Körper

Vitamin C: Essential for Health - But a Cure for Cancer?

Vitamin C : Unverzichtbar für die Gesundheit - aber eine Heilwaffe gegen Krebs?

Ascorbic acid is essential for a healthy body.

But what role does this vitamin actually play in preventing or even curing diseases?

Rumors are circulating that high doses of vitamin C could be used against cancer. In the USA in particular, high doses of intravenous vitamin C have been advertised by various suppliers as a potential cancer treatment. However, it is important to emphasize that surgery, chemotherapy and radiotherapy are still the only approved and scientifically proven forms of treatment for tumor diseases. Leading patients into alternative treatment with high-dose vitamin C can be dangerous, as there is insufficient clinical data for this application.

Nevertheless, it is worth examining the scientific reasoning behind the claim that vitamin C may have a role in cancer. Although it should not be used to treat cancer, vitamin C is undeniably beneficial to health.

 

Vitamin C and its role in the body

The preventive effect of vitamin C on chronic diseases can be attributed to its antioxidant capacity and support of a healthy immune system.

It is also assumed that vitamin C in very high concentrations can have an antiproliferative effect on cancer cells [4]. This means that vitamin C could influence the ability of tumor cells to divide.

It has also been observed that a very high dose of vitamin C can make cancer cells more sensitive to certain cytostatic drugs [5]. These are both points that affect the cell division of cancer cells and could slow down their growth.

Chemotherapies have massive side effects that weaken the patient, as they are designed for rapidly dividing cells, which include not only cancer cells but also cells of the immune system that are also destroyed by the therapy. In order to reduce the side effects of chemotherapy, vitamin C was tested as a complementary therapeutic agent and was able to reduce the toxicity of some chemotherapeutic agents in animal experiments, but above all to support the immune system [6,7].

 

Vitamin C deficiency during Chemotherapy


Tumor patients are often prone to vitamin C deficiency due to their altered metabolism [8]. Despite a normal intake, the serum concentration of the vitamin can remain low, which is due to an increased requirement.

During cancer and the resulting treatment, there is a massively increased consumption of the antioxidant to detoxify reactive oxygen radicals, which are increasingly formed during surgery, chemotherapy and radiation.

Oxidative stress and wound healing increase the need for vitamin C to keep the body in balance despite the high level of stress [9].

The FDA's intervention in the USA


At the end of 2010, the FDA, which is responsible for monitoring food and drugs in the USA, asked the Californian company McGuff to stop manufacturing its intravenous vitamin C preparations. There was initially a great deal of excitement about this.



Why did the FDA intervene?

The FDA monitors the marketing of drugs and checks whether they are safe and effective. In contrast to conventional vitamin C supplements, which are used as a dietary supplement, the intravenous version was considered a drug that was supposed to be used for healing. However, this effectiveness could not be confirmed.

The FDA's verdict was that the preparations, which enter the bloodstream in very high concentrations, were not merely a preventive measure, but “(...) a treatment for a disease that should not be self-diagnosed or treated without a practitioner” [12].
The FDA does not categorically rule out efficacy, but it does protect patients from potentially ineffective or even dangerous treatments.

Sources

[1] Ang, Abel et al. “Vitamin C and immune cell function in inflammation and cancer” Biochemical Society transactions vol. 46,5 (2018): 1147-1159.
[2] Wintergerst ES, Maggini S, Hornig DH (2006). "Immune-enhancing role of vitamin C and zinc and effect on clinical conditions". Annals of Nutrition & Metabolism. 50 (2): 85–94. doi:10.1159/000090495.
[3] EFSA Panel on Dietetic Products, Nutrition and Allergies (2015). "Vitamin C and contribution to the normal function of the immune system: evaluation of a health claim pursuant to Article 14 of Regulation (EC) No 1924/2006". EFSA Journal. 13 (11): 4298. doi:10.2903/j.efsa.2015.4298.
[4] Fromberg A, Gutsch D, Schulze D, Vollbracht C, Weiss G, Czubayko F, Aigner A, Ascorbate exerts anti-proliferative effects through cell cycle inhibition and sensitizes tumor cells towards cytostatic drugs. Cancer Chemother Pharmacol 67(5): 1157-1166, 2010.
[5] Kurbacher CM, Wagner U, Kolster B, Andreotti PE, Krebs D, Bruckner HW, Ascorbic acid (vitamin C) improves the antineoplastic activity of doxorubicin, cisplatin, and paclitaxel in human breast carcinoma cells in vitro. Cancer Lett 103(2):183-189, 1996.
[6] El-Merzabani MM, El-Aaser AA, Osman AM, Ismael N, Abu el-Ela F, Potentiation of therapeutic effect of methanesulphonate and protection against its organ cytotoxicity by vitamin C in Ehrlich ascites carcinoma bearing mice. J Pharm Belg 44(2): 109-116, 1989.
[7] Prasad SB, Giri A, Arjun J, Use of subtherapeutical dose of cisplatin and vitamin C against murine Dalton's lymphoma. Pol J Pharmacol Pharm 44(4):383-391, 1992.
[8] Vollbracht, C., Schneider, B., Leendert, V., Weiss, G., Uerbach, L., Beuth, J., Beuth, J., Intravenous Vitamin C Administration Improves Quality of Life in Breast Cancer Patients during Chemo-/Radiotherapy and Aftercare: Results of a Retrospective, Multicentre, Epidemiological Cohort Study in Germany, In Vivo, 11-12/2011, vol. 25, no. 6, 983-990.
[9] Beuth JH N, van Leendert R, Basten R, Noehle M, Schneider B, Safety and efficacy of local administration of contractubex to hypertrophic scars in comparison to corticoid treatment. Results of a multicenter, comparative epidemiological cohort study in Germany. In Vivo 20: 277-284, 2006.
[10] Akinloye O, Adaramoye O, Kareem O, Changes in antioxidant status and lipid peroxidation in Nigerian patients with prostate carcinoma. Pol Arch Med Wewn 119(9): 526-532, 2009.
[11] Esme H, Cemek M, Sezer M, Saglam H, Demir A, Melek H, Unlu M, High levels of oxidative stress in patients with advanced lung cancer. Respirology 13(1):112-116, 2008.
[12] Warning Letter an McGuff Compounding Pharmacy Services Inc.: https://www.fda.gov/ICECI/EnforcementActions/WarningLetters/2015/ucm473759.htm.
[13] Hathcock JN, Azzi A, Blumberg J, Bray T, Dickinson A, Frei B, Jialal I, Johnston CS, Kelly FJ, Kraemer K, Packer L, Parthasarathy S, Sies H, Traber MG. Vitamins E and C are safe across a broad range of intakes. Am J Clin Nutr. 2005 Apr;81(4):736-45.
[14] https://ods.od.nih.gov/factsheets/VitaminC-HealthProfessional/#h8

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