Toxicological evaluation of some food additives including anticaking agents, antimicrobials, antioxidants, emulsifiers and thickening agents WHO FOOD ADDITIVES SERIES NO. 5 The evaluations contained in this publication were prepared by the Joint FAO/WHO Expert Committee on Food Additives which met in Geneva, 25 June - 4 July 19731 World Health Organization Geneva 1974 1 Seventeenth Report of the Joint FAO/WHO Expert Committee on Food Additives, Wld Hlth Org. techn. Rep. Ser., 1974, No. 539; FAO Nutrition Meetings Report Series, 1974, No. 53. ETHYLENEDIAMINETETRAACETATE, DISODIUM AND CALCIUM DISODIUM SALTS Explanation These compounds have been evaluated for acceptable daily intake by the Joint FAO WHO Expert Committee on Food Additives (see Annex 1, Ref. No. 13) in 1965. The previously published monograph has been revised and is reproduced in its entirety below. BIOLOGICAL DATA BIOCHEMICAL ASPECTS 14C-labelled CaNa2EDTA, when fed to rats in doses of 50 mg kg bw, was absorbed only to an extent of 2 to 4%; 80 to 90% of the dose appeared in the faeces within 24 hours, and absorption was still apparent at 48 hours. At the low pH of the stomach the calcium chelate is dissociated with subsequent precipitation of the free acid and this is only slowly redissolved in the intestines (Foreman et al., 1953). Experiments in man also revealed poor absorption; only 2.5% of a 3 g dose given was excreted in the urine (Srbova & Teisinger, 1957). These authors also confirmed the dissociation of the calcium chelate in the stomach. When 200 mg CaNa2EDTA was introduced into the duodenum of rats the authors found an absorption rate of 6.5 to 26%. A dose of 1.5 mg of 14C-labelled CaNa2EDTA given in a gelatine capsule to normal healthy men was absorbed to an extent of 5% (Foreman & Trujillo, 1954). In feeding experiments, in rats receiving disodium EDTA at dietary levels of 0.5, 1.0 and 5.0%, the faeces contained 99.4, 98.2 and 97.5% of the excreted material (Yang, 1964). Similar experiments conducted also in rats gave essentially the same results. Thirty-two hours after a single dose of 95 mg disodium EDTA/rat, 93% was recovered from the colon. After doses of 47.5, 95.0 and 142.5 mg disodium EDTA the amount of EDTA recovered in the urine was directly proportional to the dose given, suggesting that EDTA was absorbed from the gastrointestinal tract by passive diffusion. The motility of the intestine was not affected by the compound (Chan, 1964). After parenteral administration to rats, 95 to 98% of injected 14C-labelled CaNa2EDTA appeared in the urine within six hours. All the material passed through the body unchanged. Peak plasma levels were found approximately 50 minutes after administration. Less than 0.1% of the material was oxidized to 14CO2, and no organs concentrated the substance. After i.v. injection, CaNa2EDTA passed rapidly out of the vascular system to mix with approximately 90% of the body water, but did not pass into the red blood cells and was cleared through the kidney by tubular excretion as well as by glomerular filtration (Foreman et al., 1953). The same was also found in man using 14C-labelled CaNa2EDTA. Three thousand milligrams were given i.v. to two subjects and were almost entirely excreted within 12 to 16 hours (Srbova & Teisinger, 1957). The maximum radioactivity in the urine after application of 14C-labelled CaNa2EDTA to the skin was only 10 ppm (0.001%) (Foreman & Trujillo, 1954). In biological systems, Ca ion will usually, be most accessible o EDTA. In general, zinc seems to be next most accessible. About 80% of the zinc of liver is freely available to EDTA. The over-all availability of the other physiologically important metals is probably in the order: Cu >Fe >Mn >Co (Chenoweth, 1961). EDTA removes about 1.4% of the total iron from ferritin at pH 7.4 to form an iron chelate (Westerfield, 1961). Transfer of Fe from Fe-transferrin