TIN AND STANNOUS CHLORIDE Explanation Tin was previously evaluated for tolerable intake for man by the Joint FAO/WHO Expert Committee on Food Additives in 1966, 1970, 1971, 1975 and 1978 (see Annex I, Refs. 12, 22, 26, 37 and 48). Toxicological monographs were prepared in 1971 and 1978 (see Annex I, Refs. 27 and 49). Since the previous evaluation, additional data have become available and are summarized and discussed in the following monograph. The previously published monograph has been expanded and is reproduced in its entirety below. Introduction To date the role of tin as an essential trace metal has not been firmly established although there is some evidence that it may be essential in the rat. Concentrations of tin in most foods are usually less than 1 part per million (ppm), whereas in canned foods, especially those with an acidic pH, considerably higher levels, e.g., 100-500 ppm (0.01-0.05%) or more may be found. Various estimates of dietary tin intake have been reported ranging from about 200 µg/day (Hamilton et al., 1972) to 5.8-8.8 mg/day (Tipton et al., 1969). BIOLOGICAL DATA BIOCHEMICAL ASPECTS Absorption, distribution and excretion Results from a number of studies in both humans and several animal species show that ingested inorganic tin is poorly absorbed and is excreted mainly in the faeces with additional slow elimination in the urine (Browning, 1969). Administration of 2 mg tin daily to rats in their drinking-water was followed by 99% excretion in the faeces (Flinn & Inouye, 1928). More than 90% of tin tartrate was excreted in the faeces (Schryver, 1909). Three rats given fruit juice containing 540 ppm (0.054%) tin at dosages of 5.4 mg tin/rat excreted 99% of the ingested tin in their faeces but none in their urine. Only minute traces remained in the body after 7-36 days (Benoy et al., 1971). Ninety-six per cent. of a single oral dose of 12 mg tin citrate administered to 6 rats was recovered from their faeces, none appearing in the urine. Groups of 2-5 cats ingesting fruit juice containing 730-2000 ppm (0.073-0.2%) tin (3.65-20 mg tin/kg bw) did not excrete any tin in their urine (Benoy et al., 1971). The effect of anion complement and oxidation state on gastrointestinal absorption of inorganic tin in the rat was studied by Hiles (1974). Following a 24-hour fast, 200-225 g rats were given (per os) a single 20 mg Sn/kg bw dose of Sn(+2)-citrate, -fluoride or -pyrophosphate or Sn(+4)-citrate or -fluoride. Changing the anion complement from the citrate to the fluoride did not alter the biological fate of either valency form, while approximately 2.85% and 0.64%, respectively, of the Sn+2 and Sn+4 were absorbed. Within 48 hours post-dosing, Hiles reported that about 50% of the absorbed tin was excreted. When expressed as a percentage of the administered dose, tissue distributions for Sn+2 and Sn+4, respectively, were skeleton, 1.02 and 0.24%; liver, 0.08 and 0.02%; and kidneys, 0.09 and 0.02%. With pyrophosphate as the anion, absorption of Sn+2 was significantly lower than with the citrate or fluoride, an observation which Hiles ascribed to the greater tendency of pyrophosphate to form insoluble complexes with tin as compared to the citrate or fluoride. In a more recent study, Fritsch et al., (1976) also reported that gastrointestinal absorption of tin by the rat is extremely low. In that study, groups of 8 male rats weighing approximately 250 g were fasted for 17 hours after which a 50 mg/kg bw dose of Sn113Cl2 (0.5 µCi/mg tin) was administered by gavage in either: (1) water; (2) sucrose at 5 g/kg bw; (3) ascorbic acid at 0.5 g/kg bw; (4) potassium nitrate at 0.1 g/kg bw; (5) a mixture of all 3 compounds; (6) 20% alcohol solution; (7) a solution of albumin at 2.5 g/kg bw; or (8) 1:1 (v/v) sunflower oil - 1% Tween 20 emulsion at 10 ml/kg bw. Rats were placed in metabolic cages, fasted for another 6 hours and then received a basal diet ad libitum. Urine and faeces were collected from 0 to 24 and 24 to 48 hours. Animals were then sacrificed and excreta and selected organs and tissues analysed for radioactivity. In all groups, 90-99% of the administered dose was excreted in the faeces within 48 hours. Only traces of Sn113 were detected in the urine and the organs and tissues examined. The possible relationship between the degree of solubility of inorganic tin compounds and their absorption from the gut has been studied by a number of investigators. Goss (1917a,b) showed that a large portion (37-82%) of the tin in a variety of canned vegetables and fruits (beets, beans, tomatoes, cherries, etc.) existed as insoluble (non-dialysable) complexes which were resistant to simulated gastric digestion. Heintzke (1959, 1960) reported that tin in canned products is most likely chelated by polyphenolic compounds and proteins of the solid portion of canned fruits and vegetables. More recently, Debost & Cheftel (1979) studied the distribution of tin in green beans from detinned cans and in tin-free green bean purée incubated under nitrogen with stannous citrate. Results indicated that stannous ions were strongly bound to insoluble bean constituents other than by electrostatic attraction or physical adsorption. In such a complex form, tin is rather resistant to liberation as free tin ions by the action of gastrointestinal secretions (Horio et al., 1970). However, the presence of nitrate in canned products has been shown to increase the amount of tin being dissolved from the container (Horio et al., 1967; Cheftel, 1967). Tin is widely distributed in tissues following parenteral injection, especially in the liver and spleen where it deposits in the reticuloendothial system (RES), most of it being excreted eventually in the urine and a limited amount in the bile (Barnes & Stoner, 1959). Hiles (1974) has suggested that the liver utilizes both the RES and the biliary system to remove systemic Sn+2 and only the RES for Sn+4 removal. Tin tends to be retained in the tongue, liver, kidneys, bones