RIBOFLAVIN-5'-PHOSPHATE Explanation Riboflavin was evaluated for acceptable daily intake (ADI) by the Joint FAO/WHO Expert Committee on Food Additives in 1970 (see Annex, Ref. 19). A toxicological monograph was published in 1970 (see Annex, Ref. 20). Riboflavin-5'-phosphate has not been previously evaluated. However, since riboflavin-5'-phosphate is rapidly hydrolysed to yield riboflavin after ingestion, and riboflavin and riboflavin-5'-phosphate are in metabolic equilibrium after absorption, the available toxicity data are combined in a single monograph. BIOCHEMICAL DATA BIOLOGICAL ASPECTS Riboflavin is essential for all animals and many microorganisms. Riboflavin-5'-phosphate is the prosthetic group of flavoproteins involved in general cell metabolism as hydrogen acceptors. It occurs naturally throughout the plant and animal kingdom. Riboflavin-5'-phosphate or flavin mononucleotide (FMN) is rapidly dephosphorylated to free riboflavin by incubation with intestinal mucosa or intestinal juice from rats (Christensen, 1969). Lumichrome and lumiflavin were identified as metabolites of riboflavin in the rat (Yang & McCormik, 1967); hydroxyethylflavin, formylmethylflavin and an unknown metabolite were identified as metabolites in male volunteers (West & Owen, 1969). TOXICOLOGICAL STUDIES Special studies on mutagenesis Riboflavin and FMN were found not to be mutagenic to Salmonella typhimurium strains TA-98, TA-100, 1535, 1537 or 1538 or to Saccharomyces cerivisiae strain D4. Both suspension and plate overlay tests were conducted and assays were done with and without mammalian activation systems (Litton Bionetics, 1977a, 1977b). Special studies on reproduction Weanling male and female rats were fed daily doses of 10 mg of riboflavin for 140 days. The animals were mated and normal litters were obtained from the riboflavin and control groups. At three weeks of age the offsprings of the first generation were fed daily with 10 mg of riboflavin. Daily feedings over periods of 140 days were continued for three generations. There were no differences in the development, growth, maturation, reproduction of treated and control animals. Autopsies at the end of the test period did not show any gross changes (Unna & Grislin, 1942). A group of 13 female rats were fed diets containing 100 ppm (0.01%) of riboflavin, for two weeks, and then bred. The diet was maintained during gestation and lactation. Control rats received 4 ppm (0.0004%) of riboflavin in the diet. The number of litters in the high riboflavin group was less than control. The average birth weight, number of young litter, and average weight at weaning was similar for test and control animals. However, there was an apparent decrease in the viability of the offspring in the high riboflavin group as a result of the loss of one litter (Schumacher et al., 1965). In another study group of young female rats (Wistar strain) were fed diets containing 4 or 40 ppm (0.0004 or 0.004%) of riboflavin during pregnancy and lactation. There were no significant differences in the number per litter, mortality or weight gain of offspring, in the groups (Le Clerc, 1974). Acute toxicity LD50 Compound Animal Route (mg/kg bw) Reference Riboflavin Mouse i.p. 340 Kuhn & Boulanger, 1936 Monodiethanolamine salts of FMN Mouse Oral 6 000 Randal, 1950 s.c. 800 Randal, 1950 i.v. 600 Randal, 1950 Rat Oral 10 000 Unna & Greslin, 1942 s.c. 5 000 Unna & Greslin, 1942 i.p. 560 Unna & Greslin, 1942 Dog Oral 2 000 Unna & Greslin, 1942 Sodium Rat Oral 10 000 Unna & Greslin, 1942 riboflavinate s.c. 790 Unna & Greslin, 1942 i.p. 560 Unna & Greslin, 1942 The high oral LD50 in rats is probably due to poor absorption from the gastrointestinal tract and the low solubility of riboflavin. Parenteral administration of 0.6 g/kg bw leads to renal obstruction of pelvis and collecting tubules with crystals of riboflavin and death from renal failure and weight loss (Unna & Geslin, 1942). Short-term studies Rat The monodiethanolamine salt of FMN was fed to groups of 10 weanling female Sprague-Dawley rats five days weekly for 29 weeks at dose levels of 1, 4, 10 and 40 mg daily (approximately 5, 20, 50 and 200 mg/kg bw). No effects on growth or haematology were noted at the 5 or 20 mg/kg levels. At 50 mg/kg there was a slight decrease in haemoglobin concentration. At 200 mg/kg, two rats died and the surviving eight animals showed slight anaemia and decreased weight gain (Randall, 1950). Rabbit Groups of four rabbits received 10 or 100 mg (5 or 50 mg/kg bw) of monodiethanolamine riboflavin by intravenous or intramuscular injection, five days per week for three weeks. One of the rabbits died with evidence of renal damage following seven intravenous injections at 50 mg/kg. No toxic effects were noted after intramuscular injection (Randall, 1951). Dog Four dogs, 10 weeks of age were fed 25 mg/kg of riboflavin daily over a period of five months. Growth was normal and no toxic effects were observed. Autopsies at the end of the test period failed to reveal any macroscopic changes in the organs (Unna & Grislin, 1942). OBSERVATIONS IN MAN When 5-500 mg of the sodium salt of FMN was administered orally to human volunteers an increase in free riboflavin was noted in the plasma and