WORLD HEALTH ORGANIZATION Toxicological evaluation of some food colours, thickening agents, and certain other substancse WHO FOOD ADDITIVES SERIES NO. 8 The evaluations contained in this publication were prepared by the Joint FAO/WHO Expert Committee on Food Additives which met in Geneva, 14-23 April 19751 World Health Organization, Geneva 1975 1 Nineteenth Report of the Joint FAO/WHO Expert Committee on Food Additives, Wld Hlth Org. techn. Rep. Ser., 1975, No. 576; FAO Nutrition Meetings Report Series, 1975, No. 55. The monographs contained in the present volume are also issued by the Food and Agriculture Organization of the United Nations, Rome, as FAO Nutrition Meetings Report Series, No. 55A ISBN 92 4 166008 2 (C) FAO and WHO 1975 MICROCRYSTALLINE CELLULOSE Explanation This substance was evaluated for acceptable daily intake for man by the Joint FAO/WHO Expert Committee on Food Additives (see Annex 1, Refs No. 27 and No. 33) in 1971 and 1973. Since the previous evaluation, additional data have become available and are summarized and discussed in the following monograph. The previously published monographs have been expanded and are reproduced in their entirety below. BIOLOGICAL DATA BIOCHEMICAL ASPECTS Four rats were fed 14C-labelled microcrystalline cellulose at 10 and 20% of their diet. No evidence of degradation or digestion was noted. Faecal recoveries of radioactivity ranged from 96-104% and were complete for all labelled material. No radioactivity appeared in the urine (Baker, 1966). One human subject received 150 g of 14C-labelled microcrystalline cellulose (47.6 µc) in two portions on one day and unlabelled 150 g microcrystalline cellulose daily for the subsequent 10 days. Twenty-four hour faecal and urine collections were examined for radioactivity. No radioactivity appeared in the urine or in the expired CO2. All administered radioactivity was recovered from the faeces within two days (Baker, 1968). Examination of the stools of one male and one female patient given 30 g micro-crystalline cellulose as dry flour or gel for five-and-one-half weeks showed the presence of undegraded material of the same birefringence as the original microcrystalline cellulose administered. No significant effects on the human gastro-intestinal tract were noted during the administration (Tusing et al., 1964). TOXICOLOGICAL STUDIES Special studies on reproduction Rat Groups of eight male and 16 female rats were used to produce a P, F1a, F1b, F2 and F3 generation after having been fed on diets containing 30% of microcrystalline cellulose flour or gel or ordinary cellulose as a control. The presence in the diet of such an amount of non-nutritious material, which contributed no calories had an adverse effect on reproduction. Fertility and numbers of live pups were relatively depressed and lactation performance in all three generations, as well as survival and the physical condition of the pups, were unsatisfactory throughout the study. The new-born pups appeared smaller, weak and showed evidence of disturbed motor coordination. Liver weights were increased in the group receiving microcrystalline cellulose gel in all generations but other organ weights showed no consistent patterns. Gross and histopathology revealed renal changes similar to those seen in the feeding study in females of all generations. Other organs showed no consistent changes. No teratological deformities were seen (Anonymous, 1964). Special studies on teratogenicity Rat Seventy-two test rats (Sprague-Dawley CD) divided into eight groups were fed a mixture of four types of Elceme in the ratio of 1:1:1:1. (Elceme is a microcystalline cellulose, and the four types are identified by particle size, namely, 1-50 µ (powder), 1-100 µ (powder), 1-150 µ (fibrillar), 90-250 µ (granulate)), in the diet at a level of 0, 2.5, 5 or 10% for 10 days, between the sixth and fifteenth day of pregnancy. Rats of four test groups were killed on the twenty- first day of pregnancy and the following parameters studied: number of foetuses and resorption sites, litter size and average weight of rats, average weight of foetuses, average backbone length. Foetuses were also examined for soft tissue of skeletal defects. The remaining groups were allowed to bear young, which were maintained to weaning (21 days). The following parameters were studied: litter size, weight of