and least in the brain, while rats and rabbits accumulate both inorganic and organic tin in their skin and keratinized appendages (Browning, 1969; Benoy et al., 1971). Twenty mice and 6 rats received 50 mg/kg bw tin citrate s.c., without tin appearing in the urine or faeces. Five mice injected s.c. with 2 mg tin citrate showed only traces in the kidney after 18 hours, the bulk remaining at the injection site. Groups of 10 or 20 mice injected s.c. or i.v. with 0.1 or 0.2 ml of 1% tin citrate excreted no tin in their urine or faeces. Tin solutions of up to 9950 ppm (0.995%) had no effect on the peristaltic reflex of isolated guinea-pig ileum (Benoy et al., 1971). Based on studies such as those by Theuer et al. (1971) and Hiles (1974), it is generally accepted that only trace amounts of inorganic tin will cross the placental barrier and that this placental transfer is of little toxicological significance. A contradiction to this may be found in a recent report by Chmielnicka et al. (1981), in which the authors refer to unpublished data from their laboratory clearly demonstrating that tin penetrates the placental barrier in the rat. The authors state that "considerable concentrations of this metal were noted in embryos of rats exposed to SnCl2". Metabolism The biological turnover of tin in tissues and organs has been studied by a number of investigators. In the rat, a half-life of between 34-40 days was estimated (Hiles, 1974) for inorganic tin in bone (femur), while half-lives of 85 and 50 days were reported for tin in liver and spleen, respectively (Marciniak, 1981). Using whole body counter methodology, Brown et al. (1977) determined a biological half- life of approximately 30 days for inorganic tin in the mouse. TOXICOLOGICAL STUDIES Special studies on the bioalkylation of tin Concern for the possible bioalkylation of tin can be found in a number of reports in which the bioalkylation of metals is discussed (Ridley et al., 1977; Wood et al., 1978, 1979). In 1978, Dizikes et al. reported on a mechanism by which inorganic tin could be bioalkylated via reductive cobalt-carbon bond cleavage of alkylcobalamins (e.g., methyl- and ethylcobalamin). Although such reactions have not been reported in humans it is of interest to note that Braman & Tompkins (1979) reported finding trace levels of monomethyl and dimethyltin in urine specimens from humans with no known exposure to either alkyl tin compound. Special studies on carcinogenicity Mouse Groups of mice received 1000 or 5000 ppm (0.1 or 0.5%) tin as sodium chlorostannate in drinking-water or 5000 ppm (0.5%) tin as stannous oleate in their diet for a 1-year period. Upon terminal sacrifice a lower incidence of malignant lymphoma, hepatoma and pulmonary adenoma was observed in the tin-exposed animals when compared to controls. No other toxic effects were found (Walters & Roe, 1965). Rat Chronic studies were conducted with rats fed diets containing no added tin (control), 2% sodium chlorostannate or 1% and then 0.5% stannous 2-ethyl hexoate. Out of 30 rats (13 male, 17 female) that survived for a year or more on the 2% chlorostannate diet, 3 malignant tumours (1 an adenocarcinoma of mammary origin, 1 a pleomorphic sarcoma in the uterus and 1 an adenocarcinoma in the region of the jaw) were observed on terminal sacrifice. No neoplastic changes were seen in the rats (11 male, 16 female) receiving the stannous 2-ethyl hexoate diet or in control animals (16 male, 17 female). While the appearance of 3 tumours in the chlorostannate group was believed to be of a spontaneous nature and not in all probability of significance the investigators cautioned that further experimentation with more animals in each treatment group would be needed to resolve this matter (Roe et al., 1965). Gross and histological examinations were made on organs and tissues from male and female rats following long-term retention of i.v. injected stannic oxide. One to 4 injections were made over a period of several weeks, with each injection delivering 250, 500, 750 or 1000 mg of tin oxide/kg bw. The rats survived 4-26 months after injection with a mean survival time of 10 months. A total of 25 treated and 13 untreated rats were examined. There was no evidence of fibrosis or neoplasia, or any reaction other than phagocytosis and storage of the stannic oxide in the mononuclear cells of the reticuloendothelial system (Fischer & Zimmerman, 1969). Rabbit and dog Male and female rabbits were given 1-5 injections (i.v.) of tin oxide each at a dose of 250 mg/kg bw. Post-treatment survival ranged from 6 to 26 months with a mean survival time of 19 months. Gross and microscopic examination was made on tissues from 9 treated and 4 untreated animals. Three mongrel dogs received (i.v.) doses of stannic oxide similar to those given to rabbits. The dogs were sacrificed 4-5 years later and tissues removed for examination. There was no evidence of fibrosis or neoplastic change in any tin-containing tissue from either the rabbit or dog. As in the rat, there was noticeable phagocytosis and storage of tin in the reticuloendothelial system (Fischer & Zimmerman, 1969). Special studies on the essentiality of tin Tin is present in small amounts in all human and animal organs. The body of normal adult humans contains about 352 mg. Prior to the studies of Schwarz et al. (1970), concern for tin focused mainly on its potential toxicity in animals and humans. Under rigorous experimental conditions, Schwarz and co-workers were able to demonstrate enhanced growth in rats fed purified, tin-free diets supplemented with 1-2 ppm (0.0001-0.0002%) tin. While a number of tin compounds were effective, the greatest increase in growth, e.g., 53-59% above controls, was observed when stannic sulfate (Sn(SO4)2.2H2O) was used as the source of tin. Schwarz (1974) postulated that tin may serve as the active site of metalloenzymes (unspecified) involved in various physiological oxidation-reduction reactions. Until