vitamin C

维生素 C
  • 文章类型: Journal Article
    为了提高酶法合成L-抗坏血酸棕榈酸酯的酯化效率,研究了黑曲霉脂肪酶催化酯化过程的底物模拟印迹。选择油酸作为印迹分子,油酸印迹固定化脂肪酶在pH8.0,0.1g油酸,1.5mL的95%乙醇,和0.1克吐温-20。通过维生素C的溶解和过饱和,维生素C在二恶烷中的反应浓度达到5.00%(m/v),酯化率为93.99%,产物浓度为110.72g/L。此外,采用分阶段底物饲喂,维生素C反应浓度可达8.00%,28h后酯化率和产物浓度分别为156.34g/L和82.96%。此外,通过荧光和红外光谱表征了印迹诱导的酶蛋白构象变化。该方法提供了酶促生产1-抗坏血酸棕榈酸酯的途径。
    In order to improve the esterification efficiency of the enzymatic synthesis of l-ascorbic acid palmitate, the substrate analogue imprinting of the Aspergillus niger lipase-catalyzed esterification process was studied. Oleic acid was selected as the imprinting molecule, oleic acid imprinting immobilized lipase was prepared at pH 8.0, 0.1 g oleic acid, 1.5 mL of 95 % ethanol, and 0.1 g Tween-20. Through solubilization and supersaturation of Vitamin C, the reaction concentration of Vitamin C reached 5.00 % (m/v) in dioxane with 93.99 % esterification rate and 110.72 g/L of product concentration. Moreover, the Vitamin C reaction concentration can reach 8.00 % by using staged substrate feeding, and the esterification rate and product concentration of esterification after 28 h was 156.34 g/L and 82.96 %. Besides, the imprinting-induced conformational changes in enzyme proteins was characterized by fluorescence and infrared spectroscopy. This method provides a pathway for enzymatic production of l-ascorbic acid palmitate.
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  • 文章类型: Journal Article
    目的:没有证据表明富含抗氧化剂的饮食可以预防高温工人的高血压。我们旨在评估补充维生素C(VitC)和山楂饮料的配方对降低热暴露工人的血压(BP)和氧化应激水平的影响。
    方法:在40天的整群随机对照试验中,纳入4个热暴露轮班组,并将其随机分配至干预组和对照组.干预组每天给予VitC片(130mg)和500mL含278.7mg类黄酮的山楂饮料,而对照组每天给予500mL微咸水;两组均接受健康饮食教育。基线时评估血压和肌酐校正的尿8-异前列腺素-前列腺素F2α(8-异-PGF2α/Cr)浓度,分别为第17天(仅BP)和第41天。
    结果:与对照组相比,收缩压(SBP),舒张压血压(DBP),在干预组中,log10转化的8-iso-PGF2α/Cr降低了7.41mmHg,分别为7.93mmHg和0.232,从基线到第41天(所有p<0.05)。当比较基线血压水平时,在基线BP较低的参与者中,与对照组相比,干预组的DBP降低了5.46mmHg(p<0.05);在基线BP较高的参与者中,SBP和DBP降低了9.74和9.22mmHg(均p<0.05)。
    结论:向热暴露工人补充VitC和富含类黄酮的山楂饮料可以预防热暴露引起的血压升高,这可能归因于其氧化应激抑制作用。
    OBJECTIVE: There is no evidence on antioxidant-rich diets in preventing hypertension in heat-exposed workers. We aimed to evaluate the effects of formula supplemented with vitamin C (Vit C) and hawthorn beverage on reducing blood pressure (BP) and oxidative stress levels in heat-exposed workers.
    METHODS: In the 40-day cluster-randomized controlled trial, four heat-exposed shift-teams were enrolled and randomly assigned to the intervention and control groups. The intervention group was given one Vit C tablet (130 mg) and a 500 mL hawthorn beverage containing 278.7 mg flavonoids daily whereas the control group was given 500 mL of slightly salted water daily; both groups were provided education on a healthy diet. BP and creatinine-corrected urinary 8-isoprostane-prostaglandin F2α (8-iso-PGF2α/Cr) concentrations were assessed at baseline, Day 17 (only BP) and Day 41, respectively.
