Also known as ascorbic acid, the vitamin C is a major vitamin in the body. Water-soluble in nature, unlike the vitamin E which is fat-soluble, it helps to neutralise free radicals in the aqueous compartments of the skin, such as the cytosol and the extracellular fluid, thereby helping to slow its ageing. The vitamin C also stimulates the activity of fibroblasts, the cells that synthesise the collagen and elastin, the structural proteins of the dermal extracellular matrix.
Vitamin C could also help to combat inflammation.
Indeed, inflammation is closely linked to oxidative stress. When free radicals accumulate in skin tissues, they initiate a cascade of molecular signals capable of damaging DNA, proteins and lipids, generating a succession of often invisible yet real micro-inflammations. These reactions can be amplified by the activation of nuclear factors such as AP-1 or NF-κB, both regulators of the immune response. Their stimulation leads to the release of pro-inflammatory cytokines, including TNF-α and IL-6, and to the overexpression of the enzymes COX-2 and iNOS, both contributing to the maintenance of an inflammatory state. That is why antioxidants, such as vitamin C, play an interesting preventive role in inflammation.
But the action of vitamin C extends further. Several studies have shown that ascorbic acid directly modulates inflammatory signalling pathways, notably NF-κB and MAPK, leading to decreased production of pro-inflammatory cytokines. This molecule also helps to reduce the expression of the pro-inflammatory enzymes COX-2 and iNOS, which are involved in vasodilation and skin redness.
Vitamin C thus appears to establish itself as both a preventive and an active agent in inflammation.
However, even though the data in vitro demonstrate convincingly the anti-inflammatory properties of vitamin C, the clinical evidence remains limited. The available studies, two of which are presented below, suggest beneficial effects for the skin, but their number remains insufficient. It therefore seems necessary to conduct further clinical trials to confirm and refine the efficacy of vitamin C in modulating cutaneous inflammation.