further studies are conducted with other species and in other laboratories, it remains uncertain whether tin plays any essential physiological role in the body. Special studies on interaction with "essential" dietary elements Little is known about the biochemistry involved in the metabolism of inorganic tin in the body or the exact mechanisms by which this element affects physiological processes. It is known, however, that tin interacts with a number of trace elements, many of which have vital functions in the body. For example, during a life-time study, approximately 500 rats of both sexes were offered a diet containing 0.28 ppm (0.000028%) tin and "doubly deionized" drinking-water supplemented with 5 ppm (0.0005%) tin, as stannous chloride (Schroeder & Nason, 1976). Post-morten analyses were conducted for a number of elements in the liver, lung, heart, kidneys and spleen. Compared to controls, 5 ppm (0.0005%) tin was shown to significantly increase liver copper (P < 0.005) and zinc (P < 0.001). At considerably higher dietary tin levels, e.g., 206 ppm (0.0206%) (as stannous chloride), liver copper and zinc concentrations in the rat were significantly lower (P < 0.05) when compared with control animals receiving 1 ppm (0.0001%) dietary tin at the end of a 21-day feeding period (Greger & Johnson, 1981). The test animals also had higher (P < 0.05) concentrations of iron in their livers, while lower (P < 0.05) levels of zinc and higher (P < 0.05) levels of tin were found in their tibias and kidneys. Chmielnicka et al. (1981) also reported "considerable disturbances" in zinc and copper metabolism due to tin in the rat. Following a total of 7 s.c. injections of a stannous chloride solution at a dose of 2 mg Sn/kg bw, administered every other day, a 3-fold increase was observed in liver zinc in test animals when compared to control rats. While not significant, there were clear reductions in the zinc concentrations in kidneys and heart tissues with significant (P < 0.01) decreases in zinc levels in the lungs, spleen and brain of test animals. The test animals also showed increased (P < 0.01) concentrations of copper in their livers but a significant (P < 0.01) decrease in blood and brain copper levels. In addition to its effects on copper, zinc and iron metabolism, tin has also been shown to interact with calcium. Yamaguchi et al. (1979) demonstrated an inhibitory effect of tin on the intestinal absorption of calcium in rats orally dosed with stannous chloride (30 mg Sn/kg bw, every 12 hours) during a 3-day period. There was a significant (P < 0.01) increase in the tin content of the duodenal mucosa in treated animals from 4.7 ± 0.27 to 11.5 ± 0.80 ppm (0.00047 ± 0.000027 to 0.00115 ± 0.00008%), while calcium content decreased from 37.7 ± 9.46 to 13.5 ± 1.39 ppm (0.00377 ± 0.000946 to 0.00135 ± 0.000139%). Calcium-binding activity as well as alkaline phosphatase activity of the mucosa were also depressed (P < 0.01) in the treated animals. These results were interpreted as evidence of an inhibitory effect of tin on active transport of calcium in the duodenum. An effect of tin on serum and kidney calcium concentrations in the rat has also been reported (Yamamoto et al., 1976; Yamaguchi et al., 1977). Male rats, each weighing about 120 g, received single i.p. injections of tin as stannous or stannic chloride at dose levels ranging from 2.5 to 30 mg Sn/kg bw. Calcium concentration in the kidneys of treated rats increased in a dose-dependent manner with most of the increase occurring in the renal cortex. This accumulation of calcium in the kidneys was associated with a significant, dose-related decrease in serum calcium levels. The valency form in which the tin was administered did not have a significant effect on the results (Yamamoto et al., 1976). By gavaging male rats with 30 mg Sn/kg bw at 12-hour intervals for 3 or 10 days, Yamaguchi (1980) also demonstrated increased renal calcium concentrations with concurrent reductions in serum calcium. Femoral calcium levels also fell while pancreas calcium content was increased. Yamaguchi et al. (1977) proposed that the observed increase in renal calcium levels in rats dosed with inorganic tin is due to increased synthesis of a calcium-binding protein in the renal cortex, which according to Pitorowski & Szymanska (1976) is not metallothionein. In addition to the interactions, discussed above, tin may well interact with a number of other essential elements as well as toxic metals such as lead. The latter has been postulated by Vander et al. (1979) based on an "in vitro" study on lead transport by renal cortical and medullary tissues which indicated a shared renal transport pathway between lead and tin. Confirmation of the competition between these 2 elements awaits further study. Tin metal itself, taken orally, is practically innocuous but inhaled dust or fumes may cause benign symptomless pneumoconiosis. The inorganic salts are caustic and of variable toxicity. On the other hand, some alkyl and aryl derivatives are highly toxic. Inorganic tin compounds and mixed colloidal tin and tin stearate have been used as antistaphylococcal and anthelminthic agents (Kolmer et al., 1931). Oral administration of 45 mg tin/kg bw was shown to induce vomiting and diarrhoea in cats (Omori, 1966). In subsequent studies with adult cats weighing 1.7-2.9 kg, Omori et al. (1973) reported that administration of 10 ml/kg bw of orange juice containing 472 ppm (0.0472%) tin resulted in vomiting in about 80% of the cats examined. Oral administration of a tin complex prepared from stannic chloride and sodium citrate was found to induce severe salivation and emesis in all test animals at tin concentrations of 9 mg/kg bw or more. Benoy et al. (1971) reported no adverse effects in pigeons orally dosed with 1.5-3.0 mg tin/kg bw in fruit juice or in groups of 6 rats after single oral doses (5.4 mg tin/rat) of tin-containing fruit juices or 24-hour ad libitum ingestion of beverage