High-dose intravenous vitamin C is not associated with an increase of pro-oxidative biomarkers

Objective: High-dose vitamin C therapy might mediate beneficial clinical effects by counteracting reactive oxygen species. However, concerns are raised whether this approach might provoke diametrical (ie pro-oxidative) effects. The objective was to determine ascorbyl free radical (AFR) concentration...

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Veröffentlicht in:European journal of clinical nutrition 2004-08, Vol.58 (8), p.1151-1158
Hauptverfasser: Muhlhofer, A, Mrosek, S, Schlegel, B, Trommer, W, Rozario, F, Bohles, H, Schremmer, D, Zoller, W.G, Biesalski, H.K
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container_end_page 1158
container_issue 8
container_start_page 1151
container_title European journal of clinical nutrition
container_volume 58
creator Muhlhofer, A
Mrosek, S
Schlegel, B
Trommer, W
Rozario, F
Bohles, H
Schremmer, D
Zoller, W.G
Biesalski, H.K
description Objective: High-dose vitamin C therapy might mediate beneficial clinical effects by counteracting reactive oxygen species. However, concerns are raised whether this approach might provoke diametrical (ie pro-oxidative) effects. The objective was to determine ascorbyl free radical (AFR) concentrations and potential variables of pro-oxidative damage. Design: Crossover study; six healthy males received daily infusions of 750 or 7500 mg vitamin C for six consecutive days. Fasting concentrations of vitamin C and AFR were determined daily. On day 1, concentrations of vitamin C and AFR were measured at 0.25, 0.5, 1, 2, 4 and 8 h post infusion. Plasma concentrations of thiobarbituric acid-reactive substances (TBARS), tocopherol and urine concentrations of 8-oxoguanosine were determined on days 1 and 6. Results: Kinetic studies on day 1 showed that concentrations of vitamin C and AFR displayed parallel dose- and time-dependent kinetics and elimination was highly efficient. Vitamin C and AFR fasting concentrations on days 2-6 were slightly above the baseline, suggesting new, stable steady states. TBARS decreased in both groups, whereas tocopherol and 8-oxoguanosine concentrations remained unchanged. Conclusion: Kinetics of AFR largely depend on plasma vitamin C concentrations and AFR is eliminated efficiently. Our data do not support induction of pro-oxidative effects in healthy volunteers given intravenous high-dose vitamin C.
doi_str_mv 10.1038/sj.ejcn.1601943
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However, concerns are raised whether this approach might provoke diametrical (ie pro-oxidative) effects. The objective was to determine ascorbyl free radical (AFR) concentrations and potential variables of pro-oxidative damage. Design: Crossover study; six healthy males received daily infusions of 750 or 7500 mg vitamin C for six consecutive days. Fasting concentrations of vitamin C and AFR were determined daily. On day 1, concentrations of vitamin C and AFR were measured at 0.25, 0.5, 1, 2, 4 and 8 h post infusion. Plasma concentrations of thiobarbituric acid-reactive substances (TBARS), tocopherol and urine concentrations of 8-oxoguanosine were determined on days 1 and 6. Results: Kinetic studies on day 1 showed that concentrations of vitamin C and AFR displayed parallel dose- and time-dependent kinetics and elimination was highly efficient. Vitamin C and AFR fasting concentrations on days 2-6 were slightly above the baseline, suggesting new, stable steady states. TBARS decreased in both groups, whereas tocopherol and 8-oxoguanosine concentrations remained unchanged. Conclusion: Kinetics of AFR largely depend on plasma vitamin C concentrations and AFR is eliminated efficiently. Our data do not support induction of pro-oxidative effects in healthy volunteers given intravenous high-dose vitamin C.