The AtlasAmino acidsWritten in a stop codon
SelenocysteineSec · U
The twenty-first amino acid: cysteine with one atom changed, written in a codon that means stop, and built on its own private machinery.
Molecule · Sec · 7 heavy atoms
Selenocysteine
C3H7NO2Se168.05 g/mol
The twenty-first amino acid: cysteine with one atom changed, written in a codon that means stop, and built on its own private machinery.
Built fromthe charted ones open their own entry
- Codes
- Sec · U
- Formula
- C3H7NO2Se
- Molar mass
- 168.05 g/mol
- Systematic name
- (2R)-2-amino-3-selanylpropanoic acid
- Side chain
- Selenomethyl: one carbon and a selenol (–SeH); ionised at the pH of a cell.
- Class
- Written in a stop codon
- In the diet
- Made on its own tRNA
- Carbon skeleton
- Not applicable
- pKa
- side chain 5.2
- Codons
UGA- Main transporters
- SELENOP (selenoprotein P), LRP8 (ApoER2), LRP2 (megalin)
Side-chain pKa: Huber and Criddle, Arch Biochem Biophys 1967; later estimates run nearer 5.7. Formula and mass computed from the structure.
In brief
What it is
Cysteine with selenium in place of sulfur: the same skeleton, with a selenol (–SeH) where cysteine has a thiol 1. It is written in the genetic code as UGA, a codon that otherwise tells the ribosome to stop 2.
Why it matters
Most of what selenium does in the body, it does as selenocysteine 3. The 25 human selenoproteins include the glutathione peroxidases, the thioredoxin reductases and the deiodinases that turn thyroid T4 into T3 4,5,6.
Where it runs short
When selenium runs short the body rations it: the liver keeps exporting selenoprotein P, the brain and testis hold on to theirs, and inside cells the most vital selenoproteins are made first 7,8.
Where it turns
The amino acid has a ceiling: once selenoproteins are fully made, more selenium makes no more of them 9,10. The excess goes elsewhere, selenomethionine into ordinary protein in place of methionine, and enough of it causes selenosis: hair loss, brittle nails, diarrhoea and fatigue 11,12.
The amino acid has a ceiling. The element does not.
The molecule
Selenocysteine is cysteine with one atom changed. Selenium, the element directly below sulfur in the periodic table, sits where cysteine’s sulfur would, so the side chain is a selenol, –SeH, rather than a thiol 1.
The selenol gives up its hydrogen far more easily. Its pKa was measured at about 5.2 in 1967 13, and later estimates put it near 5.7, against 8.2 to 8.5 for cysteine’s thiol 14. At the pH inside a cell a selenol is almost entirely ionised into the reactive selenolate; a thiol mostly is not 14.
The bigger difference is what happens after it reacts. Selenium forms only weak double bonds to oxygen, so an oxidised selenium is readily reduced back, and a selenium enzyme resists the permanent overoxidation that would end a sulfur one 1. When mice were given a GPX4 with cysteine in place of selenocysteine, the enzyme was irreversibly overoxidised and the cells became highly sensitive to ferroptosis 15.
StereochemistryLike cysteine, L-selenocysteine is R rather than S. Nothing about its shape differs from the other L-amino acids: selenium outranks the oxygens of the carboxyl group under the Cahn–Ingold–Prelog rules, which flips the letter.
Selenocysteine, selenol pKa 5.2Cysteine, thiol pKa 8.18
Fraction of side chains ionised (Se− or S−), from each pKa by the Henderson–Hasselbalch equation, for the free amino acid. An ionised selenol or thiol is the reactive form.
