BUTYLATED HYDROXYTOLUENE (BHT) EXPLANATION This substance was evaluated for acceptable daily intake for man by the Joint FAO/WHO Expert Committee on Food Additives at its sixth, eighth, ninth, seventeenth, twentieth, twenty-fourth, and twenty-seven meetings (Annex I, references 6, 8, 11, 32, 41, 53, and 62). Toxicological monographs or monographs addends were published after each of these meetings (Annex I, references 6, 9, 12, 33, 42, 54, and 63). Since the previous evaluations, additional data, including the results of studies requested by the twenty-seventh Committee (Annex 1, reference 62), have become available and are summarized and discussed in the following monograph addendum. BIOLOGICAL DATA Biochemical aspects Metabolism A single oral dose of 14C-BHT given to male and female mice resulted in rapid absorption and distribution of 14C to the tissues. Excretion of 14C was mainly in the faeces (41-65%) and urine (26-50%), with lesser amounts in expired air (6-9%). The half-life for a single dose in the major tissues studied (stomach, intestines, liver, and kidney) was 9-11 hrs. When daily doses were given for 10 days, the half-life for 14C in the tissues examined was 5-15 days. Metabolism was characterized by oxidation at one or both of the tert-butyl groups, followed by formation of the glucuronide conjugate, and excretion in the urine, or by excretion of the free acid in the faeces. When 14C-BHT was administered to rats, 80-90% of the 14C was excreted in the urine and faeces within 96 hrs, and less than 0.3% of the 14C was in expired air. Most of the 14C-BHT was excreted as the free acid in faeces with lesser amounts in the urine. More than 43 metabolites were present in the urine and faeces of mice and rats (Matuso, 1984). Rats dosed with 14C-aflatoxin B1 and fed BHT (0.5% in the diet) showed an enhanced excretion of water-soluble metabolites of 14C-aflatoxin B1 in the urine and faeces. In addition, BHT pre-treatment was shown to decrease the amount of 14C bound to hepatic nuclear DNA (Fukayama & Hsieh, 1985). Effect on enzymes Dietary BHT (300-6000 ppm) caused a dose-dependent increase in gamma-glutamyl transpeptidase in normal F-344 male rats. However, cytosolic glutathione S-transferase was only enhanced at dietary concentrations of 3000 or 6000 ppm BHT (Furukawa et al., 1984). Dietary administration of BHT to male Swiss Webster mice resulted in a marked increase in hepatic microsomal epoxide hydrolase and glutathione-S-transferase (Hammock & Ota, 1983). Toxicological studies Special studies on carcinogenicity Mice Groups of male and female C3H mice (ranging from 17-39 mice/group), which were 6-10 weeks old at the beginning of the experiment, were maintained for 10 months on a semi-synthetic diet containing 0.05 or 0.5% BHT. Control groups were maintained on BHT-free semi-synthetic diet or commercial lab chow. At the end of the test period, the liver and lungs were excised and inspected grossly for proliferative lesions. Of the proliferative lesions considered to be clearly identifiable as tumours, approximately 50% were examined microscopically. Mice maintained on diets containing BHT had lower body weights than controls. Male mice fed BHT showed an increase in liver tumours, compared to controls. Histologically, the tumours were identified as hepatocellular adenomas. No increase was observed in female mice. The reported incidence of liver tumours in male C3H mice was 10/26 (38%), 15/26 (58%), 2/37 (5%) and 7/38 (18%) in the 0.5% BHT, 0.05% BHT, control BHT-free, and control lab chow groups, respectively. In a study in which C3H mice were maintained on diets containing 0.5% BHT for one month followed by lab chow for 10 months, or control diet (BHT-free) for one month followed by lab chow for 10 months, the incidences of liver tumours in the two groups of male mice were 3/35 (9%) and 5/29 (17%), respectively. Dietary BHT did not result in an increased incidence of lung tumours in either male or female C3H mice. In another study in which male BALB/c mice were maintained for one year on a BHT-free diet, or diets containing 0.05% BHT or 0.5% BHT, the incidences of liver tumours were 4/30 (131), 6/43 (14%), and 2/28 (7%) for the respective groups (Lindenschmidt et al., 1986). It has previously been demonstrated that the incidence of spontaneously-occurring hepatic