Vitamin C and the Common Cold
Encyclopedia
Vitamin C and the Common Cold is a popular book by Linus Pauling
Linus Pauling
Linus Carl Pauling was an American chemist, biochemist, peace activist, author, and educator. He was one of the most influential chemists in history and ranks among the most important scientists of the 20th century...

, first published in 1970, on vitamin C
Vitamin C
Vitamin C or L-ascorbic acid or L-ascorbate is an essential nutrient for humans and certain other animal species. In living organisms ascorbate acts as an antioxidant by protecting the body against oxidative stress...

, its interactions with common cold
Vitamin C and the common cold
The common cold is caused by several strains of viruses including the rhinovirus and the coronavirus. Colds are the leading cause of doctor's visits and the number one reason for absences from work and school...

 and the role of vitamin C megadosage
Vitamin C megadosage
Vitamin C megadosage is the consumption of vitamin C in doses comparable to the amounts produced by the livers of most other mammals and well beyond the current Dietary Reference Intake...

 in human health. The book promoted the idea that taking large amounts of vitamin C could reduce the duration and severity of the common cold
Common cold
The common cold is a viral infectious disease of the upper respiratory system, caused primarily by rhinoviruses and coronaviruses. Common symptoms include a cough, sore throat, runny nose, and fever...

. A Nobel Prize-winning chemist and activist, Pauling promoted a view of vitamin C that was strongly at odds with most of the scientific community, which found little evidence for the alleged health benefits of greatly increased vitamin C intake. The book went through multiple editions, and a revised version that discussed the flu and other diseases, retitled Vitamin C, the Common Cold & the Flu, came out in 1976.

The book characterizes the inability of humans and some other animals to produce vitamin C in terms of evolution
Evolution
Evolution is any change across successive generations in the heritable characteristics of biological populations. Evolutionary processes give rise to diversity at every level of biological organisation, including species, individual organisms and molecules such as DNA and proteins.Life on Earth...

 and Pauling's concept of "molecular disease" (first articulated in his 1949 study, "Sickle Cell Anemia, a Molecular Disease
Sickle Cell Anemia, a Molecular Disease
"Sickle Cell Anemia, a Molecular Disease" is a 1949 scientific paper by Linus Pauling, Harvey A. Itano, Seymour J. Singer and Ibert C. Wells that established sickle-cell anemia as a genetic disease in which affected individuals have a different form of the metalloprotein hemoglobin in their blood...

"). Pauling argues that the loss of vitamin C synthesis first arose as a molecular disease, because of a genetic mutation that resulted in the loss of the biochemical capacity to make the vitamin, but because diets of the primate ancestors of humans consisted of high levels of vitamin C from plant sources, the loss of that biochemical mechanism was not harmful and may have even been beneficial. He argues, however, that the subsequent shift to a high-meat, lower-plant diet resulted in widespread vitamin C deficiency.

Research, writing and revisions

Pauling began studying vitamin C megadosage, and orthomolecular medicine
Orthomolecular medicine
Orthomolecular medicine is a form of complementary and alternative medicine that seeks to maintain health and prevent or treat diseases by optimizing nutritional intake and/or prescribing supplements...

 more broadly, after he was contacted in 1966 by biochemist Irwin Stone
Irwin Stone
Irwin Stone was an American biochemist, chemical engineer, and author. He was the first to use ascorbic acid in the food processing industry as a preservative, and originated and published the hypothesis that humans require much larger amounts of Vitamin C for optimal health than is necessary to...

, who suggested that taking enough vitamin C would let him live another fifteen years. Pauling reinterpreted the large body of research on vitamin C based on comparative studies of the biochemical genetics of vitamin C synthesis in different species, as well his own theories about "molecular disease" and recent developments in molecular evolution
Molecular evolution
Molecular evolution is in part a process of evolution at the scale of DNA, RNA, and proteins. Molecular evolution emerged as a scientific field in the 1960s as researchers from molecular biology, evolutionary biology and population genetics sought to understand recent discoveries on the structure...

. He criticized the design of studies that did not find positive results for vitamin C megadose treatment, and promoted those that did. He and other vitamin C advocates thought the vitamin boosts the body's ability to fight all kinds of infection. By 1970, after following Stone's regimen for 4 years and studying and debating the issue extensively, Pauling was sure enough that organized medicine had it wrong that he wrote Vitamin C and the Common Cold to popularize his vitamin C message.

In 1970, he found an in-depth 1942 study from public health researcher at the University of Minnesota, "Vitamins for the Prevention of Colds", which became a focal point for his subsequent criticism of what he saw as flawed vitamin C research. One chapter was added to the second edition in 1971. By 1976, following confrontations with researchers holding to the mainstream view of vitamin C, Pauling expanded the book to include evidence related to a wide variety of other illnesses, and the flu in particular. That edition and a further revision in 1981 were issued under the title Vitamin C, the Common Cold & the Flu.

Reception

The book was well-received by the public and garnered considerable popular attention, resulting in a rush of vitamin C sales. Paperback editions were issued in 1971 and 1973, and Pauling subsequently authored several related books: Vitamin C and Cancer (1979) and How to Live Longer and Feel Better (1986). Because of its unorthodox conclusions and pointed attacks on the medical establishment, the book and Pauling himself faced considerable criticism from scientists and physicians.
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