A Randomized Steady-State Bioavailability Study of Synthetic versus Natural (Kiwifruit-Derived) Vitamin C
Open accessAbstract
Whether vitamin C from wholefoods has equivalent bioavailability to a purified supplement remains unclear. We have previously showed that kiwifruit provided significantly higher serum and tissue ascorbate levels than synthetic vitamin C in a genetically vitamin C-deficient mouse model, suggesting a synergistic activity of the whole fruit. To determine if these results are translatable to humans, we carried out a randomized human study comparing the bioavailability of vitamin C from kiwifruit with that of a vitamin C tablet of equivalent dosage. Thirty-six young non-smoking adult males were randomized to receive either half a gold kiwifruit (Actinidia Chinensis var. Hort 16A) per day or a comparable vitamin C dose (50 mg) in a chewable tablet for six weeks. Ascorbate was monitored weekly in fasting venous blood and in urine, semen, leukocytes, and skeletal muscle (vastus lateralis) pre- and post-intervention. Dietary intake of vitamin C was monitored using seven day food and beverage records. Participant ascorbate levels increased in plasma (P < 0.001), urine (P < 0.05), mononuclear cells (P < 0.01), neutrophils (P < 0.01) and muscle tissue (P < 0.001) post intervention. There were no significant differences in vitamin C bioavailability between the two intervention groups in any of the fluid, cell or tissue samples tested. Overall, our study showed comparable bioavailability of synthetic and kiwifruit-derived vitamin C.
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The kinetics of uptake varies between tissues, with vitamin C levels in some organs (e.g., the brain) reaching a plateau at lower plasma vitamin C status, whereas other tissue levels (e.g., skeletal muscle) continue to increase in close association with increasing plasma supply.
“The kinetics of uptake varies between tissues, with vitamin C levels in some organs (e.g., the brain) reaching a plateau at lower plasma vitamin C status, whereas other tissue levels (e.g., skeletal muscle) continue to increase in close association with increasing plasma supply [32,44,45,48].”
From The Roles of Vitamin C in Skin Health. (2017) · cites this paper as [48]
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- [1]Carr A.C. Frei B. Toward a new recommended dietary allowance for vitamin C based on antioxidant and health effects in humans Am. J. Clin. Nutr. 1999 69 1086 1107 10357726
- [2]Tsukaguchi H. Tokui T. Mackenzie B. Berger U.V. Chen X.Z. Wang Y. Brubaker R.F. Hediger M.A. A family of mammalian Na+-dependent l-ascorbic acid transporters Nature 1999 399 70 75 10.1038/19986 10331392 · DOI · Paper page
- [3]Savini I. Rossi A. Pierro C. Avigliano L. Catani M.V. SVCT1 and SVCT2: Key proteins for vitamin C uptake Amino Acids 2008 34 347 355 10.1007/s00726-007-0555-7 17541511 · DOI · Paper page
- [4]Englard S. Seifter S. The biochemical functions of ascorbic acid Annu. Rev. Nutr. 1986 6 365 406 10.1146/annurev.nu.06.070186.002053 3015170 · DOI · Paper page
- [5]Nishiyama I. Yamashita Y. Yamanaka M. Shimohashi A. Fukuda T. Oota T. Varietal difference in vitamin C content in the fruit of kiwifruit and other actinidia species J. Agric. Food Chem. 2004 52 5472 5475 15315387
- [6]Vissers M.C.M. Bozonet S.M. Pearson J.F. Braithwaite L.J. Dietary ascorbate affects steady state tissue levels in vitamin C-deficient mice: Tissue deficiency after sub-optimal intake and superior bioavailability from a food source (kiwifruit) Am. J. Clin. Nutr. 2011 93 292 301 10.3945/ajcn.110.004853 21123463 · DOI
