BUTYLATED HYDROXYANISOLE (BHA) Explanation This substance was evaluated for acceptable daily intake for man (ADI) by the Joint FAO/WHO Expert Committee on Food Additives in 1961, 1965, 1973, 1976, 1977, 1980 and 1982 (see Annex I, Refs. 6, 11, 32, 40, 43, 54 and 60). Toxicological monographs were issued in 1961, 1973, 1976 and 1980 (see Annex I, Refs. 6, 33, 41 and 55). Since the previous evaluation, additional data have become available and are summarized and discussed in the following monograph. BIOLOGICAL DATA BIOCHEMICAL ASPECTS Effects on enzymes and other biochemical parameters 3-tert-butyl-4-hydroxyanisole (3-BHA) the major isomeric constituent of BHA (93% or more) or 2-tert-butyl-4-hydroxyanisole (2-BHA) were fed to mice for two weeks at dietary concentration 0.5% either singly or as mixtures of the isomers in different ratios. In the liver the cytosolic GSH-S-transferase was induced to a higher level by 3-BHA than by 2-BHA, whereas in the forestomach the induction characteristics of the isomers were reversed. Sulfhydryl levels in these tissues followed the same trend. Significant synergistic effects of the two isomers were observed in the forestomach but not in the liver. The epoxide hydrolase activity of isolated liver microsomes from the treated mice was enhanced by 3-BHA, but only marginally by 2-BHA (Lam et al., 1981). Cytosolic and microsomal glutathione transferase activity (GT) in the liver of mice was markedly increased when BHA was incorporated into the diet. In a parallel study in the rat, only a minor increase (in GT) was observed (Morgenstern & Dock, 1982). TOXICOLOGICAL STUDIES Special studies on carcinogenicity In a 12-week range finding study, groups of Fischer-344 rats were maintained on diets containing 0, 0.25, 0.5, 1, 2, or 4% BHA. Four per cent. in the diet caused a marked growth retardation. At 2% there was only slight growth retardation. Decrease in body weight gain was used as an end-point in determining the maximum tolerated. A high incidence of hyperplasia and hyperkeratosis of the forestomach epithelium was reported at the higher dose levels (2% and 4%). No changes were seen except at the limiting ridge (Ito, 1983). Groups each of 51 or 52, five-week-old F-344 rats of both sexes were maintained on diets in which had been incorporated 0, 0.5 or 2.0% BHA. The diet mixtures were pelletized and one analysis of the pellets showed that the actual concentrations of BHA in the pellets were 0.25% and 1.07%, respectively. The loss of BHA was considered to be due to sublimation during the manufacturing process, which included a heating and steaming process (Ishiwata et al., 1982). In a subsequent study on the BHA content of the diet, it was shown that the actual dosage levels were similar to those initially reported (0.5% and 2%), and that no BHA was lost during the processing. However, the processing could result in a reduction of vitamin A levels (MAFF, 1983). No unusual degradation products were reported to be present in the diet. There was a slight increase in the amount of dimer present. The rats were maintained on the test diets for 104 weeks, and then on basal diets until week 112. Body weight and food consumption was measured weekly for the first 26 weeks, and then every two weeks. One week prior to sacrifice urine samples were collected from 10 rats/sex/group for the usual urinalysis. At termination of the study blood samples were collected for a haematological evaluation and blood serum chemistry. At week 112, surviving animals were killed and examined grossly. The weights of brain, salivary gland, heart, lung, liver, kidney, spleen, testis, ovary and pituitary were measured. Tissues were examined histologically. There were no differences in appearance and behaviour of test and control animals during the course of the study. Food intake for male test rats was similar to that of control, but the high-dose females showed a slightly lower food intake. The body weight of males and females in the high-dose group was approximately 10% less than controls. The percentage of survival of animals in week 112 was, for male, control 35/51 (68.6%), low dose 35/51 (68.6%), high dose 32/52 (67.3%), for