tumours in C3H mice is modified by sex, population density, level of dietary protein, and caloric intake. Historical data are not available for a 10-month study. The incidence of hepatic tumours in a 12-month study in this strain ranged from 6-13% for females, and 41-68% for males. Thus, the reported incidence of hepatocellular tumours was not significantly different from other controls of similar age in studies with the same inbred strain (Peraino et al., 1973). Rats Groups of 60, 40, 40, and 60 Wistar rats of each sex (F0 generation) were fed a semi-synthetic diet containing 0, 25, 100, or 500 mg BHT/kg b.w., respectively. The F0 rats were mated after 13 weeks of dosing. The F1 groups consisted of 100, 80, 80, and 100 F1 rats, respectively, of each sex from the offspring from each group. Because of an adverse effect on the kidney in the parents, the concentration of BHT in the highest-dose group was lowered to 250 mg/kg b.w. in the F1 generation. The study was terminated when rats in the F1 generation were 144 weeks of age. Parameters studied were food consumption (weekly), body weight, appearance, and mortality. Autopsy and complete histopathological examinations were performed on all animals dying during the study, or sacrificed in extremus or at termination. The average body weights of the F1 pups at birth in the middle- and high-dose groups were slightly lower than those in the control group. Body weights of all dosed animals from weaning through the entire experiment were lower than those of control animals. In the low-, mid-, and high-dose groups, the reductions in body weight were 7%, 11%, and 21% for males and 5%, 10%, and 16% for females. Food intake was comparable for all groups. Clinical appearance and behaviour were reported to be normal for all animals. The high-dose males voided a slightly reddish urine. Hematological parameters were reported to be unchanged by BHT treatment, but no data were given. Serum triglycerides were reduced in both sexes and cholesterol was somewhat elevated in females only. All animals consuming BHT had a dose-related increase in survival. In both sexes differences (p < 0.001) in longevity were seen. Histological studies indicated an increase in hepatocellular carcinomas in male rats (not females) and an increase in hepatocellular adenomas in both male and female rats. Most liver tumours were found during terminal sacrifice at 141-144 weeks. One hepatocellular carcinoma was found in a control male at 117 weeks and one in a high-dose male at 132 weeks. The remainder of the carcinomas occurred at terminal sacrifice. The first adenoma was noted in a high-dose male at 115 weeks. Tables 1 and 2 summarize the data on mortality and the appearance of adenomas and carcinomas of the liver. Data on mortality and tumour incidence in different groups were analysed using the procedure of Peto et al. (1980). The dose-related increases in the number of hepatocellular adenomas were statistically significant (at p < 0.05) in male F1 rats, when all groups were tested for heterogenicity or analysis of trend. The increase in hepatocellular adenomas and carcinomas in treated female F1 rats was statistically significant only for adenomas (at p < 0.05) in the analysis for trend. Reports on the spontaneous incidence of hepatocellular neoplasms in Wistar rats from the laboratory performing this study, as well as other European laboratories, indicate that it is usually less than 3% (Solleveld et al., 1984; Deerberg et al., 1980; Olsen et al., 1985). The median life span for animals in these studies ranged from 28 months to 36 months for males and 28 months to 33 months for females. Other sites reported to have a slight but not statistically- significant increase in neoplastic lesions were as follows: thyroid, pancreas, ovary, uterus, thymus, reticuloendothelium system, and mammary gland. Non-neoplastic lesions occurred incidentally and showed no relationship to BHT treatment, with the exception of lesions of the liver, which showed a dose-related increased incidence of bile duct proliferation and cysts in males, and focal cellular enlargement in females. At the highest level fed (250 mg/kg b.w.), there was no adverse effect on the kidney (Olsen et al., 1986). Special Studies on haemorrhagic effects Groups of 10 male Sprague-Dawley CLEA rats were fed diets containing 