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静脉注射高浓度维生素C在癌症中的作用及应用现状

Role and Application of Intravenous High-Dose Vitamin C in Cancer

  • 摘要: 越来越多的证据表明,静脉输注高浓度维生素C(HVC)在各类癌症患者中使用是安全的。且部分临床研究提示其与放、化疗联合使用能减轻放化疗不良反应,并显著延长患者的总生存期。体外及动物实验表明,高浓度维生素C(VitC)具有促氧化、逆转上皮间充质转化、抑制缺氧和致癌激酶信号转导以及增强免疫功能等作用。尽管既往已经发表了很多Ⅰ/Ⅱ期的临床研究和病例报告证实HVC具有辅助抗肿瘤的作用,然而目前仍缺乏大样本、多中心的随机对照Ⅲ期临床研究的数据。本文旨在深入探讨这种低毒的辅助抗肿瘤治疗方法在临床中的作用及意义。

     

    Abstract: An increasing number of evidence indicate that intravenous high-dose vitamin C (HVC) is safe to use in patients with various types of cancer. Clinical studies suggest that when used in combination with radiation and chemotherapy, HVC can reduce their toxic side effects and substantially prolong the overall survival of patients. In vitro and animal experiments demonstrated that vitamin C has pro-oxidant cytotoxicity, reverses epithelial-mesenchymal transition, inhibits hypoxia and oncogenic kinase signal transduction, and improves immune function. Although many phase Ⅰ/Ⅱ clinical studies and case reports confirming the adjuvant anti-tumor effects of HVC have been published, large-sample, multicenter randomized controlled phase Ⅲ clinical trial data are still lacking. Therefore, this paper further explores the role and significance of this low-toxicity adjuvant antitumor therapy in clinical use.

     

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