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 LACTIC ACID Chemical name DL-2-hydroxy propionic acid; DL-1-hydroxyethane carboxylic acid Empirical formula C3H6O3 Structural formula H ' CH3 - C - COOH ' OH Molecular weight 90.08 Definition Commercial products contain lactic acid and water and may contain lactic anhydride in the more concentrated solutions. The total acid content, calculated as C3H6O3 is not less than 95 per cent. and not more than 105 per cent. of the amount specified. Description A colourless or yellowish, nearly odourless liquid with an acid taste. Use As on acidulant. Biological Data Biochemical aspects L(+)-lactate is a normal intermediary of mammalian metabolism. It arises from glycogen breakdown, from amino acids and from dicarboxylic acids, e.g. succinate. Other sources of production are muscular contractile activity, and liver and blood metabolism. Some micro-organisms specifically produce lactic acid as main product of the metabolism; L. delbrueckii produces L(+)-lactic acid, the physiological isomer, and L.lelchmanii, the D(-)-isomer. Various groups of rats were killed 3 hours after the administration of L(+), D(-) or DL-lactic acid (1700 mg/kg) orally or by s.c. injection. The L(+)-isomer produced the largest rise in liver glycogen; 40-95 per cent. of the L(+)-lactate absorbed in 3 hours being converted; practically none were formed from the D(-)-isomer. D(-)-lactate produced the highest blood lactate level and 30 per cent. of the amount absorbed was excreted in the urine; no L(+)-lactate was found. D(-)-lactate was utilized four times more slowly but both D(-) and L(+)-isomers were absorbed at the same rate from the intestine (Cori & Cori, 1929). The absorption of sodium DL-lactate from the intestine of groups of 6 male and female rats was determined at 1, 2, 3 and 4 hours after oral feeding of 215 mg/kg body-weight of material. The rate of absorption decreased with time and was roughly proportional to the amount of lactate present in the gut. Slow evacuation of the stomach limited the rate of absorption in some animals (Cori, 1930). At blood levels over 200-250 mg per cent. lactate, rabbits showed excitation, dyspnoea and tachycardia (Collazo et al., 1933). After oral administration to a human subject of 1-3000 mg lactate, 20-30 per cent. was excreted in the urine during 14 hours (Fürth & Engel, 1930). When sodium DL-lactate was given i.v. to starving dogs, 7-40 per cent. was recovered in the urine, none was found in the faeces (Abramson & Eggleton, 1927). Rabbits ware given orally 600-1600 mg/kg body-weight of racemic lactic acid. Most animals died within 3 days. Urinary excretion varied between 0.26 per cent. and 31 per cent. Alkalosis did not affect the excretion (Fürth & Engel, 1930), In vitro studies have shown that mammalian tissue produces only L(+)-lactate although some tissues can oxidize both isomers. Rat liver tissue used almost entirely L(+) and practically no D(-)-isomer, as measured by oxygen consumption and carbohydrate synthesis. Rat kidney tissue used a definitely measurable amount of D(-)-isomer. Grey matter of rat brain was unable to utilize the D(-)-isomer. L(+)-lactate stimulated oxygen consumption and CO2 production of all rat tissues; similarly D(-)-lactate slightly stimulated respiration of liver and heart but not brain tissue. Similar effects occurred in duck tissue. Heart tissue is able to utilize both isomers almost equally well. 14C-L(+)-lactate produces 14O2 more rapidly than D(-)-lactate in the intact rat although the D(-) form is fairly well metabolized. After 2 hours, both isomers are oxidized at equal rates (Brin, 1964). More recent studies have defined the cell sites for metabolizing the isomers in microorganisms and higher animals and identified the pathways in normal animals, cattle with D(-) lactacidosis and mentally ill patients (Brin, 1964). L(+)-lactate was oxidized 3-5 times as rapidly as D(-)-lactate by duck and rat heart and liver slices and 10-20 times as rapidly by brain slices, using 14C labelled substrate, as shown by oxygen consumption and 14CO2 production. The D(-)-isomer was used equally as well as the L(+)-isomer by duck and rat heart slices, two-thirds as well by brain and one-third as well by duck and rat liver and duck brain. High utilization of D(-)-isomer requires special metabolic pathways (Brin et al., 1952). Acute toxicity Animal Route LD50 References (mg/kg body-weight Rat i.p. (Sod. lactate) 2 000 Rhône-Poulenc, 1965 oral (lactic acid) 3 730 Smyth et al., 1941 Guinea-pig oral 1 810 Smyth et al., 1941 Mouse oral 4 875 Fitzhugh, 1945 Rats have been stated to survive 2000-4000 mg/kg body-weight administered s.c. Mice were killed by doses of 2000-4000 mg/kg body-weight whether or not alkalosis was present Fürth & Engel, 1930), In man, accidental intraduodenal administration of 100 ml 33 per cent. lactic acid was fatal within 12 hours (Leschke, 1932). Other