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维生素C在癌症治疗中的未竟之路。

The unpaved journey of vitamin C in cancer treatment.

作者信息

Chen Qi, Polireddy Kishore, Chen Ping, Dong Ruochen

机构信息

Department of Pharmacology, Toxicology and Therapeutics. KU Integrative Medicine, the University of Kansas Medical Center, 3901 Rainbow Boulevard, MS1018, Kansas City, KS 66160, USA.

出版信息

Can J Physiol Pharmacol. 2015 Dec;93(12):1055-63. doi: 10.1139/cjpp-2014-0509. Epub 2015 May 27.

DOI:10.1139/cjpp-2014-0509
PMID:26469874
Abstract

Effectiveness and low-toxicity to normal tissues are ideal properties for a cancer treatment, and one that numerous research programs are aiming for. Vitamin C has long been used in the field of Complementary and Alternative Medicine as a cancer treatment, with profound safety and anecdotal efficacy. Recent studies revealed the scientific basis for this use, and indicated that vitamin C, at supra-nutritional doses, holds considerable promise as an effective and low-toxic therapeutic strategy to treat cancer. Reviewed here are the early controversies surrounding vitamin C and cancer treatment, the breakthrough discoveries that led to the current advancement, and recent clinical studies, as well as research into its mechanisms of action.

摘要

对癌症治疗而言,有效性以及对正常组织的低毒性是理想特性,也是众多研究项目所追求的目标。长期以来,维生素C一直被用于补充和替代医学领域作为癌症治疗手段,具有较高的安全性且有一定疗效。近期研究揭示了这种应用的科学依据,并表明超营养剂量的维生素C作为一种有效且低毒的癌症治疗策略具有很大潜力。本文回顾了围绕维生素C与癌症治疗的早期争议、促成当前进展的突破性发现、近期的临床研究以及其作用机制的研究。

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1
The unpaved journey of vitamin C in cancer treatment.维生素C在癌症治疗中的未竟之路。
Can J Physiol Pharmacol. 2015 Dec;93(12):1055-63. doi: 10.1139/cjpp-2014-0509. Epub 2015 May 27.
2
Ascorbic acid in the prevention and treatment of cancer.维生素C在癌症预防和治疗中的作用
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The controversial place of vitamin C in cancer treatment.维生素C在癌症治疗中颇具争议的地位。
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High-dose parenteral ascorbate enhanced chemosensitivity of ovarian cancer and reduced toxicity of chemotherapy.高剂量静脉注射抗坏血酸增强卵巢癌的化疗敏感性并降低化疗毒性。
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Effects of ascorbic acid and α-tocopherol on the therapeutic index of amphotericin B.抗坏血酸和α-生育酚对两性霉素B治疗指数的影响。
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[Vitamin C in complementary oncology--update 2009].[补充肿瘤学中的维生素C——2009年更新]
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Targeting cancer vulnerabilities with high-dose vitamin C.用大剂量维生素 C 靶向癌症脆弱性。
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Vitamin C as a cancer treatment: state of the science and recommendations for research.维生素C作为一种癌症治疗方法:科学现状与研究建议
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J Genet Eng Biotechnol. 2023 Nov 22;21(1):134. doi: 10.1186/s43141-023-00599-2.
2
Pharmacological vitamin C inhibits mTOR signaling and tumor growth by degrading Rictor and inducing HMOX1 expression.药理剂量维生素 C 通过降解雷帕霉素靶蛋白复合体 2(mTORC2)的 Rictor 亚基和诱导血红素加氧酶 1(HMOX1)的表达来抑制 mTOR 信号和肿瘤生长。
PLoS Genet. 2023 Feb 14;19(2):e1010629. doi: 10.1371/journal.pgen.1010629. eCollection 2023 Feb.
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Nutritional Related Knowledge of Cancer Prevention among Primary Health Care Physicians.
基层医疗机构医生预防癌症的营养相关知识。
Asian Pac J Cancer Prev. 2022 Mar 1;23(3):1041-1045. doi: 10.31557/APJCP.2022.23.3.1041.
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High Dose Intravenous Vitamin C as Adjunctive Therapy for COVID-19 Patients with Cancer: Two Cases.高剂量静脉注射维生素C作为癌症COVID-19患者的辅助治疗:两例报告
Life (Basel). 2022 Feb 24;12(3):335. doi: 10.3390/life12030335.
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Antioxidant supplements promote tumor formation and growth and confer drug resistance in hepatocellular carcinoma by reducing intracellular ROS and induction of TMBIM1.抗氧化剂补充剂通过降低细胞内活性氧和诱导TMBIM1促进肝细胞癌的肿瘤形成和生长并赋予耐药性。
Cell Biosci. 2021 Dec 19;11(1):217. doi: 10.1186/s13578-021-00731-0.
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Ascorbic Acid Inhibits Liver Cancer Growth and Metastasis and , Independent of Stemness Gene Regulation.抗坏血酸抑制肝癌生长和转移,且与干性基因调控无关。
Front Pharmacol. 2021 Aug 24;12:726015. doi: 10.3389/fphar.2021.726015. eCollection 2021.
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Vitamin C kills thyroid cancer cells through ROS-dependent inhibition of MAPK/ERK and PI3K/AKT pathways via distinct mechanisms.维生素 C 通过依赖 ROS 的不同机制抑制 MAPK/ERK 和 PI3K/AKT 通路来杀死甲状腺癌细胞。
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Role of Key Micronutrients from Nutrigenetic and Nutrigenomic Perspectives in Cancer Prevention.从营养遗传学和营养基因组学角度看关键微量营养素在癌症预防中的作用。
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