(CANCER RESEARCH 51. 595-600. January 15. 1991] Chemical Form of Selenium, Critical Metabolites, and Cancer Prevention1 Clement Ip,2 Cassandra Hayes, Rose Marie Budnick, and Howard E. Ganther Department of Breast Surgery. Rositeli Park Cancer Institute, Buffalo, .Vor York 14263 ¡C.I., C. H., R. M. B./, and Department of Nutritional Sciences, University of Wisconsin, Madison, H'isconsin 53 706 [H. E. GJ In accordance with the metabolic scheme shown in Fig. 1, entry of selenium at a point below the hydrogen selenide pool is expected to generate relatively large quantities of methylated metabolites and bypass the conventional assimilatory pathway in forming selenocysteine for incorporation into glutathione peroxidase (4). We have previously investigated the anticarcin ogenic activity of a prototype synthetic selenium compound, selenobetaine, which has methyl groups on the selenium and is able to generate the methylated metabolites directly in vivo (5). Selenobetaine was found to be slightly more active than selenite in the inhibition of mammary tumorigenesis in the rat (6). This particular study provided the first indication that methylated metabolites of selenium might be active in cancer prevention. We have examined additional mono- and dimethylated organoselenium compounds that are direct precursors of meth ylated selenides in vivo . The present paper reports the chemo preventive activities of Se-methylselenocysteine and dimethyl selenoxide in the rat DMBA'-induced mammary carcinogenesis model. Se-Methylselenocysteine was selected because it is an excellent precursor of methylated selenides (7), cannot be in corporated into proteins like other selenoamino acids, and occurs naturally in plants (8). Dimethyl selenoxide was tested because it is a nonvolatile compound that is expected to undergo rapid reduction to dimethyl selenide. Fig. 1 illustrates the major sites where Se-methylselenocysteine and dimethyl selenoxide enter the selenium metabolic pathway. Because of our prior observation that co-administration of arsenite increases the anticarcinogenic activity of selenobetaine (6) and trimethylse lenonium (9), the current experiments were carried out in the presence and absence of arsenite to determine its modifying effects. Before new strategies for generating critical metabolites for chemoprevention can be developed, it is essential to understand how different forms of selenium are metabolized with respect to the assimilatory and detoxification pathways as well. The possibility of demethylation is emerging as an important con cept in selenium metabolism (3, 5). Inorganic selenide is gen erally regarded as the precursor for supplying selenium in an active form to be inserted co-translationally during the synthesis of selenoproteins such as glutathione peroxidase ( 10). Complete demethylation would channel selenium from methylated forms into the assimilatory pathway. We therefore undertook a sepa rate study using Se-methylselenocysteine, dimethyl selenoxide, and trimethylselenonium as the starting compounds for deliv ering selenium with 1, 2. or 3 methyl groups, and measured the ability of these compounds to restore glutathione peroxidase activity in selenium-depleted animals. ABSTRACT Methylated selenides are prominent metabolites at the dietary levels used for obtaining anticarcinogenic effects with selenium. The present study reports the chemopreventive activities of 2 novel selenium com pounds, Se-methylselenocysteine and dimethyl selenoxide, in the rat dimethylbenz(a)anthracene-induced mammary tumor model. Other treat ment groups were supplemented with either selenite or selenocystine for comparative purposes. Kach selenium compound was tested at different levels and was given to the animal starting 1 week before dimethylbenz(a)anthracene administration and continued until sacrifice. Results of the carcinogenesis experiments showed that the relative efficacy with the four compounds was Se-methylselenocysteine > selenite > seleno cystine > dimethyl selenoxide. In correlating the chemical form and metabolism of these selenium compounds with their anticarcinogenic activity, it is concluded that: (a) selenium compounds that are able to generate a steady stream of methylated metabolites, particularly the monomethylatcd species, arc likely to have good chemopreventive poten tial; (b) anticarcinogenic activity is lower for selenoamino acids, such as selenocysteine following conversion from selenocystine, which have an escape mechanism via random, nonstoichiometric incorporation into pro teins; and (c) forms of selenium, as exemplified by dimethyl selenoxide, which are metaboli/cd