| Rank |
Pathway / Target Axis |
Direction |
Primary Effect |
Notes / Cancer Relevance |
Ref |
| 1 |
Selenoprotein antioxidant systems (GPX1–4, TXNRD) |
↑ antioxidant capacity |
ROS buffering |
Dietary selenium increases glutathione peroxidase and thioredoxin reductase activity, lowering oxidative stress |
(ref) |
| 2 |
Glutathione redox cycling (GSH/GSSG) |
↑ GSH recycling |
Redox homeostasis |
Selenium supports GPX-mediated peroxide detoxification and preserves cellular GSH pools |
(ref) |
| 3 |
Ferroptosis suppression (GPX4 axis) |
↓ ferroptosis susceptibility |
Lipid peroxide detoxification |
GPX4 is a selenoprotein; adequate selenium suppresses lipid peroxidation and ferroptotic death |
(ref) |
| 4 |
NRF2 antioxidant response |
↔ / ↑ (supportive) |
Stress adaptation |
Selenium status influences NRF2 target gene expression indirectly via redox tone |
(ref) |
| 5 |
DNA damage prevention / repair environment |
↓ oxidative DNA damage |
Genomic stability |
Selenium sufficiency reduces oxidative DNA lesions and supports repair capacity |
(ref) |
| 6 |
p53 redox regulation |
↔ stabilized (context-dependent) |
Checkpoint fidelity |
Redox balance maintained by selenium supports normal p53 signaling rather than triggering apoptosis |
(ref) |
| 7 |
NF-κB inflammatory signaling |
↓ chronic activation |
Anti-inflammatory bias |
Selenium supplementation suppresses NF-κB activation under inflammatory/oxidative conditions |
(ref) |
| 8 |
Immune competence (T-cell, NK-cell function) |
↑ immune function |
Improved immune surveillance |
Selenium supports cytotoxic lymphocyte activity and cytokine balance |
(ref) |
| 9 |
Angiogenesis signaling (VEGF) |
↔ / mild ↓ |
Vascular normalization |
Nutritional selenium does not strongly inhibit angiogenesis but may modestly reduce VEGF under stress |
(ref) |
| 10 |
PI3K–AKT survival signaling |
↔ (homeostatic) |
Cell survival maintenance |
Unlike selenite or SeNPs, organic selenium does not directly suppress PI3K–AKT at nutritional doses |
(ref) |
| 11 |
Autophagy (baseline maintenance) |
↔ |
Cellular homeostasis |
Selenium supports basal autophagy via redox balance but does not drive cytotoxic autophagy |
(ref) |
| 12 |
Cancer risk modulation (epidemiologic) |
↓ risk in deficient populations |
Prevention (not treatment) |
Protective effects are context-dependent; excess selenium may be neutral or adverse in replete populations |
(ref) |