FAO Nutrition Meetings Report Series No. 48A WHO/FOOD ADD/70.39 TOXICOLOGICAL EVALUATION OF SOME EXTRACTION SOLVENTS AND CERTAIN OTHER SUBSTANCES The content of this document is the result of the deliberations of the Joint FAO/WHO Expert Committee on Food Additives which met in Geneva, 24 June -2 July 19701 Food and Agriculture Organization of the United Nations World Health Organization 1 Fourteenth report of the Joint FAO/WHO Expert Committee on Food Additives, FAO Nutrition Meetings Report Series in press; Wld Hlth Org. techn. Rep. Ser., in press. ETHANOL Biological Data Biochemical aspects Ethyl alcohol is rapidly and readily oxidized to CO2 and water. The toxicity is diminished if substances which increase tissue oxidation are given beforehand. The pathway is generally agreed to be initial oxidation to acetaldehyde, conversion to acetyl co-enzyme A and acetic acid, final combustion in kidney and liver to CO2 and water (Browning, 1965). Lung tissue can also convert ethanol to CO2 (Masoro et al. 1953). The principal organ responsible for the metabolism of ethanol is the liver - it employed two enzyme systems - alcohol dehydrogenase and aldehyde dehydrogenase - both require NAD as a cofactor (Westerfeld, 1961). Alcohol dehydrogenase activity has been demonstrated in several other organs and tissues, including the stomach and intestine (Spencer et al. 1964, Mistilis et al. 1969), kidney (Buttner, 1965), lung (Moser et al. 1968), and brain (Raskin et al. 1968), but their contribution to the overall metabolism of ethanol is slight (Bartlett, 1949). Acetaldehyde dehydrogenase controls the further oxidation of acetaldehyde to acetic acid (Camps, 1968). Using C14 labelled alcohol it has been shown that rats exhale 75 per cent. as CO2 in 5 hours and 90 per cent. in 10 hours. Two per cent. is eliminated unchanged in the urine and expired air, while 0.5-2.0 per cent. is conjugated and excreted in the urine as ethylglucuronide (Bartlett & Barnett, 1949, Kamil et al. 1953). Clearance of ethanol from blood depends on the blood levels present. At low dosage it is proportional to the blood alcohol levels when liver alcohol dehydrogenase is not fully saturated. As the circulating blood ethanol level increases maximum metabolic conversion is achieved. At still higher levels the resultant CNS depression produced hypoventilation, hypothermia, and hypotension, with a consequent decrease in alcohol metabolism (Lundquist & Wolthers, 1958). The rat metabolizes alcohol more slowly than the mouse and faster than the dog (Aull et al. 1956). In dogs alcohol passes through the kidneys by simple diffusion. During absorption from the G.I. tract the concentration of ethyl alcohol was a little lower in peripheral veins compared with arterial levels. 2-4% of total ingested alcohol was eliminated by kidneys and 4% in the expired air (Treon, 1958). Recent evidence suggests that man metabolises alcohol at a rate depending upon the concentration present if catalase handles oxidation but independent of concentration in the human body if alcohol dehydrogenase handles oxidation. Tetraethylthiuram disulphide inhibits acetaldehyde dehydrogenase and gives rise to toxic tissue accumulation of acetaldehyde (Goodman & Gilman, 1967). Other possibilities are the prevention of the oxidation of ethanol and the production of disulphide metabolites. Any acetic acid formed joins the body acetate pool (Treon, 1958). Etharel is distributed uniformly in body water (Camps, 1968). Ethanol has a direct effect on liver cells in vitro, decreases DPN and increases DPNH and therefore effects more acetate incorporation into fatty acids (Lieber & Schmid, 1961). Acute ethanal induced fatty liver differs from that induced by chronic small amounts in that the latter responds to choline but not the former. Hence hepatic fat may increase by (a) increased mobilization of fat from depots, (b) increased fat synthesis and esterification in the liver itself, (c) inducing a relative recline deficiency, all leading to the picture of fatty infiltration and fibrosis (Klatskin, 1961). Decreased fat oxidation in the liver may contribute to the fat accumulation (Isselbacher & Greenberger, 1964). Ethanol produces a marked increase in serum cholesterol in the dog, while in man a small but significant increase occurs after large intakes. Hyperlipaemic subjects show greater rise (Grande & Amatuzio, 1960). Ethanol has a moderate short-lasting effect on adrenal medullary secretion producing a rise in urinary adrenalin and noradrenalin output. This is probably due to a sympathetic stimulation (Perman, 1961). Alcohol is not absorbed through normal skin but can be absorbed through abraded areas (Camp, 1968). Acute toxicity Animal Route LD50 LD100 References mg/kg mg/kg body-weight body-weight Frog s.c. - 7100-7900 Spector, 1956 Mouse oral 9488 - Spector, 1956 s.c. 8285 - Spector, 1956 s.c. - 4700 Browning, 1953 i.v. 1973 - Spector, 1956 inhalation - 29300 ppm Browning, 1965 Rat oral 13660 - Spector, 1956 i.p. 5000 - Spector, 1956 inhalation - 12700 ppm Browning, 1965 Guinea-pig i.p. 5560 - Spector, 1956 inhalation - 21900 ppm Browning, 1965 Rabbit oral 6300 - Spector, 1956 oral 9500 Spector, 1956 oral - 7890 Spector, 1956 oral - 