Acute prooxidant effects of vitamin C in EDTA chelation therapy and long-term antioxidant benefits of therapy
Abstract
Chelation therapy is thought to not only remove contaminating metals but also to decrease free radical production. EDTA chelation therapy, containing high doses of vitamin C as an antioxidant, is often used in the treatment of diseases such as diabetes and cardiovascular diseases but the effectiveness of this treatment may be variable and its efficacy has not been demonstrated conclusively. The objective of this work was to determine if the vitamin C added to standard chelation therapy cocktails was prooxidant. We administered a standard EDTA cocktail solution with or without 5 g of sodium ascorbate. One hour following the standard chelation therapy, there were highly significant prooxidant effects on lipids, proteins, and DNA associated with decreased activities of RBC glutathione peroxidase and superoxide dismutase while in the absence of sodium ascorbate, there were no acute signs of oxidative damage. After 16 sessions of standard chelation therapy, the acute prooxidant effects of vitamin C remained, but, even in the absence of nutrient supplements, there were beneficial long-term antioxidant effects of chelation therapy and plasma peroxide levels decreased. In conclusion, multiple sessions of EDTA chelation therapy protect lipids against oxidative damage. However, standard high amounts of vitamin C added to EDTA chelation solutions also display short term prooxidant effects. The added benefits of lower levels of vitamin C in chelation therapy need to be documented.
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A variety of antioxidants can act as pro-oxidants and promote the production of OH• radicals in the presence of inappropriately or inadequately liganded Fe(II).
“One interpretation for these disappointing results, that is consistent with the general theme of this review, involves the recognition that a variety of antioxidants can in fact act as pro-oxidants and thus actually promote the production of OH• radicals in the presence of inappropriately or inadequately liganded Fe(II) [130,528,1602,1604,1659,1660].”
From Iron behaving badly: inappropriate iron chelation as a major contributor to the aetiology of vascular and other progressive inflammatory and degenerative diseases (2009) · cites this paper as [1660]
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- Authors
- Hininger, I., Waters, R., Osman, M., Garrel, C., Fernholz, K., Roussel, A. M., & Anderson, R. A.
- Affiliations
- Université Joseph Fourier (FR)
- Agricultural Research Service (US)
- Corresponding author
- Anderson, Richard A.
- ORCID
- Anderson, Richard A.
- Venue
- Free Radical Biology and Medicine
- Publisher
- Elsevier BV
- Published
- 2005-06
- Volume
- 38
- Issue
- 12
- Pages
- 1565-1570
- ISSN
- 0891-5849 (ISSN-L)
- OpenAlex
- W2072919516
- Cited by
- 53
- References
- 45
- Citations by year
- 2025: 2 · 2022: 3 · 2021: 1 · 2020: 4 · 2019: 2 · 2017: 2 · 2016: 6 · 2015: 2 · 2014: 3 · 2013: 6 · 2012: 2
- FWCI
- 3.35
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Free Radical Biology and Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Nursing › Nutrition and Dietetics › Vitamin C and Antioxidants Research
- Health Sciences › Medicine › Biochemistry › Antioxidant Activity and Oxidative Stress
- Health Sciences › Nursing › Nutrition and Dietetics › Trace Elements in Health
- Keywords
- EDTA chelation therapy, vitamin C, sodium ascorbate, pro-oxidant activity, oxidative stress, lipid peroxidation, protein oxidation, DNA oxidation, glutathione peroxidase, superoxide dismutase, antioxidant activity, free radical scavenging
- MeSH terms
- Adult, Aged, Antioxidants, Ascorbic Acid, Chelating Agents, DNA Damage, Drug Therapy, Combination, Edetic Acid, Female, Humans, Male, Malondialdehyde, Middle Aged, Time Factors, Lipid Peroxidation, Chelation Therapy, Oxidative Stress
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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