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Scientists Find Vitamin C Kills Drug-Resistant Tuberculosis

AndyKrish writes "A BBC story reports that scientists at Albert Einstein College of Medicine at Yeshiva University found Vitamin C kills drug resistant tuberculosis (abstract). Though results are preliminary — the lead investigator of the study said, 'We have only been able to demonstrate this in a test tube, and we don't know if it will work in humans and in animals' — this is an exciting development in the fight against drug-resistant TB."

19 of 105 comments (clear)

  1. Vitamin C... by sconeu · · Score: 5, Insightful

    Somewhere in heaven, Linus Pauling is laughing his head off...

    --
    General Relativity: Space-time tells matter where to go; Matter tells space-time what shape to be.
    1. Re:Vitamin C... by Jeremiah+Cornelius · · Score: 3, Funny

      I was about to comment the same... With an "aPauling" pun. ;-)

      Really, this will likely be quickly quashed by the Pharmas. Or they will patent a delivery transport - with the only FDA-approved administration protocol.

      --
      "Flyin' in just a sweet place,
      Never been known to fail..."
    2. Re:Vitamin C... by D1G1T · · Score: 4, Insightful

      Seeing as how most TB is in places where FDA has no jurisdiction, I don't think that will be a problem.

    3. Re:Vitamin C... by Anonymous Coward · · Score: 5, Informative

      Well, to be fair, most organisms in a test tube can be killed by putting in a lot of acid (vitamin C being ascorbic acid). The key thing is that you can't significantly change the pH of the blood / body without causing problems in the host. It is easy to kill shit in a test tube.

    4. Re:Vitamin C... by Bowling+Moses · · Score: 5, Interesting

      "Really, this will likely be quickly quashed by the Pharmas. Or they will patent a delivery transport - with the only FDA-approved administration protocol."

      Those actions are pretty much diametrically opposed. Option one, quash something that's already known presumably by managing to get a hold of the IP (good luck) and then sitting on it for years using a minimum of effort and cost. Option two, take something that works only on tuberculosis culture, do the R&D to make it work in humans, get it through clinical trials, then manufacture it and try to make a profit. Tuberculosis is a grand master at hide and go seek. It lives inside of human cells part of the time so delivering the vitamin C/vitamin C derivative is non-trivial. Even for a pathogen hanging out nekkid in the bloodstream the delivery of the drug to its target is non-trivial, 10 years and $1 billion of R&D is the rule of thumb to get to FDA approval from early stage research.

    5. Re:Vitamin C... by PopeRatzo · · Score: 3, Funny

      It's even noticeable when you have sex with another partner who has a different PH.

      I can only imagine the blank looks on the faces of Slashdot users reading that sentence.

      --
      You are welcome on my lawn.
    6. Re:Vitamin C... by Anonymous Coward · · Score: 5, Informative

      Well, to be fair, most organisms in a test tube can be killed by putting in a lot of acid (vitamin C being ascorbic acid)

      Actually, just vitamin C is Ascorbate.

      Ascorbate by itself is relatively unstable. Adding a hydrogen atom stabilizes it and makes it Ascorbic Acid which is probably the most common form of vitamin C.

      But you can add other atoms to it like Calcium, Sodium or Magnesium, which would make non-acidic, but still bioactive, forms of vitamin C.

  2. "More research needed." by spamchang · · Score: 5, Informative

    No context given in the article, but here's the abstract:

    "Drugs that kill tuberculosis more quickly could shorten chemotherapy significantly. In Escherichia coli, a common mechanism of cell death by bactericidal antibiotics involves the generation of highly reactive hydroxyl radicals via the Fenton reaction. Here we show that vitamin C, a compound known to drive the Fenton reaction, sterilizes cultures of drug-susceptible and drug-resistant Mycobacterium tuberculosis, the causative agent of tuberculosis. While M. tuberculosis is highly susceptible to killing by vitamin C, other Gram-positive and Gram-negative pathogens are not. The bactericidal activity of vitamin C against M. tuberculosis is dependent on high ferrous ion levels and reactive oxygen species production, and causes a pleiotropic effect affecting several biological processes. This study enlightens the possible benefits of adding vitamin C to an anti-tuberculosis regimen and suggests that the development of drugs that generate high oxidative burst could be of great use in tuberculosis treatment."