    RESULTS: Compared with the control group, the systolic BP (SBP), diastolic BP (DBP), and log10-transformed 8-iso-PGF2α/Cr in the inter-vention group decreased by 7.41 mmHg, 7.93 mmHg and 0.232, respectively, from baseline to day 41 (all p<0.05). When comparing BP levels at baseline, DBP in the intervention group was reduced by 5.46 mmHg when compared to control (p<0.05) among participants with lower baseline BP; SBP and DBP experienced reductions of 9.74 and 9.22 mmHg among participants with higher baseline BP (both p<0.05).
    CONCLUSIONS: Supplementation of Vit C and flavonoids rich hawthorn beverage to heat-exposed workers prevented elevated BP caused by heat exposure which may be attributed to its oxidative stress inhibition effects.
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  • 文章类型: Journal Article
    背景:在水果和蔬菜汁基质中发现了花色苷和维生素C之间的同步降解。为了研究花色苷的C环是否是这种相互作用的关键位点,具有四个不同C环修饰的花青素(3-糖基化,3,5-二糖基化,6″-丙二酰,吡喃化)添加到含维生素C的苹果汁中,以及花色苷保留率的变化,维生素C滞留,颜色,分析了抗氧化活性和差异代谢产物。
    结果:花色苷的保留顺序为吡喃化>6″-丙二酸基化>3,5-二糖基化>3-糖基化。维生素C的保留顺序为6″-丙二酸基化>吡喃基化>3,5-二糖基化>3-糖基化。颜色稳定性的顺序与花色苷的保留顺序相同,抗氧化活性的顺序与维生素C的保留顺序相反。结果表明,C环修饰限制了花色苷的活性,提示C环是花青素与维生素C相互作用的关键位点之一。添加了不同花色苷的所有苹果汁基质的共享差异代谢产物是反式-hinokiresinol,花青素骨架可能与苹果汁中的某些化合物反应生成。
    结论:本研究表明,花色苷C环的修饰可以在一定程度上影响花色苷与维生素C的相互作用。这为花青素C环改性在花青素和维生素C共存的典型果蔬饮料货架期质量控制中的应用提供了有价值的见解。©2024化学工业学会。
    BACKGROUND: Synchronous degradation between anthocyanin and vitamin C was found in fruit and vegetable juice matrices. To investigate whether the C-ring of anthocyanin is the key site of this interaction, cyanidin with four different C-ring modifications (3-glucosylation, 3,5-diglucosylation, 6″-malonylation, pyranylation) was added to vitamin C-containing apple juice, and the changes of anthocyanin retention, vitamin C retention, color, antioxidative activity and differential metabolites were analyzed.
    RESULTS: The anthocyanin retention was in the order of pyranylation >6″-malonylation >3,5-diglucosylation >3-glucosylation. The vitamin C retention was in the order of 6″-malonylation > pyranylation >3,5-diglucosylation >3-glucosylation. The order of color stability was the same as that of anthocyanin retention, and the order of antioxidative activity was opposite to that of vitamin C retention. The results showed that modification at the C-ring limited the activity of anthocyanin, and suggested that the C-ring was one of the key sites for anthocyanin and vitamin C interaction. The shared differential metabolite of all apple juice matrices added with different anthocyanins was trans-hinokiresinol, which was likely generated from anthocyanin skeleton reacted with certain compounds in apple juice.
    CONCLUSIONS: This study showed that modification of the anthocyanin C-ring could affect the anthocyanin and vitamin C interaction to some extent, which provided valuable insights for the application of anthocyanin C-ring modification in shelf-life quality control of typical fruit and vegetable beverages with the coexistence of anthocyanin and vitamin C. © 2024 Society of Chemical Industry.