0.58, 0.69, 0.82, 1.00, 1.20, or 1.44% BHT for 40 days. A dose-related effect on mortality was observed, with 21/50 rats given 0.69% or more BHT dying during the period from 9 to 37 days. Spontaneous massive haemorrhages were observed in these animals. The prothrombin index of survivors was decreased, which was dependent on the BHT dose. At the lowest level fed the decrease was approximately 651 (Takahashi & Hiraga, 1978a). The LD50 (i.p.) for BHT showed considerable differences among strains of inbred and non-inbred male mice: Strain LD50 (mg/kg b.w.) DBA/2N (inbred) 138 BALB/cNnN (inbred) 1739 C57BL/6N (inbred) 917 ICR-JCL (non-inbred) 1243 In all cases, death occurred 4 to 6 days after administration of BHT, and was accompanied by massive oedema and haemorrhage in the lung (Kawano et al., 1981). In another study, a number of strains of rats (Sprague-Dawley, Wistar, Donryu and Fischer), mice (ICR, ddY, DBA/c, C3H/He, BALB/CaAn and C57BL/6), New Zealand white-sat rabbits, beagle dogs, and Japanese quail were fed diets containing BHT (1.2% of the diet for rats and mice; 1% of the diet for quail; 170 or 700 mg/kg b.w. for rabbits; and 173, 400, or 760 mg/kg b.w. for dogs) for a period of 14-17 days. Haemorrhagic deaths occurred among male rats of all strains and female rats of the Fischer strain. Female rats of the Donryu and Sprague- Dawley strains showed no obvious haemorrhaging. No haemorrhagic effects were noted in rabits or dogs (Takahashi et al., 1980). Male albino rats (CRL COB CD(SD) BR) given 3 consecutive daily doses of 380, 760, or 1520 mg BHT/kg b.w./day showed no evidence of haemorrhage. However, BHT produced a dose-dependent increase in prothrombin time, with no effect on prothrombin time seen in the 380 mg/kg b.w. animals (Krasavage, 1984). Table 1. Mortality (and combined adenomas and carcinomas of the Liver) in F1 rats BHT Effective (mg/kg number of Number of deaths during weeksa b.w.) rats 0-90 91-104 105-113 114-118 119-126 127-132 133-140 141-144 Total MALES 0 100 20 10 13 (1)/8 11 10 (1)/12 16 (2)/100 25 80 8 11 6 3 (1)/13 11 8 20 (1)/80 100 80 8 12 3 2 10 7 (2)/11 (4)/27 (6)/80 250 99 7 7 6 (1)/4 (2)/8 (2)/13 (1)/10 (20)/44 (26)/99 FEMALES 0 100 16 15 18 (2)/8 11 7 8 17 (2)/100 25 79 10 9 4 6 13 (1)/10 (1)/8 (1)/19 (3)/79 100 80 5 17 5 5 (1)/7 41)/9 (1)/11 (3)/21 (6)/80 250 99 9 5 11 12 8 5 (2)/10 (12)/39 (14)/99 a Figures in parenthesis are combined adenomas and carcinomas occurring during that period. Table 2. Incidences of hepatocellular nodular hyperplasia, adenomas, and carcinomas BHT Effective number Nodular (mg/kg b.w.) of rats hyperplasia Adenoma Carcinoma MALES 0 100 2 1 1 25 80 0 1 0 100 80 2 5 1 250 99 2 18a 8b FEMALES 0 100 2 2 0 25 79 0 3 0 100 80 4 6 0 250 99 5 12c 2d a Over-all test for heterogeneity, p< 0.001, chi-square = 18.17, 3 df. Test for trend, p< 0.001, chi-square = 17.97, 1 df. b Over-all teat for heterogeneity, p< 0.05, chi-square = 11.12, 3 df. Test for trend, p< 0.01, chi-square = 9.40, 1 df. c Over-all test for heterogeneity, not significant, chi-square = 5.20, 3 df. Test for trend, p< 0.05, chi-square = 4.99, 1 df. d Over-all test for heterogeneity, not significant, chi-square = 2.87, 3 df. Test for trend, set significant, chi-square = 2.59, 1 df. Male Sprague-Dawley CLEA rats were maintained on diets containing levels of 85, 170, 330, 650, 1300, 2500, or 5000 ppm BHT for 1 to 4 weeks. A significant decrease in the prothrombin index was observed at week 1 in all groups fed BHT at levels of 170 ppm or more. However, when the rats were maintained on the test diets for 4 weeks, a significant decrease in the prothrombin index was observed only in the 5000 ppm group. This was the only group which showed an increase in relative liver weights compared to those of the control group. In another study, haemorrhagic death, haemorrhage, and a decrease in prothrombin index in male Sprague-Dawley rats caused by 1.2% BHT were prevented by the simultaneous addition of 0.68 mole phylloquinone/kg b.w./day Phylloquinone oxide also prevented hypoprothrombinemia due to BHT (Takshashi & Hiraga, 1979). Male Sprague-Dawley rats were fed diets containing 0 or 1.2% BHT for one week. BHT-treated rats showed haemorrhages in most organs. There was a significantly-increased leakage of Evans Blue into the epididymis. In addition, inhibition of ADP-induced