TOXICOLOGICAL EVALUATION OF CERTAIN FOOD ADDITIVES WHO FOOD ADDITIVES SERIES 10 The evaluations contained in this document were prepared by the Joint FAO/WHO Expert Committee on Food Additives* Rome, 21-29 April 1976 Food and Agriculture Organization of the United Nations World Health Organization *Twentieth Report of the Joint FAO/WHO Expert Committee on Food Additives, Geneva, 1976, WHO Technical Report Series No. 599, FAO Food and Nutrition Series No. 1. Butanetriols Butanetriols (BT) have been identified as trace contaminants of synthetic glycerol prepared by the hydrogenolysis of carbohydrates. The specific butanetriols identified were 1,2,3-butanetriol and 1,2,4-butanetriol. The 1,2,3-butanetriol in the glycerol consists of erythro and threo isomers in the approximate proportion of 90% of the former to 10% of the latter. Biological Data Biochemical Aspects Young rats (approx. 100 g) were fasted and then administered by oral intubation 50 or 500 mg/kg uniformly labelled glycerine-1,2,3-C14 or 1,2,3-butanetriol-1,2,3,4-C14 (erythro rich) or 1,2,4-butanetriol-1,2,3,4-C14. The polyols were rapidly absorbed from the GI tract, less than 2% of butanetriols, and 5% of glycerine being found in the feces and contents of the GI tract, 12 hr post dosing. 57% and 50% respectively of the small and large dosage of glycerine, and 10% of the 1,2,3-butanetriol and 25-29% of the 1,2,4-butanetriol was recovered in the respired air as C14O2, in a 12 hr period. 12-24 hr post dosing 76-83% of the 1,2,3-butanetriol is excreted into the urine; primarily unchanged; with about 5% converted, possibly to a carboxylic acid derivative. The butanetriol not eliminated in the urine enters the general metabolic pool. About 56-68% of this was oxidized and respired as 14CO2. The remaining 14C was randomly distributed throughout all the tissues in a manner similar to that observed with the residual 14C from glycerol. 1,2,4-butanetriol is metabolized in a similar manner, 59-67% of the administered 14C being excreted in the urine in 24 hr. The major part being excreted in the first 12 hr post dosing. The active material in the urine is mainly unchanged. 1,2,4-butanetriol (ca 92%) and a carbosylic acid derivative. The butanetriol not eliminated enters the general metabolic pool. About 75-78% of this was oxidized and respired as 14CO2. The remaining 14C was randomly distributed throughout all the tissues in a manner similar to that observed with the residual 14C from glycerol (Atlas, 1961). Mice (body wt 20 g) were put into hypoglycemic shock by injection of insulin. They were then injected intraperitoneally with either 2 g/kg body weight of glycine or 1,2,3-butanetriol or 1,2,4-butanetriol or glucose (1.875 g/kg). Rapid recovery occurred with glycerine or glucose, but much longer periods were required for recovery, when the butanetriols were administered (Atlas, 1961). Acute Toxicity LD50 Compound Animal Route (g/kg Reference body wt) 1,2,3-BT(91.5% erythro) Rat Oral 14.5 Atlas Chem. (8.4% threo) (female) (9.68-21.7) Co., 1961 1,2,3-BT(94.4% erythro) Rat (male) Oral 18.5 " (5.5% threo) (13.6-25.3) 1,2,3-BT(92.2% threo) Rat Oral 23.8 " (7.6% erythro) (female) (19.8-28.7) 1,2,3-BT(95% threo) Rat (male) Oral 24.9 " (4.4% erythro) (21.1-29.4) 1,2,4-BT(99.8%) Rat Oral 18.6 " (female) (16.1-21.5) 1,2,4-BT(99.7%) Rat (male) Oral 24.4 " (20.1-29.7) REFERENCES Anderson, R. C., Harris, P. N. & Chen, K. K. (1959) J. Am. Pharm. Assoc., 39, 583 Atlas Chemical Ind. (1961) Unpublished