Document Type
Article
Publication Date
5-11-2024
Abstract
Purpose: In this review, we discuss the historic background of vitamin C, vitamin C’s physiology, its dietary sources, and how deficiency can manifest. We also discuss modern studies investigating the role of Vitamin C in immunity, in cardiovascular disease, and in chronic conditions. Summary: In the body, vitamin C acts as an essential cofactor in several enzymatic reactions including, but not limited to, neurotransmitter synthesis, hormone amidation, collagen synthesis, hypoxic transcription factor modification, and epigenetic modifications. Scurvy, caused by severe vitamin C deficiency, is an infamous disease recorded in historical documents, with patients presenting with joint ache, bleeding gums, depression, and hysteria. Since humans are unable to naturally synthesize ascorbic acid, they must rely on dietary sources such as fruits and vegetables in order to maintain their vitamin C levels and avoid such manifestations. Maintaining stable vitamin C levels remains increasingly important in the modern era, particularly for the vulnerable pediatric patient with chronic conditions or critical illness. Regulating vitamin C levels could decrease morbidity and mortality in the chronic and critically ill pediatric population. Moving forward, there is a need for more head-to-head trials pertaining to vitamin C’s role in improving immunity, modifying cardiovascular risk, and altering cancer prognosis.
Keywords
vitamin C, scurvy, nutritional deficiency
Publication Title
Current Pediatrics Reports
Rights
© The Author(s) 2024.This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder.
Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.
Department/Center
Pediatrics
Recommended Citation
Ramanujan, S., Yadav, S., Adler, A. et al. Vitamin C: Is it Relevant or Obsolete in the Modern Era?. Curr Pediatr Rep 12, 35–43 (2024). https://doi.org/10.1007/s40124-024-00315-9