Toxicological evaluation of some food additives including anticaking agents, antimicrobials, antioxidants, emulsifiers and thickening agents WHO FOOD ADDITIVES SERIES NO. 5 The evaluations contained in this publication were prepared by the Joint FAO/WHO Expert Committee on Food Additives which met in Geneva, 25 June - 4 July 19731 World Health Organization Geneva 1974 1 Seventeenth Report of the Joint FAO/WHO Expert Committee on Food Additives, Wld Hlth Org. techn. Rep. Ser., 1974, No. 539; FAO Nutrition Meetings Report Series, 1974, No. 53. CUPRIC SULFATE Explanation This compound has been evaluated for acceptable daily intake by the Joint FAO/WHO Expert Committee on Food Additives (see Annex 1, Ref. No. 22) in 1970. Since the previous evaluation, additional data have become available and are summarized and discussed in the following monograph. The previously published monograph has been expanded and is reproduced in its entirety below. BIOLOGICAL DATA BIOCHEMICAL ASPECTS Copper is an essential trace element and is a constituent of plants and of animal and human tissues. The tissues containing the largest concentrations are liver with 0.30-0.91 mg/100 g and brain with 0.22-0.68 mg/100 g (Kehoe et al., 1940). The whole human body contains 100-150 mg (Browning, 1969). At subcellular level a number of enzymes, such as tyrosinase, contain Cu as part of their structure or require it for proper functioning, e.g. catalase (Dawson & Mallette, 1945). About 3.2 mg Cu is consumed daily in food (mainly in meat, eggs, oils etc., oysters having the highest concentration with 27.4 mg/100 cals). Water provides 40-500 pg. The total daily intake in soft water areas is calculated as: food 3200 pg, water 200 pg, beverages 300 pg, air 2 pg. Excretion is calculated as: urine 60 pg, faeces 3640 pg, sweat 2 pg/day (Schroeder et al., 1966). Somewhat controversial evidence suggests that the metal is an essential co-factor in haemoglobin synthesis and is involved in Fe metabolism. Some animal diseases, especially severe anaemias, are suspected to arise from nutritional copper deficiency. Copper intoxication may cause acute haemolysis in sheep (Anon., 1966). In man the average daily requirement for adults is estimated at 2 mg, and for infants and children at 0.05 mg/kg bw (Fd. Std. Cttee, 1956; Browning, 1969). The copper content of various foods ranges from 20 to 400 ppm (0.002% to 0.04%) (Underwood, 1962). The average daily dietary intake for adults is estimated at 2 to 5 mg, of which up to 0.7 mg are excreted in the urine (Browning, 1969). 0.8 mg are retained mainly in the liver, kidney and intestine, while 1.40 mg are excreted in the faeces. Increased intake appears to have little effect on urinary output but faecal excretion may rise to 10 to 20 times the urinary excretion. Absorption from the g.i. tracts is limited. Normal human serum levels range from 68 to 90 mg/ml of which 95% is carried by the alpha-globulin copper oxidase ceruloplasmin. The remainder is bound to albumin or amino acids. In vitro studies on liver and kidney slices using 64Cu-acetate demonstrated intra-cellular transport by histidine and other amino acids (Neumann & Silverberg, 1966). Rats fed 2.5 mg/day copper sulfate and sacrificed 1, 3, 6 and 24 hours later showed significant concentrations of Cu in kidneys, liver and plasma (up to 2.7 pg/g in kidney and 1.1 pg/g in liver) (Decker et al., 1972). The copper is attached to hepatic mitochondria and cell nuclei, more being found in the nuclei at concentrations above 100 pg/g (Lal & Sourkes, 1971). Copper and molybdenum levels become most critical when one or the other is present in either deficient or toxic amounts. The level at which molybdenum becomes toxic depends on the amount of copper in the diet, and an excess of molybdenum can induce or intensify a deficiency of copper. In addition, sulfate ion can act either to modify or intensify the adverse effects of molybdenum. A similar but reverse pattern occurs when molybdenum is deficient and copper is in excess (Underwood, 1962; Gray & Daniel, 1964). Continued intake of high levels of copper in experimental animals leads to considerable accumulation in the liver. In the pig and the rat this has resulted