Official journal of the Slovak Society of Cardiology,
Slovak Society of Hypertension and Slovak Association for Cardiac Arrhythmias

Cardiology Letters 2020, 29(4):248-255

Vitamin C supplementation promotes whole blood rheology in healthy humans

Radošinská J1, 2, Jasenovec T1, Púzserová A3, Krajčír J1, Laceková J1, Kučerová K1, Kalnovičová T4, Tóthová Ľ5, Kovačicová I2, Vrbjar N2
Lekárska fakulta, Univerzita Komenského v Bratislave, Bratislava, Slovenská republika

Objectives: Rheological properties of blood significantly affect blood flow in large vessels. Changes in macrocirculation contribute to atherogenesis and consequently cardio-vascular diseases. However, blood flow disorders also impair the quality of microcirculation, e.g. in patients with recurrent episodes of cardiac ischemia. Since a negative correlation between plasma vitamin C levels and blood viscosity was found, we focused on the effect of vitamin C on hemorheology in more detail. Considering the important role of erythrocytes in blood rheology, we decided to simultaneously monitor changes in erythrocyte parameters.

Methods: Hemorheological parameters were determined by rotational and oscillatory measurements. Regarding erythrocytes, we measured their deformability, nitric oxide production and sodium-potassium pump activity.

Results: We observed a beneficial effect of increased vitamin C intake on several hemorheological parameters as well as improvement of erythrocyte deformability, increased nitric oxide production and activity of sodium-potassium pump. No change in oxidative stress and antioxidant protection parameters in plasma was observed.

Conclusion: Vitamin C administration led to an improvement in several hemorheological parameters in healthy young volunteers. Since improvement in hemorheology may contribute to better quality of macro- and microcirculation, our results suggest a possible benefit of vitamin C administration in patients with impaired hemodynamics.

Keywords: vitamin C; hemorheology; erythrocytes; erythrocyte deformability; nitric oxide; Na,K-ATPase

Published: April 1, 2020  Show citation

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Radošinská J, Jasenovec T, Púzserová A, Krajčír J, Laceková J, Kučerová K, et al.. Vitamin C supplementation promotes whole blood rheology in healthy humans. Cardiology Letters. 2020;29(4):248-255.
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References

