Intestinal Absorption: The First Step
Vitamin C, in its reduced form (ascorbic acid or ASC) and oxidized form (dehydroascorbic acid or DHA), is absorbed in the small intestine. The sodium-dependent vitamin C transporter 1 (SVCT1) actively transports ASC from the intestine into cells. SVCT1 is a high-capacity, low-affinity transporter crucial for maintaining overall vitamin C levels, efficiently absorbing the vitamin at low to moderate doses. DHA is transported via glucose transporters (GLUTs), such as GLUT1 and GLUT3, through facilitated diffusion. Inside the cell, DHA is converted back to ASC.
Systemic Distribution to Tissues
After absorption, vitamin C, primarily as ASC, enters the bloodstream and is distributed to tissues. The sodium-dependent vitamin C transporter 2 (SVCT2) is the main transporter for tissue uptake. SVCT2 is a high-affinity, low-capacity transporter present in most cell types, allowing cells to concentrate vitamin C against a gradient. High concentrations are found in organs like the adrenal glands, pituitary gland, brain, and eyes. Some cells, including red blood cells, take up DHA through GLUTs, which is then reduced back to ASC.
Specialized Transport to the Brain
The brain has a specific mechanism to transport vitamin C past the blood-brain barrier. ASC is transported into the cerebrospinal fluid (CSF) by SVCT2 in the choroid plexus. From the CSF, it reaches the brain's extracellular fluid and is then taken up by neurons via SVCT2. Inside neurons, ASC acts as an antioxidant and neuromodulator. The brain can recycle vitamin C; DHA released by neurons is taken up by astrocytes via GLUT1 and converted back to ASC.
Renal Reabsorption and Homeostasis
The kidneys regulate the body's vitamin C levels. Vitamin C is filtered into the renal tubules and then reabsorbed back into the bloodstream by SVCT1 transporters. This reabsorption is saturable and depends on the body's vitamin C status. Excess vitamin C is excreted in the urine when the reabsorption capacity is exceeded. This process, along with intestinal absorption, helps maintain vitamin C balance.
Regulation of Vitamin C Transport
Factors influencing vitamin C transport include oral dosage, which affects intestinal absorption due to SVCT1 saturation. The recycling of DHA helps maintain concentration gradients for GLUT-mediated transport. Genetic variations in SVCT and GLUT transporters can impact vitamin C levels. Oxidative stress can increase vitamin C turnover and influence DHA transport.
Comparison of Vitamin C Transporters
| Feature | SVCT1 | SVCT2 | GLUTs (e.g., 1, 3, 4) | 
|---|---|---|---|
| Function | Absorption from intestine, renal reabsorption | Tissue distribution, transport to CNS | Facilitated diffusion of DHA | 
| Vitamin C Form | Ascorbic Acid (ASC) | Ascorbic Acid (ASC) | Dehydroascorbic Acid (DHA) | 
| Mechanism | Active, sodium-dependent | Active, sodium-dependent | Facilitated diffusion | 
| Capacity/Affinity | High capacity, low affinity | Low capacity, high affinity | Affinity varies, competes with glucose | 
| Key Locations | Intestine, Kidney | Ubiquitous (brain, adrenals, eyes) | Various cell types, including erythrocytes | 
Conclusion
Vitamin C transport is a complex process mediated by specialized protein carriers. Intestinal absorption involves SVCT1 and GLUTs. SVCT2 is key for tissue distribution and concentrating vitamin C in vital organs. The kidneys regulate homeostasis via SVCT1 reabsorption. The body also recycles oxidized vitamin C (DHA) back to ASC. This intricate system ensures a continuous supply of vitamin C to cells despite its water-soluble nature and limited storage.
For a deeper look into the intricate pharmacology of vitamin C, including transport kinetics, consult reputable scientific sources such as this review on The Pharmacokinetics of Vitamin C.