- [7]Beker B.Y. Sonmezoglu I. Imer F. Apak R. Protection of ascorbic acid from copper(II)-catalyzed oxidative degradation in the presence of flavonoids: Quercetin, catechin and morin Int. J. Food Sci. Nutr. 2011 62 504 512 10.3109/09637486.2011.552486 21391791 · DOI
- [8]Clemetson C.A. Andersen L. Plant polyphenols as antioxidants for ascorbic acid Ann. N. Y. Acad. Sci. 1966 136 341 476 10.1111/j.1749-6632.1966.tb19021.x 4961574 · DOI
- [9]Fiorentino A. D’Abrosca B. Pacifico S. Mastellone C. Scognamiglio M. Monaco P. Identification and assessment of antioxidant capacity of phytochemicals from kiwi fruits J. Agric. Food Chem. 2009 57 4148 4155 19358604
- [10]Tanaka K. Hashimoto T. Tokumaru S. Iguchi H. Kojo S. Interactions between vitamin C and vitamin E are observed in tissues of inherently scorbutic rats J. Nutr. 1997 127 2060 2064 9311965
- [11]Latocha P. Krupa T. Wolosiak R. Worobiej E. Wilczak J. Antioxidant activity and chemical difference in fruit of different Actinidia sp Int. J. Food Sci. Nutr. 2010 61 381 394 10.3109/09637480903517788 20113214 · DOI
- [12]Carr A.C. Pullar J.M. Moran S. Vissers M.C.M. Bioavailability of vitamin C from kiwifruit in non-smoking males: Determination of “healthy” and “optimal” intakes J. Nutr. Sci. 2012 1 e14 10.1017/jns.2012.15 PMC4153093 25191543 · DOI
- [13]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. Vitamin C pharmacokinetics in healthy volunteers: Evidence for a recommended dietary allowance Proc. Natl. Acad. Sci. USA 1996 93 3704 3709 10.1073/pnas.93.8.3704 8623000 PMC39676 · DOI · Paper page
- [19]Pelletier O. Keith M.O. Bioavailability of synthetic and natural ascorbic acid J. Am. Diet. Assoc. 1974 64 271 275 4813067
- [20]Carr A.C. Bozonet S.M. Pullar J.M. Simcock J.W. Vissers M.C. Human skeletal muscle ascorbate is highly responsive to changes in vitamin C intake and plasma concentrations Am. J. Clin. Nutr. 2013 97 800 807 10.3945/ajcn.112.053207 23446899 PMC3607654 · DOI · Paper page
- [23]Wilson H.K. Price-Jones C. Hughes R.E. The influence of an extract of orange peel on the growth and ascorbic acid metabolism of young guinea-pigs J. Sci. Food Agric. 1976 27 661 666 957613
- [24]Douglass C.D. Kamp G.H. The effect of orally administered rutin on the adrenal ascorbic acid level in guinea pigs J. Nutr. 1959 67 531 536 13642143
- [25]Papageorge E. Mitchell G.L. Jr. The effect of oral administration of rutin on blood, liver and adrenal ascorbic acid and on liver and adrenal cholesterol in guinea pigs J. Nutr. 1949 37 531 540 18121089
- [26]Cotereau H. Gabe M. Gero E. Parrot J.L. Influence of vitamin P (vitamin C2) upon the amount of ascorbic acid in the organs of the guinea pig Nature 1948 161 557 558 10.1038/161557a0 18915110 · DOI
- [27]Hughes R.E. Hurley R.J. Jones P.R. The retention of ascorbic acid by guinea-pig tissues Br. J. Nutr. 1971 26 433 438 10.1079/BJN19710048 5157948 · DOI
- [30]Washko P.W. Wang Y. Levine M. Ascorbic acid recycling in human neutrophils J. Biol. Chem. 1993 268 15531 15535 8340380
- [31]Park J.B. Levine M. Intracellular accumulation of ascorbic acid is inhibited by flavonoids via blocking of dehydroascorbic acid and ascorbic acid uptakes in HL-60, U937 and Jurkat cells J. Nutr. 2000 130 1297 1302 10801933
- [32]Lotito S.B. Frei B. Consumption of flavonoid-rich foods and increased plasma antioxidant capacity in humans: Cause, consequence, or epiphenomenon? Free Radi. Biol. Med. 2006 41 1727 1746 10.1016/j.freeradbiomed.2006.04.033 17157175 · DOI
