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高剂量维生素C对爱泼斯坦-巴尔病毒感染的影响。

Effect of high dose vitamin C on Epstein-Barr viral infection.

作者信息

Mikirova Nina, Hunninghake Ronald

机构信息

Bio-Communication Research Institute, Riordan Clinic, Wichita, USA.

出版信息

Med Sci Monit. 2014 May 3;20:725-32. doi: 10.12659/MSM.890423.

DOI:10.12659/MSM.890423
PMID:24793092
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4015650/
Abstract

Background Many natural compounds were tested for the ability to suppress viral replication. The present manuscript details an analysis of high dose vitamin C therapy on patients with EBV infection. Material and Methods The data were obtained from the patient history database at the Riordan Clinic. Among people in our database who were treated with intravenous vitamin C (7.5 g to 50 g infusions) between 1997 and 2006, 178 patients showed elevated levels of EBV EA IgG (range 25 to 211 AU) and 40 showed elevated levels of EBV VCA IgM (range 25 to 140 AU). Most of these patients had a diagnosis of chronic fatigue syndrome, with the rest being diagnosed as having mononucleosis, fatigue, or EBV infection. Results Our data provide evidence that high dose intravenous vitamin C therapy has a positive effect on disease duration and reduction of viral antibody levels. Plasma levels of ascorbic acid and vitamin D were correlated with levels of antibodies to EBV. We found an inverse correlation between EBV VCA IgM and vitamin C in plasma in patients with mononucleosis and CFS meaning that patients with high levels of vitamin C tended to have lower levels of antigens in the acute state of disease. In addition, a relation was found between vitamin D levels and EBV EA IgG with lower levels of EBV early antigen IgG for higher levels of vitamin D. Conclusions The clinical study of ascorbic acid and EBV infection showed the reduction in EBV EA IgG and EBV VCA IgM antibody levels over time during IVC therapy that is consistent with observations from the literature that millimolar levels of ascorbate hinder viral infection and replication in vitro.

摘要

背景

许多天然化合物都经过了抑制病毒复制能力的测试。本手稿详细分析了高剂量维生素C疗法对EBV感染患者的作用。

材料与方法

数据来自里奥丹诊所的患者病史数据库。在我们数据库中1997年至2006年间接受静脉注射维生素C(7.5克至50克输注)治疗的人群中,178名患者的EBV EA IgG水平升高(范围为25至211 AU),40名患者的EBV VCA IgM水平升高(范围为25至140 AU)。这些患者大多数被诊断为慢性疲劳综合征,其余被诊断为单核细胞增多症、疲劳或EBV感染。

结果

我们的数据表明高剂量静脉注射维生素C疗法对疾病持续时间和病毒抗体水平的降低有积极作用。血浆中抗坏血酸和维生素D水平与EBV抗体水平相关。我们发现单核细胞增多症和慢性疲劳综合征患者血浆中EBV VCA IgM与维生素C呈负相关,这意味着维生素C水平高的患者在疾病急性期往往抗原水平较低。此外,还发现维生素D水平与EBV EA IgG之间存在关联,维生素D水平较高时EBV早期抗原IgG水平较低。

结论

抗坏血酸与EBV感染的临床研究表明,在静脉注射维生素C治疗期间,EBV EA IgG和EBV VCA IgM抗体水平随时间降低,这与文献观察结果一致,即毫摩尔水平的抗坏血酸盐在体外可阻碍病毒感染和复制。

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