| 1st ↓ 2nd → | U | C | A | G | 3rd |
|---|---|---|---|---|---|
| U | UUUPhe | UCUSer | UAUTyr | UGUCys | U |
| UUCPhe | UCCSer | UACTyr | UGCCys | C | |
| UUALeu | UCASer | UAAStop | UGASec | A | |
| UUGLeu | UCGSer | UAGStop | UGGTrp | G | |
| C | CUULeu | CCUPro | CAUHis | CGUArg | U |
| CUCLeu | CCCPro | CACHis | CGCArg | C | |
| CUALeu | CCAPro | CAAGln | CGAArg | A | |
| CUGLeu | CCGPro | CAGGln | CGGArg | G | |
| A | AUUIle | ACUThr | AAUAsn | AGUSer | U |
| AUCIle | ACCThr | AACAsn | AGCSer | C | |
| AUAIle | ACAThr | AAALys | AGAArg | A | |
| AUGMet | ACGThr | AAGLys | AGGArg | G | |
| G | GUUVal | GCUAla | GAUAsp | GGUGly | U |
| GUCVal | GCCAla | GACAsp | GGCGly | C | |
| GUAVal | GCAAla | GAAGlu | GGAGly | A | |
| GUGVal | GCGAla | GAGGlu | GGGGly | G |
| Selenocysteine | Pyrrolysine | |
|---|---|---|
| Codon | UGA | UAG |
| How it is made | On its tRNA: serine is loaded first and converted in place 16 | As a free amino acid, from two lysines, then loaded onto its tRNA 17,18 |
| What the message needs | A SECIS hairpin; without it UGA is read as stop 19,20 | A nearby signal helps but is not required 20,21 |
| Who uses it | All three domains of life, humans included 2 | Some methane-making archaea and a few bacteria; not humans 22,23 |
| How many proteins | 25 in humans 4 | More than 1,800 known in archaea 24 |
| What it does there | Redox chemistry: peroxides, thioredoxin, thyroid hormone 2 | Takes the methyl group off methylamines, the first step in making methane from them 17 |
Only one organism is known to use both 22.
Where it comes from
Selenocysteine is the only amino acid in humans that is made on its own transfer RNA 25. Seryl-tRNA synthetase loads serine onto tRNA[Ser]Sec; a kinase, PSTK, phosphorylates it; and selenocysteine synthase, SEPSECS, a vitamin B6 enzyme, replaces the phosphate with selenium, delivered as selenophosphate that selenophosphate synthetase 2 makes from selenide 16.
The selenium comes from food in several forms and is pooled. The liver is the central organ: it secretes selenoprotein P, which carries one selenocysteine in its larger domain and nine in its smaller one, and the rest of the body takes its selenium from that 7,26.
Free selenocysteine released when selenoproteins are broken down is not reused as such. Selenocysteine lyase splits it into alanine and selenide, and the selenide goes back to be made into selenophosphate 27.
Made on its own tRNANot taken from the diet as an amino acid: the body builds it from serine on its own tRNA, with selenium supplied as selenophosphate 16. What the diet must supply is selenium, for which the US recommended allowance for adults is 55 µg a day 12.
How much
The requirement is for selenium, not selenocysteine: the US recommended allowance for adults is 55 µg a day 12, and selenoprotein P was fully expressed at a total intake of about 49 µg a day in a repletion trial 9.
Where it is in food
- Selenium in food varies widely with the soil it grew in, so intakes differ greatly between countries and regions 28.
In the bottle · not sold as itselfSupplements labelled selenium contain selenomethionine, selenite or Se-methylselenocysteine, which is a different molecule despite the name 11,29. The body makes its own selenocysteine from whatever selenium arrives 16.
What the body does with it
In 2003 Kryukov and colleagues counted 25 selenoprotein genes in the human genome, many of them misannotated until then because their UGA had been read as a stop 4. Most are oxidoreductases, enzymes that move electrons, and in most the selenocysteine sits at the active site 2.
The glutathione peroxidases dismantle peroxides, and one of them, GPX4, repairs oxidised fats in membranes and is the main brake on ferroptosis 15. The thioredoxin reductases reduce thioredoxin through a selenocysteine near their tail, and are targeted by drugs including auranofin, the old gold-based arthritis treatment 5,30. The three deiodinases are the selenoproteins of thyroid hormone metabolism, converting T4, the main circulating form, into active T3 6.
