ACESULFAME POTASSIUM Explanation Acesulfame K (synonyms: Acesulfam K; Potassium salt of 6-methyl-1, 2,3-oxathiazine-4(3H)-one-2,3-dioxide; Potassium salt of 3,4-dihydro-6-methyl-1,2,3-oxathiazine-4-one-2,2-dioxide; Acetosulfam) is an artificial sweetener, approximately 200 times sweeter than sugar. It is a white, odourless, crystalline powder with the following chemical structure:It is proposed for use as a table-top sweetener, and for use in soft drinks, fruit preparations, desserts, breakfast cereals, chewing gum, and other food applications appear to be possible. Based on data for food consumption in the Federal Republic of Germany, and estimated levels of use in these specified foods, the probable mean daily intake has been estimated as 470 mg/day (Anon., 1980a). Acesulfame K is stable in foods, beverages and cosmetic preparations under normal storage conditions. Under extreme conditions of pH and temperature, detectable decomposition may occur leading to the formation of acetone, CO2, and ammonium hydrogen sulfate, or amido-sulfate, as final decomposition products; under acid (pH 2.5) conditions, minute quantities of acetoacetamide and acetoacetamide N-sulfonic acid are formed as unstable intermediate decomposition products, while under alkaline (pH 3-10.5) conditions, acetoacetic acid and acetoacetamide N-sulfonic acid can be detected. This artificial sweetener was assessed for the first time by the Joint Expert Committee on Food Additives. BIOLOGICAL DATA BIOCHEMICAL ASPECTS Absorption, distribution and excretion Single oral doses of 10 mg 14C-acesulfame K/kg bw given to rats and dogs were rapidly absorbed. Maximum blood levels reached were 0.75 ± 0.2 µg/ml in rats, 0.5 h after dosing, and 6.56 ± 2.08 µg/ml in dogs, 1-1.5 h after dosing. In rats, 82-100% of the dose, and in dogs, 85-100% of the dose was excreted in the urine; in both species, 97-100% of their total radioactivity was excreted in faeces, and total recovery approximated to 100%. Rats given 10 consecutive daily doses of 10 mg/kg orally did not show evidence of accumulation. Three days after dosing, the concentration in the organs and plasma was 0.4 nMol/g in liver, and less than 0.2 nMol/g in other tissues. Seven days after dosing, the concentration in dogs was less than 0.2 nMol/g in all tissues examined (Kellner & Christ, 1975a). After intravenous administration of a single dose of 10 mg 14C-acesulfame K/kg bw to rats, the radioactivity was excreted quantitatively in urine and the plasma half-life was 0.23 h (Kellner & Christ, 1975a). Following oral administration of a single dose of 3.6-4.5 mg 14C-acesulfame K/kg bw to pigs, maximum blood levels ranged between 0.35-0.72 µg/ml between 1-2 h after dosing and fell to undetectable levels within 48 h. Excretion occurred mainly in the urine (Kellner & Christ, 1975b). Bio-transformation The metabolism of Acesulfame K was investigated in the urine and faeces of rats and dogs which had received single oral doses of 10 mg/kg bw, and in the urine and bile of pigs dosed orally with 5 mg/kg bw. The analytical methods used (thin-layer chromatography, mass spectrometry and isotope dilution) detected only the original substance in these samples (Volz, 1975). Effects on enzymes In vitro studies on acetoacetamide, a possible minor breakdown product of Acesulfame K, showed that it did not function as a substrate for thiolase, ß-hydroxyacyl-CoA-dehydrogenase, and ß-hydroxybutyrate-dehydrogenase indicating that in vivo formation of acetamide is not probable (Anon., 1980b). Effects on bacteria Acesulfame K was without antibacterial activity against 12 bacterial strains in vitro, and did not show antibacterial activity in experimental septicaemia in the mouse with Streptococcus pyogenes A77 or Salmonella typhimurium. Long-term culture (30 daily passages) of Staphylococcus aureus and E. coli with a range of concentrations of Acesulfame did not affect growth characteristics nor sensitivity towards antibiotics, ampicillin, cephalothin, tetracycline or gentiamycin (Schrinner & Limbert, 1977). Nitrosation of Acesulfame K In vitro studies were performed to investigate whether Acesulfame K could form N-nitroso derivatives. Nitrosation was carried out using N2O3 in glacial acetic acid, or excess NaNO2, at pH 3 and pH 1. An N-nitroso compound was detected in low yield with N2O3 or with nitrite at pH 1 but not at pH 3. The yield at pH 1 was estimated to be 0.4 × 10-3% (Eisenbrand, 1979). TOXICOLOGICAL STUDIES Special studies on acetoacetamide - acute toxity and mutagenicity The oral LD50 of acetoacetamide in female rats was greater than 15 g/kg bw (Anon., 1977). Acetoacetamide was non-mutagenic in bacterial assays using four strains of Salmonella typhimurium, with and without metabolic activation (Gericke, 1977), did not induce point