rapidly and quantitatively to dimethyl selenide and trimethylselenonium and excreted, are likely to be poor choices. We also undertook a separate bioavailability study using Se-methylseleno cysteine, dimethyl selenoxide, and trimethylselenonium as the starting compounds for delivering selenium with one, two, or three methyl groups, and measured the ability of these compounds to restore glutathione peroxidase activity in selenium-depleted animals. All three compounds were able to fully replete this enzyme, although with a wide range of efficiency (Se-methylselenocysteine > dimethyl selenoxide > trimethyl selenonium), suggesting that complete demethylation to inorganic sele nium is a normal process of selenium metabolism. However, the degree to which this occurs under chemoprevention conditions would argue against the involvement of selenoproteins in the anticarcinogenic action of these selenium compounds. INTRODUCTION There is much evidence that powerful anticarcinogenic effects are produced in animals given selenium (1). The chemical form and the dose of selenium administered are important factors in determining its biological activities. It is reasonable to believe that intermediary metabolism of the administered selenium compound ultimately produces the critical forms that are re sponsible for cancer protection. Methylated selenides are prom inent metabolites at the dietary levels used for obtaining anticarcinogenic effects with selenium: dimethyl selenide and tri methylselenonium ion are well-established excretory meta bolites (2). and monomethylated forms are likely to be present in urine as well (3). Received 8/1/90; accepted 10/24/90. The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked advertisement in accordance with 18 U.S.C. Section 1734 solely to indicate this fact. 1This project was supported by grants C'A 45I64 and C'A 27706 from the National Cancer Institute. NIH. and by the College of Agricultural and LifeSciences. University of Wisconsin. Madison. WI. 2To whom requests for reprints should be addressed, at Department of Breast Surgery. Roswcll Park Memorial Institute. 666 Elm Street. Buffalo. NY 14263. MATERIALS AND METHODS Diet and Selenium Supplementation. Female Sprague-Dawley rats that were 40 days of age were purchased from Charles River Breeding Laboratories, Wilmington, MA. They were maintained on the AIN76A diet (substituting dextrose for sucrose) as described previously (11) 'The abbreviation used is: DMBA. dinicthylbcnz(a)anthraccnc. 595 Downloaded from cancerres.aacrjournals.org on July 31, 2017. © 1991 American Association for Cancer Research. SELENIUM CANCER CHEMOPREVENTION Selenite H,Se hydrogen selenide NH, I CH3 -Se-CH 2-CH-COOH Se-methylselenocysteine CH3-Se(O)-CH3 dimethyl selenoxide _^ Incorporation into selenoproteins as selenocy steine specified by TGA codon I! CH3SeH methvlselenol 1! ». CH3SeCH3 I,Se C dimethvlselenide hylsei I! (CH3)3Se + trimethylselenonium Fig. 1. Main sites where Se-methylselenocysteine and dimethylselenoxide enter the selenium metabolic pathway. Center of the diagram, metabolism of selenite or selenomethionine to the methylated products. The conversion of selenite to H2Se involves the reductive steps through glutathione selenotrisulfide and glutathione selenopersulfide. whereas selenomethionine is metabolized via the transsulfuration mechanism to selenocysteine first, and then through the enzymatic lyase reaction to H2Se. Hydrogen selenide is regarded as a possible precursor for incorporation of selenium into selenoproteins. Evidence is provided in "Results" to support demelhylation of trimethylselenonium Se (broken arrows). Mammary Tumor Induction. Mammary tumors were induced by i.g. administration of 10 mg of DMBA (Sigma) at approximately 55 days of age (13). Rats were palpated weekly to determine the appearance and location of tumors and were killed between 24 and 25 weeks after DMBA treatment. At autopsy, the mammary gland was exposed for the detection of nonpalpable tumors. Only confirmed adenocarcinomas were reported in the results. Tumor incidences at the final time point were compared by x2 analysis and the total tumor yield compared by frequency distribution analysis as described previously (14). Biochemical Analysis. Selenium concentrations in blood, liver, and mammary gland from rats in the DMBA-carcinogenesis experiments (8 rats/group) were determined by the fluorometric procedure of Olson et al. (15). The ability of selenite. Se-methylselenocysteine, dimethyl selenoxide, and trimethylselenonium to maintain liver selenium-de pendent glutathione peroxidase activity was evaluated in a selenium