Abstract

Vitamin C (Vit C) is considered to be a vital antioxidant molecule in the brain. Intracellular Vit C helps maintain integrity and function of several processes in the central nervous system (CNS), including neuronal maturation and differentiation, myelin formation, synthesis of catecholamine, modulation of neurotransmission and antioxidant protection. The importance of Vit C for CNS function has been proven by the fact that targeted deletion of the sodium-vitamin C co-transporter in mice results in widespread cerebral hemorrhage and death on post-natal day one. Since neurological diseases are characterized by increased free radical generation and the highest concentrations of Vit C in the body are found in the brain and neuroendocrine tissues, it is suggested that Vit C may change the course of neurological diseases and display potential therapeutic roles. The aim of this review is to update the current state of knowledge of the role of vitamin C on neurodegenerative diseases including Alzheimer’s disease, Parkinson’s disease, Huntington’s disease, multiple sclerosis and amyotrophic sclerosis, as well as psychiatric disorders including depression, anxiety and schizophrenia. The particular attention is attributed to understanding of the mechanisms underlying possible therapeutic properties of ascorbic acid in the presented disorders.

Highlights

  • VVitaitmamininCC(V(iVt iCt,Ca,sacsocrobricbiaccaidc)idb)ebloenlognsgtso taogaroguropuopf owfawteart-esor-lsuoblluebvleitavmitainms.inIns. oInrgoarngisamniss,mVsi,t VCit caCnceaxnisetxiinsttiwnotwfoormfosrm: rse:druedceudc—edt—hetheexaecxtaactscaosrcboircbiacciadci(dA(AA)Aw) hwihchichininphpyhsyiosiloolgoigciaclapl HpHococcucursrsinin itistsananioinonfofromrmofofananasacsocrobrbataet—e—ananddooxixdidiziezdedoonne—e—ddehehyyddroraosacsocrobrbicicacaicdid(D(DHHAA),)w, whhicihchisisaapprordoduuctct oof ftwtwo-oe-leelcetcrtoronnoxoixdidataitoionnoof fAAAA(F(iFgiugurere1)1.).InInththeecocouursreseoof fmmeteatbaboolilcicpprorcoecsessessesananasacsocrobrbataetefrfereee rardadiciaclaclacnabne bperopdruocdeudcaesda arsesualtroesfuolnteo-efleocntreo-neleocxtirdoantioonx.idTahtiisovna. rTiehtyismvaayriseutybsemqauyenstulybsuenqdueerngtoly duisnmduetragtoiodnisfmorumtaintigonasfcoorrmbaintegaansdcoDrbHaAte [a1n]d

  • The growing interest in the issue of vitamin C deficiency, as well as vitamin C treatment in the nervous system diseases, was observed for many years. These facts made us decide to update the current state of knowledge of the role of Vitamin C (Vit C) in neurodegenerative diseases including Alzheimer’s disease, Parkinson’s disease, Huntington’s disease, multiple sclerosis as well as amyotrophic sclerosis, as well as in psychiatric disorders including depression, anxiety disorders and schizophrenia

  • In the study performed on KO-Tg mice (generating by crossing 5 familial Alzheimer’s disease mutation (5XFAD) mice with mice lacking Gulo), found that oral Vit C supplementation (3.3 g/L of drinking water) reduced amyloid plaque burden in the cortex and hippocampus by ameliorating blood–brain barrier (BBB) disruption and morphological changes in the mitochondria [69]. This seems to be confirmed by other studies that proved that Vit C might affect levels of proteins responsible for the tightness of BBB, like tight junction-specific integral membrane proteins as well as matrix metalloproteinase 9 (MMP-9)

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Summary

Methods

To review the literature on brain Vit C transport/distribution and its function in central nervous system, PubMed and Scopus databases were searched using the following search terms: (vitamin C OR ascorbic acid) AND (central nervous system OR CNS) or (vitamin OR ascorbic acid) AND brain, separately. The full texts of the remaining articles were reviewed to detect studies that did were not suitable for this review

Vitamin C Transport Systems and Distribution in the Brain
Vitamin C Function in Central Nervous System
Role of Vitamin C in Neurodegenerative Diseases
Alzheimer’s Disease
Parkinson’s Disease
Huntington’s Disease
Multiple Sclerosis
Amyotrophic Lateral Sclerosis
Depression
Anxiety
Schizophrenia
Findings
Conclusions

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