mutations in cultured V79 Chinese hamster cells, and was negative in the cell transformation assay using M2 mouse fibroblasts (Marquardt, 1978). Special studies on ß-hydroxybutyramide - mutagenicity ß-Hydroxybutyramide, a metabolite of acetamide in some mammalian species, was non-mutagenic in the Ames' test against four strains of Salmonella typhimurium, with and without metabolic activation (Engelbart, 1979). Special study on caecal enlargement These studies were performed to investigate the possible reversibility of caecal enlargement observed in short-term and long-term studies. Groups of 10 juvenile female Wistar rats, body weight approximately 115 g, received Acesulfame K at dietary concentrations of 0, 3.0, or 10.0% for treatment periods of 45, 49, and 90 days. One group from each dose level was sacrificed at the end of the treatment periods of 45 and 90 days; in addition one group from each dose level was sacrificed after recovery periods of 41 days' treatment, and 14, 56 and 127 days following 90 days treatment. Food and water intake, and body weight were measured weekly. At termination, the weights of caeca with and without contents, as well as moisture content of the contents, were determined. At the 10% feeding level, there was an increase in food and water intake and a reduction in body weight gain which was reversible during the post-treatment period. At this treatment level, filled caecal weight relative to body weight was approximately doubled after 45 and 90 days while at the 3% dietary level, a significant increase of about 30% was observed after 90 days only. A significant increase in the water content of caecal contents was observed only in the highest dose group. The changes in the caecal weights after 90 days' exposure to 3% Acesulfame K in the diet were reversible within 14 days. After 90 days' treatment at the 10% dietary level, the water content in the caecum returned to normal within 14 days but the filled caecal weight remained significantly increased (by approximately 30%) even after a recovery period of 127 days (Mayer et al., 1978b). A similar study was performed with adult female Wistar rats, body weight approximately 220 g. Initially, animals receiving 10% Acesulfame K in the diet experienced anorexia followed by an increased food consumption after two weeks. Water consumption was increased during the treatment period in both dose groups. Filled and empty caecal weights were increased by 80% and 33% respectively in animals receiving 10% Acesulfame for 45 days. Increased caecal weights were observed in both dose groups after 91 days' treatment. Caecal water content was significantly increased in both dose groups after 45 days but not after 91 days' treatment. All the changes were reversible in animals of both dose groups treated for 49 days followed by a 42 day recovery period. After 91 days' treatment at the 3% dietary level, all changes were reversible within 14 days; at the 10% dietary level, caecal water content returned to normal within 14 days but filled caecal weights were still significantly increased (by about 30%) after a recovery period of 127 days (Mayer et al., 1978c). These experiments did not reveal any significant differences between juvenile and adult animals with regard to induction or reversibility of caecal enlargement. Complete reversibility was demonstrated at the 3% dietary level, but not at 10% in the diet. The authors note that the coincidence of increased water intake with increased caecal water content and the reversibility of both of these parameters after withdrawal of Acesulfame K probably indicates that the changes are of osmotic origin. Special studies on carcinogenicity Four groups of 100 male and 100 female Swiss mice were fed diets containing 0, 0.3, 1.0, or 3.0% Acesulfame K for 80 weeks. All survivors were sacrificed and autopsied, and weights of livers and kidneys were recorded. All tumours and tissues showing gross lesions suspected of being tumours and the livers of all animals were examined microscopically (haematoxylin and eosin sections). The feeding of Acesulfame K did not cause adverse effects on general appearance, behaviour or survival at any of the dietary levels but body weights were slightly decreased at the 3.0% dose level in both sexes. The relative liver weight was decreased at all dose levels in males only but there was no evidence of a dose-related response. Deaths occurring during the course of the study were attributed to chronic nephropathy, severe liver degeneration, respiratory infections and lung tumours. Gross and microscopic examination revealed a variety of tumours in both test and control animals, but evaluation of the data on type of tumour, location and incidence did not indicate that the test compound was carcinogenic to mice at dietary