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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.
Human studies have shown that Vit C deficiency among PD patients is widespread. The effect of Vit C on dopamine system has also been observed. Izumi et al. showed that PC12 cells treated with paraquat (50 µM, 24 h) displayed increased levels of cytosolic and vesicular dopamine, whereas pretreatment with Vit C (0.3–10 µM, 24 h) suppressed the elevations of intracellular dopamine and almost completely prevented paraquat (organophosphate) toxicity.
Vit C is thought to be involved in neuroprotection against glutamate-mediated excitotoxicity occurring in PD [Ballaz et al.] In in vitro study performed on dopaminergic neurons of human origin showed that Vit C prevented cell death following prolonged exposure to glutamate. Glutamate induced toxicity in a dose-dependent way via the stimulation of α-amino-3-hydroxy-5-methyl-4-isoxazole propionic acid (AMPA) and metabotropic receptors and to a lesser degree by N-methyl-d-aspartate (NMDA) and kainate receptors, whereas Vit C (25–300 µM) administration protected cells against glutamate excitotoxity (also relevant to ALS).
Vitamin 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 (e.g. dopamine and serotonin), modulation of neurotransmission and antioxidant protection.
The brain is an organ particularly exposed to oxidative stress and free radicals’ activity, which is associated with high levels of unsaturated fatty acids and high cell metabolism rate. Since neurological diseases are characterized by increased free radical generation (reactive oxygen species or ROS) and the highest concentrations of Vitamin C in the body are found in the brain and neuroendocrine tissues, it is suggested that Vitamin C may change the course of neurological diseases and display potential therapeutic roles.
Ascorbic acid, being an antioxidant, acts directly by scavenging reactive oxygen and nitrogen species produced during normal cell metabolism. People cannot synthesize their own Vitamin C and it is not produced by intestinal microflora (gut microbes), making us strictly dependent on dietary intake for adequate amounts of Vit. C.
Vit C is important for proper functioning of the nervous system and its main role in the brain is its participation in the antioxidant defense. Apart from this, Vit C plays a role of an enzymatic co-factor participating in biosynthesis of such substances as collagen, carnitine, tyrosine and peptide hormones. It has also been indicated that myelin formation in Schwann cells could be stimulated by ascorbic acid.
Vit C ability to alleviate seizure severity as well as reduction of seizure-induced damage have been proved. Vit C treatment has been reported to ameliorate neuropathological alterations as well as memory impairments and the neurodegenerative changes in rats exposed to neurotoxic substances like aluminum.