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  • 文章类型: Journal Article
    本实验旨在探讨膳食补充维生素C对非特异性免疫防御的影响,幼蟹(Scyllaparamamosain)的抗氧化能力和对低温胁迫的抵抗力。将初始体重为14.67±0.13g的泥蟹随机分为6个处理,饲喂0.86(对照)的日粮,44.79、98.45、133.94、186.36和364.28mg/kg维生素C,分别。实验由6种处理组成,每个处理设计有4个重复,每个重复有8只螃蟹.经过42天的饲喂实验,从每个重复中随机选择2只螃蟹,每种处理共8只螃蟹进行了72h低温挑战实验。结果表明,饲喂186.36和364.28mg/kg维生素C的螃蟹可显着提高血淋巴和肝胰腺中碱性磷酸酶(AKP)和酸性磷酸酶(ACP)的活性(P<0.05)。饲喂133.94mg/kg维生素C的螃蟹可显著降低血淋巴中一氧化氮(NO)浓度和一氧化氮合酶(NOS)活性(P<0.05)。133.94mg/kg维生素C的饮食可提高血淋巴中多酚氧化酶(PPO)的活性和白蛋白(ALB)的浓度。饲喂133.94mg/kg维生素C的螃蟹在血淋巴和肝胰腺中的丙二醛(MDA)浓度低于其他日粮。同时,饲喂98.45mg/kg维生素C的螃蟹在血淋巴中显示出更高的总超氧化物歧化酶(T-SOD)活性,饲喂133.94mg/kg维生素C的螃蟹在肝胰腺中显示出更高的T-SOD活性。饲喂186.36mg/kg维生素C的螃蟹可显著降低肝胰腺中还原型谷胱甘肽(GSH)和谷胱甘肽过氧化物酶(GSH-PX)的活性(P<0.05)。在正常温度下,与对照组相比,饲喂133.94mg/kg维生素C的螃蟹显着上调了gpx(谷胱甘肽过氧化物酶)和trx(硫氧还蛋白)在肝胰腺中的表达水平(P<0.05)。津津乐道的最高表达水平,IL16(白细胞介素16),半胱天冬酶2(caspase2),在饲喂对照饮食的螃蟹中,肝胰腺中发现了p38mapk(p38丝裂原活化蛋白激酶)和bax(bcl-2相关x蛋白)(P<0.05)。此外,饲喂133.94mg/kg维生素C的螃蟹肝胰腺中alf-3(抗脂多糖因子3)和bcl-2(B细胞淋巴瘤2)的表达水平高于其他饲粮(P<0.05)。在低温胁迫下,饲喂133.94mg/kg维生素C的螃蟹显著提高了hsp90(热休克蛋白90)的表达水平,猫(过氧化氢酶),GPX,硫氧还蛋白过氧化物酶(prx)和trx在肝胰腺中(P<0.05)。此外,饲粮中添加133.94维生素C可显著上调alf-3和bcl-2的表达水平(P<0.05)。基于二次斜率折线回归分析PPO活性对饲粮维生素C水平的影响,幼蟹的最佳日粮维生素C需求估计为144.81mg/kg。总之,133.94至144.81mg/kg维生素C显著提高了非特异性免疫防御,泥蟹幼蟹的抗氧化能力和抗低温胁迫能力。
    This experiment was conducted to explore the effects of dietary vitamin C supplementation on non-specific immune defense, antioxidant capacity and resistance to low-temperature stress of juvenile mud crab (Scylla paramamosain). Mud crabs with an initial weight of 14.67 ± 0.13 g were randomly divided into 6 treatments and fed diets with 0.86 (control), 44.79, 98.45, 133.94, 186.36 and 364.28 mg/kg vitamin C, respectively. The experiment consisted of 6 treatments, each treatment was designed with 4 replicates and each replicate was stocked with 8 crabs. After 42 days of feeding experiment, 2 crabs were randomly selected from each replicate, and a total of 8 crabs in each treatment were carried out 72 h low-temperature challenge experiment. The results showed that crabs fed diets with 186.36 and 364.28 mg/kg vitamin C significantly improved the activities of alkaline phosphatase (AKP) and acid phosphatase (ACP) in hemolymph and hepatopancreas (P < 0.05). Crabs fed diet with 133.94 mg/kg vitamin C significantly decreased the concentration of nitric oxide (NO) and the activity of nitric oxide synthase (NOS) in hemolymph (P < 0.05). Diet with 133.94 mg/kg vitamin C was improved the activity of polyphenol oxidase (PPO) and the concentration of albumin (ALB) in hemolymph. Crabs fed diet with 133.94 mg/kg vitamin C showed lower concentration of malondialdehyde (MDA) in hemolymph and hepatopancreas than those fed the other diets. Meanwhile, crabs fed diet with 98.45 mg/kg vitamin C showed higher activity of total superoxide dismutase (T-SOD) in hemolymph, and