ASPARTAME Explanation Aspartame was first evaluated by JECFA in 1975 (WHO, 1975). At that time a special problem was posed by the presence of the conversion product, 5-benzyl-3,6-dioxo-2-piperazine (diketopiperazine, DKP) and no ADI for man was allocated. It was again considered by JECFA in 1976 and its consideration was deferred in view of the incompleteness of the information available (WHO, 1976). In 1977 JECFA had evidence that the problem with diketopiperazine was of no significance and concluded that the safety of aspartame had been adequately demonstrated; the Committee was prepared to establish an ADI for man, but because of the assertion that the data base from which the conclusions were drawn required validation the Committee deferred its decision pending an assurance that the toxicological data were valid (WHO, 1978). In 1979 JECFA was presented with evidence of validation of the toxicological data and accepted the validation; however, the Committee did not have sufficient time to reassess the data on aspartame which were evaluated by the previous meeting (WHO, 1980). The present monograph contains summaries of data examined by JECFA in 1975, 1976, 1977 and 1980. BIOLOGICAL DATA BIOCHEMICAL STUDIES Aspartame (10 mg) was incubated with pepsin (0.4 mg) in a KCl-HCl buffer pH 1.0 at 37°C for 15 min. Pepsin showed neither esterase nor peptidase activity when aspartame was the substrate. Aspartame was not hydrolysed when incubated with dog gastric juice. Methyl 14C-labelled aspartame was administered to rats whose stomach had been ligated at the pylorus. Examination of the stomach contents 4 h after administration of the test compound, showed no hydrolyses of the methyl group and essentially complete recovery of the administered dose. Incubation of Methyl 14C-labelled aspartame with fresh rat plasma resulted in demethylation of the aspartame (Anonymous, 1972a). Rat Male rats (300 g) were dosed orally with 0.5 ml of an aqueous solution of phenylalanine 14C-aspartame (10 mg/ml). Blood samples were taken 1, 2 and 4 h after administration. Afterwards the animals were sacrificed and GI tract removed and divided into stomach, small intestine and colon. About 50% of the administered dose was absorbed within 4 h, and 28-30% remained in the GI tract, mainly in the colon. Chromatographic separation of the plasma radioactivity showed that most of the radioactivity was probably associated with proteins, peptides and amino acid conjugates. In another study rats were administered a single dose of phenylalanine 14C-aspartame, and urine samples collected for up to 17 days post-dosing. Less than 5% of the administered radiolabel was excreted in the urine during this period, with most being excreted within the first two days post-dosing (Anonymous, 1972a). In another study the metabolism of methyl 14C-aspartame, phenylalanine 14C-aspartame, and aspartyl 14C-aspartame was studied and compared with that of methanol 14C, phenylalanine 14C and aspartic acid 14C. In these studies male albino rats (Charles River strain), ca 250-300 g, were dosed orally with a single dose of the test compound, at a level equivalent to 20-30 mg/kg. The CO2 in the expired air was collected for a period 8 h post-dosing. Urine and faeces were collected separately. Rats used for plasma studies weighed 300-400 g; indwelling carotid catheters had been inserted 2 days before dosing. The methyl group of aspartame was metabolized in a manner similar to that of methanol, with major portion of the radiolabel appearing in the expired CO2, (53-73%)/(48-64%), with traces in the urine (2-7.5%)/(1.4-2.4%), and in the faeces (0.5-1%)/(0.02-0.09%) for methanol/aspartame respectively. The plasma concentration of the radiolabel was similar for methanol and the aspartame. Comparison of the metabolism of phenylalanine and aspartame showed that the amount of label converted to CO2, and excreted into the urine from the amino acid was greater than that of the aspartame (13-24%)/(7-15%) for CO2, and (2.65-4.62%)/(0.7-4.3%) for urine, for phenylalanine/aspartame respectively. Only trace amounts of radiolabel were present in the faeces in one study. However, in a subsequent study, with phenylalanine-14C-aspartame the level of radiolabel recovered in the faeces ranged from 3-48%. Forty-seven to fifty-three per cent. radiolabel from the phenyl-alanine 14C and 2.0-17% from the aspartame was incorporated into the carcass. Total recovery of 14C in these studies ranged from 14 to 85%. A direct comparison of aspartic acid 14C, aspartyl 14C-aspartame is not possible because of different times of collection of CO2. However, 68% of the radiolabel from the aspartame was excreted as CO2 in a 48 h period (Anonymous, 1972a). Groups of six adult male rats (S-D derived Charles River CD-strain) were dosed by gavage with a 3:1 mixture of aspartame/DKP at a dose level of 27 mg/kg bw for five days. On day 4, one group of rats was cannulated to permit the removal of blood for plasma studies. On day 6, following an overnight fast, the rats were dosed with the same dose of 14C-aspartame/DKP mixture previously used. Blood samples were taken from the cannulated rats at 0.5, 1, 2, 3, 4, 6 and 24 h post- dosing. The other group of rats was used for collection of expired 14CO2 (7 h) and measurement of 14C excreted in urine and faeces (24, 48, 72 and 96 h post-dosing). Five rats respired maximum amounts of 14CO2 in 1 h, the sixth peaked at 30 min. The cumulative 14CO2 expired ranged from 12 to 23% of the administered dose. Two to four per cent. of the total administered 14C dose was excreted in the urine, with maximum excretion within the first 24 h. Total faecal excretion of 14C ranged from 1.6 to 3.1% of the total dose. Peak blood levels of 14C were attained in 3 to 4 h and showed little change during the course of the study. The maximum level was estimated as 0.7% of the administered dose. No aspartame or DKP was detected in the plasma, at 0.5 h post-dosing. At subsequent time intervals through 24 h the major 14C components in hydrolysed serum protein were present as phenylalanine or its metabolite tyrosine (Anonymous, 1972b). Mice Six young adult male HAM/ICR-derived (Charles River CD-1 strain) outbred albino mice, were given by gavage aspartame at a dose level of 20 mg/kg bw daily for six days. The mice were fasted overnight and then administered a single oral dose of 14C-labelled aspartame. CO2 from expired air was collected up to 7 h post-dosing, and urine and faeces collected at 24 h intervals up to 96 h post-dosing. At termination of the study the animals were sacrificed and autopsied. Eleven to twenty-six per cent. of the administered dose of radiolabel was expired as CO2, during the 7 h period, with 4.5-8.18% being excreted within the first 30 min. Only small amounts of 14C were excreted in the urine (less than 1-3.7%), with peak excretion during the first 7 or 24 h. The cumulative faecal excretion was 4.4-7.49% of the administered dose. For the study of plasma levels a group of 14 male mice were dosed with aspartame and then 14C-labelled aspartame as described in the previous study. Two mice were sacrificed 0.5, 1, 2, 3, 4, 6 and 24 h post-dosing, and plasma samples prepared. Levels of 14C in the plasma showed little change during the 0.5 and 24 h period, but were slightly higher at the 3 h period. Chromatographic separation of the 14C in the serum showed that the 14C was incorporated into slowly migrating plasma components. Acid hyrolysis of the plasma gave rise to peaks containing tyrosine and phenylalanine (Anonymous, 1972b). Male Charles River rats were treated for two weeks with a standard diet or with diets containing 0.85% L-phenylalanine or 1.5% aspartame. At the end of the test period rats from each group were sacrificed at 08.00 (day 1), 12.00, 16.00, 20.00, 24.00, 04.00 (day 2) and 08.00 h. Hepatic phenylalanine hydroxylase activity was decreased during the 24 h period, and there was no change in the circadian rhythm of the hydroxylase. Plasma phenylalanine and tyrosine levels were directly related to the hepatic phenylalanine hydroxylase concentration (Anonymous, 1974a). Rabbit Eight young adult female rabbits (New Zealand White) were given by gavage 20 mg/kg/day aspartame for five days, and then after an overnight fast a single dose of 14C-labelled aspartame. Four of the rabbits were used to measure plasma 14C levels and metabolites, samples of blood being taken from the ear vein at 0.5, 1, 2, 3, 4, 6 and 24 h post-dosing. The remaining four rabbits were used to measure 14CO2, urinary 14C and faecal 14C. Cumulative 14CO2 production during 7 h post-dosing period ranged from 2.9 to 10.4% of the administered dose, with large variations between individual animals. Cumulative urinary 14C during the 96 h post-dosing period ranged from 3.5 to 6.0% with maximum excretion occurring in the first 7-24 h period. The cumulative faecal excretion ranged from 2.6 to 5.9% of the dose. Plasma concentration of 14C was low, reaching a maximum 3 h post-dosing and then remaining relatively constant throughout the study. Chromatographic separation of the 14C in the plasma indicated a single component in the unhydrolysed plasma, and the presence of 14C phenylalanine and tyrosine in the acid hydrolysed plasma (Anonymous, 1972b). Male New Zealand White Leunberg strain rabbits, which had been administered orally 20 mg/kg aspartame/day for five days were dosed with a single dose of 14C-phenylalanine aspartame (20 mg/kg). Blood samples were taken at 0.5 and 3 h post-dosing. Chromatographic separation of the 14C-labelled products in the plasma shows that the radiolabel was rapidly incorporated into protein, and by three hours all the 14C was associated with this fraction. The 14C in the protein was associated with phenylalanine and tyrosine (Anonymous, 1974a). Mature New Zealand female rabbits on day 6 of pregnancy were given a diet containing 6% aspartame. On days 6 and 9 of gestation blood samples were taken. On day 16 of gestation animals were anaesthetized and four foetuses (two from each uterine horn) removed, then the mothers and remaining foetuses sacrificed. On day 20 the remaining animals were autopsied in the same manner. All samples were analysed for phenylalanine and tyrosine. Since it was not possible to collect blood from the 16-day-old foetuses, homogenates of the whole foetus were prepared. Maternal plasma phenylalanine and tyrosine were significantly elevated in the early treatment period reaching peak levels at day 9 of gestation (three days after commencement of treatment). The subsequent values returned to normal. The ratio of foetal:maternal plasma phenylalanine was 1.58 in control rabbits and 1.40 in treated animals. For plasma tyrosine the ratio was 2.29 in controls and 2.06 in the treated animals. The aromatic amino acid level of the amniotic fluid was consistently higher in treated animals than in controls (Anonymous, 1974a). Dog Groups each of four female beagle dogs (5.4-7.9 kg) were pre-treated for five days by oral intubation with 0.068 mmol/kg aspartame or L-phenylalanine. On day 6, a dose of 0.068 mmol 14C- phenylalanine aspartame was administered to four dogs via the saphenous vein, and 0.068 mmol 14C-phenylalanine to the other four dogs by gavage. 14CO2 elimination was measured for the period 7 h post-dosing and urinary and faecal 14C excretion for the 96 h post- dosing period. Plasma 14C levels were determined at 15 min intervals during the first hour post-dosing, then hourly up to 3 h post-dosing, and then daily for 15 days post-dosing. Phenylalanine was oxidized more rapidly to CO2 than aspartame, the maximum level of elimination of 14CO2 occurring within 60 min in the case of phenylalanine and 90 min in the case of aspartame. Urinary and faecal excretion of 14C was low and similar for phenylalanine and aspartame: for urine 5.32 ± 0.43/2.63 ± 0.3 and for faeces 5.38 ± 9.2/6.17 ± 0.77, for phenylalanine/aspartame respectively. Most of the 14C in the urine and faeces from the phenylalanine treated animals was excreted in the first 48 h, whereas in the case of aspartame the low level of excretion occurred during the 96 h test period. Plasma 14C levels were similar for phenylalanine and aspartame treated animals, with peak values occurring at 5 h post-treatment. The plasma 14C half-time for phenylalanine was 10.8 days, and for aspartame 12.1 days. Fractionation of plasma into low and high molecular weight 14C- containing compounds showed that the low molecular weight component was being converted to a high molecular weight component. Chromatographic studies of the low molecular weight 14C plasma component from aspartame treated animals showed that during the first hour post-dosing the radiolabel was associated mainly with phenylalanine and its metabolite tyrosine (Anonymous, 1972c). Monkey Four young female rhesus monkeys (2-3 kg) were administered orally either 14C-methanol, 14C-L-phenylalanine, methyl 14C- aspartame or phenylalanine 14C-aspartame at a dose level equivalent to 0.068 mmol. 14CO2 elimination and 14C excretion in urine and faeces was measured for a 8 h post-dosing period in monkeys treated with the 14C-methyl-labelled compounds, and 24 h for the 14C- phenylalanine compound. Plasma 14C determinations were made up to 72 h post-dosing. The cumulative 14CO2 excretion expressed as a percentage of total administered dose was 72-88% and 60-75% for methanol and aspartame (methyl 14C label) treated animals and 9.00-21.70% and 13.17-22.60% for the phenylalanine and aspartame (phenylalanine 14C label). Cumulative 14C excretion in the urine was 3.17% and 1.57% for methanol and aspartame (methyl 14C label) treated animals. For phenylalanine and aspartame (phenylalanine 14C label) treated animals the respective cumulative 14C excretion in the urine was 1.3-4.6%, and 1.5-3.7%, and for faeces 0.6-8.8% and 0.5-3.3%. Plasma 14C levels following administration of methanol or aspartame (14C-methyl label) was low. The loss of 14C was slow. In the case of phenylalanine and aspartame (14C-phenylalanine) treated animals, 14C plasma levels reached a maximum at 5 h and showed a slow loss during the next 75 h of the test (Anonymous, 1972a). In another study four female rhesus monkeys (5-7 kg bw) were dosed via the saphenous vein, with a single dose of either 14C-L-aspartic acid or 14C-aspartyl aspartame at a dose level equivalent to 0.068 mmol/kg. 14CO2 excretion was measured for 12 h and urinary and faecal 14C excretion for 72 h post-dosing and plasma 14C for 24 h post-dosing. Peak 14CO2 excretion occurred within 1 h post-dosing. The cumulative mean 14CO2 excretion during the 12 h period was 77% and 67% of the dose of the aspartame and aspartic acid, respectively. Faecal excretion accounted for less than 2% of the total dose for both compounds. Urinary excretion was low, 2.1 and 3.8% of the doses of aspartame and aspartic acid respectively. There was considerable individual variation in the plasma 14C levels. Maximum levels were observed 1 h post-dosing, followed by a biphasic loss of 14C. Chromatographic separation of 14C from the plasma of aspartame or aspartic acid treated animals (5 h post-dosing) showed similar radioactive peaks. Analysis of acid hydrolysates of serum showed that the major 14C component was aspartic acid (Anonymous, 1972b). Groups each of three female rhesus monkeys between 4.2 and 6.4 kg were fed daily for 10 days, 0, 15 or 60 mg/kg aspartame in peanut butter. On day 11, a catheter was passed into the saphenous vein to permit withdrawal of blood samples, as well as the administration of L-phenylalanine-u-C14 (0.068 mmol/kg). After administration of the C14-phenylalanine blood samples were collected via the catheter for up to 7 h post-dosing and then by venous puncture for up to 10 days post-dosing. CO2 was collected for 7 h post-dosing. Rates of excretion of 14CO2 were nearly identical for animals pre-dosed with 0 or 60 mg/kg aspartame for 10 days. Slightly less 14CO2 was expired from animals receiving 15 mg/kg aspartame. Plasma 14C levels declined during the first 30 min then peaked at 3 h. The plasma 14C-phenylalanine disappearance in the three groups was similar. The appearance and disappearance of free plasma 14C-tyrosine was similar in all groups. The plasma 14C levels in all groups showed a similar pattern over the 10 day study. However, the levels of 14C in plasma of the group not previously exposed to aspartame was slightly lower than that of the test groups. Three hours post-dosing more than 90% of the 14C in the plasma of all groups was incorporated into protein (Anonymous, 1972b). Infant Macaque monkeys (species Macaca mulatta, M. fascicularis and M. arctoides) were fasted 3-4 h, lightly tranquillized and dosed via stomach tube with 2 g/kg bw of aspartame (APM) or 2 g/kg aspartame plus 1 g/kg monosodium glutamate (MSG). Control infant monkeys received either no fluid or water. Blood samples were obtained from the umbilical vein (four-day-old or younger monkeys) or saphenous vein (older infants) at 0, 20, 40, 60, 90, 120, 180 and 240 min post-dosing and analysed for amino acid content. At the termination of the last measurement the monkeys were sacrificed and the hypothalami examined by light and electron microscopy. Peak plasma levels of aspartate in the 14 infant monkeys dosed with APM or APM plus MSG occurred at 60 min (23 ± 33 µmol/dl versus 0.69 ± 0.43 µmol/dl for controls). Ninety minutes after aspartame loading, peak plasma phenylalanine levels reached 95 ± 59 µmol/dl versus 5.93 ± 2.81 µmol/dl control values. The monkeys metabolized the amino acids somewhat more rapidly than the human. No signs of pyknotic nuclei, neuronal degeneration or dendritic swelling were noted in the hypothalami of treated infant monkeys (Reynolds et al., 1979a). A developmental study was performed on newborn Macaca arctoides reared for nine months on infant formula diets containing 1, 2 or 3 g/kg bw of APM. Control monkeys received only infant formula or formula plus 1.65 g/kg bw of phenylalanine per day. There were four monkeys in each group and formula and water were available ad lib. All animals were monitored for formula and water intake, weight and growth. Blood samples were taken from the saphenous veins of all monkeys at 2, 4, 6, 8 and 9 months on study after a 4 h fast. The samples were analysed for serum electrolytes, osmolality, CBC and glucose as well as plasma amino acid content. Urine was analysed periodically for pH, occult blood, protein, glucose, ketones, bilirubin and phenylketones. Once a month the following developmental milestones were assessed: extent of teething; ability to vocalize; alertness; tractability; and general behaviour. Socialization with laboratory technicians was allowed to occur freely. Electroencephalograms were performed at the time of first dosing and at four and nine months on study. After removal of the monkeys from the experimental diets, eight animals were continued on regular formula for an additional month and given EEGs. Some infants were tested at quarterly intervals after cessation of the experimental diet. While no significant differences were noted in any groups with respect to formula and water intake over the course of the study, when a milk to water intake ratio was calculated the 1 g/kg APM group had a ratio significantly different (p <.05) from the other groups at five months on study. The 3 g/kg APM and 1.65 g/kg phenylalanine groups had the highest ratio of water to formula consumption. All treatment and control