at 65-190 mg tin/kg bw or tin citrate at 36-300 mg tin/kg bw. Cats receiving stannous citrate by gavage at a rate of 9 mg/kg bw showed salivation, vomiting and diarrhoea, but no acute effects at neutral pH (Cheftel, 1967). Groups of 11 cats received single doses of fruit beverages at 2.5-20 mg tin/kg bw. Vomiting occurred at rates of 5.4 or more mg tin/kg bw. Rabbits receiving a daily oral dose of 1 g stannous acetate or tartrate daily for 10 days died in 37-43 days (Cheftel, 1967). Groups of 4 dogs received single doses of beverages at rates of 2.5 to 14 mg tin/kg bw or solid foods at rates of 4.5-8.0 mg tin/kg bw without vomiting or showing signs of toxicity (Benoy et al., 1971). The acute toxicity of sodium pentafluorostannite in mice and rats was investigated by Conine et al. (1975). The oral LD50 values for male mice and rats, under fed conditions, were 592.9 mg/kg bw and 573.1 mg/kg bw, respectively. Following a 16-18-hour fasting period, the oral LD50 doses for male and female rats were 223.1 mg/kg bw and 218.7 mg/kg bw, respectively. Symptoms accompanying toxic doses included ataxia, depression and muscular weakness. Acute toxicity LD50 Compound Animal Route (mg/kg bw) Reference Sodium tin citrate Mouse Oral 2 700 Ministry of Health and Welfare, Japan, 1969 Tin-citric acid Mouse Oral 2 700 Omori et al., 1973 complex (29.5% Sn) (male) Sodium Mouse Oral 593 Conine et al., 1975 pentafluorostannite (male) (66.8% Sn) Rat Oral 219 Conine et al., 1975 (fasted, female) Rat Oral 223 Conine et al., 1975 (fasted, male) Rat Oral 573 Conine et al., 1975 (fed, male) Short-term studies Rat Groups of rats were fed diets containing 0 (control), 0.03, 0.1, 0.3 or 1.0% of various salts or oxides of tin for 28 days. Parameters studied included mortality, appearance and behaviour, food intake, body weight change, blood and urine chemistries, organ weights and gross as well as micropathology of tissues. There were no adverse changes in any of these parameters in rats fed stannous sulfide, stannous oleate or stannous or stannic oxides, even at dietary levels up to 1.0%. The innocuous nature of insoluble tin compounds such as stannous oxide was also readily apparent in a longer-term, 13-week feeding trial. In the case of the more soluble tin salts ingestion of tin for 4 weeks as the chloride, orthophosphate, sulfate, oxalate or tartrate at dietary levels of 0.3% and 1.0%, resulted in depressed food intake, poor growth, anaemia and histological evidence of liver damage (e.g., atypical homogenous liver cell cytoplasm and hyperplasia of the bile duct epithelium) in both male and female rats. The hepatic changes occurred more frequently and to a greater extent in the 1.0% treatment groups, especially in those fed stannous chloride, stannous oxalate or stannous orthophosphate (De Groot et al., 1973a, b). Based on this 4-week study, the authors determined an oral no-effect level for the active tin salts to be 0.1% or about 22-33 mg tin/kg bw per day in diets containing adequate iron. The no-effect level could be lower in those instances where dietary iron levels were marginal. In subsequent studies with the rat, De Groot (1973, 1976) confirmed the greater toxicity of the soluble tin compounds as well as the ameliorating effect of supplemental dietary iron and copper on the activity of such compounds, especially with respect to haematological changes. STANNOUS CHLORIDE BIOLOGICAL DATA BIOCHEMICAL ASPECTS Effects on enzymes and other biochemical parameters A number of non-fatal, acute changes in physiological and biochemical processes due to the administration of stannous chloride have also been reported. A significant, dose-dependent reduction in both volume and total acidity of gastric secretion was observed in male rats following single i.p. injections of 15 or 30 mg tin/kg bw. A concurrent reduction in serum calcium levels was also noted (Yamaguchi et al., 1976, 1978). These investigators suggested that rather than a direct effect on the gastric secretory cells, tin may interfere with the neurological events involved in gastric secretion and/or in the release of gastrin from the G cells of the stomach. In 1976, Kappas & Maines reported on the potential toxicological consequences of tin-induced alterations in tissue enzyme chemistries. Tissue homogenates and microsomal fractions were prepared from various organs removed from freshly killed male rats that 16 hours prior to sacrifice had received single s.c. injections of stannous chloride solution at doses ranging from 5.6 to 56.4 mg/kg bw. A number of parameters of haeme metabolism were examined including delta aminolevulinate (ALA) synthetase, haeme oxygenase, as well as cytochrome P-450 dependent ethylmorphine demethylase and microsomal cytochrome P-450 content. A 3-fold increase in haeme oxygenase activity was observed in the liver as well as a 30% decrease in P-450 mediated drug metabolism and microsomal content of cytochrome P-450. The ALA synthetase activity was not significantly altered. A striking as well as consistent 20-30-fold increase in haeme oxygenase activity was found in renal tissue at a treatment level of 56.4 mg stannous chloride/kg bw, together with a 50% reduction in microsomal content of cytochrome P-450. This effect of tin on renal haeme oxygenase activity was dose related and, even at the lowest test dose of 5.6 mg/kg bw, a 6-fold increase in haeme oxidation activity was noted. Reduced serum calcium levels and linear increases in bile calcium content were observed in rats receiving single oral doses of 10, 30 or 50 mg tin/kg bw. The augmented bile calcium content was not due to any increase in hepatic calcium levels (Yamaguchi & Yamamoto, 1978). In another study, in which rats were orally dosed with 30 mg tin/kg bw every 12 hours for either 3 or 10 days, Yamaguchi (1980) reported significant decreases in serum and femoral calcium levels. After the 10-day dosing period, there were significant increases in renal and pancreatic