platelet aggregation and decreased platelet factor 3 availability were observed. Plasma prothrombin factors were decreased, but fibronolytic activity was unchanged (Takahashi & Hiraga, 1981). Male rats receiving 0.25% dietary BHT for 2 weeks showed decreased concentrations of vitamin K in the liver and increased faecal excretion of vitamin K (Suzuki et al., 1984). Dietary BHT at a level of 1.2% was shown to effect platelet morphology (distribution width), and to cause changes in the fatty acid composition of the platelet lipids (Takahashi & Hiraga, 1984). Special studies on mutagenicity BHT was tested in four in vitro systems for genotoxicity: (1) Salmonella/microsome mutation test (4 dose levels between 0.01-10 mg/plate) using 5 tester strains, with and without S-9 activation; (2) hepatocyte primary culture/DNA repair test (10 dose levels ranging from 10-5 to 1 mg/ml); (3) adult rat liver epithelial cell/hypoxanthine guanine phosphoribosyl transferase mutagenesis using rat liver line 18 (6 doses ranging from 0.05 to 0.1 mg/ml); and (4) Chinese hamster ovary/sister chromatid exchange (SCE) assay (4 doses ranging from 10-5 to 1 mg/ml). BHT was negative in all tests (Williams et al., 1984). Special studies on potentiation or inhibition of carcinogenicity G.I. Tract Male F344 rats were treated with a single dose of N-methyl-N'-nitro-N-nitrosoguanidine, and then maintained on diets containing no BHT, 1.0% BHT, 5% NaCl, or 5% NaCl + 1.0% BHT for 51 weeks. The incidences of squamous cell carcinomas of the forestomach in the respective groups were 11% in the control group, 15.8% in the BHT group, 3.0% in the NaCl group, and 52.9% in the BHT + NaCl group (Shirai et al., 1984). When rats were maintained on dietary 0.5% BHT for 36 weeks following 4 injections (1 per week) of 1,2-dimethylhydrazine, the presence of dietary BHT did not effect the number of rats with colon tumours, but the number of tumours per rat occurring in the distal colon was significantly decreased (Shirai et al., 1985). Wistar rats fed 1.0% BHT in the diet during treatment with N-methyl-N'-nitro-N-nitrosoguanidine (administered in drinking water at a concentration of 1.0 mg/ml) for 25 weeks, and then maintained on the test diet for another 14 weeks, showed a significant reduction in the incidence of gastric cancer, when compared to rats receiving BHT-free diets (82% versus 36.8%) (Tatsuta et al., 1983). Groups of male BALB/c mice treated intrarectally with methylnitrosurea, and then maintained on diets containing BHT, showed a marked increase in the incidence and multiplicity of G.I. tract tumours when compared to treated mice maintained on BHT-free diets. In another study, BALB/c mice were injected with dimethylhydrazine (6 weekly injections) and then maintained on control (BHT-free) diets or on diets containing 0.05% BHT or 0.5% BHT. The colon tumour incidences were 3/30 (10%), 0/43, and 9/28 (32%), in the respective groups (Lindenschmidt et al., 1986). Bladder Male F344 rats were treated with 0.01 or 0.05% N-butyl-N- (4-hydroxybutyl) nitrosamine (BBN) in drinking water for 4 weeks, and then fed diets containing 0 or 1% BHT for 32 weeks. BHT in the diet was associated with a significant increase in the incidence of cancer and papilloma of the bladder of rats treated with 0.05% (but not 0.01%) BBN (Imaida et al., 1983). Rats were administered 200 ppm N-2-fluorenylacetamide (FAA) in the diet alone or with 6000 ppm BHT for 25 weeks. No bladder neoplasms resulted from feeding FAA alone, but the combination of FAA and BHT resulted in 17/41 papillomas and 3/41 carcinomas in the bladder (Williams et al., 1983). Four dietary levels of BHT (300, 1000, 3000, or 6000 ppm) were simultaneously fed with 200 ppm FAA for 25 weeks. FAA feeding alone produced no neoplasms, but when combined with BHT at 3000 or 6000 ppm, the incidences of bladder tumours were 18% and 44%, respectively. The incidence of bladder tumours in the 300 and 1000 ppm BHT groups was low and not significantly different from the incidence with FAA alone (see also effects on liver) (Maeura et al., 1984) Male F344 rats were given injections of methylnitrosourea (MNU) twice a week for 4 weeks, and then a basal diet containing 11 BHT for 32 weeks. Dietary BHT significantly increased the incidences per group and numbers per rat of papilloma and papillary or nodular