data submitted to the U.S.F.D.A. Atlas Chemical Industry, Inc. (1969) Report No. BMRD-65, Unpublished data submitted to the U.S.F.D.A. Chambers, W. H. & Deuel, H. J. (1925) J. Biol. Chem., 65, 21 Deichmann, W. (1941) Ind. Med. 10, Ind. Hy. Sect. 2:5 Gidez, L. I. & Karnovsky (1954) J. Biol. Chem., 206, 229 Guerrant, N. B., Whitlock, G. P., Wolff, M. L. & Dutcher, R. A. (1947) Bull. Natl. Form Comm., 15, 205 Hine, C. H., Anderson, H. H., Moon, H. O., Dunlop, M. K. & Morse, M. S. (1953) Arch. Ind. Hyg. & Occ. Med., 7, 282 Johnson, V., Carlson, A. J. & Johnson, A. (1933) Am. J. Physiol., 103, 517 Johnson, J. D., Hurwitz, R. & Kretchmer (1971) J. Nutr., 101, 299 Kopf, R., Loeser, A. & Meyer, G. (1951) Arch. Exper. Path. u Pharmakol., 212, 405 Smyth, H. F., Seaton, J. & Fisher, L. (1941) J. Ind. Hyg. & Tox., 23, 259 Spector, W. (1956) Handbook of Toxicology, Acute Toxicities, Volume 1, pp. 90 and 204 Wegener, H. (1953) Arch. Exper. Path. u Pharmakol., 220, 414 DL-, and L-menthol Explanation DL-, and L-menthol were evaluated for acceptable daily intake for man in 1967 (see Ref. No. 15, p. 58) when an unconditional acceptance of 0-0.2 mg/kg bw and a conditional acceptance of 0.2-2 mg/kg bw were recommended. On the recommendation that allocations of conditional ADIs should be abandoned (Ref. 32, p. 11), the conditional ADI for menthol was eliminated and an ADI of 0-0.2 mg/kg bw was established (Ref. 34, p. 14). Further data have become available and are summarized below. Previously published monograph has been thus expanded. BIOLOGICAL DATA Biochemical aspects In the dog, 5% of orally administered menthol metabolizes to 1-menthyl-5-glucuronide (Williams, 1959). For other animals, the reported proportions vary. In the rabbit, the larger the ingested dose, the less conjugation (Quick, 1924). Other workers reported 31-34% glucuronide excretion in rats after oral or continuous i.v. dosing (Herken, 1961). Rabbits are said to eliminate 48% of 1-menthol and 59% of dl-menthol as glucuronide (Williams, 1938). Menthol is absorbed percutaneously, and exerts a local anaesthetic action in mice (Macht, 1939). Between 40.1% and 98.7% of a 1.56 g oral dose of menthol, administered as an oil in water emulsion, was excreted as glucuronides in urine in 24 hours by 19 normal men aged 19-24 (Bolund et al., 1967). The ß-glucuronidase activity of liver, kidney and spleen was increased following the oral administration of 20 mg menthol/mouse 3 times daily for 4 days and twice on the 5th day, the animals being killed 3 hours after the last dose (Fishman, 1940). TOXICOLOGICAL STUDIES Special studies on carcinogenicity Mice Groups of 30 female A/He strain mice received I.P. injections of menthol dissolved in tricaprylin at the maximum tolerated dose level (the maximum dose level tolerated after receiving 6 I.P. injections over a 2-week period), and one quarter this dose level, 3 times weekly, for 8 weeks. A group of 24 control female mice received a similar number of injections of tricaprylin. All animals which survived treatment were killed after 24 weeks and the numbers of pulmonary adenomas counted. No increase in incidence of adenomas was found in the test groups which had received a total of 2.0 or 0.5 g menthol/kg mouse. With the same test system, urethane (total dose 10 or 20 mg) and several alkylating agents induced a marked increase in the incidence of pulmonary adenomas, but other substances shown to be carcinogenic in other test systems, e.g. safrole, produced