Why solubility determines antioxidant reach
A radical in the cytosol cannot be reached by a lipid-soluble antioxidant, and a radical inside a membrane bilayer cannot be reached by a water-soluble one. Ascorbate works in the aqueous phase; alpha-tocopherol works in the lipid phase. Their cooperation — ascorbate regenerating oxidized alpha-tocopherol — links the two compartments.
From membrane oxidation to hemolysis
Red blood cell membranes are rich in polyunsaturated fatty acids and are constantly exposed to oxygen. When alpha-tocopherol is deficient, lipid peroxyl radicals propagate unchecked, membrane integrity fails, and the cells rupture. This is hemolysis, and it is the hallmark of vitamin E deficiency.