depletion/repletion protocol. Weanling rats were fed the AIN-76A diet without selenium in the mineral mix for 3 weeks. Our analysis indicated that this selenium-deficient diet contained approximately 0.03-0.04 ppm Se. The animals were then supplemented with various concentra tions of the selenium compounds added to the diet or drinking water for an additional 3 weeks. Liver glutathione peroxidase activity was measured by the coupled assay procedure of Paglia and Valentine (16) using hydrogen peroxide as the substrate. and other methylated forms of RESULTS for the entire duration of the experiment. The AIN-76 mineral mix used in the diet provided 0.1 ppm Se as sodium selenite. For the mammary cancer chemoprevention studies, additional selenium com pound was given to the animals starting 1 week before DMBA admin istration and continued until sacrifice. With the exception of dimethyl selenoxide, which was given in the drinking water, all other selenium compounds (Se-methylselenocysteine, selenocystine, and selenite) were added directly to the basal diet. Some diets also contained 5 ppm arsenic in the form of sodium arsenite. Water bottles containing di methyl selenoxide were changed every other day; fresh food with or without supplemented selenium compounds was offered to the animals on the same schedule. Sodium selenite and DL-selenocystine were purchased from Sigma and were mixed in the diet at different concen trations as indicated in the text without further purification. Se-Methylselenocysteine and dimethyl selenoxide were synthesized as described below. Synthesis of Se-Methylselenocysteine and Dimethyl Selenoxide. DLSelenocystine was reduced to selenocysteine with sodium borohydride (40 moles/mole selenocystine), then reacted with ¡odomethane (20 moles/mole selenocysteine) under anaerobic conditions at pH 7. The reaction mixture was adjusted to pH 2 and applied to a column of SPSephadex (H+). After washing the column with water, Se-methylselen Anticarcinogenic Activity of Se-Methylselenocysteine. In an initial 40-day toxicological study, we had already ascertained that the growth rate of rats fed 2 ppm Se as Se-methylseleno cysteine in the diet was identical to that of controls given the basal regimen containing 0.1 ppm Se as selenite. Thus, the DMBA-mammary carcinogenesis experiment was carried out with this compound supplemented chronically at 1 or 2 ppm Se. Fig. 2 illustrates the cumulative appearance of palpable mammary tumors as a function of time after DMBA adminis tration. In addition to the Se-methylselenocysteine-treated groups with or without arsenite added to the diet, other treat ment groups were supplemented with either selenite or seleno cystine for comparative purposes. The experiments shown in Fig. 2, A to D, were carried out concurrently. Fig. 2A shows the results from the 2 control groups given just the basal diet (containing 0.1 ppm Se) plus or minus 5 ppm As as arsenite. The rate of tumor appearance was quite similar between these 2 groups, suggesting that arsenite by itself had little effect on mammary carcinogenesis. The data from 3 levels of selenite supplementation (1, 2, and 3 ppm Se) are shown in Fig. 2B. The dose-response relationship and the magnitude of suppres ocysteine was eluted with dilute HC1 (pH 1.2); selenocystine is retained sion of tumorigenesis by selenite (for 2 and 3 ppm Se, P < 0.05) on the column and can be eluted with l N HC1. Dimethyl selenoxide was prepared by oxidation of dimethyl selenide (purchased from Orwere within our expectation, although in this case, the differ ganometallics. East Hampstead, NH) with hydrogen peroxide at —I7°C ence between 2 ppm Se and 3 ppm Se was less pronounced by a modification of the procedure of Syper and Mlochowski (12). The compared with our historical data (we normally observed a reaction mixture was applied to a column of Bio-Rex 70 (Bio-Rad better graded response between 2 and 3 ppm selenite Se). The Laboratories, Richmond, CA) in the H* form and eluted with water. results with selenite are presented as a positive control and also Dimethyl selenoxide is retarded by the cation exchanger and eluted served as a standard in comparing the efficacy of Se-methylse after hydrogen peroxide and other reagents. The fractions containing lenocysteine. As shown in Fig. 2D, Se-methylselenocysteine dimethyl selenoxide were concentrated by rotary evaporation and stored was just as effective, if not more so, as selenite. Supplementa at 4°C.Thin-layer chromatography with n-butanol:acetic acid:H2O tion with 2 ppm Se as Se-methylselenocysteine produced an (120:30:50) on cellulose plates was used to monitor