Vitamin C reduces interleukin-6 plasma concentration: a systematic review and meta-analysis of randomized clinical trials

Mohammad Gholizadeh, Said Abdul Ghafour Saeedy, Arash Abdi, Fatemeh Khademi, Keivan Lorian, Cain Clark, Kurosh Djafarian

    Research output: Contribution to journalReview articlepeer-review

    4 Citations (Scopus)
    55 Downloads (Pure)

    Abstract

    Background Interleukin 6 is an important biomarker for distinguishing high-risk and low-risk patients, and is a constituent of the Nutrition Risk in the Critically III (NUTRIC) Score. Studies have indicated the beneficial effects of vitamin C on lowering IL-6 levels and reducing cytokine storm. However, there is still controversy about the exact effect, appropriate route, and dose of vitamin C usage. This meta-analysis was conducted to evaluate the current evidence base relating to vitamin C intervention on decreasing IL-6 levels. Methods A systematic search was performed in PubMed, Scopus, Google Scholar, and Cochran databases, from database inception to July 3rd 2021, to obtain any possible randomized clinical trial for inclusion. After screening and removing unrelated and duplicate articles, 24 eligible articles remained for statistical analysis. Results We found a significant lowering effect of vitamin C supplementation on IL-6 levels via peroral (PO) (WMD = -0.29 pg/l, 95% CI [-0.42, -0.16], P<0.0001) and intravenous (IV) routes with (WMD = -7.99 pg/l, 95% CI [-8.36, -7.62], P<0.0001). Conclusions Vitamin C, at doses of 250–1000 mg/day and for less than one week of treatment, regardless of the route of administration, reduces IL-6 levels in participants.
    Original languageEnglish
    Pages (from-to)1-14
    Number of pages14
    JournalClinical Nutrition Open Science
    Volume40
    Early online date25 Sept 2021
    DOIs
    Publication statusPublished - Dec 2021

    Bibliographical note

    Funding Information:
    There was no funding for this study and this work was not supported by any specific grant from funding agencies in the public, commercial.

    Publisher Copyright:
    © 2021 The Authors

    Keywords

    • Interleukin 6
    • Vitamin C
    • Inflammation
    • Cytokine
    • Endocrinology, Diabetes and Metabolism
    • Nutrition and Dietetics

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