hyplasia of the urinary bladder. The incidence of adenoma (but not adenocarcinoma) of the thyroid was also increased by treatment with HNU + BHT (Imaida et al., 1984). Liver Rats were administered 200 ppm FAA in the diet, alone or with 6000 ppm BHT for 25 weeks. FAA alone induced a 1001 incidence of liver neoplasms. Simultaneous administration of BHT resulted in a decreased frequency of benign neoplasms, neoplastic nodules and malignant and hepatocellular carcinomas (Williams et al., 1983). Four dietary levels of BHT (300, 1000, 3000, or 6000 ppm) were fed simultaneously with 200 ppm FAA for 6, 12, 15, or 25 weeks. BHT produced a reduction in the incidence of tumours in a dose-dependent manner (100% incidence in the absence of BHT to 56% at 6000 ppm BHT) (see also effects on the bladder) (Maeura et al., 1984). Rats were fed 200 ppm FAA for 8 weeks, then diets containing BHT at levels of 300, 1000, 3000, or 6000 ppm for up to 22 weeks. The area of hepatocellular altered foci, identified by iron exclusion and gamma-glutamyl transferase (GGT) activity, that was induced by feeding the FAA, showed increased development at the highest dietary level of BHT (the number of foci, the area occupied by GGT-positive preneoplastic and neoplastic lesions, and the neoplasm incidence were increased). These parameters were unaffected at the lower BHT levels (Maeura & Williams, 1954). Rats were given a single i.p, injection of 200 mg/kg b.w. of diethylnitrosamine, and then maintained on diets containing 1% BHT for 6 weeks. At week 3 the rats were subjected to partial hepatectomy. The number of gamma-glutamyl transpeptidase positive loci in the liver of BHT-fed rats was significantly decreased when compared to controls (Imaida et al., 1983). Mammary glands Female rats were fed diets containing 0, 0.25, or 0.5% BHT. The test diets were administered either (a) 2 weeks before until 1 week after 7,12-dimethylbenz(a)anthracene (DMBA) administration or (b) 1 week after DMBA administration to the end of the study (30 weeks). The DMBA was administered as a single dose of 8 mg. BHT was an effective inhibitor of mammary carcinogenesis when administered during either of these time frames (20% by regime (a) and 50% by regime (b)) (McCormick et al., 1984). In another study, dietary BHT was shown to decrease the incidence of mammary tumours induced in female Sprague-Dawley rats by DMBA, but it was without effect on animals treated with MNU (King et al., 1981). The inhibitory effects of BHT were strongly influenced by the dose of initiating carcinogen and the type of diet in which BHT was fed. Administration of BHT in the AIN-76A diet showed a markedly different effect from BHT in the NIH-07 diet. In the AIN-76A diet 6000 ppm BHT had no effect on the incidence of mammary tumours induced by 15 mg DMBA, whereas a similar level of BHT in the NIB-07 diet resulted in a 40% inhibition of tumour development (Cohen et al., 1984). Pancreas Male LEW inbred rats were given an injection of 30 mg azaserine once a week for 3 weeks, and then maintained on diets containing 0 or 0.45% BHT for 4 months. BHT treatment reduced the number of acidophilic foci per pancreas by 32%, but was without effect on focal size. BHT had no effect on the occurrence of basophilic foci (Roebuck et al., 1984). Special studies on potentiation or inhibition of mutagenesis The addition of 50-250 µg of BHT/plate inhibited 3,2'-dimethyl- 4-aminobiphenyl-induced mutagenicity in Salmonella typhimurium strains TA98 and TA100 in the presence of rat liver S-9 fraction (Reddy et al., 1983a). BHT was a moderately effective inhibitor of benzidine-induced mutagenicity in Salmonella typhimurium strain TA98, activated with a hamster liver S-9 fraction (Josephy et al., 1985). The addition of 100-250 µg of BHT/plate was shown to inhibit 3,2'-dimethyl-4-aminobiphenyl-induced mutagenicity in Salmonella typhimurium strains TA98 and TA100. Mutagenicity was further inhibited by use of S-9 preparations from rats fed dietary BHT (0.6%) as compared to S-9 preparation from rats fed BHT-free diets (Reddy et al., 1983b). The addition of BHT (5 to 20 µg/plate) caused a two-fold increase in the mutagenic potency of aflatoxin B1 using Salmonella typhimurium strains TA98 and TA100, with and without activation (Shelef & Chin, 1980). Special studies on pulmonary toxicity In a