[Selenium: the physiopathological and clinical implications].
Selenium is an ultra-trace element widely distributed in the environment, although its consumption varies significantly depending on the region. Its daily requirements range between 50 and 200 micrograms/day (or a minimum of 1 microgram/kg/day), which are supplied by animal and vegetal foods. Its essentiality in human nutrition is derived from its antioxidative action, being a part of the glutation-peroxidase system (GPx). Thus, it is a protective agent against the harmful action of free radicals. Determination of the selenium-dependent GPx activity seems to be the best index for the assessment of nutritional status. A deficit of selenium will result in a decrease of the GPx activity and, therefore, in a increase of cell damage which cannot be counter-balanced by other antioxidative systems. Diet has a relevant role for the maintenance of selenium status. Deficiency conditions may appear in different population groups when the selenium content in the diet is inadequate. Toxicity states are rare, but some diseases are sensitive to this element, which is mainly involved in cancer prevention.