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. POLYOXYETHYLENE (20) SORBITAN MONOESTERS OF LAURIC, OLEIC, PALMITIC AND STEARIC ACID AND TRIESTER OF STEARIC ACID Explanation These compounds have been evaluated for acceptable daily intake by the Joint FAO/WHO Expert Committee on Food Additives (see Annex 1, Ref. No. 7) in 1963. 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 The coefficients of digestibility of the fatty acid moieties of polyoxyethylene (20) sorbitan monooleate, monostearate and tristearate were found to be 100%, 98% and 84%, respectively, when fed at concentrations of 10% in the diet (Oser & Oser, 1957a). Studies with 14C-labelled polyoxyethylene sorbitan monostearate in rats showed that 6-10% was excreted in the urine, 2-7% was recovered in the expired air, and the remainder was excreted in the faeces. Labelling with 14C was confined to the sorbitol part of the molecule (Wick & Joseph, 1956). The amounts of 14C-containing compounds found in the urine and expired air were considerably smaller than in similar studies with 14C-labelled sorbitan monostearate (Wick & Joseph, 1953). Studies in six human subjects with polyoxyethylene (20) sorbitan monooleate showed that the distribution of the polyoxyethylene moiety was 3.9-5.8% in the urine and 90.4-98.3% in the stools; total recovery of the polyoxyethylene in these investigations was 96.2-102.2% (Culver et al., 1951). Polyoxyethylene (20) sorbitan monooleate ("Tween 80") fed to rats for one week in amounts of 0.1% and 1% of the diet augments the absorption of fats when these are present in preparations of 10% to 33% of the diet, but not when fats comprise less than 7% of the diet (Sergiel et al., 1971). Polysorbate (80) and polysorbate (20) [= polyoxyethylene (20) sorbitan monooleate and polyoxyethylene (20) sorbitan monolaurate] in concentrations of 0.01% or less increase the absorption of lipid soluble drugs (4-amino-antipyrine = ampyrone; secobarbitone), indicating that these surfactants affect the permeability of biological membranes (Levy & Anello, 1969; Anello & Levy, 1969). However, administration of 0.03% of polysorbate 80 to rats together with drugs (4-aminoantipyrine, salicylic acid, salicylamide) did not affect their absorption from the small intestine (Levy & Perälä, 1970). Metabolic studies were carried out in rats with polyoxyethylene (20) sorbitan monolaurate with 14C-label in the lauric acid moiety or the polyoxyethylene moiety. Doses administered were 1 g/kg orally and 0.5 g/kg i.v. With the label in the fatty acid, the approximate proportions of radioactivity 24 hours after oral administration were: liver, 1.2%;urine, 2.5%; faeces and gastrointestinal contents, 4%; carcass, 12%; expired CO2, 80%; after i.v. injection, they were liver, 0.7%; urine. 5%; faeces and gastrointestinal contents, 2.5%; carcass, 22%; expired CO2, 68%. With the label in the polyoxyethylene moiety, the distribution of radioactivity 24 hours after oral administration was different: liver, nil; urine, 8%; faeces, 90%; carcass, nil; expired CO2, nil. After i.v. administration the distribution was: liver 0.15%; urine, 83%; faeces, 11%; carcass, 2%; expired CO2, nil. The findings indicate the fatty acid ester bond is hydrolyzed and the fatty acid is utilized metabolically; however, the polyoxyethylene moiety is poorly absorbed and is not subject to metabolism (Nelson et al., 1966). Metabolic studies were carried out in rats after oral administration of polyoxyethylene (20) sorbitan monolaurate ("Tween 20") prepared with 14C-labelling of the polyoxyethylene or the lauryl moieties. The 14C-lauryl moiety was rapidly absorbed and oxidized, more so in fasted than non-fasted rats. After 24 hours, some 75% of the administered radioactivity was recovered in expired CO2, and 4% was not absorbed. The 14C-polyoxyethylene moiety was poorly absorbed, 87% of radioactivity remaining unabsorbed, and about 8.5% was recovered in the urine. After i.v. injection of the substance, the 14C-lauryl moiety was metabolized as after oral administration. The 14C-polyoxyethylene moiety was not metabolized, since no radioactivity was recovered as 