ERYTHROSINE First draft prepared by Dr J.C. Larsen, Institute of Toxicology, National Food Agency of Denmark 1. EXPLANATION Erythrosine was evaluated for acceptable daily intake for man (ADI) by the Joint FAO/WHO Expert Committee on Food Additives at its eighth, thirteenth, eighteenth, twenty-eighth, thirtieth and thirty- third meetings (Annex 1, references 8, 19, 35, 66, 73 and 83). Toxicological monographs or monograph addenda were published after the thirteenth, eighteenth, twenty-eighth, thirtieth and thirty- third meetings (Annex 1, references 20, 36, 67, 74 and 84). At its eighteenth meeting the Committee allocated an ADI of 0-2.5 mg/kg body weight. This ADI was reduced at the twenty-eighth meeting to 0-1.25 mg/kg body weight and made temporary following observations that erythrosine produced effects on thyroid function in short term studies in rats and that, in long-term studies, male rats receiving 4% erythrosine in the diet developed thyroid tumours. At the thirtieth meeting the Committee reduced the temporary ADI to 0-0.6 mg/kg body weight, based on studies on the biochemical effects of erythrosine on thyroid hormone metabolism and regulation, and required further data from pharmacokinetic studies relating the amount of absorption to the amount ingested, which would enable a correlation to be established between blood/tissue levels of erythrosine and effects on the thyroid. At the thirty-third meeting the Committee further reduced the temporary ADI to 0-0.05 mg/kg body weight, based on a no-observed-effect level with respect to thyroid function in human beings ingesting 60 mg per person per day (equivalent to 1 mg per kg body weight per day) for 14 days and applying a safety factor of 20. The Committee again requested the pharmacokinetic studies required by the previous Committee. Since the previous evaluation, additional information have become available and are summarized and discussed in the following monograph addendum. 2. BIOLOGICAL DATA 2.1 Biochemical aspects 2.1.1 Absorption, distribution, and excretion No new information. 2.1.2 Biotransformation No new information. 2.1.3 Effects on enzymes and other biochemical parameters See 2.2.6. Special studies on thyroid function. 2.2 Toxicological studies 2.2.1 Acute toxicity studies No new information. 2.2.2 Short-term studies See 2.2.6. Special studies on thyroid function. 2.2.3 Long-term/carcinogenicity studies 2.2.3.1 Mouse No new information. The long term feeding study reviewed at the thirtieth meeting (Richter et al., 1981; see Annex 1, reference 74) has now been published (Borzelleca & Hallagan, 1987). 2.2.3.2 Rat No new information. The results of the two long term feeding studies in rats after in utero exposure to erythrosine that were reviewed at the thirtieth meeting (Brewer et al., 1981; Brewer et al., 1982; see Annex 1, reference 74) have now been published (Borzelleca et al., 1987). In the statistical analyses thyroid follicular cell adenomas and carcinomas are treated as separate tumour classes. The authors' conclusion remains that erythrosine at a level of 4% in the diet for 128 weeks induces an increased incidence in thyroid follicular cell adenomas in male rats (15/69 compared to 1/69 in controls). The incidence of thyroid follicular cell carcinomas (3/69) was not statistically significantly different from the control value (2/69). In the females at the 4% level the incidence of thyroid follicular cell adenomas (5/68) or carcinomas (0/68) were not different than the controls (5/66 and 0/66, respectively). In female rats fed 0.1, 0.5, or 1% erythrosine in the diet, a numerical increase in adenomas was observed (1/68, 3/67 and 5/768, respectively compared to 1/138 control females), but the increases were not statistically significant. (The incidences of females with carcinomas were 0/68, 0/67 and 1/68 compared to 0/138). In the males at the 0.1, 0.5 and 1.0 levels the incidence of adenomas (0/67, 2/68, and 1/69 compared to 0/139) and carcinomas (3/67, 1/68, and 3/69 compared to 0/139) were not considered significantly different. The microscopic findings in the thyroids from the above- mentioned studies and the statistics used have been reviewed (FD&C Red No. 3 Review Panel, 