AMMONIUM CARBONATE AND AMMONIUM HYDROGEN CARBONATE (formerly AMMONIUM BICARBONATE) Explanation These food additives were previously evaluated by JECFA in 1966 (see Annex I, Ref. 8). No toxicological monograph was published. Introduction Available data on ammonium carbonate and ammonium hydrogen carbonate (bicarbonate) are summarized and discussed in the following monograph. Because toxicological studies are limited for these compounds, data on related ammonium salts (primarily ammonium chloride) and carbonate salts (primarily sodium and potassium carbonate and hydrogen carbonate (bicarbonate)) are also summarized and discussed. AMMONIUM SALTS BIOCHEMICAL ASPECTS The principal source of ammonia in the body is the oxidation of glutamate by glutamate dehydrogenase, which is present in liver and other tissues. Less important contributions are made by oxidative deamination of amino acids (via L- and D- amino acid oxidases) and endogenous amines (e.g., dopamine, epinephrine, etc., via monoamine and diamine oxidases). Some ammonia also is produced by non-oxidative deamination of certain amino acids by pyridoxal phosphate-dependent dehydratase enzymes. Ammonia is utilized in three major pathways: (1) by reversal of the glutamate dehydrogenase reaction; (2) in synthesis of glutamine and asparagine; (3) in synthesis of carbamoyl phosphate, a key intermediate in the synthesis of arginine and pyrimidines. Hydrolysis of arginine by arginase produces urea, the final metabolic product of mammalian nitrogen metabolism. TOXICOLOGICAL STUDIES Short-term studies Rat Groups of 5 weanling Holbrook rats (sex unspecified) were administered 0 and 5% ammonium carbonate in the diet for 5 weeks. Limited study parameters were examined. Test animals experienced depressed growth and elevated BUN (Finlayson & Baumann, 1956). Groups of 6 Sprague-Dawley rats, 225-275 g (sex unspecified) were administered 0 or 1.28 g/kg/day of ammonium chloride for 5 days either via drinking-water or by gavage. Treatment-related renal hypertrophy was observed, but no increase occurred in uptake of radioactive thymidine by the kidney, implying that no increase in DNA synthesis or cell division occurred during renal enlargement. No other treatment- related effects were observed (Janicki, 1970). Groups of 6 female Holtzman rats, 200-250 g, were administered 0 or 1.5% ammonium chloride in the drinking-water for 7 days. Renal hypertrophy was observed, along with increases in total DNA and total RNA of kidney. No other treatment-related effects were reported (Lotspeich, 1965). Similar effects were observed in another study in which rats were fed ammonium chloride in the diet at 0 or 3% for a period of 6 days (Thompson & Halliburton, 1966). Groups of 7-12 adult male Sprague-Dawley rats were administered 0 or 1.5% ammonium chloride in their drinking-water for 330 days. In a concurrent study by the same laboratory, similar animals in groups of 5-9 were administered 0 or 2% ammonium chloride in their drinking- water for 6 months. Test animals developed osteoporosis due to a loss of organic bone substance and bone minerals. Growth depression also occurred in treated animals. The ammonium chloride-induced osteoporosis was reversible with supplements of bicarbonate, but not by calcium supplementation of the diet (Barzel & Jowsey, 1969; Barzel, 1969). Rabbit Groups of 5-7 female chinchilla rabbits, 8-14 months old, were given 0 and 100-200 mg/kg ammonium carbonate by gavage for time periods varying from 5 months to 16 months. The test compound was given every other day in treatment cycles consisting of 3 weeks on and 1 week off the test compound. Treatment-related effects included enlargement of adrenals, ovaries, mammary glands and womb as well as lactation and proliferation of ovarian follicles and corpora lutea. These effects were attributed to increased gonadotropin production by the hypophysis, which, in turn, was stimulated by