tissue calcium content, but no change in liver, spleen, heart or lung calcium values. When rats were orally dosed (every 12 hours) for 3 consecutive days with 1, 3, 10 or 30 mg tin/kg bw, dose- related decreases occurred in duodenal alkaline phosphatase and liver phosphorylase activities with significant decreases at the 2 highest doses. Femoral calcium levels were also reduced in a dose-related manner. Under these experimental conditions and based on the observed results, it was suggested that the critical organ in the non-fatal acute toxicity of inorganic tin is bone and that an oral no-effect dose is 3 mg tin/kg bw (Yamaguchi et al., 1980 a,b). The activity of acid phosphatase in the femur of rats was increased by oral administration of stannous chloride solution (Yamaguchi & Okada, 1979). TOXICOLOGICAL STUDIES Special study on the effect of tin on bone strength The effects of tin, as stannous chloride, on the mechanical strength of bone was investigated in the rat during a 4-week study (Ogoshi et al., 1981). Groups of 22-30 male weanling rats were exposed to 0 (controls), 50, 150, 300 or 600 ppm (0, 0.005, 0.015, 0.03 or 0.06%) tin in their drinking-water. The commercial rat chow fed to all animals was found to contain a background level of 52.4 ppm (0.00524%) tin. The compressive strength of the distal epiphysis of the femur was significantly decreased in the 300 and 600 ppm (0.03 and 0.06%) treatment groups. Special studies on carcinogenicity Mouse Male and female mice (54/sex/treatment group) were given 5 ppm (0.0005%) tin, as stannous chloride, in their drinking-water during a life-time study. Growth rates, survival and tumour incidence in the tin-exposed mice were comparable to control animals (Schroeder & Balassa, 1967; Kanisawa & Schroeder, 1967). Groups of male and female B6C3F1 mice were fed test diets containing 0 (control), 1000 or 2000 ppm (0, 0.1 or 0.2%) stannous chloride for a period of 105 weeks (NCI, 1981). Survival, body weight gain and feed intake of the dosed and control animals were comparable during the study. The incidence of female mice with either hepatocellular adenomas or carcinomas showed a significant dose- related trend (controls, 6%; 1000 ppm (0.1%) group, 8%; 2000 ppm (0.2%) group, 16%). However, the highest incidence was within the historical range for female B6C3F1 mice (4-18%) and, thus, was not considered to be related to stannous chloride treatment. A similar situation was also seen with the incidence of histiocytic lymphomas among the female mice. It was concluded that under the conditions of the bioassay, stannous chloride was not carcinogenic for B6C3F1 mice. Rat A 105-week feeding study was conducted with male and female F-344 rats (50/sex/treatment group) maintained on diets containing 0 (control), 1000 or 2000 ppm (0, 0.1 or 0.2%) stannous chloride (NCI, 1981). Daily feed consumption, body weight changes and survival were not significantly different between any treatment group of either sex during the course of the study. Certain tumours, e.g., C-cell adenomas and carcinomas (combined) of the thyroid and adenomas of the lungs in male rats showed positive trends with tin exposure. However, when compared with historical control data for the F-344 rat, it was concluded that the increased incidences observed were within the normal variation for such tumours in aging animals and therefore were unrelated to the administration of stannous chloride. Under the conditions of the experiment, stannous chloride was not carcinogenic for male or female F-344 rats. Special studies on reproduction Rat A multigeneration reproduction study over 3 generations of rats (CPB:WU randomly bred) was carried out using levels of 0 (control), 200, 400 and 800 ppm (0, 0.02, 0.04 and 0.08%) tin in the diet. The stannous chloride was allowed to react in aqueous medium with the casein component of the diet, in order to simulate the form of tin likely to be found in canned food. The iron content of the diets was maintained at 70 ppm (0.007%), but for the F2 generation onwards was increased to 140 ppm (0.014%). A teratogenicity study was carried out with 20 females/group of the F2b generation. Rats from F3b and F3c generations were submitted to clinical and pathological examination. There was no effect on fertility of females, number of young born per litter and body weight. There was a decrease in body weight gain during lactation that was related to the tin content of the diet. The mortality of F2 generation litters during the first 10 days of lactation was higher than controls, but decreased following an increase in iron in the diet. Haematological studies showed that there was a marked decrease in haemoglobin in the pups at weaning age, that was related to the tin content of the diet. After weaning, haemoglobin content returned to normal. Microscopic changes were observed in the liver and spleen in the F3b pups at weaning but were not observed in young at 4 weeks of age. A visceral and skeletal examination of the F2b generation rats did not show any tin-related teratogenic effects. The growth of the parent rats was not adversely affected in any generation (Sinkeldam et al., 1979). Special studies on teratogenicity The teratogenic potential of inorganic tin was evaluated in mice, rats and golden hamsters (FDRL, 1972). Stannous chloride was orally administered in doses of 0 (control), 0.5, 2.3, 11.0 or 50 mg/kg bw for 10 consecutive days (day 6 through 15 of gestation) in pregnant mice and rats and for 5 consecutive days (day 6 through 10) in pregnant hamsters. The administration of up to 50 mg/kg bw of stannous chloride to pregnant mice, rats and hamsters had no apparent effect on nidation or on maternal or foetal survival. The number of abnormalities in either soft or skeletal tissues of foetuses from tin-exposed females did not differ from that occurring spontaneously in the controls. Acute toxicity LD50 LD100 Animal Route (mg/kg bw) (mg/kg bw) Reference Mouse