Interaction between vitamins C and E

by Harri Hemilä


This text is based on pages 10-11 of Hemilä (2006).
This document has up to date links to documents that are available via the net.
Harri Hemilä
Department of Public Health
University of Helsinki,  Helsinki, Finland
harri.hemila@helsinki.fi
Home:  http://www.mv.helsinki.fi/home/hemila

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Version May 29, 2012


Vitamin C and vitamin E are both antioxidants and protect against reactive oxygen species. These substances are of parallel interest as water-soluble vitamin C regenerates lipid soluble vitamin E in vitro (Packer et al. 1979; Sharma & Buettner 1993; Wijesunara & Berger 1994). There is much evidence indicating that vitamins C and E may also have a physiologically relevant interaction. In guinea pigs, vitamin C deficiency led to reduced levels of vitamin E in the liver, kidney, spleen, and lungs (Kanazawa et al. 1981; Hruba et al. 1982; Bendich et al. 1984). In inherently scorbutic rats, vitamin C deficiency led to reduced vitamin E levels in the liver, kidney, and heart (Tanaka et al. 1997). In guinea pigs administered oxidized frying oil, large doses of vitamin C increased the level of vitamin E in liver, kidney, heart, lung, and spleen (Liu & Lee 1997). In normal rats, vitamin C supplementation increased plasma vitamin E level (Chen et al. 1980). Nevertheless, in one study, vitamin C deficiency did not affect the plasma vitamin E level in guinea pigs (Hruba et al. 1982), and in another, excessive doses of vitamin C reduced plasma vitamin E levels (Chen & Chang 1979).

In studies with human subjects, vitamin C supplementation increased plasma lipid standardized α-tocopherol (Hamilton et al. 2000). Vitamin C supplementation also led to a higher level of vitamin E in plasma in participants who were administered 800 mg/day of vitamin E than in participants administered vitamin E alone (Baker et al. 1996). In normal rats and guinea pigs, vitamin E supplementation increased the plasma vitamin C level (Chen et al. 1980; Bendich et al. 1984). In inherently scorbutic rats, a deficiency of vitamin E led to lower levels of vitamin C in the plasma, liver, kidney, and heart (Tanaka et al. 1997). In rats, vitamin E deficiency did not affect the plasma vitamin C level, but the muscle vitamin C level was significantly increased (Gohil et al. 1986).

In a study with human subjects, vitamin E supplementation increased the plasma level of vitamin C (Hamilton et al. 2000). In smokers, but not in nonsmokers, vitamin E disappearance in plasma was inversely related to vitamin C levels (Bruno et al. 2005)

A recent study found that a combined deficiency of vitamins C and E in guinea pigs produced a clinical picture different from scurvy. Many of these doubly deficient animals had paralysis of their limbs, and there was evidence of oxidative damage in the central nervous system (Hill et al. 2003). In endotoxin-treated guinea pigs, simultaneous supplementation of vitamins C and E led to higher levels of vitamin E in the liver than vitamin E supplementation alone (Cadenas et al. 1998). Wahli et al. (1998) found an interaction between vitamins C and E in their effects on the susceptibility to infection of rainbow trout (pp 118, 129).

Accordingly, there is experimental data indicating that vitamin C and vitamin E have a physiological interaction, but its significance is poorly understood both in experimental animals and human beings.


References

NOTE: All the links in the main text should be freely accessible at least as an abstract, but some links below require a permission from publisher for any access.



Baker H, DeAngelis B, Baker E, et al. (1996) Human plasma patterns during 14 days ingestion of vitamin E, beta-carotene, ascorbic acid, and their various combinations. J Am Coll Nutr 15:159-63 

Bendich A, D’Apolito P, Gabriel E, et al. (1984) Interaction of dietary vitamin C and vitamin E on guinea pig immune responses to mitogens. J Nutr 114:1588-93

Bruno RS, Ramakrishnan R, Montine TJ, Bray TM, Traber MG (2005) α-Tocopherol disappearance is faster in cigarette smokers and is inversely related to their ascorbic acid status. Am J Clin Nutr 81:95-103

Bruno RS, Leonard SW, Atkinson J, Montine, TJ, Ramakrishnan R, Bray TM, Traber MG (2006) Faster plasma vitamin E disappearance in smokers is normalized by vitamin C supplementation. Free Radic Biol Med 40:689-697    [see comments in Hemilä (2007) ]

Cadenas S, Rojas C, Barja G (1998) Endotoxin increases oxidative injury to proteins in guinea pig liver: protection by dietary vitamin C. Pharmacol Toxicol 82:11-8  PubMed

Chen LH, Lee MS, Hsing WF, et al. (1980) Effect of vitamin C on tissue antioxidant status of vitamin E deficient rats. Int J Vitam Nutr Res 50:156-62

Chen LH, Chang HM (1979) Effects of high level of vitamin C on tissue antioxidant status of guinea pigs. Int J Vitam Nutr Res 49:87-91   PubMed

Gohil K, Packer L, Lumen B, et al. (1986) Vitamin E deficiency and vitamin C supplements: exercise and mitochondrial oxidation. J Appl Physiol 60:1986-91   PubMed  

Hamilton IMJ, Gilmore WS, Benzie IF, et al. (2000) Interactions between vitamins C and E in human subjects. Br J Nutr 84:261-7  PubMed 

Hemilä H (2007) Conclusions about intervention effects should not be based on surrogate end points [Letter]. Free Radic Biol Med 42:578     Manu   [comment on: Bruno et al (2006) ]

Hill KE, Montine TJ, Motley AK, et al. (2003) Combined deficiency of vitamins E and C causes paralysis and death in guinea pigs. Am J Clin Nutr 77:1484-8   

Hruba F, Novakova V, Ginter E (1982) The effect of chronic marginal vitamin C deficiency on the alpha-tocopherol content of the organs and plasma of guinea-pigs. Experientia 38:1454-5

Kanazawa K, Takeuchi S, Hasegawa R, et al. (1981) Influence of ascorbic acid deficiency on the level of non-protein SH compounds and vitamin E in the blood and tissues of guinea pigs. Nihon Univ J Med 23:257-65

Liu JF, Lee YW (1998) Vitamin C supplementation restores the impaired vitamin E status of guinea pigs fed oxidized frying oil. J Nutr 128:116-22 

Packer JE, Slater TF, Wilson RL (1979) Direct observation of a free radical interaction between vitamin E and vitamin C. Nature 278:737-8 

Sharma MK, Buettner GR (1993) Interaction of vitamin C and vitamin E during free radical stress in plasma: an ESR study. Free Rad Biol Med 15:649-53   PubMed 

Tanaka K, Hashimoto T, Tokumaru S, et al. (1997) Interactions between vitamin C and vitamin E are observed in tissues of inherently scorbutic rats. J Nutr 127:2060-4  

Wahli T, Verlhac V, Gabaudan J, et al. (1998) Influence of combined vitamins C and E on non-specific immunity and disease resistance of rainbow trout. J Fish Dis 21:127-37 does not work?

Wijesundara MBJ, Berger S (1994) The redox pair vitamin E and vitamin C, a 13-C-NMR study. Liebigs Ann Chem 12:1239-41


Copyright: © 2006-2009 Harri Hemilä. This text is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. 

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