Genetic variation at the SLC23A1 locus is associated with circulating concentrations of l-ascorbic acid (vitamin C): evidence from 5 independent studies with >15,000 participants
Open accessAbstract
Background L-ascorbic acid is an essential part of the human diet and has been associated with a wide range of chronic complex diseases, including cardiovascular outcomes. To date, there are no confirmed genetic correlates of circulating concentrations of L-ascorbic acid. Objective We aimed to confirm the existence of an association between common variation at the SLC23A1 gene locus and circulating concentrations of L-ascorbic acid. Design We used a 2-stage design, which included a discovery cohort (the British Women's Heart and Health Study), a series of follow-up cohorts, and meta-analysis (totaling 15,087 participants) to assess the relation between variation at SLC23A1 and circulating concentrations of L-ascorbic acid. Results In the discovery cohort, variation at rs33972313 was associated with a reduction in circulating concentrations of L-ascorbic acid (-4.15 micromol/L; 95% CI: -0.49, -7.81 micromol/L; P = 0.03 reduction per minor allele). Pooled analysis of the relation between rs33972313 and circulating L-ascorbic acid across all studies confirmed this and showed that each additional rare allele was associated with a reduction in circulating concentrations of L-ascorbic acid of -5.98 micromol/L (95% CI: -8.23, -3.73 micromol/L; P = 2.0 x 10(-7) per minor allele). Conclusions A genetic variant (rs33972313) in the SLC23A1 vitamin C active transporter locus was identified that is reliably associated with circulating concentrations of L-ascorbic acid in the general population. This finding has implications more generally for the epidemiologic investigation of relations between circulating L-ascorbic acid and health outcomes.
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An elevation of vitamin C levels was also seldomly described.
“However, an elevation of vitamin C levels was also seldomly described [80,82,83].”
From Vitamin C-Sources, Physiological Role, Kinetics, Deficiency, Use, Toxicity, and Determination (2021) · cites this paper as [82]
The Results (page unavailable) report increased circulating vitamin C levels associated with two genetic variants. The paper does not say that elevations are seldom described, so it supports the occurrence of an elevation but not the claim about how rarely it has been reported. (LLM, conf=0.82)
Experimental — accuracy not yet measuredThe strongest evidence to decrease circulating vitamin C levels was found for several common SNPs of SLC23A1 due to reduced renal reabsorption.
“The strongest evidence to decrease circulating vitamin C levels was found for several common SNPs of SLC23A1 due to reduced renal reabsorption.”
From Vitamin C-Sources, Physiological Role, Kinetics, Deficiency, Use, Toxicity, and Determination (2021) · cites this paper as [82]
The Results (page not provided) identify one rare SLC23A1 allele, rs33972313, associated with lower circulating vitamin C; two other SNPs were associated with increases, not decreases. The Discussion (page not provided) says impaired transport is assumed, notes SVCT1 activity in the kidney, and says functional assays of the variant were not performed. It does not establish reduced renal reabsorption as the mechanism. (LLM, conf=0.89)
Experimental — accuracy not yet measuredSNPs of SLC23A1 are more common in African and African-American populations than others, while SNPs of Slc23A2 are of similar frequency in Caucasian and African populations.
“These SNPs are more common in the African and African-American populations over others, while SNPs of Slc23A2 are of a similar frequency in the Caucasian and African populations [80,82,84].”
From Vitamin C-Sources, Physiological Role, Kinetics, Deficiency, Use, Toxicity, and Determination (2021) · cites this paper as [82]
The Introduction (page unavailable) says SLC23A2 variation is consistent across European and African populations, supporting the comparison for that gene. It does not say SLC23A1 SNPs are more common in African or African-American populations; the Discussion (page unavailable) limits this study’s findings to populations of European descent. (LLM, conf=0.86)
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- Authors
- Timpson, N. J., Forouhi, N. G., Brion, M.-J., Harbord, R. M., Cook, D. G., Johnson, P., McConnachie, A., Morris, R. W., Rodriguez, S., Luan, J., Ebrahim, S., Padmanabhan, S., Watt, G., Bruckdorfer, K. R., Wareham, N. J., Whincup, P. H., Chanock, S., Sattar, N., Lawlor, D. A., & Davey Smith, G.
- Affiliations
- University of Bristol (GB)
- Medical Research Council (GB)
- Addenbrooke's Hospital (GB)
- University of Glasgow (GB)
- University College London (GB)
- National Cancer Institute (US)
- ORCID
- Venue
- The American Journal of Clinical Nutrition
- Publisher
- Elsevier BV
- Published
- 2010-08
- Volume
- 92
- Issue
- 2
- Pages
- 375-382
- ISSN
- 0002-9165 (ISSN-L)
- PMC
- PMC3605792
- OpenAlex
- W2161822077
- Cited by
- 107
- References
- 7
- Citations by year
- 2026: 1 · 2025: 8 · 2024: 4 · 2023: 2 · 2022: 7 · 2021: 8 · 2020: 13 · 2019: 3 · 2018: 9 · 2017: 3 · 2016: 4 · 2015: 8 · 2014: 4 · 2013: 13 · 2012: 8
- FWCI
- 1.12
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- American Journal of Clinical Nutrition (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Bristol Research (University of Bristol) (submittedVersion)
- Explore Bristol Research (submittedVersion)
- Funders
- London School of Hygiene and Tropical Medicine
- Wellcome Trust (085515, 051187/Z/97/A)
- National Institute for Health and Care Research
- British Heart Foundation (RG/08/013/25942, FS/05/095/19937), PG97027, FS05/125, PG/97012, G0600705)
- University College London
- University of Glasgow
- University of Bristol (G0600705)
- Medical Research Council (G0600705)
- National Cancer Institute
- Division of Cancer Epidemiology and Genetics, National Cancer Institute
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetic Associations and Epidemiology
- Health Sciences › Nursing › Nutrition and Dietetics › Vitamin C and Antioxidants Research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Nutrition, Genetics, and Disease
- Keywords
- SLC23A1, vitamin C, genetic association, vitamin C transporter, genetic variation, vitamin C metabolism
- MeSH terms
- Adult, Aged, Ascorbic Acid, Female, Genetics, Population, Genotype, Humans, Male, Middle Aged, Cohort Studies, Linear Models, Polymorphism, Single Nucleotide, Symporters, Organic Anion Transporters, Sodium-Dependent, Sodium-Coupled Vitamin C Transporters
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