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Selenocysteine (Sec)

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CONVENTIONAL UNITS

(The 21st Genetically Encoded Amino Acid - Essential Component of Antioxidant Selenoproteins)

Synonyms

  • Selenocysteine
  • Sec
  • Se-Cys
  • 21st amino acid
  • UGA-encoded amino acid
  • Selenium-containing cysteine

Units of Measurement

(For research reference - not routinely measured clinically)

  • µmol/L
  • mg/L
  • mg/dL
  • mg/100 mL
  • mg%
  • µg/mL

Key Unit Conversions

Molecular Weight of Selenocysteine ≈ 168.1 g/mol

µmol/L ↔ mg/L

1 µmol/L=0.1681 mg/L1\ \text{µmol/L} = 0.1681\ \text{mg/L}1 µmol/L=0.1681 mg/L 1 mg/L=5.95 µmol/L1\ \text{mg/L} = 5.95\ \text{µmol/L}1 mg/L=5.95 µmol/L

mg/dL → mg/L

1 mg/dL=10 mg/L1\ \text{mg/dL} = 10\ \text{mg/L}1 mg/dL=10 mg/L

mg% = mg/dL

µg/mL → mg/L

1 µg/mL=1 mg/L1\ \text{µg/mL} = 1\ \text{mg/L}1 µg/mL=1 mg/L

Description

Selenocysteine (Sec) is a naturally occurring amino acid incorporated into proteins by recoding the UGA “stop codon” into a Sec codon using a special tRNA and SECIS element.

Selenocysteine is found in over 25 human selenoproteins, including:

  • Glutathione peroxidases (GPx)
  • Thioredoxin reductases (TrxR)
  • Iodothyronine deiodinases (T3/T4 metabolism)
  • Selenoprotein P (SePP1)
  • Selenoprotein W, N, K, M

These proteins are essential for antioxidant defense, thyroid hormone regulation, and immune function.

⚠️ Clinical labs do NOT measure selenocysteine directly, because Sec exists only inside proteins and is not present freely in plasma.

Instead, clinicians measure:

  • Serum Selenium (Se)
  • Selenoprotein P
  • Glutathione peroxidase activity

Physiological Role

1. Antioxidant Defense

Sec is the active catalytic residue in:

  • Glutathione peroxidases
  • Thioredoxin reductases

This protects cells from peroxides and oxidative stress.

2. Thyroid Hormone Metabolism

Deiodinase enzymes (requiring Sec) convert:

  • T4 → T3
  • rT3 → T2

3. Immune Function

Supports T-cell activation and reduces inflammation.

4. Protein Folding & Redox Control

Regulates intracellular reduction–oxidation pathways.

5. Neuroprotection

Selenoproteins reduce neuronal oxidative damage.

Clinical Significance

HIGH SELENOCYSTEINE

(Not directly measurable; inferred from high selenium status)

Occurs in:

  • Excess selenium supplementation
  • Selenosis
  • Industrial selenium exposure

Symptoms of Selenium Excess

  • Hair loss
  • Brittle nails
  • Garlic-like breath
  • Neuropathy
  • GI upset
  • Dermatitis

LOW SELENOCYSTEINE

Seen in:

1. Selenium Deficiency

→ Directly reduces all selenocysteine-based protein synthesis.

2. Malabsorption

  • Celiac disease
  • Gastric bypass
  • Chronic diarrhea

3. Critical Illness / Sepsis

High oxidative stress → low selenoprotein levels.

4. Keshan Disease

Due to severe selenium deficiency.

5. Poor Thyroid Conversion

Low Sec → low T3 due to impaired deiodinases.

Symptoms

  • Muscle weakness
  • Cardiomyopathy
  • Hypothyroidism (low T3)
  • Fatigue
  • Increased susceptibility to infections

Reference Intervals

⚠️ There is no clinical reference interval for “Selenocysteine”
because Sec is never measured free in blood.

Laboratory testing relies on:

Serum Selenium

  • 70 – 150 µg/L (normal)

Selenoprotein P

  • 2.5 – 6.0 mg/L (functional indicator)

Glutathione Peroxidase Activity

Used for antioxidant capacity assessment.

Diagnostic Uses

Although Sec itself is not a clinical test, its biology is central to:

1. Thyroid Disorders

Due to Sec-dependent deiodinase enzymes.

2. Selenium Deficiency

Measured using selenium + SePP1.

3. Critical Care

Low selenoproteins predict mortality.

4. Neuromuscular Disorders

Oxidative stress pathology.

5. Cardiomyopathy

6. Redox / Antioxidant Research

Sec is studied using advanced mass spectrometry.

Analytical Notes

  • Sec is unstable as a free amino acid
  • Only measured after acid hydrolysis of proteins
  • Requires LC–MS/MS or advanced proteomics
  • Not part of clinical amino acid panels
  • Not used in routine diagnostics anywhere globally

Clinical Pearls

  • Selenocysteine is the only amino acid inserted by recoding a stop codon.
  • All critical selenium-dependent enzymes require Sec.
  • Selenium status, not Sec itself, determines function.
  • Low Sec-dependent enzymes → oxidative damage and poor T3 production.
  • Selenium deficiency is more common in chronic illness and malabsorption states.

Interesting Fact

Selenocysteine is sometimes called the “21st amino acid” and is more chemically reactive than cysteine, making it a highly efficient catalytic residue in antioxidant enzymes.

References

  1. Tietz Clinical Chemistry & Molecular Diagnostics, 8th Edition - Trace Elements & Selenoproteins
  2. NIH Office of Dietary Supplements - Selenium
  3. WHO Trace Element Guidelines
  4. Mayo Clinic Laboratories - Selenium Testing
  5. ARUP Consult - Selenium & Selenoprotein P
  6. Biochemistry Texts - Selenocysteine Encoding Mechanism (SECIS elements)

Last updated: January 27, 2026

Reviewed by : Medical Review Board

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