Epidemiological data suggest that dietary antioxidants play a protective ro
le against cancer. This has led to the proposal that dietary supplementatio
n with antioxidants such as vitamin C (vit C) may be useful in disease prev
ention. However, vit C has proved to be ineffective in cancer chemopreventi
on studies. In addition, concerns have been raised over potentially deleter
ious transition metal ion-mediated pro-oxidant effects. We have now determi
ned that vit C induces lipid hydroperoxide decomposition to the DNA-reactiv
e bifunctional electrophiles 4-oxo-2-nonenal, 4,5-epoxy-2(E)-decenal, and 4
-hydroxy-2-non-enal, The compound 4,5-Epoxy-2(E)-decenal is a precursor of
etheno-2'-deoxyadenosine, a highly mutagenic lesion found in human DNA. Vit
amin C-mediated formation of genotoxins from lipid hydroperoxides in the ab
sence of transition metal ions could help explain its lack of efficacy as a
cancer chemoprevention agent.