Apoptosis-inducing activity of
vitamins C and K and of their analogs are reviewed.
Vitamin C shows both reducing and oxidizing activities, depending on the environment in which this
vitamin is present. Higher concentrations of
vitamin C induce apoptotic cell death in various tumor cell lines including
oral squamous cell carcinoma and salivary gland tumor cell lines, possibly via its prooxidant action. The apoptosis-inducing activity of ascorbate is stimulated by Cu2+,
lignin and ion
chelator, and inhibited by
catalase, Fe3+, Co2+ and saliva. On the other hand, at lower concentrations,
ascorbic acid displays an
antioxidant property, preventing the spontaneous and stress or
antitumor agent-induced apoptosis.
Sodium 5,6-benzylidene-L-ascorbate,
intravenous administration of which induces degeneration of human inoperable
tumors and rat
hepatocellular carcinoma in vivo, induces apoptotic or non-apoptotic cell death, depending on the types of target cells. On the other hand, elevation of intracellular concentration of
ascorbic acid by treatment with ascorbate 2-phosphate or
dehydroascorbic acid makes the cells resistant to the oxidative stress-induced apoptosis.
Vitamin K2, which has a geranylgeranyl group as a side chain,and
vitamin K3 induces apoptosis of various cultured cells including osteoclasts and osteoblasts, by elevating
peroxide and
superoxide radicals. Synergistic apoptosis-inducing actions have been found between
vitamins C and K, and between these
vitamins and antiproliferative agents. The possible therapeutic application of these
vitamins is discussed.