The DOI matches its Crossref record; 25 of the 25 references it cites were found in a registry or an index.
Pharmacokinetic Model of Ascorbic Acid in Healthy Male Volunteers During Depletion and Repletion
Abstract
Purpose To develop a new pharmacokinetic model for ascorbic acid (vitamin C) since no previously published model describes ascorbic acid absorption and disposition over a broad physiologic range of doses and plasma concentrations.Methods A new model was developed through exploratory simulations. The model was fitted to pharmacokinetic data obtained from seven healthy volunteers who underwent ascorbic acid depletion then gradual repletion. Concentrations of ascorbic acid were measured in plasma and urine. Final pharmacokinetic model parameter estimates were obtained using nonlinear regression analysis.Results The new model included saturable absorption, distribution and renal tubular reabsorption parameters. The model described ascorbic acid concentrations in plasma, cells, and urine during depletion and gradual repletion phases with a residual error less than 15%.Conclusions The model was useful for obtaining a new understanding of the likely causes for the complex concentration-time profile observed during gradual repletion. At doses of 200 to 2500 mg per day, the plateau in pre-dose concentrations is largely due to apparent saturation of tissue uptake and less a function of oral bioavailability and renal excretion than previously thought.
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“In daily doses of 30–60 mg, almost no vitamin C is excreted in urine within 24 h, while a dose of 100 mg results in 25% of the dose of vitamin C excreted and doses equalling or above 500 mg are almost entirely excreted [55,57].”
From Vitamin C-Sources, Physiological Role, Kinetics, Deficiency, Use, Toxicity, and Determination (2021) · cites this paper as [57]
In the citing paper
“The Michaelis constant Km for renal reabsorption of vitamin C in relation to its plasma levels was suggested to be 33 µM, which is approximately in line with the maximum plasma levels [57].”
From Vitamin C-Sources, Physiological Role, Kinetics, Deficiency, Use, Toxicity, and Determination (2021) · cites this paper as [57]
Citations
Cites
Clinical pharmacokinetics; concepts and applications
(1989) · General Pharmacology The Vascular System · doi:10.1016/0306-3623(89)90348-0 · Cited by 2,232
Vitamin C pharmacokinetics in healthy volunteers: evidence for a recommended dietary allowance
Levine, M., Conry-Cantilena, C., Wang, Y., Welch, R. W., Washko, P. W., Dhariwal, K. R., Park, J. B., Lazarev, A., Graumlich, J. F., King, J., et al. (1996) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.93.8.3704 · Cited by 1,325
Self-citationPresent Knowledge in Nutrition
(2012) · doi:10.1002/9781119946045 · Cited by 907
Distribution of ascorbic acid, metabolites and analogues in man and animals
Hornig, D. (1975) · Annals of the New York Academy of Sciences · doi:10.1111/j.1749-6632.1975.tb29271.x · Cited by 438
Ascorbic acid recycling in human neutrophils
Washko, P., Wang, Y., & Levine, M. (1993) · Journal of Biological Chemistry · doi:10.1016/s0021-9258(18)82289-x · Cited by 289
Self-citationAscorbic acid and dehydroascorbic acid measurements in human plasma and serum
Dhariwal, K., Hartzell, W., & Levine, M. (1991) · The American Journal of Clinical Nutrition · doi:10.1093/ajcn/54.4.712 · Cited by 262
Self-citationSteady-state turnover and body pool of ascorbic acid in man.
Kallner, A., Hartmann, D., & Hornig, D. (1979) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/32.3.530 · Cited by 222
Bergsten, P., Amitai, G., Kehrl, J. H., Dhariwal, K. R., Klein, H. G., & Levine, M. (1990) · Journal of Biological Chemistry · doi:10.1016/s0021-9258(19)39841-2 · Cited by 196
Self-citationAscorbic Acid Transport and Accumulation in Human Neutrophils
Washko, P., Rotrosen, D., & Levine, M. (1989) · Journal of Biological Chemistry · doi:10.1016/s0021-9258(19)47256-6 · Cited by 190
Self-citationClinical Pharmacokinetics: Concepts and applications.