levels up to 3% for 80 weeks (Beems & Til, 1976). See also Long-term studies in rats. Special studies on mutagenicity An oral mutagenicity study (micronucleus test) was carried out in which Acesulfame K was administered orally to male and female NMR1 mice at doses of 450, 1500, and 4500 mg/kg on two consecutive days. The animals were killed six hours after the second application, bone marrow was taken from the femur and 2000 polychromatic erythrocytes per animal counted and scored for micronuclei. The mutagenic index did not differ significantly from 1 (Baeder & Horstmann, 1977). In a dominant lethal assay, Acesulfame K was administered to male Wistar rats at dietary levels of 1.0 or 3.0% for five consecutive days prior to mating. At day 1, 8 and 15 post-treatment each male was caged with two untreated females for seven days. Pregnant females were sacrificed mid-term and scored for pregnancy rate and total and dead implants. No adverse effects were observed and it was concluded that Acesulfame K at these dietary levels did not induce dominant lethal mutations in spermatozoa of vas deferens and epididymis, testicular sperm or late spermatids (Willems, 1974). Cytogenetic investigations were conducted on bone marrow cells of Chinese hamsters treated orally with five consecutive daily doses of Acesulfame K of 0, 450, 1500, or 4500 mg/kg bw. The ratios of chromosomal abnormalities in control and treated animals were low, and values normally found in this strain were not exceeded (Mayer et al., 1978a). The ability o£ Acesulfame K and of acetoacetamide to induce mutations in V79 Chinese hamster cells in vitro (8-azaguanine susceptibility to resistance) was investigated at concentrations of 10-10 000 µg/ml. Neither of the compounds was mutagenic in this system; acetoacetamide was slightly cytotoxic at the highest concentration. The compounds were also screened for induction of transformations in M2 mouse fibroblasts at similar concentrations. Acesulfame K did not cause any transformations, but reduced plating efficiency (cytotoxicity) was observed at concentrations of 5000 and 10 000 µg/ml; one (out of 14) transformed focus was observed with acetoacetamide at a concentration of 5000 µg/ml but not at the higher concentration, and this was not considered to be evidence of potential oncogenic activity. In addition, Acesulfame K was not mutagenic nor cytotoxic against four strains of Salmonella typhimurium at concentrations up to 100 mg/plate (Marquardt, 1978). Acesulfame K was neither mutagenic nor cytotoxic in the Ames' test using four strains of Salmonella typhimurium (detecting both base-pair and frame-shift mutations) either with or without activation by rat microsomes (Rohrborn, 1976). Special studies on pharmacological aspects Dosages of Acesulfame K of 400 m/kg i.p., 500 m/kg orally, or 320 mg/kg subcutaneously, did not depress motor activity of mice excited by Pervitin. The hexobarbital sleeping time in mice was not changed by pretreatment with Acesulfame K at doses of 500 mg/kg per os or 160 mg/kg subcutaneously. Metrazol-induced convulsions in mice were not influenced by Acesulfame K at doses of 500 mg/kg per os, 300 mg/kg i.p., or 320 mg/kg subcutaneously; anti-convulsant activity can thus be excluded. Administration of Acesulfame K (200 mg/kg i.p.) to mice was without effect on tetrabenazine-induced ptosis and catalepsy, thus the compound is without anti-depressant properties. Acesulfame K (200 mg/kg i.p., 160 mg/kg s.c., or 500 m/kg per os) was without effect on compulsive gnawing behaviour induced by the combined application of apomorphine and imipramine, therefore antidepressant and anticholinergic effects are unlikely. At doses of 320 mg/kg s.c. or 500 mg/kg orally, Acesulfame K had no analgesic effect on mice. Predosing of rats with Acesulfame K (500 mg/kg orally or 160 mg/kg s.c.) was without anti-inflammatory effect on Aerosil- induced paw oedema, and similar doses had no antipyretic effect in rats with yeast-induced fever. Eight daily doses of Acesulfame K (0-100 mg/kg) per os had no effect on serum cholesterol, total glycerol, free glycerol or glucose levels; relative liver weights were unchanged. In acute tests, Acesulfame K had no effect on blood sugar levels in rats given 100 mg/kg orally, guinea-pigs given a similar dose i.p., or rabbits receiving 100 or 500 mg/kg orally or 50 mg/kg i.v. Acesulfame K had no diuretic effect in rats and dogs at oral dose levels of 50 mg/kg and 20 mg/kg respectively. Acesulfame K given intravenously to guinea-pigs at a dose level of 24 mg/kg reduced digoxin toxicity. This effect was due to the potassium content and not to antiarrhythmic activity of the compound. Intravenous administration of 1-5 mg Acesulfame K/kg to anaesthetised guinea-pigs one minute before treatment with