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doi: 10.2174/1381612823666170220163219

Reactive oxygen species (ROS), including hydroxyl radicals (OH - ), hydrogen peroxide (H 2 O 2 ), superoxide anions (O 2 ), and lipid peroxides, are molecules highly reactive because of the presence of unpaired electrons ( The oxidant/antioxidant cell balance can by evaluated by several plasma and/or erythrocyte markers ( Oxidative Stress in GH Thyrotoxicosis is a hypermetabolic state characterized by high consumption of intracellular ATP and oxygen, and by dysfunction of the mitochondrial respiratory chain, which leads to saturation of the physiological antioxidant systems, resulting in an uncontrolled production of ROS in peripheral tissues as well as in the thyroid ( in vitro studies have shown that exposure of thyroid cell to H 2 O 2 , particularly when made selenium-deficient, induces DNA double strand breaks, apoptosis, necrosis and mutagenesis ( Animal Studies Studies in animal models suggest that thyrotoxicosis, induced by the administration of triiodothyronine (T3) or thyroxine (T4), promotes oxidative stress as well as the response of the physiological antioxidant machinery ( Human Studies The most relevant clinical studies on the role of oxidative stress in thyroid diseases have been performed in GH patients, either with uncontrolled hyperthyroidism, or after restoration of euthyroidism with antithyroid drugs (ATD) or radioiodine ( in vitro and human studies ( Selenium Selenium is a trace mineral which acts following incorporation as selenocysteine into selenoproteins, among which thioredoxin reductases (TRs), GPX, and iodothyronine deiodinases (D1, D2 or D3) are the best known ( Selenoproteins have antioxidant and enzymatic capacity ( Dietary sources of selenium include meat, seafood, shellfish, offal, eggs and cereals ( The measurement of total serum selenium concentration or circulating selenoproteins, including GPX-3 and selenoprotein P, can be used to evaluate the selenium status, which is variable depending on the geographical area, being high in North America and relatively low in most European countries, in particular in the Eastern Europe ( In this regard, several trials have shown a benefit of selenium supplementation on the risk of cancer incidence and death, as well as the risk of developing hyperglycemia