Vitamin C – A new player in regulation of the cancer epigenome
Abstract
Over the past few years it has become clear that vitamin C, as a provider of reduced iron, is an essential factor for the function of epigenetic regulators that initiate the demethylation of DNA and histones. Vitamin C deficiency is rare in the general population, but is frequently observed in patients with cancer. Genes encoding epigenetic regulators are often mutated in cancer, underscoring their central roles in carcinogenesis. In hematological cancers, such as acute myeloid leukemia (AML) and myelodysplastic syndrome (MDS), drugs that reverse epigenetic aberrations are now the standard of care. Recent in vitro studies suggest that vitamin C at physiological concentrations, combined with hypomethylating agents may act synergistically to cause DNA demethylation through active and passive mechanisms, respectively. Additionally, several recent studies have renewed interest in the use of pharmacological doses of vitamin C injected intravenously to selectively kill tumor cells. This review will focus on the potential of vitamin C to optimize the outcome of epigenetic therapy in cancer patients and alternatively to act as a therapeutic at high doses.
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TET2 is frequently deleted in myelodysplastic syndromes.
“Because decitabine is approved by the US Food and Drug Administration for the treatment of patients with myelodysplastic syndromes, where TET2 is also frequently deleted108, it would be interesting to test these combinations in clinical trials.”
From Targeting cancer vulnerabilities with high-dose vitamin C (2019) · cites this paper as [108]
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- Authors
- Gillberg, L., Ørskov, A. D., Liu, M., Harsløf, L. B. S., Jones, P. A., & Grønbæk, K.
- Affiliations
- University of Copenhagen (DK)
- Van Andel Institute (US)
- Copenhagen University Hospital (DK)
- Corresponding author
- Grønbæk, Kirsten
- Venue
- Seminars in Cancer Biology
- Publisher
- Elsevier BV
- Published
- 2018-08
- Volume
- 51
- Pages
- 59-67
- ISSN
- 1044-579X (ISSN-L)
- OpenAlex
- W2767120083
- Cited by
- 100
- References
- 146
- Citations by year
- 2026: 1 · 2025: 8 · 2024: 8 · 2023: 8 · 2022: 15 · 2021: 14 · 2020: 19 · 2019: 18 · 2018: 8 · 2017: 1
- FWCI
- 1.18
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Seminars in Cancer Biology (publishedVersion)
- PubMed (publishedVersion)
- Research at the University of Copenhagen (University of Copenhagen) (submittedVersion)
- Funders
- Kræftens Bekæmpelse
- American Association for Cancer Research
- Lundbeckfonden
- Van Andel Research Institute
- Novo Nordisk Fonden
- National Institutes of Health (R35CA209858)
- Entertainment Industry Foundation
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Epigenetics and DNA Methylation
- Health Sciences › Nursing › Nutrition and Dietetics › Vitamin C and Antioxidants Research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Microbial metabolism and enzyme function
- Keywords
- vitamin C, epigenetic regulation, DNA demethylation, histone demethylation, epigenetic therapy, acute myeloid leukemia, myelodysplastic syndrome, hypomethylating agents, synergistic drug combination, high-dose intravenous vitamin C, cancer epigenome
- MeSH terms
- Animals, Antioxidants, Ascorbic Acid, Humans, Neoplasms, Gene Expression Regulation, Neoplastic, DNA Methylation, Epigenesis, Genetic, Epigenomics
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