    So you need ferrous ions as well. Interesting things to have in your lungs, but it's a start.

  3. Seriously? This was on House years and years ago by enigmatic · · Score: 4, Informative

    So.. Did someone just catch up on the later seasons?

  4. acidic solution kills bacteria by iggymanz · · Score: 3, Funny

    and bears shit in the woods. story at 10

    1. Re:acidic solution kills bacteria by iggymanz · · Score: 3, Informative

      no, we're talking of a foreign acidic solution in unnatural concentration being harmful to certain bacteria

  5. Too much hype on preliminary study by raynet · · Score: 3, Interesting

    Sigh, it is almost too easy to kill stuff in test tube, HIV can be killed with garlic. It is quite rare to get it to work in a living being. Unfortunately this article will bring out the anti-vaccers, germ theory deniers and other woowoo people out of the woodworks...

    --
    - Raynet --> .
  6. Fire also kills drug resistant tuberculosis..... by EvilSS · · Score: 4, Insightful

    ....in a test tube.

    --
    I browse on +1 so AC's need not respond, I won't see it.
  7. What?? FTA by bjdevil66 · · Score: 3, Interesting

    "An estimated 650,000 people worldwide have multidrug-resistant TB..."

    So, every one of those 650,000 people aren't drinking enough orange juice?

    "We have only been able to demonstrate this in a test tube, and we don't know if it will work in humans and in animals."

    Oh, ok. When they come up with a Vitamin C IV drip cocktail or an inhaler/vaporizer that when used it kills TB and actually cures someone, then that will be news. Until then, we can at least look on the bright side: You can't hurt yourself by taking too much Vitamin C nearly as easily as you can with others like Vitamin A, etc. Someone out there is gonna hear that "Vitamin C kills TB" on the interwebs and OD on it, sooner or later.

  8. Re:Really?!?! by F.Ultra · · Score: 3, Informative

    But he didn't invent it for warfare, he invented it to make mining easier, once he saw that people would use his invention for warfare he was horrified and thus invented the peace price.

  9. Re:I take 6 grams a day by ChrisMaple · · Score: 3, Informative

    Large doses, particularly ascorbic acid, may promote diarrhea. Non-acidic forms like calcium ascorbate, sodium ascorbate, and ascorbyl palmitate, are more tolerable. YMMV.

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  10. Re:Dr. Fred Klenner cured polio with Vitamin C by cinnamon+colbert · · Score: 3, Interesting

    When I was a graduate student in a molecular biology program in the late 80s or early 90s, i heard, in person, Linus talk
    the professors at my institution were pretty sarcastic, but one thing linus said stuck in my brain:

    I take 10 grams a day, because if you look at how much vitamin C is in the blood of our closest animal relatives, chimps and gorillas, a human would need to take 10 grams a day to get the same level in the blood...but don't buy it from the drugstore , it is very exspensive, i buy it in 10 pound drums from a chemical company in cleveland OH (or maybe Akron)

    of course, humans and guinea pigs are very unsusal in that they require vitamin c in the diet; almost all other mammals can make their own.

  11. Why is M.tb. a problem and other clarifications by jw3 · · Score: 4, Informative

    Mtb is an intracellular pathogen. It invades our cells, the very same cells that are supposed to kill bacteria (the macrophages). This is why treatment of TB takes six months. Vitamin C, at a dosage lethal for Mtb as described in the article, cannot be used to kill the bacteria in our cells. The importance of the article is that it identifies a potentially intereseting difference between Mtb and other bacteria.