1987; Federal Register, 1990). Slight discrepancies in the diagnoses of adenomas/carcinomas were reported. When the combined incidence of adenomas and carcinomas was used in the statistical evaluation the following results were obtained: As might be expected an increased incidence of combined adenomas and carcinomas was seen in the males fed 4% erythrosine in the diet (18/68 compared to 2/68 in control males). A statistically significant increase was also found for combined adenomas and carcinomas in male rats fed 0.1, 0.5 or 1.0% erythrosine for 122 weeks (3+3/64, 7+1/66, 1+3/57, respectively, compared to 0+1/128 in control male rats). In the female rats a significant increase in tumour yield was only found in the 1.0% group (5+1/68 compared to 1+0/138 in controls). 2.2.4 Reproduction studies No new information. 2.2.5 Special studies on genotoxicity Erythrosine was tested for the induction of point mutations in the Salmonella typhimurium plate incorporating assay using strains TA1535, TA1537, TA1538, TA98, and TA100. No mutagenic effects were observed. In a modified assay using the addition of flavin mononucleotide to the activation mixture negative results were also obtained (Cameron et al., 1987). Erythrosine was non-mutagenic in the Ames test in strains TA97a, TA98, TA100, TA102, and TA104 to a concentration of 2 mg/plate, with or without metabolic activation with rat liver S9 or caecal-cell free extracts. The comutagens harman and norharman (+/- S9) did not affect mutagenicity. A dose dependent suppression in spontaneous reversion frequencies was observed. Toxicity (phototoxicity) was observed in the repair-deficient strains (TA97a, TA98 and TA100) but not in the repair-proficient strains (TA102 and TA104). Erythrosine was antimutagenic to benzo(a)pyrene and mitomycin C but not to 4-nitroquinoline-N-oxide and methylmethanesulfonate (Lakdawalla & Netrawali, 1988a). Erythrosine did not induce DNA repair in rat hepatocytes in vitro at concentrations up to 1 mM, or in vivo after an oral dose of 200 mg/kg body weight (Kronbrust & Barfknecht, 1985). In the mouse lymphoma assay using L5178Y TK+/- cells erythrosine was reported positive both with and without the addition of S9. At concentrations exerting high toxicity the response was similar to the positive control ethylmethanesulfonate (Cameron et al., 1987). These results are in contrast to the results obtained by Lin & Brusick (1986). Erythrosine was reported to increase the yield of multigene sporulation minus mutants of Bacillus subtilis excision repair- proficient strain 168 when incubated in the presence of fluorescent light. This effect was not seen in the excision repair-deficient strain her-9 (exc). Erythrosine was highly toxic to both strains (Lakdawalla & Netrawali, 1988b). Erythrosine was tested for genotoxicity in V79 Chinese hamster lung cells. Reduced colony size was seen at 200 µg/ml and more than 90% lethality was seen at 400 µg/ml. Erythrosine was non-mutagenic to V79 cells at the HGPRT and Na+, K+, ATPase gene loci, and did not increase the frequency of sister-chromatid exchanges with or without rat hepatocyte activation. At 300 µg/ml erythrosine produced an increase in micronucleus frequency in the absence of hepatocytes. A dose related increase in the mitotic frequency was observed due to an increase in the number of first mitosis. Thus increased genotoxicity was observed only at concentrations well in the range of cytoxicity (Rogers et al., 1988). A re-evaluation of an earlier published mouse micronucleus test (Lin & Brusick, 1986) revealed a positive response at the low dose used (24 mg/kg body weight erythrosine given i.p.), but not at the two higher doses (80 and 240 mg/kg body weight) (Brusick, 1989). 