Evidence map›Paper›PMID 29099763›Full record

ReviewNutrients2017

Vitamin C and Immune Function.

Anitra C Carr, Silvia Maggini

3 registry-linked trialsOpen access · goldAbstract readReview
In one paragraph

Review in Nutrients, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 850 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
850citing papers in PubMed, 8 pooled it
63.9field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04153487 phase2completednot on this mapstarted 2019, after this paper: background citation

Role of Ascorbic Acid Infusion in Critically Ill Patients With Transfusion Related Acute Lung Injury

TypeinterventionalSponsorDamanhour UniversityRan2019 to 2021Enrolled40ConditionsAcute Lung Injury, Transfusion RelatedArmsAscorbic Acid Injectable Product, Placebo
NCT06995586 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

The Synergistic Action of Vitamins and Dietary Supplements in Patients With Coronary Artery Bypass Grafting for Improving the Quality of Healthcare Delivery.

TypeinterventionalSponsorNicosia General HospitalRan2026 to 2028Enrolled108ConditionsCardio-pulmonary Bypass, Cardiovascular Diseases, Omega-3 Polyunsaturated Fatty Acids, Omega-3 SupplementationArmsVitamin C, Omega 3 PUFA (EPO/DHA), Lignin, Lactulose
NCT07612345 phase1not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Safety and Tolerability of Supratherapeutic Vitamin C Supplementation in Class A Glucose-6-Phosphate Dehydrogenase (G6PD A) Deficiency and Pyruvate Kinase Deficiency (PKD)

TypeinterventionalSponsorUniversity of UtahRan2026 to 2027Enrolled3ConditionsPyruvate Kinase Deficiency, Glucose 6 Phosphate Dehydrogenase DeficiencyArmsVitamin C
3 · Its place in the literature

Who cites it

850 citing papers in PubMed, 8 syntheses or guidelines pooled it, 1,921 citations in OpenAlex.

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  4. Micronutrient status of patients with diabetic foot: A systematic review.Asia Pacific journal of clinical nutrition · 2025
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  9. Effect of AG1Frontiers in nutrition · 2026
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790 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors at 2 institutions in 2 countries.

Anitra C CarrDepartment of Pathology, University of Otago, Christchurch, P.O. Box 4345, Christchurch 8140, New Zealand. anitra.carr@otago.ac.nz.
Silvia MagginiBayer Consumer Care Ltd., Peter-Merian-Strasse 84, 4002 Basel, Switzerland. silvia.maggini@bayer.com.
Bayer (Switzerland) · CHUniversity of Otago · NZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Vitamin C is an essential micronutrient for humans, with pleiotropic functions related to its ability to donate electrons. It is a potent antioxidant and a cofactor for a family of biosynthetic and gene regulatory enzymes. Vitamin C contributes to immune defense by supporting various cellular functions of both the innate and adaptive immune system. Vitamin C supports epithelial barrier function against pathogens and promotes the oxidant scavenging activity of the skin, thereby potentially protecting against environmental oxidative stress. Vitamin C accumulates in phagocytic cells, such as neutrophils, and can enhance chemotaxis, phagocytosis, generation of reactive oxygen species, and ultimately microbial killing. It is also needed for apoptosis and clearance of the spent neutrophils from sites of infection by macrophages, thereby decreasing necrosis/NETosis and potential tissue damage. The role of vitamin C in lymphocytes is less clear, but it has been shown to enhance differentiation and proliferation of B- and T-cells, likely due to its gene regulating effects. Vitamin C deficiency results in impaired immunity and higher susceptibility to infections. In turn, infections significantly impact on vitamin C levels due to enhanced inflammation and metabolic requirements. Furthermore, supplementation with vitamin C appears to be able to both prevent and treat respiratory and systemic infections. Prophylactic prevention of infection requires dietary vitamin C intakes that provide at least adequate, if not saturating plasma levels (i.e., 100-200 mg/day), which optimize cell and tissue levels. In contrast, treatment of established infections requires significantly higher (gram) doses of the vitamin to compensate for the increased inflammatory response and metabolic demand.

Indexed as

Adaptive ImmunityImmunity, InnateAnimalsAntioxidantsAscorbic AcidAscorbic Acid DeficiencyCommunicable DiseasesDietary SupplementsHumansImmune SystemLeukocytesWound HealingAntioxidantsAscorbic Acidascorbateascorbic acidimmune systemimmunityinfectionlymphocytesmicrobial killingneutrophil functionvitamin C

Identifiers

PMID29099763
PMCPMC5707683
OpenAlexW2766820812

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.