crabs fed diet with 133.94 mg/kg vitamin C showed higher activity of T-SOD in hepatopancreas. Crabs fed diet with 186.36 mg/kg vitamin C significantly decreased the concentration of reduced glutathione (GSH) and the activity of glutathione peroxidase (GSH-PX) in hepatopancreas (P < 0.05). In normal temperature, crabs fed diets with 133.94 mg/kg vitamin C significantly up-regulated the expression levels of gpx (glutathione peroxidase) and trx (thioredoxin) in hepatopancreas compared with the control treatment (P < 0.05). The highest expression levels of relish, il16 (interleukin 16), caspase 2 (caspase 2), p38 mapk (p38 mitogen-activated protein kinases) and bax (bcl-2 associated x protein) in hepatopancreas were found at crabs fed control diet (P < 0.05). Moreover, crabs fed diet with 133.94 mg/kg vitamin C showed higher expression levels of alf-3 (anti-lipopolysaccharide factor 3) and bcl-2 (B-cell lymphoma 2) in hepatopancreas than those fed the other diets (P < 0.05). Under low-temperature stress, crabs fed diet with 133.94 mg/kg vitamin C significantly improved the expression levels of hsp90 (heat shock protein 90), cat (catalase), gpx, prx (thioredoxin peroxidase) and trx in hepatopancreas (P < 0.05). In addition, dietary with 133.94 vitamin C significantly up-regulated the expression levels of alf-3 and bcl-2 (P < 0.05). Based on two slope broken-line regression analysis of activity of PPO against the dietary vitamin C level, the optimal dietary vitamin C requirement was estimated to be 144.81 mg/kg for juvenile mud crab. In conclusion, dietary 133.94-144.81 mg/kg vitamin C significantly improved the non-specific immune defense, antioxidant capacity and resistance to low-temperature stress of juvenile mud crab.
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  • 文章类型: Journal Article
    使用肉桂醛和维生素C可以提高免疫力和肠道健康。采用双向因子设计研究了肉桂醛和维生素C对生长的主要和相互作用的影响。屠体,和肉鸡的肠道健康。将288只1日龄雌性ArborAcres肉鸡随机分配到4个治疗组,由六个复制的笼子组成,每个笼子有12只鸟。四种处理均为基础饮食或对照(CON),补充肉桂醛(CA)300克/吨(克/吨),维生素C(VC)300g/t,和肉桂醛300克/吨,和维生素C300g/t(CA+VC),分别。结果表明,在第21天(d),添加CA不会影响肉鸡的生长性能或屠宰性能。42天(d),和1-42天(d);然而,可改善42d时肠道屏障功能,降低21d和42d时肠道炎症因子mRNA表达。补充VC在21d时显示出体重增加(BWG)增加的趋势(p=0.094),胸肌率增加(21d时5.33%,p<0.05,在42天7.09%时,p=0.097),并减少腹部脂肪(23.43%,p<0.05)和滴水损失(20.68%,42-d时p<0.05)。此外,VC改善肠形态和肠屏障功能并维持平衡的免疫应答。CA和VC共混显著上调21日龄肠道髓样分化因子88(MyD-88)的mRNA表达,过氧化氢酶(CAT)的mRNA表达,Occludin,42d时肠道中的Claudin-1,粘蛋白-2,核因子-κB(NF-κB)和Toll样受体4(TLR-4)(p<0.01),并下调白细胞介素10(IL-10)的mRNA表达,白细胞介素6(IL-6),21d和42d时肠道中的肿瘤坏死因子-α(TNF-α),42d时肠道白细胞介素-1β(IL-1β)mRNA表达(p<0.01)。这项研究表明,CA和VC的组合具有调节肠道健康的潜力,并导致肉鸡的car体特性更好。
