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Myths, Artifacts, and Fatal Flaws: Identifying Limitations and Opportunities in Vitamin C Research

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Title Myths, Artifacts, and Fatal Flaws: Identifying Limitations and Opportunities in Vitamin C Research
Names Michels, Alexander J. (creator)
Frei, Balz (creator)
Date Issued 2013-12-16 (iso8601)
Note This is the publisher’s final pdf. The published article is copyrighted by the author(s) and published by MDPI. The published article can be found at: http://www.mdpi.com/journal/nutrients.
Abstract Research progress to understand the role of vitamin C (ascorbic acid) in human
health has been slow in coming. This is predominantly the result of several flawed
approaches to study design, often lacking a full appreciation of the redox chemistry and
biology of ascorbic acid. In this review, we summarize our knowledge surrounding the
limitations of common approaches used in vitamin C research. In human cell culture, the
primary issues are the high oxygen environment, presence of redox-active transition metal
ions in culture media, and the use of immortalized cell lines grown in the absence of
supplemental ascorbic acid. Studies in animal models are also limited due to the presence
of endogenous ascorbic acid synthesis. Despite the use of genetically altered rodent strains
lacking synthesis capacity, there are additional concerns that these models do not
adequately recapitulate the effects of vitamin C deprivation and supplementation observed
in humans. Lastly, several flaws in study design endemic to randomized controlled trials
and other human studies greatly limit their conclusions and impact. There also is anecdotal
evidence of positive and negative health effects of vitamin C that are widely accepted but
have not been substantiated. Only with careful attention to study design and experimental
detail can we further our understanding of the possible roles of vitamin C in promoting
human health and preventing or treating disease.
Genre Article
Access Condition http://creativecommons.org/licenses/by/3.0/us/
Topic vitamin C
Identifier Michels, A. J., Frei, B. (2013). Myths, Artifacts, and Fatal Flaws: Identifying Limitations and Opportunities in Vitamin C Research. Nutrients, 5(12), 5161-5192. doi:10.3390/nu5125161

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