Selenoprotein P is the courier. Made mostly in the liver, it delivers selenium to the testis and brain through the receptor ApoER2 and is reclaimed by the kidney through megalin 26. In rats about a quarter of the body’s selenium passes through it each day, and mice without it have very little selenium in the brain, the testis and the fetus 31.
Under shortage the body ranks its selenoproteins. Cells make the ones most important to them first, and tissues are supplied in order of their selenoprotein P receptors 7. In rats fed graded selenium, testis GPX4 activity held at the lowest intakes while GPX1 fell to 28% of normal 8.
In three sentences each
Encoded by a stop codon
UGA normally ends a protein. In a selenoprotein message, a hairpin in the 3′ untranslated region, the SECIS element, recruits SECISBP2, the selenocysteine tRNA and its own elongation factor, EEFSEC, and the ribosome inserts selenocysteine instead of stopping 19.
Built on its own tRNA
Serine is loaded onto a dedicated tRNA, phosphorylated, and then converted to selenocysteine by SEPSECS using selenophosphate, so the amino acid is made in place, already attached, rather than picked up free 16.
How it is made, moved and broken down
Its lifecycle is a loop. Serine goes onto the tRNA, the finished selenocysteine goes into a selenoprotein, and when that protein is broken down selenocysteine lyase returns the selenium to the start 16,27.
Carbon skeleton · not applicableThe point of breaking it down is the selenium, not the carbon: selenocysteine lyase splits free selenocysteine into alanine and selenide, and the selenide is reused to make new selenoproteins 27.
- Serine + tRNA[Ser]Sec
- Seryl-tRNA synthetaseSARS1 · ATP
- Seryl-tRNA[Ser]Sec
- Phosphoseryl-tRNA kinasePSTK · ATP
- Phosphoseryl-tRNA[Ser]Sec
- Selenocysteine synthaseSEPSECS · vitamin B6
- Selenocysteinyl-tRNA[Ser]Sec
- UGA in a selenoprotein message
- SECIS-binding protein 2SECISBP2 · SECIS element
- Ribosome paused, SECIS bound
- Selenocysteine elongation factorEEFSEC
- Selenocysteine in the protein
- Free selenocysteine
- Selenocysteine lyaseSCLY
- Alanine + selenide
- Selenophosphate synthetase 2SEPHS2 · ATP
- Selenophosphate
How it crosses membranes
- SELENOP · selenoprotein Pmade in the liver, carried in plasma — ten selenocysteines per molecule; the body’s selenium courier 26
- LRP8 · ApoER2testis and brain — the receptor that takes up selenoprotein P, which is how those tissues hold their selenium in deficiency 7,26
- LRP2 · megalinkidney proximal tubule — reclaims selenoprotein P filtered by the kidney 7
Where it matters most
- Thyroid and the tissues that use its hormone
- The deiodinases are selenoproteins, and the thyroid’s own antioxidant defence depends on glutathione peroxidases 6.
- Liver
- The central organ of selenium regulation: it makes most plasma selenoprotein P and, in deficiency, cuts excretion and keeps exporting it at the expense of its own selenoproteins 7.
- Brain
- Holds its selenium in deficiency through ApoER2; GPX4 with selenocysteine is required for the survival of a class of interneurons in mice 15,26.
- Testis and sperm
- Protected first in deficiency; loss of testis selenoproteins causes azoospermia in people with SECISBP2 defects 8,32.
- Muscle
- Selenoprotein N defects cause a myopathy, and people with SECISBP2 defects develop a similar axial muscular dystrophy 32.
When it goes wrong
Inherited
SECISBP2 deficiency
SECISBP2 · autosomal recessive
The first human defect of selenocysteine insertion, described in 2005 in children with abnormal thyroid hormone metabolism caused by low deiodinase activity 33. More severe defects reduce most of the 25 selenoproteins and cause a multisystem disorder: azoospermia, an axial muscular dystrophy, photosensitivity, impaired T-cell function and, paradoxically, increased insulin sensitivity 32.
How it is foundThyroid hormone measurements with selenium and selenoprotein levels; confirmed by sequencing SECISBP2 32,33.