female, control 33/51 (64.7%), low dose 34/51 (66.7%), high dose 40/51 (78.4%). Haematological and serum chemistry analyses showed only minor changes related to BHA administration, and no compound-related effects were observed in the urinalysis. A significant decrease was observed in the brain weights of males in the test group, and in the relative weights of salivary glands and hearts of females. There was a very significant increase in the incidence of forestomach hyperplasia and neoplasia (papillomas and squamous cell carcinomas) in the test animals which was clearly dose-related. There was an almost complete absence of irritation or inflammation of the forestomach in the dosed animals. The first squamous cell carcinoma was found in a male rat in the high-dose level group at week 59 and in a female in the high-dose group at week 82. Two males and one female in the high-dose group had metastases to the lymph node, and one female in the high-dose group had an invasive lesion of the liver. Effective No. of rats Changes in forestomach (%) (Rats Sex Group surviving Squamous more than Hyperplasia Papilloma cell 41 weeks) carcinoma Male Control 51 0 0 0 Low 50 13 (26%) 1 (2.0%) 0 High 52 52 (100%) 52 (100%) 18 (34.6%) Female Control 51 0 0 0 Low 51 10 (19.6%) 1 (2.0%) 0 High 51 50 (98%) 49 (96.1%) 15 (29.6%) The incidence of tumours in other organs was not significantly different between test and control animals. Bile duct proliferation, which was present in all groups, was reduced in a dose-related manner in the BHA groups. No other compound- related effects were reported (Ito et al., 1982). A subsequent review of the pathology slides by an international group concurred with these findings, with the exception that the papillomas observed in the low-dose group were considered to be no more than marked hyperplasia, and the two high-dose males in which the lesions were reported to be papillomas were considered to be squamous carcinomas. Groups each of 20-30 male or female Fischer-344 rats were fed pelleted diets containing 0, 0.04, 0.2 or 1.0% BHA, for 96 weeks. Food consumption and water intake was similar for test and control animals. Haematological and serum biochemical parameters were similar for test and control animals, with the exception of LDH activity which was elevated in the 0.2% and 1.0% groups when compared to control. Survival, body weight, and organ weights were not significantly affected by the dietary BHA. Tumours reported included pituitary adenomas and subcutaneous sarcomas in the test and control groups, hepatohaemangiomas in the test animals, one renal cell carcinoma in a female in the 0.2% group, and an adenocarcinoma of the glandular stomach of a male in the 0.4% group, one thyroid adenoma and one interstitial tumour of the testis. Papillomas of the forestomach were found in the 1.0% BHA group (3/15 males and 2/18 females). None was present in the control group (nine males/13 females). The occurrence of papillomas is statistically significant if both sexes are combined (P = 0.007 Fischer Exact Test) (Tomii & Aoki, 1982). In another study, BHA at levels of 0.5, 1.0 or 2.0% in the diet of Fischer-344 rats (male) was shown to induce proliferative changes in the forestomach of rats, using either visual, histopathological or radioautographic (thymidine-H3-labelled incorporation) observations. Changes were observed nine days after administration of the test diet, and occurred when the BHA was dissolved in corn oil prior to addition to the diet, or when the BHA was ground into the diet, or if the diet were prepared in a manner similar to that described in the Ito study. The "no observed effect level" for the change was 0.25% BHA in the diet (Lok et al., 1983). Potentiation or inhibition of carcinogenesis Groups of rats were administered N-butyl-N-(4-hydroxybutyl) nitrosamine in drinking-water at 0.01% or 0.05%. From week 4 to 36 of the study, BHA (2%), BHT (1%), or L-ascorbic acid (5% or 1%) was administered in the diet. Both BHA and BHT enhanced hyperplasia of the bladder in the rats exposed to 0.01% BBN, and enhanced bladder papillomas and cancer incidence in the 0.05% BBN group. Two per cent. ascorbate enhanced