Biol Trace Elem Res. 2025 Aug 14.
Alzheimer's disease (AD) is a growing global public health concern, particularly affecting the elderly population. It is clinically characterized by progressive memory loss, cognitive decline, and impaired daily functioning. Given the multifactorial etiology of AD, increasing attention has been directed toward modifiable risk factors, including deficiencies in essential micronutrients such as selenium and vitamin D. This narrative review aims to examine the current evidence on the potential roles of selenium and vitamin D in the onset and progression of AD, with an emphasis on the underlying biochemical and neuroprotective mechanisms. A comprehensive literature search was conducted across databases including PubMed, MEDLINE, Cochrane Library, Web of Science, ScienceDirect, BMJ, EMBASE, and Google Scholar using combinations of relevant keywords related to Alzheimer's disease, selenium, vitamin D, neuroprotection, oxidative stress, and micronutrient deficiency. Selenium and vitamin D have been implicated in mitigating several pathological features of AD, such as amyloid-beta plaque accumulation, tau hyperphosphorylation, oxidative stress, and neuroinflammation. Observational studies indicate that low levels of selenium (below 70-90 μg/L) and vitamin D (below 20 ng/mL) are associated with an increased risk of cognitive decline and dementia. However, most findings stem from preclinical or observational studies, and the evidence remains inconclusive due to variations in study design, dosage, sample size, and duration of supplementation. While emerging evidence suggests a neuroprotective role for selenium and vitamin D in AD pathology, current findings are limited by methodological heterogeneity and a lack of high-quality randomized clinical trials. Further mechanistic and interventional studies are warranted to clarify the causal relationship and therapeutic potential of these micronutrients in Alzheimer's disease management.
Keywords: Alzheimer’s Disease; Amyloid beta peptide; Micronutrient deficiency; Neuroprotection; Oxidative stress; Selenium; Vitamin D