- [33]Savini I. Catani M.V. Duranti G. Ceci R. Sabatini S. Avigliano L. Vitamin C homeostasis in skeletal muscle cells Free Radic. Biol. Med. 2005 38 898 907 10.1016/j.freeradbiomed.2004.12.009 15749386 · DOI
- [34]Low M.L. Sandoval D. Aviles E. Perez F. Nualart F. Henriquez J.P. The ascorbic acid transporter SVCT2 is expressed in slow-twitch skeletal muscle fibres Histochem. Cell. Biol. 2009 131 565 574 10.1007/s00418-008-0552-2 19125272 · DOI
- [35]Jacob R.A. Pianalto F.S. Agee R.E. Cellular ascorbate depletion in healthy men J. Nutr. 1992 122 1111 1118 1564563
- [36]Fraga C.G. Motchnik P.A. Shigenaga M.K. Helbock H.J. Jacob R.A. Ames B.N. Ascorbic acid protects against endogenous oxidative DNA damage in human sperm Proc. Natl. Acad. Sci. USA 1991 88 11003 11006 1763015 PMC53061
- [37]Kandar R. Drabkova P. Hampl R. The determination of ascorbic acid and uric acid in human seminal plasma using an HPLC with UV detection J. Chromatogr. B 2011 879 2834 2839 10.1016/j.jchromb.2011.08.007 21871848 · DOI
- [38]Jacob R.A. Kelley D.S. Pianalto F.S. Swendseid M.E. Henning S.M. Zhang J.Z. Ames B.N. Fraga C.G. Peters J.H. Immunocompetence and oxidant defense during ascorbate depletion of healthy men Am. J. Clin. Nutr. 1991 54 1302S 1309S 1962587
- [39]Dawson E.B. Harris W.A. Rankin W.E. Charpentier L.A. McGanity W.J. Effect of ascorbic acid on male fertility Ann. N. Y. Acad. Sci. 1987 498 312 323 10.1111/j.1749-6632.1987.tb23770.x 3476000 · DOI
- [40]Beck K. Conlon C.A. Kruger R. Coad J. Stonehouse W. Gold kiwifruit consumed with an iron-fortified breakfast cereal meal improves iron status in women with low iron stores: A 16-week randomised controlled trial Br. J. Nutr. 2011 105 101 109 10.1017/S0007114510003144 20727238 · DOI · Paper page
- [41]Hallberg L. Brune M. Rossander L. Effect of ascorbic acid on iron absorption from different types of meals. Studies with ascorbic-acid-rich foods and synthetic ascorbic acid given in different amounts with different meals Hum. Nutr. Appl. Nutr. 1986 40 97 113 3700141
- [42]Stonehouse W. Gammon C.S. Beck K.L. Conlon C.A. von Hurst P.R. Kruger R. Kiwifruit: Our daily prescription for health Can. J. Physiol. Pharmacol. 2013 91 442 447 10.1139/cjpp-2012-0303 23746068 · DOI
- Authors
- Carr, A., Bozonet, S., Pullar, J., Simcock, J., & Vissers, M.
- Affiliations
- University of Otago (NZ)
- Corresponding author
- Carr, Anitra
- Venue
- Nutrients
- Publisher
- MDPI AG
- Published
- 2013-09-17
- Volume
- 5
- Issue
- 9
- Pages
- 3684-3695
- ISSN
- 2072-6643 (ISSN-L)
- PMC
- PMC3798928
- OpenAlex
- W2065816483
- Cited by
- 38
- References
- 41
- Citations by year
- 2025: 1 · 2024: 3 · 2023: 4 · 2022: 2 · 2021: 3 · 2020: 3 · 2019: 3 · 2018: 6 · 2017: 3 · 2016: 2 · 2015: 2 · 2014: 3 · 2013: 3
- FWCI
- 3.09
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Nutrients (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- University of Otago
- Topics
- Health Sciences › Nursing › Nutrition and Dietetics › Vitamin C and Antioxidants Research
- Health Sciences › Medicine › Biochemistry › Phytochemicals and Antioxidant Activities
- Health Sciences › Medicine › Biochemistry › Antioxidant Activity and Oxidative Stress
- Keywords
- vitamin C, bioavailability, kiwifruit, Actinidia chinensis, dietary supplementation, urinary excretion, leukocytes, skeletal muscle, scurvy
- MeSH terms
- Adolescent, Adult, Animals, Antioxidants, Ascorbic Acid, Biological Availability, Fruit, Humans, Leukocytes, Male, Semen, Muscle, Skeletal, Cross-Over Studies, Dietary Supplements, Actinidia, Young Adult
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