  1. Malek AM, Alper SL, Izumo S. Hemodynamics hear stress and its role in atherosclerosis. JAMA. 1999;282:2035-2042. Go to original source...
  2. Vayá A, Martínez M, Dalmau J, er al. Hemorheological profile in patients with cardiovascular risk factors. Haemostasis. 1996;26:166-1170. Go to original source...
  3. Toth A, Papp J, Rabai M, et al. The role of hemorheological factors in cardiovascular medicine. Clin Hemorheol Microcirc. 2014;56:197-204. doi: 10.3233/CH-131685. Go to original source...
  4. Kensey KR. The mechanistic relationships between hemorheological characteristics and cardiovascular disease. Curr Med Res Opin. 2003;19:587-596. Go to original source...
  5. Shin S, Ku Y, Park MS, et al. Deformability of redblood cells: A determinant of blood viscosity. J Mech Sci Technol 2005;19:216. doi:10.1007/BF02916121 Go to original source...
  6. Cortese-Krott MM, Kelm M. Endothelial nitric oxide synthase in redblood cells: key to a new erythrocrine function? Redox Bio. 2014;2:251-258. doi: 10.1016/j.redox.2013.12.027 Go to original source...
  7. Bor-Kucukatay M, Wenby RB, Meiselman HJ, et al. Effects of nitric oxide on redblood cell deformability. Am J Physiol Heart Circ Physiol 2003;284:H1577-1584. Go to original source...
  8. Jasenovec T, Radosinska J, Vrbjar N. Vlastnosti erytrocytov a rizikové faktory pre kardiovaskulárne ochorenia. Cardiology Lett. 2017;26:348-352.
  9. Juhan-Vague I, Roul C, Rahmani-Jourdheil D, et al. Rapid modifications of biophysical and biochemical parameters of redblood cell membrane from insulin dependent diabetics after insulin administration. Klin Wochenschr 1986;64:1046-1049.
  10. Amaiden MR, Santander VS, Monesterolo NE, et al. Effects of detyrosinated tubulin on Na+,K+-ATPase activity and erythrocyte function in hypertensive subjects. FEBS Lett 2015;589:364-373. doi: 10.1016/j.febslet.2014.12.022 Go to original source...
  11. Radosinska J, Vrbjar N. The role of redblood cell deformability and Na,K-ATPase function in selected risk factors of cardiovascular diseases in humans: focus on hypertension, diabetes mellitus and hypercholesterolemia. Physiol Res 2016;65:S43-54. Go to original source...
  12. Pretorius E, Olumuyiwa-Akeredolu OO, Mbotwe S, et al. Erythrocytes and their role as health indicator: Using structure in a patient-orientated precision medicine approach. Blood Rev 2016;30:263-274. doi: 10.1016/j.blre.2016.01.001 Go to original source...
  13. Arese P, Turrini F, Schwarzer E. Band 3/complement-mediated recognition and removal of normally senescent and pathological human erythrocytes. Cell Physiol Biochem 2005;16:133-146. Go to original source...
  14. Mohanty JG, Nagababu E, Rifkind JM. Redblood cell oxidative stress impairs oxygen delivery and induces redblood cell aging. Front Physiol 2014;5:84. doi: 10.3389/fphys.2014.00084 Go to original source...
  15. Cho YI, Cho DJ. Hemorheology and microvascular disorders. Korean Circ J. 2011;41:287-295. doi: 10.4070/kcj.2011.41.6.287. Go to original source...
  16. Campo-Deaño L, Dullens RP, Aarts DG, et al. Viscoelasticity of blood and viscoelastic blood analogues for use in polydymethylsiloxane in vitro models of the circulatory system. Biomicrofluidics 2013;7:34102. doi: 10.1063/1.4804649 Go to original source...
  17. Woodward M, Rumley A, Tunstall-Pedoe H, et al. Associations of blood rheology and interleukin-6 with cardiovascular risk factors and prevalent cardiovascular disease. Br J Haematol. 1999;104:246-257. Go to original source...
  18. Lee BK, Xue S, Nam J, et al. Determination of the blood viscosity and yield stress with a pressure-scanning capillary hemorheometer using constitutive models. Korea-Aust Rheol J 2011;23:1-6. Go to original source...
  19. Radosinska J, Horvathova M, Frimmel K, et al. Acute dark chocolate ingestion is beneficial for hemodynamics via enhancement of erythrocyte deformability in healthy humans. Nutr Res 2017;39:69-75. doi: 10.1016/j.nutres.2017.03.002 Go to original source...
  20. Cortese-Krott MM, Rodriguez-Mateos A, Sansone R, et al. Human redblood cells at work: identification and visualization of erythrocytic eNOS activity in health and disease. Blood 2012;120:4229-4237. doi: 10.1182/blood-2012-07-442277 Go to original source...
  21. Radosinska J, Mezesova L, Okruhlicova L, et al. Effect of yeast biomass with high content of carotenoids on erythrocyte deformability, NO production and Na,K-ATPase activity in healthy and LPS treate drats. Clin Hemorheol Microcirc 2016;64:125-134. Go to original source...