hyperplasia in the 0.01% BBN group and papilloma formation in the 0.05% BBN group. One per cent. ascorbate was without effect in either group (Ito, 1983). In another study, male six-week-old, F-344 rats were administered i.p. methylnitrosurea (MNU) at dose levels equivalent to 20 mg/kg, twice a week for four weeks, and then maintained on diets containing 2% BHA or 1% BHT or 5% sodium L-ascorbate for 32 weeks. Dietary BHA and ascorbate enhanced the incidence of cancer of the forestomach in the MNU treated rats. BHT had no effect (Ito, 1983). In a study of the incidence of gamma-glutamyl transferase foci induced by diethylnitrosamine (200 mg/kg) in partially hepatectamized rats, diets containing 2% BHA or 1% BHT or 1% ethoxyquine inhibited the formation of foci in the liver. Five per cent. ascorbate or 0.5% disulfuram had no effect (Ito, 1982). Male A/J mice were dosed i.p. with a single dose of urethan, and then fed diets containing either 0.75% BHT or 0.75% ethoxyquine, either once a week or continuously for eight weeks. Lung rumour yield was scored four months after the urethan treatment. Dietary BHT, but not BHA or ethoxyquine, enhanced lung tumour formation under either conditions of the test. When the mice were prefed with diets containing either BHA or BHT for two weeks, prior to urethan treatment, and then maintained on conventional laboratory diets for four months, the BHT diet had no effect on tumour yield, but the BHA diet significantly reduced the average number of lung tumours (Witschi, 1981). Groups each of 90-130 female CF1 mice (five weeks of age) were fed control diets or diets containing 300, 1000, 3000 or 6000 ppm (0.03, 0.1, 0.3 or 0.6%) BHA. After two weeks on the diet all but 10 mice in each group were injected with 20 mg of methylazomethanol acetate (MAM - a colon-specific cancer compound). A second injection was given four days later. The BHA protected against death caused by MAM. The mortality of the MAM-treated mice on control diets was 80% and 92%, and those fed diets with BHA were inversely related to the amount of BHA in the diet being 0% and 1% at the 6000 ppm (0.6%) dietary level. Dietary BHA at the 3000 or 6000 ppm (0.3 or 0.6%) also reduced and eliminated histopathological changes observed in the livers and other organs of the mice. Microsomal preparations from the livers or test animals, showed a marked increase in the levels of cytochrome P-450 and b5, when compared to controls (Reddy et al., 1982). Female ICR/Ha mice, nine weeks of age, were maintained on diets containing 0, 0.03 or 0.06 mmol/g of the isomers of BHA. On day 8 of the study, the mice were given the first of eight doses (twice a week for four weeks) of 1 mg of benzo(alpha)pyrene in corn oil by p.o. intubation. The mice were maintained on the test diet during the period of administration, of the carcinogen, and then three more days. The mice were then fed control diets for another 113 days when they were killed, and the number of tumours of the forestomach determined. The most potent inhibitor was the 2-BHA (the minor isomer present in BHA) reducing the number of mice with tumours of the forestomach from 90-100% (controls) to 65%, and also markedly decreasing the number of tumours per mouse (1/6). The major isomer of BHA (3-BHA) reduced the number of mice with tumours to 79% and almost halved the number of tumours/mouse (Wattenberg et al., 1980). In a study when BHA was fed to ICR/Ha mice prior to administration of benzo(alpha)pyrene it was shown that the formation of DNA adducts in the forestomach was inhibited to a similar degree reported for inhibition of tumour formation. However, BHA did not have any effects on the formation of the adduct in the lung (Ioannou et al., 1982). Special studies on dermal effects Application of BHA (up to 20%) in lanolin to the ears of an inbred strain of black guinea-pigs for a period of six weeks, resulted in ultrastructural morphological lesions of the epidermis. This consisted of microinvasion by basal cell pseudopods, with associated destruction of the superficial connective tissue and fragmentation of the collagen (Riley & Seal, 1968). Special studies on effect on gastric mucosa