treatment-related acidosis (Fazekas, 1949). Similar studies by the same laboratory were carried out with groups of 6 male and female chinchilla rabbits, 8-10 months old, that were given 0 and 0.1-0.2 g/kg ammonium carbonate in their drinking- water for periods ranging from 5 to 26 months. The treatment cycle was for 3 weeks, followed by 1 week without the test compound. The only notable effect was parathyroid hypertrophy (Fazekas, 1954b). Rabbits were administered ammonium hydroxide (0, 83-200 mg/kg) by stomach tube over periods of time varying from 1 to 17 months. Hypertrophy of the adrenals, ovaries and parathyroid was noted, as was hyperthyroidism (Fazekas, 1939, 1949, 1954a). A group of 9 rabbits (sex and strain unspecified) was given by gavage 0.6-1.0 g doses of ammonium chloride daily for a period of 4 weeks. A 20-30% reduction was observed in serum CO2; no other adverse effects were reported (Jobling & Meeker, 1936). A group of 9 rabbits averaging 2 kg in weight were given ammonium chloride by stomach tube in doses ranging from 16.6 to 166 g for periods from 11 days to 11 months; 6 controls were used. Severe acidosis was observed, with casts and albumen in the urine. Histological studies of the kidneys showed acute degeneration of the convoluted tubules and marked pyknosis of nuclei. These effects were reversible upon discontinuance of the acidotic diet (Seegal, 1927). Dog Four male mongrel dogs were fed 6 g of ammonium chloride by capsule daily for 7 days. A fifth dog served as control. Increased acidity and ammonia were observed in the urine. No other treatment- related effects were reported (Pollak et al., 1965). In another study, adult male mongrel dogs (1 dog/treatment level) were given by capsule doses of 0, 25.5, 45.6, 91.0 or 170.0 mg/kg ammonium chloride daily for 7 days. A treatment-related decrease in urinary pH and specific gravity was observed, with only a mild systemic acidosis (Short & Hammond, 1964). OBSERVATIONS IN MAN A number of clinical studies of duration less than 1 week have been carried out with ammonium chloride. In one report, a man was given 62 g of ammonium chloride in the diet over a 3-day period. No effects were reported except for increased red cell count, increased BUN and decreased plasma pH (Guest & Rapoport, 1940). In another study, 3 young men were given ammonium chloride in drinking-water at doses ranging from 52 to 105 g over 3-5 days. Headache, insomnia, nausea and diarrhoea occurred along with increased urinary acidity and ammonia. A reduction in glucose tolerance was also noted, consisting of hyperglycaemia and a slow return of blood sugar to fasting levels following glucose ingestion (Thompson et al., 1933). Pregnant women (6 normal, 8 toxaemic, 3 hypertensive) were given 15 g/day of ammonium chloride in their beverage for a period of 3 days. Treated women experienced hyperventilation, anorexia, diminished thirst, nausea, and loss in weight. Urinary chloride, potassium, acidity and volume all increased, blood pH and CO2 decreased while haematocrit increased (Assali et al., 1955). Eleven men, 21-38 years of age, given daily oral doses of 6-8 g ammonium chloride for 6-9 days, showed a mild metabolic acidosis (Owen & Robinson, 1963). A similar dosage of ammonium chloride was employed in a study with 5 women of unspecified age suffering from rheumatoid arthritis, who were administered the test compound for 23-33 days. Some fluid loss was noted, but no other adverse effects were reported (Owen & Robinson, 1963; Jacobson et al., 1942). Three women and 3 men, aged 23-37, were given daily an oral dose of 8 g of ammonium chloride for 5 days. The treatment group experienced increased urinary excretion of magnesium, calcium and phosphate and decreased urinary pH. No other effects were attributed to ammonium chloride (Martin & Jones, 1961). These results were corroborated in a 24-hour study in which 18 men and 6 women, age unspecified, were