workers quote an adult human maximum tolerated dose of 1530 mg/kg body-weight (Nazario, 1952). Short-term studies Bird. Feeding of 10 per cent. lactic acid has been blamed for the development of polyneuritic crises resembling B1 deficiency on diets rich in carbohydrates, proteins or fats (Lecoq, 1936). Rat. Groups of 2 animals received daily doses of 1000 and 2000 mg/kg body-weight of sodium lactate (as lactic acid) over 14-16 days. Body analyses showed no cumulation (Fürth & Engel, 1930). Dog. Two dogs received 600-1600 mg/kg body-weight of lactic acid orally 42 times during 2.5 months without ill effects (Faust, 1910). Infants. Forty full-term newborn infants were given a commercial feeding formula containing 0.4 per cent. DL-lactic acid. No effect was observed on the rate of weight gain, from the second to the fourth week of life (Jacobs & Christian, 1957). Healthy babies were fed milk formulae acidified with 0.4-0.5 per cent. DL-lactic acid for periods of 10 days, during the first 3 months of their life. An increase in the titrable acidity of the urine, and lowering of urinary pH was observed. Babies on "milk rich" formula (4/5 milk mixture) excreted twice as much acid in the urine as babies on diets containing less milk and approximately 33 per cent. developed acidosis. Clinical manifestations were: decrease in the rate of body-weight gain and decrease in food consumption. On replacing the acidified diet with "sweet milk" diet these effects were reversed very rapidly (Droese & Stolley, 1962). When 0.35 per cent. DL-lactic acid was administered to healthy babies from the tenth to the twentieth day of life, a three-fold increase in the urinary excretion of the physiological L(+)-lactic acid and a twelve-fold increase in the D(-)-lactic acid was observed. On withdrawing lactic acid from the diet the level of lactic acid excreted in the urine returned to normal. Since the racemic mixture used consisted of 80 per cent. of the L(+) and 20 per cent. of the D(-) forms it seems that the metabolism of the D(-) form by the young full-term baby is more difficult than the L(+) form. The increase in the urinary excretion of either form of lactic acid indicated that the young infant cannot utilize lactic acid at a rate which can keep up with 0.35 per cent. in the diet. A number of babies could not tolerate lactic acid. In such cases there was rapid loss of weight, frequent diarrhoea, reduction of plasma bicarbonate and increased excretion of organic acids in the urine. All these effects were reversed on withdrawing lactic acid from the diet (Droese & Stolley, 1965). Long-term studies No animal studies are available. Man has consumed meat and other items of food containing lactates for centuries, apparently without any adverse effects. Comments In evaluating lactic acid, emphasis is placed on its well-established metabolic pathways after normal consumption in man. It is an important intermediate in carbohydrate metabolism, However, human studies determining the maximum load of lactate are not available. There is some evidence that babies in their first three months of life have difficulties in utilizing small amounts of DL and D(-)-lactic acids. Evaluation Lactic acid has a sufficiently acid taste to limit the amount used in food. Estimate of acceptable daily intake of L(+)-isomer No limit need be set for the acceptable daily intake for man of the L(+)-isomer of lactic acid. Estimate of acceptable daily intakes for man of D(-)-isomer mg/kg body-weight Conditional acceptance 0-100 Limitations of use Neither the D(-) nor DL-Lactic acid should be added to food for very young infants, except for therapeutic purposes. For adults the acceptable daily intake of DL-lactic acid is calculated from the D(-)-lactic acid content. Further work required Metabolic studies on the utilization of D(-) and DL-lactate acids in infants and adults. REFERENCES Abramson, H. A. & Eggleton, P. (1927) J. Biol. Chem., 75, 745, 753, 763 Brin, M. (1964) J. Ass. Food and Drug. Off., 178 Brin, M., Olson, R. E. & Stare, F. J. (1952) J. Biol. Chem., 199, 467 Collazo, J. A., Puyal, J. & Torres, I. (1933) Anales Soc. Esp. Fis. Quim., 31, 672 Cori, G. T. (1930) J. Biol. Chem., 87, 13 Cori, C. F. & Cori, G. T. (1929) J. Biol. Chem., 51, 389 Droese, W. & Stolley, H. (1962) Dtsch. med. J., 13, 107 Droese, W. & Stolley, H. (1964) Symp. über die Ernährung der Frühgeborenen, Bad Schachen, May 1964, 63-72 Faust, E S. (1910) Cöthener Chem. Z., 34, 57 Fitzhugh, O. G. (1945) Unpublished data, submitted to WHO Fürth, O. & Engel, F. (1330) Biochem. Z., 228 381 Jacobs, H. M. & Christian, J. R. (1957) Lancet, 77, 157 Lecoq, M. R. (1936) C.R. Acad. Sci., 202, 1304 Leschke, E. (1932) Munch. Med. Wschr., 79, 1481 Nazario, G. (1951) Rev. Inst. Adolfo Lutz, 11, 141 Rhône-Poulenc (1965) Unpublished report Smyth, H. F. jr, Seaton, J. & Fischer, L. (1941) J. Ind. Hyg. Toxicol., 23, 59
See Also: Toxicological Abbreviations