Simultaneous administration of BHA (50 or 100 mg/kg) with indomethican resulted in a potentiation of the damaging effect of indomethican to the gastric mucosa. Under similar conditions butylated hydroxytoluene reduced damage to the gastric mucosa in a dose- dependent manner (Krupinska et al., 1980). In a study using an in situ method of perfusion of intestine to measure the effect of a number of compounds on intestinal absorption, BHA at a concentration of 2 mg/ml of perfusion fluid caused a reduction in the absorption of glucose And methionine, but not butyric acid. Histological changes were observed in the intestinal mucosa (Fritsch et al., 1975). Special studies on reproductive effects Groups of approximately 10 young adult gilts (Danish Landacre), were maintained on test diets containing the equivalent of 0, 50, 200, or 400 mg/kg bw BHA for three weeks and then artificially inseminated. Feeding of the test diet was continued throughout the study. Body weight and food consumption were reported weekly. Haematological analyses were performed two days prior to commencement and on weeks 2, 4 and 14 of the dosing period. Caesarean sections were performed on day 110. The foetuses were weighed, sexed and autopsied and X-rayed after removal of the internal organs. A complete autopsy was performed on the dams. BMA had no effect on food consumption, although the body weight of dams in the highest dosage group was significantly lower than controls. BHA had no effect on reproductive performance and there were no teratogenic effects. A dose-related increase in absolute and relative organ weight was found for the liver and thyroid. No compound-related histology was observed in the liver, but the thyroid gland in test animals showed large follicles with flattened epithelium containing thyroglobulin. Analysis of fixed thyroid from the control and high dose animals showed a similar level of iodine in both groups (0.9 mg/100 g tissue). The iodine content of all diets satisfied the iodine requirements of the pig (Hansen et al., 1982). Comments In a lifetime study in rats, 2% BHA produced carcinomas and papillomas of the forestomach in virtually all the test animals. At the lower level tested (0.5% of the diet) neoplasia was not observed but hyperplasia of the forestomach was present in approximately 20% of the treated rats. A low, but significant incidence of papillomas of the forestomach was also reported in another lifetime study in the rat, in which the level of dietary BHT added to the diet was 1%. Other lifetime studies in rats, in which the BHA was dissolved in oil prior to addition of the diet and fed at a maximum level of 0.5%, did not show a carcinogenic response. Dietary BHA caused a rapid onset of proliferative changes in the forestomach of rats, with an apparent no-effect level of 0.25%. In these studies the effect was observed when the BHA was dissolved in oil prior to addition to the diet, or added dry to the diet. The significance of these findings to man raises a number of questions. There is uncertainty as to the relevance of the forestomach of rat to man since the cell type (squamous epithelium), is found in the oesophagus of man rather than in the stomach. The pathological changes observed in the rat appear to commence at the limiting ridge of the stomach and may represent an area of special cellular activity. The lack of carcinogenicity at the lowest dose level tested suggests a very steep dose response and the possibility of a no-effect level. The lack of genotoxic effects of BHA suggests that the observed carcinogenic response may be a secondary effect. Studies on the mechanism of the effect of BHA on the forestomach, as well as studies to determine hyperplasia of the stomach of species which do not have a forestomach, will assist in the interpretation of these findings. There is information to show that BHA can act both as an inhibitor or enhancer of the carcinogenic effect of certain chemicals. BHA inhibits benzo(alpha)pyrene-induced forestomach neoplasia in mice. Preliminary studies have shown that in the rat BHA enhances forestomach tumorogenesis initiated with methyl-nitrosamine, and urinary bladder carcinogenesis