TURMERIC AND CURCUMIN Explanation These compounds have been evaluated for acceptable daily intake for man by the Joint FAO/WHO Expert Committee on Food Additives in 1969, 1974 and 1979 (see Annex I, Refs. 20, 34 and 48). Toxicological monographs were prepared in 1969, 1974 and 1978 (see Annex I, Refs. 20, 35 and 49). Since the previous evaluation, additional data have become available and are summarized and discussed in the following monograph. The previously published monographs have been expanded and are reproduced in their entirety below. BIOLOGICAL DATA BIOCHEMICAL ASPECTS Curcumin at 0.1% in the diet lowered the serum and liver cholesterol levels of rats fed cholesterol at 1% in their diet for 7 weeks. Faecal output of bile acids was increased in rats fed curcumin with or without added cholesterol. Cholesterol excretion was also enhanced by feeding curcumin (Rao et al., 1970). Absorption, distribution and metabolism Five male Sprague-Dawley rats were given by gavage a dose of 1 g/kg of curcumin suspended in arachis oil. Between 67-87% of the dose was eliminated in the faeces within 72 hours. Excretion was highest in the initial 48 hours. Urinary excretion was negligible. Three hours after gavage, curcumin was detected in the plasma of 1 of 4 animals. Biliary concentration of curcumin was 1 µg/ml after 30 minutes and remained stable throughout the experiment. The amount collected in the bile during 3 hours was less than 0.0006% of the dose. About 0.015% of the administered curcumin was accumulated in the liver, kidneys and body fat after 3 hours. Perfusion of curcumin through the liver resulted in a transitory increase in bile flow; 10% of the dose was excreted in the bile within 3 hours. Of the curcumin excreted in the bile, 49% was in the conjugated form. Curcumin was rapidly metabolized when added to hepatocytes or microsomal suspensions - concentrations of up to 5 µg/ml were mostly metabolized within 30 minutes. The metabolites were not identified. Because of the poor absorption, rapid metabolism and excretion of curcumin it is unlikely that substantial concentrations of curcumin occur in the body after ingestion (Wahlstrom & Blennow, 1978). Male wistar rats weighing 150-200 g were given by gavage 400 mg of a suspension of curcumin in water containing 0.1% Tween 20. About 40% of the dose was excreted unchanged in the faeces over a 5-day period; excretion tapered off after the first 3 days. The remaining 60% of the curcumin was assumed to have been absorbed. Curcumin was not detected in the urine. However, the influence of curcumin administration was noticed in the increased excretion of conjugated glucuronides and sulfates. Negligible amounts of curcumin were found in the blood, liver and kidney. The authors concluded that curcumin is probably undergoing transformation even as it is being absorbed from the gut (Ravindrath & Chandrasekhara, 1980). Male Sprague-Dawley rats (250-300 g) were dosed orally with 14C-labelled curcumin (0.6 mg in a 60% DMSO solution). Eighty-nine per cent. of the administered 14C radioactivity was excreted in the faeces and 6% in the urine within 72 hours. Biliary excretion of 14C-labelled curcumin was measured after i.v. administration; 85% of the radioactivity was found in the bile from cannulated rats after 6 hours. The major biliary metabolites were glucuronides of tetrahydrocurcumin and hexahydrocurcumin, minor biliary metabolites were dihydroferulic acid and ferulic acid (Holder et al., 1978). In another study, groups of 4 male albino rats of the Wistar strain were starved for 24 hours and then given oral doses of 400, 80 or 10 mg of [3H] curcumin suspended in water containing 0.1% Tween 20. The major route of elimination of the label was the faeces, the urinary excretion was very low (4-1% in 12 days) regardless of the dose. With 10 mg (50 mg/kg) and 80 mg (400 mg/kg) [3H] curcumin most of the label was excreted in 72 hours, while with 400 mg (2 g/kg) considerable amounts of the label were present in the tissues after 12 days (about 60% of the label had been excreted). Regardless of the dose, the absorption of