Id |
Subject |
Object |
Predicate |
Lexical cue |
T401 |
0-39 |
Sentence |
denotes |
Immune-Boosting Natural Health Products |
T402 |
40-185 |
Sentence |
denotes |
Ascorbic acid, more commonly known as vitamin C, has been shown to exhibit potent immunomodulatory, antioxidant, and antimicrobial effects (221). |
T403 |
186-374 |
Sentence |
denotes |
Vitamin C has been shown to restore NK cell cytotoxicity in individuals exposed to toxic chemicals through protein kinase C expression, a critical component in lymphocyte metabolism (222). |
T404 |
375-617 |
Sentence |
denotes |
Additional reports have shown that vitamin C also enhances the expression of NKp46, CD69, CD25 and IFN-γ production by NK cells (223) and can increase the expression of IRF3 in lung tissues of influenza infected, pneumonia-induced mice (224). |
T405 |
618-755 |
Sentence |
denotes |
Vitamin C also harbors potent antioxidant attributes which can scavenge reactive oxygen species (ROS) and prevent lung injury (225, 226). |
T406 |
756-940 |
Sentence |
denotes |
Although ROS production is an important component in the host defense response to viruses, they can be harmful to cells and lead to the pathogenesis of viral-induced host injury (227). |
T407 |
941-1223 |
Sentence |
denotes |
The underlying rationale to investigate the therapeutic potential of vitamin C has been based on two key observations: (i) critically ill patients have lower levels of vitamin C (228–230) and (ii) vitamin C has pleiotropic immunomodulatory, antioxidant, and antiviral effects (221). |
T408 |
1224-1357 |
Sentence |
denotes |
It is important to underscore that reports on the clinical outcomes of vitamin C treatment in humans are mixed and context dependent. |
T409 |
1358-1478 |
Sentence |
denotes |
A thorough meta-analysis on vitamin C supplementation for the common cold has been reported by Hemilä and Chalker (231). |
T410 |
1479-1658 |
Sentence |
denotes |
Briefly, they concluded that while the incidence of colds was not reduced, the duration and severity of colds was reduced when assessing studies of regular vitamin C intake (231). |
T411 |
1659-1833 |
Sentence |
denotes |
Interestingly, a separate meta-analysis on vitamin C and cardiac surgery showed a reduction in the length of ICU stay and shortened the need for mechanical ventilation (232). |
T412 |
1834-2011 |
Sentence |
denotes |
This is an important correlation as clinical trials are currently investigating the efficacy of vitamin C to reduce mortality and hospital burden in COVID-19 patients (Table 1). |
T413 |
2012-2159 |
Sentence |
denotes |
A Phase II clinical trial (NCT04264533) was initiated in Wuhan where COVID-19 patients will be given a high dose intravenous infusion of vitamin C. |
T414 |
2160-2488 |
Sentence |
denotes |
Lastly, whether oral dosing of vitamin C can achieve therapeutically relevant concentrations, as described in the above studies, is currently unknown, thus caution should be taken as exceeding the recommended dietary allowance of 100–200 mg/day may lead to mild toxicities including abdominal discomfort and diarrhea (231, 233). |