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Vitamin C and Carbohydrates in Human Physiology: Mechanism of Action

A special issue of International Journal of Molecular Sciences (ISSN 1422-0067). This special issue belongs to the section "Biochemistry".

Deadline for manuscript submissions: closed (28 February 2022) | Viewed by 5079

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Debreceni Egyetem Általános Orvostudományi Kar, 4032 Debrecen, Hungary
Interests: keratinocyte; wound healing; iv. ascorbic-acid; psoriasis; drug allergy; cell energetics
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Dear Colleagues,

Vitamin-C (ascorbic acid, AA) is a weak sugar acid structurally related to glucose. Since the discovery of AA, its known biological functions are continually expanding. Ascorbate acts as an electron-donor, keeping iron in the ferrous state. AA affects the expression of a wide array of genes, for example, via the HIF system and the epigenetic landscape of cells and tissues. All known physiological and biochemical functions of AA are due to its action as an electron donor. The ability to donate one or two electrons makes AA an excellent reducing agent and antioxidant. Ascorbate readily undergoes pH-dependent autoxidation creating hydrogen peroxide (H2O2).

In vitro evidence suggests that vitamin C functions at low concentrations as an antioxidant. It is also known that AA may have pro-oxidant activity at high concentrations. This character of AA might be translated to a clinical benefit. In vitro obtained results and murine experiments consequently prove the cancer cell's cytotoxic effect of AA, while current clinical evidence for high-dose IV vitamin C's therapeutic effect is ambiguous. The difference might be caused by missing the AA's action's knowledge.

Early evidence has suggested that the ketogenic diet may help treat several cancer types. The scientific background of this field is also incomplete.

The Accurate characterization of cells' energy system, clarifying glucose and vitamin C's role, maybe the key to explaining the above questions.

The Vitamin C and carbohydrates in human physiology Issue of IJMS aims to collect and publish studies answering the questions regarding glucose deprivation and AA's way of action. Results of original research reports, molecular and biochemical analyses of cells in culture, relevant animal models (guinea pigs, zebrafish, knock-out mice), and clinical studies are invited. Negative or provocative findings are also encouraged to provide an unbiased scientific information source.

Dr. Jànos Hunyadi
Guest Editor

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Keywords

  • ascorbate
  • oxidative stress
  • hydrogen peroxide
  • cancer
  • intravenous vitamin C
  • nutrition therapy
  • high-dose vitamin C therapy
  • iron–sulfur-protein
  • metal homeostasis
  • biogenesis
  • clinical trials

Published Papers (1 paper)

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Review

14 pages, 566 KiB  
Review
The Result of Vitamin C Treatment of Patients with Cancer: Conditions Influencing the Effectiveness
by János Hunyady
Int. J. Mol. Sci. 2022, 23(8), 4380; https://0-doi-org.brum.beds.ac.uk/10.3390/ijms23084380 - 15 Apr 2022
Cited by 5 | Viewed by 4134
Abstract
Vitamin C (ascorbic acid, AA) is a weak sugar acid structurally related to glucose. All known physiological and biochemical functions of AA are due to its action as an electron donor. Ascorbate readily undergoes pH-dependent autoxidation creating hydrogen peroxide (H2O2 [...] Read more.
Vitamin C (ascorbic acid, AA) is a weak sugar acid structurally related to glucose. All known physiological and biochemical functions of AA are due to its action as an electron donor. Ascorbate readily undergoes pH-dependent autoxidation creating hydrogen peroxide (H2O2). In vitro evidence suggests that vitamin C functions at low concentrations as an antioxidant while high concentration is pro-oxidant. Thus, both characters of AA might be translated into clinical benefits. In vitro obtained results and murine experiments consequently prove the cytotoxic effect of AA on cancer cells, but current clinical evidence for high-dose intravenous (i.v.) vitamin C’s therapeutic effect is ambiguous. The difference might be caused by the missing knowledge of AA’s actions. In the literature, there are many publications regarding vitamin C and cancer. Review papers of systematic analysis of human interventional and observational studies assessing i.v. AA for cancer patients’ use helps the overview of the extensive literature. Based on the results of four review articles and the Cancer Information Summary of the National Cancer Institute’s results, we analyzed 20 publications related to high-dose intravenous vitamin C therapy (HAAT). The analyzed results indicate that HAAT might be a useful cancer-treating tool in certain circumstances. The AA’s cytotoxic effect is hypoxia-induced factor dependent. It impacts only the anoxic cells, using the Warburg metabolism. It prevents tumor growth. Accordingly, discontinuation of treatment leads to repeated expansion of the tumor. We believe that the clinical use of HAAT in cancer treatment should be reassessed. The accumulation of more study results on HAAT is desperately needed. Full article
(This article belongs to the Special Issue Vitamin C and Carbohydrates in Human Physiology: Mechanism of Action)
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