    The use of cinnamaldehyde and Vitamin C can improve immunity and intestinal health. A two-way factorial design was employed to investigate the main and interactive effects of cinnamaldehyde and vitamin C on the growth, carcass, and intestinal health of broiler chickens. A total of 288 one-day-old female Arbor Acres broiler chicks were randomly distributed among four treatment groups, consisting of six replicate cages with 12 birds each. Four treatments were basal diet or control (CON), supplemental cinnamaldehyde (CA) 300 g/ton (g/t), vitamin C (VC) 300 g/t, and cinnamaldehyde 300 g/t, and vitamin C 300 g/t (CA + VC), respectively. The results showed that supplemental CA did not affect the growth performance or slaughter performance of broilers at 21 days (d), 42 days (d), and 1-42 days (d); however, it could improve intestinal barrier function at 42 d of age and reduce the mRNA expression of inflammatory factors in the intestine at 21 d and 42 d of age. Supplemental VC showed a trend towards increasing body weight gain (BWG) at 21 d (p = 0.094), increased breast muscle rate (at 21-d 5.33%, p < 0.05 and at 42-d 7.09%, p = 0.097), and decreased the abdominal fat (23.43%, p < 0.05) and drip loss (20.68%, p < 0.05) at 42-d. Moreover, VC improves intestinal morphology and intestinal barrier function and maintains a balanced immune response. The blend of CA and VC significantly upregulated the mRNA expression of myeloid differentiation factor 88 (MyD-88) in the intestine at 21 d of age, the mRNA expression of catalase (CAT), Occludin, Claudin-1, Mucin-2, nuclear factor-kappa B (NF-κB) and toll-like receptor 4 (TLR-4) in the intestine at 42 d of age (p < 0.01), and downregulated the mRNA expression of interleukin 10 (IL-10), interleukin 6 (IL-6), tumor necrosis factor-alpha (TNF-α) in the intestine at 21-d and 42-d of age, and interleukin-1 beta (IL-1β) mRNA in intestine at 42 d of age (p < 0.01). This study suggested that the combination of CA and VC had the potential to regulate intestinal health and result in better carcass character of broilers.
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  • 文章类型: Journal Article
    目的:维生素C和维生素D缺乏在临床实践中极为常见,尤其是老年人。不幸的是,维生素C缺乏在骨质疏松症相关后果中的作用往往被忽视。本研究的目的是分析维生素C和D的联合缺乏是否与骨矿物质密度(BMD)和骨质疏松性椎体骨折(OVF)有关。
    方法:选择中山大学附属第三医院脊柱外科收治的绝经后女性患者99例。参与者被分为四组;单独的维生素D缺乏症(比较组),单独维生素C缺乏和维生素C和D缺乏联合为实验组。维生素C的水平,维生素D,钙,磷,分析了BMD和OVF的状况。
    结果:在维生素C和D水平方面,两组之间存在统计学上的显着差异。在腰椎骨密度方面,在单独的维生素D缺乏和维生素C和D缺乏之间观察到显著差异.只有合并的维生素C和D缺乏与腰椎BMD和T评分具有显着的负相关。同样,维生素C和D联合缺乏与腰椎骨质疏松呈显著正相关.这些组都没有与OVF有任何显著关联。发现维生素C和D联合缺乏与下腰椎BMD和骨质疏松症显着相关。
    结论:维生素C和D联合缺乏导致骨密度降低和骨质疏松风险增加。我们认为两种维生素缺乏的存在可能具有协同作用。因此,我们建议在临床实践中应常规检测维生素C和D.
    OBJECTIVE: Both vitamin C and D deficiencies are extremely common in clinical practice, especially in elderly population. Unfortunately, the role of vitamin C deficiency in osteoporosis related consequences is often neglected. The aim of the present study is to analyse if combined vitamin C and D deficiency would have an association with bone mineral density (BMD) and osteoporotic vertebral fracture (OVF).
