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第46卷第5期
              ·742 ·                             南 京    医 科 大 学 学         报                        2026年5月


             (续表1)
                      Name          Symbol       Main function           Application/Mechanism/Physiological role
               Thioredoxin reductase 3  TXNRD3  Links the thioredoxin and Involved in sperm maturation and reproductive function;also
                                           GSH systems;antioxidant reg⁃ regulates inflammation and intestinal homeostasis
                                           ulation
               Type Ⅰ iodothyronine  DIO1  Activates thyroid hormone by Regulates peripheral thyroid hormone levels;involved in basal
               deiodinase                  converting T4 to active T3  metabolism and thyroid homeostasis
               Type Ⅱ iodothyronine  DIO2  Local T3 generation    Regulates thyroid hormone signaling in brain,bone,and mus⁃
               Deiodinase                                         cle;influences development and energy metabolism
               Type Ⅲ iodothyronine  DIO3  Inactivates T3         Prevents excessive thyroid hormone action during fetal develop⁃
               Deiodinase                                         ment and stress conditions
               Methionine sulfoxide re⁃  MSRB1  Repairs oxidized methionine Maintains protein structure and functional stability;involved
               ductase B1                  residues               in immune regulation and antioxidant defense
               Selenophosphate synthe⁃  SEPHS2  Selenocysteine precursor syn⁃ Key enzyme in the biosynthesis of all selenoproteins;central
               tase 2                      thesis                 node in selenium biology
               Selenoprotein P    SELENOP Selenium transport and anti⁃ Major plasma selenium carrier;regulates selenium supply to
                                           oxidant function       the brain and testes;associated with glucose metabolism,in⁃
                                                                  sulin resistance,and cardiovascular health
               Selenoprotein F    SELENOF ER protein folding quality Involved in ER stress and unfolded protein response;plays
                                           control                roles in tumorigenesis and immune regulation
               Selenoprotein H    SELENOH Redox signaling and cell cy⁃ Influences cell proliferation,differentiation,and antioxidant
                                           cle regulation         responses
               Selenoprotein I     SELENOI Phospholipid synthesis and Important for nervous system development and maintenance
                                           membrane homeostasis   of cellular membrane structure
                                                                            2 +
               Selenoprotein K    SELENOK ER calcium homeostasis and Regulates Ca  flux and immune cell activation;involved in
                                           immune signaling       inflammatory responses
               Selenoprotein M    SELENOM Energy metabolism and calci⁃ Associated with metabolic homeostasis,neuroprotection,and
                                           um signaling regulation  cognitive function
               Selenoprotein N    SELENON Muscle ER stability     Mutations cause inherited myopathies;closely related to mus⁃
                                                                  cle development and contractile function
               Selenoprotein O    SELENOO Mitochondrial ⁃ related func⁃ May participate in stress signaling and tumor⁃associated meta⁃
                                           tions(to be clarified)  bolic processes
               Selenoprotein S    SELENOS ER stress and inflammation Involved in ER⁃associated degradation and immune⁃inflam⁃
                                           regulation             matory responses
               Selenoprotein T    SELENOT Neural and metabolic homeo⁃ Plays roles in neurodevelopment,energy metabolism,and ER
                                           stasis                 function maintenance
               Selenoprotein V    SELENOV Reproduction ⁃ and metabo⁃ Mainly expressed in reproductive tissues;involved in glucose
                                           lism⁃related functions  and lipid metabolism
               Selenoprotein W    SELENOW Antioxidant and muscle func⁃ Maintains muscle and bone homeostasis;associated with mo⁃
                                           tion                   tor function and bone remodeling
                 H2O2:hydrogen peroxide;ROS:reactive oxygen species;GSH:glutathione;T3:triiodothyronine;T4:thyroxine;ER:endoplasmic reticulum.
                                                                                                   [26]
              癌风险中的作用引起了研究者的广泛关注。流行                             癌发生过程中可能具有一定的保护作用 。然而,越
              病学研究发现低硒状态可能与肺癌风险升高有关,                            南的一项病例对照研究观察到膳食硒摄入与肺癌
              但现有证据并不完全一致。中国近期开展的一项病                            风险之间呈 U 形关联        [27] ,提示硒暴露水平过低或过
              例对照研究发现,血液硒浓度较高者的肺癌发生风险                           高均可能增加肺癌风险。在前瞻性研究方面,美国
              显著降低,并呈现稳定的剂量⁃反应关系,提示硒在肺                          南方社区队列研究发现,较低的血浆 SELENOP1 水
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