The role of vitamin C in epigenetic cancer therapy

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningfagfællebedømt

The role of vitamin C in the treatment of cancer has been subject to controversy for decades. Within the past 10 years, mechanistic insight into the importance of vitamin C in epigenetic regulation has provided a new rationale for its potential anti-cancer effects. At physiological concentrations, vitamin C is a potent antioxidant and thereby co-factor for a range of enzymes including the Fe(II)- and α-ketoglutarate-dependent dioxygenases that represent some of the most important epigenetic regulators; the ten-eleven translocation (TET) methylcytosine dioxygenases and the Jumonji-C domain-containing histone demethylases. Epigenetic deregulation is a hallmark of many cancers and reduced activity of these enzymes or somatic loss-of-function mutations in the genes encoding them, are observed in many cancer types. The present review outlines the growing literature on the role of vitamin C in epigenetic therapy of cancer. In the vast majority of in vitro, animal and clinical studies included in this review, vitamin C showed ability across cancer types to increase the hydroxylation of 5-methylcytosine to 5-hydroxymethylcytosine catalyzed by the TET enzymes - the first step in DNA demethylation. Most consistently, vitamin C in combination with the class of epigenetic drugs, DNA methyltransferase inhibitors, has demonstrated efficacy in the treatment of hematological malignancies in both preclinical and the limited number of available clinical studies. Yet, the pertinent question of what is the optimal dose of vitamin C in cancer studies remains to be answered. High-quality randomized placebo-controlled trials are needed to determine whether supplementation with vitamin C may benefit subgroups of patients with (pre-)cancer.

OriginalsprogEngelsk
TidsskriftFree Radical Biology and Medicine
Vol/bind170
Sider (fra-til)179-193
Antal sider15
ISSN0891-5849
DOI
StatusUdgivet - 2021

Bibliografisk note

Funding Information:
Financial support was also received by the Danish Cancer Society (grant number R204-A12363 ; to K.G.). The Novo Nordisk Foundation Center for Stem Cell Biology (DanStem) is supported by a Novo Nordisk Foundation grant (grant number NNF17CC0027852 ).

Funding Information:
This work was supported by Van Andel Research Institute through Van Andel Research Institute - Stand Up to Cancer Epigenetics Dream Team (grant to K.G.). Stand Up to Cancer is a division of the Entertainment Industry Foundation, administered by AACR.

Funding Information:
This work was supported by Van Andel Research Institute through Van Andel Research Institute - Stand Up to Cancer Epigenetics Dream Team (grant to K.G.). Stand Up to Cancer is a division of the Entertainment Industry Foundation, administered by AACR. Financial support was also received by the Danish Cancer Society (grant number R204-A12363; to K.G.). The Novo Nordisk Foundation Center for Stem Cell Biology (DanStem) is supported by a Novo Nordisk Foundation grant (grant number NNF17CC0027852).

Publisher Copyright:
© 2021 Elsevier Inc.

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