histamine was without effect on the bronchial musculature. Cardiovascular experiments in anaesthetized dogs showed that intravenous administration of Acesulfame K was without effect up to a dose of 6 mg/kg; doses of 12 and 24 mg/kg caused a decrease in contractility of the heart with a transient reduction of blood pressure and peripheral blood flow. The changes were compensated for in 3-5 minutes. Intraduodenal administration of Acesulfame K to anaesthetized dogs at dose levels of 0-1000 mg/kg induced a slight reduction of blood pressure at 500 mg/kg and this was accompanied by a reduction of cardiac contractility of about 20% at 1 g/kg. The effect was reversed in 50-80 minutes and other cardiovascular parameters were unchanged. In the conscious dog, after a five day treatment with Acesulfame K at 100 mg/kg per os daily, no change in blood pressure or cardiac activity could be detected. Acesulfame K at doses of 0-24 mg/kg i.v. had no anti-arrhythmic effect on anaesthetised dogs poisoned with K-strophanthin. Daily oral administration of Acesulfame K (1 g/kg) to dogs for 14 days was without effect on thromboplastin time, thrombin time, recalcification time and thromboelastography of plasma samples. No functional changes were detected after application of 50 µg Acesulfame K to isolated guinea-pig heart using the Langendorff techniques; the compound did not show antiarrhythmic activity in isolated, perfused guinea-pig heart with aconitine and digitoxin-induced fibrillation. In the isolated ileum of guinea-pig, Acesulfame K at a concentration of 10 µg/ml had no neurotropic or spasmolytic effect on smooth muscle. Addition of Acesulfame K to dog plasma in vitro was without effect on thrombin time, thromboplastin time or recalcification time. Investigation of the carbonic anhydrase-inhibiting effect in vitro showed that Acesulfame K had virtually no effect, concentrations of 180 mg/ml being required for 50% inhibition (Vogel & Alpermann, 1974). Special studies on the short-term toxicity of potassium chloride Feeding studies in rats with potassium chloride were conducted to elucidate the possible involvement of the potassium ion in Acesulfame K in changes observed in toxicological studies. Three groups of 20 male and 20 female weanling Wistar rats were fed for 90 days on diets containing 0, 12 000 or 37 000 ppm (0, 1.2 or 3.7%) KCl, equivalent to the potassium content of diets containing 0, 3, or 10% Acesulfame K. Regular measurements were made of body weight, food and water consumption, urinary volume and potassium content. After the animals had been sacrificed, the caeca with and without contents were weighed and the water content of the caecal contents were determined. There was a dose-related increase in water consumption in both sexes throughout the study and, in the first few weeks, the food consumption of treated animals was slightly lower than that of controls. Body weight gains were depressed in males of both concentration groups throughout the 90 day period but in females statistically significant differences were obtained only up to the twenty-ninth day. Dose-related increases in urine volumes and urinary potassium were observed. Filled caecal weights were increased by about 10% in males and 20% in females of the top dose group, but these differences were not statistically significant; no differences were observed in empty caecal weights, nor in water content of the caecal contents. It was concluded that the potassium content of Acesulfame K could be responsible for some adverse effects seen in toxicological studies, particularly depressed body weight gain (Mayer et al., 1978d). Special studies on reproduction A multigeneration study in rats was carried out, in which males and females received Acesulfame K at dietary levels of 0, 0.3, 1.0 and 3.0% for three successive generations, each comprising two consecutive litters. A teratogenicity study was conducted with 15 females per group of the F2b and F3a generations. Rats from the F3b generation were submitted to clinical and pathological examination. Pups from the F1a litters were used for a chronic toxicity/carcinogenicity study at the same dietary levels of Acesulfame K as the parents (see Long-term studies). Fertility, number of young per litter, birth weight, growth rate and mortality during the lactation period were not adversely affected and there were no indications of increased mortality in utero. Growth rate was slightly decreased in the top dose group of the F0 and F1 generations, and the mid-dose group of the F0 generation. In the teratogenicity studies, no adverse effects were seen in appearance, food consumption, autopsy of the dams, organ weights, or litter data; no visceral or skeletal abnormalities attributable to the treatment were observed. In a four-week feeding