Inherited
Selenocysteine tRNA mutation
TRU-TCA1-1 · homozygous
One person with a mutation in the selenocysteine tRNA itself had abdominal pain, fatigue, muscle weakness and low plasma selenium; the stress-related selenoproteins fell while the housekeeping ones were kept, through a defect in a single modification of the tRNA 19,34.
How it is foundSelenoprotein expression in the person’s cells, and sequencing 34.
Inherited
SEPSECS-related neurodevelopmental disorder
SEPSECS · autosomal recessive
Defects in the last enzyme of selenocysteine synthesis cause progressive atrophy of the cerebellum and cerebrum, first found in families of Iraqi and Moroccan Jewish ancestry 25. A 2026 cohort of 27 people described three courses, from severe early onset to mild disease in adulthood, and proposed renaming the condition from pontocerebellar hypoplasia type 2D, since the pons was involved in fewer than half 35.
How it is foundBrain imaging and SEPSECS sequencing; plasma selenium, glutathione, GPX activity and selenoprotein P for monitoring 35.
Inherited
Sedaghatian-type spondylometaphyseal dysplasia
GPX4 · autosomal recessive
Truncating mutations in GPX4 cause a skeletal dysplasia that is lethal in newborns, with heart rhythm and brain abnormalities, showing what the loss of this one selenoprotein does to development 36.
How it is foundExome or targeted sequencing 36.
Too little
Selenium deficiency
Fewer selenoproteins are made, in a fixed order of priority 7. In severely selenium-poor regions it is linked to Keshan disease, an endemic cardiomyopathy, and in children to Kashin–Beck disease, a disorder of bone and cartilage 6,37,38.
Biomarker
Anti-SLA antibodies in autoimmune hepatitis
SEPSECS
The enzyme that makes selenocysteine is the soluble liver antigen of autoimmune hepatitis: some patients make antibodies against SEPSECS, and their disease tends to be more severe 16,39.
How it is foundAnti-SLA antibody testing, alongside the other autoantibodies of autoimmune hepatitis 39.
Too much
Selenosis
In 2008 a liquid supplement containing 200 times its labelled selenium poisoned 201 people in ten US states, at a median dose of about 41,700 µg a day: diarrhoea, fatigue, hair loss, joint pain and nail damage, with nail changes and fatigue lasting beyond 90 days in many 12.
How it is foundSerum and urine selenium 12.
How it is measured
Nobody measures selenocysteine itself in clinical practice. Selenium status is judged by what the selenoproteins do, selenoprotein P concentration and glutathione peroxidase activity, within the range of intake where their synthesis is regulated, and by total selenium, which reflects intake over a wider range but not function 10.
- Selenoprotein PThe selenium transport protein, made by the liver; in a repletion trial it was the last plasma marker to plateau, so it is the best single readout of whether all selenoproteins are being made 9.Informative within the range where selenoprotein synthesis is regulated, roughly intakes below 55 µg a day 10.Once selenoproteins are full it stops rising, so it cannot show excess; with selenomethionine supplements, part of the measured rise is selenomethionine built nonspecifically into the protein 11.
- Plasma or serum seleniumTotal selenium, in selenoproteins and in selenomethionine-containing proteins such as albumin 10,11.Tracks intake over a wide range, including from food, and confirms poisoning: serum averaged 751 µg/L in a supplement outbreak, against a reference limit of 125 10,12.Says nothing directly about function; in the Chinese repletion trial it kept rising with dose and never plateaued 9.
- Glutathione peroxidase activityThe activity of a selenoenzyme, in plasma, platelets or red cells 9,29.A direct functional measure in deficiency 10.It plateaus at a lower intake than selenoprotein P, so it calls marginal intakes adequate; platelet activity did not change at all with supplementation in UK adults 9,29.
Food, supplements and the evidence
Establishedreplicated in people, for a named outcome
Uncertainsmall, short, mixed, surrogate or preclinical
What is strange about it
UGA means stop in almost every human gene. In twenty-five of them, a fold of RNA further down the same message turns it into an instruction to insert selenium 4,19.
