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Updated: Sep 30, 2026

Quantitation of Endothelial Cell Adhesiveness In Vitro
Published on: June 18, 2015
Effects of oral vitamin C on monocyte: endothelial cell adhesion in healthy subjects
Kevin J Woollard1, Chris J Loryman, Elizabeth Meredith
1Pharmacology Research Group, PSRI, Aston University, Aston Triangle, Birmingham B4 7ET, UK.
Insights
Vitamin C supplementation can reduce monocyte adhesion to endothelial cells in individuals with low vitamin C levels. This finding suggests a potential benefit for cardiovascular health by normalizing this process.
Area of Science:
- Cardiovascular Science
- Nutritional Science
- Cell Biology
Background:
- Monocyte adhesion to endothelial cells is crucial in cardiovascular disease (CVD) pathogenesis.
- Oxidative stress influences monocyte recruitment, and low plasma ascorbate (vitamin C) is linked to elevated CVD risk.
- The impact of vitamin C supplementation on monocyte-endothelial cell interactions in healthy individuals is not well understood.
Purpose of the Study:
- To investigate the effect of vitamin C supplementation on monocyte adhesion to endothelial cells (ECs) in healthy non-smokers.
- To compare these effects in individuals with normal (HIC) versus below-average (LOC) baseline plasma vitamin C concentrations.
Main Methods:
- A randomized, double-blind, crossover study design was employed.
- Participants received vitamin C supplementation (250 mg/day) for six weeks.
- Monocyte adhesion to ECs and plasma malondialdehyde concentrations were measured at baseline and after supplementation.
Main Results:
- Subjects with below-average vitamin C (LOC) exhibited significantly greater monocyte adhesion to ECs compared to those with normal levels (HIC).
- Vitamin C supplementation reduced monocyte adhesion by 37% in LOC subjects, normalizing it to HIC levels.
- No significant differences in plasma malondialdehyde were observed between groups or after supplementation, suggesting an effect independent of lipid peroxidation.
Conclusions:
- Vitamin C supplementation effectively normalizes excessive monocyte adhesion in individuals with low plasma vitamin C.
- This normalization may occur through a direct effect on monocytes, independent of changes in lipid peroxidation.
- These findings highlight a potential mechanism by which vitamin C influences cardiovascular health.
Abstract:
Monocyte recruitment and retention in the vasculature is influenced by oxidative stress and is involved in cardiovascular disease (CVD). Individuals with low plasma ascorbate are at elevated risk of CVD. It is unknown whether vitamin C supplementation affects monocyte adhesion to endothelial cells (ECs) in healthy non-smokers. In a randomised double-blind crossover study the effect of vitamin C supplementation (six weeks, 250 mg/day) was determined in subjects with normal (HIC) and below average (LOC) plasma vitamin C concentration at baseline (mean=67 microM, n=20, mean=32 microM, n=20, respectively). LOC subjects showed 30% greater monocyte adhesion to ECs. This was significantly reduced by 37% (P<0.02) following vitamin C supplementation to levels of HIC monocyte adhesion. No differences in plasma malondialdehyde concentrations were observed between groups or after supplementation. In conclusion, vitamin C supplementation normalises monocyte adhesion in subjects with low plasma vitamin C (LOC). This process may be related to a direct effect on monocytes, independent of lipid peroxidation.
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