian; Bonnema, Steen Joop; Glintborg, Dorte; Bilenberg, Niels; Andersen, Marianne Skovsager; Schomburg, Lutz.
Afiliación
  • Demircan K; Institute for Experimental Endocrinology, Max Rubner Center (MRC) for Cardiovascular Metabolic Renal Research, Charité-Universitätsmedizin Berlin, Berlin, Germany.
  • Chillon TS; Institute for Experimental Endocrinology, Max Rubner Center (MRC) for Cardiovascular Metabolic Renal Research, Charité-Universitätsmedizin Berlin, Berlin, Germany.
  • Jensen RC; Department of Endocrinology, Odense University Hospital, Kløvervænget 6, 5000, Odense C, Denmark; University of Southern Denmark, Odense, Denmark; Department of Clinical Pharmacology, Pharmacy and Environmental Medicine, University of Southern Denmark, Campusvej 55, 5230, Odense M, Denmark.
  • Jensen TK; Department of Clinical Pharmacology, Pharmacy and Environmental Medicine, University of Southern Denmark, Campusvej 55, 5230, Odense M, Denmark; Odense Child Cohort, Hans Christian Andersen Children's Hospital, Odense University Hospital, Kløvervænget 23C, 5000, Odense C, Denmark; OPEN Patient Data
  • Sun Q; Institute for Experimental Endocrinology, Max Rubner Center (MRC) for Cardiovascular Metabolic Renal Research, Charité-Universitätsmedizin Berlin, Berlin, Germany.
  • Bonnema SJ; Department of Endocrinology, Odense University Hospital, Kløvervænget 6, 5000, Odense C, Denmark; University of Southern Denmark, Odense, Denmark.
  • Glintborg D; Department of Endocrinology, Odense University Hospital, Kløvervænget 6, 5000, Odense C, Denmark; University of Southern Denmark, Odense, Denmark.
  • Bilenberg N; Department of Clinical Research, Faculty of Health Sciences, University of Southern Denmark, Odense, Denmark; Department of Child and Adolescent Mental Health, Mental Health Services in the Region of Southern Denmark, Odense, Denmark.
  • Andersen MS; Department of Endocrinology, Odense University Hospital, Kløvervænget 6, 5000, Odense C, Denmark; University of Southern Denmark, Odense, Denmark. Electronic address: marianne.Andersen1@rsyd.dk.
  • Schomburg L; Institute for Experimental Endocrinology, Max Rubner Center (MRC) for Cardiovascular Metabolic Renal Research, Charité-Universitätsmedizin Berlin, Berlin, Germany. Electronic address: lutz.schomburg@charite.de.
Free Radic Biol Med ; 220: 324-332, 2024 Aug 01.
Article en En | MEDLINE | ID: mdl-38704054
ABSTRACT

BACKGROUND:

Selenoproteins regulate pathways controlling neurodevelopment, e.g., redox signaling and thyroid hormone metabolism. However, studies investigating maternal selenium in relation to child neurodevelopmental disorders are scarce.

METHODS:

719 mother-child pairs from the prospective population-based Odense Child Cohort study in Denmark were included. Three selenium biomarkers, i.e. concentrations of serum selenium, selenoprotein P (SELENOP), and activity of glutathione peroxidase 3 (GPX3), along with serum copper, zinc and iron were measured in early third trimester (at 28.9+/-0.8 weeks of pregnancy). ADHD and ASD traits in children were assessed systematically using the established Child Behaviour Checklist at 5 years of age, based on a Danish reference cohort with cut-off at 90th percentile. Multivariable regression models adjusted for biologically relevant confounders were applied.

RESULTS:

155 of 719 (21.6 %) children had ASD traits and 59 of 719 (8.2 %) children had traits of ADHD at 5 years of age. In crude and adjusted models, all three selenium biomarkers associated inversely with ADHD traits. For ADHD, fully adjusted OR for 10 µg/L increment in selenium was 0.76 (95 % CI 0.60, 0.94), for one mg/L increment in SELENOP was 0.73 (0.56, 0.95), and for 10 U/L increment in GPx3 was 0.93 (0.87,1.00). Maternal total selenium was inversely associated with child ASD traits, OR per 10 µg/L increment was 0.85 (0.74, 0,98). SELENOP and GPx3 were not associated with ASD traits. The associations were specific to selenium, as other trace elements such as copper, zinc, or iron were not associated with the outcomes.

CONCLUSIONS:

The results provide coherent evidence for selenium deficiency as a risk factor for ADHD and ASD traits in an environment with borderline supply, the causality of which should be elucidated in a randomized controlled trial.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Efectos Tardíos de la Exposición Prenatal / Trastorno por Déficit de Atención con Hiperactividad / Selenio / Selenoproteína P / Glutatión Peroxidasa Límite: Adult / Child / Child, preschool / Female / Humans / Male / Pregnancy País/Región como asunto: Europa Idioma: En Revista: Free Radic Biol Med Asunto de la revista: BIOQUIMICA / MEDICINA Año: 2024 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Efectos Tardíos de la Exposición Prenatal / Trastorno por Déficit de Atención con Hiperactividad / Selenio / Selenoproteína P / Glutatión Peroxidasa Límite: Adult / Child / Child, preschool / Female / Humans / Male / Pregnancy País/Región como asunto: Europa Idioma: En Revista: Free Radic Biol Med Asunto de la revista: BIOQUIMICA / MEDICINA Año: 2024 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Estados Unidos