groups had similar growth rates. Blood indices, urinalyses and EEGs were within normal limits for all monkeys during and after the study. No significant differences in plasma aspartate or glutamate levels were seen between animal groups. Fasting plasma phenylalanine levels are given below: Plasma phenylalanine levels Treatment and dose µmol/dl ± s.d. Reference 1 g/kg bw APM 8.88 ± 5.15 2 g/kg bw APM 28.7 ± 48 3 g/kg bw APM 66.2 ± 83.3 Reynolds et al., 1979b 1.65 g/kg bw PHE 54.4 ± 65 None 5.49 ± 1.49 No behavioural deficits in treated versus control, untreated monkeys were found. TOXICOLOGICAL STUDIES Special studies Reproduction/teratological studies Chicken embryo Four hundred selected fertile eggs (White Leghorn) were randomly distributed into eight groups of 50 eggs each. Three control groups were assigned; one such group was untreated, one received only the thrust of the hypodermic needle, and one received a 0.05 ml injection of distilled water. The remaining five groups of 50 eggs each received one of the following agents: aspartame, 0.25 mg/egg; aspartame, 0.5 mg/egg; calcium cyclamate, 0.5 mg/egg; calcium cyclamate, 2.5 mg/egg; or sucrose, 0.5 mg/egg. All compounds were dissolved in sufficient distilled water so the total dose was contained in 0.05 ml. A vertical injection technique directly through the air cell enabled the injection of 0.05 ml of the prescribed solution directly into the yolk sac. The shell puncture was sealed and all eggs were candled daily beginning on day 6 post-injection. On day 19, all eggs with live embryos were transferred to hatching trays and returned to the incubator. On day 21, all hatched chicks were examined closely for gross signs of malformations. Additionally, all dead embryos observed during the candling procedure were examined grossly for signs of abnormality. On day 23, all surviving chicks were sacrificed and a complete gross necropsy was performed. Mortality rates were similar in the untreated control and the needle-thrust control groups (40%), in the vehicle control and the sucrose groups (60%) and in both aspartame treated groups and both calcium cyclamate treated groups (80%). No morphological abnormalities were observed in the embryos or hatched chicks of both aspartame treated groups, the sucrose group, or the intact or needle-thrust control groups. One malformed embryo was found in each of the vehicle control and cyclamate treated groups; due to the frequency (single incident) and the nature of the abnormalities little biological significance was attached, however, to these findings. No abnormalities were observed in any of the cyclamate treated hatched chicks (Anonymous, 1970a). Rat Low and high dose groups of 14 male and 30 female rats (Charles River Caesarean derived) received 2 or 4 g/kg/day of aspartame administered in the diet throughout the pre-mating, gestation and lactation period, and intragastrically during the mating period. A concurrent control group of 14 males, 48 females received basal diet or vehicle, as appropriate. For mating purposes, 12 males from each group were randomly subdivided into 36 units and mated with three females. This mating design (CC, LL, HH; CL, CH, LC, HC) enables comparison within each mating unit as well as between treatment levels and facilitates precise identification of any affected parent. Sires were sacrificed after completion of the mating period. Fifty per cent. of the dams from each dose level were sacrificed on day 13 of gestation; ovaries, uterus and uterine contents were examined. The remaining dams proceeded through natural delivery and lactation. The progeny were thoroughly examined at birth and periodically thereafter for evidence of maldevelopment. Ophthalmoscopic examinations were performed on all weaned pups. Pups were sacrificed at weaning (21 days old) or shortly thereafter. Compound ingestion closely approximated the indicated dosages, except during the latter half of lactation, when it increased to 2.7 and 5.9 g/kg/day. Aspartame had no effect on parental survival rate, mating performance, fertility, or paternal body weight gain. Paternal food consumption was significantly depressed during approximately one-half of the pre-mating period. Maternal food consumption was unremarkable during the pre-mating and lactation periods, but showed a variable, statistically significant reduction at the low dose level only during much of gestation. Maternal body weight was unremarkable during the pre-mating, gestation and lactation periods, but exhibited a variable, statistically significant reduction at the high dose level only during mid-gestation. Hysterotomy, litter examination, and the neonatal examination data were all unremarkable. Evaluation of the reproductive performance of the neonates (F2 generation study) was also normal (Schroeder et al., 1972). A two-generation reproduction study was performed in the rat to evaluate general reproductive performance in P1 and P2 generations continuously ingesting aspartame. Dosage levels of approximately 2 and 4 g/kg/day were employed throughout the study, with a concurrent control group of equal size receiving the basal diet only. Rats were randomly distributed into three groups of 12 males and 24 females each; this constituted the first parental generation. Each group received the appropriate diet for nine weeks prior to mating, then throughout the mating phase and the interval prior to sacrifice. Each litter produced was arbitrarily reduced to a maximum of 10 pups within 24 h of birth. Thirty males and 60 females from this F1 group were utilized as the P2 generation for continuation of the study. Following a nine week pre-mating treatment period the P2 animals were mated to produce F2A litters. All F2A litters were reduced to a maximum of eight pups within 24 h of birth. Five F2A litters per group were utilized for a separate neonatal clinical pathology study (Entry E-9); the remaining 15 litters per group were utilized for producing F2A weaning data. All pups were sacrificed at 21 days of age and gross necropsies performed on approximately 35% of the pups from 10 litters per group. Full sets of wet tissues were preserved. All remaining weanlings and all P2 generation males and females were sacrificed and discarded. Mean food consumption body weight, survival, physical appearance and behaviour of the parental generations were comparable between control and both treated groups. Indices of fertility, gestation, live birth, litter size at weaning, as well as appearance, behaviour, physical examination data and gross necropsy data from weanling animals, were also comparable between control and both treated groups. Growth among the low dose level pups compared well to the controls during both reproduction phases. The only evidence of a treatment-related effect was a statistically significant reduction in the body weight of weanling rats of both generations (F1A and F2A) in the high dose group (Anonymous, 1971). Female rats were housed in groups of three plus a male of proven fertility. Twenty-four mated females were assigned to each of three groups, receiving 0, 2 or 4 g/kg/day of aspartame in the diet from gestation days 6 through 15. On gestation day 20 each female was sacrificed and the ovaries, uterus and uterine contents examined. Foetuses were examined externally and preserved intact for subsequent examination for soft tissue abnormalities or for skeletal anomalies. Forty-seven litters (589 term foetuses) from treated females were examined. Maternal survival, body weight, and necropsy findings were comparable between control and treated groups. Food consumption was unremarkable at the low dose level, but significantly decreased in the high dose group throughout the treatment period (gestation days 6-15). The mean number of resorption sites, foetuses per pregnant female, and viable foetuses was similar in both treatment groups. Likewise, foetal sex distribution, body weight and length, and crown-rump distance were unremarkable at all dose levels. In short, no evidence of treatment- related anatomical alterations was observed. Thus, continuous dietary administration of aspartame to the primigravid rat, employing dosages up to 4 g/kg/day during the sixth to fifteenth day of gestation, exerts neither embryotoxic nor teratogenic effects in the developing foetus, nor does it affect the maternal rat adversely (Schroeder & McConnell, 1970). Three groups of 24 pregnant rats each received 0, 2.5 or 4.4 g/kg/day of aspartame administered in the diet from gestation days 14 through 21 (parturition), and 0, 3.6 or 6.8 g/kg/day from postpartum days 1 to 21 (weaning). Twenty-one litters (246 pups) from the control group level, 20 litters (236 pups) from the low dose group level, and 22 litters (289 pups) from the high dose group level were available and received physical examinations at birth. Maternal food consumption, behaviour, morbidity, and mortality were comparable between control and both treated groups. Maternal body weights were also comparable between groups during gestation, but body weight gain during lactation was significantly depressed in the high dose group. Duration of gestation, litter size and live birth indices and physical examination data at birth were unremarkable at both treatment levels. Pup body weights at birth were significantly reduced at the high dose level; at weaning, body weights of males were unremarkable but females weighed significantly less at both dose levels. Weanling pups survival was significantly depressed at the high dose level. Weanling physical examination data revealed that the low dose pups were unremarkable but the 3% (5/164) of the high dose pups exhibited incompletely opened eyelids and 1% (2/164; a single litter) exhibited grossly observable lens opacities (Schroeder et al., 1973e). In another study aspartame and DKP in a 3:1 ratio was fed to rats. Females were housed in pairs with a male of proven fertility. Thirty mated females were assigned to each of four groups, receiving 0, 1, 2 or 3 g/kg/day of the 3:1 mixture in the diet from the sixth through the fourteenth day of gestation. On gestation day 19 each female was sacrificed and the ovaries, uterus and uterine contents examined. Foetuses were examined externally and preserved intact for subsequent examination; approximately 33% of each litter was examined for soft-tissue abnormalities and the remaining 67% for skeletal anomalies. Eighty-two litters (1026 term foetuses) from treated females were examined. Maternal survival, body weight and food consumption were comparable between control and treated groups. The mean number of implantation sites, resorption sites, number of foetuses per pregnant female, live foetuses, or dead foetuses were similar in all treated groups. Foetal sex distribution, body weight and crown-rump distance exhibited no biologically significant alterations at any dosage level, nor was there any treatment-related anatomical alterations (Schroeder et al., 1972). Rabbit A total of six studies have been performed on the New Zealand White rabbit; five studies involved the administration of aspartame only while the sixth study involved administration of a 3:1 (w/w) mixture of aspartame:DKP. In all studies pooled sperm specimens were employed in the artificial insemination procedure. Food consumption was recorded daily and animals weighed periodically. All animals were sacrificed at term, partial necropsies performed and foetuses examined externally. Approximately one-half of the foetuses from each litter were processed for soft tissue examination. Viscera were removed and examined from the remaining animals and the carcasses processed for skeletal examination. Three Segment II rabbit studies involving intragastric administration were carried out. In each study an aqueous suspension of the test material was administered in equal quantities twice daily at 3-5 h intervals, employing a vehicle of 1% aqueous Tween 80 (v/v). Treatment was carried out on days 6-18 of gestation. Survival rates were frequently suboptimal, resulting both from technical difficulties encountered in intubating the rabbit and from intercurrent pulmonary infections. In the initial study a mixture of aspartame and DKP (3:1 ratio) was administered at daily dosage levels of 1, 2 or 3 g/kg/day of the mixture. The concurrent control group was fed ad lib. In the other studies aspartame was administered at a single dose level of 2 g/kg/day and the control group was pair-fed with those treated females consuming the lowest amount of food. There was a non-dose related decrease in the maternal survival rate of treated animals in one study. It is unlikely this was treatment related, but rather reflects intercurrent disease and technical difficulties with the compound administration procedure. The cumulative mean conception rate was slightly lower in the treated animals (70%) than in the concurrent control groups (85%). Much of this disparity can be traced to one study, which exhibited a reduced ovulation rate especially notable in the treated group. Cumulative mean rates of survival to term, abortion and premature delivery were similar between control and treated groups. The mean number of non-viable foetuses per litter was reduced in the treated groups. Other parameters evaluated were essentially comparable between control and treated animals. The foetal examination data reveal that the incidence of major foetal malformations was lower in the aspartame treated rabbits than in the controls, but was similar to the incidence in a historical control group. The incidence of anomalies in the concurrent control group of one study was unusually high, however, and this is reflected in the increased incidence observed in the compiled concurrent control data. The total number of litters and foetuses examined from aspartame treated animals (63 and 486, respectively) closely approximates the number in the historical control group (79 and 573, respectively) and is notably larger than the concurrent control group (34 and 263, respectively). Roughly similar fractions of each litter were examined by the two techniques employed (soft tissue examination by the Wilson's procedure, and skeletal examination of the maxillary bones, vomer irregularities, and cleft palate); one foetus exhibited underdeveloped frontal skull bones, a partial cleft palate, and eyelids fully opened at delivery; one foetus showed absence of the maxillary and mandibular bones, two missing cervical vertebrae and two split thoracic vertebral centra; and six foetuses exhibited microstomia and cleft palate and/or syn- or oligo-dactyly. Thus aspartame or aspartame/DKP mixture was neither embryotoxic nor teratogenic to the albino rabbit foetus when administered intragastrically at the doses studied during the mid-portion of gestation. It also lacked notable adverse effects on the maternal animal. The remaining three teratology studies on the rabbit involved administration of specially pelleted rabbit diet containing 3.28% or 6.08% aspartame. These pellets were prepared commercially (Teklad, Inc., Monmouth, Ill.). Chemical and microbiological analyses of the specially pelleted diets were performed at periodic intervals throughout the study. The rabbits received the test diet from days 6-18 of gestation. The ingested mean dosage of aspartame was 1.1 and 1.9 g/kg/day. All rabbits were sacrificed at term and the uterine contents examined. Parameters evaluated in this study included maternal survival rates, conception rates, body weights and hysterotomy findings; litter size and viability; foetal size, sex distribution and morphological development. Maternal survival, conception, premature delivery rate and body weight data during gestation were comparable between the control and treated groups. Mean food consumption during the treatment period was similar for the two treatment groups. In utero litter size and resorption data were comparable between the control and both treated groups. Similarly, foetal sex distribution, body weight and crown-rump distance data were comparable between these same groups. External, soft tissue and skeletal examinations of the 181 control, 151 low and 146 high dose foetuses recovered at term sacrifice were generally unremarkable. Major malformations were observed, in one foetus each from the control, low and high dose groups. Minor malformations were observed in an additional four high dose foetuses from two litters. A minor foetal malformation designated as separated eyelids was observed in three of five foetuses from one high dose litter. This malformation was not observed in the concurrent control group nor has it been observed historically in this laboratory. Its significance is not clear. No major compound-related embryotoxic or teratogenic effects were observed (Anonymous, 1973a and b, 1974b; Schroeder & McConnell, 1973; Schroeder et al., 1973f and g). Mutagenicity studies Microbial systems Aspartame at doses of 10-5000 µg/plate was tested in the Ames Salmonella/microsome mutagenicity screening assay in strains TA-1535, TA-1537, TA-1538, TA-98 and TA-100, with and without S-9 activation. The assay was repeated once using DMSO as the solvent and negative control both times. No toxicity to the organisms was seen even at the highest dose tested, but the compound precipitated on the agar plates at 10 000 µg. No aspartame induced increase in HIS- to HIS+ reversions was seen either in the presence or absence of the activating system. The positive control mutagens (sodium azide, 9-aminoacridine, 2-nitrofluorine and 2-anthramine) did induce significant numbers of reversions in the tester strains (Simmon & Shan, 1978). Dominant lethal Aspartame was administered orally as a 10% suspension at 2 g/kg to 15 male rats (Charles River CD strain) in two divided dosages two hours apart on a single day. The vehicle was 1% Tween 80 in distilled water. The aspartame used contained 0.2% diketopiperazine (DKP). The negative control was Tween 80 as a 1% solution (v/v) and was given to 15 males by the same route and dosage regimen as the aspartame. The positive control methylmethane sulfonate (MMS) was given to five males i.p., as a 0.7% suspension (w/v) in corn oil. The dosage was 25 mg/kg. Two females per week were mated to each male for eight weeks and autopsied 14 days after positive indications of mating. Fertility was reduced in the fourth week in males treated with aspartame. The fertility in all other time periods was normal. Females mated in the third and eighth week to aspartame treated males had a reduced number of corpora lutea, and significantly greater number of corpora lutea, respectively. The number of corpora lutea for all other time periods was normal. The number of implantations per female was unaffected by aspartame as well as by the positive control MMS. The positive control (MMS) produced a statistically significantly greater number of foetal deaths in weeks 2, 3 and 4. MMS also produced a statistically significant increase in the number of foetal deaths/pregnant female in week 6. Females mated to aspartame treated males in week 3 showed a statistically significant decrease in the number of live embryos, but the decrease is a result of fewer ovulations and as such is not considered important. Females mated to males in weeks 2, 3 and 4 showed a statistically significant decrease in the number of live embryos which indicates that the positive control was eliciting strong mutagenic response. This study was repeated with rats using