  22. Lowry OH, Rosebrough NJ, Farr AL, et al. Protein measurement with the folinphenolre agent. J BiolChem 1951;193:265-275. Go to original source...
  23. Taussky HH, Shorr E. A microcolor imetric method for the determination of inorganic phosphorus. J Biol Chem 1953;202:675-685. Go to original source...
  24. Witko-Sarsat V, Friedlander M, Capeillère-Blandin C, et al. Advanced oxidation protein products as a novel marker of oxidative stress in uremia. Kidney Int 1996;49:1304-1313. Go to original source...
  25. Behuliak M, Pálffy R, Gardlík R, et al. Variability of thiobarbituric acid reacting substances in saliva. Dis Markers 2009;26:49-53. doi: 10.3233/DMA-2009-0606 Go to original source...
  26. Münch G, Keis R, Wessels A, et al. Determination of advanced glycation end products in serum by fluorescence spectroscopy and competitive ELISA. Eur J Clin Chem Clin Biochem 1997;35:669-677. Go to original source...
  27. Benzie IF, Strain JJ. The ferric reducing ability of plasma (FRAP) as a measure of "antioxidant power": the FRAP assay. Anal Biochem 1996;239:70-76. Go to original source...
  28. Alves MM, Rocha C, Gonçalves MP. Study of the rheological behaviour of human blood using a controlled stress rheometer. Clin Hemorheol Microcirc 2013;53:369-386. doi: 10.3233/CH-121645 Go to original source...
  29. Chien S. Determinants of blood viscosity and redcell deformability. Scand J Clin Lab Investig 1981;41:7-12. Go to original source...
  30. Picart C, Piau JM, Galliard H, et al. Human blood shear yield stress and its hematocrit dependence. J Rheol 1998;42:1-12. Go to original source...
  31. Replogle RL, Meiselman HJ, Merrill EW. Clinical implications of blood rheology studies. Circulation 1967;36:148-160. Go to original source...
  32. Marik PE, Khangoora V, Rivera R, et al. Hydrocortisone, vitamin C, and thiamine for the treatment of severe sepsis and septic shock: A retrospective before-after study. Chest. 2017;151:1229-1238. doi: 10.1016/j.chest.2016.11.036. Go to original source...
  33. Donadello K, Piagnerelli M, Reggiori G, et al. Reduced redblood cell deformability over time is associated with a poor outcome in septic patients. Microvasc Res. 2015;101:8-14. doi: 10.1016/j.mvr.2015.05.001. Go to original source...
  34. Suhr F, Brenig J, Müller R, et al. Moderate exercise promotes human RBC-NOS activity, NO production and deformability through Akt kinase pathway. PLoSOne 2012;7:e45982. Go to original source...
  35. d'Uscio LV, Milstien S, Richardson D, et al. Long-term vitamin C treatment increases vascular tetrahydrobiopterin levels and nitric oxide synthase activity. Circ Res 2003;92:88-95. Go to original source...
  36. May JM. How does ascorbic acid prevent endothelial dysfunction? Free Radic Biol Med 2000;28:1421-1429. Go to original source...
  37. Kumar P, Chaudhary N, Sharma, et al. Detection of oxidative stress biomarkers in myricetin treated redblood cells. RSC Adv 2016;6,100028-34. doi: 10.1039/c6ra15213a Go to original source...
  38. Rodrigo R, Miranda-Merchak A, Valenzuela Grau R, et al. Modulation of (Na,K)-ATPase activity by membrane fatty acid composition: therapeutic implications in human hypertension. Clin Exp Hypertens 2014;36:17-26. Go to original source...
  39. Kumar N, Kant R, Maurya PK, et al. Concentration dependent effect of (-)-Epicatechin on Na(+) /K(+) -ATPase and Ca(2+) -ATPase inhibition induced by free radicals in hypertensive patients: comparison with L-ascorbic acid. Phytother Res 2012;26:1644-1647. doi: 10.1002/ptr.4624. Go to original source...
  40. Vrbjar N, Bernátová I, Pechánová O. Changes of sodium and ATP affinities of the cardiac (Na,K)-ATPase during and after nitric oxide deficient hypertension. Mol Cell Biochem 1999;202:141147. Go to original source...
  41. Vrbjar N, Javorková V, Pechánová O. Changes of sodium and ATP affinities of the renal Na,K-ATPase during and after nitric oxidedeficient hypertension. Physiol Res 2002;51:475-481. Go to original source...
  42. Forst T, Kunt T. Effects of C-peptide on microvascular blood flow and blood hemorheology. Exp Diabesity Res 2004;5:51-64. Go to original source...
  43. Spengler MI, Rasia M, Palma S, et al. Effects of ascorbate fatty ester derivatives on erythrocyte membrane lipoperoxidation. Clin Hemorheol Microcirc 2011;47:163-168. doi: 10.3233/CH2010-1266. Go to original source...