Evidence map›Paper›PMID 33668681›Full record

ReviewNutrients2021

Vitamin C-Sources, Physiological Role, Kinetics, Deficiency, Use, Toxicity, and Determination.

Martin Doseděl, Eduard Jirkovský, Kateřina Macáková, Lenka Kujovská Krčmová, Lenka Javorská, Jana Pourová, Laura Mercolini, Fernando Remião, Lucie Nováková, Přemysl Mladěnka and 1 more

Registry-linked trialOpen access · goldAbstract readReview
In one paragraph

Review in Nutrients, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06995586 (The Synergistic Action of Vitamins and Dietary Supplements in Patients With Coronary Artery Bypass Grafting for Improving the Quality of Healthcare Delivery.), which is not on this map. Cited by 227 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
227citing papers in PubMed, 4 pooled it
38.1field-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.

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
3 · Its place in the literature

Who cites it

227 citing papers in PubMed, 4 syntheses or guidelines pooled it, 490 citations in OpenAlex.

  1. Pooled it
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  14. The Illusion of Simplicity: The Dramatic Failure of Koopmans' Theorem for Antioxidants in Solvents-The Ascorbic Acid Paradigm.Chemphyschem : a European journal of chemical physics and physical chemistry · 2026
    Article
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  18. Potential Antidote Against Lead Toxicity-A Review.International journal of molecular sciences · 2026
    Review
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  20. Review

167 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

11 authors at 4 institutions in 3 countries.

Martin DosedělDepartment of Social and Clinical Pharmacy, Faculty of Pharmacy, Charles University, 500 05 Hradec Králové, Czech Republic.ORCID 0000-0001-5253-7967
Eduard JirkovskýDepartment of Pharmacology and Toxicology, Faculty of Pharmacy, Charles University, 500 05 Hradec Králové, Czech Republic.
Kateřina MacákováDepartment of Pharmacognosy, Faculty of Pharmacy, Charles University, 500 05 Hradec Králové, Czech Republic.
Lenka Kujovská KrčmováDepartment of Analytical Chemistry, Faculty of Pharmacy, Charles University, 500 05 Hradec Králové, Czech Republic.ORCID 0000-0003-3825-0294
Lenka JavorskáDepartment of Clinical Biochemistry and Diagnostics, University Hospital Hradec Králové, 500 05 Hradec Králové, Czech Republic.ORCID 0000-0002-9135-4511
Jana PourováDepartment of Pharmacology and Toxicology, Faculty of Pharmacy, Charles University, 500 05 Hradec Králové, Czech Republic.ORCID 0000-0002-0728-4646
Laura MercoliniResearch group of Pharmaco-Toxicological Analysis (PTA Lab), Department of Pharmacy and Biotechnology (FaBiT), Alma Mater Studiorum-University of Bologna, 40126 Bologna, Italy.ORCID 0000-0002-0644-9461
Fernando RemiãoUCIBIO-REQUIMTE, Laboratory of Toxicology, Biological Sciences Department, Faculty of Pharmacy, University of Porto, 4050-313 Porto, Portugal.ORCID 0000-0003-1382-5119
Lucie NovákováDepartment of Analytical Chemistry, Faculty of Pharmacy, Charles University, 500 05 Hradec Králové, Czech Republic.ORCID 0000-0003-3570-5871
Přemysl MladěnkaDepartment of Pharmacology and Toxicology, Faculty of Pharmacy, Charles University, 500 05 Hradec Králové, Czech Republic.ORCID 0000-0002-6076-6900
On Behalf Of The Oemonom
Charles University · CZUniversidade do Porto · PTUniversity Hospital Hradec Králové · CZUniversity of Bologna · IT

Funding

EFSA-CDN CZ.02.1.01/0.0/0.0/16_019/0000841Erasmus+ Programme 2020-1-CZ01-KA203-078218MH-CZ-DRO 00179906
6 · The paper itself

Abstract

Vitamin C (L-ascorbic acid) has been known as an antioxidant for most people. However, its physiological role is much larger and encompasses very different processes ranging from facilitation of iron absorption through involvement in hormones and carnitine synthesis for important roles in epigenetic processes. Contrarily, high doses act as a pro-oxidant than an anti-oxidant. This may also be the reason why plasma levels are meticulously regulated on the level of absorption and excretion in the kidney. Interestingly, most cells contain vitamin C in millimolar concentrations, which is much higher than its plasma concentrations, and compared to other vitamins. The role of vitamin C is well demonstrated by miscellaneous symptoms of its absence-scurvy. The only clinically well-documented indication for vitamin C is scurvy. The effects of vitamin C administration on cancer, cardiovascular diseases, and infections are rather minor or even debatable in the general population. Vitamin C is relatively safe, but caution should be given to the administration of high doses, which can cause overt side effects in some susceptible patients (e.g., oxalate renal stones). Lastly, analytical methods for its determination with advantages and pitfalls are also discussed in this review.

Indexed as

AntioxidantsAscorbic AcidAscorbic Acid DeficiencyHumansKineticsAntioxidantsAscorbic Acidantioxidantascorbic acidepigeneticoxalateprooxidantscurvy

Identifiers

PMID33668681
PMCPMC7918462
OpenAlexW3132713966

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.