Ascorbate, an essential nutrient in humans, primates, and guinea pig,
is involved in many cellular functions. Ascorbate also modulates cell
growth and differentiation. Ascorbate can reduce or stimulate the grow
th of tumor cells, depending on the cell type. The inhibitory effect i
s not specific for the biological active isomer L-ascorbate, and isoas
corbate and D-ascorbate are more effective in reducing cell growth tha
n L-ascorbate. These results indicate that ascorbate has a cytotoxic e
ffect by killing cells directly, rather a cytostatic one. However, onl
y L-ascorbate is able to stimulate cell growth, but the mechanism of t
his stimulation is still unknown. L-Ascorbate stimulates the in vitro
differentiation of several mesenchyme-derived cell types by altering t
he expression of multiple genes as the cell progresses through specifi
c differentiation programs. Stimulation of collagen matrix at gene tra
nscription, mRNA stabilization, hydroxylation, and secretion is a key
role for L-ascorbate. L-Ascorbate also prevents cell transformation by
stabilization of the differentiated state and cooperates with other a
gents to induce differentiation in a leukemia cell line.