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Vitamin C selectively kills KRAS and BRAF mutant colorectal cancer cells by targeting GAPDH
Open accessAbstract
Getting all stressed out by vitamin C: Few experimental cancer therapies have incited as much debate as vitamin C. Yet the mechanistic effect of vitamin C on cancer cells is still poorly understood. Yun et al. studied human colorectal cancer cells with KRAS or BRAF mutations and found that they “handle” vitamin C in a different way than other cells, ultimately to their detriment (see the Perspective by Reczek and Chandel). Because a certain receptor is up-regulated in the mutant cells, they take up the oxidized form of vitamin C (dehydroascorbate). This leads to oxidative stress, inactivation of a glycolytic enzyme required by the mutant cells for growth, and finally cell death. Whether the selective toxicity of vitamin C to these mutant cells can be exploited therapeutically remains unclear. Science , this issue p. 1391 ; see also p. 1317
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“Therapeutic interventions that decrease intracellular glutathione levels, such as administration of the oxidized form of vitamin C, dehydroascorbate (DHA), can result in cancer cell death and impaired tumor progression (Yun et al., 2015)”
From Targeting Metabolism for Cancer Therapy (2017) · cites this paper as Yun et al., 2015
In the citing paper
“Highly glycolytic RAS-mutant cells have been found to be vulnerable to inhibition of the glycolytic enzymes glyceraldehyde 3-phosphate dehydrogenase (GAPDH) with Vitamin C, providing a mechanistic rationale for exploring the therapeutic use of this vitamin against KRAS or BRAF mutant colorectal cancer preclinical models 38.”
From The metabolic landscape of RAS-driven cancers from biology to therapy (2021) · cites this paper as [38]
In the citing paper
“Inside the cell, DHA is rapidly reduced back to ascorbate at the expense of GSH and NADPH47,49.”
From Targeting cancer vulnerabilities with high-dose vitamin C (2019) · cites this paper as [47]
In the citing paper
“we recently showed that high-dose ascorbate can target these vulnerabilities in KRAS or BRAF mutant colorectal cancer (CRC) cells47.”
From Targeting cancer vulnerabilities with high-dose vitamin C (2019) · cites this paper as [47]
In the citing paper
“our study indicated that DHA is the pharmacologically active agent”
From Targeting cancer vulnerabilities with high-dose vitamin C (2019) · cites this paper as [47]
In the citing paper
“cancer cells with high GLUT1 but not sodium-dependent vitamin C transporters exclusively take up ascorbate in the form of DHA both in vitro or in vivo6,8,47,53.”
From Targeting cancer vulnerabilities with high-dose vitamin C (2019) · cites this paper as [47]
In the citing paper
“ROS leads to activation of poly(ADP-ribose) polymerase (PARP), which in turn leads to depletion of NAD+ (a key cofactor of GAPDH), thereby further inhibiting GAPDH47”
From Targeting cancer vulnerabilities with high-dose vitamin C (2019) · cites this paper as [47]
In the citing paper
“The elevated ROS, in turn, inactivates a glycolytic enzyme, glyceraldehyde 3-phosphate dehydrogenase (GAPDH), by oxidizing a cysteine residue in the active site.”
From Targeting cancer vulnerabilities with high-dose vitamin C (2019) · cites this paper as [47]
In the citing paper
“When ascorbate is administered, it is oxidized to DHA. Owing to its structural similarity to glucose, DHA is efficiently taken up via GLUT1 in KRAS or BRAF mutant cells47,48”
From Targeting cancer vulnerabilities with high-dose vitamin C (2019) · cites this paper as [47]
In the citing paper
“This reduction depletes intracellular antioxidants and increases endogenous levels of ROS47,50.”
From Targeting cancer vulnerabilities with high-dose vitamin C (2019) · cites this paper as [47]
In the citing paper
“daily intraperitoneal injection of ascorbate (4 g kg−1) inhibited tumour growth in Apc−/−;KrasG12D/+ mutant mice whereas it did not affect tumour growth in Apc−/− mice47.”
From Targeting cancer vulnerabilities with high-dose vitamin C (2019) · cites this paper as [47]
In the citing paper
“Inhibiting GAPDH in highly glycolytic KRAS or BRAF mutant cells ultimately leads to an ‘energy crisis’ and cell death not seen in their wild-type counterparts47.”
From Targeting cancer vulnerabilities with high-dose vitamin C (2019) · cites this paper as [47]
In the citing paper
“This study demonstrates that uptake of DHA by GLUT1, and its subsequent reduction to ascorbate, depletes essential antioxidants to induce cell death in KRAS or BRAF mutant CRC cells.”