pup at days seven and 21, as well as a histological study of the offspring. Although there is some suggestion that administration of dietary Elceme resulted in a dose dependent increase in resorption sites, as well as a change in sex ratio, and possible defects such as opaque crystalline lenses, the data has not been presented in a manner which permits a meaningful interpretation. However, the authors conclude that Elceme is non-teratogenic (Ferch, 1973a). Other special studies Rats, pigs and dogs Rats, pigs and dogs were used to study the persorption of microcrystalline cellulose. The animals were not fed 12 hours prior to oral administration of the test compound. Rats, dogs and pigs were given 0.5, 140 and 200 g respectively, of the test compound. Venous blood was taken from the animals one to two hours after administration of the test compound, and examined for particles. Persorbed particles were demonstrated in the blood of all three species. The average maximum diameter for persorbed particles was greater for rats than for dogs and pigs (Pahlke & Friedrich, 1974). Other studies have been carried out to demonstrate the relationship between persorbability and size and consistency of granules. Using quartz sand, the upper limits for persorbability was shown to be 150 µ. Starch granules must be structurally largely intact to possess the property of persorbability. Persorbed starch granules may be eliminated in the urine, pulmonary alveoli, peritoneal cavity, cerebrospinal fluid, via lactating milk and transplancental (Volkheimer et al., 1968). In another study dyed plant foods (oatmeal, creamed corn) were fed to human subjects, and blood and urine examined for coloured fibres. Dyed fibres were shown to be present (Schreiber, 1974). Lycopodium spores and pollen grains have also been shown to be persorbed by humans (Linskens & Jorde, 1974). Acute toxicity Rat Groups of five male rats received a single oral dose, by stomach tube of 10.0, 31.6, 100, 316, 1000 or 3160 mg/kg body weight of a suspension of Cellan 300 (refined alpha-cellulose) in distilled water or Mazola maize oil. The animals were observed for seven days following administration. No differences were observed among the groups as regards the average body weight, appearance and behaviour compared to normal rats. No abnormal histopathological findings were reported in any animals with either formulation. Therefore the acute oral LD50 is >3160 mg/kg (Pallotta, 1959). Similar single doses of refined alpha-cellulose were given intraperitoneally in distilled water suspension to five male rats. During seven days observation there were no abnormalities in the rats given 316 mg/kg or less. At the 1000 and 3160 mg/kg level there was inactivity, laboured respiration and ataxia, 10 minutes after administration and at 3160 mg/kg ptosis and sprawling of the limbs. These animals appeared normal after 24 hours and for the remainder of the observation period. At sacrifice body weights were higher than normal and gross autopsy revealed adhesions between the liver, diaphragm and peritoneal wall and congestion of the kidneys. Masses resembling unabsorbed compound were also observed and these were found to a small extent in the mesentary of the animals administered 316 mg/kg. Histologically all other organs appeared normal. There were no mortalities and therefore the acute intraperitoneal LD50 is >3160 mg/kg body weight (Pallotta, 1959). Short-term studies Rat Groups of four male rats were kept on diets containing 0.25, 2.5 or 25% of various edible celluloses for three months. No differences were observed among the groups with regard to growth and faecal output. Histopathology of the gastro-intestinal tract revealed no treatment-related abnormalities (Frey et al., 1928). Three groups of five male rats received 0.5% or 10% microcrystalline cellulose in their diet for eight weeks. Growth was comparable to controls but the 10% group showed slightly lower body weights. Haematology, serum chemistry and vitamin B1 levels in blood and faeces showed no differences from controls (Anonymous, 1966). A mixture of four types of Elceme (in the ratio of 1:1:1:1) was fed to groups of Wistar rats for 30 days at a dietary level of 50%, and for 90 days at a dietary level of 10% (Elceme is a microcrystalline cellulose, and the four types are identified by particle size, namely, 