9000-10000 Browning, 1953 i.p. - 3500 Browning, 1953 i.v. - 9400 Spector, 1956 Cat i.v. - 3945 Spector, 1956 Dog oral - 5500-6500 Spector, 1956 s.c. - 6000-8000 Spector, 1956 i.v. - 5365 Spector, 1956 Man oral - 6000-8000 von Oettingen, 1943 Dogs intoxicated by ingestion showed liver injury consisting of cellular oedema at the periphery of lobules and increase in lipid which regressed subsequently (MacNider, 1933). Inhalation of high concentrations caused reversible fatty infiltration of the liver (Weese, 1928). Short-term studies Mouse. Groups of 10 mice were fed for 5 weeks on a control diet but drinking water was either normal water or 0.8 per cent., 4 per cent. and 20 per cent. ethyl alcohol. Mortality increased with dose but there was little effect on the mean weight of survivors (College Pharmaceutical Society, (1962). Groups of male and female mice were given ethyl alcohol (unknown composition) i.p. for 6 months. No tumours were noted (Larson & Heston, 1945). Rat. Five female rats received orally 1 ml 40 per cent. aqueous alcohol 3 times per week for 41 days. No tumours were observed (Russell et al. 1941). Nine groups of rats containing 5-25 animals received 20 per cent. alcohol in their drinking water and additional cystine with or without choline in their diet. Observation extended from 8 to 24 weeks. No tumours were observed (Wanscher, 1953). 15 rats received 15 per cent. alcohol in water for up to 14 weeks. No tumours were observed (Baumann et al. 1942). Groups of male rats received 15 per cent. alcohol in their drinking water. After 177 days there were no tumours (Best et al. 1949). 24 rats were given 15 per cent. alcohol in their drinking water. After 120 days there were no tumours (Klatskin et al. 1951). In another experiment rats were given ethyl alcohol in their food for 300 days without any pathological changes having been observed (Nakahara & Mori, 1939). Rabbit. 64 rabbits were given 20 per cent. alcohol in water by stomach tube in quantities from 20-100 ml daily for 304 days. Thirteen died of infection but no tumours were seen in the rest (Connor, 1940). Dog. Twenty-three dogs received a 40 per cent. aqueous solution at a rate of 10 ml/kg body-weight daily for 6 to 26 months without any signs of tumour development (McNider & Donnelly, 1932). Observations in man Ethylalcohol acts principally on the brain whether ingested or inhaled, first as an inhibitor of the higher functions and then as an anaesthetic. The lethal dose for man is 8-10 ml per kg body-weight or one quart of whisky or a blood level of 0.5% or more (Haag et al. 1951, von Oettingen, 1943). Death occurs from severe and probably irreversible injury to CNS. Acute intoxication affects visual acuity, fields of vision, eye co-ordination and distance judgement. The vapour is slightly irritant to the eye and respiratory tract mucosa. Animals as well as man develop tolerance. Inhalation concentrations up to 3500 ppm caused no irritation nor any subjective symptoms nor any rise in blood alcohol levels (Treon, 1958). The TLV is 100 ppm (Amer, Conf. Gov, Ind. Hyg., 1969). Moderate doses stimulate the appetite and food absorption. Higher concentrations irritate the gastric mucosa (Jacobs, 1947). Ingestion of less than 0.5 g/kg does not affect the behaviour of man, 0.5 - 2.0 g/kg cause some disturbance and doses above 2 g/kg cause serious drunkenness (von Oettingen, 1943). Chronic ingestion causes visual impairment and incoordination of voluntary muscles (Browning, 1965). Chronic intake of alcohol amounting to over 160 g pure alcohol per day for more than 10 years leads to hepatic cirrhosis (Thaler, 1969). The preferential oxidation of ethanol in the liver diverts NAD from other sites, leading to alteration of cellular biochemistry and pathological damage despite enzyme inhibition of alcohol dehydrogenase activity (Mistilis & Birchall, 1969). In man, secondary nutritional inadequacies, along with electrolyte and mineral imbalance may and do occur. The cardiotoxic effects could arise from hypomagnesemia and hypozincemia. Ethanal is a diuretic and when it is consumed with relatively large volumes of water magnesuria and zincuria will result. If prolonged, cardiac damage, secondary to low cardiac magnesium (Heggtveit et al. 1964) or zinc (Wendt of al. 1966) can appear. 20% w/u i.p. ethanol produce a chemical peritonitis, pancreatitis and peritoneal adhesions (Wiberg et al. 1969). Long-term studies Mouse. 16 mice received 0.1 ml of a 50 per cent. alcoholic solution every two days rectally for 547 days. Two animals developed tumours of which one was a sarcoma. In another experiment, 10 male and female mice received 0.1 ml of a 50 per cent. alcoholic solution every two days orally for 554 days. Two tumours of the back were observed (Krebs, 1928). Comments Ethanol is a common component in the diet and it is not appropriate to consider it in the same way as other extraction solvents. As a solvent residue it will probably constitute no more than 0.5% of any food. Evaluation The use of this solvent should be restricted to that determined by good manufacturing practice. 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See Also: Toxicological Abbreviations ETHANOL (JECFA Evaluation)