Chromatographie inhibitory response (P < 0.05) similar to that resulting from separations and assess purity of the compounds. After development, supplementation with 3 ppm Se as selenite. The data in Fig. the plates were dried and sprayed with ninhydrin (0.2ci in ethanol) or 2D also indicated that co-administration with arsenite further iodoplatinate reagent (150 mg of K:PtCI4, 3 g of KI, and 1 ml of l N enhanced the anticarcinogenic activity of Se-methylselenocy HC1 dissolved in 99 ml of water). Se-Methylselenocysteine showed a single ninhydrin-positive spot (R, = 0.55), and moved slightly faster in steine at each of the 2 doses. In contrast to Se-methylseleno cysteine, selenocystine was found to be much less active than comparison to S-methylcysteine. Dimethylselenoxide showed a single iodoplatinate-positive (reddish brown) spot (Rf = 0.67), and moved selenite, and the inhibitory effect due to 2 ppm selenocystine Se was not significant. Overall, the results in Fig. 2 suggest that slightly slower in comparison with dimethyl sulfoxide. 596 Downloaded from cancerres.aacrjournals.org on July 31, 2017. © 1991 American Association for Cancer Research. SELENIUM CANCER CHEMOPREVENTION (§)Selenite * ©Selenocystine ~i 1 1 1 r e-Methylsetenocysteine 70 70 • l ppm S«+ *• I û2pp*si 60 60 A 2 ppm$••>•** 50- 90 Fig. 2. Cumulative appearance of palpable mammary tumors as a function of time after DMBA administration in rats given selenite (B), selenocystine (C), or Se-methylselenocysteine (/)). There were 30 rats/group. 4O 3O 20 20 10 16 20 24 8 12 (6 2O 24 8 12 (6 20 24 12 16 20 24 Weeks After DMBA Administration Table l Autopsy mammary tumor data and tissue selenium levels ofDMBA-treated rats given selenocystine or Se-methylselenocysteine" data"Treatment Mammary tumor wt)Blood0.38 selenium Gig/ml or g wet groupControlArsenite body (g)303 wt 5'300± 0.03'0.41 ± As)Selenitc1 (5 ppm 5304± ±0.04ND0.55 Se2 ppm Se3 ppm SeSelenocystine1 ppm 6301± ±7298 ±7300 0.06'NDND0.62 ± ±0.2'NDND1.6 0.03'NDND0.21 ± Se2 ppm SeSe-mcthylselenocysteine1 ppm 6297± ±6299 0.08'NDND0.51 ± ±0.3'NDND1.0 ±0.03'NDND0.1 ±0.050.53 0.06ND1.3 ± 0.020.08 ± 0.02ND0.18 ± Se1 ppm ±5296 S'1.0'0.7'Tissue As2 ppm Se + ±6297 ±0.2'1.1 ±0.02'0.17 5 ±6296 ±0.070.50 Se2 ppm ±0.3'Mammary0.07±0.03' ppm Se + AsFinal ±7Incidence(%)86.780.076.756.7'50.0'86.773.360.0'53.3'43.3'33.3'Vieldc(%)76716842'37'72615344'30'22'Multiplicity"2.52.42.31.4'1.2'2.42.01.81 ±0.08Liver0.51 °Rats were killed 24-25 weeks after DMBA administration. * There were 30 rats/group. ' Includes both palpable and nonpalpable tumors. d Number of tumors per rat. ' Mean ±SE. P < 0.05 compared with the corresponding control value. the chemical form of the parent selenium compound is impor tant in determining its anticancer activity. The complete mammary tumor data at autopsy are summa rized in Table 1. Nonpalpable tumors found at the time of killing the animals were included in all of the calculations. Overall, the tumor incidence data paralleled closely the tumor yield, although the latter represented a more sensitive marker of inhibitory responses. The growth curves of all 11 groups of rats were very similar to each other (results not shown). As suggested by the mean final body weight data (Table 1, Column 1), chronic feeding of Se-methylselenocysteine at these doses was well accepted by the animals. Thus, the suppression of tumorigenesis by Se-methylselenocysteine, in the presence or absence of arsenite co-administration, was independent of se lenium toxicity. There were no differences in the weight of liver, kidney, and spleen in any of the selenium-treated rats compared with the control group (data not shown). Tissue selenium levels in these DMBA-treated rats are also shown in Table 1. Ingestion of 2 ppm Se in the diet as selenite, selenocystine, or Se-methylselenocysteine resulted in com parable increases in selenium concentrations in blood, liver, and mammary gland; the magnitude of the increase was more pronounced in the latter 2 organs compared with the increase in the blood. Co-administration of arsenite resulted in minimal changes in tissue selenium levels in rats given Se-methylselen ocysteine. Thus, even though tissue selenium level is clearly dependent on intake, it is not a reliable marker for predicting host protection against tumorigenesis. Anticarcinogenic Activity of Dimethyl Selenoxide. In prelimi nary short-term toxicity studies, dimethyl selenoxide was found to be much less toxic than selenite or Se-methylselenocysteine.4 When supplemented in the drinking water, rats could tolerate up to 10 ppm Se as dimethyl selenoxide with no adverse effect on