to EDTA in vitro occurs at a rate of less than 1% in 24 hours. In vivo studies in rabbits demonstrated transfer of iron only from FeEDTA to transferrin and not the reverse. It appeared that tissue iron became available to chelating agents including EDTA only when an excess of iron was present (Cleton et al., 1963). Equal distribution between a mixture of EDTA and siderophilin was obtained only at EDTA:siderophilin ratios of 20-25:1 (Rubin, 1961). Human iron deficiency anaemia was successfully treated with FeEDTA although 84% of labelled FeEDTA was excreted in the faeces and none appeared in the urine. Red cells, however, contained labelled Fe and reticulocytosis occurred. Since FeEDTA administered i.v. was almost quantitatively excreted in the urine, it was concluded that FeEDTA was degraded prior to absorption, when given orally (Lapinleimu & Wegelius, 1959). Rabbits absorbed about 10% of oral FeEDTA, and the rest was excreted in the faeces, while anaemic rats absorbed 50% of 6 mg/kg bw oral FeEDTA but only 25% FeSO4 (Rubin & Princiotto, 1960). Addition of 1% Na2EDTA to a diet containing more than optimal amounts of iron and calcium lowered the absorption and storage of iron in rats and increased the amount present in plasma and urine. The metabolism of calcium, however, was apparently unaffected (Larsen et al., 1960). A diet containing 0.15 mg of iron, 4.26 of calcium and 1 mg of EDTA per rat (equivalent to 100 ppm (0.01%) in the diet) for 83 days had no influence on calcium and iron metabolism, e.g. the iron content of liver and plasma (Hawkins et al., 1962). CaNa2EDTA increased the excretion of zinc (Perry & Perry, 1959), and was active in increasing the availability of zinc in soybean containing diets to poults (Kratzer et al., 1959). CaNa2EDTA enhanced the excretion of Co, Hg, Mn, Ni, Pb, Tl and W (Foreman, 1961). The treatment of heavy metal poisoning with CaEDTA has become so well established that its use for more commonly seen metal poisonings, e.g. lead, is no longer reported in the literature (Foreman, 1961). EDTA could not prevent the accumulation of 90Sr, 106Ru, 141Ba and 226Ra in the skeleton. 91Y, 239Pu and 238U responded fairly well to EDTA, the excretion being accelerated (Catsch, 1961). EDTA had a lowering effect on serum cholesterol level when given orally or i.v. It may have acted by decreasing the capacity of serum to transport cholesterol (Gould, 1961). Disodium EDTA had a pyridoxin- like effect on the tryptophan metabolism of patients with porphyria or scleroderma, due to a partial correction of imbalance of polyvalent cations (Lelievre & Batz, 1961). In vitro, 0.0033 M EDTA inhibited the respiration of liver homogenates and of isolated mitochondria of liver and kidney (Lelievre & Batz, 1961). The acetylation of sulfanilamide by a liver extract was also inhibited (Lelievre, 1960). EDTA stimulated glucuronide synthesis in rat liver, kidney and intestines but inhibited the process in guinea-pig liver (Pogell & Leloir, 1961; Miettinen & Leskinen, 1962). Of the heavy metal-containing enzymes, EDTA at a concentration of about 10-3 M inhibited aldehyde oxidase and homogentisinicase. Succinic dehydrogenase, xanthine oxidase, NADH-cytochrome reductase and ceruloplasmin (oxidation of p-phenylenediamine) were not inhibited (Westerfield, 1961). Disodium EDTA was found to be a strong inhibitor for sigma-aminolevulinic acid dehydrogenase, 5.5 × 10-6 M causing 50% inhibition (Gibson et al., 1955). The i.p. injection of 4.2 mmol/kg bw (equivalent to 1722 mg/kg bw) CaNa2EDTA caused in rats an inhibition of the alkaline phosphatase of liver, prostate and serum up to four days depending on the dose administered; zinc restored the activity (Nigrovic, 1964). In vitro, EDTA inhibited blood coagulation by chelating Ca2+. The complete coagulation inhibition of human blood required 0.65-1.0 mg/ml. The i.v. injection of 79-200 