From Targeting cancer vulnerabilities with high-dose vitamin C (2019) · cites this paper as [47]
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Vitamin C increases viral mimicry induced by 5-aza-2′-deoxycytidine
Liu, M., Ohtani, H., Zhou, W., Ørskov, A. D., Charlet, J., Zhang, Y. W., Shen, H., Baylin, S. B., Liang, G., Grønbæk, K., et al. (2016) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.1612262113 · Cited by 225
“Therefore, as previously reported (26), it is possible that vitamin C was oxidized to DHA before it was transported into the cells.”
BackgroundResultInfluentialThe Role of Oxidative Stress and Its Counteractive Utility in Colorectal Cancer (CRC)
Basak, D., Uddin, M. N., & Hancock, J. (2020) · Cancers · doi:10.3390/cancers12113336 · Cited by 215
“reported selective tumor cell killing by vitamin C in colorectal tumor cells having KRAS or BRAF mutations [186].”
BackgroundDual Role of Reactive Oxygen Species and their Application in Cancer Therapy
Huang, R., Chen, H., Liang, J., Li, Y., Yang, J., Luo, C., Tang, Y., Ding, Y., Liu, X., Yuan, Q., et al. (2021) · Journal of Cancer · doi:10.7150/jca.54699 · Cited by 228
“Moreover, ROS accumulation inhibits glycolysis by the inactivation of glyceraldehyde 3-phosphate dehydrogenase via both direct post-translational modifications and depletion of the nicotinamide adenine dinucleotide oxidized form, which is consumed by PARP activated by ROS-induced DNA damage, ultimately leading to the…”
BackgroundHigh-dose intravenous vitamin C, a promising multi-targeting agent in the treatment of cancer
Böttger, F., Vallés‐Martí, A., Cahn, L., & Jiménez, C. R. (2021) · Journal of Experimental & Clinical Cancer Research · doi:10.1186/s13046-021-02134-y · Cited by 223
Vitamin C in stem cell reprogramming and cancer
Cimmino, L., Neel, B. G., & Aifantis, I. (2018) · Trends in Cell Biology · doi:10.1016/j.tcb.2018.04.001 · Cited by 197
“Given that high-dose vitamin C can promote increased redox-active iron mobilization and GSH depletion [56, 60], the ability to induce ferroptosis could be an additional mechanism by which vitamin C can exert its function as an anti-cancer therapy.”
BackgroundInfluentialAscorbic Acid in Cancer Treatment: Let the Phoenix Fly
Shenoy, N. K., Creagan, E. T., Witzig, T. E., & Levine, M. (2018) · Cancer Cell · doi:10.1016/j.ccell.2018.07.014 · Cited by 208
Immune cell - produced ROS and their impact on tumor growth and metastasis
Kennel, K. B., & Greten, F. R. (2021) · Redox Biology · doi:10.1016/j.redox.2021.101891 · Cited by 213
Wang, J., Ye, C., Chen, C., Xiong, H., Xie, B., Zhou, J., Chen, Y., Zheng, S. S., & Wang, L. (2017) · Oncotarget · doi:10.18632/oncotarget.15171 · Cited by 217
“In light of GLUT1 as a major receptor for uptake of Vitamin C, an interesting study discovered that cultured human colorectal cancer cells with BRAF or KRAS mutations are selectively exterminated after high dose of vitamin C treatment, as a result of elevated GLUT1facilitated uptake of the oxidized form of vitamin C,…”
BackgroundEnhanced Phototherapy by Nanoparticle-Enzyme via Generation and Photolysis of Hydrogen Peroxide
Chang, K., Liu, Z., Fang, X., Chen, H., Men, X., Yuan, Y., Sun, K., Zhang, X., Yuan, Z., & Wu, C. (2017) · Nano Letters · doi:10.1021/acs.nanolett.7b01382 · Cited by 205
Fructose-1,6-bisphosphate couples glycolytic flux to activation of Ras
Peeters, K., Van Leemputte, F., Fischer, B., Bonini, B. M., Quezada, H., Tsytlonok, M., Haesen, D., Vanthienen, W., Bernardes, N., Gonzalez-Blas, C. B., et al. (2017) · Nature Communications · doi:10.1038/s41467-017-01019-z · Cited by 203
Dietary Approaches to Cancer Therapy
Tajan, M., & Vousden, K. H. (2020) · Cancer Cell · doi:10.1016/j.ccell.2020.04.005 · Cited by 213
The pleiotropic functions of reactive oxygen species in cancer
Wu, K., Zowalaty, A. E. E., Sayin, V. I., & Papagiannakopoulos, T. Y. (2024) · Nature Cancer · doi:10.1038/s43018-024-00738-9 · Cited by 216
“Both KRAS - and BRAF -mutant colorectal cancer exhibited enhanced sensitivity to high doses of ascorbate, which was transported by GLUT1 into tumor cells and led to a decrease in GSH levels and an increase in ROS 55 .”