    METHODS: Ninety-nine post-menopausal female patients admitted in the department of spine surgery of third affiliated hospital of Sun Yat-sen University were enrolled in the study. The participants were divided into four groups; vitamin D deficiency alone (comparator group), vitamin C deficiency alone and combined vitamin C and D deficiency as experimental group. The levels of vitamin C, vitamin D, calcium, phosphorous, BMD and condition of OVF were analysed.
    RESULTS: There were statistically significant differences between the groups in terms of vitamin C and D levels. In terms of lumbar BMD, significant differences were observed between vitamin D deficiency alone and combined vitamin C and D deficiency. Only the combined vitamin C and D deficiency had a significant negative association with lumbar BMD and T-score. Similarly, combined vitamin C and D deficiency had a significant positive association with lumbar osteoporosis. None of the groups had any significant association with OVF. Combined vitamin C and D deficiency was found to be significantly associated with lower lumbar BMD and osteoporosis.
    CONCLUSIONS: Combined vitamin C and D deficiency results in lower bone mineral density and higher risk of osteoporosis. We believe that existence of deficiencies of both vitamins could have a synergistic effect. Therefore, we recommend that vitamin C and D should be routinely measured in clinical practice.
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  • 文章类型: Journal Article
    急性髓性白血病(AML)是一种异质性疾病,其特征是复杂的分子和细胞遗传学异常。促氧化剂细胞氧化还原状态是AML细胞的常见标志,为基于氧化还原的抗癌策略提供了理论基础。我们之前发现了金诺芬(AUF),最初用于治疗类风湿性关节炎,并重新定位其抗癌活性,可以与药理学浓度的维生素C(VC)协同对抗乳腺癌细胞系模型。在这项研究中,我们观察到,这种药物组合协同有效地杀死了由不同骨髓亚型建立的白血病细胞系的细胞。除了诱导活性氧和ATP消耗的升高,4E-BP1和p70S6K的快速去磷酸化,对AUF/VC治疗的早期事件以及对蛋白质合成的强烈抑制,表明它们在AUF/VC诱导的细胞毒性中的意义。重要的是,一项对来自不同AML亚型的22个原发性AML样本的研究表明,在药理学上可达到的浓度下,AUF/VC组合可有效根除大多数样本中的原发性白血病CD34+细胞,同时对正常脐带血CD34+细胞毒性较小。我们的发现表明,针对AML的氧化还原脆弱性与AUF/VC组合可以提出一个潜在的抗AML治疗方法。
    Acute myeloid leukaemia (AML) is a heterogeneous disease characterized by complex molecular and cytogenetic abnormalities. Pro-oxidant cellular redox status is a common hallmark of AML cells, providing a rationale for redox-based anticancer strategy. We previously discovered that auranofin (AUF), initially used for the treatment of rheumatoid arthritis and repositioned for its anticancer activity, can synergize with a pharmacological concentration of vitamin C (VC) against breast cancer cell line models. In this study, we observed that this drug combination synergistically and efficiently killed cells of leukaemic cell lines established from different myeloid subtypes. In addition to an induced elevation of reactive oxygen species and ATP depletion, a rapid dephosphorylation of 4E-BP1 and p70S6K, together with a strong inhibition of protein synthesis were early events in response to AUF/VC treatment, suggesting their implication in AUF/VC-induced cytotoxicity. Importantly, a study on 22 primary AML specimens from various AML subtypes showed that AUF/VC combinations at pharmacologically achievable concentrations were effective to eradicate primary leukaemic CD34+ cells from the majority of these samples, while being less toxic to normal cord blood CD34+ cells. Our findings indicate that targeting the redox vulnerability of AML with AUF/VC combinations could present a potential anti-AML therapeutic approach.
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  • 文章类型: Journal Article
    背景:在晚期胰腺癌的治疗中,化疗起着举足轻重的作用。尽管有效,这种方案通常会受到贫血等副作用的损害,神经病,疲劳,恶心,营养不良,显著影响患者对治疗的耐受性。一些研究表明,维生素C可能会增加化疗的耐受性,特别是通过促进铁的吸收,改善贫血,减轻手脚的疼痛和麻木。然而,迄今为止,尚未在任何随机对照试验中研究将维生素C与化疗相结合以减轻晚期胰腺癌患者的毒副作用并提高生活质量.