growth. Even at concentrations of 20, 50, and 75 ppm Se, the growth rate was reduced only by 12, 20, and 23%, respec tively, when compared with the controls. To avoid any con founding effect on growth of the animals, the chemopreventive activity of dimethyl selenoxide was evaluated in the DMBAmammary carcinogenesis experiment with 3 different doses (1, 5, and 10 ppm Se) in the nontoxic range. Results of this study are summarized in Fig. 3. The basal diet control group and the basal diet plus arsenite control group are shown in Fig. 3/4, together with the 3 ppm selenite Se-treated group (positive control). Compared with selenite, dimethyl selenoxide was found to be much less efficacious in chemoprevention, even at a concentration of 10 ppm Se (Fig. 3ß).There was a suggestion 4 C. lp and H. E. Ganthcr. unpublished data. 597 Downloaded from cancerres.aacrjournals.org on July 31, 2017. © 1991 American Association for Cancer Research. SELENIUM CANCER CHEMOPREVENTION Dimetfiylselenoxide Control Sppm orttnit»At — x K i ppm Soffiiti D—Q 12 IE S* 20 ppm S« I tion with selenite was very effective in repleting glutathione peroxidase activity; full restoration was achieved at a dietary concentration of 0.1 ppm Se. The same was true also for Semethylselenocysteine. Dimethyl selenoxide, on the other hand, was much less active; supplementation at 1 ppm Se only pro duced a partial restoration, but nearly full restoration was achieved at levels of 5 to 10 ppm Se in the drinking water. Trimethylselenonium was by far the least active in terms of nutritional potency. Nonetheless, repletion with this compound in the range of 5 to 40 ppm Se led to gradual increases in glutathione peroxidase activity, with complete recovery de tected at the highest dose level. The results of this experiment support the conclusion that trimethylselenonium can be metab olized to form the precursor for glutathione peroxidase, pre sumably a fully demethylated form of selenium such as H2Se. By the same token, the argument can be made that this precur sor of glutathione peroxidase is generated regardless of where the starting compound enters the methylation sequence, as exemplified by the data from Se-methylselenocysteine and di methyl selenoxide. In other words, both methylation and demethylation are normal occurrence in selenium metabolism. The reverse arrows denoted by the broken lines in Fig. 1 represent the successive demethylation steps that are postulated based on the above findings. Dimettivi setenen«Je • Arsamte O—O 5«X,S. ¿V-^ I ppm S«+ 5 ppm Ai 5 ppm S»• 5 ppm Al loopms. OK> «OppmSf + Spp» At 24 O 8 12 16 20 24 8 Weeks After DMBA Administration 12 16 20 24 Fig. 3. Cumulative appearance of palpable mammary tumors as a function of time after DMBA administration in rats given dimethyl selenoxide alone (/>'i or dimethyl selenoxide and arsenite (C). There were 30 rats/group. of a dose dependency effect; however, the outcome fell short of a gradient suppressive response in relation to increasing levels of dimethyl selenoxide. Co-administration of arsenite resulted in virtually no modulating effect on the activity of dimethyl selenoxide (Fig. 3C). Table 2 summarizes the complete mammary tumor data at autopsy, final body weights, and tissue selenium levels of these DMBA-treated rats. Long-term supplementation of dimethyl selenoxide, even at a level of 10 ppm Se in the drinking water, produced no overt toxicity in the animals, as evidenced by the final body weight (Table 2, Column 1). Tissue selenium levels in rats given 5 or 10 ppm Se as dimethyl selenoxide were much lower than would otherwise be expected based on increases observed in rats given 3 ppm Se as selenite. Repletion of Hepatic Glutathione Peroxidase Activity by SeMethylselenocysteine, Dimethyl Selenoxide, and Trimethylselenonium. The ability of the different selenium compounds to restore hepatic glutathione peroxidase activity following sele nium deprivation was evaluated in a selenium depletion/reple tion protocol as described in "Materials and Methods." The DISCUSSION results shown in Table 3 are expressed as percentages of control activity in rats that were maintained throughout on the basal diet containing 0.1 ppm Se. The activity in rats that were fed continuously the casein-based selenium-deficient diet dropped to about 28% of the control value. As expected, supplementa Our long-term objective is to correlate the chemical form and metabolism of selenium compounds with their anticarcinogenic activity. The present study provides additional evidence that the chemical form of selenium fed to animals is an important determinant of such activity. With the