Perspectives About Ascorbic Acid to Treat Inflammatory Bowel Diseases.

Autor: Andriolo IRL; Medicine Course, Health School - University of Itajai Valley, Itajai, SC, Brazil., Venzon L; Pharmaceutical Sciences Graduate Program - University of Itajai Valley, Itajai, SC, Brazil., da Silva LM; Department of Pharmacology, Federal University of Santa Catarina, Florianópolis, Santa Catarina, Brazil.
Jazyk: angličtina
Zdroj: Drug research [Drug Res (Stuttg)] 2024 Apr; Vol. 74 (4), pp. 149-155. Date of Electronic Publication: 2024 Mar 11.
DOI: 10.1055/a-2263-1388
Abstrakt: It is known that reactive oxygen species cause abnormal immune responses in the gut during inflammatory bowel diseases (IBD). Therefore, oxidative stress has been theorized as an agent of IBD development and antioxidant compounds such as vitamin C (L-ascorbic acid) have been studied as a new tool to treat IBD. Therefore, the potential of vitamin C to treat IBD was reviewed here as a critical discussion about this field and guide future research. Indeed, some preclinical studies have shown the beneficial effects of vitamin C in models of ulcerative colitis in mice and clinical and experimental findings have shown that deficiency in this vitamin is associated with the development of IBD and its worsening. The main mechanisms that may be involved in the activity of ascorbic acid in IBD include its well-established role as an antioxidant, but also others diversified actions. However, some experimental studies employed high doses of vitamin C and most of them did not perform dose-response curves and neither determined the minimum effective dose nor the ED 50 . Allometric extrapolations were also not made. Also, clinical studies on the subject are still in their infancy. Therefore, it is suggested that the research agenda in this matter covers experimental studies that assess the effective, safe, and translational doses, as well as the appropriate administration route and its action mechanism. After that, robust clinical trials to increase knowledge about the role of ascorbic acid deficiency in IBD patients and the effects of their supplementation in these patients can be encouraged.
Competing Interests: The authors declare that there is no conflict of interest.
(Thieme. All rights reserved.)
Databáze: MEDLINE