study on rats of the F3b generation, body weights and food efficiency figures were slightly decreased in males at the highest dose level. The relative weights of the caecum were slightly increased in both sexes of the high-dose group and in males of the mid-dose group. Gross and microscopic examination did not reveal any treatment-related pathological changes (Sinkeldam et al., 1976). In a separate study, Acesulfame K was fed to pregnant rats at dietary levels of 0, 0.3, 1.0, or 3.0% from day 6 up to and including day 15 of pregnancy; a positive control group received 75 000 i.u. vitamin A/rat/day during the same period. An increase in food consumption was observed at all three dose levels of Acesulfame K, most pronounced in the 0.3% group. Mean foetal weight showed a slight, dose-related increase in the test groups but skeletal and visceral examination of the foetuses revealed no teratogenic effects attributable to the feeding of Acesulfame K. A wide range of abnormalities was induced by teratogenic doses of vitamin A in positive controls (Koeter, 1975). A reproduction study was carried out in which male and female rats were fed diets containing 0, 0.3, 1.0, or 3.0% Acesulfame K for 12 weeks prior to mating; the dams received the same diet throughout pregnancy and lactation. Observations were made on the fertility of the females, number of young per litter, sex rates, gross abnormalities, mortality, body weight, and resorption quotient. Growth rate was slightly decreased in parent rats of the top dose group and in the mid-dose group females. No dose-related effects were seen in any of the observations made on the offspring, and there were no indications of increased mortality in utero. At weaning, 60 animals of each sex were selected from the litters for a two-year feeding study (see below, Long-term studies) (Sinkeldam, 1976). An embryotoxicity study with Acesulfame K was carried out in which female rabbits received doses of 0, 100, 300 or 900 m/kg bw by gastric intubation from the seventh to the nineteenth day after mating. On the twenty-ninth day of pregnancy, foetuses were delivered by Caesarean section; live and dead foetuses, resorptions and placentas were counted, weighed and examined macroscopically. The 24-hour survival was determined by incubation and half of the foetuses examined for skeletal abnormalities and the remaining half for visceral changes. One dam from the 300 mg/kg group had a premature birth. All other observations were within the range of control values and there was no evidence of compound-related malformations (Baeder & Horstmann, 1977). Acute toxicity Species Route LC50 (mg/l) Reference Zebra Fish Water >1 000 Markert & Weigand, 1979a Golden Orfe Water >1 000 Markert & Weigand, 1979b LD50 (mg/kg) Rat p.o. 7 430 Anon., 1973 i.p. 2 240 Mayer & Weigand, 1977 Short-term studies Rat Four groups of 10 male and 10 female weanling Wistar-derived rats were given diets containing 0, 1.0, 3.0, or 10% Acesulfame K for 90 days. Body weights were recorded weekly, food intake was determined during the first four weeks and in weeks 11 and 12. In week 13, the animals were bled from the tip of the tail and blood samples were examined for haemoglobin content, haematocrit, RBC and total and differential white cell counts. Pooled urine samples from each group were collected in week 13 and examined for appearance, pH, glucose, protein, occult blood, ketones and microscopy of the sediment. At autopsy, blood samples were examined for SGPT, SGOT, alkaline phosphatase, total serum protein and serum albumin. Organ weights were recorded for heart, kidneys, liver, spleen, brain, testes/ovaries, thymus, thyroid, adrenals and caecum (filled and empty). Histological examination was carried out on haematoxylin/eosin sections of the weighed organs and of lung, salivary glands, trachea, aorta, skeletal muscle, axillary and mesenteric lymph nodes, pancreas, bladder, prostate, epididymis, uterus, mammary gland, oesophagus, stomach, duodenum, ileum and colon. Food consumption of rats fed Acesulfame K at the 10% level was depressed during the first two to three weeks and body weight gain as markedly lowered during the first four weeks; slight diarrhoea and increased faecal water content occurred at this dose level. A slight increase in haemoglobin concentration was observed in males of the top dose group only, and total serum protein was slightly decreased in females only. Caecal enlargement was observed in both sexes receiving 10% Acesulfame K and in females receiving 3%. The relative weights of the liver and kidneys were slightly elevated in females of the 10% group and relative spleen weights were slightly depressed in all dose groups. Urinalysis, serum enzyme levels and serum albumin were not affected by the treatment, no gross