14C-CO2: most appeared in the urine, but some was present in the faeces indicating biliary excretion. Polyoxyethylene (20) sorbitan monooleate ("Tween 80") with a 14C-sorbital label was also administered to rats. After oral administration, 91% of the radioactivity was recovered in the faeces, 2.1% in the urine, 1.6% in the carcass and none in expired CO2, liver, kidney, spleen, adrenals, brain, gonads or fat (Treon et al., 1967). Polyoxyethylene (20) sorbitan monooleate ("Tween 80") in concentrations of 0.2 and 1 mM did not affect bile salt transport in isolated preparations of rat intestine; 4 mM slightly inhibited transport (Holt, 1964). Polyoxyethylene (20) sorbitan monooleate (polysorbate 80) in a concentration of 0.5% decreased the rates of absorption from rat small intestine perfused in situ of various drugs (sulfamethoxypyridazine, diphenhydramine, salicylic acid, p-hydroxybenzoic acid) (Aoki et al., 1969). The absorption of aspirin from the gut into the blood in rats was facilitated by simultaneous administration of polyoxyethylene (20) sorbitan monooleate in a dose of 50 mg/kg, but not by 10 mg/kg (Cid et al., 1971). TOXICOLOGICAL STUDIES Acute toxicity The acute oral toxicity in the mouse, rat and hamster was shown to be extremely low (Eagle & Poling, 1956; Hopper et al., 1949). Polyoxyethylene (20) sorbitan monolaurate has an LD50 of 3.75 g/kg bw when injected i.v. into mice (Hopper al., 1949). The accidental administration of a dose of 19.2 g of polyoxyethylene (20) sorbitan monooleate per kg bw on two successive days to an infant was followed by no ill effects, apart from purgation (Chusid & Diamond, 1955). Rat "Tween 20" = polyoryethylene (20) sorbitan monolaurate: Oral LD50 > 39 000 mg/kg i.v. LD50 1 450 mg/kg (male, 1680; female, 860) "Tween 40" = polyoxyethylene (20) sorbitan monopalmitate: Oral LD50 > 38 400 mg/kg i.v. LD50 1 580 mg/kg (male, 2320; female; 1350) "Tween 60" = polyoxyethylene (20) sorbitan monostearate: Oral LD50 > 38 000 mg/kg i.v. LD50 1 220 mg/kg (male, 1750; female, 1180) "Tween 65" = polyoxyethylene (20) sorbitan tristearate: Oral LD50 > 40 000 mg/kg "Tween 80" = polyoxyethylene (20) sorbitan monooleate: Oral LD50 > 38 000 mg/kg i.v. LD50 1 790 mg/kg (male, 2180; female, 1720) (see Brandner, 1973) A range of polyethylene sorbitan esters of fatty acids ("Tween 20, 21, 40, 60, 61, 65, 80, 81, 85") failed to produce reactions on patch testing of each in 50 subjects. On instillation in the rabbit conjunctival sac, most failed to produce a reaction even when the eye was not subsequently washed and did not produce reaction when the eye was washed (Treon et al., 1967). Short-term studies Mouse Groups of 10 to 12 mice, studied over three to four months were found to tolerate 2.5%, 5% and 10% polyoxyethylene (20) sorbitan monostearate without showing any ill effects, but at the 15% level there was some gastrointestinal disturbance, with reduced food intake and some growth retardation (Brush et al., 1957). Rat Groups of young rats fed 3% and 5% of polyoxyethylene (20) sorbitan monolaurate for eight weeks showed a significantly slower weight gain as compared with controls; this was attributed to mild diarrhoea. However, there were no apparent gross abnormalities nor any significant histopathological findings in the treated animals (Krantz, 1943a). When groups of 30 rats were fed 2% of polyoxyethylene (20) sorbitan monooleate in their diet for three generations, no evidence of alteration in their fecundity and growth pattern was found, nor were there any histological findings in the livers and kidneys (Krantz, 1946). No toxic symptoms were found when rats were fed for eight weeks on 2% and 5% polyoxyethylene (20) sorbitan monostearate in their daily diet (Krantz, 1943b). A 15-week feeding study using 25% polyoxyethylene (20) sorbitan monostearate in the daily diet of male rats resulted in retardation of growth as compared with control animals on the same basic diet. The rats receiving the diet containing polyoxyethylene (20) sorbitan monostearate exhibited transient diarrhoea, but the haematological findings were normal and no abnormalities were revealed on gross