Evidence map›Paper›PMID 30174242›Full record

ReviewCancer cell2018

Ascorbic Acid in Cancer Treatment: Let the Phoenix Fly.

Niraj Shenoy, Edward Creagan, Thomas Witzig, Mark Levine

Open access · bronzeAbstract readReview
In one paragraph

Review in Cancer cell, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 99 papers.

0numbers the graph read from it
0cells of the map it votes in
99citing papers in PubMed
12.0field-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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

99 citing papers in PubMed, 203 citations in OpenAlex.

  1. Trial
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  10. Nanomedicine-Driven Modulation of Reductive Stress for Cancer Therapy.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2025
    Review
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
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  17. Review
  18. Article
  19. Article
  20. Mechanisms of Vitamins Inhibiting Ferroptosis.Antioxidants (Basel, Switzerland) · 2024
    Review

39 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

4 authors at 3 institutions in 1 country.

Niraj ShenoyDivision of Hematology & Medical Oncology, Department of Medicine, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA; Department of Medicine (Oncology), Albert Einstein College of Medicine- Montefiore Medical Center, 1300 Morris Park Avenue, Bronx, NY 10467, USA. Electronic address: shenoy.niraj@mayo.edu.
Edward CreaganDivision of Hematology & Medical Oncology, Department of Medicine, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA.
Thomas WitzigDivision of Hematology & Medical Oncology, Department of Medicine, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA.
Mark LevineMolecular and Clinical Nutrition Section, Intramural Research Program, National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, 10 Center Drive, Bethesda, MD 20892-1372, USA. Electronic address: markl@nih.gov.
Mayo Clinic · USAlbert Einstein College of Medicine · USNational Institute of Diabetes and Digestive and Kidney Diseases · US

Funding

The Role of Monocytes in non-Hodgkin LymphomaP50CA097274 · NCI · UNIVERSITY OF IOWA · PI LENTZ, STEVEN R · 2002 to 2021
$45.7M
Ascorbic acid as a pharmacologic agent in disease treatmentZIADK053212 · NIDDK · NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND KIDNEY DISEASES · PI LEVINE, MARK A · 2009 to 2025
$8.5M
Vitamin C (ascorbic acid) Biochemistry and Molecular BiologyZIADK054506 · NIDDK · NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND KIDNEY DISEASES · PI LEVINE, MARK A · 2009 to 2025
$7.5M
Vitamin C (ascorbic acid) physiologyZIADK053218 · NIDDK · NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND KIDNEY DISEASES · PI LEVINE, MARK A · 2009 to 2025
$6.7M
Vitamin C Biochemistry, Molecular Biology, /Recom IngestZ01DK054506 · NIDDK · NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND KIDNEY DISEASES · PI LEVINE, MARK A · 1998 to 2008
$768k
Ascorbic acid as a pharmacologic agent in disease treatmentZ01DK053212 · NIDDK · NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND KIDNEY DISEASES · PI LEVINE, MARK A · 2007 to 2008
$736k
Intramural NIH HHS Z01 DK053212Intramural NIH HHS Z01 DK054506Intramural NIH HHS ZIA DK053212Intramural NIH HHS ZIA DK053218Intramural NIH HHS ZIA DK054506NCI NIH HHS P50 CA097274
6 · The paper itself

Abstract

Vitamin C (ascorbic acid, ascorbate), despite controversy, has re-emerged as a promising anti-cancer agent. Recent knowledge of intravenous ascorbate pharmacokinetics and discovery of unexpected mechanisms of ascorbate action have spawned many investigations. Two mechanisms of anti-cancer activity with ascorbate have gained prominence: hydrogen peroxide-induced oxidative stress and DNA demethylation mediated by ten-eleven translocation enzyme activation. Here, we highlight salient aspects of the evolution of ascorbate in cancer treatment, provide insights into the pharmacokinetics of ascorbate, describe mechanisms of its anti-cancer activity in relation to the pharmacokinetics, outline promising preclinical and clinical evidence, and recommend future directions.

Indexed as

Antineoplastic AgentsAntioxidantsAscorbic AcidDNA DemethylationHumansHydrogen PeroxideMixed Function OxygenasesNeoplasmsOxidative StressProto-Oncogene ProteinsAntineoplastic AgentsAntioxidantsAscorbic AcidHydrogen PeroxideMixed Function OxygenasesProto-Oncogene ProteinsTET1 protein, humanascorbic acidcancer

Identifiers

PMID30174242
PMCPMC6234047
OpenAlexW2889551460

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.