no increase (Stoner et al., 1973). Special studies on mutagenicity No evidence was obtained that natural menthol was mutagenic when examined extensively in bacteria, in host mediated assays using bacteria and saccharomyces as indicators, in in vitro and in vivo cytogenic studies and by the host mediated assay (Weir and Brusick, 1975). Special studies on pharmacological effects Menthol stimulated the ciliary activity of frogs oesophagus; its action was not blocked by atropine treatment (Das et al., 1970). No effect on the activity of isolated rabbit intestine was found when the concentration of menthol in bath fluid was 0.01%. A 0.03% solution depressed contractions and at a 1.5% concentration the intestinal motility was completely arrested (Chiu, 1972). A depressive action directly on the muscle of isolated frog and rabbit heart was noted with menthol (Heathcote, 1922). A dose of 0.25 mg/kg of menthol in propylene glycol given intravenously produced a fall of blood pressure in anaesthetized cats and rabbits (Rakieten and Rakieten, 1957). A concentration of 0.4-400 µg/ml menthol reduced the taste threshold of human subjects by 20-63% (Skouby and Zilstorff-Pedersen, 1955). Stimulation of bile flow following oral administration of menthol is well documented (Möersdorf, 1966; Förster and Oettel, 1954). Acute toxicity LD50 References Animal Route (mg/kg body-weight) (a) l-menthol Mouse s.c. 5000-6000 Flury, 1920 i.p. 2000 (LD) Macht, 1939 Rat oral 3300 Herken, 1961 s.c. 1000-2500 Flury, 1920 i.p. 710 Herken, 1961 1500 (LD) Macht, 1939 Guinea-pig i.p. 4000 (LD) Macht, 1939 Cat oral 800-1000 Flury, 1920 i.p. 800-1000 Flury, 1920 i.v. 34 (LD) Macht, 1939 Rabbit i.p. approx. 2000 Herken, 1961 (b) dl-menthol Mouse s.c. 1400-1600 Flury & Seel, 1926 Rat oral 2900 Herken, 1961 3180 Jenner et al., 1964 i.p. 750 Herken, 1961 Cat oral 1500-1600 Flnry & Seel, i926 i.p. 1500-1600 Flury & Seel, 1926 Rabbit i.p. approx. 2000 Herken, 1961 Short-term studies Rat Groups of 40 male and 40 female rats received 0, 100 and 200 mg/kg body-weight of either l- or dl-menthol in their diet for 5-1/2 weeks. There was no adverse effect on weight gain, excretion of glucuronide, water and electrolytes, nor interference with CNS reactions to cardrazol or electric shock, or on i.v. hexobarbital sleeping time as compared with controls (Herken, 1961). Long-term studies None available. Observations in man Smoking 80 mentholated cigarettes resulted in irritability, gastrointestinal upsets, tremors, ataxia, bradycardia and toxic psychosis. Taking 64 mg of menthol three times a day produced tiredness and apathy within 3 days and nausea, exhaustion and bradycardia in 7 days (Luke, 1962). Chronic urticaria with basophil leucopenia on challenge has been reported after contact with menthol in toothpaste, mentholated cigarettes, peppermint sweets, etc. (Papa & Shelley, 1964; McGowan, 1966). Of 877 persons with primary contact, atopic, nummular and stasis dermatitis and exzema, 1% developed a positive reaction (erythema and infiltration) to patches of 5% menthol in yellow paraffin within 96 hours. This reaction rate was approximately one-fifteenth, one-fifth and two-fifths the reaction rate respectively to paraphenylene diamine, nickel sulfate and lanolin with salicylic acid (Rudzki and Kleniewska, 1970). The usual human oral dose is 60-120 mg. The probable lethal dose for man is 50-500 mg/kg B.W. (Gleason et al., 1969). Comments Evidence from human studies suggest that