mg EDTA/rabbit had no effect on blood coagulation (Dyckerhoff et al., 1942). I.v. injections of Na2EDTA and CaNa2EDTA had some pharmacological effect on the blood pressure of cats; 0-20 mg/kg bw CaNa2EDTA (as Ca) produce a slight rise; 20-50 mg/kg, a biphasic response; and 50 mg/kg, a clear depression (Marquardt & Schumacher, 1957). One per cent. Na2EDTA enhances the absorption of 14C-labelled acidic, neutral and basic compounds (mannitol, inulin, decamethenium, sulfanilic acid and EDTA itself) from isolated segments of rat intestine, probably due to an increased permeability of the intestinal wall (Schanker & Johnson, 1961). TOXICOLOGICAL STUDIES Special studies on embryotoxicity Disodium EDTA injected at levels of 3.4, 1.7 and 0.35 mg/egg gave 40, 50 and 85% hatch, respectively. At the highest level, some embryos which failed to hatch showed anomalies (McLaughlin & Scott, 1964). Acute toxicity (a) Disodium EDTA LD50 Animal Route (mg/kg bw) References Rat oral 2 000-2 200 Yang, 1964 Rabbit oral 2 300 Shibata, 1956 i.v. 47a Shibata, 1956 a Dose depending on the rate of infusion. (b) Ca-disodium EDTA LD50 Animal Route (mg/kg bw) References Rat oral 10 000 ± 740 Oser et al,, 1963 Rabbit oral 7 000 approx. Oser et al., 1963 i.p. 500 approx. Bauer et al., 1952 Dog oral 12 000 approx. Oser et al., 1963 The oral LD50 in rats is not affected by the presence of food in the stomach or by pre-existing deficiency in Ca, Fe, Cu or Mn (Oser et al., 1963). Oral doses of over 250 mg/animal cause diarrhoea in rats (Foreman et al., 1953). There are many reports in the literature on kidney damage by parenteral over-dosage of CaEDTA. A review was given by Lachnit (1961). Lesions simulating "versene nephrosis" in man have also been produced in rats. Disodium EDTA in doses of 400-500 mg i.p. for 21 days caused severe hydropic degeneration of the proximal convoluted tubules of the kidneys. CaNa2EDTA produced only minimal focal hydropic changes in 58% of animals, disappearing almost two weeks after stopping the injections (Reuber & Schmieller, 1962). Short-term studies Rat Groups of five male rats received 250 or 500 mg/kg bw CaNa2EDTA i.p. daily for three to 21 days and some were observed for an additional two weeks. Weight gain was satisfactory and histology of lung, thymus, kidney, liver, spleen, adrenal, small gut and heart was normal except for mild to moderate renal hydropic change with focal subcapsular swelling and proliferation in glomerular loops at the 500 mg level. There was very slight involvement with complete recovery at the 250 mg level. Lesions were not more severe with simultaneous cortisone administration (Reuber & Schmieller, 1962). Groups of three male and three female rats were fed for four months on a low mineral diet containing one-half the usual portion of salt mixture (i.e. 1.25% instead of 2.50%) with the addition of 0% and 1.5% CaNa2EDTA. The test group showed a reduced weight gain, but there was no distinct difference in general condition of the animals (Yang, 1964). In another experiment three groups of eight to 13 male and female rats were fed a low-mineral diet containing 0, 0.5 and 1% of CaNa2EDTA for 205 days. No significant differences from the controls were shown regarding weight gain, mortality, gross pathology of the organs and histopathology of liver, kidney and spleen except a very slight dilatation of hepatic sinusoids. Blood coagulation time, total bone ash and blood calcium level were unaffected. No significant erosion of molars was noted. Basal metabolism was in the normal range (Chan, 1964). Rats were fed for 44 to 52 weeks on a diet containing 0.5% disodium EDTA without any deleterious effect on weight gain, appetite, activity and appearance (Krum, 1948). In another experiment three groups of 10 to 13 males and females were fed a low-mineral diet (0.54% Ca and 0.013% Fe) with the addition of 0, 0.5 and 