The enzyme that makes selenocysteine was known to medicine before anyone knew what it did: it is the soluble liver antigen, a target of autoantibodies in autoimmune hepatitis 16,39.
Land plants and fungi have lost selenoproteins entirely, and several groups of land animals, insects and nematodes among them, have replaced most of theirs with cysteine; aquatic organisms keep the largest selenoproteomes 3,42.
Mice whose GPX4 has cysteine instead of selenocysteine develop normally as embryos, then lose a specific class of interneurons and die of seizures. It took two hundred years after selenium’s discovery to find a role in mammals that sulfur could not fill 15.
Where it connects
In the Atlas
Topics on the map
On the map
A star in The rest of the amino acids, one of 6. The twenty-first amino acid, written with a stop codon. The cell reads UGA as selenocysteine only when the message carries a hairpin that says so.
Sources
42 sources, numbered as they are cited. Every one was checked against PubMed or its publisher before it was cited here; the note under each says what it shows and what it does not.
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Review: selenium against sulfur, and why selenium enzymes resist permanent oxidation.
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Review of selenoprotein function and the SECIS insertion machinery.
- 3Lobanov AV, Hatfield DL, Gladyshev VN. Eukaryotic selenoproteins and selenoproteomes.doi:10.1016/j.bbagen.2009.05.014 · PMID 19477234
Selenium’s dietary importance is mainly as selenocysteine; plants and fungi lost selenoproteins.
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The human selenoproteome: 25 selenoproteins, many previously misannotated.
- 5Arnér ES. Focus on mammalian thioredoxin reductases: important selenoproteins with versatile functions.doi:10.1016/j.bbagen.2009.01.014 · PMID 19364476
Review: TXNRD1–3, their selenocysteine, and the drugs that target them.
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Narrative review: deiodinases, glutathione peroxidases, Keshan and Kashin–Beck disease.
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The selenoprotein hierarchy, the liver’s role, and the ApoER2 and megalin receptors.
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Rats: GPX4 held at the lowest selenium intakes, GPX1 fell to 28%. Animal study.
- 9Xia Y, Hill KE, Li P, et al. Optimization of selenoprotein P and other plasma selenium biomarkers for the assessment of the selenium nutritional requirement: a placebo-controlled, double-blind study of selenomethionine supplementation in selenium-deficient Chinese subjects.doi:10.3945/ajcn.2010.29642 · PMID 20573787
98 selenium-deficient adults, 40 weeks: selenoprotein P optimised near 49 µg/day, GPX earlier; plasma selenium never plateaued.
- 10Combs GF. Biomarkers of selenium status.doi:10.3390/nu7042209 · PMID 25835046
Review: functional markers below about 55 µg/day; total selenium over wider ranges.
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Selenite, selenomethionine or Se-methylselenocysteine at 400 µg/day: about 45% of the selenoprotein P rise with selenomethionine was nonspecific incorporation.
- 12MacFarquhar JK, Broussard DL, Melstrom P, et al. Acute selenium toxicity associated with a dietary supplement.doi:10.1001/archinternmed.2009.495 · PMID 20142570
201 cases in ten states from a supplement with 200 times its labelled selenium.
- 13Huber RE, Criddle RS. Comparison of the chemical properties of selenocysteine and selenocystine with their sulfur analogs.doi:10.1016/0003-9861(67)90136-1 · PMID 6076213
The original measurement of selenocysteine’s chemistry against cysteine’s, including the selenol pKa.
- 14McGrath NA, Raines RT. Chemoselectivity in chemical biology: acyl transfer reactions with sulfur and selenium.doi:10.1021/ar200081s · PMID 21639109
Gives pKa 8.5 for the cysteine thiol and 5.7 for the selenocysteine selenol.
- 15Ingold I, Berndt C, Schmitt S, et al. Selenium utilization by GPX4 is required to prevent hydroperoxide-induced ferroptosis.doi:10.1016/j.cell.2017.11.048 · PMID 29290465
Mice: cysteine-GPX4 is overoxidised; interneurons die and seizures follow. Animal and cell study.