initiated with N-butyl-N- (4-hydroxybutyl)-nitrosamine. BHT was inactive in these tests. BHA has shown a lack of enhancing effects in systems in which BHT is active, e.g., urethan-induced lung tumours in susceptible mice. Detailed mechanistic studies will assist in the interpretation of these effects, and how they can be used to evaluate the safe use of BHA. A reproduction study in pigs showed that BHA was not teratogenic. However, it caused a dose-dependent increase in the weight of the liver and thyroid of the dams. A no-effect level was not established. The effects on the thyroid have not been reported in lifetime feeding studies in rats. The present ADI for BHA provides a wide margin of safety between the lowest dose fed in the Ito study (a dose that did not result in a carcinogenic effect) and dietary intake of BHA. EVALUATION The present ADI is retained. Estimate of a temporary acceptable daily intake for man 0.05* mg/kg bw. FURTHER WORK OR INFORMATION Required by 1986 (1) Studies to show whether or not hyperplasia is induced in the stomach of species that do not have a forestomach - such as the dog and monkey. (2) Studies to determine the mechanism involved in the effect of BHA on the forestomach. (3) Multigeneration reproduction study. * Group ADI: As BHT and TBHQ, singly or in combination. REFERENCES Fritsch, P. et al. (1975) Effet de l'anisole de l'anethole, du butyl hydroxyanisole et du safrole sur l'absorption intestinal chez le rat, Toxicology, 4, 341-346 Hansen, E. V., Meyer, O. & Olsen, P. (1982) Study on toxicity of butylated hydroxyanisole (BHA) in pregnant gilts and their foetuses, Toxicology, 23, 79-83 Ioannou, Y. M., Wilson, A. G. E. & Aderson, M. W. (1982) Effect of butylated hydroxyanisole, x-angelica lacton, and B-napthoflavone on benzo(alpha)pyrene: DNA adduct formation in vivo in the forestomach, lung and liver of mice, Cancer Research, 42, 1199-1204 Ishiwata, H. et al. (1982) Decreases of butylated hydroxyanisole added to diet for a carcinogenicity test in rats and mice, Bull. Environm. Contam. Toxicol., 28, 397-383 N. (1983) Unpublished data. Submitted to WHO by the Ministry of Health and Welfare, Tokyo, Japan Ito, N. et al. (1982) Induction of squamous cell carcinoma in the forestomach of F-344 rats treated with butylated hydroxy-toluene, Gann, 73, 332-334 Krupinska, J. et al. (1980) Antioxidants as agents reducing the toxicity of indomethican, Acta Biol. Med. Germ., 39, 717-721 Lam, L. K. T. et al. (1981) Effects of 2- and 3-tert-butyl-4 hydroxyanisole on glutathione S-transferase and epoxide hydrolase additives and sulfhydryl levels in liver and forestomach of mice, Cancer Research, 41, 3940-3943 Lok, E. et al. (1983) Studies on effect of butylated hydroxyanisole (BHA) on cell proliferation in rat forestomach. Unpublished report submitted to the World Health Organization by Health Protection Branch, Health and Welfare Canada, Canada MAFF (1983) Unpublished report of the Ministries of Agriculture, Fisheries and Food Morgenstern, R. & Dock, L. (1982) A comparison of microsomal glutathione S-transferase activity in the liver of the mouse and rat by dietary 2(3)-tert-butyl-4-hydroxyanisole (BHA), Acta Chemica Scandinavica, B36, 255-279 Reddy, B. S. et al. (1982) Effect of dietary butylated hydroxy-anisole on methylazoxymethanol acetate-induced toxicity in mice, Fd. Chem. Tox., 20, 853-859 Riley, P. A. & Seal, P. (1968) Micro-invasion of epidermis caused by substituted anisoles, Nature, 220, 922-923 Tomii, S. & Aoki, Y. (1982) Chronic toxicity study of BHA. Unpublished report prepared for the Food Chemistry Division of the Ministry of Health and Welfare, Japan, March 1977 Wattenberg, L. W., Coccia, J. B. & Lam, L. K. T. (1980) Inhibitory effects of phenolic compounds on benzo(alpha)pyrene induced neoplasia, Cancer Research, 40, 2820-2823 Witschi, H. P. (1981) Enhancement of tumor formation in mouse lung by dietary butylated hydroxytoluene, Toxicology, 21, 95-104
See Also: Toxicological Abbreviations Butylated hydroxyanisole (BHA) (WHO Food Additives Series 15) Butylated hydroxyanisole (BHA) (WHO Food Additives Series 42) Butylated Hydroxyanisole (BHA) (IARC Summary & Evaluation, Volume 40, 1986)