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BETTER HEALTH NEWS ARCHIVE INDEX         CURRENT NEWSLETTER INDEX

A Special Report - Alleged Danger of Vitamin C Questioned
By Alan R. Gaby, MD

Healthnotes Newswire — Taking high doses of vitamin C may increase the risk of developing cancer, according to an article published today in the journal Science.1 However, the study was done in test tubes, and the relevance of its findings to humans and other living organisms is far from clear.

According to the report, vitamin C can promote the conversion of a group of chemicals known as lipid hydroperoxides (which are formed in the body during the oxidation of unsaturated fats) into compounds that can damage DNA. This latter class of molecules is believed to be capable of causing cancer. However, the conditions under which these DNA-damaging chemicals were produced bear little resemblance to the chemical environment of living beings. Human blood and cells contain a myriad of antioxidants, enzymes, proteins, and other molecules that interact in extremely complex ways. Because of the intricate nature of biological fluids, it cannot be assumed that chemical reactions that occur in the test tube would necessarily take place in the body.

For example, human tissues contain vitamin E, whereas the buffering solution used in the Science study did not. In humans, vitamin E prevents the conversion of unsaturated fats to lipid hydroperoxides2 (the chemicals that were studied in the Science article). This important antioxidant effect of vitamin E is enhanced by the presence of vitamin C.3 4 Therefore, it could be reasonably argued that, in real life, vitamin C might actually prevent, not promote, the formation of DNA-damaging chemicals. The bottom line is that one cannot draw any firm conclusions about the risks and benefits of vitamin C from today's article in Science.

Despite sporadic reports suggesting that taking vitamin C supplements could be harmful, the bulk of the scientific evidence suggests that vitamin C might help prevent certain types of cancer. For example, vitamin C inhibits the growth of Helicobacter pylori, a microorganism that grows on the stomach lining of some people and is believed to increase the risk of stomach cancer.5 Vitamin C also prevents the conversion of nitrites (which occur naturally in the stomach) into cancer-causing substances called nitrosamines.6 In addition, animal studies suggest that extra vitamin C could help prevent bladder7 8 and colon cancers.9 10

That today's Science study was deemed worthy of a press release is consistent with reports of an “anti-nutrition” bias in academic medicine. Specifically, many conventional doctors and scientists have resisted the concept that supplementation with vitamins and minerals might have health benefits.11 One of the ways in which this bias has been expressed is in the uncritical acceptance of questionable reports on the dangers of nutrients. Although today's Science article provides some interesting information about the biochemistry of vitamin C, it seems like an unacceptably large leap to infer from this report that vitamin C causes cancer.

References
1. Lee SH, Oe T, Blair IA. Vitamin C-induced decomposition of lipid hydroperoxides to endogenous genotoxins. Science 2001;292:2083–6.
2.Leibovitz BE, Hu ML, Tappel AL. Lipid peroxidation in rat tissue slices: effect of dietary vitamin E, corn oil-lard and menhaden oil. Lipids 1990;25:125–9.
3. Thomas SR, Neuzil J, Mohr D, Stocker R. Coantioxidants make alpha-tocopherol an efficient antioxidant for low-density lipoprotein. Am J Clin Nutr 1995;62(6 Suppl):1357S–64S.
4. Packer JE, Slater TF, Willson RL. Direct observation of a free radical interaction between vitamin E and vitamin C. Nature 1979;278:737–8.
5. Zhang HM, Wakisaka N, Maeda O, Yamamoto T. Vitamin C inhibits the growth of a bacterial risk factor for gastric carcinoma: Helicobacter pylori. Cancer 1997;80:1897–903.
6. Mirvish SS, Wallcave L, Eagen M, Shubik P. Ascorbate-nitrite reaction: possible means of blocking the formation of carcinogenic N-nitroso compounds. Science 1972;177:65–8.
7. Alam BS, Jaramillo FE, Schlegel JU, DeRouen TA. The effect of ascorbic acid upon bladder uptake of beta-naphthylamine. Proc Soc Exp Biol Med 1972;141:1008–13.
8. Schlegel JU. Proposed uses of ascorbic acid in prevention of bladder carcinoma. Ann NY Acad Sci 1975;258:432–7.
9. Reddy BS, Hirota N, Katayama S. Effect of dietary sodium ascorbate on 1,2-dimethylhydrazine- or methylnitrosourea-induced colon carcinogenesis in rats. Carcinogenesis 1982;3:1097–9.
10. Logue T, Frommer D. The influence of oral vitamin C supplements on experimental colorectal tumour induction. Aust NZ J Med 1980;10:588.
11. Goodwin JS, Tangum MR. Battling quackery: attitudes about micronutrient supplements in American academic medicine. Arch Intern Med 1998;158:2187–91.

Alan R. Gaby, MD, an expert in nutritional therapies, served as a member of the Ad-Hoc Advisory Panel of the National Institutes of Health Office of Alternative Medicine. He is the Medical Editor for Clinical Essentials Alert, is the author of Preventing and Reversing Osteoporosis (Prima, 1994), and co-author of The Natural Pharmacy, 2nd Edition (Healthnotes, Prima, 1999), the A–Z Guide to Drug-Herb-Vitamin Interactions (Healthnotes, Prima, 1999), Clinical Essentials Volume 1 and 2 (Healthnotes, 2000), and The Patient’s Book of Natural Healing (Prima, 1999). Currently he is the Endowed Professor of Nutrition at Bastyr University of Natural Health Sciences, Kenmore, Washington.




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