The antiproliferative effect and apoptosis-inducing action of
5-fluorouracil (5-FU) in combination with
vitamin C were tested in vitro against the chemosensitive mouse
lymphoma, the chemoresistant HEp-2 and a human lung fibroblast cell line.
Vitamin C itself had no antiproliferative effect on the fibroblasts, but increased the anticancer effect of
5-FU dose-dependently. In the case of the chemoresistant cell line, only a high concentration of
vitamin C increased the cytotoxicity of
5-FU. A combination of
5-FU and
vitamin C exerted a significantly enhanced apoptotic effect on the mouse
lymphoma cell line, whereas for the HEp-2 cell line this effect was less marked and was achieved only at a high concentration of
vitamin C. These findings suggest that the administration of a high dose of
vitamin C in combination with
5-FU chemotherapy enhances the chemoresponsiveness of
cancer cells and serves as a potential sensitizer, especially in chemo-resistant cell lines. One of the mechanisms by which
vitamin C potentiates
cytostatics could be apoptosis induction.