curcumin remained in the range of 60-66%. As the majority of the label was excreted in the faeces, biliary excretion is thought to take place. Furthermore, only about a third of the excreted radioactivity was present as curcumin, indicating biotransformation of the absorbed curcumin (Ravindranath & Chandrasekhara, 1982). Studies of the absorption of curcumin carried out in vitro with everted rat intestinal sacs indicated curcumin undergoes transformation during absorption from the intestine (Ravindrath & Chandrasekhara, 1981). TOXICOLOGICAL STUDIES Special studies on mutagenicity Extracts of curcumin, prepared by crushing the rhizomes of curcumin and diluting the extract with water, caused abnormalities in the metaphase state of division of root tip cells of Alluim cepa. The predominant type of aberration produced was chromosome breakage. In addition, other effects observed included C-mitosis, somatic segregations, binucleate cells and multipolar anaphases (Abraham et al., 1976). Studies on the effect of alcoholic extracts of turmeric on mammalian cells in vitro, using cells of the Chinese hamster (Cencetulus griseus), cell line Don of the cactus mouse (Peromyseus eremicus) and of the Indian munja (Muntiacus muntjac), and short-term human lymphocyte cultures, showed changes in chromosome morphology (chromatid separation, breakage and disintegration), as well as mitotic arrest. The incorporation of labelled nuclosides into Chinese hamster cells was greatly inhibited by concentrations of the turmeric extract that did not cause detectable changes in chromosome morphology (Goodpasture & Arrighi, 1976). Weanling Swiss albino mice fed control diets or diets containing 0.5% turmeric or 0.015% curcumin for 12 weeks were used in the following genetic toxicity studies. Groups of 8 females given curcumin or turmeric exhibited no effect in the micronucleus test. Groups of 5 males and 5 females given turmeric or curcumin showed no cytogenic effect on the bone marrow chromosomes. Similarly no effect of the substances was noted in a dominant lethal study in which 15 male and 45 female mice were exposed to the test diets (Vijayalaxmi, 1980). In another study, groups of 5 male and 5 female rats were fed cooked diets containing 0, 0.05 or 0.5% of turmeric. A fourth group of rats was fed an uncooked diet with 0.5% turmeric. The feeding was carried out for 12 weeks. No effect was seen on the incidence of chromosomal abberrations in their bone marrow (Vijayalaxmi, 1980). Turmeric was not active in a test for induction of gene conversion in diploid yeast strain B234 (Murthy, 1979; Sankaranayavan & Murphy, 1979). Curcumin was studied in a battery of short-term assays of genetic toxicity. The compound was not active in the following systems: Salmonella/microsome test using strains TA-98 and TA-100, sister chromatid exchange using hamster lung fibroblasts and human embryo fibroblasts, and mutation in silk worms. Positive results were reported in the rec assay (B. subtilis) and for chromosomal aberrations in hamster lung fibroblasts (Kawachi et al., 1980). Neither curcumin nor commercial turmeric oleoresin (containing 17.5% of curcumin) at the dose levels of 1.28, 6.4, 32.0 and 160 µg/plate were active in the Salmonella/mammalian microsome test using strains TA-1535, TA-100 and TA-98 (Jensen, 1982). Turmeric did not induce sex-chromosome loss and dominant lethal mutations did not occur when hot water extracts of turmeric were administered to male Drosophila (Abraham & Kesavan, 1978). Curcumin was reported not to induce chromosome damage in Chinese hamster ovary cells in vitro (Au & Hsu, 1979). Special studies on pharmacology Curcumin administered orally was found to inhibit the inflammatory response in several test systems using mice and/or rats (Ghatak & Basu, 1972; Srimal & Dhawan, 1973). Oral doses of up to 160 mg/kg of curcumin failed to prevent phenylquinone-induced writhing in mice. An oral dose of 80 mg/kg did not lower the temperature of pyretic rats, and blood pressure and respiration in anaesthetized cats were not effected by an i.v. dose of 10 mg/kg (Srimal & Dhawan, 