in lowered iron levels in haemoglobin and liver and haemolytic jaundice in some stressed animals. Long-term administration of even low concentrations of copper results in some increased storage in the liver (O'Hara et al., 1960; Buntain, 1961; Bunch et al., 1965; Harrison et al., 1954). Effect on ascorbic acid availability was tested by giving guinea- pigs copper sulfate or copper gluconate in drinking-water at levels equivalent to 1600 ppm Cu (0.16% Cu) of the diet for 11 weeks. Animals were sacrificed and examined grossly for scurvy and serum ascorbic acid. No evidence of scurvy was found and serum levels of ascorbic acid were not affected (Harrison et al., 1954). TOXICOLOGICAL STUDIES Acute toxicity Substance Animal Route LD50 LD100 Reference (mg/kg bw) (mg/kg bw) Copper chloride Rat Oral 140 Spector, 1956 Guinea-pig s.c. 100 Spector, 1956 Copper nitrate Rat Oral 940 Spector, 1956 Copper sulfate Mouse i.v. 50 Spector, 1956 Rat Oral 300 Spector, 1956 Guinea-pig i.v. 2 Spector, 1956 Rabbit i.v. 4-5 Spector, 1956 In animals ingestion of three ounces of 1% CuSO4 solution produces intense g.i. tract inflammation (Browning, 1969). In mammals injection or inhalation of copper and its compounds leads to haemochromatosis, liver injury or lung injury (Browning, 1969). Short-term studies Rat Young rats (100-150 g) were injected daily with CuCl2 solutions at 0, 1, 2.5 and 4 mg/kg for 236 days. Controls showed no lesions. Weight loss was evident in all treated groups and deaths occurred at the two higher levels. Liver pathology showed necrotic cells in the periphery of lobules with inflammation and regeneration, periportal fibrosis, and nuclear hyperchromatism with large hyalinized cells. Kidney lesions described were sloughing and degeneration of epithelial cells of proximal convoluted tubules (Wolff, 1960). Young (21-days old) albino rats were fed ad libitum for four weeks on diets containing copper sulfate to give 0, 500, 1000, 2000 and 4000 ppm (0%, 0.05%, 0.1%, 0.2% and 0.4%) of added copper. The daily food intake was less, the higher the copper content, the average copper intakes being about 5, 8, 11 and 8 mg/rat/day respectively. All the rats on the highest dose died in the first week; one out of eight in the second highest dosage group died in the fourth week. It was suggested that the deaths in the highest dosage group were due partly to reduced food intake. The growth rate in the lowest dosage group was slightly decreased, otherwise the rats appeared normal. There were slight increases in the copper contents of blood and spleen and a marked (14-fold) increase in copper content of the liver (Boyden et al., 1938). Copper sulfate at 0.135% and 0.406% (equivalent to 530 ppm and 1600 ppm copper, respectively) and copper gluconate at 1.14% (equivalent to 1600 ppm Cu) were fed in the diet of rats for up to 44 weeks. A negative control group was also maintained. Each group comprised around 25 male and 25 female rats. Significant growth retardation, discernible at the twenty-sixth week, occurred with the high level copper sulfate and the copper gluconate. Mortality was increased in the high level copper sulfate group and greatly increased (90% dead between four and eight months) in the copper gluconate group. Four high level copper sulfate, copper gluconate, and control rats were sacrificed between 30 to 35 weeks and all survivors were sacrificed between 40 to 44 weeks. Haematology and urine examinations were within normal limits except for high (83 mg%) blood nonprotein nitrogen (NPN) in males ingesting the high level copper sulfate and copper gluconate; the lower level copper sulfate was just above the expected range of 60-70 mg% NPN). Serum levels of ascorbic acid were not affected. Animals receiving copper gluconate had hypertrophied uteri, ovaries and seminal vesicles. High level copper sulfate and copper gluconate animals showed enlarged, distended and hypertrophied stomachs, occasional ulcers, some blood, bloody mucous in intestinal tract, and bronzed kidneys and livers. Histopathology of the higher test level animals showed toxic abnormalities in the liver and minor changes in the kidneys. Varying degrees of testicular damage were noted in both high