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Pharmacological ascorbate as a novel therapeutic strategy to enhance cancer immunotherapy
Journal article   Open access   Peer reviewed

Pharmacological ascorbate as a novel therapeutic strategy to enhance cancer immunotherapy

Amira Zaher, Laura M Stephens, Ann M Miller, Stacey M Hartwig, Jeffrey M Stolwijk, Michael S Petronek, Zeb R Zacharias, Thaddeus J Wadas, Varun Monga, Joseph J Cullen, …
Frontiers in immunology, Vol.13, pp.989000-989000
01/01/2022
DOI: 10.3389/fimmu.2022.989000
PMCID: PMC9444023
PMID: 36072595
url
https://doi.org/10.3389/fimmu.2022.989000View
Published (Version of record) Open Access

Abstract

Pharmacological ascorbate (i.e., intravenous infusions of vitamin C reaching ~ 20 mM in plasma) is under active investigation as an adjuvant to standard of care anti-cancer treatments due to its dual redox roles as an antioxidant in normal tissues and as a prooxidant in malignant tissues. Immune checkpoint inhibitors (ICIs) are highly promising therapies for many cancer patients but face several challenges including low response rates, primary or acquired resistance, and toxicity. Ascorbate modulates both innate and adaptive immune functions and plays a key role in maintaining the balance between pro and anti-inflammatory states. Furthermore, the success of pharmacological ascorbate as a radiosensitizer and a chemosensitizer in pre-clinical studies and early phase clinical trials suggests that it may also enhance the efficacy and expand the benefits of ICIs.

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