four compounds evalu ated here, the relative efficacy was Se-methylselenocysteine > selenite > selenocystine > dimethyl selenoxide. Our previous studies with the same tumor model system indicated that selenobetaine and its methyl ester are comparable in activity to Semethylselenocysteine, whereas trimethylselenonium is less ac tive than dimethyl selenoxide (6, 9). Overall, our results with these 7 selenium compounds indicate that the degree of meth ylation is an important factor affecting the anticarcinogenic activity of selenium. The completely methylated form, trime thylselenonium, is relatively inactive, probably because it is rapidly excreted and has a modest spectrum of chemical or biochemical reactivity. On the other hand, some mono- or dimethylated selenium compounds such as Se-methylselenocy- Table 2 Autopsy mammary Iunior data and tissue selenium levels of DMBA-treated rats giren dimethylselenoxide" data*Final bodyTreatment groupControlArsenite (%)307 (g) As)Selenite (5 ppm Se)Dimethylselenoxide1 (3 ppm ±302 ±301 ±305 Mammary tumor wt)Blood0.420.390.860.450.510.630.61± selenium (jjg/ml or g wet (%) 0.04'±0.05±0.050.49 ± 0.02±0.02± 0.061.5 ± 0.07'±0.06ND±0.07ND±0.09/±0.1 ±0.2'0.54 0.06'± 0.06ND0.63 ± 0.03ND± Se1 ppm ±304 As5 ppm Se + ±304 0.04ND±0.04±0.04" ±301 0.08ND0.74 ± Se5 ppm As10 ppm Se + ±300 0.09^0.86 ± ±297 SeIO ppm 17Liver0.47 ±0.17'Mammary0.080.090.300.110.120.130.14 ppm Se + AsIncidenceYield'wt ±6'5756777876.770.040.</73.366.763.363.360.056.783774(/797268636155Multiplicity1'2.82.61.3'2.62.42.32.12.01.8Tissue administration.t,eèThere Rats were killed 24-25 weeksafter DMBA rats/group.Includes were 30 andNumber both palpable tumors. of tumors per rat.nonpnlpablc ' Mean ±SE. ? P < 0.05 compared with the corresponding control \alue 598 Downloaded from cancerres.aacrjournals.org on July 31, 2017. © 1991 American Association for Cancer Research. SELENIUM CANCER CHEMOPREVENT1ON Table 3 Repletion of lifer selenium-dependent glutathione peroxidase activity by different selenium compounds inferior activity compared with selenite. For selenomethionine, nonspecific incorporation into proteins may prevent the release Glutathionc of its monomethylated selenium moiety and thus attenuate its peroxidase anticarcinogenic potential. Selenomethionine is known to be incorporated into tissue proteins in place of methionine, and Control rats fed continuously with 100 0.1 ppm Se as selenite" intermediary metabolism studies showed that selenomethionine generated lower quantities of methylated metabolites in com 28.0+ 1.9 Rats fed continuously with a sele parison to Se-methylselenocysteine (7). Nonspecific insertion nium-deficient diet of selenocysteine into proteins also might occur, especially Repletion withSeleniteSe-methylselenocysteineDimethyl when intracellular levels of the selenoamino acid are elevated Se0.5 1 ppm SeO.I ppm following administration of selenocystine at high levels. It Se0.5 ppm should be noted that such incorporation would be distinct from Sc1ppm selenoxidc*Trimethylselenonium0. the TGA codon specific, stoichiometric incorporation of selen Se5.0 .0 ppm Se10.0 ppm ocysteine into selenoproteins such as glutathione peroxidase Se5.0 ppm (18). The lack of correlation between tissue selenium levels and Se10.0 ppm inhibition of tumorigenesis as observed in the present study Se20.0 ppm Sc30.0 ppm (Tables 1 and 2) has been reported previously (17). Compared 4.2105.1 ± Se40.0ppm with rats given selenite, the higher burden of tissue selenium in ±11.5 ppm Se94.2105.596.8101.449.592.496.545.655.062.28.810.05.13.37.24.75.85.43.93.570.5 selenomethionine-treated rats does not appear to confer a better "The basal glutalhione peroxidase activity in the control rats was 1.21 EU/ protection against tumorigenesis. In other words, tissue sele min/mg protein. * This compound was added to the drinking water. nium level is not necessarily a reliable marker for predicting anticarcinogenic activity, and the metabolism of selenium is steine and the selenobetaines have enhanced activity compared essential for its chemopreventive action. with selenite, an unmethylated form. These methylated precur An additional factor to consider with regard to selenium sors are known to undergo facile release of their methylated metabolism and anticarcinogenic activity is demethylation and selenium moiety, and eventually a large proportion of the the ability of organoselenium compounds to provide selenium administered compound is recovered in the form of dimethyl to the inorganic pool. Methylation had been regarded as an selenide or trimethylselenonium excretory products. Taking irreversible process