pathological and histological examination of the important viscera (Krantz, 1949). Polyoxyethylene (20) sorbitan monostearate was fed for 14 weeks to groups of 12 male and 12 female weanling rats as 5% and 15% of a soybean meal diet. There were no clinical manifestations of toxicity throughout the experimental period, and the histopathological examination of the animals at the end of the experiments showed no abnormalities. Neither were deleterious effects observed when 5% polyoxyethylene (20) sorbitan monostearate in the soybean basal diet was fed to older rats for a period of 14 weeks. On the other hand, polyoxyethylene (20) sorbitan monostearate fed to weanling rats as 5% of a basal purified casein diet caused diarrhoea and retardation of growth (Chow et al., 1951; Chow et al., 1953). Hamster Weanling hamsters (12 per group) were fed 1% and 5% of polyoxyethylene (20) sorbitan monostearate in the diet for one year. For the first six weeks growth and food efficiency were the same as in controls. During the 12-month feeding period, the mortality and body weights of the treated animals were not significantly different from those of the controls, but chronic diarrhoea was exhibited at the 5% level. When the animals were sacrificed at the end of the experiment, no significant differences were noted between the treated animals and the controls in regard to organ weights and pathological findings, except that in the kidneys of those at the 5% level, there was a significantly greater frequency of hyaline casts and chronic interstitial nephritis, believed to be associated with the water imbalance brought about by the chronic diarrhoea (Brush et al., 1957). In another experiment with hamsters (10 in each group), which had been fed 5%, 10% and 15% levels of polyoxyethylene (20) sorbitan monolaurate, fatalities and chronic diarrhoea were unusually frequent, and when the remaining animals were sacrificed at 28 to 39 weeks highly significant changes were found in a number of organs (Eagle & Poling, 1956). A high mortality was also found in hamsters (10 per group) fed diets containing 10% and 15% of polyoxyethylene (20) sorbitan monolaurate. With 5% in the diet, growth was significantly retarded and diarrhoea occurred (Poling et al., 1956). Similar results were obtained when groups of 36 hamsters were fed diets containing 5% and 15% of polyoxyethylene (20) sorbitan monolaurate for 68 days (Harris et al., 1951). Dog Beagle puppies were fed for one year on diets containing 5% and 10% of polyoxyethylene (20) sorbitan monostearate; no abnormalities were observed (Brush et al., 1957). Monkey When six monkeys were fed polyoxyethylene (20) sorbitan monolaurate or monooleate at the rate of 1 g a day for periods of up to 17 months there were no significant changes in weight gain or histopathology (Krantz, 1943a, 1947a). Chick Polyoxyethylene (20) sorbitan monostearate and monolaurate fed to groups of 12 chicks at levels of 0.1%, 1% and 2% of the diet for seven weeks did not cause any adverse effects (Ringrose & Waller, 1959). Long-term studies Rat Long-term feeding studies have been carried out on groups of 15-30 rats with polyoxyethylene (20) sorbitan monolaurate (Oser & Oser, 1957b), at levels of 0.5% and 2% in the diet and with polyoxyethylene (20) sorbitan monopalmitate (Wick & Joseph, 1956), monostearate (Wick & Joseph, 1953), tristearate (Culver et al., 1951), and monooleate (Eagle & Poling, 1956) at a level of 2%. As compared with control animals, no abnormalities were found that could be attributed to the experimental diets. In addition to growth measurements, mortality statistics and studies of blood chemistry, gross and histological examinations were made of the following organs: brain, spleen, pancreas, thyroid, parathyroid, prostate, pituitary, salivary and adrenal glands, bladder, liver, kidney, bone marrow, heart, lung, testis, lymph nodes and muscle (Oser & Oser, 1957a; Wick & Joseph, 1956; Wick & Joseph, 1953; Culver et al., 1951; Eagle & Poling, 1956; Krantz, 1943c, 1947b, 1947c, 1947d, 1947e). Four groups of rats, each containing 12 males and 12 females, were fed for the whole life-span