Plasma and Esophageal Mucosal Levels of Vitamin C: Role in the Pathogenesis and Neoplastic Progression of Barrett's Esophagus

Overview

Journal Dig Dis Sci

Specialty Gastroenterology

Date 2004 Aug 18

PMID 15309877

Citations 18

Authors

A Fountoulakis

I G Martin

K L M White

M F Dixon

J E Cade

H M Sue-Ling

C P Wild

Affiliations

Soon will be listed here.

Abstract

Antioxidants may protect against the development of esophageal adenocarcinoma. Blood samples and endoscopic biopsies (squamous, Barrett's, and gastric mucosa) were obtained from 48 Barrett's esophagus (BE) patients, while 48 age- and sex-matched controls provided blood samples only. Plasma concentrations of vitamins A, C, and E were measured in all subjects, while vitamin C was measured in relation to the type of mucosa. Plasma total vitamin C level, but not vitamin A or E, was lower in BE patients compared to controls (P = 0.014). Tissue levels of total vitamin C were significantly lower in Barrett's compared with squamous mucosa (P = 0.047). A positive association was observed between plasma vitamin C and dietary intake of vitamin C, while there was an inverse association with alcohol consumption. The lower levels of vitamin C in plasma of BE patients and in Barrett's mucosa compared with squamous mucosa are consistent with oxidative stress being of importance in the pathogenesis and neoplastic progression of BE.

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