Skip to main content
Log in

The Pro-Oxidant Activity of High-Dose Vitamin E Supplements in Vivo

  • Short Communication
  • Published:
BioDrugs Aims and scope Submit manuscript

Abstract

Background

A recent meta-analysis has demonstrated that the regular administration of high-dose vitamin E supplements may be associated with increased mortality. The biological mechanism for this effect is uncertain.

Methods

A ferrous oxidation xylenol assay was used to assess plasma oxidation activity levels in samples from a randomized, placebo-controlled, 6-week trial of daily vitamin E supplementation in adults with asthma (n = 72).

Results and conclusion

27% increase in plasma oxidation activity levels was observed in patients receiving vitamin E. We demonstrate a pro-oxidant effect of high-dose vitamin E supplementation that may explain the increase in mortality observed in intervention studies using this nutrient.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

References

  1. Millen A, Dodd K, Subar A. Use of vitamin, mineral, nonvitamin, and nonmineral supplements in the United States: the 1987, 1992, and 2000 National Health Interview Survey Results. J Am Diet Assoc 2004; 104: 942–50

    Article  PubMed  Google Scholar 

  2. Balluz L, Kieszak S, Philen R, et al. Vitamin and mineral supplement use in the United States. Arch Fam Med 2000; 9: 258–62

    Article  PubMed  CAS  Google Scholar 

  3. Miller E, Pastor-Barriuso R, Dalai D, et al. Meta-analysis: high dose vitamin E supplementation may increase all-cause mortality. Ann Intern Med 2005; 142: 1–11

    Google Scholar 

  4. The HOPE and HOPE-TOO Trial Investigators. Effects of long-term vitamin E supplementation on cardiovascular events and cancer: a randomised controlled trial. JAMA 2005; 293: 1338–47

    Article  Google Scholar 

  5. Bowry V, Stocker R. Tocopherol-mediated peroxidation: the prooxidant effect of vitamin E on the radical-initiated effect oxidation of human low-density lipoprotein. J Am Chem Soc 1993; 115: 6029–44

    Article  CAS  Google Scholar 

  6. Pearson P, Fogarty A, Lewis S, et al. Vitamin E supplementation in the treatment of asthma: a randomised controlled trial. Thorax 2004; 59: 652–6

    Article  PubMed  CAS  Google Scholar 

  7. DeLong J, Prange RK, Hodges DM, et al. Using a modified ferrous-oxidationxyelnol orange (FOX) assay for detection of lipid hydrperoxides in plant tissue. J Agric Food Chem 2002; 50: 248–54

    Article  PubMed  CAS  Google Scholar 

  8. Nourooz-Zadeh J, Tajaddini-Sarmadi J, Wolff S. Measurement of plasma hydroperoxide concentrations by the ferrous oxidation-xylenol orange assay in conjunction with triphenylphosphine. Anal Biochem 1994; 220: 403–9

    Article  PubMed  CAS  Google Scholar 

  9. Facchini F, Humphries M, DoNascimento C, et al. Relation between insulin resistance and plasma concentrations of lipid hydroperoxides, carotenoids, and tocopherols. Am J Clin Nutr 2000; 72: 776–9

    PubMed  CAS  Google Scholar 

  10. Nourooz-Zadeh J, Tajaddini-Sarmadi J, Ling K, et al. Low-density lipoprotein is the major carrier of lipid hydroperoxides in plasma. Biochem J 1996; 313: 781–6

    PubMed  CAS  Google Scholar 

  11. Lyras L, Cairns N, Jenner A, et al. An assessment of oxidative damage to proteins, lipids, and DNA in brain from patients with Alzheimer’s Disease. J Neurochem 1997; 68: 2061–9

    Article  PubMed  CAS  Google Scholar 

  12. Ames B, Gold L, Willett W. The causes and prevention of cancer. Proc Natl Acad Sci U S A 1995; 92: 5258–65

    Article  PubMed  CAS  Google Scholar 

  13. Devaraj S, Traber M. γ-Tocopherol, the new vitamin E. Am J Clin Nutr 2003; 77: 530–1

    PubMed  CAS  Google Scholar 

  14. Jialal I, Fuller C, Huet B. The effect of α-Tocopherol supplementation on LDL oxidation. Arterioscler Thromb Vasc Biol 1995; 15: 190–8

    Article  PubMed  CAS  Google Scholar 

  15. Suzukawa M, Ishikawa T, Yoshida H, et al. Effect of in-vivo supplementation with low-dose vitamin E on susceptibility of low-density lipoprotein and highdensity lipoprotein to oxidative modification. J Am Coll Nutr 1995; 14: 46–52

    PubMed  CAS  Google Scholar 

  16. Nagyova A, Mongiellova V, Krivosikova Z, et al. Serum ex vivo lipoprotein oxidizability in patients with ischemie heart disease supplemented with vitamin E. Physiol Res 2002; 51: 457–64

    PubMed  CAS  Google Scholar 

  17. Meagher E, Barry O, Lawson J, et al. Effects of vitamin E on lipid peroxidation in healthy persons. JAMA 2004; 285: 1178–82

    Article  Google Scholar 

  18. Keith M, Jeejeebhoy KN, Langer A, et al. A controlled clinical trial of vitamin E supplementation in patients with congestive heart failure. Am J Clin Nutr 2001; 73: 219–24

    PubMed  CAS  Google Scholar 

  19. Mezey E, Potter J, Rennie-Tankersley L, et al. A randomised placebo controlled trial of vitamin E for alcoholic hepatitis. J Hepatol 2003; 40: 40–6

    Article  Google Scholar 

  20. Giray B, Kan E, Bali M, et al. The effect of vitamin E supplementation on antioxidant enzyme activities and lipid peroxidation levels in hemodialysis patients. Clin Chim Acta 2003; 338: 91–8

    Article  PubMed  CAS  Google Scholar 

  21. Podmore I, Griffiths HR, Herbert KE, et al. Vitamin C exhibits pro-oxidant properties. Nature 1998; 392: 559

    Article  PubMed  CAS  Google Scholar 

  22. Thomas S, Stocker R. Molecular action of vitamin E in lipoprotein oxidation: implications for atherosclerosis. Free Radie Biol Med 2000; 28: 1795–805

    Article  CAS  Google Scholar 

  23. Eidelman R, Hollar D, Hebert P, et al. Randomised trials of vitamin E in the treatment and prevention of cardiovascular disease. Arch Intern Med 2004; 164: 1552–6

    Article  PubMed  CAS  Google Scholar 

  24. Institute of Science. Dietary reference intakes for vitamin C, vitamin E, selenium and carotenoids. Washington, DC: National Academies Press, 2000

    Google Scholar 

Download references

Acknowledgments

The authors contributed equally to this work. This article was funded by Asthma UK. The authors have no conflicts of interest relevant to the publication of this article.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Andrew Fogarty.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Pearson, P., Lewis, S.A., Britton, J. et al. The Pro-Oxidant Activity of High-Dose Vitamin E Supplements in Vivo . BioDrugs 20, 271–273 (2006). https://doi.org/10.2165/00063030-200620050-00002

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.2165/00063030-200620050-00002

Keywords

Navigation