MMS (positive control) at a dose level equivalent to 50 mg/kg. The aspartame contained 0.75% DKP. The fertility was significantly reduced in the fourth week in males treated with the positive control. All other time periods showed normal fertility. The number of corpora lutea was significantly reduced in weeks 2, 3 and 4 in females mated to positive control- treated males. There was no significant fluctuations in this parameter at any other time period. There was a significant decrease in the number of implantations in the fourth week in females mated to aspartame treated males. This parameter was significantly reduced in weeks 2, 3, 4 and 5 in females mated to positive control-treated males. All other time periods were unaffected. Females mated to positive control-treated males showed a significant increase in this parameter in weeks 1, 2, 3 and 5. All other time periods were unaffected. Females mated to aspartame treated males in week 4 showed a significant decrease in the number of viable foetal swellings. This effect appears spurious. Females mated to positive control treated males in weeks 1, 2, 3, 4 and 5 showed significant decreases in this parameter (Schroeder et al., 1973a). In vivo cytogenetic studies Holtzman strain rats were divided into eight groups of 10 rats each and received either no treatment, positive control triethylene- melamine, 0.5 mg/kg i.p./day if only positive control, days 1-5 cyclohexylamine 10 mg/kg/day or 50 mg/kg/day or SC-18862 days 1-5, 0.4 g/kg/day, 0.8 g/kg/day, 1.2 g/kg/day or 1.6 g/kg/day by gastric intubation for five days. Chromosomal aberrations in bone marrow and spermatogonial cells were evaluated. The positive control, triethylene-melamine produced a statistically significant increase in the number of cells with chromosomal aberrations. Neither cyclohexylamine nor aspartame had any significant cytogenetic effects (Anonymous, 1970b, 1972k). In another study aspartame (10% w/v) suspended in 10% Tween 80 was administered intragastrically in three equally divided dosages every three hours to Purina Caesarian derived strain male albino rats. Dosages were 0.5, 1.0, 2.0 and 4.0 g/kg/day for five days. The positive control was triethylenemelamine 0.5 mg/kg. It was administered i.p., as a suspension in 1% Tween 80 in distilled water, on the final day of treatment for the other groups. The vehicle control received 40 ml/kg/day. Chromosomal aberrations in bone marrow were evaluated. All groups except the positive control lost weight during the five day treatment. The negative controls consumed less food than any other group. The positive control produced a "statistically significant" increase in cells with aberrations. No significant increases were observed utilizing aspartame (Anonymous, 1970a). Host mediated assay Aspartame was administered orally to male rats (Purina Caesarean derived) approximately 12 weeks old, at four dose levels: 0.25, 0.50, 1.0 and 2.0 g/kg/day in three equally divided doses for five days; the vehicle control was given at a level of 40 ml/kg/day. DMNA was administered i.p. at a level of 100.00 mg/kg on day 5 only. S. typhimurium G-46 was injected i.p. on day 5, 30 min after administration of the test compounds. The rats were sacrificed 3 h after S. typhimurium injection; their peritoneal cavities were aseptically exposed and washed with 2.0 ml sterile saline. As much fluid as possible was removed from the cavity. Peritoneal washings were diluted and plated in accordance with generally accepted procedures. A total of 6 × 108 CFU of S. typhimurium G-46 was injected into each rat. Recoveries from the peritoneal cavity were extremely low - approximately 1/10-1/1000 of the original inoculum - indicating that the bacteria were being rapidly killed. A number of the recoveries, 0.08, 0.10, and 0.12, and 0.16 × 107 CFU/ml of exudate translate to counts of 5, 7 and 10 colonies/three plates at the 105 dilution, respectively. Mutant cell values of 1.6, 3.3 and 5.0 CFU/ml of exudate translate to counts of 1, 2 and 3 colonies/three plates, respectively. As a consequence of the low cell recoveries, only seven of 10 rats were usable from the 0.25 and 0.50 g/kg/day groups and 5 of 10 from the 2.0 g/kg/day group. The mean mutation frequencies (MF) were: Negative control: 4.39 ± 4.47 × 10-7 Positive control: 35.97 ± 22.18 × 10-7 0.5 g/kg/day: 2.48 ± 1.78 × 10-7 1.0 g/kg/day: 6.40 ± 3.67 × 10-7 2.0 g/kg/day: 2.93 ± 4.82 × 10-7 4.0 g/kg/day: 10.96 ± 6.48 × 10-7 (Anonymous, 1972e and l). Carcinogenicity studies (see also long-term studies) Groups each of 200 female 60-90-day-old Swiss albino mice were used for a urinary bladder tumorigenicity study by the intravescical pellet implant technique. Pellets of 20-22 mg of purified cholesterol (80%) and aspartame (20%, 4.0-4.4 mg) were prepared and surgically placed into the urinary bladder. The negative control group was exposed to pellets of cholesterol and the positive control group to pellets of cholesterol and the 8-methyl ether of zanthurenic acid. The study was for 56 weeks. Parameters measured included morbidity, mortality, motor and behavioural activity, growth, general external features and digital palpation of protruding tissue masses. All animals dying during the experiment, or at the termination of the study were subjected to necropsy and histopathological inspection of the bladder. No bladder neoplasia were observed in animals dying or killed prior to 175 days of the study. The following incidence of bladder neoplasia was recorded in mice surviving 175 days or more: negative control 17/155, aspartame 13/123 and positive control 40/111 (Bryan, 1974a). Neurological effect studies Mice A/JAX-ICR hybrids between six and 10 days of age of both sexes, were administered by gastric intubation, aspartame as a 10% aqueous solution at dose levels equivalent to 0.25, 0.5, 1.0, 1.5 and 2 mg/g. Three hours post-dosing the mice were killed and the brains prepared for microscopy. At 2 mg/g and 1.5 mg/g lesions were observed in midline structures, namely the hypothalamic arcuate nucleus, the subfornical organ and the area of the postrema. Less damage was observed at the 1.0 mg/g level, and at 0.5 and 0.25 mg/g no neuronal lesions were observed (Lemkey-Johnson et al., 1977). Special studies on DKP (5-benzyl-3,6-dioxo-2-piperazine acetic acid) BIOCHEMICAL STUDIES Metabolism All studies were carried out with 14C-labelled DKP prepared from 14C phenylalanine aspartame. Rat 14C DKP was incubated with rat plasma. There was no significant effect. Male rats (300 g) were dosed orally with 0.5 ml of an aqueous solution of 14C DKP (10 mg/animal). Blood samples were taken at 2, 3 and 4 h post-dosing. Four hours post-dosing the animals were sacrificed and the GI tract removed and divided into stomach, small intestine and colon. The major part of the administered dose of 14C was present in the colon (40-50%), and stomach (8-18%). Less than 5% being present in the small intestine. Only trace amounts of 14C were detected in the plasma (less than 0.1% of the administered dose). Separation of the plasma 14C by chromatographic techniques indicated the presence of many components (Anonymous, 1972a). In another study fasted rats were administered a single dose of 14C DKP (10 mg/animal), and tissue distribution of 14C determined 2, 4, and 6 h post-dosing. The tissues studied were lung, spleen, kidney, skeletal muscle, brain, heart, plasma, stomach, small intestine and colon. The contents of the stomach, small intestine and colon were also sampled. Only trace amounts of 14C were present in the tissues; lungs and spleen contained little radiolabel. The colon, plasma, liver and small intestine contained small but significant amounts of 14C. Analysis of the stomach, colon and small intestine for 14C compounds, indicated significant amounts of aspartyl-phenylalanine in the stomach contents, significant amounts of unchanged DKP, aspartyl-phenylalanine and tyrosine were found in the contents of the colon, and phenylalanine methyl ester was present in the intestinal contents. Plasma radiolabel at 2 h or more presumably contained 14C phenylalanine-containing protein. Liver 14C consisted of phenylalanine and a phenylalanine-containing protein (Anonymous, 1972a). In another study male rats (Charles River strain) were dosed orally with 14C DKP at a level equivalent to 10 mg/animal. Urine was collected for 18 days, and plasma samples for four days, post-dosing. About 25% of the dose was excreted in the first 24 h, with smaller amounts during the rest of the test period (cumulate excretion was less than 30% of the administered dose). Plasma 14C levels were low, but there was a possible biphasic response (Anonymous, 1972a). In another study 300 g male rats were subjected to bile duct cannulation and were given 10 mg of 14C DKP intragastrically. Bile was collected for 48 h. About 1% of the administered 14C was excreted in the bile in this period (Anonymous 1972a). In another study germ-free rats (Charles River, CD strain) were removed from their germ-free environment and administered a single oral dose of 20 mg 14C DKP. Urine and faeces were collected for 48 h post-dosing. The metabolic profile (urinary) was quite different from that of neomycin or control animals. 89% of the 14C in the urinary extracts was unchanged SAIB. However, after keeping the rats for 30 days in a regular animal room environment, administration of 14C DKP gave rise to metabolic urinary products similar to those of control animals (Anonymous, 1974a). DKP was incubated under aerobic or anaerobic conditions with faecal suspensions prepared from the faeces of male Charles River rats. No bacterial degradation occurred (Anonymous, 1974a). Male Charles River rats that had previously been dosed with neomycin sulfate, 25 mg/day for five days, received by oral intubation 20 mg/kg 14C DKP. Urine and faeces were collected for 48 h. Unchanged DKP and two metabolites were identified in urine, hippuric acid and benzoic acid. Quantitatively and qualitatively, the amount of these compounds present in urine was similar to that observed in rats that had not been treated with neomycin (Anonymous, 1974a). Rabbit Eight young adult female New Zealand white rabbits were dosed by gavage, daily, with DKP (17 mg/kg bw) then following an overnight fast with a dose of 14C DKP. Four rabbits were used to measure 14C levels and plasma metabolites, blood samples being taken at 0.5, 1, 2, 3, 4, 6 and 24 h post-dosing. The other four rabbits were used to measure 14CO2 and urinary and faecal excretion of 14C. CO2 was collected up to 7 h post-dosing, and urine and faeces up to 96 h post-dosing. At the termination of the study all animals were sacrificed and autopsied. 14CO2 expiration was extremely low. The total cumulative 14CO2 collected was 0.2-0.65% of the administered 14C. Plasma 14C levels were extremely low, 0.1-0.2% of the administered 14C dose. No characterization of the 14C content of the plasma was possible. 5-33% of the 14C was excreted in the urine in 96 h, with a maximum occurring in the 24-48 h period. Chromatographic separation of extracts of the urine indicated the presence of a single unidentified peak. The rabbits excreted about 19% of the 14C in the faeces in 96 h, with the maximum levels occurring in the first 24 h post-dosing. Methanol extracts of the faeces showed a steady decrease of the major 14C peak with time and appearance of other peaks. 14C DKP was identified in the faeces but the other metabolites have not been characterized (Anonymous, 1972b). Monkey Four female rhesus monkeys (4-6 kg) were given by intubation 0.068 mmol 14C DKP. CO2 was collected for 12 h post-dosing. Plasma 14C and excretion of 14C in the urine and faeces, was determined during the 120 h post-dosing period. About 1% of the administered dose was excreted as CO2. 48% of the administered 14C was excreted in the urine, with 30% being excreted in the first 24 h. 36% of the administered DKP was excreted in the faeces, the majority being excreted in the first 48 h. The 14C level in plasma was low, the peak level at 12 h was 1.61% dose/litre plasma. The 14C exhibited a biphasic response. One peak occurred at 2 h, another at 12 post- dosing. 26% of the extractable urinary radioactivity was identified as unchanged DKP and 58% as the major metabolite phenylacetylglutamine. Methanol extracts of the 14C-labelled material in the faeces contained 13% phenylalanine and 62% unchanged DKP. The other 14C materials were not identified (Anonymous, 1972a). In a later study phenylacetic acid was identified as a metabolite of DKP in the rhesus monkey (Anonymous, 1974a). In another study two female rhesus monkeys were infused via the saphenous vein with 14C DKP at a dose level equivalent to 0.068 mmol/kg. 14C plasma levels were determined up to 12 h post-dosing. Urine was collected at one hour intervals, for up to 8 h post-dosing, by removing urine collected in bladder and then rinsing with 10 ml saline. Urinary collection was continued in a normal fasting for a further 64 h. Faeces were collected for 14C assay for a 72 h period. 14C peaked in the plasma in less than a minute, and then showed a very rapid decrease. There were 3 phases of elimination of 14C from the plasma, namely, at t1/2 of 0.042 h, 0.40 h and 9 h. Approximately 100% of the administered 14C was recovered in the urine with most of the radiolabel being excreted in the first 3 h. Chromatographic examination of the 14C in the serum and urine indicated that most of the 14C (approximately 97%) was present in unchanged DKP (Anonymous, 1972a). Man Three male subjects (age 25-55 years) were fasted overnight prior to administration by mouth 14C DKP (97 mg in 120 ml water). Blood and urine samples were taken prior to dosing and then at various intervals up to 72 h post-dosing,. Maximum 14C levels were observed in the plasma 1 h post-dosing, with a second peak being observed 12 h post- dosing. It was estimated the plasma level of 14C DKP at 1 h was 70 µg/l. The plasma 14C disappearance half life of the first phase was about 2 h and the second phase 30 h. 14C was present in the urine within 4 h post-dosing. At the end of three days no additional 14C was excreted in the urine. A mean of 48.3% of the administered 14C was excreted during this period. Analysis of the 14C compounds present in the pooled 3-day samples of urine showed that about 12% of the extractable 14C was in the form of unchanged DKP, 29% was in the form of phenylacetylglutamine. In addition there were two other unidentified 14C compounds (Anonymous, 1972a). In a later study phenylacetylglutamine was identified as major urinary metabolite of DKP in man (Anonymous 1974a). Acute toxicity LD50 Reference Animal Route (mg/kg bw) Rat Oral >5000 Andress et al., 1973a i.p. >1562 Andress et al., 1973a Mouse Oral >5000 Andress et al., 1973a Rabbit Oral >5000 Andress et al., 1973a Short-term studies Mouse Groups of 10 male mice received 0 and 1000 mg/kg/day of DKP intragastrically for two weeks. All animals survived. No significant differences were noted between control and test animals in terms of body weight, food consumption, physical appearance and behaviour. Haematology showed a decrease in total wbc due apparently to a marked decrease in polymorphonuclears and blood chemistry showed a significant decrease in glucose and non-significant decrease in BUN and bilirubin. Aside from a significantly increased weight of the seminal vesicles no other effects were noted upon organ weights nor was there any increase noted grossly or microscopically in the incidence of severity of lesions seen in treated as compared to control animals (Rao et al., 1971a). Rat Groups of 5 male and 5 female rats received 0 and 1000 mg/kg/day of DKP intragastrically for 2 weeks. No deaths or adverse physical or behavioural effects were noted. No effects were seen in the urinalysis findings. Transient depression of weight gain and food consumption was seen in treated females at one week. Haematology showed only a small percentage increase in polymorphonuclear leucocytes and decrease in lymphoocytes. A non-statistically significant lowering of serum BUN, SGPT, bilirubin and small but significant lowering of K+ was seen in the treated groups. Decreased male heart and increased prostate weights were noted at autopsy. No treated related evidence of microscopic tissue lesions were noted (Rao et al., 1971b). Groups of 5 male and 5 female rats received dietary levels of 0, 1000, 2000, 4000 and 6000 mg/kg/day of DKP for 5 weeks. Each dietary group was run in duplicate. No mortality occurred. No dose-related variations in body weights of food consumption were observed. Terminal body weights and food consumption were decreased at the highest dose level, this effect being statistically significant for the females. No adverse physical or behavioural effects were noted in the treated animals nor were compound related eye lesions apparent in the ophthalmoscopic examination made at termination. Haematology and plasma chemistry did not indicate any consistent treatment related variations. No clear dose-related effects were noted in terms of organ weights aside from decreased male, heart weight. This was statistically significant only at the high dose level but was dosage related except for the 1000 mg/kg/day level. Other gross and microscopic pathology observations were not indicative of compound related effects (Rao et al., 1972a). Long-term studies Rat Groups of 6 male and 6 female rats received dietary levels of 750, 1500 and 3000 mg/kg/day of DKP for 115 weeks. A group of 12 male and 12 female rats served as controls. Each group was replicated 6 times. No effects were reported as being seen in terms of physical appearance and behaviour, nor was there evidence that the compound produced any effects in terms of survival. A consistent pattern of dosage-related decreased weight gain was seen in both sexes. These were reported to be statistically significant as follows: Weeks of decreased body weight gain Dosage (mg/kg/day) Males Females 3000 2-100 16-termination 1500 24-64 27-84 750 24-68 Not significant A fairly consistent, statistically significant pattern of increased food consumption was noted for high level males. Increased food consumption for the high level females was seen only during the second experimental year. For the lower feeding levels food intakes which differed significantly from control values were sporadic. No evidence of effect was seen in terms of haematology. Clinical chemistry findings were similarly without evidence of compound effect aside from an apparent statistically significant decrease in serum cholesterol seen to persist in the high level groups. Urinalysis findings were not remarkable aside from a significant drop in pH seen persistently in the high level females and sporadically in other groups. Ophthalmological findings also failed to disclose any evidence of compound related changes, on autopsy, findings with respect to organ weights were not remarkable. Gross and microscopic pathology as reported did not indicate the presence of tumorigenic or non- tumorigenic changes which would be attributable to the administration of DKP except for a dosage related increase in uterine polyps whose numbers were significantly increased over controls for both the intermediate and high dosage level groups. This observation will require further clarification (Rao et al., 1974). Mouse Groups of 36 male and 36 female mice received dietary levels of 250, 500 and 1000 mg/kg/day of DKP for 110 weeks. A group of 72 male and 72 female rats served as controls. No evidence of compound induced effect was reported as being evident in terms of appearance and behaviour as well as weight gain and food consumption or eye lesions. Blood counts were not remarkable. Clinical chemistry results were not suggestive of compound related effect. At sacrifice thyroid weight and ratio of thyroid weight to body weight for the intermediate and high dose level females were significantly elevated over control values. Gross and microscopic pathology reported as not suggestive of tumorigenic or non-tumorigenic changes which might be attributable to the feeding of DKP (Anonymous, 1974c). Reproduction studies Rat Low, medium and high dose groups of rats (Charles River CD strain) 14 males and 28 females received 0.45, 0.9 or 1.8 g/kg/day of DKP administered in the diet throughout the premating, gestation, and lactation periods, and intragastrically during the mating period. A concurrent control group of 14 males and 60 females received either basal diet or the diluent. For mating purposes, the rats were randomly subdivided into 48 mating units each containing one male and three females. This male-female cross-mating design is the same as that described in the aspartame studies. Sires are sacrificed after completion of the mating period. 