Bryson, S. M. (1983) · Journal of Clinical Pharmacy and Therapeutics · doi:10.1111/j.1365-2710.1983.tb00901.x · Cited by 181
Metabolism of 14C- and 3H-labeled l-ascorbic acid in human scurvy
Baker, E. M., Hodges, R. E., Hood, J., Sauberlich, H. E., March, S. C., & Canham, J. E. (1971) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/24.4.444 · Cited by 142
Berger, L., Gerson, C. D., & Yű, T.-F. (1977) · The American Journal of Medicine · doi:10.1016/0002-9343(77)90351-5 · Cited by 84
Ascorbic acid accumulation and transport in human fibroblasts
Welch, R. W., Bergsten, P., Butler, J. D., & Levine, M. (1993) · Biochemical Journal · doi:10.1042/bj2940505 · Cited by 71
Self-citationTHE MECHANISM OF THE EXCRETION OF VITAMIN C BY THE HUMAN KIDNEY 1
Ralli, E. P., FRIEDMAN, G. J., & Rubin, S. H. (1938) · Journal of Clinical Investigation · doi:10.1172/jci101006 · Cited by 69
Ascorbic acid absorption in man — pharmacokinetic implications
Mayersohn, M. (1972) · European Journal of Pharmacology · doi:10.1016/0014-2999(72)90092-1 · Cited by 61
Dose-dependent absorption and excretion of vitamin C in humans
Melethil, S., Mason, W. D., & Chian-Jo, C. (1986) · International Journal of Pharmaceutics · doi:10.1016/0378-5173(86)90216-4 · Cited by 52
Ascorbic Acid Transport and Distribution in Human B Lymphocytes
Bergsten, P., Yu, R., Kehrl, J. H., & Levine, M. (1995) · Archives of Biochemistry and Biophysics · doi:10.1006/abbi.1995.1155 · Cited by 50
Self-citationVitamin C disposition in young and elderly men
Blanchard, J., Conrad, K., Mead, R., & Garry, P. J. (1990) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/51.5.837 · Cited by 33
Pharmacokinetics of ascorbic acid in man
ZETLER, G., Seidel, G., Siegers, C. ‐., & Iven, H. (1976) · European Journal of Clinical Pharmacology · doi:10.1007/bf00558340 · Cited by 31
(2009) · Nutrition Reviews · doi:10.1111/j.1753-4887.1994.tb01425.x · Cited by 28
In situ kinetics and ascorbic acid requirements
Levine, M., Cantilena, C. C., & Dhariwal, K. R. (2015) · World review of nutrition and dietetics · doi:10.1159/000422333 · Cited by 25
Self-citationAscorbic Acid Elimination in Humans after Intravenous Administration
Yung, S., Mayersohn, M., & Robinson, J. B. (1978) · Journal of Pharmaceutical Sciences · doi:10.1002/jps.2600671052 · Cited by 18
The use of a nonlinear absorption model in the study of ascorbic acid bioavailability in man
Piotrovskij, V. K., Kállay, Z., Gajdoš, M., Geryková, M., & Trnovec, T. (1993) · Biopharmaceutics & Drug Disposition · doi:10.1002/bdd.2510140509 · Cited by 16
Renal excretion of ascorbic acid by dogs
Kleit, S. A., Levin, D., Perenich, T., & Cade, R. (1965) · American Journal of Physiology-Legacy Content · doi:10.1152/ajplegacy.1965.209.1.195 · Cited by 11
Melethil, S., Subrahmanyam, M. B., Chang, C., & Mason, W. D. (1987) · Annals of the New York Academy of Sciences · doi:10.1111/j.1749-6632.1987.tb23791.x · Cited by 9
Research works printed but not linked: 5
- J. King, R. W. Welch, Y. Wang, K. R. Dhariwal, C. Conry-Cantilena, and M. Levine. Am. J. Clin. Nutr. (1997) in press.
