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Home arrow Nutrition Reviews arrow Vitamin C in human health and disease is still a mystery ? An overview
Vitamin C in human health and disease is still a mystery ? An overview Print E-mail
K Akhilender Naidu

Abstract

Ascorbic acid, vitamin C, is one of the important water soluble vitamins. It is essential for collagen, carnitine and neurotransmitters biosynthesis. Most plants and animals synthesize ascorbic acid for their own requirement. However, apes and humans can not synthesize ascorbic acid due to lack of an enzyme gulonolactone oxidase. Hence, ascorbic acid has to be supplemented mainly through fruits, vegetables and tablets. The current US recommended daily allowance (RDA) for ascorbic acid ranges between 100–120 mg/per day for adults. Many health benefits have been attributed to ascorbic acid such as antioxidant, anti-atherogenic, anti-carcinogenic, immunomodulator and prevents cold etc. However, lately the health benefits of ascorbic acid has been the subject of debate and controversies viz., Danger of mega doses of ascorbic acid? Does ascorbic acid act as a antioxidant or pro-oxidant ? Does ascorbic acid cause cancer or may interfere with cancer therapy? However, the Panel on dietary antioxidants and related compounds stated that the in vivo data do not clearly show a relationship between excess ascorbic acid intake and kidney stone formation, pro-oxidant effects, excess iron absorption. A number of clinical and epidemiological studies on anti-carcinogenic effects of ascorbic acid in humans did not show any conclusive beneficial effects on various types of cancer except gastric cancer. Recently, a few derivatives of ascorbic acid were tested on cancer cells, among them ascorbic acid esters showed promising anticancer activity compared to ascorbic acid. Ascorbyl stearate was found to inhibit proliferation of human cancer cells by interfering with cell cycle progression, induced apoptosis by modulation of signal transduction pathways. However, more mechanistic and human in vivo studies are needed to understand and elucidate the molecular mechanism underlying the anti-carcinogenic property of ascorbic acid. Thus, though ascorbic acid was discovered in 17th century, the exact role of this vitamin/nutraceutical in human biology and health is still a mystery in view of many beneficial claims and controversies.

Historical perspective

The sea voyager/sailors developed a peculiar disease called scurvy when they were on sea. This was found to be due to eating non-perishable items and lack of fresh fruits and vegetables in their diet. A British naval Physician, Lind [1] documented that there was some substance in citrus fruits that can cure scurvy. He developed a method to concentrate and preserve citrus juice for use by sailors. British Navy was given a daily ration of lime or lemon juice to overcome ascorbic acid deficiency. Ascorbic acid was first isolated from natural sources and structurally characterized by Szent-Gyorgyi, Waugh and King [2,3]. This vitamin was first synthesized by Haworth and Hirst [4]. Currently ascorbic acid is the most widely used vitamin supplement through out the world.

Food Sources of Ascorbic acid (vitamin C)

Ascorbic acid is widely distributed in fresh fruits and vegetables. It is present in fruits like orange, lemons, grapefruit, watermelon, papaya, strawberries, cantaloupe, mango, pineapple, raspberries and cherries. It is also found in green leafy vegetables, tomatoes, broccoli, green and red peppers, cauliflower and cabbage.

Most of the plants and animals synthesize ascorbic acid from D-glucose or D-galactose. A majority of animals produce relatively high levels of ascorbic acid from glucose in liver (Fig 1).

However, guinea pigs, fruit eating bats, apes and humans can not synthesize ascorbic acid due to the absence of the enzyme L-gulonolactone oxidase. Hence, in humans ascorbic acid has to be supplemented through food and or as tablets.

Ascorbic acid is a labile molecule, it may be lost from foods during cooking/processing even though it has the ability to preserve foods by virtue of its reducing property. Synthetic ascorbic acid is available in a wide variety of supplements viz., tablets, capsules, chewable tablets, crystalline powder, effervescent tablets and liquid form. Buffered ascorbic acid and esterfied form of ascorbic acid as ascorbyl palmitate is also available commercially. Both natural and synthetic ascorbic acid are chemically identical and there are no known differences in their biological activities or bio-availability.



Vitamin C food sources and an overview of its role in health
Vitamin C (ascorbic acid) chemical formula
Dietary recommendation (RDA) and function of vitamin C (ascorbic acid)
Health benefits of vitamin C (ascorbic acid) against cold, wound healing
Benefits of vitamin C against cancer
Controversies on side effects of vitamin C (ascorbic acid) and conclusion

References

 

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K Akhilender Naidu
Department of Biochemistry and Nutrition, Central Food Technological Research Institute, Mysore 570 013, India
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Nutrition Journal 2003, 2:7     doi:10.1186/1475-2891-2-7

The electronic version of this article is the complete one and can be found online at: http://www.nutritionj.com/content/2/1/7

© 2003 Naidu; licensee BioMed Central Ltd. This is an Open Access article: verbatim copying and redistribution of this article are permitted in all media for any purpose, provided this notice is preserved along with the article's original URL.

Acknowledgements

Author gratefully acknowledges Dr.S.G.Bhat, Head, Department of Biochemistry and Nutrition and Dr.V.Prakash, Director, CFTRI, Mysore for their encouragement in preparing this review. The author also acknowledges Dr.Santo V.Nicosia and Dr. D.Coppola, Moffitt Cancer Research Center, University of South Florida, Tampa, FL, USA for supporting the work on ascorbyl stearate in his laboratory.

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Last Updated ( Monday, 03 September 2007 )
 


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