- 16Xu XM, Carlson BA, Mix H, et al. Biosynthesis of selenocysteine on its tRNA in eukaryotes.doi:10.1371/journal.pbio.0050004 · PMID 17194211
Identified mammalian selenocysteine synthase and the full pathway from serine and selenide.
- 17Gaston MA, Zhang L, Green-Church KB, Krzycki JA. The complete biosynthesis of the genetically encoded amino acid pyrrolysine from lysine.doi:10.1038/nature09918 · PMID 21455182
PylB, PylC and PylD make pyrrolysine from two lysines; required for methane from methylamines.
- 18Blight SK, Larue RC, Mahapatra A, et al. Direct charging of tRNA(CUA) with pyrrolysine in vitro and in vivo.doi:10.1038/nature02895 · PMID 15329732
Synthetic pyrrolysine attached as a free molecule by PylS, with ATP.
- 19Chavatte L, Lange L, Schweizer U, et al. Understanding the role of tRNA modifications in UGA recoding as selenocysteine in eukaryotes.doi:10.1016/j.jmb.2025.169017 · PMID 39988117
Review of SECIS, SECISBP2, EEFSEC and the tRNA modifications that tune recoding.
- 20Peiter N, Rother M, Krzycki JA. Recent developments in (archaeal) pyrrolysine and selenocysteine specification and metabolism.doi:10.1101/cshperspect.a041979 · PMID 41997725
Review contrasting how the two recoded amino acids are made and read.
- 21Longstaff DG, Blight SK, Zhang L, et al. In vivo contextual requirements for UAG translation as pyrrolysine.doi:10.1111/j.1365-2958.2006.05500.x · PMID 17140411
A downstream PYLIS enhances UAG translation; a UAG with no evolved context was still read at 20%.
- 22Zhang Y, Baranov PV, Atkins JF, Gladyshev VN. Pyrrolysine and selenocysteine use dissimilar decoding strategies.doi:10.1074/jbc.M501458200 · PMID 15788401
The pyrrolysine trait in a few microbes; one organism with both; four protein families.
- 23Srinivasan G, James CM, Krzycki JA. Pyrrolysine encoded by UAG in Archaea: charging of a UAG-decoding specialized tRNA.doi:10.1126/science.1069588 · PMID 12029131
The pylT tRNA with a CUA anticodon and the pylS synthetase; homologs in a Gram-positive bacterium.
- 24Kivenson V, Peters SL, Borrel G, et al. An archaeal genetic code with all TAG codons as pyrrolysine.doi:10.1126/science.adu2404 · PMID 41264687
The Pyl code: 62 sense codons, 21 amino acids; more than 1,800 pyrrolysine proteins.
- 25Agamy O, Ben Zeev B, Lev D, et al. Mutations disrupting selenocysteine formation cause progressive cerebello-cerebral atrophy.doi:10.1016/j.ajhg.2010.09.007 · PMID 20920667
SEPSECS founder mutations in families of Iraqi and Moroccan Jewish ancestry.
- 26Burk RF, Hill KE. Selenoprotein P: expression, functions, and roles in mammals.doi:10.1016/j.bbagen.2009.03.026 · PMID 19345254
Ten selenocysteines; ApoER2 uptake in testis and brain, megalin in kidney.
- 27Seale LA, Khadka VS, Menor M, et al. Combined omics reveals that disruption of the selenocysteine lyase gene affects amino acid pathways in mice.doi:10.3390/nu11112584 · PMID 31717805
Selenocysteine lyase splits selenocysteine into selenide and alanine for reuse. Mouse study.
- 28Rayman MP. Food-chain selenium and human health: emphasis on intake.doi:10.1017/S0007114508939830 · PMID 18346308
Review: how selenium enters the food chain and how much intakes vary.