50% of the dams from each group are sacrificed on gestation day 14; ovaries, uterus, and uterine contents are examined. The remaining dams proceed through natural delivery and lactation. The progeny are thoroughly examined at birth and periodically thereafter for evidence of maldevelopment. Ophthalmoscopic examinations are included. Pups are sacrificed at weaning (21 days old) or shortly thereafter. DKP had no effect on parental survival rate, food consumption, mating performance, fertility, or on paternal body weight gain. Maternal body weights were unremarkable at low and medium dose levels, but significantly depressed during mid-gestation (day 14) and lactation (days 14 and 21) in the high dose animals. Hysterotomy, litter examination, and neonatal data were all unremarkable, excepting a slight but significant decrease in mean viable litter size in the high dose group (Schroeder et al., 1973c). Four groups of 20 pregnant rats (Charles River CD strain) each received 0, 0.7, 1.3 or 2.5 g/kg/day of DKP administered in the diet from gestation day 14 through postpartum day 21 (weaning). Following physical examination at birth, each litter was arbitrarily reduced to a maximum of 8 pups. Maternal food consumption, body weight gain, behaviour, morbidity, and mortality were comparable between control and all treated groups. Likewise, duration of gestation, litter size and live birth indices, and weanling pup survival, body weight gain, and physical examination data (including ophthalmoscopic exams) were normal in all treatment groups. No treatment-related anatomical abnormalities were observed (Schroeder et al., 1973c). Teratological studies in the rat (Charles River CD strain) Diketopiperazine (DKP) Female rats were housed in groups of four with a male of proven fertility. Twenty-four mated females were assigned to each of four groups, receiving 0, 1, 2, or 4 g/kg/day of DKP in the diet from the sixth through the fifteenth day of gestation. On day 20 each female was sacrificed and the ovaries, uterus, and uterine contents examined. Foetuses were examined externally and preserved intact for subsequent examination for soft tissue abnormalities or for skeletal anomalies. Fifty-seven litters (711 term foetuses) from treated females were examined. Maternal survival, conception, body weight, and food consumption were comparable between control and treated groups. Mean number of resorption sites was unremarkable at the low and medium dose levels, and significantly decreased at the high dose level. The mean number of foetuses per pregnant female was likewise unremarkable at the low and medium dose levels, and significantly increased at the high dose level. Foetal sex distribution, body weight, and crown-rump distance were unremarkable at all dose levels. No evidence of treatment-related anatomical alterations was observed (Schroeder et al., 1973d). Teratological studies in the rabbit Four groups comprised of 21 artificially inseminated females of the New Zealand white strain received aqueous suspension of DKP by gastric intubation at dosages of 0.5, 1, or 2 g/kg/day from the sixth day of gestation through day 18. Controls received diluent only. Body weights were recorded periodically (7 intervals) and food consumption was measured daily. All animals were sacrificed at term (gestation day 28 or 29). Partial necropsies were performed, and foetuses examined externally. Approximately one-half the foetuses from each litter were processed for soft tissue examination. Viscera from the remainder were removed and examined. The carcasses were processed for skeletal examination. Approximately 40-50 foetuses were processed from each group except the high dose from which only 4-5 foetuses were available for each type of examination. Survival rates were sub-optimal but comparable in the control, low, and medium dose groups, with 20-30% mortality per group. At the high dose level 90% of the rabbits died. Pulmonary aspiration of compound suspension and gastric perforation, resulting from technical difficulties encountered in intubating the animals, clearly contributed notably to the mortality rate in all groups. However, in the high dose group marked anorexia and weight loss occurred secondary to pyloric obstruction by a gastric concretion composed ostensibly of DKP intermixed with rabbit hair. Data on the mean number of implantation sites, resorption sites, viable and non-viable foetuses, and foetal length and weight were unremarkable for control, low, medium dose groups. There were insufficient data from the high dose group to permit a proper evaluation. External, visceral, and skeletal examinations of foetuses from 10-14 litters per group (except the high dose group) showed no treatment-related effects (Anonymous, 1972f). Mutagenicity studies Dominant lethal study DKP was administered intragastrically as a freshly prepared 5% suspension w/v in a 1% solution of Tween-80 (v/v) in distilled water to 15 male rats (Charles River CD strain). Two equally divided dosages were administered two hours apart on a single day. The negative control was Tween-80, as a 1% solution (v/v) and was administered to 15 males by the same route and dosage regimen as the DKP. The positive control methylmethane sulfonate (mms) was given to 10 males i.p., as an 0.7% suspension (w/v) in corn oil. The dosage was 50 mg/ml. Two females per week were mated to each male for 8 weeks and autopsied 14 days after positive indications of mating. Males treated with the positive control had statistically significant decreases in fertility in the fourth week. There was no evidence that DKP affected the fertility of male rats. There were significant decreases in the number of corpora lutea in females mated to positive control-treated animals, in the second, third and fourth weeks. Females mated to DKP treated males showed a decrease in the number of corpora lutea in the seventh week. The number of implantations in females mated to positive control-treated males was significantly decreased in the second, third, fourth and fifth week. Females mated to DKP treated males in the fifth week showed a significant decrease in the number of implantations. The results in all other time periods were normal. The number of foetal deaths was significantly increased in females mated to positive control-treated males in weeks 1, 2, 3 and 5. Females mated to DKP-treated males were unaffected. The number of viable foetal swellings was significantly decreased in females mated to positive control-treated males in weeks 1, 2, 3, 4 and 5. Females mated to DKP treated males in week 5 showed a significant reduction in the number of viable foetal swellings (Schroeder et al., 1973b). In vivo cytogenetics DKP was administered intragastrically to four groups of 10 male Purina Caesarian derived albino rats for five consecutive days. The dosages were 0.25, 0.5, 1.0 and 2.0 g/kg/day given in three equally divided daily dosages. The negative control received the Tween-80- water vehicle (1% Tween-80 in distilled water). The positive control received a single i.p. dose of triethylene melamine. Chromosomal aberrations in bone marrow were evaluated. The mean body weight was reduced in all groups, but more significantly at the very high dosage level (2.0 g/kg/day). Food consumption was also reduced in the groups receiving five days of treatment. The mean percentage of cells with aberrations was significantly higher in the positive control-treated groups. There were increases above control level in other DKP treated groups, but these apparently were not evaluated statistically (Anonymous, 1972g). Host mediated assay DKP was administered orally to male rats (Purina Caesarian derived) approximately 12 weeks old at 4 dose levels; 0.25, 0.50, 1.0 and 2.0 g/kg/day in 3 equally divided doses for 5 days. The vehicle control was given at a level of 40 ml/kg/day. DMNA was administered i.p. at a level of 100.00 mg/kg on day 5 only. S. typhimurium G-46 was injected i.p. on day 5, 30 min after administration of the test compounds. The rats were sacrificed 3 hours after S. typhimurium injection; their peritoneal cavities were aseptically exposed and washed with 2.0 ml sterile saline. As much fluid as possible was removed from the cavity. Peritoneal washings were diluted and plated in accordance with generally accepted procedures. A total of 16.0 × 108 CFU of S. typhimurium G-46 was injected into each rat. Recoveries from the peritoneal cavity were extremely low, approximately 1/3-1/100 of the original inoculum. The mean mutation frequencies (MF) were: Negative control: 1.26 0.64 × 10-7 Positive control: 23.36 10.58 × 10-7 0.25 g/kg/day 2.90 6.33 × 10-7 0.50 g/kg/day 0.83 0.84 × 10-7 1.0 g/kg/day 1.34 1.21 × 10-7 2.0 g/kg/day 2.19 1.88 × 10-7 (Anonymous, 1972e) Special studies Urinary bladder tumorigenicity study in the mouse by the intravesical pellet implant technique (DKP) Groups each of 200 female 60-90 day-old Swiss albino mice were used. Pellets of 20-22 mg of purified cholesterol (80%) and DKP (20%, 4.0-4.4 mg) were prepared and surgically placed into the urinary bladder. The negative control group was exposed to pellets of cholesterol, and the positive control group to pellets of cholesterol and the 8-methyl ether of xanthurenic acid. The study was for 56 weeks. Parameters measured included morbidity, mortality, motor and behavioural activity, growth, general external features and digital palpation of protruding tissue masses. All animals dying during the experiment, or at the termination of the study were subject to necropsy, and histopathological inspection of the bladder. No bladder neoplasma was observed in animals dying to 175 days of the study. The following incidence of bladder neoplasia was recorded in mice surviving 175 days or more: control 17/155 (10.6%), DKP 17/125 (13.6%) and positive control 40/111 (36.0%) (Bryan, 1974b). Special studies on the possible nitrosation of DKP Reaction of DKP and sodium nitrite in vitro 1250 mg of piperidine and 25 mg of Na nitrite were dissolved in distilled water; pH was adjusted to 4 and volume to 10 ml. Duplicate flasks were capped and incubated at 37°C with constant shaking. At 0.5, 1, 2 and 4 hours, 2 ml samples were transferred to tubes containing 3 ml of ether with extraction for 15 min. The ether phase was used for GLC detection of N-nitroso-piperidine. In duplicate vials, 10 mg of DKP-14C-phenylalanine and 3 mg of Na nitrite were dissolved in 0.25 M phthalic acid buffer, pH 4. The volume was adjusted to 10 ml, the vials gassed with N2 and capped. Control vials were prepared containing DKP but no Na nitrite. Vials were incubated with shaking at 37°C and at 0.5, 1, 2 and 4 hours, samples (were taken and analysed for the presence of nitroso compounds by use of multiple sampling procedures) and the use of two different thin chromatographic systems. Nitrosopiperidine formation occurred by reaction of piperidine with sodium nitrite (3-6 mg or 0.2 to 0.5% of the possible yield). DKP did not react with nitrite to form compounds that could be detected by the methods used (Anonymous, 1972a). A study of the possible reaction of DKP with aqueous nitrous acid A 0.1% solution of DKP, containing 0.13% (5 molar excess) Na nitrite was prepared in 0.1 N HCl. The mixture was allowed to stand at room temperature for 1.5 hours. Excess nitrous acid, formed by the interaction of HCl and Na nitrite was distilled off from the mixture at 30 under vacuum. Following distillation, a 25 ml aliquot of the solution was taken and to it 0.062 mg of N-ethyl, N-nitrosourethane was added. The UV spectrum of this solution was taken against a blank of 0.1% DKP in 0.1 N HCl. An aliquot of the solution was subjected to UV spectral analysis (against a blank of 0.1% DKP in 0.1 N HCl) prior to addition of N-ethyl, N-nitrosourethane. A 0.158% solution of NaNO2 in 0.1 N HCl was also distilled and the UV spectrum taken against 0.1 N HCl. At 245 nm, the DKP showed no increase in absorbance as compared to the NaNO2 solution alone, suggesting that DKP had not been nitrosated to form N-Nitroso-DKP (Anonymous, 1972h). Reaction of DKP and Na Nitrite in vivo Non-fasted male Charles River rats (340-360 g) were anaesthetized with Na pentobarbital. The stomach was ligated at the cardiac and pyloric junctions. At the pyloric junction, an incision was made through which coarse food particles were manually expressed from the stomach and through which a polyethylene cannula was inserted. 25 mg of Na nitrite in 0.5 ml water followed by 5 mg 14C DKP in phthalic acid buffer were administered. The cannula was removed, the ligature tightened, and stomach returned to abdominal cavity. Controls received either piperidine, HCl or Na nitrite alone with saline. Two rats were used for each experiment. After 60 min, the animals were sacrificed with ether, gastric contents removed, and stomach rinsed with saline and the contents were assayed for the presence of n-nitroso compounds. In vivo nitrosation of piperidine was demonstrated and only the stomachs of rats given piperidine and nitrite. No reaction products of sodium nitrite and DKP were detected by the assay methods used (radiochromatography by several solvent systems) (Anonymous, 1972a). Special studies with aspartame and DPK Enzyme induction studies with aspartame and DPK Male albino rats (Charles River strain) of 80-100 g weights were pretreated with either saline (1 mg/kg), phenobarbital (60 mg/kg), or aspartame (3.5 g/kg) for 4 days. Saline and phenobarbital were administered once daily by i.p. injection. Aspartame was given twice daily as an aqueous suspension. On the day following the last pre-treatment day, the animals were challenged with either hexobarbital (100 mg/kg, i.p.) or zoxazolamine (60 mg/kg, i.p.). The duration of hexobarbitol sleeping time or zoxazolamine paralysis time was determined, using loss and return of the righting reflex as end points. In vitro studies were carried out on liver preparations derived from the livers of rat following the last pretreatment day, to measure the effect of aspartame administration on hepatic amino-N- demethylase, p-nitrosoamisole, O-demethylase, zoxazolamine hydroxylase and hexobarbital oxidase activity. Aspartame administration to the rats had no effect on the in vivo and in vitro systems studied (Anonymous, 1972a). Similar results were observed when DPK (2.0 g/kg) was used in the diet (Anonymous, 1972a). Effect of dietary aspartame and phenylalanine on hepatic phenylalanine hydrolase activity in the rat Groups each of 8 male Charles River strain rats (170 g) had free access to one of 4 diets and water. Diets used were: (1) powdered Rockland diet, (2) powdered diet plus 0.15% aspartame, (3) powdered diet plus 1.5% aspartame and powdered diets and 0.85% phenylalanine (equimolar with 1.5% aspartame). Animals were weighed at 2-day intervals and food consumption recorded every second day. Treatment period varied from 1 to 8 weeks. The animals were sacrificed and blood samples taken for phenylalanine analysis. A liver preparation consisting of the supernatant from homogenates centrifuged 45 min × 16 000 g, was used for the enzyme assay. Feeding diets of 0.85% phenylalanine or 1.5% aspartame for one or more weeks resulted in decreases in phenylalanine hydroxylase activity and increases in plasma phenylalanine levels. The hydroxylase activities were more sensitive to the presence of the dietary aspartame and phenylalanine than were the plasma phenylalanine level (Anonymous, 1972i). Gastrointestinal system Appetite inhibition studies in rats Ten male adult Charles River rats were trained to eat during a two-hour period each day for 4 consecutive days. Tap water was allowed throughout the experiment. On day 5, 1 h prior to feeding, rats were dosed intragastrically with 200 mg/kg of aspartame, DKP (an aspartame breakdown product), or vehicle (30% propylene glycol) only. One group received no treatment. One hour later, all except the control group, which was fasted, were allowed food ad lib. for 2 h. The body weight was taken before compound administration and 24 h after feeding. Neither aspartame or DKP had any effect on food consumption or weight loss, indicating no effect on appetite (Anonymous, 1972j). Effects on gastric secretion in rats Groups each of 6 male Charles River strain rats (175-225 g) were fasted for 48 h. The animals were anaesthetized with ether and subjected to pyloric ligation. Aspartame, DKP, or distilled water (control) were administered in 1 ml of water intragastrically (250 mg/kg). Five hours later, the stomachs were removed, contents measured, and centrifuged. Acid concentration and proteolytic activity of the gastric juice was measured. Neither aspartame nor DKP had any marked effect on gastric juice volume, acidity or proteolytic activity (Anonymous, 1972j). Pepsin inhibition in vitro Bovine pepsin was incubated with bovine haemoglobin in the presence of aspartame or DKP at 143 µg/ml. There was no inhibition of pepsin activity (Anonymous, 1972j). Pancreatic lipase inhibition in vitro Emulsified triglyceride (olive oil) containing 0.4 mg/ml of pancreatic lipase was incubated for 2 h in the presence or absence of aspartame or DKP at 1.25 mg/ml. There was no inhibition of lipase activity (Anonymous, 1972j). Effects on gastric ulceration in rats Male Charles River rats (200-250 g) were anaesthetized with ether and stomach ligated at the pyloric junction. The animals were given 50 mg of aspartame or DKP or vehicle only. 17-1/2 hours later, the stomachs were removed and examined microscopically. The numbers of ulcers in the non-secretory portion of the stomach were counted according to size to obtain the Z score. Six rats were in each treatment group. A known anti-ulcer agent was used as a positive control. Neither aspartame nor DKP significantly increased or decreased the severity of gastric ulceration (Anonymous, 1972j). Cardiovascular system Effects on blood pressure in anaesthetized dogs following intravenous administration Two mongrel dogs were anaesthetized with sodium pentobarbital and the blood pressure monitored continuously from a femoral artery. Aspartame or DKP was dissolved in