| 1 |
Redox stress and ROS |
ROS ↑; oxidative damage ↑; lipid peroxidation ↑; GSH ↓ (context-dependent) |
ROS ↔/↓ or lower susceptibility (model-dependent) |
P/R/G |
Pro-oxidant cytotoxicity |
Central anticancer mechanism in many models. ROS can occur upstream of DNA-damage signaling and apoptosis. MSeA can also act antioxidatively in some non-cancer or hormone-dependent contexts, so ROS direction is not universal. |
| 2 |
Apoptosis and caspase signaling |
Apoptosis ↑; caspase-3/7/9 ↑; PARP cleavage ↑ |
Apoptosis ↔/lower (model-dependent) |
R/G |
Programmed cell death |
Strongly reproduced across prostate, breast, colon, glioma and other cancer systems. Execution pathway varies by cell type. |
| 3 |
Protein thiol oxidation and PKC |
PKC activity ↓ |
↔/↓ (context-dependent) |
P/R |
Redox inhibition of proliferative signaling |
MSeA oxidizes susceptible vicinal cysteine thiols in PKC catalytic domains. Ca²⁺-dependent PKC isoenzymes are particularly susceptible, but this does not establish Ca²⁺ signaling itself as a primary MSeA mechanism. |
| 4 |
Endoplasmic reticulum stress |
PERK ↑; eIF2α phosphorylation ↑; GRP78 ↑; CHOP ↑; ER-stress apoptosis ↑ |
Uncertain |
R/G |
Proteotoxic stress and apoptosis |
Lower exposure activates adaptive ER-stress responses; greater stress shifts signaling toward CHOP/caspase-associated death. |
| 5 |
Mitochondrial dysfunction |
Mitochondrial depolarization ↑; cytochrome-c release ↑; permeability transition ↑ (model-dependent) |
Lower effect reported in selected models |
R/G |
Intrinsic apoptotic amplification |
Mitochondrial involvement is closely linked to cellular redox state and AKT survival signaling. AIF-associated death has also been reported in selenium-compound models. |
| 6 |
AKT survival signaling |
AKT phosphorylation ↓ or ↑ (context-dependent) |
↔ (model-dependent) |
R/G |
Reduced survival signaling |
AKT commonly determines MSeA sensitivity, but direction is not uniform. Hypoxic prostate models can show AKT activation despite continued growth inhibition, so AKT↓ should not be treated as universal. |
| 7 |
Androgen receptor signaling |
AR ↓; PSA ↓ |
Not established |
G |
Suppression of prostate-cancer growth signaling |
Repeatedly demonstrated across several AR-positive prostate cancer models and appears mechanistically distinct from selenite-mediated AR suppression. |
| 8 |
β-Catenin signaling |
Total β-catenin ↓; nuclear β-catenin ↓ |
Not established |
G |
Reduced proliferation and drug resistance |
Suppression is dose- and time-dependent and can enhance cytotoxicity of multiple chemotherapeutic drugs. |
| 9 |
HIF-1α and hypoxia signaling |
HIF-1α ↓; REDD1 ↑ |
Not established |
G |
Growth inhibition under hypoxia |
Relevant particularly in invasive prostate cancer. REDD1 induction can occur despite AKT activation and altered mTOR signaling. |
| 10 |
Angiogenesis signaling |
VEGF ↓; Ang-2 ↓; neuropilin-1 ↓; microvascular density ↓ |
Vascular normalization ↑ (model-dependent) |
G |
Antiangiogenic activity |
Supported by breast- and prostate-tumor animal models as well as tumor-cell studies. |
| 11 |
STAT3 and inflammatory survival signaling |
STAT3 ↓; NF-κB ↓ (model-dependent) |
Uncertain |
G |
Reduced survival and inflammatory signaling |
Mechanistically relevant but less consistently demonstrated than redox stress, apoptosis and ER stress. |
| 12 |
Cell cycle |
Cell-cycle progression ↓; G1 or G2/M arrest ↑ (model-dependent) |
Lower effect in selected non-transformed cells |
G |
Antiproliferative effect |
Cell-cycle phenotype depends strongly on tumor lineage, concentration and exposure duration. |
| 13 |
Chemosensitization |
Paclitaxel response ↑; etoposide response ↑; docetaxel response ↑ |
Limited data |
G |
Enhanced treatment efficacy |
Synergistic or strongly enhanced antitumor effects have been reported in cell and xenograft models. Clinical validation is absent. |
| 14 |
Radiosensitization |
Radiation sensitivity ↑; lipid peroxidation ↑ |
Radiation toxicity ↔ at comparable MSeA exposure in selected fibroblast models |
R/G |
Selective radiation sensitization |
Demonstrated preclinically in head-and-neck cancer cells and linked to enhanced lipid peroxidation. |
| 15 |
Thioredoxin reductase system |
TrxR interaction/modulation ↔/↑; high TrxR can confer resistance |
Selenoprotein activity ↑ (model-dependent) |
R/G |
Redox buffering and resistance determinant |
MSeA is a TrxR substrate rather than a simple irreversible TrxR inhibitor. TrxR can reverse MSeA-induced thiol oxidation, and increased TrxR may reduce sensitivity. Database coding as uniformly TrxR↓ would therefore be misleading. |
| 16 |
Clinical Translation Constraint |
Effective concentrations commonly low µM in vitro |
Selenium toxicity limits unrestricted systemic dosing |
G |
Exposure and safety limitation |
No established therapeutic human MSeA exposure, dose, PK profile or anticancer efficacy. Rodent oral efficacy cannot be directly converted to a human treatment dose. |