Critical role of AMPK in redox regulation under glucose starvation
Ren, Y., & Shen, H. (2019) · Redox Biology · doi:10.1016/j.redox.2019.101154 · Cited by 201
“However, the ubiquitous expression of GLUT1 in normal mammalian cells and the importance of GLUT1 in glucose uptake into the brain may preclude the clinical use of GLUT1 inhibitors as cancer therapeutics [74].”
BackgroundInfluentialAntioxidant Therapy in Cancer: Rationale and Progress
Luo, M., Zhou, L., Huang, Z., Li, B., Nice, E. C., Xu, J., & Huang, C. (2022) · Antioxidants · doi:10.3390/antiox11061128 · Cited by 205
Tumor Evolution as a Therapeutic Target
Amirouchene-Angelozzi, N., Swanton, C., & Bardelli, A. (2017) · Cancer Discovery · doi:10.1158/2159-8290.cd-17-0343 · Cited by 197
“As an example, the recently reported increased dependency of KRAS-mutated clones on mitochondrial metabolism (131) and on increased uptake of dehydroascorbate (132) could be exploited to decrease the odds of emergence of KRAS-mediated resistance.”
BackgroundMetabolism and Colorectal Cancer
Sedlak, J. C., Yilmaz, Ö. H., & Roper, J. (2022) · Annual Review of Pathology Mechanisms of Disease · doi:10.1146/annurev-pathmechdis-031521-041113 · Cited by 208
Self-citationPotential Mechanisms of Action for Vitamin C in Cancer: Reviewing the Evidence
Vissers, M. C. M., & Das, A. B. (2018) · Frontiers in Physiology · doi:10.3389/fphys.2018.00809 · Cited by 188
“…activity by ascorbate. through the diet or via high dose peritoneal administration, results in a decreased growth rate with a range of different tumors (Gao et al., 2007; Chen et al., 2008; Cha et al., 2011, 2013; Espey et al., 2011; Ma et al., 2014; Campbell et al., 2015, 2016b; Yun et al., 2015).”
RAS: Striking at the Core of the Oncogenic Circuitry
Gimple, R. C., & Wang, X. (2019) · Frontiers in Oncology · doi:10.3389/fonc.2019.00965 · Cited by 174
“Additionally, increased levels of the GLUT1 glucose transporter facilitates selective sensitivity of RAS driven cancers to vitamin C, the oxidized version of which is preferentially imported, depleting intracellular glutathione, and generating oxidative stress (139).”
BackgroundMiyazawa, T., Itaya, M., Burdeos, G. C., Nakagawa, K., & Miyazawa, T. (2021) · International Journal of Nanomedicine · doi:10.2147/ijn.s298606 · Cited by 198
“On the other hand, Yun et al reported in 2014 a new theory in which the oxidized product of ascorbic acid (dehydroascorbic acid) is taken up by cancer cells via glucose transporter (GLUT) and inhibit the production of adenosine triphosphate (ATP) and lead the cell death to cancer.(279) Since this report, there has bee…”
BackgroundBabak, M. V., & Ahn, D. (2021) · Biomedicines · doi:10.3390/biomedicines9080852 · Cited by 189
“portant role in highly resistant colorectal cancers with KRAS (Kirsten rat sarcoma 2 viral oncogene homologue) mutation [115].”
BackgroundZhang, P., Gao, D., An, K., Shen, Q., Wang, C., Zhang, Y., Pan, X., Chen, X., Lyv, Y., Cui, C., et al. (2020) · Nature Chemistry · doi:10.1038/s41557-020-0426-3 · Cited by 183
The current understanding on the impact of KRAS on colorectal cancer
Meng, M., Zhong, K., Jiang, T., Liu, Z., Kwan, H. Y., & Su, T. (2021) · Biomedicine & Pharmacotherapy · doi:10.1016/j.biopha.2021.111717 · Cited by 171
Epidemiology and risk factors for ovarian cancer
Ali, A. T., Al-ani, O., & Al-Ani, F. (2023) · Menopause Review/Przegląd Menopauzalny · doi:10.5114/pm.2023.128661 · Cited by 180
“Previous studies have shown that high intake of vitamin C is associated with a significant decrease in cells harbouring KRAS or BRAF mutations [70].”
Glucose Metabolism on Tumor Plasticity, Diagnosis, and Treatment
Lin, X., Xiao, Z., Chen, T., Liang, S. H., & Guo, H. (2020) · Frontiers in Oncology · doi:10.3389/fonc.2020.00317 · Cited by 185
Gong, X., Smith, J., Swanson, H., & Rubin, L. P. (2018) · Molecules · doi:10.3390/molecules23040905 · Cited by 171
“Vitamin C also selectively kills KRAS and BRAF mutant cells by inducing oxidative stress [36].”