1-50 µ (powder), 1-100 µ (powder), 1-150 µ (fibrillar), 90-250 µ (granulate)). All test animals were observed for food intake and weight gain. For animals in the 10% group urinalysis, haematologic tests and serum biochemical tests were carried out at weeks six and 13 of the test. A complete autopsy including histopathology was carried out at the end of the study. Animals in the 50% level were subjected to a persorption test, and the last day of the study, by addition of a cellulose staining dye (Remal, Wine-red) to the food of the test animals at a level equivalent to 5% of the Elceme. The animals were sacrificed 24 hours after administration of the diet, and a careful histological examination was made of the gastro-intestinal tract, spleen, liver, kidney and heart for stained particles. Animals in 10% level gained significantly less weight than those in the control group; the marked decrease commenced in the third or fourth week of the study. Food intake was similar in test and control group. Urinalysis, haematologic values and biochemical values for test and control groups were similar for test and control group 1. At autopsy some of the rats on the test died had distended stomachs which often contained considerable amounts of the test diet. The absolute liver and kidney weight and the ratio of the weight of these organs to brain weight was increased in test animals when compared with control animals. No compound related pathology was reported. Animals in the 50% group, showed considerable less weight gain than control animals in spite of a marked increase in food consumption. No persorption of dyed fibres was observed (Ferch, 1973). Long-term studies Rat Three groups of 50 male and 50 female rats received in their diet for 72 weeks either 30% ordinary cellulose or dry microcrystalline cellulose or microcrystalline cellulose gel. Appearance and behaviour was comparable in all groups. No adverse effects were noted. The body weights of males given microcrystalline cellulose gel were higher than those of the controls. Food efficiency, survival and haematology were comparable in all groups. The liver and kidney weights of males receiving microcrystalline cellulose gel were higher than the controls. Gross and histopathology showed some dystrophic calcification of renal tubules in females on microcrystalline cellulose but all other organs appeared unremarkable. Tumour incidence did not differ between the groups (Anonymous, 1963). OBSERVATIONS IN MAN A number of clinical studies using refined cellulose as roughage in the human diet for the treatment of constipation showed no deleterious effects. Groups of 18 children received regular amounts of edible cellulose instead of normal cereal for three months. The only effect noted was an increase in bowel movements but no diarrhoea or other gastro-intestinal disturbances were seen (Frey et al., 1928). Eight male and eight female volunteers supplemented their normal diet with 30 g microcrystalline cellulose per day either as dry powder or gel (15% aqueous) for six weeks followed by two weeks without supplementation. No adverse findings were reported regarding acceptance or body weight but most subjects complained of fullness and mild constipation. Haematology was normal in all subjects. Biochemical blood values showed no differences between treatment and control periods, nor was there evidence of liver or kidney function disturbance. Urinalysis produced normal findings. The faecal flora remained unchanged. The cellulose content of faeces increase five to eight times during the test period. Microscopy revealed the presence of microcrystalline cellulose (Anonymous, 1962). In another study eight healthy males received 30 g microcrystalline cellulose daily as supplement to their diet for 15 days. D-xylose absorption varied between pretest, test and post- test periods being lower during microcrystalline cellulose ingestion. The absorption of I131 triolein was unaffected by microcrystalline cellulose ingestion. No change was noted in the faecal flora nor was there any significant effect on blood chemistry during ingestion of microcrystalline cellulose. Examination of urine, blood and faecal levels of vitamin B1 during microcrystalline cellulose ingestion showed no difference from control periods (Anonymous, 1966). Comments: The human studies including the use