2.2.6 Special studies on thyroid function Three groups of 160 male Sprague-Dawley rats were administered erythrosine at dose levels of 0.0, 0.25 or 4.0% in the diet (corresponding to 0.0, 147.1 or 2514.3 mg per kg body weight per day). Physical observations and body weight and food consumption measurements were performed on all animals pretest and at weekly intervals during the treatment period. Necropsy was performed with up to 20 animals per test group at days 0, 3, 7, 10, 14, 21, 30 and 60. Serum was prepared from blood samples taken from the abdominal aorta at each sacrifice interval and analyzed by radioimmunoassays for thyrotropin (TSH), thyroxine (T4), 3,5,3'-triiodothyronine (T3) and 3,3'5'-triiodothyronine (rT3). Thyroid and pituitary were weighed at each interval and organ/body weight ratios were calculated. Gross postmortem examinations were conducted on the thyroid and pituitary only. Three rats receiving 4.0% erythrosine in the diet died spontaneously during the second week of the study. The animals receiving 4% erythrosine in the diet lost weight during the first week of the study and the mean body weights were significantly lower than control values throughout the study (13% at week one and 17% at week 8). Food consumption of the animals receiving 4.0% erythrosine in the diet was significantly lower than the control value at week one, but after week 2 it was comparable. This probably reflected a palatability problem during the first two weeks. The absolute pituitary weights of males receiving 4% erythrosine were statistically significantly lower than control values at days 7, 10, 14, 21 and 60. The differences were considered to reflect the body weight differences between the high- dose animals and the controls. The absolute thyroid/parathyroid weights of the rats at the 4% level were generally lower than the control values, but the differences were slight and may be due to the body weight differences between these groups. The relative weights of these organs were significantly greater at day 21; otherwise relative weights were only slightly greater and not significant. Thyroid/parathyroid absolute and relative weights of the rats fed 0.25% erythrosine were significantly lower at day 60, otherwise they were comparable to controls. Gross postmortem examinations of thyroid and pituitaries did not show treatment related changes (Kelly & Daly, 1988). The analysis of serum hormone levels in these rats reveals the following: There was a change (slight increase) in serum TSH levels in the control rats during the 60 day experimental period. The baseline (day 0) TSH level was significantly lower than the levels on days 21, 30, and 60. In the 0.25% group serum TSH concentrations were significantly increased over baseline (day 0) at days 14, 21, 30 and 60. When compared to the TSH levels in control animals a significant increase was observed at days 21, 30 and 60. In the 4.0% group the TSH levels were significantly increased over the baseline (day 0) level and the corresponding control levels at all time points. When compared to the 0.25% group the serum TSH levels in the high dose group were significantly greater at days 3, 7, 10, and 14. Serum T4 concentrations were increased over baseline and control values at days 10 and 14 in the 0.25% group, while in the 4.0% group the T4 concentrations were increased at all time points. Furthermore, the high dose animals had significantly greater T4 concentrations than the low dose animals at days 7,10, 21, 30 and 60. Serum T3 concentrations in the low dose rats were comparable to the control values except for a decrease at day 30. In the high dose rats serum T3 concentrations were significantly lower than baseline (day 0) and control values at all time points. In addition, serum T3 concentrations were decreased compared to those of the low dose animals on days 3, 10, 14, 21, 30, and 60. Serum rT3 concentrations were increased above baseline (day 0) in the low dose group at days 7, 10, 14, 21, 30 and 60; and increased above control values at days 10, 14 and 21. A marked increase in serum rT3 over controls and low dose animals was seen in the high dose group at all time points. The results indicate that the ingestion of a dietary concentration of 4% erythrosine induces a rapid and sustained increase in serum TSH, T4, and rT3 and a comparable decrease in serum T3 concentrations, and that these changes are also induced, but are less pronounced, after 0.25% in the diet. These findings are consistent with an inhibition by erythrosine of the deiodination in the 5'-position of T4 and rT3, resulting in a decreased production of T3 from T4 and a decreased deiodination of rT3, respectively (Braverman & DeVito, 1988). Three groups of 80 male Sprague-Dawley rats were administered erythrosine at dose levels of 0.0, 0.03, 0.06 and 4.0% in the diet for a maximum of 60 days (corresponding to 0.0, 17.5, 35.8, and 2671.7 mg/kg body weight per day, respectively). Control animals (100 males) received standard laboratory diets. Physical observations, body weight and food consumption measurements were performed on all animals pretest and at weekly intervals during the study period. For the determination of baseline data, 20 control animals were bled for radioimmunoassays of TSH, T4, T3, and rT3 and sacrificed on test day 0, prior to the initiation of dosing. Additional necropsy intervals were staggered so that on days 7, 21, 30 and 60, an additional 20 animals per group at each interval were bled for radioimmunoassay samples. Brain, pituitary and thyroid were weighed and organ/body and organ/brain weight ratios were calculated for all animals. Gross postmortem examinations were performed on the thyroids, pituitary and brains of all animals. In the animals receiving 4% erythrosine in the diet a substantial loss of body weight and decreased food consumption during week 1 of the study, probably due to poor palatability of the diet, resulted in statistically significantly lower body weights of the animals throughout the study period. The absolute and relative thyroid/parathyroid weights of the animals receiving 4.0% erythrosine were increased at days 21 and 30, and at day 60 (relative organ to body weight ratio). The absolute and relative (organ to brain weight ratio) pituitary weights of animals at the 4.0% level were lower than control values at day 7. In the 0.03% group absolute and relative thyroid/parathyroid weights were greater than corresponding control values at day 21 and 30, but comparable to control values at days 7 and 60. Thus, no consistent and dose related changes in organ weight, absolute or relative, were found at the lower doses. Gross postmortem examination of the thyroid, pituitaries and brain did not reveal any treatment related effects (Kelly & Daly, 1989). In the 0.03% and 0.06% groups there were no significant changes in serum TSH, T4, T3, and rT3, concentrations during the 60 day treatment period. In the 4.0% group TSH concentrations were significantly greater than the corresponding control values at days 21, 30, and 60. A 41% increase after 7 days was not statistically significant compared to the control value. Serum TSH concentrations were significantly greater than those of the 0.03 group at days 21, 30, and 60, and the 0.06% group at day 30. In the 4.0% group serum T4 concentrations were slightly elevated above controls during the treatment period. However, the increase was only statistically significant on day 30. In the high dose animals serum T3 concentrations were significantly lower than controls at all time points. Serum rT3 concentrations were markedly increased in the high dose animals compared to controls or animals fed 0.03% and 0.06% erythrosine at all time points (Braverman & DeVito, 1989). 2.3 Observations in humans No new information. 3. COMMENTS The Committee considered additional studies on thyroid hormone metabolism and regulation in male rats during 60-day feeding trials with erythrosine. The studies showed a rapid onset in the expected hormonal changes of a statistically significant rise in serum levels of thyrotropin, thyroxine (T4), and 3,3,5'-triiodothyronine (rT3), and a decrease in serum 3,5,3'-triiodothyronine (T3) after ingestion of 40 mg/kg erythrosine in the diet. A no-observed-effect level of 0.6 mg/kg erythrosine in the diet corresponding to 30 mg per kg of body weight per day was obtained. The changes seen in these studies are consistent with the hypothesis that erythrosine inhibits the hepatic conversion of circulating T4 to T3, and the resulting decrease in the concentration of T3 stimulates the serial release of thyrotropin-releasing hormone from the hypothalamus and then thyrotropin from the pituitary. The sustained increases in the levels of thyrotropin produce hyperstimulation of the thyroid, which may be associated with the tumorigenic effects noted below. The Committee also reconsidered the