    方法:前瞻性,单中心,开放标签,随机对照试验将于2023年9月至2026年9月在复旦大学上海肿瘤中心进行.将招募至少100名表现出远处转移的晚期胰腺腺癌患者,并将其随机分配到化疗组或化疗加维生素C组。主要终点是贫血率。次要终点包括3级神经病的发生率,数字评级量表的变化,生活质量,和总体生存率。
    结论:本研究旨在评估低剂量维生素C对接受吉西他滨和nab-紫杉醇化疗的转移性胰腺癌患者生活质量的影响。
    背景:该试验于2023年8月31日在ClinicalTrials.gov(NCT06018883)注册。
    BACKGROUND: In the treatment of advanced pancreatic cancer, chemotherapy plays a pivotal role. Despite its effectiveness, this regimen is often marred by side effects such as anemia, neuropathy, fatigue, nausea, and malnutrition, which significantly affect patients\' tolerance to the treatment. Some studies have shown that vitamin C could potentially augment chemotherapy\'s tolerability, notably by boosting iron absorption, ameliorating anemia, and relieving pain and numbness in hands and feet. Nevertheless, the integration of vitamin C with chemotherapy to mitigate toxic side effects and enhance the quality of life for advanced pancreatic cancer patients has not been examined in any randomized controlled trials to date.
    METHODS: A prospective, single-center, open-label, randomized controlled trial will be conducted at Fudan University Shanghai Cancer Center from September 2023 to September 2026. A total of at least 100 patients with advanced pancreatic adenocarcinoma exhibiting distant metastases will be recruited and randomly assigned to the chemotherapy group or the chemotherapy plus vitamin C group. The primary endpoint is the rate of anemia. Secondary endpoints include the rate of grade 3 neuropathy, change of numeric rating scale, quality of life, and overall survival.
    CONCLUSIONS: This study aims to assess the impact of low-dose vitamin C on enhancing the quality of life for patients with metastatic pancreatic cancer undergoing gemcitabine and nab-paclitaxel chemotherapy.
    BACKGROUND: The trial was registered with the ClinicalTrials.gov (NCT06018883) on August 31, 2023.
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  • 文章类型: Journal Article
    背景:重金属暴露通过氧化应激途径增加妊娠期糖尿病(GDM)的风险。该研究旨在研究维生素C是否可以改变重金属暴露与GDM风险之间的关联。方法:我们在太原市进行了病例对照研究,中国,776例GDM病例和776例对照。通过问卷调查收集饮食和补充剂中维生素C摄入量的数据。使用电感耦合等离子体质谱法(ICP-MS)测量参与者血液中的金属浓度。应用非条件Logistic回归模型估计维生素C对重金属和GDM之间关联的影响。结果:血液汞(Hg)水平较高的女性(优势比(OR)=2.36,95%置信区间(CI):1.43,3.92和2.04,95%CI:1.20,3.46第一三元)和砷(As)(OR=2.46,95%CI:1.37,4.43和2.16,95%CI:1.12,4.17在未使用维生素C补充剂且饮食中维生素C摄入量<85mg/天的女性中,首次)暴露与GDM风险增加相关。我们发现服用维生素C补充剂和/或膳食维生素C≥85mg/天的女性与金属没有显着关联。在维生素C和金属暴露之间观察到显著的相互作用(即,Hg和As)对GDM风险的影响(P交互作用分别为0.048和0.045)。结论:我们的研究,第一次,提示在孕前和妊娠早期使用维生素C补充剂或更高的膳食维生素C摄入量可以降低与As和Hg暴露相关的GDM风险。结果值得进一步调查。
    Background: Exposure to heavy metals has been suggested to increase the risk of gestational diabetes mellitus (GDM) through the oxidative stress pathway. The study is aimed at examining whether vitamin C could modify the association between exposure to heavy metals and risk of GDM. Methods: We conducted a case-control study in Taiyuan, China, with 776 GDM cases and 776 controls. Data on vitamin C intake from diet and supplements were collected through questionnaires. Concentrations of metals in participants\' blood were measured using inductively coupled plasma-mass spectrometry (ICP-MS). Unconditional logistic regression models were applied to estimate effect