1973). Groups of 10 albino Porter strain rats received oral doses of 50 or 100 mg/kg of curcumin administered as a 2% suspension in gum arabic daily for 6 days. At the high dose, gastric erosion was reported. Changes in the mucin content were reported to be the cause of the ulceration. Pretreatment with adrenergic, cholinergic, tryptaminergic and histaminergic receptor antagonists provided partial protection while metiamide pretreatment completely prevented the development of the lesions (Gupta et al., 1980). In vitro lipid peroxidation of rat brain preparation showed a 95% inhibition in the presence of 5.15 × 10-3 M curcumin (Sharma, 1976). Special studies on reproduction The petroleum ether, alcoholic and aqueous extracts of rhizomes of Curcuma longa inhibited fertility when administered by gavage on days 1-7 of pregnancy at doses of 100 or 200 mg/kg to female albino rats. Studies in rabbits indicated doses of up to 200 mg/kg of the extracts did not produce anti-ovulatory effects (Garg, 1974). Groups of 10 male and 20 female albino rats were fed either 500 mg/kg/day of turmeric or 60 mg/kg/day of an alcoholic extract of turmeric; two comparable groups of rats were used as controls. The feeding of this F0 generation was started when the animals were 28 days of age. The first mating was initiated (1 male + 2 females) after 12 weeks on the test diet. Lactation was permitted for 3 weeks. Following weaning the females were allowed a 2-week rest period before remating. The first litters were discarded at weaning. From the second litters 10 males and 20 females were selected from each group. This F1 generation was raised to maturity and mated like the parent generation. The study will be continued up to the F2 generation. So far, only results from the first 2 matings in the F0 generation are available. There were no significant differences in fertility, gestation, viability and lactation indexes, weight and numbers of pups in the different groups (WHO, 1980). Acute toxicity LD50 Animal Route (g/kg bw) Reference Mouse Oral 2 Srimal & Dhawan, 1973 Rat Oral 5 Wahlstrom & Blennow, 1978 Short-term studies Rat Groups of 5 male and 5 female Wistar rats were fed a diet supplying 2.5 g of turmeric/kg bw or 300 mg/kg bw of an alcoholic extract of turmeric for 1 day. The animals were then put on control diets and observed for another 3 weeks. Compared to controls, no effect of treatment was observed on mortality, body weight or weight or gross or microscopic pathology of the heart, liver or kidney (Shankar et al., 1980). Groups of 7 male and 7 female albino rats were fed either basal diet or basal diet containing turmeric corresponding to a level of 500 mg/kg bw per day for 3 months. There were no statistically significant differences between the groups as regards gain in body weight, haematological parameters studied and relative weight and histopathology of liver and kidneys (WHO, 1980). Turmeric at 0.3, 1.0 and 10% and curcumin at 0.1, 0.5, 1.0 and 2.0% were included in a synthetic diet and fed to groups of 10 male Wistar strain albino rats for a period of 8 weeks. Ten per cent. of turmeric lowered the food efficiency ratio, probably because of reduced food intake. No effects were seen in the other dosed groups as regards growth, haematological values, total serum protein, albumin, globulin and cholesterol. No mortality was seen and no histo- pathological changes were observed in the gastrointestinal tract, liver, spleen and kidneys (WHO, 1980). Guinea-pig Groups of 5 male guinea-pigs were fed a diet supplying 2.5 g of turmeric/kg bw or 300 mg/kg bw of an alcoholic extract of turmeric for 1 day. The animals were then maintained on a control diet and observed for an additional 3 weeks. Compared to controls, no treatment-related effects were observed with respect to mortality, body weight or weight or gross or microscopic pathology of the heart, liver or kidney (Shankar et al., 1980). Groups of 5 adult male guinea-pigs were fed 500 mg/kg bw turmeric or 60 mg/kg bw of an alcoholic extract of turmeric along with basal diet for 3 months. No deaths were reported during the