pathological changes were detected and no dose-related abnormalities were observed histologically (Sinkeldam, Til & Willems, 1974). These workers considered that the caecal enlargement was a physiological response to the presence of osmotically-active material in the gut and that, since liver, kidney and spleen weights were within the normal range of the strain of rat used, and no histological changes occurred, the no toxic effect level is conservatively placed at 3% in the diet; this is equivalent to 1.5 g/kg/day in rats. Dog Four groups of four female and four male beagle dogs, initially 17-21 weeks old, were fed diets containing 0, 0.3, 1.0, or 3.0% Acesulfame K for two years. Body weight was recorded weekly for the first 12 weeks and at four-weekly intervals thereafter. Urinalysis, haematological examination and clinical chemistry were performed after 12, 26, 52, 78 and 104 weeks. Urinalysis included specific gravity, pH, sugar, protein, occult blood, ketone and microscopic examination of sediment; haematology comprised sedimentation rate, clotting time, haemoglobin, PCV, RBC count, WBC count and differential leucocyte count; clinical chemical investigations included blood sugar, urea, SGOT, SGPT, serum alkaline phosphatase, total serum protein and serum albumin. Liver function tests (bromosulfophthalein clearance) and kidney function tests (phenol red excretion) were performed on control and top dose group animals after 26, 52 and 104 weeks. At termination, gross pathological examinations were performed and the following organs weighed: heart, kidneys, spleen, liver, lungs, testes/ovaries, thyroids, adrenals and brain. Histological examinations were performed on the weighed organs and also on the following tissues: spinal cord, sciatic nerve, salivary glands, skeletal muscle, thoracic aorta, skin, tonsils, axillary, superficial, cervical and mesenteric lymph nodes, bladder, oesophagus, stomach, duodenum, jejunum, ileum, caecum, colon, pancreas, trachea, circumanai glands, eyes, epididymis, prostate, uterus, gall bladder, tongue and thymus. A marrow smear (rib bone) was also examined. General appearance, condition, behaviour and survival were not affected by the treatment. None of the examinations performed revealed adverse effects related to the feeding of Acesulfame K. The no-toxic effect level was found to be higher than 3% in the diet corresponding to an intake of 900 mg/kg/day in dogs (Reuzel & van der Heijden, 1977). Long-term studies Rat A combined chronic toxicity and carcinogenicity study was performed on Wistar rats (CIVO strain) which were obtained from the F1a generation in a multigeneration study (see Special studies on reproduction above). Four groups of 60 male and 60 female weanling rats were given diets containing 0, 0.3, 1.0, or 3% Acesulfame K for two years. The rats were derived from parents which had been maintained on the same diet since weaning. Periodic observations were made of appearance, behaviour growth and food intake. Haematological examinations were carried out after 13, 26, 52, 78 and 104 weeks, clinical chemical tests were performed on blood samples after 26, 52 and 104 weeks and urinalysis was done after 26, 52, 78 and 102 weeks. At termination, survivors were autopsied and organ weights recorded for heart, kidneys, spleen, liver, brain, gonads, thyroid, adrenals and caecum (filled and empty). Tissue samples from 20 male and 20 female rats of the control and top dose groups only were subjected to comprehensive histological examinations; histology on other animals was limited to liver, spleen, adrenals, thyroid, parathyroid, pituitary and ovaries, and to grossly visible lesions suspected of being tumours. Body weight gain was decreased in both sexes of the top dose group during the first 44 weeks of the study but not significantly thereafter. Death-rates of males fed 1.0 or 3% Acesulfame K and of females fed 0.3% Acesulfame K were higher than controls but it was considered that there was no evidence of mortality being increased by treatment, and the mortality of control rats was low for the strain of rat used. Interim deaths were mainly due to chronic respiratory disease and lymphoreticular malignancies of pulmonary lymphoid tissue. The incidence of pulmonary lymphoreticular tumours was relatively high in both males and females of the top dose group but only achieved statistical significance in females; there was also some evidence that these tumours appeared rather earlier in males of the mid and top dose groups. The results of haematological, clinical, chemical and urinalysis investigations were essentially normal in all dose groups. The relative weights of liver, kidneys, caecum and adrenals were increased in both sexes of the high dose group but the differences only reached statistical