来自大自然的治疗:抗坏血酸(维生素C)的非凡抗癌特性

D. Mastrangelo, L. Massai, G. Fioritoni, F. Coco, R. Nuti
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引用次数: 7

摘要

维生素C(抗坏血酸或抗坏血酸钠)的抗癌特性至少在40年前就为人所知,然而,作为一种廉价的“天然”产品,维生素C不能申请专利,因此从未被开发为抗癌分子。最近的体外研究证实了高剂量维生素C(抗坏血酸钠)具有非凡的抗肿瘤特性,特别是通过静脉注射给药时,并且已经开始进行I/II期随机对照临床试验以验证其体内抗癌特性。不幸的是,到目前为止进行的对照临床试验,并没有证实维生素C(抗坏血酸钠)在体外获得的非凡结果。然而,这可能取决于许多不同的因素,如药物制剂(抗坏血酸钠可能比缓冲抗坏血酸更合适),给药时间表(慢速输注比快速输注好),肿瘤组织氧合(肿瘤组织氧合低于肿瘤细胞系的氧合,在体外)等,值得进一步深入研究。即使有这些限制,高剂量的维生素C(抗坏血酸钠),通过静脉注射,除了在体外对许多人类肿瘤细胞系非常有效外,还是安全的,禁忌症很少,可以提高患者的生活质量,并且对癌细胞有很高的选择性。作者讨论了这些重要方面,并提出了提高维生素C(抗坏血酸钠)体内抗癌作用的可能解决方案。
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The Cure from Nature: The Extraordinary Anticancer Properties of Ascorbate (Vitamin C)
The anticancer properties of Vitamin C (ascorbic acid o sodium ascorbate) are known since at least four decades, However, being a cheap and "natural" product, Vitamin C is not patentable and therefore has never been developed as an anticancer molecule. Recent in vitro investigations have confirmed the extraordinary antitumor properties of high doses of Vitamin C (sodium ascorbate), particularly when administered by the intravenous route, and phase I/II randomized, controlled clinical trials have been started to verify its anticancer properties in vivo. Unfortunately, the controlled clinical trials performed so far, do not confirm the extraordinary results obtained with Vitamin C (sodium ascorbate) in vitro. However, this may depend on a number of different factors, such as the pharmaceutical preparation (Sodium ascorbate may be more suitable than buffered ascorbic acid), the schedule of administration (slow infusion better than rapid infusion), tumor tissue oxygenation (Cancer tissue oxygenation is lower that oxygenation of tumor cell lines, in vitro), etc., which deserve further in depth investigation. Even with these limitations, Vitamin C (sodium ascorbate) in high doses, administered by intravenous route, beyond being extremely effective in vitro, against a number of human tumor cell lines, is safe, has minimal contraindications, improves the quality of life of patients, and is highly selective for cancer cells. The Authors discuss these important aspects and suggest possible solutions to improve the in vivo anticancer effects of Vitamin C (sodium ascorbate).
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