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Updated: Sep 2, 2025

Evaluating the Effectiveness of Cancer Drug Sensitization In Vitro and In Vivo
Published on: February 6, 2015
Selenium Modulates Cancer Cell Response to Pharmacologic Ascorbate
Connor S R Jankowski1,2,3, Joshua D Rabinowitz2,3,4
1Department of Molecular Biology, Princeton University, Princeton, New Jersey.
High-dose vitamin C (ascorbate) kills cancer cells via hydrogen peroxide, not dehydroascorbate. Selenium protects against this effect, and its deficiency enhances vitamin C
Area of Science:
- Redox biology
- Cancer therapy
- Nutritional biochemistry
Background:
- High-dose ascorbate (vitamin C) exhibits anticancer properties.
- Proposed mechanisms include hydrogen peroxide generation or glutathione depletion.
- The precise redox mechanisms and modulators are not fully elucidated.
Purpose of the Study:
- To elucidate the specific redox mechanisms underlying high-dose ascorbate's anticancer effects.
- To investigate the role of selenium in mediating ascorbate's cytotoxicity and anticancer activity.
- To explore the potential of dietary selenium modulation for enhancing cancer therapy.
Main Methods:
- In vitro studies assessing ascorbate's metabolic effects and cytotoxicity.
- Investigation of selenium's modulatory role using selenoenzymes (GPX1, GPX4) and NADPH.
- In vivo experiments using dietary selenium deficiency in glioblastoma xenograft mouse models.
Main Results:
- Ascorbate's cytotoxic and metabolic effects are mediated by hydrogen peroxide, independent of dehydroascorbate.
- Antioxidant selenoenzymes, particularly GPX1, suppressed ascorbate's effects, powered by NADPH.
- Dietary selenium deficiency significantly enhanced ascorbate's efficacy against glioblastoma in vivo.
Conclusions:
- Selenoproteins are critical regulators of cancer redox homeostasis.
- Cancer sensitivity to ascorbate and other free radical-inducing therapies is influenced by selenium status.
- Dietary selenium manipulation offers a potential strategy to improve the efficacy of pro-oxidant cancer therapies.
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