carcinogenicity data from two long-term feeding studies on erythrosine in which an increase in the incidence of thyroid follicular-cell adenomas in male rats was demonstrated at a level of 40 mg/kg of erythrosine in the diet. When thyroid follicular-cell adenomas and carcinomas were combined in the statistical analysis, significant (but not clearly dose- related) increases in the incidence of thyroid tumours in male rats given 1, 5, 10 and 40 mg/kg of erythrosine in the diet were found. Effects in females were significant only at one dose level. The Committee agreed that it was appropriate to combine thyroid follicular-cell adenomas and carcinomas in the statistical analysis, in view of evidence that adenomas are an earlier stage of carcinomas in the thyroid. The Committee reviewed additional data on the mutagenicity of erythrosine, and, taking into account extensive data from other mutagenicity studies, concluded that the compound is not genotoxic. 4. EVALUATION While a no-effect-level could not be determined for the tumorigenic effect of erythrosine in rats, the Committee considered that the occurrence of thyroid tumours in rats was most likely secondary to hormonal effects and concluded that it would be possible to establish an ADI from the no-effect-level for effects on thyroid function. In view of the differences in thyroid physiology between humans and rats the Committee based its evaluation on the previously reported no-observed-effect level derived from human data. Therefore the Committee allocated an ADI of 0-0.1 mg/kg of body weight for erythrosine, based on the no-effect-level at 60 mg per person per day (equivalent to 1 mg per kg body weight per day) and a safety factor of 10. 5. REFERENCES BORZELLECA, J.F., & HALLAGAN, J.B. (1987). Lifetime toxicity/carcinogenicity study of FD&C Red No. 3 in mice. Fd. Chem. Toxicol., 25, 735-737. BORZELLECA, J.F., CAPEN, C.C. & HALLAGAN, J.B. (1987). Lifetime toxicity/carcinogenicity study of FD&C Red No. 3 (erythrosine) in rats. Fd. Chem. Toxicol., 25, 723-733. BRAVERMAN, L.E. & DEVITO, W.J. (1988). Effects of FD&C Red No. 3 (Tetraiodofluorescein) on serum thyroid hormone and TSH concentrations in male Sprague-Dawley rats; a 60-day study. Unpublished report dated December 7, 1988. Submitted to WHO by Certified Color Manufacturers' Association, Washington, D.C., USA. BRAVERMAN, L.E. & DeVITO, W.J. (1989). Effects of FD&C Red No. 3 on serum TSH and serum thyroid hormone concentrations in male Sprague- Dawley rats; Results of a 60-day study (B/d Project No. 88-3378). Unpublished report dated July 26, 1989. Submitted to WHO by Certified Color Manufacturers' Association, Washington, D.C., USA. BRUSICK, D.J. (1989). Addendum to review the genotoxicity of FD&C Red No. 3. Unpublished report. Submitted to WHO by Certified Color Manufacturers' Association, Washington, D.C., USA. CAMERON, T.P., HUGHES, T.J., KIRBY, P.E., FUNG, V.A. & DUNKEL, V.C. (1987). Mutagenic action of 27 dyes and related chemicals in the Salmonella/microsome and mouse lymphoma TK+/- assays. Mutat. Res., 189, 223-261. FD&C RED NO. 3 REVIEW PANEL (1987). An inquiry into the mechanism of carcinogenic action of FD&C Red No. 3 and its significance for risk assessment. Unpublished report. Submitted to WHO by Certified Color Manufacturers' Association, Washington, D.C., USA. FEDERAL REGISTER (1990). Termination of provisional listing of FD&C Red No. 3 for use in cosmetics and externally applied drugs and of lakes of FD&C Red NO. 3 for all uses. Department of Health and Human Services, Food and Drug Administration, 21 CFR parts 81 and 82 (Docket Nos. 76C-0044 and 76N-0366), Thursday, February 1. KELLY, C.M. & DALY, I.W. (1988). A 60-day study to investigate the effects of FD&C Red No. 3 on thyroid economy in male Sprague-Dawley rats. Bio/Dynamics Inc. Project No. 88-3378. 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See Also: Toxicological Abbreviations Erythrosine (FAO Nutrition Meetings Report Series 46a) Erythrosine (WHO Food Additives Series 6) Erythrosine (WHO Food Additives Series 19) Erythrosine (WHO Food Additives Series 21) Erythrosine (WHO Food Additives Series 24) Erythrosine (WHO Food Additives Series 44) ERYTHROSINE (JECFA Evaluation)