1% disodium EDTA for 205 days. At the 1% level some abnormal symptoms were observed: growth retardation of the males, lowered erythrocyte and leucocyte counts, a prolonged blood coagulation time, slightly but significantly raised blood calcium level, a significantly lower ash content of the bone, considerable erosion of the molars and diarrhoea. Gross and histological examination of the major organs revealed nothing abnormal. Rats fed for 220 days on an adequate mineral diet containing 1% disodium EDTA showed no evidence of dental erosion (Chan, 1964). Groups of six rats were maintained for 12 weeks on diets containing 0.5, 1 and 5% disodium EDTA. No deaths occurred and there were no toxic symptoms except diarrhoea and lowered food consumption at the 5% level. Mating in each group was carried out when the animals were 100 days old. Mating was repeated 10 days after weaning the first litters. Parent generation rats of 0, 0.5 and 1% levels gave birth to normal first and second litters. The animals given 5% failed to produce litters (Yang, 1964). To elucidate possible teratogenic effects, daily doses of 20-40 mg/rat EDTA were injected i.m. into pregnant rats at days six to nine, 10 to 15 and 16 to the end of pregnancy. A dose of 40 mg was lethal within four days but 20 mg was well tolerated, allowing normal fetal development; 40 mg injected during days six to eight or 10 to 15 produced some dead or malformed fetuses, especially polydactyly, double tail, generalized oedema or circumscribed head oedema (Tuchmann-Duplessis & Merciar-Parot, 1956). Groups of five male rats were given 250, 400 or 500 mg/kg bw disodium EDTA i.p. daily for three to 31 days; some groups were observed for another two weeks. At the 500 mg level all rats became lethargic and died within nine days, the kidneys being pale and swollen, with moderate dilatation of bowel and subserosal haemorrhages. Histological examination of a number of organs showed lesions only in the kidneys. Animals at the 400 mg level died within 14 days, kidney and bowel symptoms being similar to the 500 mg level. One rat at the 250 mg dose level showed haemorrhage of the thymus. All three groups showed varying degrees of hydropic necrosis of the renal proximal convoluted tubules with epithelial sloughing: recovery occurred in all groups after withdrawal of disodium EDTA (Reuber & Schmieller, 1962). Rabbit Eight groups of three rabbits were given either 0.1, 1, 10 or 20 mg/kg bw disodium EDTA i.v., or 50, 100, 500 or 1000 mg/kg bw orally for one month. All animals on the highest oral test level exhibited severe diarrhoea and died. In the other groups body weight, haemogram, urinary nitrogen and urobilinogen were unaffected. Histopathological examination of a number of organs showed degenerative changes in the liver, kidney, parathyroid and endocrine organs and oedema in muscle, brain and heart at all levels of treatment (Shibata, 1956). Dog Four groups of one male and three female mongrels were fed diets containing 0, 50, 100 and 250 mg/kg bw CaNa2EDTA daily for 12 months. All appeared in good health, without significant change in blood cells, haemoglobin and urine (pH, albumin, sugar, sediment). Blood sugar, non-protein nitrogen and prothrombin time remained normal. Radiographs of ribs and of long bones showed no adverse changes at the 250 mg level. All dogs survived for one year.Gross and microscopic findings were normal (Oser et al., 1963). Long-term studies Rat In a two-year study five groups totalling 33 rats were fed 0, 0.5, 1 and 5% disodium EDTA. The 5% group showed diarrhoea and consumed less food than the rats in other groups. No significant effects on weight gain were noted nor were blood coagulation time, red blood cell counts or bone ash adversely affected. The mortality of the animals could not be correlated with the level of disodium EDTA. The highest mortality rate occurred in the