given 0.1 kg of ammonium chloride by capsule (Lavan, 1969). No adverse effects were reported in a 3-day study in which 4-5 patients, middle aged and older, were given a daily oral dose of 8 g of ammonium chloride (Jailer et al., 1947). Thirteen women and 2 men, aged 22-60, were given an oral dose of ammonium chloride, 3 g/day, for 20 consecutive days a month for a period of 3 months. Increased appetite and fat deposition were noted which were attributed by the author to treatment-related acidosis and resulting stimulation of adrenal cortical function. No other effects due to ammonium chloride administration were reported (Fazekas, 1955). CARBONATES/HYDROGEN CARBONATES (BICARBONATES) BIOCHEMICAL ASPECTS Bicarbonate enters the body from dietary sources and from carbon dioxide through the carbonic anhydrase-catalysed equilibrium with carbonic acid. Bicarbonate may be eliminated by conversion to carbon dioxide and subsequent expiration, as well as by excretion in the urine and faeces. TOXICOLOGICAL STUDIES Special studies on mutagenicity - Microbial systems Microbial assay systems (plate and suspension test) with and without activation were used to determine the mutagenic potential of ammonium bicarbonate, potassium carbonate, calcium carbonate, potassium bicarbonate and sodium bicarbonate. One strain of yeast, Saccharomyces cerevisiae and three strains of the bacteria Salmonella typhimurium were used in the studies, which employed positive and negative controls. None of the compounds exhibited mutagenic activity in any of the assay systems employed (Litton Bionetics, 1974, 1975, 1977). Special studies on reproduction and teratogenicity Mouse Groups of 24, 21, 22, 23 and 30 pregnant CD-1 outbred mice received, respectively, 0, 6, 27, 125 and 580 mg/kg of sodium bicarbonate by gavage daily during days 6-15 of gestation. Similar studies were conducted with sodium and potassium carbonate by the same laboratory. No adverse treatment-related effects were observed in test and control groups (Food and Drug Research Laboratories, 1973b, 1975). Rat Groups of 20, 20, 21, 21 and 22 pregnant Wistar rats received, respectively, 0, 3.4, 15.8, 73.3 and 340 mg/kg of sodium bicarbonate by gavage daily during days 6-15 of gestation. Similar studies were conducted with sodium and potassium carbonate by the same laboratory. No adverse treatment-related effects were observed in nidation or on maternal or foetal survival. Incidence of skeletal and soft-tissue anomalies was comparable in test and control groups (Food and Drug Research Laboratories, 1973b, 1975). Rabbit Groups of 11, 13, 12, 11 and 12 pregnant Dutch-belted rabbits received, respectively, 0, 3.3, 15.3, 71.2 and 330 mg/kg of sodium bicarbonate by gavage daily during days 6-18 of gestation. A similar study was conducted with sodium carbonate, in which groups of 11, 12, 13, 14 and 12 rabbits received, respectively, daily gavage doses of 0, 1.8, 8.3, 38.6 and 179 mg/kg during days 6-18 of gestation. No adverse treatment-related effects were observed on nidation or on maternal or foetal survival. Incidence of skeletal and soft-tissue anomalies was comparable in test and control groups (Food and Drug Research Laboratories, 1974b). Acute toxicity Substance Animal Route LD50 Reference (mg/kg bw) Potassium Mouse Oral 2 900 Food and Drug Research carbonate Laboratories, 1974a Rat Oral 1 800 Food and Drug Research Laboratories, 1974a Oral 1 870 Smyth et al., 1969 Sodium Mouse Oral 5 650 Food and Drug Research bicarbonate Laboratories, 1973a Rat Oral 3 400 Food and Drug Research Laboratories, 1973a Oral 4 300 Informatics, Inc., 1972 Oral 6 000 Informatics, Inc., 1972 Oral 5 500 Informatics, Inc., 1972 Oral 4 850 Informatics, Inc., 1972 Oral 5 900 Informatics, Inc., 1972 OBSERVATIONS IN MAN Comments These compounds (ammonium ion and bicarbonate ion) are normal metabolites in man. Although specific toxicological data for ammonium carbonate and