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. 2022 Sep 23;9:1003340. doi: 10.3389/fnut.2022.1003340

FIGURE 5.

FIGURE 5

Vitamins and regulated necrosis. (A) Vitamin E. Vitamin E (VitE) attenuates regulated necrosis through downregulating the intracellular ROS. As lipophilic antioxidants, VitE can directly remove the lipid peroxides that accumulate in the cell. Meanwhile, VitE inhibits the activity of LOXs, which also blocks the lipid peroxidation. (B) Vitamin D. Vitamin D (VitD) activates vitamin D receptor (VDR), which (i) inhibits the formation of necrosome to block necroptosis; (ii) upregulates the expression of GPX4 to inhibit lipid peroxidation and resultant ferroptosis; (iii) inactivates inflammasome directly or via autophagy to inhibit pyroptosis. (C) Vitamin C. Vitamin C (VitC) upregulates the expression of RIPK1, RIPK3, and MLKL, which triggers necroptosis. In addition, VitC triggers lipid peroxidation by (i) inactivating GPX4: (ii) increasing the intracellular ferrous iron. The accumulated lipid peroxides lead to ferroptosis.