Selenium and Immune Function

NCT ID: NCT00279812

Last Updated: 2018-07-16

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

133 participants

Study Classification

INTERVENTIONAL

Study Start Date

2005-04-30

Study Completion Date

2008-08-31

Brief Summary

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The aim of the study is to investigate the relationship between dose and form of selenium on immune function, and to identify functional markers of selenium status.

Detailed Description

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One of the proposed consequences of marginal selenium status is impaired immune function. Establishing the potential role of selenium as an enhancer of immune response in vivo may provide evidence-base for public health policy, with important consequences for preventing influenza and similar diseases in the elderly.

The project consists of a placebo controlled selenium supplementation study and a dietary intervention with un-enriched and selenium enriched onions. In a parallel group design, subjects will be given either one of three doses of Selenomethionine (50, 100 or 200µg selenium/day) or a placebo per day or selenium enriched or un-enriched onions (in the form of test meals) for 12 weeks. Changes in the expression of Se-responsive genes and proteins in blood will be measured and compared with changes in plasma Se concentration and selected selenoproteins. The relationship between dietary Se intake and systemic and mucosal immune responses to influenza vaccine will be examined. Changes in immune cell populations and the influence of Se on NK and CD8 cytotoxicity will be determined by flow cytometry.

Conditions

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Healthy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

OTHER

Blinding Strategy

DOUBLE

Participants Caregivers

Study Groups

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Placebo

Placebo

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type OTHER

Placebo supplement for 12 weeks

50ug selenium enriched yeast

50ug/d selenium enriched yeast (containing 60% selenomethionine)

Group Type EXPERIMENTAL

50ug selenium enriched yeast

Intervention Type DIETARY_SUPPLEMENT

Selenomethionine supplement (50ug/d Se) for 12 weeks

100ug selenium enriched yeast

100ug/d selenium enriched yeast (containing 60% selenomethionine)

Group Type EXPERIMENTAL

100ug selenium enriched yeast

Intervention Type DIETARY_SUPPLEMENT

Selenomethionine supplement (100ug/d Se) for 12 weeks

200ug selenium enriched yeast

200ug/d selenium enriched yeast (containing 60% selenomethionine)

Group Type EXPERIMENTAL

200ug selenium enriched yeast

Intervention Type DIETARY_SUPPLEMENT

Selenomethionine supplement (200ug/d Se) for 12 weeks

Control onion

3 meals/wk containing un-enriched onions equivalent to 4ug/d Se

Group Type EXPERIMENTAL

Control onion

Intervention Type DIETARY_SUPPLEMENT

3 meals per week containing un-enriched onion (4ug/d) for 12 weeks

Enriched onion

3 meals/wk containing enriched onions equivalent to 50ug/d Se

Group Type EXPERIMENTAL

Enriched onion

Intervention Type DIETARY_SUPPLEMENT

3 meals per week containing un-enriched onion (50ug/d) for 12 weeks

Interventions

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50ug selenium enriched yeast

Selenomethionine supplement (50ug/d Se) for 12 weeks

Intervention Type DIETARY_SUPPLEMENT

100ug selenium enriched yeast

Selenomethionine supplement (100ug/d Se) for 12 weeks

Intervention Type DIETARY_SUPPLEMENT

200ug selenium enriched yeast

Selenomethionine supplement (200ug/d Se) for 12 weeks

Intervention Type DIETARY_SUPPLEMENT

Control onion

3 meals per week containing un-enriched onion (4ug/d) for 12 weeks

Intervention Type DIETARY_SUPPLEMENT

Enriched onion

3 meals per week containing un-enriched onion (50ug/d) for 12 weeks

Intervention Type DIETARY_SUPPLEMENT

Placebo

Placebo supplement for 12 weeks

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Men and women, age 50-64
* Plasma selenium level \<1.2µmol/l (±10%)

Exclusion Criteria

* Elevated blood pressure measurements (\<90/50 or \<95/50 if symptomatic or \>160/100)
* Body mass index (BMI) \<18.5 or \>35
* Results of the clinical screening which are judged by the Human Nutrition Unit (HNU) Medical advisor to be indicative of a health problem and could compromise the well-being of the volunteer if they participated, or which would affect the data.
* Smokers
* Diagnosed with gastrointestinal disease (excluding hiatus hernia unless symptomatic or study intervention/procedure is contraindicated) for which they have been taking prescription drugs on a chronic basis.
* Diagnosed with a long-term illness requiring active treatment, e.g. diabetes, cancer, cardiovascular disease.
* On regularly prescribed medication known to have a profound effect on the immune function
* Regularly using antacids and laxatives (at least once a week)
* Sufferers of hay-fever taking regular steroid medication
* Unwillingness to discontinue dietary (other than vitamins and minerals) or herbal supplements less than one month prior to the start of the study and for the duration of the study
* Blood donation within 16 weeks of the first study sample and who intend to donate blood less than 16 weeks after the last study sample
* Antibiotic use within four weeks prior to starting the study
* Those who receive or plan to receive any other type of immunisation during the study period
* Those who have received an immunisation within 6 months of the start of the study
* Intention to go on holiday/trips for more than 2 weeks during the twelve week intervention
* Those planning a holiday/trip that requires immunisation during the twelve week intervention period
* Parallel participation in another research project which involves dietary intervention or sampling of biological fluids/materials
* Allergic to eggs or egg products
* Allergic to chicken protein
* Allergic to the antibiotic Gentamicin
* A history of Guillain-Barre syndrome
Minimum Eligible Age

50 Years

Maximum Eligible Age

64 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Food Standards Agency, United Kingdom

OTHER_GOV

Sponsor Role collaborator

Quadram Institute Bioscience

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Susan J Fairweather-Tait, PhD

Role: PRINCIPAL_INVESTIGATOR

University of East Anglia

Locations

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Institute of Food Research

Norwich, Norfolk, United Kingdom

Site Status

Countries

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United Kingdom

References

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Ivory K, Prieto E, Spinks C, Armah CN, Goldson AJ, Dainty JR, Nicoletti C. Selenium supplementation has beneficial and detrimental effects on immunity to influenza vaccine in older adults. Clin Nutr. 2017 Apr;36(2):407-415. doi: 10.1016/j.clnu.2015.12.003. Epub 2015 Dec 24.

Reference Type DERIVED
PMID: 26803169 (View on PubMed)

Goldson AJ, Fairweather-Tait SJ, Armah CN, Bao Y, Broadley MR, Dainty JR, Furniss C, Hart DJ, Teucher B, Hurst R. Effects of selenium supplementation on selenoprotein gene expression and response to influenza vaccine challenge: a randomised controlled trial. PLoS One. 2011 Mar 21;6(3):e14771. doi: 10.1371/journal.pone.0014771.

Reference Type DERIVED
PMID: 21445287 (View on PubMed)

Hurst R, Armah CN, Dainty JR, Hart DJ, Teucher B, Goldson AJ, Broadley MR, Motley AK, Fairweather-Tait SJ. Establishing optimal selenium status: results of a randomized, double-blind, placebo-controlled trial. Am J Clin Nutr. 2010 Apr;91(4):923-31. doi: 10.3945/ajcn.2009.28169. Epub 2010 Feb 24.

Reference Type DERIVED
PMID: 20181815 (View on PubMed)

Other Identifiers

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FSA 51949F

Identifier Type: OTHER

Identifier Source: secondary_id

IFR02/2005

Identifier Type: -

Identifier Source: org_study_id

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