control group. Gross and microscopic examination of various organs revealed no significant differences between the groups (Yang, 1964). Four groups of 25 male and 25 female rats were fed diets containing 0, 50, 125 and 250 mg/kg bw CaNa2EDTA for two years. Feeding was carried on through four successive generations. Rats were mated after 12 weeks' feeding and allowed to lactate for three weeks with one week's rest before producing a second litter. Ten male and 10 female rats of each group (F1 generation) and similar F2 and F3 generation groups were allowed to produce two litters. Of the second litters of the F1, F2 and F3 generations only the control and the 250 mg/kg bw groups were kept until the end of two-years' study on the F0 generation. This scheme permitted terminal observation to be made on rats receiving test diets for 0, 0.5, 1, 1.5 or 2 years in the F3, F2, F1 and F0 generations, respectively. No significant abnormalities in appearance and behaviour were noted during the 12 weeks of the post weaning period in all generations. The feeding experiment showed no statistically significant differences in weight gain, food efficiency, haemopoiesis, blood sugar, non-protein nitrogen, serum calcium, urine, organ weights and histopathology of liver, kidney, spleen, heart, adrenals, thyroid and gonads. Fertility, lactation and weaning were not adversely affected for each mating. Mortality and tumour incidence were unrelated to dosage level. The prothrombin time was normal. There was no evidence of any chelate effect on calcification of bone and teeth. Liver xanthine oxidase and blood carbonic anhydrase activities were unchanged (Oser et al., 1963) Comments: CaNa2EDTA is very poorly absorbed from the gut. The compound is metabolically inert and no cumulation in the body has been found. A vast clinical experience in its use in the treatment of metal poisoning has demonstrated its safety in man. Long-term feeding studies in rats and dogs gave no evidence of interference with mineral metabolism in either species. Adverse effects on mineral metabolism and nephrotoxicity were only seen after parenteral administration of high doses. The long-term studies with Na2EDTA are difficult to assess because of the small number of animals and the high mortality rate in all groups. Metabolic studies and feeding studies demonstrate that the use of CaNa2EDTA is preferable to that of Na2EDTA, because of the effect of the latter in sequestering calcium. Under certain circumstances, necessitating an accurate complexing of ions other than calcium, it may be used provided no excess of Na2EDTA remains. EVALUATION Level causing no toxicological effect Rat: 5000 ppm (0.5%) in the diet equivalent to 250 mg/kg bw. Estimate of acceptable daily intake for man 0-2.5* mg/kg bw REFERENCES Bauer, R. O. et al. (1952) Fed. Proc., 11, 321 Catsch, A. (1961) Fed. Proc., 20 (Suppl. 10), 206 Chan, M. S. (1964) Fd. Cosmet. Toxicol., 2, 763-765 Chenoweth, M. B. (1961) Fed. Proc., 20 (Suppl. 10), 125 Cleton, F., Turnbull, A. & Finch, C. A. (1963) J. clin. Invest., 42, 327 Dyckerhoff, H., Marx, R. & Ludwig, B. (1942) Z. ges. exp. Med., 110, 412 Foreman, H. (1961) Fed. Proc., 20 (Suppl. 10), 191 * Calculated as CaNa2EDTA. No excess of Na2EDTA should remain in foods. Foreman, H., Vier, M. & Magee, M. (1953) J. biol. Chem., 203, 1045 Foreman, H. & Trujillo, T. T. (1954) J. lab. clin. Med., 43, 566 Gibson, K. D., Neuberger, A. & Scott, J. C. (1955) Biochem. J., 61, 618 Gould, R. G. (1961) Fed. Proc., 20 (Suppl. 10), 252 Hawkins, W. W. et al. (1962) Canad. J. Biochem., 40, 391 Kratzer, F. H. et al. (1959) J. Nutr., 68, 313 Krum, J. K. (1948) Thesis University of Massachusetts Lechnit, V. (1961) Arch. Gewerbepath. Gewerbehyg., 18, 495 Lapinleimu, K. & Wegelius, R. (1959) Antibiotic Med. Clin. 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See Also: Toxicological Abbreviations