Oral - 40 Le Breton, 1962 Oral 250 - Pelikan et al., 1968 Oral 1 200 - Calvery, 1942 Rat Oral 700 - Calvery, 1942 Oral 2 275a - Conine et al., 1975 Oral 3 190b - Conine et al., 1975 Guinea-pig Oral - 60 Le Breton, 1962 Rabbit Oral - 40 Le Breton, 1962 Oral 10 000 - Eckardt, 1909 a 24-hour LD50 value under 16-18-hour fasted conditions. b 24-hour LD50 value under fed conditions. The acute toxicity of orally administered stannous chloride has been studied in a number of species. As illustrated by the LD50 data above, there can be considerable species-related differences in sensitivity to tin. Even at lower levels of exposure, species differences are apparent. Benoy et al. (1971) found the cat to be more sensitive to oral administration of tin (from canned orange juice) than either the dog or rat. At varying doses of tin from 5.4 to 14 mg/kg bw, only the cat showed noticeable signs of gastrointestinal disturbance. These observations are consistent with those reported by Cheftel (1967) indicating that cats receiving stannous chloride, by gavage, at a rate of 9 mg/kg bw showed excessive salivation as well as vomiting and diarrhoea. In addition to extreme gastrointestinal irritation, fatal oral doses of stannous chloride have been associated with a number of signs of toxicity including anorexia, depression, ataxia and muscular weakness (Conine et al., 1975). A number of alterations in tissue integrity has also been reported including necrosis of the liver and spleen in mice (Pelikan et al., 1968) and mottling, hyperaemia and tubular necrosis of the kidneys in the rat (Conine et al., 1975). Short-term studies Rat Groups of 10 male and 10 female rats were given 0, 0.03, 0.1, 0.3 and 1.0% of stannous chloride in their diet for 4 weeks. No effects were noted on behaviour and general condition. Body weight of both sexes was significantly reduced at the 0.3% and 1.0% levels when compared with controls. Food efficiency was similarly impaired. Of the haematological data only the haemoglobin content of erythrocytes was reduced in both sexes at the 0.3% and 1.0% levels. The relative liver weight was decreased in both sexes at the 1% level, but kidney weight was unaffected. Histopathology revealed proliferation of the bile duct epithelium at the 1% level only. No other abnormalities were detected (De Groot & Feron, 1970). Two groups of young male rats (10 per group) were fed diets containing 0 or 5000 ppm (0 or 0.5%) stannous chloride, equivalent to about 1500 mg/kg bw, for 1 month. Each test animal received, daily, radioactive Sn113Cl2 (2 µCi/day) in an HCl/KCl solution. Control animals received the carrier only. Two additional groups of rats were fed as described for 1 month. These animals were used for histological examination of various organs and tissues. Body weight and food consumption were depressed. Food efficiency, protein efficiency and nitrogen balance were within normal limits. Ninety-nine per cent. of the administered labelled tin was excreted in the faeces and less than 1% in the urine. The radioactivity in the gastrointestinal tract, organs and carcass was negligible. The treated animals developed anaemia characterized by a significant drop in haemoglobin and haematocrit values. Relative weights of the liver, spleen and kidney were increased. Histological examination of the treated animals revealed a marked congestion of the kidney and cortex of the adrenals. There was also congestion and desquamation of the mucosa in the upper gastrointestinal tract from the stomach to ileum (Fritsch et al., 1977a). Groups of 10 male and 10 female rats were fed diets containing 0, 0.03, 0.1, 0.3 or 1.0% stannous chloride during a 90-day study. Animals receiving the 1% diet showed immediate effects within the first 7 days, including gross abdominal distention, minimal to no growth, anorexia and anaemia. By the eighth week, several animals had lost weight and a number had died. This particular group was terminated in the ninth week and upon autopsy various gross pathological conditions were found, including distention of the intestines, small oedematous pancreas and greyish-brown livers. Histopathological evaluations revealed moderate testicular degeneration, severe pancreatic atrophy, a spongy state of the white matter of the brain, acute bronchopneumonia, enteritis and distinct liver changes (atypical homogenous liver cell cytoplasm and mild proliferation of bile duct epithelium). In view of the marked reduction in appetite in the 1% group, it is difficult to assess the exact degree to which tin was responsible for the observed pathological changes. Animals fed the 0.3% diet showed some abdominal distention and loss of appetite during the first 2 weeks of the 90-day study. After the second week, appetite returned to normal as did growth. Significantly lower haemoglobin levels were determined in both sexes between the fourth and ninth week. However, by the end of the study only males on the 0.3% diet had lower (P < 0.05) haemoglobin and haematocrit values. Terminal autopsy and histological evaluations of the 0.3% group showed only minor treatment-related changes in some of the animals of both sexes (e.g., atypical homogenous cytoplasm of the hepatocytes and bile duct epithelial proliferation). There were no treatment-related effects seen in rats fed the 0.03% or 0.1% stannous chloride diets (De Groot et al., 1973a). In another 90-day study, De Groot et al. (1973b) fed male and female rats semi-purified diets containing either 35 or 250 ppm (0.0035 or 0.025%) iron and supplemented with 0, 50, 150, 500 or 2000 ppm (0, 0.005, 0.015, 0.05 or 0.2%) tin as stannous chloride. Growth depression, reduced appetite and food efficiency were observed at the 500 and 2000 ppm (0.05 and 0.2%) tin level in both sexes. Distinct signs of anaemia occurred in animals in the 2000 ppm (0.2%) group, but only transitory decreases in haemoglobin were seen in rats receiving the 500 ppm (0.05%) tin diet. Pancreatic atrophy and