propylene glycol and injected at concentrations of 0.1, 1.0, and 5.0 mg/kg. Aspartame had no effect on blood pressure at 0.1 or 1.0 mg/kg. At 5 mg/kg, one dog (of 2) had a slightly lowered blood pressure temporarily. DKP had no effects at any concentration (Anonymous, 1972j). Effects on blood pressure and heart rates following oral administration of aspartame or DKP in unanaesthetized normotensive dogs Blood pressure was recorded via a surgically implanted aortic cannula. Following surgery, the animals were isolated from noise. Systolic, diastolic, and mean arterial pressures were recorded. Heart rate was derived from the blood pressure tracing. Blood pressure and heart rate were determined at 5 min intervals during a 30 min control period prior to compound administration. Aspartame, DKP, and placebo were administered in capsule form at levels of 100 and 200 mg/kg. Two dogs of each sex were in each treatment series. Measurements were made at 10, 20, 30, 40, 50, 60, 120, 180, 240 min and 24 h after treatment. Neither aspartame nor DKP showed any consistent effects on blood pressure or heart rates (Rozek, 1972). Inhibition of the pressor response to angiotensin in rats Adult male Charles River rats were anaesthetized by i.p. injection of sodium pentobarbital. Cardiovascular reflexes were blocked with atropine and pentolinium subcutaneous injections. A femoral vein was cannulated for injections, a femoral artery for blood pressure measurements. Five consecutive doses of 0.01 µg of angiotensin were given intravenously at 3 min intervals. Three minutes after the last injection, Aspartame or DKP was injected at 10 mg/kg. Following 15 min, the angiotensin protocol was repeated. The mean pressor responses were compared before and after test compound administration. A known antihypertensive agent was used as a positive control. Neither aspartame nor DKP had any effect on the pressor response to angiotensin in rats (Anonymous, 1972j). Antiarrhythmic activity using the isolated rabbit heart The ability of aspartame and DKP at concentrations of 10, 20, and 40 mg/l to affect aconitine-induced ventricular arrhythmia in the isolated rabbit heart was determined. No significant effects of aspartame or DKP were observed (Anonymous, 1972j). Effects on blood coagulation in vitro Saline solutions of aspartame or DKP were added to freshly drawn rabbit blood and the mixture incubated at 37°C. The coagulation time was compared to controls (no treatment) and coagulation time in the presence of heparin. DKP or aspartame had no effects on coagulation time (Anonymous, 1972j). Central nervous system General observable effects in mice Groups of 4 mice each were injected i.p. or s.c. with aspartame or DKP at dose levels of 0, 5, 20, 40, 80, and 320 mg/kg. Observations and tests were carried out just prior to compound administration and an 0.5, 1, 2, 3, and 4 h treatment. The spontaneous elicited behaviour was rated for each mouse and tests for locomotor ataxia were carried out by observing the behaviour of the mouse for 30 sec when placed on a horizontal rod. Neither aspartame nor DKP caused excitation or depression at any of the doses used. Very slight ataxia was observed for aspartame at i.p. doses of 20, 40, 80 and 320 mg/kg and subcutaneous doses of 40, 80 and 320 mg/kg. Similar observations were reported for DKP following i.p. doses of 5-320 mg/kg and subcutaneous doses of 40 and 320 mg/kg (Anonymous, 1972j). Antidepressant activity in mice Aspartame and DKP were checked for antidepressant activity by determining their abilities in antagonizing the drooping of the upper eyelid (ptosis) caused by the administration of RO-4-1284. Ten mice were used in each group. Mice received 0, 25, or 200 mg/kg of aspartame or DKP intragastrically. One hour later, RO-4-1284 was administered i.p. at 20 mg/kg. The abilities of the two compounds to antagonize the eyelid drooping caused by RO-4-1284 were rated. Positive controls with known antidepressants were run. Aspartame or DKP had essentially no antidepressant effects (Anonymous, 1972j). Effects on hexobarbital hypnosis in mice Groups of 16 male HAM/ICR mice (18-25 g) were administered saline (control), or DKP or aspartame at dosage levels of 250, 500, or 1000 mg/kg intragastrically. Thirty minutes later, hexobarbital was administered i.p. at 100 mg/kg. Sleeptime was defined as the time from the loss of righting reflex until a 2-time spontaneous righting in a 15 sec interval. Aspartame did not show any effect at the doses studied. DKP caused a significant increase in sleeping time at the highest dose level test (1000 mg/kg) (Anonymous, 1972j). Effect on motor coordination in mice To groups of male HAM/ICR mice (20-30 g), aspartame or DKP was administered intragastrically at 0, 50, 100 or 200 mg/kg. Diazepam (positive control) was administered at 10 mg/kg. Mice were scored after 2-1/2 hours on the ability to stay on a rotating rod (4.5 rpm) for 1 min or longer. Neither aspartame nor DKP produced motor incoordination. Diazepam was significantly active in this test (Anonymous, 1972j). Anticonvulsant activity in mice Groups of male HAM/ICR mice (20-30 g) were administered aspartame or DKP intragastrically at 0, 50, 100, or 200 mg/kg. 2-1/2 hours later, the animals were exposed to a current of 50 milliamperes delivered by corneal electrodes. Anticonvulsant effects are judged by protections from the hindlimb extension component of the seizure. Diphenylhydantoin was used as a positive control. Neither aspartame nor DKP had any anticonvulsant effects at any dosage level. Groups of the same strain of mice were given aspartame or DKP intragastrically at dosage levels of 0, 100, or 200 mg/kg. Trimethadione and diazepam were used for positive controls. 1-1/2 hours later, 35 mg/kg of metrazol was administered i.p. Anticonvulsant activity was judged by abolition of seizures. Neither aspartame nor DKP had any effect (Anonymous, 1972j). Analgesic activity in mice Groups of 10 male HAM/ICR mice (18-25 g) were administered aspartame or DKP intragastrically at levels of 0, 50, and 100 mg/kg. The reaction time of each mouse to lick a foot or jump was measured at 60, 40, and 20 min before, and 30, 60, 90, and 120 min after administration of the test compound. The mice were scored on foot licking or jumping when placed on a hot plate at 55°C, as compared with controls (Anonymous, 1972j). Adult male HAM/ICR mice (18-25 g) were administered aspartame or DKP at levels of 0, 50, or 100 mg/kg intragastrically. A pressure- standardized artery clip was placed one inch from the base of the tail. Response to the clip was measured as compared to controls. Neither aspartame nor DKP showed any analgesic effects (Anonymous, 1972j). Central anticholinergic activity in mice Groups of 10 adult male HAM/ICR mice were given i.p. or oral doses of aspartame or DKP at levels of 0, 20, or 200 mg/kg. 20 min later, the mice received 20 mg/kg i.p. doses of tremorine. The mice were placed on a rotating rod 10 min after tremorine treatment and scored on the ability to remain on the rod for 2 min as compared to controls. Neither compound showed any effect (Anonymous, 1972j). Effects on behaviour in rats Naive male Fischer rats (90 days of age) were treated intragastrically with saline or 50, 100 or 200 mg/kg of aspartame, DKP or L-phenylalanine; 30 min later, rats were placed in a two-compartment shuttle box equipped with electrified grid floor and insulated from noise. A 5 sec conditioned stimulus (a tone and a light) preceded a 0.2 milliampere footshock delivered via the grid. The shock was terminated in 30 sec if the rat did not respond. If the rat moved to the other chamber, the shock was avoided and the response scored as an avoidance response. A movement to the other chamber during the shock was scored as an escape response. If no response was made, it was recorded as a failure response. 15 sec intervals were given before another conditioned stimulus was given. If a shuttle response was made during this rest interval, the shock and conditioned stimulus were applied until the rat returned to the other side. Each rat received 100 trials. 12 rats per dose were tested. Neither aspartame nor L-phenylalanine had any significant effect at any dose tested. DKP had a significant effect on the number of foot avoidances at 50 and 200 mg/kg dose. However this effect may not be significant since it was not dose related nor was it accompanied by a significant increase in intertrial interval responses (Potts, 1973). Miscellaneous pharmacological activity Diuretic activity in rats Six groups of 4 male Sprague-Dawley rats (188-228 g) were administered saline or aspartame or DKP at a level of 100 mg/kg. The rats had been maintained on a normal commercial diet, with water ad lib. Food was withdrawn 18 h before, and water withdrawn during the 5 h test period. Urine was collected for 5 h, and voiding induced by bladder palpation. The volume of urine, and Na and K contents of urine were measured. Neither aspartame or DKP showed any diuretic activity (Anonymous, 1972j). Effects on blood glucose in rats Adult male Charles River rats (180-230 g) were fasted for 24 h. Blood samples were obtained via the tail veins and blood analysed for glucose by a published procedure. DKP or aspartame was administered intragastrically at 100 mg/kg. Serum samples were then obtained at 2 and 4 h post-treatment, and analysed for glucose content. Neither aspartame nor DKP had any effect on the blood glucose level (Anonymous, 1972j). Effects on body weight gain and blood cholesterol in hypercholesterolaemic rats Adult male Charles River rats (200-250 g) were made hyper- cholesterolaemic by receiving 0.02% of propylthiouracil in their drinking water. Groups of 8 rats each were treated intragastrically daily for 9 days with 0, 5, 10, 30 or 200 mg/kg of aspartame or DKP in 30% propylene glycol. On the tenth day the rats were anaesthetized with ether, and blood samples withdrawn from the abdominal aorta. Serum samples were analysed for cholesterol by a published procedure. Body weights were taken on the first and tenth day of the test period. Neither aspartame nor DKP had any significant effect on body weight gain or blood serum cholesterol (Anonymous, 1972j). Anti-acetylcholine activity in vitro Segments of rabbit ileum were cleansed of adipose tissue and suspended in Tyrode's solution. Muscle movement was recorded on a physiograph. Maximum muscle contraction was recorded as that produced by adding acetylcholine at a final concentration of 5 µg/ml in the bath. Aspartame, DKP, or atropine sulfate was then added until the contraction had been reduced by 50% of the maximum value. Each concentration of test compound was tested over a 7 min interval with at least 8 min intervals between tests. Concentrations of aspartame and DKP one thousand times those used for atropine sulfate failed to reduce the contraction by 50% indicating that anticholinergic activity, if present at all, is less than 0.001% that of atropine (Anonymous, 1972j). Antihistamine activity in vitro Segments of guinea-pig ileum were suspended in Tyrode's solution and muscle movement recorded on a physiograph. Maximal muscle contraction was induced by histamine diphosphate at a concentration of 50 µg/ml of bath solution. Test compounds, including the known antihistamine agent diphenhydramine-HBr, were introduced to determine what concentration induced a 50% relaxation of maximal contraction. Each concentration of test compound was tested for 7 min with 8 min periods between tests during which the bath solution was changed. Both aspartame and DKP at a PD concentration of 4.6 failed to relax the tissue by 50% indicating that both compounds are essentially devoid of antihistamine activity (Anonymous, 1972j). Autonomic ganglionic blockade effects in cats Aspartame and DKP were tested for their effects on the superior cervical ganglia of cats. Each cat was anaesthetized with Na pentobarbital and (1) the right superior sympathetic nerve was exteriorized and sectioned caudal to the superior cervical ganglion; (2) the left common carotid artery was cannulated to monitor blood pressure; (3) a femoral vein was cannulated for test compound injections. The rostial stump of the cervical sympathetic nerve was stimulated electrically and the sustained contraction of the ipsilateral nictitating membrane was recorded on a physiograph. Aspartame and DKP were given at a single intravenous dose of 6.4 mg/kg in saline. Tetraethylammonium bromide was used as a positive control. Blocking agents decrease the nictitating membrane contraction. Neither aspartame nor DKP were effective as autonomic ganglionic blocking agents (Anonymous, 1972j). Effect of short-term dietary administration of DKP and aspartame on serum levels of glucose, insulin, triglycerides, free fatty acids, and cholesterol in rats Male and female Charles River rats (150-200 g) were placed in metabolism cages and fed a commercial diet containing 0, 0.2% or 2% of aspartame or DKP. Ten rats of each sex were used at the 2 treatment levels for both compounds; controls received commercial diet only. A paired-feeding technique was used in which a rat of the same sex and similar weight was given one more gram of food than that eaten by its pair-fed rat. Body weight, food and water consumption were measured daily. After 7 days, the rats were sacrificed by decapitation and the serum obtained after clotting by centrifugation. The serum was analysed for insulin (by radioimmunoassay, with rat insulin as a standard), for fatty acids, triglycerides and cholesterol by standard methods. Serum glucose was determined with the Beckman Glucose Analyser. For treated rats the mean daily consumption of aspartame was, for females, low dose/high dose 0.152/1.48 g/kg, and for males, low dose/high dose 0.2/2.01 g/kg. Ingestion of these levels of aspartame for one week did not significantly affect the parameters measured. For DKP the daily dose ingested was females, low/high, 0.153/1.57 g/kg and for males, low/high, 0.197/1.88. Consumption of the levels of DKP for one week had no significant effect on the parameters studied (Saunders, 1972). Endocrinological studies Hormonal properties Estrogenic activity Twenty-one day-old female mice (8-10 per group), maintained on an estrogen free diet, were orally administered aspartame or DKP (dissolved in corn oil) at a daily total dose of 1.35 mg for 3 days. Controls received corn oil. A positive control group received estrone subcutaneously at doses of 0.1 or 0.3 µg. On the day after the last injection, the mice were sacrificed and the uteri weighed. Aspartame and DKP did not stimulate uterine weights in contrast to the marked stimulation at both dose levels of estrone (Nutting, 1972). Estrogen antagonism The test was similar to that used to study estrogen activity except that all groups were treated simultaneously with a total dose of 0.3 µg, estrone. A positive effect consists of a limitation of uterine growth induced by estrone. Aspartame and DKP were given orally in total doses of 450 and 1350 µg (10-20 mice/dose). Untreated controls (38 mice) received corn oil. Progesterone in total doses of 50, 100 and 200 µg, s.c., was used as a positive control for estrogen antagonistic activity. Neither aspartame nor DKP significantly antagonized uterine growth induced by estrone. In contrast, progesterone, injected s.c., significantly decreased uterine weight at all doses (Nutting, 1972). Progesterone-like activity Immature female rabbits were primed for 6 days with daily s.c. doses of estradiol-17-Beta. After priming, aspartame or DKP in corn oil or corn oil alone was administered bucally for 5 days. Test compounds were given at 300 mg/day. The positive control, progesterone, was injected s.c. at doses of 0.02, 0.05 or 0.1 mg/day. On the day after the last injection, the rabbits were sacrificed and a segment of uterus was examined histologically and rated as to the degree of arborization of the endometrial glands (glandular proliferation is a progestational effect). Increased uterine carbonic anhydrase activity has been correlated with glandular proliferation. Accordingly, a uterine segment was also analysed for carbonic anhydrase activity. Neither aspartame nor DKP caused an increase in the degree of glandular arborization or the concentration of carbonic anhydrase in the uterus. In comparison progesterone at a dose of 0.05 mg/day or greater significantly increased both measures (Nutting, 1972). Progesterone antagonism The test was similar to that for progesterone-like activity except that all groups received a daily dose of 0.1 mg progesterone in addition to the test compounds. Aspartame (4 rabbits) and DKP (4 rabbits) were given at a dose of 300 mg/day. Controls (15 rabbits) received vehicle alone. The positive control, estrone, was given s.c. at a dose of 0.001 (4 rabbits) and 0.002 (12 rabbits) mg/day. A decrease of the stimulated endometrial glandular proliferation observed in animals treated with 0.1 mg progesterone alone was used as one index of progesterone-antagonistic activity. After 5 daily doses (buccal administration) of 300 mg/day, neither aspartame nor DKP altered the glandular arborization induced by progesterone. Aspartame also failed to alter the carbonic anhydrase activity induced by progesterone. However, SC-19192 at 300 mg/day did reduce the concentration of carbonic anhydrase by 59% of control. The positive control, estrone, at a dose of 0.002 mg/day reduced both the degree of arborization and the concentration of carbonic anhydrase. Accordingly, in this test aspartame does not display progesterone-antagonistic activity. DKP does, however, exhibit some progesterone antagonism at a buccal dose of 300 mg/day for 5 days (Nutting, 1972). Androgenic-myotrophic activity White male rats were castrated at 22-24 days of age. After 19-21 days recovery, test compounds in oil were given daily for 7 days (orally). Aspartame and DKP were given at doses of 50 (8 rats each) and 350 mg (6 rats) (total dose). Controls (20 rats) received oil alone. The positive control, methyl testosterone, was given orally at total doses of 10 and 60 mg (8 rats each). On the day after the last injection, the rats were sacrificed. Increases in the weights of the seminal vesicles and ventral prostate gland compared to oil control were used as a measure of androgenicity. An increase in levator ani muscle weight compared to oil controls served as an index of myotrophic activity. Methyl testosterone at a total dose of 10 or 60 mg significantly increased the weights of the seminal vesicles, prostate gland, and levator ani muscles. Neither aspartame nor DKP significantly altered any of these parameters. Thus, they did not show either androgenic or myotrophic activity in this test (Nutting, 1972). Androgen antagonism The test was similar to that for androgen-myotrophic activity except that all groups were treated simultaneous to the test compounds with testosterone propionate, intramuscularly, at a total dose of 0.5 mg. Aspartame and DKP were given orally doses of 50 (15 rats) and 350 mg (7 rats each) daily for 7 days. Controls (20 rats) received oil. A decrease in weight of the seminal vesicles and ventral prostate glands compared to a group treated with 0.5 testosterone propionate alone was used as a measure of inhibition of the response of testosterone. A decrease in the weight of the levator ani muscle, compared to a group treated with testosterone alone, was used as an index of catabolic activity. No