urine. However, absorption seemed to be due to a saturable mechanism since an increase in urinary excretion did not occur at doses greater than 50 mg (Stripp, 1965). Increased absorption of FMN occurs in man if the substance is given with a meal, probably due to increased intestinal transit time. FMN and riboflavin are likely absorbed by a specific transport system in the upper gastrointestinal system. FMN may be dephosphorylated during absorption but then may be rephosphorylated in the mucosa, transported to the liver where it is again dephosphorylated to riboflavin, the form in which it travels in the circulation and is excreted. Enterohepatic recycling of riboflavin may occur (Jusko & Levy, 1967). The recommended daily dietary allowances for man is 0.6 mg/100 Kcal. for persons of all ages engaged in normal activity with a daily supplement of 0.3 mg for pregnant and 0.5 mg for lactating women (U.S. Food & Nutrition Board, 1974). The recommended therapeutic doses for treatment of prevention of riboflavin deficiency are: 1968 BP and 1963 BPC 1965 USP XVII Therapeutic dose 5-10 mg/day 10-15 mg/day Prophylactic dose 1-4 mg/day 2 mg/day Riboflavin has been administered in large doses for the treatment of various clinical conditions. A seven-year-old patient with primary hyperoxaluria was administered 4 g riboflavin/day, for nine days. No toxic effects were reported (Shepard et al., 1960) In another study, 310 patients with psoriasis were administered oral daily doses of 10-60 mg (about 0.1-1.0 mg/kg) riboflavin-5'-phosphate or 20-1000 mg (about 0.3-15 mg/kg) of riboflavin for periods up to 42 months. No adverse effects were reported (Welsh & Ede, 1957). Comments Riboflavin is an essential nutrient in man and occurs widely in plant and animal tissues. Riboflavin-5'-phosphate (FMN) is also naturally occurring. Upon ingestion, FMN appears to be rapidly hydrolysed to riboflavin plus phosphate. Riboflavin and riboflavin-5'- phosphate are in metabolic equilibrium after absorption. Some evidence indicates the absorption of FMN and riboflavin in man may be limited by a saturable mechanism in the gastrointestinal tract. In this monograph, safety data on riboflavin were considered supportive of the safety of FMN. Normal reproduction performance was reported in a three generation study in which rats received approximately 100 times the normal daily requirement. Toxic effects have not been reported in humans fed high levels of riboflavin. EVALUATION Estimate of acceptable daily intake for man (Group ADI for riboflavin and riboflavin-5'-phosphate) 0-0.5 mg/kg (expressed as riboflavin). REFERENCES Christensen, S. (1969) Studies on riboflavin metabolism in the rat. I. Urinary and faecal excretion after oral administration of riboflavin-5'-phosphate, Acta Pharmacol. Toxicol., 27, 37-40 Jusko, W. J. & Levy, G. (1967) Absorption, metabolism, and excretion of riboflavin-5'-phosphate in man, J. Pharm. Sci., 56, 58-62 Le Clerc (1974) Influence de la teneur du regime alimentaire en thiamine, en riboflavine et en vitamine B6 sur la teneur des tissues de la ratte en lactation et des jeunes en ces memes vitamines, Ann. Nutr. Aliment, 23, 111-120 Litton Bionetics, Inc. (1977a) Mutagenicity evaluation of FDA 75-76 riboflavin USP-FCC. Final report, LBI Project No. 2672, Kensington, MD, 44 pp. Litton Bionetics, Inc. (1977b) Mutagenicity evaluation of FDA 75-77 riboflavin-5'-phosphate sodium FDD 00146-17-8. Final report, LBI Project No. 2672, Kensington, MD, 44 pp. Randall, L. O. (1951) Chronic toxicity of mono-diethanolamine salt of riboflavin monophosphoric acid ester dihydrate. Unpublished report of Hoffmann-La Roche, Inc. Submitted in pursuance of Fed. Register 38:28581 (October 15, 1973) in connection with the review of over-the-counter vitamin, mineral and hematinic drug products Randall, L. O. (1950) Toxicity of mono-diethanolamine salt of riboflavin monophosphoric acid ester dihydrate. Unpublished report of Hoffman-La Roche, Inc. Submitted in pursuance of Fed. Register 38:28581 (October 15, 1973) in connection with the review of over-the-counter vitamin, mineral and hematinic drug products Schumacher, M. F., Williams, M. A. & Lyman, R. L. (1965) Effect of high intakes of thiamine, riboflavin and pyridoxine on reproduction in rats and vitamin requirements of the offspring, J. Nutr., 86, 343-349 Shepard, T. H. II et al. (1960) Primary hyperoxaluria. III. Nutritional and Metabolic studies in a patient, Pediatrics, 25, 1008-1017 Stripp, B. (1965) Intestinal absorption of riboflavin by man, Acta. Pharmacol. Toxicol., 22, 353-362 U.S. Food & Nutrition Board, National Research Council (1974) Riboflavin, Recommended dietary allowances, 8th ed. rev., National Academy of Sciences, Washington, D.C., pp. 68-69 Unna, K. & Greslin, J. G. (1942) Studies on the toxicity and pharmacology of riboflavin, J. Pharmacol. Exp. Ther., 76, 75-80 Welsh, A. L. & Ede, M. (1957) An appraisal of the therapeutic effects of riboflavin in psoriasis, Arch Dermatol., 76, 595-600 West, D. W. & Owen, E. C. (1969) The urinary excretion of metabolites of riboflavine by man, Br. J. Nutr., 23, 889-898 Yang, C.-S. & McCormick, D. B. (1967) Degradation and excretion of riboflavin in rats, J. Nutr., 93, 445-453
See Also: Toxicological Abbreviations