histological changes in the liver, kidneys, spleen, testicles and heart were seen in some animals in the highest tin group. In all instances where effects of dietary tin were determined, the degree of severity was usually more pronounced in animals receiving the low iron diets. It was concluded that 150 ppm (0.015%) dietary tin was an oral no-effect level for the rat, an amount that is equivalent to approximately 7.5 mg/kg bw per day. Groups of young male rats (50 g) were fed a basal diet supplemented with 0, 4000 or 8000 ppm (0, 0.4 or 0.8%) (0, 200 or 400 mg/kg bw) stannous chloride for 6 months. During the last 2 weeks of the study, each treated animal received 2 µCi Sn113Cl2 daily by gavage. Control animals received only the HCl/KCl carrier. Three additional groups, each consisting of 5 rats, were fed as above and were used for histological examination. Body weights of the treated animals were depressed. Food consumption was decreased during the first 8 weeks of the study. The peri-epididymal fat tissue, haemoglobin, haematocrit and serum iron were decreased in both test groups. Relative weights of the testes, heart and brain in the low level group and spleen, adrenals, kidney, testes, seminal vesicles, heart and brain in the high-dose group were increased. Histological examination revealed a marked atrophy of the exocrine pancreas, as well as interstitial oedema in the kidneys and adrenals. The gastrointestinal tract, from the stomach to lower ileum, showed signs characteristic of irritation, oedema and congestion of the mucosa with accumulation of mucus (Fritsch et al., 1977b). The dose-effect of stannous chloride on a number of biochemical parameters was investigated (Yamaguchi et al., 1980a,b) in male weanling rats during a 90-day study. Oral doses of 0 (control), 0.3, 1.0 or 3 mg tin/kg bw were administered at 12-hour intervals throughout the study. A slight non-significant decrease in the calcium content of the femoral epiphysis occurred at 0.3 mg tin/kg bw. At 1.0 mg tin/kg bw, significant reductions were produced in liver succinate dehydrogenase activity as well as decreased calcium content and alkaline phosphatase activity in the femoral epiphysis. The 3.0 mg/kg dose resulted in significant decreases in relative weights and calcium concentration of the femur, serum lactic dehydrogenase and alkaline phosphatase activities, hepatic succinate dehydrogenase activity and calcium content and alkaline phosphatase activity in the femoral diaphysis and epiphysis. The decrease in calcium content of the femoral epiphysis was considered to be the most specific biochemical manifestation of the toxic effect of tin. Based on this 90-day study with weanling rats, an oral no-effect level for inorganic tin was estimated to be lower than 0.6 mg/kg bw per day. Guinea-pig Groups of guinea-pigs received additional 770 mg Sn/kg bw in their diet for 5 months without observing any abnormalities. At autopsy, no accumulation of tin was found (FDA, 1953). Cat Groups of cats received in their diet, fish containing additional 210 mg Sn/kg bw for 7 months. No abnormalities were observed and at autopsy no tin accumulation was detected (FDA, 1953). Long-term studies Rat Stannous chloride was added to the drinking-water of rats at a dose of 5 ppm (0.0005%) tin over the life-span of the animals (Schroeder et al., 1968). Growth rates and overall survival were not affected, although the longevity of the tin-exposed female rats appeared to be reduced slightly. There were no indications of increased tumorigenicity among the tin-exposed animals. Groups each of 60 rats (Cpb-WU, random bred) equally divided by sex were maintained on test diets containing 0 (control), 200, 400 and 800 ppm (0, 0.002, 0.004 and 0.008%) tin for a period of 115 weeks. Observations were made on general appearance and behaviour and growth, food intake and food efficiency. Haematological parameters were measured at weeks 4, 13, 26, 52, 78 and 102, serum blood chemistry at weeks 26, 52 and 102, and urinalysis at weeks 13, 26, 52, 78 and 102. At week 115 all surviving rats were killed and a complete autopsy was performed followed by a microscopic examination of the principal organs and tissues. Residual tin was also measured in blood, liver, kidneys, brain, pancreas and femur (bone). There were no differences in mortality rates between the various groups. There were no effects on growth or food intake, but food efficiency was decreased at the highest dose level. Haemoglobin and haematocrit values were decreased at all dose levels at weeks 4 and 13, but during the second year of the study were similar to controls. No other compound-related changes were reported for haematological parameters, serum chemistry and urinalysis. At autopsy the only effect noted was an increase in the relative weight of the spleen. No compound-related histological effects were reported. There was no indication of any compound-related effect on the site and incidence of tumours. Tin did not accumulate in the organs examined with the exception of bone in the 800 ppm (0.08%) group (Sinkeldam et al., 1981). OBSERVATIONS IN MAN Chronic industrial exposure to tin dust or fumes causes benign pneumoconiosis (Pendergrass & Pryde, 1948). Stannic oxide deposits in the lung with little absorption owing to insolubility (Browning, 1969). Although food-borne tin is generally regarded to be of relatively low oral toxicity, there is little question that, at excessively high levels, a greater potential exists for overt reaction. Unfortunately, there is considerable controversy over the levels of tin in foods and beverages that can be expected to cause acute effects such as abdominal cramps, nausea, emesis and/or diarrhoea. Nine adult male volunteers weighing 65-83 kg ingested between 116-203 mg tin/day (equivalent to about 1.6-2.9 mg tin/kg bw per day) for 23 days without adverse effects. Almost all the ingested tin was recovered in the faeces (Calloway & McMullen, 1966). Severe