Evidence map›Paper›PMID 41878172›Full record

ReviewCureus2026

Between Deficiency and Excess: The Dual Role of Selected Dietary Supplements in Immune Health.

Natalia Skrzypska, Wiktoria Glowacka-Kaminska, Justyna Wróblewska, Olga Wojtczak, Kacper Zagaja, Jakub Tarczykowski, Szymon Stupnicki, Maja Karminska, Krystian Czernikiewicz

Abstract readReview
In one paragraph

Review in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Natalia SkrzypskaHospital Medicine, University Clinical Hospital in Poznan, Poznan, POL.
Wiktoria Glowacka-KaminskaInternal Medicine, Hipolit Cegielski Poznan (HCP) Medical Center, Poznan, POL.
Justyna WróblewskaHospital Medicine, University Clinical Hospital in Poznan, Poznan, POL.
Olga WojtczakHospital Medicine, University Clinical Hospital in Poznan, Poznan, POL.
Kacper ZagajaHospital Medicine, University Clinical Hospital in Poznan, Poznan, POL.
Jakub TarczykowskiGeneral Practice, University Clinical Hospital in Poznan, Poznan, POL.
Szymon StupnickiGeneral Practice, Wojewódzki Szpital Wielospecjalistyczny im. dr. Jana Jonstona w Lesznie, Leszno, POL.
Maja KarminskaGeneral Practice, Wojewódzki Szpital Wielospecjalistyczny im. dr. Jana Jonstona w Lesznie, Leszno, POL.
Krystian CzernikiewiczHospital Medicine, F. Raszeja Municipal Hospital, Poznan, POL.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The immune system is a complex, tightly regulated network maintaining host defense, self-tolerance, and physiological homeostasis. Its effectiveness depends on the coordination of innate and adaptive responses, both significantly influenced by nutritional status. Recently, dietary supplements have gained attention as modulators of immune function, particularly in populations at risk of micronutrient deficiencies. This narrative review evaluates current evidence on the role of zinc, selenium, and vitamin C in immune health. These micronutrients were selected for their established roles in immune cell development, antioxidant defense, and inflammatory regulation. The review analyzes experimental, clinical, and epidemiological studies to assess their mechanisms, clinical efficacy, and safety. Zinc is essential for both innate and adaptive immunity, playing a pivotal role in T-lymphocyte maturation, macrophage and neutrophil function, and cytokine production. While zinc deficiency increases infection susceptibility, supplementation benefits primarily those with deficient or high-risk status. Selenium, a key component of selenoproteins like glutathione peroxidase, supports antioxidant defense and modulates cell-mediated immunity. Evidence indicates that selenium may enhance immune function in deficient individuals; however, excessive intake carries a narrow therapeutic window and potential toxicity. Vitamin C contributes to defense by maintaining epithelial barrier integrity, supporting leukocyte chemotaxis, and modulating oxidative stress. While routine high-dose supplementation offers limited benefits in healthy individuals, adequate intake remains crucial for those with low dietary consumption. This review highlights the risks associated with indiscriminate supplementation. While zinc, selenium, and vitamin C are indispensable for optimal immunity, their use should be individualized and targeted toward correcting confirmed deficiencies. A personalized, evidence-based approach remains essential for supporting immune health while minimizing potential risks.

Indexed as

dietary supplementsimmune systemseleniumvitamin czinc

Identifiers

PMID41878172
PMCPMC13007272

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.