and low levels of copper sulfate animals whereas control animals were normal. Liver, kidney and spleen tissue-stored copper was elevated in all test groups, liver being most pronounced. Liver-copper levels recorded per 100 g wet tissue at 40 weeks were: <2 mg (controls), 12-32 mg (low copper sulfate), 38-46 mg (high copper sulfate) and at 30 weeks 56-75 mg (copper gluconate). Also noted was a marked depression in tissue storage of iron in high level copper sulfate and copper gluconate animals. In conclusion, copper sulfate and copper gluconate at 1600 ppm copper were toxic while copper sulfate at 530 ppm copper caused only variable effects on testicular degeneration and tissue storage of copper (Harrison et al., 1954). Daily s.c. injection of 0.26 mg Cu for 80 days produced elevated erythrocyte and plasma copper levels and raised caeruloplasmin levels after a total dose of 3.64 mg Cu. The rises levelled out at 15.6 mg Cu total though tissue levels continued to rise. Anaemia and diarrhoea developed and mean survival was 67 days. Histology showed liver and kidney damage and enlarged caeca. Survivors were mated and offsprings were given 0.26 mg Cu daily for four weeks, then 0.65 mg/day for 8.5 months. Sixteen of the 37 offspring survived (Weedwanders et al., 1968). Rabbit Copper acetate at 2 mg/g (2000 ppm (0.2%)) of diet fed to 21 rabbits through days 21 to 105 showed pigmentation in 17, cirrhosis in 9 and necrosis of the liver in 5; those with cirrhosis did not show necrosis. Copper in the liver varied from 9.7-237 mg/100 g of wet liver. A relationship was established in which a longer feeding period resulted in a greater incidence of cirrhosis in the liver (Wolff, 1960). Pig Three-week-old pigs fed 250 (0.025%), 600 (0.06%) or 750 (0.075%) ppm Cu in a fish meal diet showed depressed weight gain and feed consumption while the same concentration of copper in soybean meal had no effect. No gross pathological changes were seen in either group (Clyde et al., 1969). Sheep Six out of 17 lambs fed from six to 12 weeks of age on a ration containing 80 ppm (0.008%) copper developed spongy transformation of the CNS white matter particularly in the region of the mid-brain, pons and cerebellum with severe lesions in the superior cerebellar pedicles (Doherty et al., 1969). Copper toxicity was found in three out of 170 housed lambs fed on a diet containing 20 ppm (0.002%) copper and 1 ppm (0.0001%) molybdenum. The dead animals were well nourished but jaundiced, with swollen, friable liver, metallic black kidneys and myocardial haemorrhage. Some intravascular haemolysis was seen in one lamb (Adamson et al., 1969). Sheep are highly susceptible to copper poisoning and with over-dosage the liver may contain up to 1000 ppm (0.1%) (Bull, 1949). Turkey Turkey poults can tolerate 676 ppm Cu (0.0676%) in the diet without ill effect but growth was suppressed by over 810 ppm (0.081%). These effects were counteracted by EDTA (Ouhra & Kratzer, 1968). Long-term Studies None available. OBSERVATIONS IN MAN Copper poisoning, with diarrhoea and vomiting, developed when 20 workmen drank tea containing 25 ppm (0.0025%) copper (Nicholas, 1968). Rashes were reported after drinking water containing 7.6 ppm (0.00076%) copper (Paine, 1968) whilst jaundice and severe haemolytic anaemia with elevations of serum SGOT, copper and caeruloplasmin were seen in a child following repeated applications of copper sulfate to extensive areas of severely burnt skin (Holtzman et al., 1966). Mineral abnormalities occur in patients undergoing haemodialysis when Cu levels may be raised (Mahler et al., 1971). With prolonged i.v. infusions copper deficiency may occur (James & MacMahon, 1970). Fatal oral human doses: Basic copper sulfate 200 mg/kg bw Copper chloride 200 mg/kg bw Copper carbonate 200 mg/kg bw Copper hydroxide 200 mg/kg bw Copper oxychloride 200 mg/kg bw Large doses cause severe mucosal irritation and corrosion, widespread capillary damage, hepatic and renal damage, CNS irritation and depression. Sulphaemoglobinaemia and haemolytic anaemia have been seen. The acetate and sulfate are very toxic especially the cupric salts while cuprous chloride is the most toxic. Local skin corrosion with eczema