Starving Cancer of Antioxidants: TKT Inhibition & Ferroptosis, Then The High-Dose Vitamin C "Punch"
- Dr Ghassan Hamad

- Aug 17
- 4 min read
Updated: Oct 2

Cancer cells thrive by rewiring their metabolism and boosting antioxidant systems. To survive oxidative stress, they rely heavily on NADPH, glutathione (GSH), and enzymes like GPX4.
What happens if we strip away these shields? New approaches — TKT inhibition, ferroptosis-inducing diets, and high-dose IV vitamin C — all converge on the same principle: disarm cancer cells’ antioxidant defenses, then strike with oxidative therapy.
Strategy 1: Blocking the Pentose Phosphate Pathway (TKT Inhibition)
Why TKT Matters?
The pentose phosphate pathway (PPP) is one of cancer’s favourite survival tools. It does two critical jobs:
Produces ribose-5-phosphate, a building block for DNA and RNA required for rapid cell proliferation.
Generates NADPH, the universal antioxidant, which keeps glutathione and thioredoxin systems active.
The enzyme transketolase (TKT) sits at the heart of this pathway. Overexpression of TKT has been observed in multiple cancers (e.g., colon, pancreatic, lung, glioblastoma), and correlates with tumor aggressiveness and poor prognosis.
By inhibiting TKT, cancer cells are deprived of both their genetic building blocks (DNA & RNA) and antioxidant recycling capacity— a double strike against tumor survival.
How to block TKT?
A) Natural TKT blockers:
Source: Green tea
Mechanism: Can inhibit TKT activity. Additional effects include limiting glucose uptake and modulating HIF-1α, a protein that supports cancer survival.
Potency: Moderate but is considered the strongest natural TKT inhibitors.
Pros: Safe, widely consumed, and extensively studied. Multi-target effects (anti-inflammatory, pro-apoptotic).
Cons: Poor oral bioavailability.
2. Resveratrol
Source: Grapes, berries, peanuts
Mechanism: Mainly modulates metabolic pathways, which can indirectly reduce TKT activity.
Potency: Relatively weak as a direct TKT inhibitor.
Pros: Antioxidant and cardioprotective effects.
Cons: Limited direct TKT inhibition; effectiveness in cancer therapy is mostly adjunctive.
3. Curcumin
Source: Turmeric
Mechanism: Reduces TKT expression indirectly; strongest effects are anti-inflammatory.
Potency: Moderate; absorption is limited without enhancers like piperine.
Pros: Anti-inflammatory and chemopreventive properties.
Cons: Low systemic bioavailability; requires formulation strategies for therapeutic doses.
B) Synthetic TKT Inhibitors: Oxythiamine
Source: Thiamine (vitamin B1) analog, fully synthetic
Mechanism: Direct, competitive inhibition of TKT, by mimicking its cofactor thiamine, which is vitamin B1. This results in reduced production of ribose-5-phosphate and NADPH, impairing DNA/RNA synthesis and antioxidant defenses in cancer cells.
Potency: Significantly stronger than natural inhibitors.
Pros: High specificity for TKT. Preclinical studies suggest synergy with chemotherapy and radiation.
Cons: Human clinical data are limited; safety profile not fully established.
Feature | Resveratrol / Curcumin | Oxythiamine | |
Mechanism | Direct + indirect | Indirect (pathway modulation) | Direct, competitive inhibition |
Potency | Moderate | Weak to moderate | Strongest |
Bioavailability | Low | Low | Moderate |
Safety | High | High | Preclinical; more study needed |
Best Use | Cancer prevention, adjunct therapy | General health support | Aggressive cancers or targeted therapy |
Takeaway:
Natural inhibitors (EGCG, curcumin) are safe, accessible, and useful as adjuncts.
Synthetic inhibitors (oxythiamine) are far more potent, but still under early investigation.
Strategy 2: Inducing Ferroptosis with Diet
“Ferro” = iron and “ptosis” = falling or death
It’s a regulated cell death mechanism triggered when iron-dependent lipid peroxides accumulate to toxic levels.
Iron catalyzes the "Fenton" reaction, turning hydrogen peroxide into hydroxyl radicals.
Without glutathione and GPX4, these radicals destroy cell membranes.
Cancer cells, already under oxidative stress, are particularly vulnerable.
Practical Ferroptosis Diet Plan
The aim is to lower glutathione availability while raising lipid peroxidation pressure.
1. Restrict sulfur amino acids (methionine, cysteine):
Avoid/limit: eggs, poultry, red meat, whey protein, legumes (especially soy, lentils).
Choose: low-methionine vegetables (zucchini, cucumbers, berries, leafy greens).
2. Reduce selenium intake:
Selenium fuels GPX4, the enzyme that cancels lipid peroxidation.
Avoid high-selenium foods: Brazil nuts, tuna, shellfish.
Stick to modest intake from balanced plant foods.
3. Add pro-ferroptotic nutrients:
Polyunsaturated fatty acids (PUFAs): flaxseed oil, chia seeds, walnuts — these provide substrates for peroxidation.
Iron sources: leafy greens, fortified foods (unless medically contraindicated).
4. Reduce antioxidant load:
Limit antioxidents such as vitamin E and N-acetylcysteine (NAC), as they protect against ferroptosis.
Note: This diet is experimental and not a replacement for medical treatment — it’s designed to weaken cancer’s antioxidant shields before therapeutic intervention.
Strategy 3: High-Dose IV Vitamin C — The Oxidative Strike
Once cancer cells are defenseless, hit them with pro-oxidant IV vitamin C.
At pharmacological IV doses, vitamin C generates hydrogen peroxide in the tumor microenvironment.
Normal cells detoxify this via catalase and glutathione.
Cancer cells with blocked PPP (NADPH loss) or weakened GSH-GPX4 systems cannot cope → oxidative collapse.
Synergy: A One-Two-Three Punch Against Cancer
TKT inhibition → blocks NADPH regeneration.
Ferroptosis diet → depletes glutathione defenses.
High-dose IV vitamin C → delivers the oxidative blow.
This layered strategy creates a metabolic trap, overwhelming cancer cells’ defenses while sparing most healthy tissue.
Summary Of How to Make Vitamin C More Effective:
Several strategies can enhance IV vitamin C’s cancer-selective toxicity:
Iron supplementation (timed): Iron catalyzes vitamin C-driven peroxide formation via the Fenton reaction. In some lab protocols, iron exposure before vitamin C dramatically increased oxidative damage in tumour cells. ( Must be supervised — iron can also feed tumors if mistimed.)
TKT Inhibition: Blocking NADPH supply with oxythiamine or EGCG leaves cancer cells unable to recycle oxidized glutathione. This synergizes with vitamin C.
Ferroptosis Diet Preconditioning: Lowering glutathione and GPX4 activity (as above) makes vitamin C’s hydrogen peroxide more lethal.
Hyperthermia: Mild heating of tumor areas increases ROS generation and improves vitamin C penetration.
Low-dose chemotherapy or radiation first: These stress cells with DNA damage and oxidative stress, then vitamin C pushes them over the edge.
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