modification of vitamin C on the association between heavy metals and GDM. Results: Women with higher blood levels of mercury (Hg) (odds ratio (OR) = 2.36, 95% confidence interval (CI): 1.43, 3.92 and 2.04, 95% CI: 1.20, 3.46 for the second and third vs. the first tertile) and arsenic (As) (OR = 2.46, 95% CI: 1.37, 4.43 and 2.16, 95% CI: 1.12, 4.17 for the second and third vs. the first tertile) exposure were associated with increased risk of GDM among women without vitamin C supplement use and having dietary vitamin C intake < 85 mg/day. We found no significant association with metals among women who took vitamin C supplements and/or dietary vitamin C ≥ 85 mg/day. Significant interactions were observed between vitamin C and exposures to metals (i.e., Hg and As) on the risk of GDM (P interaction = 0.048 and 0.045, respectively). Conclusions: Our study, for the first time, suggests that vitamin C supplement use or higher dietary vitamin C intake during preconception and early pregnancy could alleviate the risk of GDM associated with exposure to As and Hg. The results warrant further investigation.
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  • 文章类型: Journal Article
    维生素C(VC)作为抗氧化过程的关键营养素,代谢反应,和干细胞分化。然而,它对胎盘发育和妊娠的确切贡献仍然不清楚。这里,我们证明了VC的生理水平可以稳定Hand1,Hand1是滋养细胞巨细胞(TGC)谱系发育轨迹至关重要的关键bHLH转录因子,从而促进滋养层干细胞向TGC的分化。具体来说,VC给药灭活的c-JunN末端激酶(JNK)信号,在Ser48处直接磷酸化Hand1,引发Hand1的蛋白酶体降解。相反,Hand1上Ser48的功能丧失突变不仅显着降低了Hand1的内在和VC诱导的稳定性,而且强调了该残基的不可或缺性。值得注意的是,VC不足导致不同TGC亚型的分化严重缺陷和啮齿动物胎盘迷宫血管网的形成,导致妊娠维持失败。重要的是,VC不足,JNK的慢病毒敲低或Hand1突变体在滋养外胚层中的过表达实质上影响了E8.5小鼠胎盘中初级和次级TGC的分化。因此,这些发现揭示了JNK失活和Hand1的相应稳定的意义,它是迄今为止尚未明确的控制VC介导的胎盘形成和可能维持妊娠的机制.
    Vitamin C (VC) serves as a pivotal nutrient for anti-oxidation process, metabolic responses, and stem cell differentiation. However, its precise contribution to placenta development and gestation remains obscure. Here, we demonstrated that physiological levels of VC act to stabilize Hand1, a key bHLH transcription factor vital for the development trajectory of trophoblast giant cell (TGC) lineages, thereby promoting the differentiation of trophoblast stem cells into TGC. Specifically, VC administration inactivated c-Jun N-terminal kinase (JNK) signaling, which directly phosphorylates Hand1 at Ser48, triggering the proteasomal degradation of Hand1. Conversely, a loss-of-function mutation at Ser48 on Hand1 not only significantly diminished both intrinsic and VC-induced stabilization of Hand1 but also underscored the indispensability of this residue. Noteworthy, the insufficiency of VC led to severe defects in the differentiation of diverse TGC subtypes and the formation of labyrinth\'s vascular network in rodent placentas, resulting in failure of maintenance of pregnancy. Importantly, VC deficiency, lentiviral knockdown of JNK or overexpression of Hand1 mutants in trophectoderm substantially affected the differentiation of primary and secondary TGC in E8.5 mouse placentas. Thus, these findings uncover the significance of JNK inactivation and consequential stabilization of Hand1 as a hitherto uncharacterized mechanism controlling VC-mediated placentation and perhaps maintenance of pregnancy.
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