- 29Hurst R, Armah CN, Dainty JR, et al. Establishing optimal selenium status: results of a randomized, double-blind, placebo-controlled trial.doi:10.3945/ajcn.2009.28169 · PMID 20181815
119 UK adults, 12 weeks of selenium yeast or selenium-enriched onion: selenoprotein P rose, platelet GPx did not.
- 30Bak DW, Gao J, Wang C, Weerapana E. A quantitative chemoproteomic platform to monitor selenocysteine reactivity within a complex proteome.doi:10.1016/j.chembiol.2018.05.017 · PMID 29983274
Uses selenocysteine’s low pKa to profile selenoproteins; auranofin as a thioredoxin reductase inhibitor.
- 31Burk RF, Hill KE. Selenoprotein P: an extracellular protein with unique physical characteristics and a role in selenium homeostasis.doi:10.1146/annurev.nutr.24.012003.132120 · PMID 16011466
About a quarter of whole-body selenium passes through it daily in rats; knockout mice lose brain and testis selenium.
- 32Schoenmakers E, Agostini M, Mitchell C, et al. Mutations in the selenocysteine insertion sequence-binding protein 2 gene lead to a multisystem selenoprotein deficiency disorder in humans.doi:10.1172/JCI43653 · PMID 21084748
Multisystem disorder from reduced synthesis of most selenoproteins.
- 33Dumitrescu AM, Liao XH, Abdullah MS, et al. Mutations in SECISBP2 result in abnormal thyroid hormone metabolism.doi:10.1038/ng1654 · PMID 16228000
The first inherited selenocysteine incorporation defect in humans.
- 34Schoenmakers E, Carlson B, Agostini M, et al. Mutation in human selenocysteine transfer RNA selectively disrupts selenoprotein synthesis.doi:10.1172/JCI84747 · PMID 26854926
One proband; stress-related selenoproteins fall, housekeeping ones are kept.
- 35Killam BY, Knol MJ, Fradejas-Villar N, et al. Disease characteristics of SEPSECS deficiency: an international, retrospective, multicenter cohort study.doi:10.1016/j.gim.2026.102684 · PMID 42603098
27 people; three clinical courses; proposes renaming from PCH2D.
- 36Smith AC, Mears AJ, Bunker R, et al. Mutations in the enzyme glutathione peroxidase 4 cause Sedaghatian-type spondylometaphyseal dysplasia.doi:10.1136/jmedgenet-2013-102218 · PMID 24706940
Truncating GPX4 mutations in two families with this neonatal-lethal dysplasia.
- 37Pierce WG, Mackrill JJ. Selenium in aging and longevity.doi:10.1016/j.biochi.2026.09.002 · PMID 42710827
Review: deficiency and excess, including Keshan disease and selenosis.
- 38Wang P, Chen B, Huang Y, et al. Selenium intake and multiple health-related outcomes: an umbrella review of meta-analyses.doi:10.3389/fnut.2023.1263853 · PMID 37781125
Umbrella review: mostly low-quality evidence; possible higher type 2 diabetes risk; no general supplementation.
- 39Kramer M, Mele F, Jovic S, et al. Clonal analysis of SepSecS-specific B and T cells in autoimmune hepatitis.doi:10.1172/JCI183776 · PMID 39817450
SEPSECS is the soluble liver antigen; anti-SepSecS antibodies go with a more severe phenotype.
- 40Linn YH, Aziz S, Mok SL. Selenium status and supplementation in thyroid disorders: a narrative review of current evidence.doi:10.1016/j.jtemb.2025.127799 · PMID 41206976
Antibodies fall in autoimmune thyroiditis; effects on hypothyroidism inconsistent.
- 41Rayman MP. Selenium and human health.doi:10.1016/S0140-6736(11)61452-9 · PMID 22381456
Review: the U-shaped relationship with status; supplementation may harm the replete.
- 42Lobanov AV, Fomenko DE, Zhang Y, et al. Evolutionary dynamics of eukaryotic selenoproteomes: large selenoproteomes may associate with aquatic life and small with terrestrial life.doi:10.1186/gb-2007-8-9-r198 · PMID 17880704
Independent selenoprotein losses on land; replacement of selenocysteine by cysteine.
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