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      Combined inhalational and oral supplementation of ascorbic acid may prevent influenza pandemic emergency: A hypothesis

      review-article
      , M.D. , , Ph.D.
      Nutrition (Burbank, Los Angeles County, Calif.)
      Elsevier Inc.
      Pandemic, Influenza, Ascorbic acid, Vitamin C, Flu

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          Abstract

          Occurrence of influenza pandemics is a worldwide phenomenon and a significant cause of mortality and morbidity throughout the globe. It is due to mutations in the influenza virus genetic material creating antigenic drift of pathogenic viral proteins resulting in emergence of new influenza virus strains. Therefore, the vaccines available for prevention of influenza offer no protection against influenza pandemics caused by new virus strains. Moreover, the existing drugs used to combat influenza may be ineffective to treat influenza pandemics due to the emergence of drug resistance in the pandemic virus strain. Therefore, a working strategy must be developed to combat influenza pandemics. In this review we have addressed this problem and reviewed the published studies on ascorbic acid in the common cold and influenza and laboratory studies on the effect of ascorbic acid on influenza virus. We have also correlated the clinical and laboratory studies and developed a hypothesis to prevent influenza pandemics.

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          Most cited references56

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          Vitamin C exhibits pro-oxidant properties.

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            G2/M cell cycle arrest in the life cycle of viruses

            There is increasing evidence that viral infection, expression of viral protein or the presence of viral DNA causes the host cell cycle to arrest during G2/M. The mechanisms used by viruses to cause arrest vary widely; some involve the activation of the cellular pathways that induce arrest in response to DNA damage, while others use completely novel means. The analysis of virus-mediated arrest has not been proven easy, and in most cases the consequences of arrest for the virus life cycle are not well defined. However, a number of effects of arrest are being investigated and it will be interesting to see to what extent perturbation of the G2/M transition is involved in viral infections.
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              Oxidants, antioxidants, and respiratory tract lining fluids.

              Respiratory tract lining fluids (RTLFs) are a heterogeneous group of substances covering the respiratory tract epithelial cells (RTECs) from nasal mucosa to alveoli. Antioxidant contained in the RTLFs can be expected to provide an initial defense against inhaled environmental toxins. The major antioxidants in RTLF include mucin, uric acid, protein (largely albumin), ascorbic acid, and reduced glutathione (GSH). RTLF antioxidants can be augmented by such processes as transudation/exudation of plasma constituents; RTEC secretory processes, including glandular mucus secretion; and cellular antioxidants derived from lysis of RTECs and of inflammatory cells. The antioxidant composition of RTLFs and their role in modulating normal and pathophysiologic RTEC functions under conditions of oxidative stress are yet to be fully characterized.
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                Author and article information

                Contributors
                Journal
                Nutrition
                Nutrition
                Nutrition (Burbank, Los Angeles County, Calif.)
                Elsevier Inc.
                0899-9007
                1873-1244
                10 December 2009
                January 2010
                10 December 2009
                : 26
                : 1
                : 128-132
                Affiliations
                Department of Experimental Medicine and Biotechnology, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India
                Author notes
                []Corresponding author. Tel.: +91-172-275-523; fax: +91-172-274-4401. dibyajyoti5200@ 123456yahoo.co.in
                Article
                S0899-9007(09)00407-9
                10.1016/j.nut.2009.09.015
                7127226
                20005468
                1fcb1f18-f2b2-4ec6-a95b-0311bfb11b93
                Copyright © 2010 Elsevier Inc. All rights reserved.

                Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.

                History
                : 9 September 2009
                : 16 September 2009
                Categories
                Article

                Nutrition & Dietetics
                pandemic,influenza,ascorbic acid,vitamin c,flu
                Nutrition & Dietetics
                pandemic, influenza, ascorbic acid, vitamin c, flu

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