High-Dose Vitamin C for Cancer Therapy

被引:44
|
作者
Mussa, Ali [1 ,2 ]
Mohd Idris, Ros Akmal [3 ]
Ahmed, Naveed [4 ]
Ahmad, Suhana [3 ]
Murtadha, Ahmad Hafiz [5 ]
Tengku Din, Tengku Ahmad Damitri Al Astani [6 ]
Yean, Chan Yean [4 ]
Wan Abdul Rahman, Wan Faiziah [7 ]
Mat Lazim, Norhafiza [8 ]
Uskokovic, Vuk [9 ,10 ]
Hajissa, Khalid [4 ]
Mokhtar, Noor Fatmawati [5 ]
Mohamud, Rohimah [3 ]
Hassan, Rosline [1 ]
机构
[1] Univ Sains Malaysia, Sch Med Sci, Dept Haematol, Kubang Kerian 16150, Kelantan, Malaysia
[2] Omdurman Islamic Univ, Fac Educ, Dept Biol, Omdurman 14415, Sudan
[3] Univ Sains Malaysia, Sch Med Sci, Dept Immunol, Kubang Kerian 16150, Kelantan, Malaysia
[4] Univ Sains Malaysia, Sch Med Sci, Dept Med Microbiol & Parasitol, Kubang Kerian 16150, Kelantan, Malaysia
[5] Univ Sains Malaysia, Inst Res Mol Med INFORMM, Hlth Campus, Kubang Kerian 16150, Kelantan, Malaysia
[6] Univ Sains Malaysia, Sch Med Sci, Dept Chem Pathol, Kubang Kerian 16150, Kelantan, Malaysia
[7] Univ Sains Malaysia, Sch Med Sci, Dept Pathol, Kubang Kerian 16150, Kelantan, Malaysia
[8] Univ Sains Malaysia, Sch Med Sci, Dept Otorhinolaryngol, Kubang Kerian 16150, Kelantan, Malaysia
[9] TardigradeNano LLC, Irvine, CA 92604 USA
[10] San Diego State Univ, Dept Mech Engn, San Diego, CA 92182 USA
关键词
high-dose; anti-cancer; vitamin-C; pharmacological; pharmacokinetics; cancer; immunotherapy; ROS-scavenging systems; NF-KAPPA-B; MANGANESE SUPEROXIDE-DISMUTASE; ASCORBATE-INDUCED CYTOTOXICITY; GLUTATHIONE-S-TRANSFERASE; MYELOMA TUMOR-CELLS; BREAST-CANCER; HYDROGEN-PEROXIDE; MOLECULAR-MECHANISMS; OXIDATIVE STRESS; FREE-RADICALS;
D O I
10.3390/ph15060711
中图分类号
R914 [药物化学];
学科分类号
100701 ;
摘要
In recent years, the idea that Vitamin C (Vit-C) could be utilized as a form of anti-cancer therapy has generated many contradictory arguments. Recent insights into the physiological characteristics of Vit-C, its pharmacokinetics, and results from preclinical reports, however, suggest that high-dose Vit-C could be effectively utilized in the management of various tumor types. Studies have shown that the pharmacological action of Vit-C can attack various processes that cancerous cells use for their growth and development. Here, we discuss the anti-cancer functions of Vit-C, but also the potential for the use of Vit-C as an epigenetic regulator and immunotherapy enhancer. We also provide a short overview of the current state of systems for scavenging reactive oxygen species (ROS), especially in the context of their influencing high-dose Vit-C toxicity for the inhibition of cancer growth. Even though the mechanisms of Vit-C action are promising, they need to be supported with robust randomized and controlled clinical trials. Moreover, upcoming studies should focus on how to define the most suitable cancer patient populations for high-dose Vit-C treatments and develop effective strategies that combine Vit-C with various concurrent cancer treatment regimens.
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页数:33
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