FAO Nutrition Meetings Report Series No. 40A,B,C WHO/Food Add./67.29 TOXICOLOGICAL EVALUATION OF SOME ANTIMICROBIALS, ANTIOXIDANTS, EMULSIFIERS, STABILIZERS, FLOUR-TREATMENT AGENTS, ACIDS AND BASES The content of this document is the result of the deliberations of the Joint FAO/WHO Expert Committee on Food Additives which met at Rome, 13-20 December, 19651 Geneva, 11-18 October, 19662 1 Ninth Report of the Joint FAO/WHO Expert Committee on Food Additives, FAO Nutrition Meetings Report Series, 1966 No. 40; Wld Hlth Org. techn. Rep. Ser., 1966, 339 2 Tenth Report of the Joint FAO/WHO Expert Committee on Food Additives, FAO Nutrition Meetings Report Series, 1967, in press; Food and Agriculture Organization of the United Nations World Health Organization 1967 CHOLIC ACID Chemical name 3,7,12-trihydroxycholanic acid Empirical formula C24H40O5 Structural formulaMolecular weight 408.58 Definition Cholic acid after drying contains not less than 98 per cent. C24H40O5 Description Colourless plates or a white, crystalline powder having a bitter taste with a sweetish after-taste. Uses As a foam stabilizer. Biological Data (See Desoxycholic Acid) DESOXYCHOLIC ACID Chemical name 3,12-dihydroxycholanic acid Empirical formula C24H40O4 Structural formula
Molecular weight 392.56 Definition Desoxycholic acid after drying contains not less than 98 per cent. and not more than the equivalent of 102 per cent. C24H40O4 Description White, crystalline powder Uses As foam stabilizer Biological Data Biochemical aspects These bile acids and their salts are found as natural constituents of the bile. The nucleus of the bile acids is closely related to cholesterol, from which they are formed in the liver, and this conversion depends on their relative concentrations. Between 90 and 95 per cent. of bile acids are reabsorbed, mainly from the lower half of the small intestine, and undergo enterohepatic circulation; small quantities occur in the stools and very little is normally excreted in the urine. Bile salts affect the absorption of fats, fat-soluble vitamins, and various ions. In normal individuals, additional administration of moderate quantities of bile acids or salts by mouth has no demonstrable effect, since there are enough bile salts present in the intestinal lumen to carry out all the absorptive functions. If there is a deficiency of bile salts, administration may be beneficial. Bile salts stimulate excretion of bile and hence tend to hasten their own elimination. Bile salts may also cause some stimulation of intestinal movement. The daily output from a fistula in man ranged from 1-2.3 g daily; when stimulated by bile, the daily output was increased fourfold (Josephson, 1941). Acute toxicity Animal Route LD50 References (mg/kg body-weight) CHOLIC ACID Rabbit i.v. 50 (Na salt) Gillert, 1926 DESOXYCHOLIC ACID Rabbit i.v. 15 (Na salt) Gillert, 1926 In general, bile acids and salts have only a minor toxic potential when given by mouth. In large doses, they are likely to have the same effects as saponins; the main action is likely to be irritation of mucous membranes. Parenterally they are much more toxic and may cause haemolysis, a digitalis-like action on the heart and effects on the central nervous system. Toxic effects that may be attributable to accumulation of bile acids or salts are also seen in obstructive jaundice, since they disappear if cholestyramine, which adsorbs bile acids in the intestinal lumen and prevents their reabsorption, is administered (van Itallie et al., 1961). Short-term studies Man. Two grams of ox bile salts were administered daily to a child of 5 years who had a congenital deficiency of bile salts, for a period of 11 months with consequent improvement in fat absorption and no evidence of ill effects (Rose et al., 1955). Comments No long-term animal studies are reported. They are not necessary, since every healthy person circulates about 1 g of bile salts or more daily throughout life. Adequate specifications are needed to ensure that the substances used closely conform to the naturally occurring bile salts. Evaluation Because of their bitter taste, bile acids and their salts tend to be limited in use. A 5 per cent. variation in the daily output of bile is equivalent to 75 mg bile salts daily (equivalent to 1.25 mg/kg body-weight/day). This amount is unlikely to affect the normal equilibrium of bile acid metabolism. Estimate of acceptable daily intake for man mg/kg body-weight Unconditional acceptance 0-1.25 REFERENCES Gillert, E. (1926) Z. Ges. exp. Med., 52, 779 van Itallie, T. B., Hashim, S. A., Crampton, R. S. & Tennent, D. M. (1961) New England J. Med., 265, 469 Josephson, B. (1941) Physiol. Rev., 21, 435 Ross, C. A. C., Frazer, A. C., French, J. M., Gerrard, J. W., Sammons, H. G. & Smellie, J. M. (l955) Lancet, i, 1087
See Also: Toxicological Abbreviations