</description><identifier>ISSN: 0954-3007</identifier><identifier>EISSN: 1476-5640</identifier><identifier>DOI: 10.1038/sj.ejcn.1601943</identifier><identifier>PMID: 15054428</identifier><language>eng</language><publisher>Basingstoke: Nature Publishing</publisher><subject>Adult ; Antioxidants - administration &amp; dosage ; Antioxidants - pharmacokinetics ; Ascorbic acid ; Ascorbic Acid - administration &amp; dosage ; Ascorbic Acid - blood ; Ascorbic Acid - pharmacokinetics ; Biological and medical sciences ; Biomarkers ; Clinical nutrition ; Cross-Over Studies ; Dose-Response Relationship, Drug ; Fasting ; Free Radical Scavengers - administration &amp; dosage ; Free Radical Scavengers - blood ; Free Radical Scavengers - pharmacokinetics ; Free radicals ; Free Radicals - blood ; General and cellular metabolism. Vitamins ; Guanosine - analogs &amp; derivatives ; Guanosine - urine ; Humans ; Infusions, Intravenous ; Intravenous administration ; Kinetics ; Male ; Medical sciences ; Oxidation ; Oxidation-Reduction ; Oxidative Stress ; Pharmacology. Drug treatments ; Prospective Studies ; Reactive oxygen species ; Reactive Oxygen Species - antagonists &amp; inhibitors ; Thiobarbituric acid ; Thiobarbituric Acid Reactive Substances - analysis ; Tocopherol ; Vitamin C ; Vitamin E</subject><ispartof>European journal of clinical nutrition, 2004-08, Vol.58 (8), p.1151-1158</ispartof><rights>2004 INIST-CNRS</rights><rights>COPYRIGHT 2004 Nature Publishing Group</rights><rights>Copyright Macmillan Journals Ltd. 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However, concerns are raised whether this approach might provoke diametrical (ie pro-oxidative) effects. The objective was to determine ascorbyl free radical (AFR) concentrations and potential variables of pro-oxidative damage. Design: Crossover study; six healthy males received daily infusions of 750 or 7500 mg vitamin C for six consecutive days. Fasting concentrations of vitamin C and AFR were determined daily. On day 1, concentrations of vitamin C and AFR were measured at 0.25, 0.5, 1, 2, 4 and 8 h post infusion. Plasma concentrations of thiobarbituric acid-reactive substances (TBARS), tocopherol and urine concentrations of 8-oxoguanosine were determined on days 1 and 6. Results: Kinetic studies on day 1 showed that concentrations of vitamin C and AFR displayed parallel dose- and time-dependent kinetics and elimination was highly efficient. Vitamin C and AFR fasting concentrations on days 2-6 were slightly above the baseline, suggesting new, stable steady states. TBARS decreased in both groups, whereas tocopherol and 8-oxoguanosine concentrations remained unchanged. Conclusion: Kinetics of AFR largely depend on plasma vitamin C concentrations and AFR is eliminated efficiently. 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subjects Adult
Antioxidants - administration & dosage
Antioxidants - pharmacokinetics
Ascorbic acid
Ascorbic Acid - administration & dosage
Ascorbic Acid - blood
Ascorbic Acid - pharmacokinetics
Biological and medical sciences
Biomarkers
Clinical nutrition
Cross-Over Studies
Dose-Response Relationship, Drug
Fasting
Free Radical Scavengers - administration & dosage
Free Radical Scavengers - blood
Free Radical Scavengers - pharmacokinetics
Free radicals
Free Radicals - blood
General and cellular metabolism. Vitamins
Guanosine - analogs & derivatives
Guanosine - urine
Humans
Infusions, Intravenous
Intravenous administration
Kinetics
Male
Medical sciences
Oxidation
Oxidation-Reduction
Oxidative Stress
Pharmacology. Drug treatments
Prospective Studies
Reactive oxygen species
Reactive Oxygen Species - antagonists & inhibitors
Thiobarbituric acid
Thiobarbituric Acid Reactive Substances - analysis
Tocopherol
Vitamin C
Vitamin E
title High-dose intravenous vitamin C is not associated with an increase of pro-oxidative biomarkers
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