- S. L. Beal, and L. B. Sheiner. NONMEM User's Guide Parts I–VI, NONMEM Project Group, Division of Clinical Pharmacology, University of California, San Francisco, 1992.
- Food and Nutrition Board. Recommended Dietary Allowances, 10th ed., National Academy Press, Washington, DC, 1989.
- Food and Nutrition Board. In Committee of Dietary Allowances (eds) Recommended Dietary Allowances, 9th ed., National Academy of Sciences, Washington, DC, 1980, pp. 72–81.
- Food and Nutrition Board. How should the Recommended Dietary Allowances be Revised, National Academy Press, Washington, DC 1994.
Cited by
Sorted by citations
Vitamin C as an Antioxidant: Evaluation of Its Role in Disease Prevention
Padayatty, S. J., Katz, A., Wang, Y., Eck, P., Kwon, O., Lee, J.-H., Chen, S., Corpe, C., Dutta, A., Dutta, S. K., et al. (2003) · Journal of the American College of Nutrition · doi:10.1080/07315724.2003.10719272 · Cited by 1,949
Self-citationAscorbic acid: Chemistry, biology and the treatment of cancer
Du, J., Cullen, J. J., & Buettner, G. R. (2012) · Biochimica et Biophysica Acta (BBA) - Reviews on Cancer · doi:10.1016/j.bbcan.2012.06.003 · Cited by 1,106
Vitamin C pharmacokinetics: Implications for oral and intravenous use
Padayatty, S. J., Sun, H., Wang, Y., Riordan, H. D., Hewitt, S. M., Katz, A., Wesley, R. A., & Levine, M. (2004) · Annals of Internal Medicine · doi:10.7326/0003-4819-140-7-200404060-00010 · Cited by 992
Self-citationRole of antioxidants in prophylaxis and therapy: A pharmaceutical perspective
Ratnam, D. V., Ankola, D. D., Bhardwaj, V., Sahana, D. K., & Kumar, M. N. V. R. (2006) · Journal of Controlled Release · doi:10.1016/j.jconrel.2006.04.015 · Cited by 885
Vitamin C: The known and the unknown and Goldilocks
Padayatty, S., & Levine, M. (2016) · Oral Diseases · doi:10.1111/odi.12446 · Cited by 753
Self-citation
Metadata
- Authors
- Graumlich, J. F., Ludden, T. M., Conry-Cantilena, C., Cantilena, L. R., Wang, Y., & Levine, M.
- Affiliations
- Peoria campus of the University of Illinois System (US)
- University of Nebraska Medical Center (US)
- Uniformed Services University of the Health Sciences (US)
- National Institutes of Health (US)
- Corresponding author
- Graumlich, James F.
- Venue
- Pharmaceutical Research
- Published
- 1997-09
- Volume
- 14
- Issue
- 9
- Pages
- 1133-1139
- ISSN
- 0724-8741 (ISSN-L)
- 1573-904X
- OpenAlex
- W1489783301
- Cited by
- 172
- References
- 25
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 3 · 2023: 5 · 2022: 4 · 2021: 12 · 2020: 11 · 2019: 10 · 2018: 5 · 2017: 8 · 2016: 6 · 2015: 9 · 2014: 9 · 2013: 7 · 2012: 9
- FWCI
- 3.03
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Pharmaceutical Research (publishedVersion)
- PubMed (publishedVersion)
- Funders
- U.S. Public Health Service (224-88-3002)
- National Institute of Diabetes and Digestive and Kidney Diseases (DK-92-0032)
- Topics
- Health Sciences › Nursing › Nutrition and Dietetics › Vitamin C and Antioxidants Research
- Health Sciences › Medicine › Biochemistry (medical) › Antioxidant Activity and Oxidative Stress
- Health Sciences › Medicine › Biochemistry (medical) › Phytochemicals and Antioxidant Activities
- Keywords
- vitamin C, pharmacokinetic modeling, vitamin C depletion, saturable absorption, tubular reabsorption, oral bioavailability, healthy men
- MeSH terms
- Adult, Ascorbic Acid, Biological Availability, Humans, Male, Models, Biological, Prospective Studies
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