BackgroundMetabolic rewiring in melanoma
Ratnikov, B. I., Scott, D. A., Osterman, A. L., Smith, J. W., & Ronai, Z. A. (2016) · Oncogene · doi:10.1038/onc.2016.198 · Cited by 176
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“The increased uptake of DHA and the subsequently increased concentration of vitamin C inside the cells can thus be correlated to death of cells undergoing above mutations [284].”
BackgroundThe Many Facets of Therapy Resistance and Tumor Recurrence in Glioblastoma
Goenka, A., Tiek, D., Song, X., Huang, T., Hu, B., & Cheng, S.-Y. (2021) · Cells · doi:10.3390/cells10030484 · Cited by 169
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“showed that human colorectal cancer cells (CRC) harboring mutations in either theKRAS or BRAF gene were selectively killed by vitamin C at high concentrations [87].”
BackgroundVitamin C for the treatment of sepsis: The scientific rationale
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Dual targeting of the thioredoxin and glutathione systems in cancer and HIV
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Targeting Metabolic–Redox Circuits for Cancer Therapy
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Fasting-mimicking diet blocks triple-negative breast cancer and cancer stem cell escape
Salvadori, G., Zanardi, F., Iannelli, F., Lobefaro, R., Vernieri, C., & Longo, V. D. (2021) · Cell Metabolism · doi:10.1016/j.cmet.2021.10.008 · Cited by 159
Synergistic effect of fasting-mimicking diet and vitamin C against KRAS mutated cancers
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Redox control in cancer development and progression
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Current Use of Fenton Reaction in Drugs and Food
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Metadata
- Authors
- Yun, J., Mullarky, E., Lu, C., Bosch, K. N., Kavalier, A., Rivera, K., Roper, J., Chio, I. I. C., Giannopoulou, E. G., Rago, C., Muley, A., Asara, J. M., Paik, J., Elemento, O., Chen, Z., Pappin, D. J., Dow, L. E., Papadopoulos, N., Gross, S. S., & Cantley, L. C.
- Affiliations
- Weill Cornell Medicine (US)
- Harvard University (US)
- Cold Spring Harbor Laboratory (US)
- Tufts Medical Center (US)
- Department of Physiology and Biophysics, Weill Cornell Medical College, New York, NY 10065, USA.
- Howard Hughes Medical Institute (US)
- Beth Israel Deaconess Medical Center (US)
- Corresponding author
- Cantley, Lewis C.
- ORCID
- Venue
- Science
- Published
- 2015-12-11
- Volume
- 350
- Issue
- 6266
- Pages
- 1391-1396
- ISSN
- 0036-8075 (ISSN-L)
- 1095-9203
- PMC
- PMC4778961
- OpenAlex
- W2144542772
- Cited by
- 913
- References
- 40
- Citations by year
- 2026: 49 · 2025: 83 · 2024: 71 · 2023: 73 · 2022: 106 · 2021: 111 · 2020: 110 · 2019: 92 · 2018: 88 · 2017: 85 · 2016: 43 · 2015: 2
- FWCI
- 69.97
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Science (publishedVersion)
- PubMed (publishedVersion)
- Cold Spring Harbor Laboratory Institutional Repository (Cold Spring Harbor Laboratory) (acceptedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- NIH (P01 CA120964)
- U.S. Department of Defense
- National Cancer Institute (P01 CA120964-07, P01 CA117969-09)
- Damon Runyon Cancer Research Foundation
- KL2 Career Development
- Topics
- Health Sciences › Nursing › Nutrition and Dietetics › Vitamin C and Antioxidants Research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Cancer, Hypoxia, and Metabolism
- Health Sciences › Medicine › Oncology › Colorectal Cancer Treatments and Studies
- Keywords
- vitamin C, dehydroascorbic acid, KRAS mutation, BRAF mutation, colorectal cancer, glyceraldehyde-3-phosphate dehydrogenase, GLUT1 glucose transporter, glutathione depletion, reactive oxygen species, oxidative stress, glycolysis, cell death, targeted therapy
- MeSH terms
- Animals, Ascorbic Acid, Dehydroascorbic Acid, Female, Glycolysis, Humans, Mice, Mutant Strains, Mice, Nude, Proto-Oncogene Proteins, Colorectal Neoplasms, Proto-Oncogene Proteins p21(ras), Reactive Oxygen Species, ras Proteins, Xenograft Model Antitumor Assays, Glyceraldehyde-3-Phosphate Dehydrogenase (Phosphorylating), Adenomatous Polyposis Coli Protein, Cell Line, Tumor, Proto-Oncogene Proteins B-raf, Glucose Transporter Type 1, Mice
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