of radiolabelled microcrystalline cellulose show complete absence of digestion or absorption. Doses up to 30 g per day appear to be tolerated therapeutically as a bulk laxative. While long-term animal studies reported for microcrystalline cellulose do not permit the establishment of a no-effect level, the adverse effects produced are probably attributable to the inadequacies of a diet containing a large amount of indigestible, non-absorbable, non-caloric material. Detailed studies on the persorption of particulate matter suggest that infinitesimally small amounts of ingested microcystalline cellulose may be absorbed, in a manner similar to other naturally occurring plant particulate matter, e.g. cellulosic material. However, any persorbed microcystalline cellulose is likely to be excreted in the urine or bile as has been observed with other particulate matter, and is not likely to accumulate in hazardous amounts in tissues and organs. The general inertness of this material strongly suggests that microcrystalline cellulose is biologically similar to other cellulose derivatives which have already been considered by Joint FAO/WHO Expert Committees on Food Additives and for which ADIs have been established on the basis of long-term studies in several animal species. EVALUATION Acceptable daily intake not specified.* REFERENCES Anonymous (1962) Microcystalline cellulose; oral administration - Human. Unpublished report from Hazleton Labs, Inc. submitted to the World Health Organization by FMC Corporation Anonymous (1963) Long-term nutritional balance study - Rats. Unpublished report from Hazleton Labs, Inc. submitted to the World Health Organization by FMC Corporation Anonymous (1964) Microcystalline cellulose: reproduction study - Rats. Unpublished report from Hazleton Labs, Inc. submitted to the World Health Organization by FMC Corporation * The statement "ADI not specified" means that, on the basis of the available data (toxicological, biochemical, and other), the total daily intake of the substance, arising from its use or uses at the levels necessary to achieve the desired effect and from its acceptable background in food, does not, in the opinion of the Committee, represent a hazard to health. For this reason, and for the reasons stated in individual evaluations, the establishment of an acceptable daily intake (ADI) in mg/kg bw is not deemed necessary. Anonymous (1966) Effect of ingestion of avicel-contained foods on living organisms. Unpublished report from Yoshitoshi Internal Seminar submitted to the World Health Organization by Asahi Chemical Industry Co., Ltd. Baker, E. M. (1966) Microcystalline cellulose: oral administration - Rats. Unpublished report from Fitzsimmons General Hospital submitted to the World Health Organization by FMC Corporation Baker, E. M. (1968) Microcrystalline cellulose: oral administration - Humans. Unpublished report from Fitzsimmons General Hospital submitted to the World Health Organization by FMC Corporation Frey, J. W., Harding, E. R. & Helmbold, T. R. (1928) Dietetic investigations of edible pure cellulose, Med. J. Record, 127, 585-589 Ferch, H. (1973a) Innocuity of Elceme(R). Part I, Pharm. Ind., 35, (9), 578-583 Ferch, H. (1973b) Innocuity of Elceme(R). Part II, Pharm. Ind., 35, (9), 658-661 Linskens, H. F. & Jorde, W. (1974) Persorption of lycopodium spores. and pollen grains, Naturwissenschaften, 61, 35 Pahlke, G. & Friedrich, R. (1974) Persorption of microcystalline cellulose, Naturwissenschaften, 61, 35 Pallotta, A. J. (1959) Acute oral administration - Rats; and acute intraperitoneal administration - Rats, of microcrystalline cellulose. Unpublished report from Hazleton Labs, Inc. submitted to the World Health Organization by FMC Corporation Schreiber, G. (1974) Ingested dyed cellulose in the blood and urine of man, Arch. environ. Health, 29, 39 Tusing, T. W., Paynter, O. E. & Battista, O. A. (1964) Birefringence of plant fibrous cellulose and microcrystalline cellulose in human stools freezer-stored immediately after evacuation, Agric. Fd. Chem., 12, (3), 284-287 Volkheimer, G., Schultz, F. H., Lehmann, H., Aurich, I., Hubner, R., Hubner, M., Hallmayer, A., Munch, H., Opperman, H. & Strauch, S. (1968) Primary portal transport of persorbed starch granules from the intestinal wall, Medicine Experimentalis, 18, 103-108
See Also: Toxicological Abbreviations