and eye inflammation occur. Copper sulfate has been used in suicide attempts. Rapid transfer of absorbed Cu to red cells causes haemolysis. Hepatic necrosis and renal tubular oedema with necrosis are seen (Chuttani et al., 1965; Browning, 1969). Occupational copper poisoning causes greenish hair and urine in coppersmiths and copper colic. Inhalation of dust or vapour causes copper fume fever - brass chills (Bur. Mines, 1953). Contact of food or soft acid water with copper utensils may cause poisoning, but no haemochromatosis or liver disease (Bur. Mines, 1953; Hueper, 1965; Browning, 1969). The existence of chronic copper poisoning in man whether industrial or non-industrial is debatable (Browning, 1969). Newborn premature infants of about 1.2 kg bw were fed a milk diet providing an average of 14 µg copper per kg per day (seven subjects) or diet with a supplement providing an average of 173 µg copper per kg per day (five subjects). The duration of the period of observation was seven to 15 weeks. There were no differences in growth rate, haemoglobin, serum protein or serum copper between the two groups (Wilson & Lahey, 1960). EVALUATION There are no animal studies providing a no-effect level. However, this does not preclude the evaluation of this essential trace element. Reliance is placed on human epidemiological and nutritional data related to background exposure to copper. The estimates quoted in the tenth report of the Joint FAO/WHO Expert Committee are probably conservative and more recent food analyses suggest that the daily intake of 2 to 3 mg is likely to be exceeded by significant sections of the population with no apparent deleterious effects. On this basis there appears to be no reason to change the tentative assessment of the maximum acceptable daily load of 0.5 mg/kg bw. This figure is suggested on the understanding that the dietary levels of those constituents which are known to affect copper metabolism, for example, molybdenum and zinc, lie within acceptable limits. REFERENCES Adamson et al. (1969) Vet. Rec., 85, 368 Anon. (1966) Lancet, 1, 1082 Boyden, R., Potter, U. R. & Elvehjem, C. A. (1938) J. Nutr., 15, 397 Browning, E. (1969) Toxicity of Industrial Metals, II ed., London, Butterworths Bull, L. B. (1949) British Commonwealth Special Conference in Agriculture in Australia 1949, p. 300, London, Her Majesty's Stationery Office (1951) Bunch, R. J. et al. (1965) J. An. Sci., 24, 995 Buntain, D. (1961) Vet. Rec., 73, 707 Bureau of Mines (1953) Information circular, 7666 Chuttani, H. K. et al. (1965) Amer. J. Med., 39, 849 Clyde, Parris & McDonald (1969) Can. J. Anim. Sci., 49, 215 Dawson, C. R. & Mallette, M. F. (1945) Advances in Protein Chemistry, Vol. II, Academic Press Decker, W. J. et al. (1972) Toxicol. appl. Pharmacol., 21, 331 Doherty et al. (1969) Res. Vet. Sci., 10, 303 Food Standards Committee (1956) Report on copper, London, Her Majesty's Stationery Office Gray, L. F. & Daniel, L. J. (1964) J. Nutr., 84, 31 Harrison, J. W. E., Levin, S. E. & Trabin, B. (1954) J. Amer. Pharm. Ass., sci. Ed., 4, 722 Holtzman, W. A., Elliot, D. A. & Heller, R. H. (1966) New Engl. J. Med., 275, 347 Hueper, W. C. (1965) UICC Symposium, Paris, Nov. 1965 James, B. E. & MacMahon, R. A. (1970) Med. J. Aust., 1161 Kehoe, R. A., Cholak, J. & Story, R. V. (1940) J. Nutr., 20, 85 Lal, S. & Sourkes, E. L. (1971) Toxicol. appl. Pharmacol., 18, 562 Mahler, D. J., Walsh, J. R. & Haynie, G. D. (1971) Amer. J. clin. Path., 56, 17 Neumann, P. F. & Silverbeorg, M. (1966) Nature, 210, 416 Nicholas, P.O. (1968) Lancet, 11, 40 O'Hara, P. J., Newman, A. P. & Jackson, R. (1960) Aust. vet. J., 36, 225 Paine, C. H. (1968) Lancet, 11, 520 Schroeder, H. A. et al. (1966) J. Cron. Dis., 19, 1007 Spector, W. S. (1956) Handbook of Toxicology, Vol. 1, W. B. Saunders Co. Underwood, E. J. (1962) Trace elements in human and animal nutrition, New York and London, Academic Press Vohra, P. & Kratzer, F. H. (1968) Poult Sci., 47, 699 Weedwanders, R. E., Evans, A. W. & Nasdahl, W. W. (1968) I - Lancet, 88, 286 Wilson, J. F. & Lahey, M. E. (1960) Pediatrics, 25, 40 Wolff, S. (1960) Archives of Pathology, 69, 217
See Also: Toxicological Abbreviations CUPRIC SULFATE (JECFA Evaluation)