observation period. The test substances did not affect weight gain or the haematological parameters studied and relative weights and histopathology of liver, kidneys and heart (WHO, 1980). Dog Groups of 3 male pups were fed 500 mg/kg bw turmeric or 60 mg/kg bw of an alcoholic extract of turmeric in milk for 3 months. No deaths were reported during the observation period and the test substances did not affect weight gain or the haematological parameters studied and relative weights and histopathology of liver, kidneys and heart (WHO, 1980). Pig Groups of 4 male and 4 female pigs were given 57, 286 or 1430 mg/kg bw per day of turmeric oleoresin (curcumin content 17.5%) for 3 months. Six male and 6 female pigs served as controls. No changes were noted on autopsy. Detailed biological, biochemical, and histopathological reports are not yet available (Poulsen, 1982). Monkey Groups of 3 adult female monkeys were fed a diet supplying 2.5 g of turmeric/kg bw or 300 mg/kg of an alcohol extract of turmeric for 3 weeks. Compared to controls, no treatment-related effects were observed with respect to mortality, body weight or gross or microscopic pathology of the heart, liver or kidney (Shankar et al., 1980). Four male monkeys were given 500 mg turmeric/kg bw per day concealed in a banana for a period of 9 months. A similar group served as a control. No effects were seen in blood and urine analysis and histopathology of liver, kidneys, heart, brain, spleen and testes. Details are not available (WHO, 1980). Long-term studies Rat Groups of 20 male and 20 female rats were fed for 420 days on a diet containing 0.5% of commercial turmeric with a control group of 15 males and 15 females. The average life span of the test animals was 16-1/2 months compared with 17 months for the controls. Growth, haematology or reproductive function were undisturbed as well as survival of the pups. Passive congestion of the liver was seen equally in test and control animals. No tumours were found. A follow-up of the first filial generation for their life span showed no abnormalities except for 1 benign tumour in a female rat (Truhaut, 1958). Dog Two dogs were fed for 1 year on a diet containing approximately 1% commercial turmeric. No adverse effects were noted compared with 2 controls (Truhaut, 1958). Comments Metabolic data from studies in the rat suggest that some 60% of a dose of curcumin suspended in water is absorbed. Suspension in oil may increase the absorption. Unchanged curcumin is not detected in the urine or blood and does not accumulate in the tissues or fat. Curcumin undergoes rapid metabolism and although the metabolites have not been completely identified, use of 14C-labelled curcumin has shown that major biliary metabolites are glucuronides of tetrahydrocurcumin and hexahydrocurcumin; minor biliary metabolites are dehydroferulic acid and ferulic acid. Metabolic studies have not been carried out in man. Curcumin was shown to be non-mutagenic in a battery of short-term genetic assays (including the Ames test, sister chromatid exchange using human lung fibroblasts and human embryo fibroblasts). It was inactive in a dominant lethal study in mice, and in Drosophila. Short-term studies have been carried out with turmeric and an alcoholic extract of turmeric in rats, guinea-pigs, dogs and monkeys. Although the studies have only been presented in summary no adverse effects were apparent. The Committee was informed that the adequate short-term feeding study with turmeric in a non-rodent specie requested in 1980 is under way, and that a long-term study on curcumin is being planned. The long-term study in rats, in which single dose levels of turmeric were fed, provided the basis for the previous evaluation. The single level tested revealed no adverse effects and the true no-effect level may well be higher than the test level chosen. Turmeric is known to contain an average of 3% curcumin. On this basis it is possible to evaluate both turmeric and curcumin temporarily until the results of the further studies requested are made available. EVALUATION Turmeric Level causing no toxicological