menthol is well absorbed from the gut. A large proportion is excreted in urine as glucuronides but the metabolic fate of the remainder has not been elucidated. No long-term studies have been carried out but a 24 week lung adenoma study and extensive mutagenicity studies gave negative results. The results of one study suggested that adverse effects may occur in man ingesting about 2 mg menthol/kg/day. Other evidence from human exposure shows that adverse effects are unlikely to occur when 0.2 mg menthol/kg/day is ingested. The Committee agreed, however, that further information on human menthol intake from food and medicines and, if possible, observations on a group of people with a higher than average intake would need to be carried out if any increase in the ADI is to be contemplated. Evaluation Level causing no toxicological effect: Rat: 200 mg/kg/body weight of dl- or l-menthol Estimate of acceptable daily intake for man: 0-0.2 mg/kg BW Work desirable 1. Long-term toxicity and carcinogenicity study in rats. 2. Information on the average and maximum likely intakes of menthol. 3. Clinical observation of subjects with a higher than average intake of menthol. 4. Metabolic studies. REFERENCES Bolund, S., Falus, F. and Jorgensen, K. (1967) Scand. J. clin. Lab. Invest., 11, 288 Chiu, Y. Y. (1972) Shikoku Acta Med., 6, 35 Das, P. K., Rathor, R. S., Sinha, P.S. and Sanyal, A. K. (1970) Indian J. Physiol. Pharmacol., 14, 257 Fishman, W. H. (1940) J. Biol. Chem., 136, 229 Flury, F. (1920) Abderhalden's Handbuch der Biologischen Arbeits- methoden, 39, 1365 Flury, F. and Seel, H. (1926) Synthetishes Menthol Muench. Mediz. Wochenschr., 48, 2011-2012 Förster, W. and Oettel, H. (1954) Naunyn-Schmiedebergs Arch. Exptl. Pathol. Pharmakol., 222, 244 Gleason, M. N., Gosselin, R. E., Hodge, H. C. and Smith, R. P. (1969) Clinical toxicology of commercial products, 3rd ed., The Williams and Wilkins Co., Philadelphia Heathcote, R. St. A. (1922) J. Pharm. and Exp. Therapeutics, 21, 177 Herken, H. (1961) Pharmakologisches Gutachten über die Vertraglichkeit von natürlichem (l-) und synthetischem (d,l-) Menthol. Unpublished report from the Director, Pharmakologischen Institute der Freien Universität, Berlin-Duhlem, submitted to the World Health Organization by Schering, A. G. Jenner, P.M., Hagan, E. C., Taylor, J. M., Cook, E. L. and Fitzhugh, O. G. (1964) Fd. Cosmed. Toxicol., 2, 327 Luke, E. (1962) Lancet, i, 110 Macht, D. I. (1939) Arch. Int. Pharmacodyn., 63, 43 McGowan, E. M. (1966) Arch. Derm., 94, 62 Möerdorf, K. (1966) Chim. Ther., 1966(7), 442 Papa, M. and Shelley, W. B. (1964) J. Amer. med. Ass., 189, 546 Quick, A. J. (1924) J. Biol. Chem., 61, 679 Rakieten, N. and Rakieten, M. (1957) J. Am. Pharm. Assoc., 46, 82 Rudzki, E. and Kleniewska, D. (1970) Br. J. Derm., 83, 543 Skouby, A. P. and Zilstorff-Pedersen, K. (1955) Acta Physiol. Scand., 34, 250 Stoner, G. D., Shimkin, M. B., Kniazeff, A. J., Weisburger, J. H., Weisburger, E. K. and Gori, G. B. (1973) Cancer Research., 33, 3069 Weir, R. J. and Brusick, D. (1975) Mutagenic evaluation of compound FDA 71-57, Menthol. Unpublished report from Litton Bionetics, Inc., Kensington, Md., USA, submitted to the World Health Organization by the U.S. Food and Drug Administration Williams, R. T. (1938) Biochem. J., 32, 1849-185 Williams, R. T. (1959) Detoxication Mechanisms, Second Edition, Chapman Hall, London
See Also: Toxicological Abbreviations Menthol (WHO Food Additives Series 42) MENTHOL (JECFA Evaluation)