with diets containing 2%, 5%, 10% and 25% of polyoxyethylene (20) sorbitan monostearate. This study revealed no effect of the ester at the 2% and 5% levels. However, the compound produced marked diarrhoea at the 10% and 25% levels, as well as enlargement of the caecum (slight to moderate at the 25% level, less at the 10% level), and a questionable fatty change of a very slight degree in the livers of the rats fed the 25% level (Fitzhugh et al., 1959). In another experiment, the effects of feeding polyoxyethylene (20) sorbitan monostearate, tristearate and monooleate to groups of 12 males and 20 females over the whole life-span at dosage levels of 5%, 10% and 20% of the diet were studied. Observations were also made on three successive generations. This extensive study included tests on gestation and fertility, mortality, blood and urine constituents, and histopathology. No abnormalities were found at the 5% level. At the 10% and 20% levels, many of the animals, particularly the males, had diarrhoea. The 20% level had some adverse effect on postnatal survival, lactation efficiency, and duration of breeding activity. Growth rate in the males and caloric utilization efficiencies were slightly diminished (Oser & Oser, 1957a; Oser & Oser, 1956a, 1956b, 1957b). Two colours which produce tumours when given subcutaneously, Brilliant Blue FCF and Solid Green FCF (? le Vert solide FCF?) were given orally in a concentration of 1% together with a surface active agent, polyoxyethylene (20) sorbitan monostearate ("Tween 60") or polyoxyethylene (20) sorbitan monooleate ("Tween 80"), in a concentration of 5% to rats for two years. The presence of the surfactants did not affect the incidence of tumours. In another experiment, it was shown that they did not affect the absorption of the dyes (Truhaut, 1970). OBSERVATIONS IN MAN 4.5-6 g of polyoxyethylene (20) sorbitan monooleate were taken daily by 100 adults - 10 for three to four years, 17 for two to three years, 19 for one to two years, 54 for less than one year. No deleterious effects could be demonstrated (Krantz, 1951). These results have been confirmed by other authors (Steigmann, 1953; Waldstein et al., 1954). Comments: Some of the early short-term studies with these polyoxyethylene sorbitan esters in rats and hamsters showed deleterious effects. Subsequent work suggests that these were largely due to diarrhoea resulting from a large amount of unabsorbed polyglycol, possibly aggravated in some experiments by the use of an unsuitable basal diet. Since that time there has been considerable improvement in testing procedures, and more extensive long-term studies have been carried out. It seems reasonable therefore to base the evaluation of these substances on the levels causing no adverse effects indicated by the results of the more recent investigations. The significance of the local tumours which were produced by injection has been discussed at the meeting of the Scientific Group (1966). No increase in tumour incidence has followed the oral intake of polyoxyethylene sorbitan esters. Furthermore, large doses of the oleate and stearate have been well tolerated by human subjects. EVALUATION Level causing no toxicological effect Rat: 50 000 ppm (5%) in the diet equivalent to 2500 mg/kg bw. Estimate of acceptable daily intake for man 0-25 mg/kg bw.* REFERENCES Anello, J. A. & Levy, G. (1969) J. Pharm. Sci., 58, 721 Aoki, M. et al. (1969) Chem. Pharm. Bull., 17, 1109 Brandner, J. D. (1973) Unpublished report submitted by ICI America Inc. Brush, M. K. et al. (1957) J. Nutr., 62, 601 Chow, B. F. et al. (1951) Fed. Proc., 10, 378 Chow, B. F. et al. (1953) J. Nutr., 49, 563 Chusid, E. & Diamond, J. (1955) J. Pediat., 46, 222 Cid, E., Dresse, A. & Jaminet, Fr. (1971) Pharm. Acta Helv., 46, 377 Culver, P. J. et al. (1951) J. Pharmacol. exp. Ther., 103, 377 Eagle, E. & Poling, C. E. (1956) Food Res., 21, 348 Fitzhugh, O. G. et al. (1959) Toxicol. appl. Pharmacol., 1, 315 Harris, R. S., Sherman, H. & Jeter, W. W. (1951) Arch. Biochem., 34, 259 Holt, P. R. (1964) Proc. 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See Also: Toxicological Abbreviations