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Updated: Feb 8, 2026

Immunohistochemical Detection of 5-Methylcytosine and 5-Hydroxymethylcytosine in Developing and Postmitotic Mouse Retina
Published on: August 29, 2018
Restoration of 5-hydroxymethylcytosine by ascorbate blocks kidney tumour growth
Guangzhe Ge1,2, Ding Peng1,3,4,5, Ziying Xu1,2
1Key Laboratory of Genomics and Precision Medicine, Beijing Institute of Genomics, Chinese Academy of Sciences, Beijing, China.
Abstract:
Loss of 5-hydroxymethylcytosine (5hmC) occurs frequently in a wide variety of tumours, including clear-cell renal cell carcinoma (ccRCC). It remains unknown, however, whether the restoration of 5hmC patterns in tumours could have therapeutic efficacy. Here, we used sodium L-ascorbate (vitamin C, AsANa) and the oxidation-resistant form L-ascorbic acid 2-phosphate sesquimagnesium (APM) for the restoration of 5hmC patterns in ccRCC cells. At physiological concentrations, both show anti-tumour efficacy during long-term treatment in vitro and in vivo Strikingly, global 5hmC patterns in ccRCC cells after treatment resemble those of normal kidney tissue, which is observed also in treated xenograft tumours, and in primary cells from a ccRCC patient. Further, RNA-seq data show that long-term treatment with vitamin C changes the transcriptome of ccRCC cells. Finally, APM treatment induces less non-specific cell damage and shows increased stability in mouse plasma compared to AsANa. Taken together, our study provides proof of concept for an epigenetic differentiation therapy of ccRCC with vitamin C, especially APM, at low doses by 5hmC reprogramming.
Insights
Restoring 5-hydroxymethylcytosine (5hmC) patterns in clear-cell renal cell carcinoma (ccRCC) using vitamin C (ascorbate) showed anti-tumour effects. This epigenetic therapy reprogrammed ccRCC cells, resembling normal kidney tissue patterns.
Area of Science:
- Epigenetics
- Cancer Biology
- Biochemistry
Background:
- Loss of 5-hydroxymethylcytosine (5hmC) is common in clear-cell renal cell carcinoma (ccRCC).
- The therapeutic potential of restoring 5hmC patterns in ccRCC remains largely unexplored.
Purpose of the Study:
- To investigate the efficacy of vitamin C (ascorbate) in restoring 5hmC patterns in ccRCC.
- To evaluate the anti-tumour effects of vitamin C and its derivatives in ccRCC treatment.
Main Methods:
- Treatment of ccRCC cells and xenografts with sodium L-ascorbate (AsANa) and L-ascorbic acid 2-phosphate sesquimagnesium (APM).
- Analysis of 5hmC patterns, transcriptome changes (RNA-seq), and cell damage.
- In vitro and in vivo efficacy assessments.
Main Results:
- Both AsANa and APM demonstrated anti-tumour efficacy at physiological concentrations.
- Vitamin C treatment restored 5hmC patterns in ccRCC cells to resemble normal kidney tissue.
- Long-term vitamin C treatment altered the ccRCC cell transcriptome.
- APM showed greater stability and less non-specific cell damage compared to AsANa.
Conclusions:
- Vitamin C, particularly APM, shows potential as an epigenetic differentiation therapy for ccRCC.
- 5hmC reprogramming by low-dose vitamin C offers a novel therapeutic strategy for ccRCC.
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