gastrointestinal symptoms affecting 32 people were reported after consumption of a beverage containing 2000 ppm (0.2%) tin (Warburton et al., 1962). On the other hand, of 8 subjects ingesting a solution of 700 ppm (0.07%) tin, only 2 had slight nausea and 1 diarrhoea (Cheftel, 1967). Acute poisoning incidents have been reported in 15 students following the consumption of a canned orange beverage ranging in tin content from 100 to 494 ppm (0.01-0.0494%) and 8 cases elsewhere. The symptoms observed were vomiting, diarrhoea, fatigue and headache. Similar incidents have also been reported in 7 out of 9 persons and 1 elderly person after the consumption of canned tomato juice with a tin content from 156 to 221 ppm (0.0156-0.0221%) (Horio et al., 1967). Nausea, vomiting and diarrhoea in an unspecified number of people in the Middle East was ascribed to the ingestion of canned orange and apple juices containing 250-385 ppm (0.025-0.0385%) tin (Benoy et al., 1971). Eight further cases were reported in 1969 following the ingestion of tomato juice containing 247 ppm (0.0247%) tin (Kojima, 1969). The tin content of random samples from the same manufacturers ranged from 75 to about 500 ppm (0.0075-0.05%), but it appeared from the epidemiological investigations that only batches showing the higher levels had been responsible for the incidents (Ministry of Health and Welfare, Japan, 1969). Fifteen out of 26 persons consuming orange juice containing about 300 ppm (0.03%) tin showed gastric symptoms (Kojima, 1971). Five volunteers drank beverages containing between 498-1370 ppm (0.0498-0.137%) tin at rates of 1.6-6.7 mg tin/kg bw. Nausea and diarrhoea occurred only at the 1370 ppm (0.137%) level (equivalent to 4.4-6.7 mg tin/kg bw) but did not appear when ingestion was repeated 1 month later (Benoy et al., 1971). A total of 113 cases of acute gastrointestinal illness during a 3-month period (Barker & Runte, 1972) were associated with the ingestion of canned tomato juice. Of these illnesses, 48 occurred as isolated events in private homes or restaurants while the others occurred during or after 2 banquets, 1 involving 43 cases and the other 22 cases. Clinical features included acute abdominal bloating, cramps, diarrhoea, emesis and headache. The incubation period ranged from as few as 15 minutes up to 14 hours post-ingestion, whereas the median incubation period varied from 30 to 90 minutes. Duration of the symptoms ranged from as little as 1/2 hour up to 3 weeks with median durations of 12-24 hours. Analyses of the suspected tomato juice revealed concentrations of tin ranging from a low of 131 ppm (0.0131%) to 405 ppm (0.0405%) with mean values between 245 and 363 ppm (0.0245 and 0.0363%). In the case of chronic toxicity to inorganic tin, there is virtually no human data available. Comments The inorganic salts of tin are of generally low but varying toxicity. Experiments in animals and man point to almost complete faecal excretion of certain orally administered inorganic tin salts, with little being absorbed into the body. Short-term feeding studies in experimental animals with various tin salts including stannous chloride produced anaemia, changes in a number of tissue enzyme activities and deleterious effects to the liver and kidneys. Blending stannous chloride with casein in an aqueous medium in an attempt to simulate the form of tin that is present in food resulted in a transient anaemia in a life-time feeding study in rats. This tin complex was also shown not to have an effect on the reproductive performance of rats, although a transient anaemia was observed in the offspring prior to weaning. Tin crosses the placental barrier but has not been shown to be teratogenic. Inorganic tin was not carcinogenic in a life-time feeding study in rats and mice. Chronic exposure of experimental animals to high levels of tin results in increased levels of tin in bone tissue. This is also associated with an increase in acid phosphatase activity and decreased calcium content and compressive strength of the femur. There is a lack of information concerning the chemical form(s) in which inorganic tin exists in canned foods or beverages. Additional information may be helpful to a better understanding of acute tin toxicity resulting from the ingestion of products containing high levels of tin. However, it has been shown that a large proportion of the tin in canned vegetables is resistant to simulated gastric digestion, and thus may not be available for further metabolism. Tin contamination resulting from the canning of a multiplicity of food items, even at the relatively large levels occurring with low pH or in the presence of nitrates, does not appear to give rise to acute untoward effects in man, except in special circumstances. While the number of reported cases of acute tin intoxication in man due to ingestion of canned foodstuffs containing high levels of tin are limited, it appears that as total tin levels approach or exceed 200 ppm (0.02%), especially in beverages, the potential for acute gastric disturbances is greatly enhanced. The gastrointestinal effects of high tin levels appear to be due to local irritation of the mucosa. At this time there is no evidence of cumulative adverse effects of low levels of tin in the diet of man. Although it has been suggested that ingested inorganic tin may undergo biomethylation to the more toxic forms of alkyl tin, there is no conclusive evidence that this occurs in experimental animals or man. EVALUATION At this time, there is no evidence of chronic adverse effects in man associated with chronic exposure to tin. The main problem is an acute manifestation of gastric irritancy. The threshold concentration for this effect is about 200 mg/kg in the food. 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See Also: Toxicological Abbreviations Tin and stannous chloride (FAO Nutrition Meetings Report Series 48a) Tin and stannous chloride (WHO Food Additives Series 1)