effect Rat: 0.5% (= 5000 ppm) in the diet equivalent to 250 mg/kg bw. Estimate of temporary acceptable daily intake for man 0-2.5 mg/kg bw. Curcumin (considered to be present in turmeric at 3%) Estimate of temporary acceptable daily intake for man 0-0.1 mg/kg bw. FURTHER WORK OR INFORMATION Required by 1986 Turmeric (1) Adequate short-term feeding study in a non-rodent species. Curcumin* (1) Adequate long-term feeding carcinogenicity study in a rodent species. (2) Multigeneration reproduction/teratology study. * Using an oleoresin of turmeric with a well-defined curcumin content. REFERENCES Abraham, S., Abraham, S. K. & Radhammany, G. (1976) Mutagenic potential of the condiments, ginger and turmeric, Cytologia (Tokyo), 41, 591-595 Abraham, S. K. & Kesavan, P. C. (1978) Evaluation of possible mutagenicity of ginger, turmeric, asafoetida, clove and cinnamon, Mutat. Res., 53, 142 Au, W. & Hsu, T. C. (1979) Studies on the clastogenic effects of biologic strains and dyes, Environmental Mutagenesis, 1, 27-35 Garg, S. K. (1974) Effects of Curcuma longa on fertility, Planta medica, 26, 225-227 !! Ghatak, N. & Basu, N. (1972) Sodium curcumate as an effective anti inflammatory agent Goodpasture, C. E. & Arrighi, F. E. (1976) Effects of food seasonings on the cell cycle and chromosome morphology of mammalian cells in vitro with special reference to turmeric, Food Cosmet. Toxicol., 14, 9-14 Gupta, B. et al. (1980) Mechanisms of curcumin induced gastric ulcer in rats, Indian J. Med. Res., 71, 806-814 Holder, G., Plummer, J. & Ryan, A. (1978) The metabolism and excretion of curcumin (1,7-Bis-(4-hydroxy-3-methoxyphenyl-1,6-heptadiene- 3,5-dione) in the rat, Xenobiotica, 8, 761-768 Jensen, N. J. (1982) Lack of mutagenic effect of turmeric oleoresin and curcumin in the Salmonella/mammalian microsome test. Unpublished paper submitted to WHO Kawachi, T. et al. (1980) Cooperative program on short-term assays for carcinogenicity in Japan, IARC Sci. publ., 27, 323-330 Murthy, M. S. S. (1979) Induction of gene conversion in diploid yeast by chemicals: Correlation with mutagenic action and its relevance in genetoxicity screening, Mutat. Res., 64, 1-17 Poulsen, E. (1982) Personal communication to WHO Rao, D. S. et al. (1970) Effect of curcumin on serum and liver cholesterol levels in the rat, J. Nutr., 100, 1307-1315 Ravindrath, V. & Chandrasekhara, N. (1980) Absorption and tissue distribution of curcumin in rats, Toxicology, 16, 259-265 Ravindrath, V. & Chandrasekhara, N. (1981) In vitro studies on the intestinal absorption of curcumin in rats, Toxicology, 20, 251-257 Ravindaranath, V. & Chandrasekhara, N. (1982) Metabolism of curcumin - Studies with [3H] curcumin, Toxicology, 22, 337-344 Sankaranayavan, N. & Murthy, M. S. S. (1979) Testing of some permitted food colors for the induction of gene conversion in diploid yeast, Mutat. Res., 67, 309-314 Shankar, T. N. B., Shantha, N. V., Ramesh, H. P., Murthy, Indira A. S. & Sreenivasa Murthy, V. (1980) Toxicity studies on turmeric (Curcuma longa): Acute toxicity studies in rats, Indian J. Exp. Biol., 18, 73-74 Sharma, O. P. (1976) Antioxidant activity of curcumin and related compounds, Biochem. Pharmacol., 25, 1811-1812 Srimal, R. C. & Dhawan, B. N. (1973) Pharmacology of deferulolyl methane (curcumin) a non-steroidal anti-inflammatory agent, J. Pharm. Pharmacol., 25, 447-452 Truhaut, R. (1958) Resultats des expériences de toxicité à long terme effectuées avec les colorants d'origine naturelle, le curcuma et l'orseille. C.R. du 18ème Congrès de la Féderation Internationale de Pharmacologie, 8-15 September 1958 Vijayalaxmi (1980) Genetic effects of turmeric and curcumin in mice and rats, Mutat. Res., 79, 125-132 Wahlstrom, B. & Blennow, G. (1978) A study on the fate of curcumin in the rat, Acta Pharmacol. et Toxicol., 43, 86-92 World Health Organization (1980) Unpublished report from Central Food Technological Research Institute, Mysore, and National Institute of Nutrition, Hyderabad, India (1978), submitted to WHO by Chr. Hansens Lab., Copenhagen
See Also: Toxicological Abbreviations Turmeric and curcumin (WHO Food Additives Series 6)