significance in the cases of liver and empty caecal weight in males, and kidneys and caecal weight in females. Gross and histopathology did not reveal any treatment-related effects (Sinkeldam et al., 1977). In commenting on these results, the authors pointed out the problems of inter-group comparisons in multigeneration studies where the animals in the different dose groups are not randomised. They stated that the increased death rate in test animals was still within the normal range for the strain of rats used and the mortality in controls was lower than usual. Pulmonary lymphoreticular tumours are a common cause of death in the strain of rats used, with very variable incidence, and the frequency in the test groups was within the normal range. It was concluded that the "higher" incidences and earlier appearance in this study were fortuitous findings and did not suggest that Acesulfame K possessed carcinogenic properties (Sinkeldam et al., 1977). A second combined chronic toxicity and carcinogenicity study was carried out on a different rat strain with a lower incidence of pulmonary tumours in untreated animals. Four groups of 60 male and 60 female SPF-Wistar rats received diets containing 0, 0.3, 1.0 or 3.0% Acesulfame K for 120-123 weeks. The rats used were progeny from parents which had been maintained on the same test diets since weaning. No adverse effects, other than decreased body weight in the top dose group were observed in this study. In particular there was no increased mortality nor tumour incidence in the treatment groups. It was concluded that Acesulfame K failed to show carcinogenic or other effects of toxicological significances when fed to rats at levels of up to 3.0% for 120 weeks (Sinkeldam et al., 1979). OBSERVATIONS IN MAN Three human volunteers, body weight 70-80 kg, were given a single oral dose of 30 mg 14C-Acesulfame K in peppermint tea. Absorption was rapid and virtually complete, maximum blood concentrations of 0.28 µg/ml occurring after 1 to 1-1/2 h. Elimination occurred rapidly with a plasma half-life of 2-1/2 h, over 99% of the dose being excreted in urine and less than 1% in faeces; 98% of the activity was eliminated in the first 24 h. From the pharmacokinetic data it was calculated that repeated doses of 30 mg at 3 h intervals would increase the maximum serum levels 1.7-fold and at 2 h intervals maximum serum levels would increase 2.4-fold relative to a single dose (Christ & Rupp, 1976). The metabolism of Acesulfame K was studied in serum and urine from human volunteers following a single oral dose of 30 mg per individual. Only the original substance was detected in all samples (Volz, 1976). Comments Some shortcomings were apparent in the long-term/carcinogenicity studies. The mouse carcinogenicity study was not considered to meet current requirements in that detailed histopathology was performed only on the livers and on others showing gross lesions suspected of being tumours; in the second long-term feeding study in rats, only a small proportion of the animals in the control and top dose groups were examined histopathologically in detail. Further clarification is needed of the report of an increased incidence of lymphomas restricted to the lung in the first long-term rat study. EVALUATION No ADI allocated. REFERENCES Anon. (1973) 3,4-Dihydro-6-methyl-1,2,3-oxothiazine-4-one-2, 2-dioxide potassium. Determination of acute oral toxicity in female SPF-Wistar rat. Unpublished report submitted to WHO by Hoechst A.G. Anon. (1977) Acute oral toxicity of acetoacetamide in female SPF Wistar rats. Report No. 427/77. Unpublished report submitted to WHO by Hoechst A.G. Anon. (1980a) Acesulfame K. A new non-nutritive sweetener. Unpublished data supplied to WHO by Hoechst A.G. Anon. (1980b) Investigating the efficacy of acetoacetamide as a substrate of ß-hydroxyacyl-CoA-dehydrogenase and ß-hydroxy-butyrate-dehydrogenase. Unpublished report submitted to WHO by Hoechst A.G. Baeder & Horstmann (1977) Oral embryotoxicity study of Acesulfam in rabbits, stock Hoe:HIMK (SPF Wiga) Report No. 317/77. Unpublished report submitted to WHO by Hoechst A.G. Baeder, Horstmann & Weigand (1977) Oral mutagenicity study (micronucleus test) of Acesulfam in NMRI mice. Report No. 591/77. Unpublished report submitted by Hoechst A.G. Beems, R. B. & Til, H. P. (1976) Carcinogenicity study with Hoe 0-95K in mice. Report No. R5058. Unpublished report of CIVO TNO, Zeist. Submitted to WHO by Hoechst A.G. Christ, O. & Rupp (1976) Human experiments with Acetosulfam-14C. Pharmacokinetics after oral administration of 30 mg to three healthy male probands. Unpublished report No. 01-L42-0176-76 submitted to WHO by Hoechst A.G. Eisenbrand, G. (1979) Experiments aimed at the nitrosation of Acetosulfam. Unpublished report submitted to WHO by Hoechst A.G. Engelbart, K. (1979) Ames' test ß-Hydroxybutyramid Substanz 90/79. Bericht Nr. 390/79A. Unpublished report submitted to WHO by Hoechst A.G. Gericke, D. (1977) Test for mutagenicity in bacteria strains in the absence and presence of a liver preparation. Unpublished report submitted to WHO by Hoechst A.G. Kellner, H.