Ascorbic acid inhibits antitumor activity of bortezomib in vivo

Earlier studies have shown that ascorbic acid (vitamin C) inhibits bortezomib-induced cytotoxicity against cancer cells in vitro . However, the clinical significance of vitamin C on bortezomib treatment is unclear. In this study, we examined whether daily oral intake of vitamin C inhibits antimultip...

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Veröffentlicht in:Leukemia 2009-09, Vol.23 (9), p.1679-1686
Hauptverfasser: Perrone, G, Hideshima, T, Ikeda, H, Okawa, Y, Calabrese, E, Gorgun, G, Santo, L, Cirstea, D, Raje, N, Chauhan, D, Baccarani, M, Cavo, M, Anderson, K C
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container_end_page 1686
container_issue 9
container_start_page 1679
container_title Leukemia
container_volume 23
creator Perrone, G
Hideshima, T
Ikeda, H
Okawa, Y
Calabrese, E
Gorgun, G
Santo, L
Cirstea, D
Raje, N
Chauhan, D
Baccarani, M
Cavo, M
Anderson, K C
description Earlier studies have shown that ascorbic acid (vitamin C) inhibits bortezomib-induced cytotoxicity against cancer cells in vitro . However, the clinical significance of vitamin C on bortezomib treatment is unclear. In this study, we examined whether daily oral intake of vitamin C inhibits antimultiple myeloma (MM) activities of bortezomib. Vitamin C, at orally achievable concentrations, inhibited in vitro MM cell cytotoxicity of bortezomib and blocked its inhibitory effect on 20S proteasome activity. Specifically, plasma collected from healthy volunteers taking 1 g/day vitamin C reduced bortezomib-induced MM cell death in vitro . This antagonistic effect of vitamin C against proteasome inhibitors is limited to the boronate class of inhibitors (bortezomib and MG262). In vivo activity of this combination treatment was then evaluated using our xenograft model of human MM in SCID (severe combined immune-deficient) mice. Bortezomib (0.1 mg/kg twice a week for 4 weeks) significantly inhibits in vivo MM cell growth, which was blocked by oral vitamin C (40 mg/kg/day). Therefore, our results for the first time show that vitamin C can significantly reduce the activity of bortezomib treatment in vivo ; and importantly, suggest that patients receiving treatment with bortezomib should avoid taking vitamin C dietary supplements.
doi_str_mv 10.1038/leu.2009.83
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Immunoglobulinopathies ; Immunoglobulinopathies ; Immunopathology ; In vivo methods and tests ; Inhibitor drugs ; Inhibitors ; Intensive ; Internal Medicine ; Leukemia ; Leukemias. Malignant lymphomas. Malignant reticulosis. 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Immunoglobulinopathies</subject><subject>Immunoglobulinopathies</subject><subject>Immunopathology</subject><subject>In vivo methods and tests</subject><subject>Inhibitor drugs</subject><subject>Inhibitors</subject><subject>Intensive</subject><subject>Internal Medicine</subject><subject>Leukemia</subject><subject>Leukemias. Malignant lymphomas. Malignant reticulosis. 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source MEDLINE; Springer Journals; Nature; EZB Electronic Journals Library
subjects Acids
Animals
Anticancer properties
Antineoplastic Agents - antagonists & inhibitors
Antioxidants - pharmacology
Antitumor activity
Ascorbic acid
Ascorbic Acid - pharmacology
Biocompatibility
Biological and medical sciences
Boronic Acids - antagonists & inhibitors
Bortezomib
Cancer
Cancer cells
Cancer Research
Cell death
Cell Line, Tumor
Cell Proliferation - drug effects
Critical Care Medicine
Cytotoxicity
Diet
Dietary supplements
Dosage and administration
FDA approval
Health aspects
Hematologic and hematopoietic diseases
Hematology
Humans
Immunodeficiencies. Immunoglobulinopathies
Immunoglobulinopathies
Immunopathology
In vivo methods and tests
Inhibitor drugs
Inhibitors
Intensive
Internal Medicine
Leukemia
Leukemias. Malignant lymphomas. Malignant reticulosis. Myelofibrosis
Medical sciences
Medicine
Medicine & Public Health
Mice
Multiple myeloma
Multiple Myeloma - drug therapy
Myeloma
Oncology
original-article
Physiological aspects
Plasma
Proteasome Inhibitors
Pyrazines - antagonists & inhibitors
Severe combined immunodeficiency
Targeted cancer therapy
Toxicity
Vitamin C
Xenografts
Xenotransplantation
title Ascorbic acid inhibits antitumor activity of bortezomib in vivo
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