[HN Gopher] Vitamin C and Immuno-Oncology
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       Vitamin C and Immuno-Oncology
        
       Author : daddylonglegs
       Score  : 73 points
       Date   : 2020-03-02 18:19 UTC (4 hours ago)
        
 (HTM) web link (blogs.sciencemag.org)
 (TXT) w3m dump (blogs.sciencemag.org)
        
       | chrisco255 wrote:
       | Worth noting that clinical trials are underway for studying the
       | effect of vitamin C infusions on 2019-nCov:
       | 
       | https://clinicaltrials.gov/ct2/show/NCT04264533
        
       | 1996 wrote:
       | TLDR: A team of researchers affiliated with multiple institutions
       | in Italy has found that giving cancerous mice high doses of
       | vitamin C (ascorbic acid) enhanced immunotherapy, resulting in
       | slowed or stopped tumor growth.
       | 
       | Maybe Linus Pauling was indeed on to something
       | (https://en.wikipedia.org/wiki/Linus_Pauling ) with his idea of
       | high dose IV vitamin C: skipping the article as it seems to take
       | political positions ("But if this work makes some headlines of
       | the "Linus Pauling was right" sort, don't believe them") and
       | using Wikipedia as a source instead:
       | 
       | Pauling's work on vitamin C in his later years generated much
       | controversy. He was first introduced to the concept of high-dose
       | vitamin C by biochemist Irwin Stone in 1966. After becoming
       | convinced of its worth, Pauling took 3 grams of vitamin C every
       | day to prevent colds.[13] Excited by his own perceived results,
       | he researched the clinical literature and published Vitamin C and
       | the Common Cold in 1970. He began a long clinical collaboration
       | with the British cancer surgeon Ewan Cameron in 1971 on the use
       | of intravenous and oral vitamin C as cancer therapy for terminal
       | patients.[143] Cameron and Pauling wrote many technical papers
       | and a popular book, Cancer and Vitamin C, that discussed their
       | observations. Pauling made vitamin C popular with the public[144]
       | and eventually published two studies of a group of 100 allegedly
       | terminal patients that claimed vitamin C increased survival by as
       | much as four times compared to untreated patients
       | 
       | (...)
       | 
       | medical establishment concluded that his claims that vitamin C
       | could prevent colds or treat cancer were quackery.[13][151]
       | Pauling denounced the conclusions of these studies and handling
       | of the final study as "fraud and deliberate
       | misrepresentation",[152][153] and criticized the studies for
       | using oral, rather than intravenous vitamin C[154] (which was the
       | dosing method used for the first ten days of Pauling's original
       | study
        
         | SAI_Peregrinus wrote:
         | I wouldn't say that "But if this work makes some headlines of
         | the "Linus Pauling was right" sort, don't believe them" is a
         | political position. Pauling was wrong: he didn't say "High dose
         | IV vitamin C is helpful", he said (paraphrased) "High dose IV
         | vitamin C is helpful because it is an antioxidant". But it's
         | not an antioxidant, as this paper shows, it's an oxidant! It's
         | helpful, but for exactly the wrong reason, and low-dose vitamin
         | C _is_ an antioxidant, which is _harmful_! So if Pauling were
         | correct you 'd expect other antioxidants to help, but they also
         | cause harm (in oncology).
        
           | agumonkey wrote:
           | I've been curious about balancing [anti]oxydants, do you know
           | good texts on this ?
        
       | pazimzadeh wrote:
       | Here's the original article:
       | 
       | High-dose vitamin C enhances cancer immunotherapy
       | https://stm.sciencemag.org/content/12/532/eaay8707/
       | 
       | Takeaways:
       | 
       | Oral Vitamin C and intravenous Vitamin C have vastly different
       | pharmacokinetics and effects on cancer.
       | 
       | - Low dose vitamin C (oral) is anti-oxidant and may attenuate
       | chemotherapy:
       | 
       | Chemosensitizing effect of vitamin C in combination with
       | 5-fluorouracil in vitro
       | https://www.ncbi.nlm.nih.gov/pubmed/12929582 "only a high
       | concentration of vitamin C increased the cytotoxicity of 5-FU"
       | 
       | Ascorbic acid attenuates antineoplastic drug 5-fluorouracil
       | induced gastrointestinal toxicity in rats by modulating the
       | expression of inflammatory mediators
       | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5598240/
       | 
       | - High dose vitamin C (intravenous) is pro-oxidant
       | 
       | - High dose vitamin C (intravenous) alone slows tumor growth
       | 
       | - High dose vitamin C (intravenous) combined with immunotherapy
       | has a synergistic effect
       | 
       | High dose vitamin C (intravenous) also synergizes with
       | chemotherapy and spares healthy cells
       | https://stm.sciencemag.org/content/6/222/222ra18
       | 
       | If you are in chemotherapy or immunotherapy, stay away from low
       | doses of oral anti-oxidant supplements such as Vitamin C.
        
         | mrfusion wrote:
         | But why would oral be so different?
        
           | pazimzadeh wrote:
           | I don't have the specific answer, but oral has to go through
           | the microbiota and be absorbed by your gut before getting to
           | the bloodstream.
           | 
           | Vitamin C pharmacokinetics: implications for oral and
           | intravenous use
           | https://www.ncbi.nlm.nih.gov/pubmed/15068981?dopt=Abstract
        
         | tomlue wrote:
         | We did a data extraction project for 81 trials using oral or
         | intravenous IV as a cancer therapy! You can see the whole
         | project at https://sysrev.com/p/6737. Basically we imported 81
         | VitC trials from clinicaltrials.gov and extracted dose levels,
         | administration methods, placebo usage, and some other data.
         | 
         | You can see all the oral studies here:
         | https://shorturl.at/mvxy4
         | 
         | You can see all the IV studies here: https://shorturl.at/bn019
         | 
         | The results of the research will be published soon...
        
       | KWxIUElW8Xt0tD9 wrote:
       | look up papers by Dr. Klenner on the use of intravenous vitamin C
       | 
       | see also "living proof" a New Zealand 60-minutes segment
        
       | clumsysmurf wrote:
       | I found this summary to be an easier read than the original
       | research paper
       | 
       | https://medicalxpress.com/news/2020-02-high-doses-vitamin-im...
        
       | pstuart wrote:
       | Shooting up C doesn't sound appealing, but I wonder if liposomal
       | C might be worth exploring after all.
        
       | bastian wrote:
       | This is an interesting link from the comments section of the
       | article: https://clinicaltrials.gov/ct2/show/NCT04264533
        
       | british_india wrote:
       | Fresca is packed with Vitamin C.
        
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