ammonium bicarbonate are limited, extrapolation of results from studies with ammonium compounds (primarily ammonium chloride) and with sodium or potassium carbonate provide a basis for evaluation. Clinical studies in man show that administration of high doses of ammonium chloride or of sodium bicarbonate results in changes in the acid-base balance. This is the normal physiological response. The levels of ammonium carbonate and bicarbonate in the diet from food additive use are extremely small compared to the levels required to cause physiological changes and pose no toxicological hazard. EVALUATION Estimate of acceptable daily intake for man Not specified.* * The statement "ADI not specified" means that, on the basis of the available data (toxicological, biochemical, and other), the total daily intake of the substance, arising from its use or uses at the levels necessary to achieve the desired effect and from its acceptable background in food, does not, in the opinion of the Committee, represent a hazard to health. For this reason, and for the reasons stated in individual evaluations, the establishment of an acceptable daily intake (ADI) in mg/kg bw is not deemed necessary. REFERENCES Assali, N. S., Herzig, D. & Singh, B. P. (1955) Renal response to ammonium chloride acidosis in normal and toxemic pregnancies, J. Appl. Physiol., 7, 367-374 Barzel, U. S. (1969) Effect of excessive acid feeding on bone, Calcif. Tissue Res., 4(2), 94-100 Barzel, U. S. & Jowsey, J. (1969) The effects of chronic acid and alkali administration on bone turnover in adult rats, Clin. Sci., 36, 517-524 Fazekas, I. G. (1939) Experimental suprarenal hypertrophy induced by ammonium hydroxide, Endokrinologie, 21, 315-337 Fazekas, I. G. (1949) Experimental data on influencing ovarian functions by simple compounds, Orvosi Hetilap, 90, 777-781 Fazekas, I. G. (1954a) Enlargement of the parathyroid by treatment with simple acidotic compounds, Virchow's Arch. Pathol. Anat. u. Physiol., 324, 531-542 Fazekas, I. G. (1954b) The influence of acidotic compounds on parathyroid function (serum Ca and P), Endokrinologie, 32, 45-57 Fazekas, I. G. (1955) Gain in weight (fat accumulation) in man following treatment with ammonium chloride, Endokrinologie, 32, 289-295 Finlayson, J. S. & Baumann, C. A. (1956) Responses of rats to urea and related substances. The use of spaced-feeding technique, J. Nutrition, 59, 211-221 Food and Drug Research Laboratories, Inc. (1973a) FDA 71-79 (sodium bicarbonate). Approximate acute LD50 in mice, rats and rabbits. Three reports prepared for FDA under contract No. 71-260. Waverly, NY. Submitted by FDA to World Health Organization, 1982 Food and Drug Research Laboratories, Inc. (1973b) Teratologic evaluation of FDA 71-84 (sodium carbonate) and FDA 71-79 (sodium bicarbonate) in mice and rats. Four final reports prepared for US Food and Drug Administration under DHEW contract No. FDA 71-260. Waverly, NY. Submitted by FDA to World Health Organization, 1982 Food and Drug Research Laboratories, Inc. (1974a) FDA 73-76 (potassium carbonate). Approximate acute LD50 in mice and rats. Two reports prepared for FDA under contract No. 223-74-2176. Waverly, NY. Submitted by FDA to World Health Organization, 1982 Food and Drug Research Laboratories, Inc. (1974b) Teratologic evaluation of FDA 71-79 (sodium bicarbonate) and FDA 71-84 (sodium carbonate) in rabbits. Two final reports prepared for US Food and Drug Administration under DHEW contract No. FDA 71-260. Waverly, NY. Submitted by FDA to World Health Organization, 1982 Food and Drug Research Laboratories, Inc. (1975) Teratologic evaluation of FDA 73-76 (potassium carbonate) in rats and mice. Two final reports prepared for US Food and Drug Administration under DHEW contract No. FDA 223-74-2176. Waverly, NY. Submitted by FDA to World Health Organization, 1982 Guest, G. M. & Rapoport, S. (1940) Clinical studies of the organic acid-soluble phosphorus of red