positive control was employed. Although neither test compound given orally at a total dose of 50 or 350 mg/day produced a statistically significant change in the weights of the tissues examined, both aspartame and DKP at 350 mg/day did reduce the weight of the seminal vesicles by about 20% (Nutting, 1972). Glucocorticoil activity The test employed the fact that in fasted, adrenalectomized rats the ability to store glycogen in the liver is impaired but that glucocorticoids reverse this. Adrenalectomized adult male rats, maintained on saline fluid and a high protein diet were fasted for 24 h, 3 days after surgery. After fasting, test compounds were administered orally in oil in 4 equal doses at about 2 h intervals. Aspartame and DKP were given at a total dose of 45 mg (9 rats each). Controls (9 rats) received oil. Positive controls received cortisone acetate, s.c., at a total dose of 0.5 or 0.2 mg (10 rats each). The rats were sacrificed 6-8 h after the first injection and livers were analysed for total glycogen. An increase in liver glycogen above controls was the index of neoglycogenic or glucocorticoid activity. This activity was demonstrated in the animals receiving 0.5 mg (total dose) cortisone. Aspartame and DKP did not demonstrate glucocorticoid activity in this test (Nutting, 1972). General physiological effects Effects on fertility (implantation) Rats, post-ovulatory Sexually mature female rats were mated and treated for seven days, 60 mg/day aspartame or DKP (five rats each) (orally) beginning on the day sperm appeared in the vagina (conception). Controls (10 rats) received vehicle (oil). A positive control, oestrone, was given s.c. at 2 or 4 µg/day (10 rats each). On the 15th day post coitum, the animals were sacrificed. Aspartame and DKP failed to decrease the number of rats with normal implantation sites (Nutting, 1972). Hamsters, post-ovulatory Sexually mature female hamsters were mated and treated for five days with 30 mg/day aspartame or DKP (orally; five hamsters each) beginning on the day sperm were found in the vagina. Controls (15 hamsters) received vehicle (oil) alone. The positive control, oestrone, was given s.c. at 10 or 20 µg/day (15 hamsters). Animals were sacrificed six days post coitum. The corpora lutea and implantations were counted and their condition noted. Oestrone markedly attenuated the 1% of implantation, increased the 1% of abnormal corpora lutea and significantly decreased the implantation rate considering all sites with an ED50 of 12.4 µg/day. Aspartame had no effect on any of the parameters. DKP did slightly reduce the 1% normal implantation sites and slightly increased the % abnormal corpora lutea but had no effect on the implantation rate value (Nutting, 1972). Inhibition of pituitary gonadotrophin (GTH) The test is based on the phenomenon of stimulation of pituitary GTH secretion in response to unilateral ovariectomy and subsequent hypertrophy of the intact ovary. Seventy-eight-day-old female rats were unilaterally ovariectomized. Oral administration of aspartame and DKP at 60 mg/day or buccal administration of aspartame at 10 and 2 mg/day was carried out for 14 days beginning on the day of surgery (9-19 rats per group). Controls (10 rats) received vehicle (oil) orally. A positive control, northynodrel, was given s.c. at 20, 50 or 100 µg/day (29-30 rats per dose). On the day following the last treatment, the rats were sacrificed and the remaining ovary weighed. Norethynodral inhibited the compensatory ovarian hypertrophy at doses of 20 µg/day or greater. None of the groups treated with aspartame or DKP exhibited a decrease in ovarian weight; pituitary GHT secretion was unaffected (Nutting, 1972). Anti-inflammatory activity Foot oedema test An inflammatory reaction (oedema of the hind feet measured a volume displacement) was induced in intact male rats (about 120 g) by injecting 0.1 mg of 1% carrageenan under the plantar surface of the hind feet. Aspartame or DKP in saline were administered orally to eight rats each at a total dose of 36 mg one hour before injection of the carrageenan. Controls received saline (63 rats). Volume displacements were measured five hours after carrageenan injection. The positive control, hydrocortisone, administered orally, reduced the carrageenan-induced oedema at a dose of 10 mg/rat. Neither aspartame nor DKP administered as a single oral dose of 36 mg reduced the oedema inflammatory response to carrageenan (Nutting, 1972). Cotton wad granuloma formation In response to subcutaneous implantation of cotton, adrenalectomized rats develop granulomas surrounding the cotton pellets. Hydrocortisone prevents this. Adrenalectomized male rats (200 g) were given four subcutaneous cotton pellet implantation and on the following day, aspartame was administered orally at 20 and 65 mg/day (six rats each) and SC-19192 was given at 32 and 65 mg/day 10 and 21 rats, respectively). Controls (57 rats) received saline alone. The positive control, hydrocortisone, was administered s.c. at 1 mg/day. Hydrocortisone significantly reduced the granuloma formation. Aspartame at 20 and 65 mg/day had no effect, neither did DKP at 32 mg/day. However, at 65 mg/day SC-19192 did produce a significant, but small inhibition of granuloma formation (Nutting, 1972). Chronic polyarthritis An inflammatory response resembling rheumatoid arthritis (assessed in rats on the basis of ankle volume) was induced in male rats (150 g). Aspartame or DKP in saline were administered, orally, at 60 mg/day for 19 days (11-12 rats each). Negative controls (18 rats) received saline alone and positive controls (11-12 rats per dose) received hydrocortisone i.g. at 5.1 or 2 mg/day. Rats were sacrificed and volume displacement of rear ankle joints were determined 24 hours after the last injection. Hydrocortisone at all doses significantly decreased the ankle volume, whereas aspartame and DKP at 60 mg/day had no effect (i.e. no anti-inflammatory activity) (Nutting, 1972). Immunosuppressive activity In the Jerne Plaque Test the number of specific antibody (haemolysin) producing cells in the spleens of mice sensitized to sheep erythrocytes (SRBCs) is measured. Immunosuppressive agents inhibit a sensitization injection of SRBCs. In the test system the number of in vitro "plaques" formed is proportional to the number of haemolysin producing spleen cells. Male mice (five to seven weeks old) were injected i.p. with SRBCs in saline. SC-18862 and SC-19192 in saline were administered once daily, orally for four days (beginning the same day as the SRBCs injection) to groups of 6-10 mice. Dose levels of 50, 125, 250, 500 and 750 mg/kg/day were employed. Several different replications were performed. Additionally, several experiments included administering phenylalanine and aspartic acid at these same daily dose levels. In each case, 24 hours after the final injection, the mice were sacrificed and plaque formation determined. In one set of experiments aspartame, DKP, phenylalanine and aspartic acid (oral) inhibited plaque formation (i.e., inhibited the immune response) at a dose of 500 mg/kg/day. Only SC-18862 was active at a lower (250 mg/kg/day) or at a higher (750 mg/kg/day) dose. Replicates of this experiment failed to confirm this activity (Nutting, 1972). Acute toxicity LD50 Animal Route (mg/kg/bw) Reference Rat Oral >5 000 Andress et al., 1973b i.p. >2 033 Andress et al., 1973b Mouse Oral >5 000 Andress et al., 1973b i.p. >1 000 Andress et al., 1973b Rabbit Oral >5 000 Andress et al., 1973b Short-term studies Mouse Groups of five male and five female mice received 0, 3, 5 and 13 mg/kg/day of aspartame in their diets for four weeks. No compound related differences between control and test groups in terms of physical, motor or behavioural effects were seen, nor were effects evident in terms of body weight or food consumption. On autopsy the mucosa of the stomach, duodenum, and jejunum of the high dose level animals were found to be coated with a clear moderately viscous fluid (Rao et al., 1972b). Rat Groups of 10 male and 10 female rats received 0, 5 and 1250 mg/kg/day of aspartame in their diets for a two month period. No compound related effects were noted in terms of gross appearance, behaviour, gross eye appearance, mean body weights, food consumption and urinalysis. Haematological findings were within normal limits. Blood levels of glucose found were indicative of a dose related increase, while a dose related decrease of serum albumin and SGOT was noted particularly in the male rats. Gross and microscopic pathology did not reveal evidence of compound related lesions (Anonymous, 1969a). Groups of five male and female rats received 0, 2, 4 and 10 mg/kg/day of aspartame in their diets for a four-week period. No adverse behavioural or physical effects were noted in treated animals. A decrease in body weight noted in the high dose level animals was not statistically significant. At necropsy no treatment related gross alterations were noted other than a heavy coat of clear viscous material on the mucosa of the stomach, duodenum and jejunum of the high level rats (Rao et al., 1972c). Groups of five male and five female rats received a basal diet or basal diet with aspartame (100:9 w/w) or basal diet with phenylalanine (100:5 w/w) for nine weeks. Both aspartame and phenylalanine fed groups showed similar reductions in growth (11%) and food consumption (20%). Aspartame treated males showed significantly lower SGPT and plasma Ca++ and Cl- values. No treatment related effects were seen upon haematology findings, urinalysis, organ weights and gross and microscopic pathology (Hemm et al., 1972). Dog Groups of two male and three female beagle dogs received orally 5 mg/kg or 125 mg/kg of aspartame daily by capsule for eight weeks. Two male and two female beagles served as controls. No treatment related changes were seen in body weights, food consumption, haematology, biochemistry, urinalysis, ophthalmoscopy. Small, dose- related increases in testicular weight were noted. Increases in organ to body weight ratios noted for heart, kidney and adrenal in both test groups were not dosage related. Gross autopsy and microscopic evaluation of tissues did not reveal any evidence of compound related effect (Anonymous, 1969b). Groups of five males and five female beagle dogs received 0, 1000, 2000 and 4000 mg/kg/day of aspartame (DKP content less than 1%) incorporated into 200 g of powdered basal diet for 106 weeks. At all levels of aspartame fed, growth was depressed. Cataracts seen in one intermediate and one high-level dog (litter mate) were considered to be congenital based upon appearance of a cataract in one of two pups resulting from a remating of the parents. Consistent and statistically lowering of haemoglobin, haematocrit, and total red blood cells was noted in the male dogs at the high dose level. To a lesser frequency and degree it was noted in the intermediate dogs. This was not seen in the low dosage group. There were sporadic treatment-related changes in some clinical chemistry parameters, but no consistent trends in time or dose relationships. A large and statistically significant decrease in BSP values was seen in the male intermediate and high dose level males at 78 and 106 weeks, but no changes were seen in other liver function tests. Gross and microscopic pathological findings were not indicative of compound related changes (Rao et al., 1972d). A detailed histopathological study was made of the brains of two dogs on the high dose level. No neoplastic alternations were seen (Kommineni, 1973). Monkey Seven newborn rhesus monkeys were divided into three dosage groups. Aspartame was administered dissolved in a commercial milk preparation, first using a nursing bottle, later from a cup. Concentrations of aspartame were increased incrementally so as to approximate intended dosages. Treatment groups were as follows: Dosage Age at Total days mg/kg/day Sex start (days) on treatment 1 000 M 6 210 1 000 F 3 204 3 000 M 3 360 3 000 M 3 362 3 000 F 2 363 4 000-6 000 M 9 357 4 000-6 000 M 1 279 Data from the experimental animals was compared to historical control data derived from 14 monkeys. Aspartame intake calculated for the low and intermediate dosage levels was within 5% of that planned. For the high level, intake was calculated as 1210 and 5330 mg/kg/day, mean for the entire study being 3600 mg/kg/day. Group mean intake of the diketopiperazine (DKP) conversion product of aspartame over the entire study was estimated as being 4.84, 15.07 and 18.12 mg/kg/day respectively for low, intermediate and high dose groups. Body weights of one of the two low dose group animals, two of the three intermediate dose group animals and one of the two high dose group animals were below normal limits based upon the historical controls. Growth rates however were comparable to the controls. While there was a decrease in the total volume of liquid formula ingested in all groups this was severe only in one of the two high treatment level monkeys. All animals in the intermediate and high dosage groups exhibited convulsions of the grand mal type observed for the first time following 218 days of treatment. These were described as similar to those induced by feeding L-phenylalanine to infant monkeys and were ascribed to the L-phenylalanine moiety of aspartame. One of the high dose level animals (calculated intake 1210 mg/kg/day) died after 279 days on study, cause of death not determined. No haematological evidence of effect was noted. Clinical chemistry findings were similarly without evidence of effect aside from serum phenylalanine and tyrosine values for the intermediate and high dose level animals in which the values found were similar to those found in animals fed 2000-2500 mg/kg/day of L-phenylalanine. Urinalyses were similarly not indicative of other than the consistent presence of phenylketone in the two higher dosage groups. No final gross or microscopic evaluation was made, the study being abruptly terminated due to the investigator's death (Rao et al., 1972e). Long-term studies Mouse Groups of 36 male and 36 female mice received 1000, 2000 and 4000 mg/kg/day of aspartame in their diets for 110 weeks. A group of 72 males and 72 females served as controls. No effects were reported in terms of appearance, behaviour or survival. Ophthalmological findings were also without evidence of effect. Mean body weights of treated animals were not markedly different from controls; food consumption however was decreased with increased dosage. Haematology and clinical chemistry findings though showing sporadic incidence of statistically significant differences between test and control animals gave no indication in trend or dose-relationship of being compound related. At termination scattered incidences of increased organ weights or organ to body weight ratios were noted. Among these were thyroid, heart, and prostate. Distribution and incidence were not indicative of compound relationship. Gross and microscopic pathology reported did not indicate the presence of tumorigenic or non- tumorigenic changes which would be attributed to the administration of aspartame (Anonymous, 1974d). Rat Groups of 40 male and 40 female rats received 1000, 2000, 4000 or 8000 mg/kg/day of aspartame in their diets for 104 weeks. A group of 60 male and 60 female rats served as controls. No evidence of compound related effects were noted in terms of physical appearance. While no effects were noted upon growth and food consumption at the two lower dose levels, these parameters were slightly decreased at the 4000 mg/kg/day and markedly decreased at the 8000 mg/kg/day level. Two year survival, poor for all groups in both sexes and particularly for the male control group was attributed to spontaneous disease. However, survival for females of the 4000 and 8000 mg/kg/day groups was lower than that of the control groups, significantly so at the 8000 mg/kg/day level where survival was 54% of the control level. No evidence of compound related changes was noted in terms of haematology, blood chemistry or eye examination findings. Increased red and white blood cells were seen persistently in the urine of the rats tested at the highest dietary level. Gross and microscopic pathology findings were in general not treatment or dosage related (McConnell, 1973; Anonymous, 1973c). However, astrocytomas were seen in all treated animals none being noted in the controls. Incidence of brain tumours found were as follows: Feeding level Tumours Control 1 000 2 000 4 000 8 000 Astrocytomas 0 4 1 4 1 Oligodendroglioma 0 0 0 1 0 (Hazleton Labs., 1973) Groups of 40 male and 40 female rats received 2000 and 4000 mg/kg/day of aspartame in their diets for 104 weeks. A group of 60 male and 60 female rats served as controls. All animals were selected from the F1A litter of a multi-generation study in which the parents had been exposed to corresponding dietary levels of aspartame for 60 days prior to mating. No compound related effects were noted in terms of appearance, behaviour, results of ophthalmological findings or survival. Decreased weight gain and food consumption was noted for the higher dosage level animals. Sporadic, statistically significant variations were noted in both haematology and blood chemistry findings; there was not however any clear trend of dose or treatment relationship. Heart to body weight ratios were significantly decreased for males of both treatment groups and liver weights were increased for both female treatment groups. Grossly inconsistent treatment related differences were noted. Histopathologically several statistically significant alterations were noted for several organs. These were increased stomach ulceration and gastritis in high level females, increased incidence of liver hyperplastic nodules at both feeding levels in females, increased incidence of nodular hyperplasia of the adrenal cortex. Incidence of brain tumours found may be tabulated as follows: Feeding level Tumour Control 2 000 4 000 Astrocytoma 4 3 1 Meningoma 0 0 1 (Anonymous, 1974e) A detailed histopathological review of the brains, liver and pituitary glands of control rats, and rats fed aspartame was carried out. The incidence of intracranial neoplasm did not appear to predominate in any treated group nor did any particular type of neoplasm. The intracranial neoplasms appeared in both the untreated control and treated rats. Hyperplastic nodules from the liver were considered to be non-neoplastic and were not treatment related. Chromophobe adenomas occurred frequently in test and control animals. It was concluded that the neoplastic alterations in the rats were not treatment related and within "normal" limits (Kommineni, 1974). A detailed statistical analysis of the incidence of the hyperplastic nodules of the liver showed that for animals sacrificed at week 104, there was no significant increase for test animals over control animals (Springer, 1974). Hamsters Basic groups each consisting of five male and five female hamsters were fed aspartame containing less than 1% DKP at dietary levels of 1000, 2000, 4000 and 12 000 mg/kg/day for 46 weeks. Groups of 10 male and 10 female hamsters served as controls. Each group was replicated seven times. Somewhat erratic decreases in body weights were seen in the high dosage level males. Transient food consumption decreases were noted for both sexes of the high feeding level group. No unequivocal compound related changes in physical, behavioural signs or mortality were noted for this study. However, there was a spread of an unidentified infection considered to be "wet tail" in both control and treated animals considered to be responsible for the high mortality rate (50%). It was because of this that the study was terminated at 46 weeks. No consistent treatment or dose-related effects were noted upon haematology, clinical chemistry and haematology. Gross pathology was not delineated by groups, but indicated that gross lesions were "uniformly recorded both in control and all treated groups and were attributed to the unidentified infection in the colony". Neoplastic changes were not reported. Microscopic lesions reported appeared to be scattered throughout the groups with no apparent treatment relationship (Rao et al., 1972b). OBSERVATIONS IN MAN Normal adults 1. Short-term tolerance Thirty-one normal men and 38 normal women (aged 21-45) were the subjects of this study. The study design was double blind, with the subjects randomly assigned to receive aspartame or matching placebo capsules. The aspartame dose was increased from 0.6 g/day during the first week to a final level of 8.1 g during the 6th week of the test. The total amount of aspartame consumed by each individual during the study was 160.7 g. The following laboratory tests were done one week before each subject entered the study, and then again at weeks 4 and 6 of the test: complete blood count, complete urinalysis, partial thromboplastin, prothrombin time, BUN, thyroxine, bilirubin (direct and indirect), SGOT, alkaline phosphatase, uric acid, creatinine, cholesterol (total), triglycerides. Serum insulin and glucose levels were determined after a four-hour fast, and again after dosing the subject with 100 g glucose orally, during weeks 3 and 6 and follow-up week 7. Plasma phenylalanine and tyrosine values were determined twice a week, on blood samples following a four-hour fast. Phenylalanine tests of urine were done during weeks 3, 5 and 7. Methanol determinations were done on samples of serum and urine during weeks 4 and 6. General physical examinations with special eye studies were also performed. No significant difference between the aspartame and the placebo groups were reported for any of the tests (Langlois, 1972). 