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              <text>&lt;a href="http://doi.org/10.1016/s0006-2952(02)00904-8" target="_blank" rel="noreferrer noopener"&gt;http://doi.org/10.1016/s0006-2952(02)00904-8&lt;/a&gt;</text>
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              <text>1773–1783</text>
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                <text>Autoschizis: a novel cell death.</text>
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                <text>Biochemical pharmacology</text>
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                <text>Animals; Antioxidants/chemistry/*pharmacology/therapeutic use; Ascorbic Acid/chemistry/*pharmacology/therapeutic use; Cell Death/*physiology; Humans; Necrosis; Neoplasms/drug therapy/metabolism/*pathology; Oxidative Stress/*drug effects; Vitamin K/chemistry/*pharmacology/therapeutic use</text>
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                <text>Jamison James M; Gilloteaux Jacques; Taper Henryk S; Calderon Pedro Buc; Summers Jack L</text>
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                <text>Vitamin C (VC) and vitamin K(3) (VK(3)) administered in a VC:VK(3) ratio of 100:1 exhibit synergistic antitumor activity and preferentially kill tumor cells by autoschizis, a novel type of necrosis characterized by exaggerated membrane damage and progressive loss of organelle-free cytoplasm through a series of self-excisions. During this process, the nucleus becomes smaller, cell size decreases one-half to one-third of its original size, and most organelles surround an intact nucleus in a narrow rim of cytoplasm. While the mitochondria are condensed, tumor cell death does not result from ATP depletion. However, vitamin treatment induces a G(1)/S block, diminishes DNA synthesis, increases H(2)O(2) production, and decreases cellular thiol levels. These effects can be prevented by the addition of catalase to scavenge the H(2)O(2). There is a concurrent 8- to 10-fold increase in intracellular Ca(2+) levels. Electrophoretic analysis of DNA reveals degradation due to the caspase-3-independent reactivation of deoxyribonuclease I and II (DNase I, DNase II). Redox cycling of the vitamins is believed to increase oxidative stress until it surpasses the reducing ability of cellular thiols and induces Ca(2+) release, which triggers activation of Ca(2+)-dependent DNase and leads to degradation of DNA. Recent experiments indicate that oral VC:VK(3) increases the life-span of tumor-bearing nude mice and significantly reduces the growth rate of solid tumors without any significant toxicity by reactivating DNase I and II and inducing autoschizis. This report discusses the mechanisms of action employed by these vitamins to induce tumor-specific death by autoschizis.</text>
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                <text>&lt;a href="http://doi.org/10.1016/s0006-2952(02)00904-8" target="_blank" rel="noreferrer noopener"&gt;10.1016/s0006-2952(02)00904-8&lt;/a&gt;</text>
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