for selenium, but there is considerable evi these facts into consideration, one could conclude that the dence for metabolism in the "back" direction (Fig. 1, dashed anticarcinogenic activity of selenium is obtained when selenium arrows). Animals given trimethylselenonium exhale dimethyl is introduced into the pathway beyond the pool of inorganic selenide (7). Further metabolism to the inorganic pool is indi selenium metabolites. Between this entry point for selenium cated by the ability of trimethylselenonium to restore glutathi and its eventual conversion to excretory metabolites, the critical one peroxidase in selenium-depleted animals (Table 3). Since selenium metabolites presumably would be generated. A puta an inorganic form of selenium is believed to be the precursor tive active form might be methylselenol. Selenium compounds for synthesis of selenocysteine in glutathione peroxidase (10), that are able to generate a steady stream of methylated metab this provided a sensitive in vivo measurement of the extent to olites, particularly the monomethylated species, are likely to which a given organoselenium compound can be metabolized have good anticarcinogenic potential. to an inorganic form. Trimethylselenonium fed at levels of 40 If the entry of selenium is too far along the methylation ppm Se fully restored glutathione peroxidase activity, and levels pathway, the anticarcinogenic potency is likely to be lower. In as low as 5 ppm had partial activity. A previous report of the our hands, dimethyl selenoxide was found to be one of the least nutritional unavailability of trimethylselenonium used a level active compounds tested. Its facile reduction to dimethyl sele of only 0.15 or 1.5 ppm Se (19). Dimethyl selenoxide also nide and rapid elimination provide a plausible explanation for restored glutathione peroxidase activity when administered in the low efficacy of dimethyl selenoxide in tumor suppression. the drinking water at levels of 5-10 ppm Se (Table 3). More When animals were gavaged with a dose of dimethyl selenoxide over, a monomethylated form of selenium, Se-methylselenocy equal to their daily intake and placed in glass metabolism steine, was fully as active as selenite at a level of 0.1-0.5 ppm chambers for collection of volatile selenium, approximately Se. We are unaware of any previous reports of its nutritional 90% of the dose was recovered as volatile selenium within a 24bioavailability, and the high activity of this naturally occurring h period/ Moreover, the tissue selenium levels were only compound in the selenium-depleted rat is of considerable inter slightly increased after the long-term administration of as much est. as 10 ppm Se as dimethyl selenoxide (Table 2). In a previous It is clear from these studies that the administration of publication, we had reported that selenobetaine methyl ester, selenium in monomethylated or even di- or trimethylated forms which also enters the selenium metabolic pathway at the point does not preclude formation of inorganic selenium. This com of dimethyl selenide, was effective in cancer prevention (6). In plicates the interpretation of anticancer efficacy versus selenium vivo metabolism studies showed that only about 42% of the methylation state, at least qualitatively. Since complete de daily dose of selenobetaine methyl ester was excreted as volatile selenium.5 Thus, the rate of generation and elimination of methylation does occur in vivo, is it possible that selenoproteins are involved? So far, there is no evidence to support this dimethyl selenide is an important factor in determining the contention. Glutathione peroxidase (18) and plasma selenoproanticarcinogenic activity of selenium compounds. tein-P (20) are the only 2 known selenoproteins in mammalian Anticarcinogenic activity is lower for selenoamino acids that tissue in which the insertion of selenium as selenocysteine is can be incorporated into proteins. Earlier studies with selenodictated by the TGA codon. The levels of these 2 proteins are methionine (17) and the present study with selenocystine show sensitive to physiological but not to pharmacological levels of *S. Vadhanavikit and H. Ganther. unpublished data. selenium intake. The degree to which demethylation occurs 599 Downloaded from cancerres.aacrjournals.org on July 31, 2017. © 1991 American Association for Cancer Research. SELENIUM CANCER CHEMOFREVENTION ium and excreted are likely to have a lower anticarcinogenic activity and be poor choices in that respect. However, these desirable attributes for anticarcinogenic activity will have to be balanced against potential toxicity that may be associated