-M. & Christ, O. (1975a) Re: Absorption, distribution and elimination after administration of Acetosulfam-14C to rats and dogs. Dr. Kn/tr 5547. Unpublished report submitted to WHO by Hoechst A.G. Kellner, H.-M. & Christ, O. (1975b) Pharmacokinetic studies of Acetosulfam-14C after oral administration to pigs. Unpublished report submitted to WHO by Hoechst A.G. Koeter, H. B. W. M. (1975) Effect of Hoe 0-95K on pregnancy of the rat. Report No. R4854. Unpublished report of CIVO TNO, Zeist. Submitted to WHO by Hoechst A.G. Leegwater, D. C., De Groot, A. P. & van Kalmthout-Kuyper, M. (1974) The aetiology of caecal enlargement in the rat, Fd. Cosmet. Toxicol., 12: 687-697 Markert, U. & Weigand, W. (1979a) Akute Toxizitat von Acesulfam-K am Zebrabarbling (Brachydanio rerio) Bericht Nr. 754/79. Unpublished report submitted to WHO by Hoechst A.G. Markert, U. & Weigand, W. (1979b) Akute Toxizitat von Acesulfam-K an Goldorfen (Leuciscus Idus f. melanotus). Bericht Nr. 755/79. Unpublished report submitted to WHO by Hoechst A.G. Marquardt, H. W. J. (1978) Mutagenicity and oncogenicity of Acetosulfam-K. Studies with mammalian cells in vitro. Unpublished report of Memorial Sloan-Kettering Cancer Centre, N.Y. Submitted to WHO by Hoechst A.G. Mayer, D. & Weigand, W. (1977) Acute intraperitoneal toxicity of Acesulfam-K, batch CIVO 4, in female SPF Wistar rats. Report No. 285/77. Unpublished report prepared for Hoechst A.G. Mayer, D., Weigand, W. & Kramer, M. (1978a) Acesulfame K. Cytogenetic study in the Chinese hamster. Report No. 575/78. Unpublished report submitted to WHO by Hoechst A.G. Mayer, D., Weigand, W. & Kramer, M. (1978b) Report on investigations of the caecum-enlarging action of Acesulfam-K salt in juvenile female rats. Report No. 416/78. Unpublished report submitted to WHO by Hoechst A.G. Mayer, D., Weigand, W. & Kramer, M. (1978c) A report on the experimental studies of the effect of Acesulfam K salt in causing caecal enlargement in adult female rats. Report No. 417/78. Unpublished report submitted to WHO by Hoechst A.G. Mayer, D., Weigand, W. & Kramer, M. (1978d) Report on studies of the subchronic effects on rats of high doses of potassium chloride in the food. Report No. 418/78. Unpublished report submitted to WHO by Hoechst A.G. Reuzel, P. G. J. & van der Heijden, C. A. (1977) Long-term (two-year) oral toxicity study with Hoe 0-95K in beagle dogs. Report No. 5280. Unpublished report of CIVO TNO Zeist. Submitted to WHO by Hoechst A.G. Rohrborn, G. (1976) Expert opinion on the mutagenicity of Acetosulfam. Unpublished report of Universitat Dusseldorf. Submitted to WHO by Hoechst A.G. Schrinner & Limbert (1977) Report on investigations of the action of the sweetener Acesulfam against bacteria. Unpublished report submitted to WHO by Hoechst A.G. Sinkeldam, E. J. (1976) Reproduction study with Hoe 0-95K in rats. Report No. R5187. Unpublished report of CIVO TNO, Zeist. Submitted to WHO by Hoechst A.G. Sinkeldam, E. J. et al. (1976) Multigeneration study with Hoe 0-95K in rats. Report No. 5156. Unpublished report of CIVO TNO, Zeizt. Submitted to WHO by Hoechst A.G. Sinkeldam, E. J., Kuper, C. F. & Beems, R. B. (1979) Combined chronic toxicity and carcinogenicity study with Hoe 0-95K in rats pretreated in utero. Report No. R6100. Unpublished report of CIVO TNO, Zeist. Submitted to WHO by Hoechst A.G. Sinkeldam, E. J., Til, H. P. & Willems, M. I. (1974) Sub-chronic (90 day) toxicity study with Hoe 0-95K in albino rats. Unpublished report of CIVO TNO, Zeist. Submitted to WHO by Hoechst A.G. Sinkeldam, E. J., van der Heijden, C. A. & Koeter, H. B. W. M. (1977) Combined chronic toxicity and carcinogenicity study with Hoe 0-95K in rats. Report No. R5229, Unpublished report of CIVO TNO, Zeist. Submitted to WHO by Hoechst A.G. Vogel, H. P. & Alpermann, H.-G. (1974) Sweetener 0-95K (H 73 3293). Pharmacological investigations. Unpublished report submitted to WHO by Hoechst A.G. Volz, M. (1975) Research report RCL Dr. Vz/Tr No. 01-L42-0143-75. Unpublished report submitted to WHO by Hoechst A.G. Volz, M. (1976) Research report No. 01-L42-0177-76. Unpublished report submitted to WHO by Hoechst A.G. Willems, M. I. (1974) Dominant lethalassay with Hoe 0-95K in male albino rats. Report No. R4472. Unpublished report of CIVO TNO. Submitted to WHO by Hoechst A.G.
See Also: Toxicological Abbreviations Acesulfame potassium (WHO Food Additives Series 18) Acesulfame potassium (WHO Food Additives Series 28) ACESULFAME POTASSIUM (JECFA Evaluation)