    As for vitamin C, this is not some kind of a miraculous drug; it is just a co-enzyme required for a few particular reactions in our metabolic pathways. We, humans, are mutants, we lack the ability to synthetise vitamin C -- along with our cousins, the monkeys, although most animals do synthetise it on their own. Lack of vitamin C impedes the metabolism. However, only little of the co-enzyme is needed, and once vitamin C is no longer a limiting factor, it has barely an effect.

    Think about that in terms of a network. If your wireless router is extremely slow, buying a new one will increase the speed of your connection. But what good is a super fast wifi router, if the outgoing connection runs at 10Mbit?

    Vitamin C is also an antioxidant, and this is why some people (quite incorrectly) think that taking large doses of vitamin C are beneficial. However, there are two forms of this compound, L-ascorbate (vitamin C) and D-ascorbate; both are antioxidative, but only one is a co-enzyme. D-ascorbate, however, shows no beneficial effects.

    Big pharma has not much interest in preventing the use of vitamin C in Mtb treatment. Mtb drugs are cheap, generic, and effective; the main reason why Mtb is a problem for much of the world is lack of fast and cheap diagnostic tools. You see, 2 billions (2e9, one third of worlds population) are infected with Mtb, and of these, only 10% will develop tuberculosis during their lifetime. However, we don't know which, why, and when. Also, when a person falls ill, it is not a quick process like a flu; rather than that, a person starts feeling unwell, caughing and becomes infectious over weeks before she finally decides to see a doctor. Here is a review article I wrote on TB and biomarkers: http://www.ncbi.nlm.nih.gov/pubmed/23181737 (full text behind a paywall, unfortunately).

    Pauling believed that taking large doses of vitamines will prevent cancer and took large amounts of vitamin C throughout his life. In 1994, he died of prostate cancer.

  12. Re:I take 6 grams a day by jw3 · · Score: 3, Informative

    6000 mg vitamin C daily, not counting vitamin C in the food? That is a lot. Consult your physician and be very, very cautious about suggesting medical advice if you are not prepared to take moral and financial responsibility for it. Yes, vitamin C is important. Yes, increased intake of vitamin C has been show to have several health benefits, including reduced stroke and cardiovascular disease risks, especially in smokers. However, "increased intake" means "well below 1g/day".

    6000 is 30-100 times the recommended daily dose. Although studies indicate that vitamin C intake at 2-4 g/day may not have large adverse effects (1), one has to be extremely cautious when recommending supplementing your diet by a 100x of a daily dose. The fact that you don't experience any adverse effects such as kidney stones (at least yet) does not mean that a person reading your comment will not suffer from that either.

    Apart from the problems with the digestive tract, vitamin C can hamper endurance in physical exercises (2). Moreover, vitamin C not used by the organism (which requires as little as 100-200mg / day) is excreted (3). For that, it is metabolised to oxalic acid, which in turn can cause kidney stones (4 and the references therein). So yes, although problems with vit. C overdose do not seem to be common and are not comparable to overdoses of some other vitamins, at 6g/d saying that "C can't hurt" is very risky (especially as supplements can contain other vitamins as well, and the fat soluble vitamins A, D, E and K can cause severe adverse effects -- vitamine poisoning -- when overdosed).

    The highest risk-free level of daily intake for vitamine C has been recently proposed to be 1000 mg (1g) (5, 6). People, before you install some shady software someone recommends at a biology-oriented website, ask your IT friend for advice. Before your follow medical advice from Slashdot, consult your physician.

    "Rational by choice."

    Prove it. Read the evidence based medical studies rather than trusting and spreading anecdotes.

    (1) http://onlinelibrary.wiley.com/doi/10.1111/j.1753-4887.1999.tb06926.x/abstract
    (2) http://ajcn.nutrition.org/content/87/1/142.short
    (3) http://ajcn.nutrition.org/content/69/6/1086.short
    (4) http://onlinelibrary.wiley.com/doi/10.1046/j.1365-2362.1998.00349.x/full
    (5) http://jama.jamanetwork.com/article.aspx?articleid=189543
    (6) http://www.pnas.org/content/93/8/3704.short