uniquely with chemical form, as well as the administered dose. under chemoprevention conditions must be kept in mind. Al though a significant portion of Se-methylselenocysteine may go into the inorganic pool in a selenium-depleted animal, animals fed a selenium-adequate diet excrete a high percentage of Semethylselenocysteine in the form of di- and trimethylated prod ucts (7). Similarly, 40 ppm Se as trimethylselenonium restores glutathione peroxidase activity fully but has no anticarcinogenic activity (9). In summary, the evidence discussed above would argue against the significance of the inorganic selenium pool in the anticarcinogenic action of these selenium compounds. The modifying effects of arsenite observed in this and earlier studies are pertinent to the question of critical selenium metab olites and chemoprevention. A low level of arsenite (5 ppm) decreases the anticarcinogenic activity of inorganic selenite (9). In contrast, methylated forms of selenium generally show en hanced activity when given with arsenite; this was first seen with trimethylselenonium, where 40 ppm Se in combination with 5 ppm As had good activity, whereas either substance fed alone was inactive (9). Similar results were seen with selenobetaine (6) and Se-methylselenocysteine (this paper). In no case did arsenite decrease the anticarcinogenic activity of methylated selenium compounds as it did with inorganic selenite. Interest ingly, arsenite had little effect on the anticarcinogenic activity of those compounds that release dimethyl selenide rapidly (dimethyl selenoxide, selenobetaine methyl ester) but enhanced activity considerably for compounds likely to release selenium mainly in monomethylated form (Se-methylselenocysteine, se lenobetaine) or release dimethyl selenide slowly (trimethylsele nonium). The dependence of the effects of arsenite on the chemical form of selenium also has been observed in acute studies (21). In our carcinogenesis experiments reported here, Se-methyl selenocysteine and dimethylselenoxide were given to the ani mals beginning I week after DMBA administration and contin ued until sacrifice. Thus the action of these selenium com pounds could be exerted at either the initiation or promotion stage of carcinogenesis, or both. This design is intentional, because when the chemopreventive effect of selenite was first characterized by one of the authors a decade ago (22), the supplementation of selenite was maintained throughout the initiation and promotion phases. Subsequently it was found that the protective effect of selenite, at least in the DMBA model, was primarily expressed during the tumor progression period (23). We had no a priori knowledge of whether Semethylselenocysteine or dimethylselenoxide would be effective in cancer prevention, and if so, how it would affect the carcin ogenic process. On this basis, we decided to expose the animals to these second-generation selenium compounds before, during, and after DMBA treatment to cover all eventualities. Future experiments will be refined to delineate their role in initiation versus neoplastic progression. Based on the information obtained so far, what characteristics should be looked for in a selenium compound to obtain good efficacy for cancer protection? First, selenium compounds that are able to supply a steady stream of methylated metabolites, particularly the monomethylated species, are probably highpriority candidates for further investigation. Second, we should avoid compounds having an escape mechanism via random incorporation into proteins. 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Factors influencing the anticarcinogenic efficacy of selenium ¡on dimethylbenz(a)anthracene-induced mammar\ tumorigenesis in rats. Cancer Res.. 41: 2683-2686. 1981. Ip. C., and Daniel. F. B. Effects of selenium on 7.12-dimethylbenz(a)anthracene-induccd mammarv carcinogenesis and DNA adduci for mation. Cancer Res.. 45: 61-65. 1985. 600 Downloaded from cancerres.aacrjournals.org on July 31, 2017. © 1991 American Association for Cancer Research. Chemical Form of Selenium, Critical Metabolites, and Cancer Prevention Clement Ip, Cassandra Hayes, Rose Marie Budnick, et al. Cancer Res 1991;51:595-600. Updated version E-mail alerts Reprints and Subscriptions Permissions Access the most recent version of this article at: http://cancerres.aacrjournals.org/content/51/2/595 Sign up to receive free email-alerts related to this article or journal. To order reprints of this article or to subscribe to the journal, contact the AACR Publications Department at [email protected]. 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