blood cells in different acidotic states, J. Lab. Clin. Med., 26, 190-198 Informatics, Inc. (1972) Food ingredients - carbonates. Report prepared for US Food and Drug Administration under contract No. FDA 72-104. Rockville, MD Jacobson, S. D., Leichtentritt, B. & Lyons, R. H. (1942) The effect of acid and alkaline salts on some patients with rheumatoid arthritis, Amer. J. Med. Sci., 204, 540-546 Jailer, J. W., Rosenfeld, M. & Shannon, J. A. (1947) The influence of orally administered alkali and acid on the renal excretion of quinacrine, chloroquine and santoquine, J. Clin. Invest., 26, 1168-1172 Janicki, R. H. (1970) Renal adaptation during chronic NH4Cl acidosis in the rat: no role for hyperplasia, Am. J. Physiol., 219, 613-618 Jobling, J. W. & Meeker, D. R. (1936) Further investigations on experimental atherosclerosis, Arch. Pathol., 22, 293-300 Kirsner, J. C. & Palmer, W. L. (1943) Studies on the effect of massive quantities of sodium bicarbonate on the acid-base equilibrium and on renal function, Ann. Internal Med., 13, 100-104 Lavan, J. N. (1969) The effect of oral ammonium chloride on the urinary excretion of calcium, magnesium and sodium in man, Irish J. Med. Sci., 2, 223-227 Litton Bionetics, Inc. (1974) Mutagenic evaluation of sodium bicarbonate (compound FDA 71-79). Prepared for US Food and Drug Administration under DHEW contract No. FDA 223-74-2104. Kensington, MD. Submitted by FDA to World Health Organization, 1982 Litton Bionetics, Inc. (1975) Mutagenic evaluation of potassium bicarbonate (compound FDA 73-76). Prepared for US Food and Drug Administration under DHEW contract No. FDA 223-74-2104. Kensington, MD. Submitted by FDA to World Health Organization, 1982 Litton Bionetics, Inc. (1977a) Mutagenic evaluation of FDA 75-90 (potassium bicarbonate) and FDA 75-97 (calcium carbonate). Two final reports prepared for US Food and Drug Administration under DHEW contract No. FDA 223-74-2104. Kensington, MD. Submitted by FDA to World Health Organization, 1982 Litton Bionetics, Inc. (1977b) Mutagenic evaluation of FDA 75-85 (ammonium bicarbonate). Prepared for US Food and Drug Administration under DHEW contract No. FDA 223-74-2102. Kensington, MD. Submitted by FDA to World Health Organization, 1982 Lotspeich, W. D. (1965) Renal hypertrophy in metabolic acidosis and its relation to ammonia excretion, Am. J. Physiol., 208(6), 1135-1142 Martin, H. E. & Jones, R. (1961) The effect of ammonium chloride and sodium bicarbonate on the urinary excretion of magnesium, calcium and phosphate, Amer. Heart J., 62, 206-210 Owen, E. E. & Robinson, R. R. (1963) Amino acid extraction and ammonia metabolism by the human kidney during the prolonged administration of ammonium chloride, J. Clin. Invest., 42, 263-276 Pollak, V. E. et al. (1965) Experimental metabolic acidosis. The enzymic basis of ammonia production by the dog kidney, J. Clin. Invest., 44, 169-181 Seegal, B. C. (1927) Chronic acidosis in rabbits and in dogs, with relation to kidney pathologic changes, Arch. Internal Med., 39, 550-563 Short, E. C. & Hammond, P. B. (1964) Ammonium chloride as a urinary acidifier in the dog, J. Am. Vet. Med. Assoc., 144, 864-867 Smyth, H. F., Jr et al. (1969) Range-finding toxicity data. VII. Am. Ind. Hyg. Ass. J., 30(5), 470-476 Thompson, G., Mitchell, D. M. & Kolb, L. C. (1933) The influence of variations in systemic acid-base balance upon carbohydrate tolerance in normal subjects, Biochem. J., 27, 1253-1256 Thompson, R. Y. & Halliburton, I. W. (1966) Effect of diet on the composition of the kidney, Biochem. J., 99(3), 44P Van Goidsenhoven, G. M. T. et al. (1954) The effect of prolonged administration of large doses of sodium bicarbonate in men, Clin. Sci. (London), 13, 383-401 Yoshida, J., Nakame, K. & Nakamura, R. (1957) Toxicity of urea and its control. II. Toxicity of ammonium salts and urea in rabbits and goats, Nippon Chikusangaku Kaiho, 28, 185-191
See Also: Toxicological Abbreviations