2. Long-term tolerance The subjects used in this study consisted of individuals who had participated in the short-term study, and who had agreed to continue in the study for an additional 21 weeks, and subjects who would follow the same study design and fulfil the same criteria for admission. A total of 76 persons (30 male, 37 female) were involved in the study. The daily intake of aspartame during the 21 weeks was 1.8 g/day. The laboratory tests described in the short-term study were carried out initially and at weeks 6, 12, 20 and 21 of the study. Serum insulin and serum glucose levels, plasma tyrosine and phenylalanine levels were measured at the commencement of the study and weeks 12, 16, 20 and 21. Urine was tested for phenylpyruvic acid prior to and at weeks 1, 10, 20 and 21 of the study. Clinically significant differences between those taking aspartame and the placebo group were not shown for either sex in the results of the tests performed (Frey, 1972a). Obese individuals The study group consisted of 95 men and women aged 21-70, whose weight exceeded more than 20% the mean normal weight for height, sex, body frame, and age as taken from the Metropolitan Life Insurance Co. Weight Tables (Four Steps to Weight Control, New York, Metropolitan Life Insurance Co., 1969). The study design and dose level of aspartame was the same as that described for the short-term study with normal adults. The laboratory tests were carried out over the same period. In addition to the tests previously described, weight and blood pressure were monitored throughout the study. Eighty-four of the subjects completed the test (44 on aspartame, 40 on placebo). Sixty- nine individuals who completed the first six weeks of the study, continued taking 1.8 g of aspartame/day for an additional 21 weeks. In addition, another 36 individuals took aspartame for 21 weeks only. The regime for laboratory tests was the same as that described for the long-term normal studies. No significant differences were reported between the aspartame and placebo groups (Hoffman et al., 1972; Hoffman & Romano, 1973). Normal children and adolescents Five age-groups were studied of age ranges, 2-3(13), 4-6(22), 7-9(22), 10-12(24), 13-20(45). The figures in parenthesis represent number of individuals in the study. The study design was double blind with the subjects randomly assigned to receive foods containing aspartame or sucrose. The mean daily intake of aspartame ranged from 39.5 to 58.1 mg/kg bw, for the 13 weeks of the study. The following laboratory determinations were made initially and during weeks 7 and 13 on all subjects aged two through 12 years: plasma phenylalanine, plasma tyrosine, complete blood count, partial thromboplastin, prothrombin time, creatinine, bilirubin (direct, indirect and total), SGOT, urinalysis complete, urine test for phenylpyruvic acid. The following additional tests were done on subjects aged 13 through 20 years; serum thyroxine, fasting glucose, alkaline phosphatase, uric acid, cholesterol (total and esters), triglycerides and BUN. No significant clinical differences were reported between the sucrose and aspartame groups (Frey, 1972b). Adult PKU heterozygotes The subjects of this study were the natural parents of phenylketonuric children. Sixty-five men and women (non-obese) between the ages of 21 and 45 were studied. The design of the study and the dose schedule was the same as that described for normal adults. In addition to the tests described, electroencephalograms were taken on a number of subjects before and after the study. Short-term tolerance studies were conducted for six weeks, 52 of the subjects continued the study, for a total period of 21 weeks. The design and dose schedule of this portion of the study is the same as that described for normal adults (long-term tolerance). There were no significant biochemical or physical changes during the course of the study in either the aspartame or placebo groups. There was no evidence that the phenylalanine content of aspartame caused any disturbance of the apparently normal phenylalanine metabolism (Koch et al., 1972; 1973). Tolerance of loading doses by normal adolescents A 12-year-old male and 15-year-old female were subjects of this study. The two subjects were given a loading dose of 34 µg/kg bw aspartame in orange juice on one occasion and two weeks later they were given the molecular equivalent amount of L-phenylalanine (19 µg/kg) in orange juice. A standardized diet was prescribed for each of the three 24-hour periods before the aspartame and the phenylalanine loads and for each of the three, 24-hour periods following each load. Urine was collected for three successive three-hour periods before each load, and then at 8, 16, 24-hour post-loading. Urine was analysed by chromatography for amino acids (phenylalanine and tyrosine), phenolic acids, phenylpyruvic acid and phenylacetylglutamine and methanol. Serum levels of phenylalanine and tyrosine were determined before the loading dose and at 1, 2, 4, 8, 24, 48 and 72-hour post-loading. All parameters studied remained normal during the period of the test (Koch & Shaw, 1973). Tolerance of loading doses by phenylketonuric (PKU) homozygous children Two PKU homozygous boys, each approximately 14 years old were selected for this study. One was on a liberalized Lofenalac diet with an allowable phenylalanine dietary intake of 70 mg/kg/day. The other was on a well-controlled Lofenalac diet (PA intake 17 mg/kg/day). The two subjects were given a loading dose of 34 µg/kg bw aspartame in orange juice and two weeks later were given a molecular equivalent amount of L-phenylalanine (19 µg/kg) in orange juice. A standardized diet consistent with the subjects' clinical state was prescribed three days prior to and three days post-loading. Although one subject (1) on the liberalized diet was well within permitted phenylalanine range during the loading study (dietary intake 2539 mg, added PA from loading 689 mg), the other subject (2) for exceeding his dietary limitations (dietary intake 965 mg, added PA from loading, 1072 mg). Urine samples were collected at eight-hour intervals on the day prior to loading, then at eight-hour intervals for the first day post- loading, and then early morning samples on subsequent days 2 and 3. Urines were analysed for amino acids (phenylalanine and tyrosine), phenolic acids, phenylpyruvic acid and phenylacetylglutamine. Serum levels of phenylalanine and tyrosine were determined prior to and at 1, 2, 4, 8, 24, 48 and 72-hour post-loading. One patient (1) at the time of the study was excreting large quantities of phenylalanine so any slight increase may not have been observed. The other subject (2) showed a slight increase in urinary excretion of phenylalanine and its metabolites. Analysis of serum did not show any significant increase in phenylalanine or tyrosine levels (Koch, 1972). Tolerance of aspartame by diabetic subjects Seventy-seven subjects (27 male, 50 female) aged 21-70 who were dependent on insulin for control of diabetes were studied. Prior to the study there was a complete physical examination and the following laboratory tests were carried out: complete blood count (CBC), partial thromboplastin time, prothrombin time, BUN, creatinine, T4, bilirubin (it was required that these values be within normal range), in addition the following tests were also carried out: SGOT, SGPT, LDH, alkaline phosphatase, glucose (fasting blood sugar), uric acid, cholesterol (total and esters), triglycerides. The study was double blind with subjects randomly assigned to receive aspartame or matching placebo capsules. The participants continued on their normal diets. The dose level of aspartame was 1.8 g/day. There was no evidence that either aspartame or placebo resulted in consistent changes in fasting blood sugar or any other parameters measured in this study (Bleicher & Stern, 1973). Effects of aspartame loading on plasma and erythrocyte free amino acids in normal adult subjects Twelve normal healthy subjects (six male and six female) were fasted overnight and administered either aspartame at 34 mg/kg bw or an equivalent amount of aspartic acid (13 mg/kg), dissolved in orange juice. The subjects received nothing by mouth for eight hours following the load, except for 240 ml of water at four and six hour post-dosing. Normal meals were allowed after that point. Plasma and erythrocyte amino acid levels were measured at 0, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 8 and 24 hours. The 24-hour sample was taken after an eight-hour fast. No significant changes were noted in plasma aspartate, asparagine or glutamin levels with either treatment. Plasma glutamate, alanine and proline levels increased, for both treatments. Plasma phenylalanine levels increased from fasting to normal postprandial levels. A small increase in the plasma tyrosine level was noted in the aspartame group. All other amino acid in the plasma decreased or remained unchanged. Erythrocyte glutamate, aspartate and asparagine levels were unchanged, after either treatment. Erythrocyte phenylalanine and tyrosine, alanine and proline levels were similar to those in the plasma. All other amino acids were unchanged or slightly elevated (Stegink et al., 1977a). In another series of tests six normal subjects (three male and three female) were administered aspartame in successive studies at dose levels equivalent to 100, 150 or 200 mg/kg bw. The subjects were fasted eight hours prior to dosing, and eight hours post dosing (with water allowed). Blood samples were taken at 0, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 5, 6, 7, 8 and 24-hour post-dosing for determination of plasma and erythrocyte amino acids. The 100 mg/kg dose of aspartame caused no increase in plasma aspartate levels. At the 150 mg/kg bw dose level, small increases in plasma aspartate and glutamate were noted. Increases in plasma phenylalanine and tyrosine also occurred. At the highest level tested (200 mg/kg) there was a small increase in plasma aspartate and glutamate levels. Plasma phenylalanine levels increased to a mean of 48.7 ± 15 µmol/dl after dosing and decreased rapidly to normal levels (Ca 7 µmol/dl). Plasma tyrosine levels increased to a mean of 13.6 ± 12.8 µmol/dl (Ca 4 µmol/dl normal level). Erythrocyte levels of glutamate and aspartate were unchanged, while phenylalanine and tyrosine increased to levels similar to those in plasma (Stegink et al., 1977a; 1979d; 1979c). In another study six healthy women with well-established lactation were administered either aspartame or lactose at 50 mg/kg bw. The order of administration was randomized in a crossover design, with an interval of at least two weeks between each segment of the study for each subject. Subjects were fasted eight hours prior to administration of the test compound and four hours after. Plasma and erythrocyte amino acid levels were measured at 0, 0.25, 0.5, 0.75, 1, 1.5, 2, 3 and 4 hours post-dosing. Breastmilk samples were collected for amino acid analysis at 0, 1, 2, 3, 4, 8, 12 and 24 hours post-dosing. There was no significant effect on plasma aspartate, asparagine glutamine levels. Plasma glutamate and tyrosine levels were slightly increased after aspartame ingested, but were still within normal postprandial range. Plasma phenylalanine was also increased after aspartame ingestion but not after lactose ingestion. The level was higher than that generally observed postprandial. Plasma proline and alanine were increased after both aspartame and lactose ingestion. No significant effects were observed on other amino acids. Erythrocyte phenylalanine and tyrosine increased after aspartame ingestion, as did proline and alanine, but the increases were less than that in plasma. No significant differences were observed for the other amino acids. There was a small increase in tyrosine, phenylalanine and aspartate levels in breastmilk after aspartame loading as compared to lactose loading, e.g,, breastmilk phenylalanine increased from 0.5 µmol/dl to 2.2 µmol/dl, and aspartate increased from 2.2 µmol/dl to about 4.5 µmol/dl in the four-hour period post-dosing. At eight hours post-dosing the levels were in the normal postprandial range (Stegink et al., 1977a; 1979d; 1979e). Plasma methanol was determined in individuals administered aspartame at 100, 150 and 200 mg/kg bw. The peak levels of methanol were (in mg%) 1.27 ± 0.48 (100 mg/kg group), 2.14 ± 0.35 (150 mg/kg group) and 2.58 ± 0.78 (200 mg/kg group). No formate was detected in the blood or urine of subjects receiving aspartame at 200 mg/kg bw (Stegink et al., 1977a; 1979d; 1979e). Four female subjects known to be heterozygous for phenylketonuria (PKU) were administered aspartame at a dose level equivalent to 34 mg/kg bw. The subjects were fed eight hours prior to administration of the test substances, and then for another eight hours post-dosing with water being allowed. Blood samples were taken at 0, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4 and 8 hour post-dosing. Plasma aspartate levels were similar to those in normal subjects. Plasma phenylalanine levels in the PKU individuals were higher than that in normal subjects (16 µmol/dl compared to 12 µmol/dl normal). No significant differences in plasma tyrosine were noted. Erythrocyte levels of amino acids were similar to those in normal subjects (Stegink et al., 1977a; 1979d; 1979e). Three male subjects (aged 25-55 years) were fasted overnight prior to administration by mouth of phenylalanine 14C aspartame (500 mg in 120 ml water). Four-hour post-dosing normal diet was allowed. Blood and urine samples were taken prior to dosing and then at various intervals post-dosing up to 64 hours for blood and 48 hours for urine. The 14C levels in plasma rose rapidly during the first 15 minutes and reached a maximum four to eight hours post-dosing. The initial disappearance rate of 14C from plasma was estimated to be 47.5 hours. Four hours after administration of the test substance, the major 14C plasma radioactivity was associated with high molecular weight substances (87%), with trace amounts being present as phenylalanine, tyrosine, diketopiperazine and aspartylphenylalanine. Less than 1% of the administered 14C was excreted in urine during the test period (Anonymous, 1972a). The effects of aspartame ingestion on blood amino acids in normal adults and one-year-old infants were examined in individuals given single 34, 50 or 100 mg/kg bw oral doses (Stegink et al., 1977c; 1979d; 1979e). Plasma concentrations of aspartate were unchanged from fasting levels in both infants and adults at all ingestion levels, indicative of rapid aspartate metabolism. Phenylalanine levels in plasma peaked at 45-90 minutes after dosing. The increase was dose but not age related. The data are summarized below: Peak plasma phenylalanine levels (µmol/dl) Dose Subject 0 34 mg/kg 50 mg/kg 100 mg/kg Infants 6.1 ± 1.2 9.7 ± 2.7 11.5 ± 3.1 22.5 ± 11.6 Adults 5.7 ± 1.2 11.1 ± 2.5 16.2 ± 4.6 20.2 ± 6.8 Six normal adult subjects (three male, three female) were examined for glutamate and aspartate plasma levels up to six hours after ingesting a 1 g protein/kg bw meal or an identical meal containing MSG or APM at a dose of 34 mg/kg bw (Stegink et al., 1977b; 1979d; 1979e). Plasma glutamate and aspartate levels did not differ significantly between groups. In an identical study using MSG at 150 mg/kg bw and aspartame at 23 mg/kg bw, plasma glutamate plus aspartate levels did not differ significantly between the subject groups fed the MSG alone or MSG plus aspartame (Stegink et al., 1979c; 1979e). In a similar study, six male and three female subjects were given a meal consisting of a clear soup and a beverage containing either no added compound, MSG at a dose of 50 mg/kg bw, or MSG at 50 mg/kg bw plus aspartame at 34 mg/kg bw. Plasma aspartate and glutamate were measured for up to four hours postprandially. Plasma aspartate levels were unchanged following ingestion of the soup-beverage meal without added MSG or aspartame. The MSG dose produced a significant increase in plasma aspartate values 15-30 minutes after loading. Addition of both APM and MSG produced a small but statistically significant (p = 0.01) increase in plasma aspartate levels above those noted from MSG alone 30-60 minutes after loading. The addition of APM alone did not significantly increase the mean peak values of plasma glutamate plus aspartate (Stegink et al., 1979b; 1979e). Six known MSG sensitive individuals (susceptible to "Chinese Restaurant Syndrome") were given 300 ml of cold orange juice containing either sucrose (1 g/kg bw) or aspartame (34 mg/kg bw) in a crossover design study (Searle Labs, 1979b). No symptoms were reported by any of the subjects and plasma aspartate levels were similar after aspartame and sucrose loading. Plasma glutamate levels remained within normal fasting levels (Stegink et al., 1979a; 1979e). Multiple doses of 34, 100 or 200 mg/kg bw of aspartame were used to investigate the average steady state levels of plasma phenylalanine after repeated doses of the compound. The following table summarizes the T 1/2, Ke and K1 from this study: Plasma phenylalanine half-life, Ke and K1 Aspartame dose Half-life (T 1/2) Ka* K1** (mg/kg bw) (hours) (hour -1) (hour -1) 34 1.65 0.420 3.47 100 1.7 0.408 2.72 200 1.7 0.408 1.26 * Ke = first rate constant for the disappearance of phenylalanine from the plasma. ** K1= first order rate constant for input of phenylalanine in plasma. The following table summarizes the average steady state plasma phenylalanine concentrations: Plasma phenylalanine (µmol/dl) Time interval between doses (hours) Aspartame dose (mg/kg bw) 34 100 200 1 12 67 156 2 6 34 78 3 4 22 52 4 3 17 39 8 - 8 19 (Stegink et al., 1979e) Adult PKU heterozygotes Five female PKU heterozygotes were given a single 100 mg/kg bw oral dose of aspartame in cold orange juice. As shown in the table below, plasma aspartate levels were not affected. However, plasma phenylalanine levels were elevated. Plasma aspartate and phenylalanine levels µmol/dl) Time (h) 0 0.5 1.0 1.5 2.0 3.0 4.0 Reference 0.5 0.8 0.5 0.6 0.4 0.5 0.4 ASP ± ± ± ± ± ± ± 0.3 0.6 0.3 0.5 0.3 0.3 0.3 Stegink et al., 1979f 7.0 36 37 42 32 24 17 PHE ± ± ± ± ± ± ± 0.7 7.6 8.0 2.3 5.3 3.2 2.7 Plasma and erythrocyte amino acid levels were measured in eight female subjects known to be PKU heterozygotes and 12 normal subjects (six males and six females) after a single oral dose of aspartame at 34 mg/kg bw. No changes in either plasma or erythrocyte aspartate levels were noted up to eight hours after dosing in either group. In the normal subjects, plasma phenylalanine levels increased from fasting values (5.66 ± 1.21 µM/100 ml) to normal post-prandial levels (11.11 ± 2.49 µM/100 ml) and returned to close to baseline levels at eight hours after dosing. In the PKU heterozygotes, mean peak plasma phenylalanine levels were 16.03 ± 2.25 µM/100 ml and the concentration curve was broader over time. However, maximum plasma phenylalanine levels in this group were only slightly above postprandial values in the normal human infant and adult. Erythrocyte phenylalanine levels showed similar but smaller patterns of change (Stegink et al., 1978). Comments An extensive array of toxicological studies have been carried out with aspartame (APM and its breakdown product DKP). Metabolic studies with APM in a variety of species suggest that aspartame is hydrolysed to its constituent amino acids prior to absorption from the GI tract, and its subsequent metabolism resembles that of phenylalanine, aspartic acid and methanol. The possible effects of subsequent increases in serum phenylalanine in neonates has been demonstrated in the 52-week study in the infant Rhesus monkey which showed that with APM at dose levels of 3 and 4-6 g/kg grand mal seizures were observed at 218 days of treatment. The effect was not observed at the low doses (ca 1 g/kg). Thereafter, sporadic convulsions occurred inconsistently at various times. The seizures occurred most frequently during physical handling of the animals and were of the grand mal type similar to those induced by feeding L-phenylalanine to infant monkeys. In an early study in which infant monkeys were dosed with aspartame, the monkeys from the two highest aspartame dose groups (3.0 and 3.7 g/kg) underwent seizures. In another study none of these effects were observed in the two highest aspartame dose groups (2.0 and 2.7 g/kg). It is important to note that in the early study monkeys were fed the total intake of milk formula in an eight-hour period, while in the second study they were provided 24-hour access to aspartame-in-milk formula. This would result in a less pronounced peaking of phenylalanine blood levels in the monkeys of the later study. It seems that in the early study ad libitum watering was not allowed while in the second study it was. There is also evidence that normal food intake and growth were impaired in the early study. These methodological variations may explain the differences in the results of the two studies, i.e. seizuring versus no seizuring. It appears that, if proper nutrition, hydration and growth are maintained, even extremely high intakes of aspartame (1-3 g/kg/day) do not produce untoward effects in neonatal monkeys. Phenylketonuria (PKU) and resulting brain damage and mental retardation can be experimentally induced in the monkey by feeding large doses of phenylalanine (PA) beginning shortly after birth. The large dosing results in suppression of phenylalanine hydroxylase activity in the liver, the enzyme required for conversion of PA to tyrosine. The mid and high doses (ca 3 and 4 g/kg/day) of APM resulted in a significant increase in serum PA and tyrosine levels, while the low dose (ca 1 g/mg/day) showed no appreciable change in serum PA and tyrosine levels. A comparison of the serum PA and tyrosine levels of positive control monkeys fed 2-2.5 g PA/kg/day with the serum PA levels from the animals dosed with 3 or 4 g/kg/day APM shows that the PA levels were similar. PA and APM at these dose levels cause similar effects in neonate monkeys. It is reasonable to conclude that the effect is due to the PA moiety of the aspartame, and that this problem related to neonate infants at an age where susceptibility to phenylalanine and the effects of PKU are critical. Long-term feeding studies with rats, mice and dogs, as well as a bladder implant study with mice, provide adequate data to assess the carcinogenic potential of APM as well as other long-term effects. In the two-year feeding studies in rats, effects at the highest dose levels (4 and 8 g/kg bw/day) fed included decreased growth, kidney weight increases, decreased thyroid weight, seminal vesicle atrophy, changes in the pancreas (fibrosis, mild atrophy and nodular hyperplasia) and gastritis and stomach ulceration. These effects were not observed in animals on the lower dose levels (1 and 2 g/kg/day). Neonate rats (two weeks old) which had been exposed to APM in utero showed subtle changes in the kidney (minimal to slight hypertrophy and vacuolation of nuclei in cells of tubules in the inner cortex). However, in the long-term feeding study in which rats were exposed in utero to aspartame, these effects were not observed in the mature animals, nor did they affect the well being of the animals. Both control and test animals showed an incidence of brain tumours, nodular hyperplasia of the adrenal cortex, and liver hyperplastic nodules. The brain lesions (tumours) seen in some test animals of the first two-year rat study were investigated by a detailed pathology evaluation of brain sections of the second, lifetime study. These same brain lesions were seen in untreated controls as well as in test animals in the second study. The fact that these lesions were not seen in control animals of the first two-year study could be attributed to biological variation and not treatment related. The statistically significant increase of adrenal nodular hyperplasia in survivor males of the second lifetime rat study was not borne out in non-survivor males, in females, nor in all groups of the first two-year rat study. The gastritis and stomach ulceration increase in female rats at high test levels of the second lifetime rat study, although possibly related to compound, was not seen consistently in all groups nor in any test group of the first two-year rat study. The incidence of hyperplastic nodules in the livers of animals of the two-year rat study was subjected to a detailed statistical analysis; there did not appear to be a significant increase of these lesions in test animals over controls. In the case of the 104-week mouse study, a detailed pathological study did not indicate the presence of compound-related tumorigenic or non-tumorigenic changes. In the two-year feeding study with dogs, at the highest dose level fed (4 g/kg/day) effects observed included decreased haemoglobin, haematocrit and total red blood cells. BSP values were also decreased. The effects were not noted at lower dietary levels. Gross microscopic pathological findings did not indicate any compound- related effect. A detailed study of the brain of test dogs did not show any neoplastic changes. The 56-week urinary bladder impact study in the mouse showed no significant differences in the incidence of neoplasms in the urinary bladder of negative control (cholesterol) and test groups (cholesterol plus APM). The general lack of carcinogenic response in these test systems provides an adequate data base for the non-carcinogenicity of APM. Studies of the carcinogenic potential of DKP include a long-term study in the rat and mouse, as well as a bladder implant study in the mouse. In the rat study there was a significant decrease in weight gain at the highest dose levels. At autopsy the only compound-related effect was a significant increase in the incidence of uterine polyps. The significance of this effect was carefully assessed. The lesions were considered to be non-neoplastic benign proliferations that are known to occur spontaneously in aging rats. In the mouse study the only compound-related effect was an increase in absolute relative thyroid/body weight. However, there were no pathological changes. The 56-week urinary bladder implant study in the mouse showed no significant differences in the incidence of neoplasm in the urinary bladder of negative control (cholesterol) and test groups (cholesterol plus DKP). Metabolic studies with DKP in a number of animal species indicate that some DKP may be observed unchanged, or as its metabolite, phenylacetyl-glutamine. Other metabolic products have not been identified. Detailed investigations on the possible nitrosation of DKP show that n'-nitroso compounds were not formed in vitro or in vivo. A two-generation rat reproduction study with aspartame showed that the only effect observed at the highest dose level tested (4 g/kg bw) was that the body weights of F1A and F2A weanlings were significantly reduced. This effect was not observed in the lower dose levels (2 g/kg bw). All other parameters were normal. A single generation reproduction study with DKP at dose levels up to 1.8 g/kg/day showed no compound-related effects. Teratological studies with the rat and rabbit with either AMP or AMP/DKP (3:1) mixture of DKP at dose levels up to 4 g/kg/day, administered either by gavage or in the diet (rabbit) or in the diet (rat), showed no significant compound-related effects. Mutagenicity studies, which included host- mediated assay, dominant lethal and cytogenetic studies with AMP or DKP, did not indicate that either AMP or DKP are mutagenic. AMP and DKP were subjected to a large nurser of biological tests to screen for any possible pharmacological, endocrinological or behavioural effects. A positive effect was only observed in one test, namely, that high levels of DKP exhibit some progesterone antagonism. Aspartame was tested in human subjects of various population types - normal adults, "healthy" obese adults, normal children and adolescents, PKU heterozygotes (natural parents of PKU children), PKU and normal adolescents, and insulin and non-insulin dependent diabetics. Various doses of aspartame and various treatment periods (from acute, large dose loading to prolonged reasonable dietary dosing up to 90 days) were used. Comparisons were made with phenylalanine, with sucrose controls, and normal diet controls (double-blind studies). The data indicated no significant toxicological problems within limitations of the studies. Studies on aspartame loading of normal individuals showed that this resulted in only minor changes in the levels of serum or erythrocyte amino acids. At the highest dose studied, the peak levels of phenylalanine were within the range tolerated in phenylketonurics subjected to high doses of aspartame who, however, showed somewhat higher levels of phenylalanine than normal subjects. The elevations were transient, and well below levels that could be expected to produce toxic effects. Loading with aspartame did not result in significant levels of methanol in the blood, or formate in blood or urine. Additional studies have been carried out on the effect of aspartame ingestion on blood amino acids in infants, normal adults and female PKU heterozygotes. The results of these studies confirm the previous observations. Aspartame loading has also been shown not to increase plasma glutamate levels in MSG-sensitive individuals. EVALUATION Aspartame: Estimated level causing no toxicological effect in the rat 4 g/kg bw Estimate of acceptable daily intake for man 40 mg/kg bw Diketo piperazine: Estimated level causing no toxicological effect in the rat 750 mg/kg bw Estimate of acceptable daily intake for man 7.5 mg/kg bw REFERENCES Andress, J., Martinez, T. & Youkilis, G. SC-19192: Acute toxicity studies in the rat, mouse and rabbit. Unpublished report from Department of Pathology-Toxicology, submitted to the World Health Organization by G. D. Searle & Co., Skokie, Ill., USA, 1973a Andress, J., Martinez, T. & Youkilis, G. SC-18862: Acute toxicity studies in the rat, mouse and rabbit. Unpublished report from Department of Pathology-Toxicology of Searle Laboratories, submitted to the World Health Organization by G. D. Searle & Co., Skokie, Ill., USA, 1973b Anonymous. SC-18862: Two-month oral administration - rats. Unpublished report from Hazleton Laboratories, Inc., submitted to the World Health Organization by G. 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Searle & Co., Skokie, Ill., USA, 1971a Rao, K. S., Mauro, J. & McConnell, R. G. SC-19192: Two week oral toxicity study in the rat. Unpublished report from Department of Pathology-Toxicology of Searle Laboratories, submitted to the World Health Organization by G. D. Searle & Co., Skokie, Ill., USA, 1971b Rao, K. S. Staunton, C. & McConnell, R. G. SC-19192: Five-week oral toxicity study in the rat. Unpublished report from Department of Pathology-Toxicology of Searle Laboratories, submitted to the World Health Organization by G. D. Searle & Co., Skokie, Ill., USA, 1972a Rao, K. S. Martinez, T. B. & McConnell, R. G. SC-18862: Four week oral tolerance study in the mouse. Unpublished report from Department of Pathology-Toxicology of Searle Laboratories, submitted to the World Health Organization by G. D. Searle & Co., Skokie, Ill., USA, 1972b Rao, K. S. Martinez, T. B. & McConnell, R. G. SC-18862: Four week oral tolerance study in the rat. 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Unpublished report from Department of Pathology-Toxicology of Searle Laboratories, submitted to the World Health Organization by G. D. Searle & Co., Skokie, Ill., USA, 1973b Schroeder, R. E., Mitchell, A., Rao, K. S. & McConnell, R. G. SC-19192: Evaluation of reproductive performance in the rat. Unpublished report from Department of Pathology-Toxicology of Searle Laboratories, submitted to the World Health Organization by G. D. Searle & Co., Skokie, Ill., USA, 1973c Schroeder, R. E., Mitchell, A., Rao, K. S. & McConnell, R. G. SC-19192: An evaluation of the embryotoxic and teratogenic potential in the rat. Unpublished report from Department of Pathology-Toxicology of Searle Laboratories, submitted to the World Health Organization by G. D. Searle & Co., Skokie, Ill., USA, 1973d Schroeder, R. E., Mitchell, A., Rao, K. S. & McConnell, R. G. SC-18862: An evaluation of the embryotoxic and teratogenic potential in the rabbit. Unpublished report from Department of Pathology-Toxicology of Searle Laboratories, submitted to the World Health Organization by G. D. Searle & Co., Skokie, Ill., USA, 1973g Schroeder, R. E., Rao, K. S. & McConnell, R. G. SC-18862: A study of the pregnant and lactating rat and of her offspring. Unpublished report from Department of Pathology-Toxicology of Searle Laboratories, submitted to the World Health Organization by G. D. Searle & Co., Skokie, Ill., USA, 1973e Schroeder, R. E., Rao, K. S. & McConnell, R.G. SC-18862: An evaluation of the embryotoxic and teratogenic potential in the rabbit. Unpublished report from Department of Pathology-Toxicology of Searle Laboratories, submitted to the World Health Organization by G. D. Searle & Co., Skokie, Ill., USA, 1973f Simmon, V. F. & Shan, H. G. An evaluation of the mutagenic potential of SC-18862 employing Ames Salmonella/microsome assay; S.A. 1385. Unpublished report from SRI International, submitted to the World Health Organization by G. D. Searle & Co., Skokie, Ill., USA, 1978 Springer, J. Personal communication to C. J. Kokoski of the United States Food and Drug Administration, submitted to the World Health Organization by G. D. Searle & Co., Skokie, Ill., USA, 1974 Stegink, L. D., Filer, L. J., jr & Baker, G. L. Effect of Aspartame loading upon plasma and erythrocyte free amino acid levels in normal adult subjects. Unpublished report from the University of Iowa College of Medicine, submitted to the World Health Organization by G. D. Searle & Co., Skokie, Ill., USA, 1977a Stegink, L. D., Filer, L. J., jr & Baker, G. L. Metabolic studies of Aspartame and MSG ingested as a meal component. Unpublished report from the University of Iowa College of Medicine, submitted to the World Health Organization by G. D. Searle & Co., Skokie, Ill., USA, 1977b Stegink, L. D., Filer, L. J., jr & Baker, G. L. Effect of Aspartame upon plasma and erythrocyte free amino acid levels and blood methanol levels in normal one-year-old children. Unpublished report from the University of Iowa College of Medicine, submitted to the World Health Organization by G. D. Searle & Co., Skokie, Ill., USA, 1977c Stegink, L. D., Filer, L. J., jr, Baker, G. L. & McConnell, J. E. Effect of Aspartame loading at 100 mg per kg body weight upon plasma and erythrocyte levels of free amino acids in normal subjects and subjects presumed to be heterozygous for phenylketonuria. Unpublished report from the University of Iowa College of Medicine, submitted to the World Health Organization by G. D. Searle & Co., Skokie, Ill., USA, 1978 Stegink, L. D., Filer, L. J., jr & Baker, G. L. Effect of Aspartame loading in subjects who report symptoms of Chinese restaurant syndrome after glutamate ingestion. Unpublished report from the University of Iowa College of Medicine, submitted to the World Health Organization by G. D. Searle & Co., Skokie, Ill., USA, 1979a Stegink, L. D., Filer, L. J., jr & Baker, G. L. Metabolic studies of Aspartame and monosodium glutamate when ingested together as part of a soup-beverage meal. Unpublished report from the University of Iowa College of Medicine, submitted to the World Health Organization by G. D. Searle & Co., Skokie, Ill., USA, 1979b Stegink, L. D., Filer, L. J., jr & Baker, G. L. Metabolic studies of Aspartame and monosodium glutamate ingested as components of a hamburger-milk shake meal system in normal adult subjects. Unpublished report from the University of Iowa College of Medicine, submitted to the World Health Organization by G. D. Searle & Co., Skokie, Ill., USA, 1979c Stegink, L. D., Filer, L. J., jr, Baker, G. L., Brummel, M. C. & Tephly, T. R. Aspartame metabolism in human subjects. In: Guggenheim, B. Health and sugar substitutes. Basle, Munich, Paris, London, New York, Sydney, S. Karger, pp. 160-165, 1979d Stegink, L. D., Filer, L. J., jr & Baker, G. L. Personal communication to I. C. Winter of G. D. Searle & Co., submitted to the World Health Organization by G. D. Searle & Co., Skokie, Ill., USA, 1979e Stegink, L. D., Filer, L. J., jr, Baker, G. L. & McConnell, J. E. Effect of Aspartame loading upon plasma and erythrocyte amino acid levels in phenylketonuric heterozygotes and normal subjects. J. Nutr., 109: 708-717, 1979f
See Also: Toxicological Abbreviations Aspartame (WHO Food Additives Series 16) ASPARTAME (JECFA Evaluation)