study of lung toxicity in mice of BHT analogues, it was established that the structural feature essential for toxic activity is a phenolic ring structure having (i) a methyl group at the 4-position and (ii) ortho-alkyl group(s) which can result in a moderate hindering effect of the hydroxyl group (Mizutani et al., 1982). In another study, the toxic potency of BHT in mice was decreased by deuteration of the 4-methyl group, suggesting that lung damage following administration of BHT is caused by the metabolite 2,6-di-tert-butyl-4-methylene-2,5-cyclohexadienone (Mizutani et al., 1983). Male mice given a single dose of BHT showed ultrastructural changes of the lung, which were characterized by selective destruction of type I epithelial cells, which were replaced by type II cuboidal cells. These changes were accompanied by a marked decrease in the number of peroxisomes, as well as catalase activity (Hirai et al., 1983). BHT was shown to enhance the lung tumour incidence in mice treated with doses of urethan greater than 50 mg/kg. At lower doses of urethan (subcarcinogenic doses) BHT did not enhance tumour development. In another study, it was shown that following treatment of mice with urethan, a two-week exposure to dietary 0.75% BHT was sufficient to enhance tumour development, and that 0.1% BHT was an effective enhancer when fed for 8 weeks. BHT, administered within 24 hours post-treatment and fed for 8 weeks, enhanced tumour development in mice treated once with 3-methylcholanthrene, benzo(a)pyrene, or N-nitrosodimethylamine. When mice were injected weekly with BHT, there was a rapid increase in cell proliferation, and in both the cumulative labelling index (incorporation of 3H-thymidine) and the number of labelled type II cells. These effects were smaller after each injection, and by the fifth injection, no increase was observed (Witschi & Morse, 1985). Special study on reproduction Rats Groups of 60, 40, 40, and 60 Wistar rats of each sex, 17 weeks of age, were fed a semi-synthetic diet containing BHT so that the dietary intake was equivalent to 0, 25, 100, or 500 mg/kg b.w./day, respectively. After 13 weeks on the test diet the rats were mated. Food consumption was similar in all groups. Male and female rats in the high-dose group showed a significant decrease in body weight which persisted throughout the study. Gestation rate was similar for all test groups. The litter size and number of males per litter were significantly lower in the 500 mg/kg b.w. group than in the controls. Viability was similar in test groups and in the control group during the lactation period. The average birth weight of the pups in the 500 mg/kg b.w./day and 100 mg/kg b.w./day groups was slightly lower than in the controls. During the lactation period, dietary BHT caused a significant dose-related lower body-weight gain (5%, 7%, and 41% lower body weight for the 25, 100, and 500 mg/kg b.w./day groups, respectively, as compared to controls) (Olsen et al., 1986). Comments The haemorrhagic effects of massive doses of BHT seed in certain strains of mice and rats, but not in dogs, may be related to its ability to interfere with vitamin K metabolism. However, in a susceptible strain of rat, the decrease in prothrombin index was shown to be transient. The effect can be reversed by feeding a vitamin K analogue. This suggests that the effect may be due to the presence of antivitamin K activity possibly associated with diets marginal in vitamin K. Additional studies will be required to elucidate the mechanism of the haemorrhagic effect. Additional studies have been carried out on the ability of BHT to modify the carcinogenicity of chemical agents. Enhancement or reduction of the incidence of tumours varies with the chemical administered, the time of addition of BHT to the diet, concentration of BHT in the diet, and also the organ site effected. For example, in the case of rats fed FAA concurrently with BHT, there was a significant increase in bladder tumours even when rats were exposed to subcarcinogenic levels of dietary FAA. However, under these conditions there was a reduction in the incidence of liver tumours. In both instances the effects were dose related, and the effects were only observed at high dietary levels of BHT. Dietary BHT also modified the carcinogenicity of chemicals causing tumours of the G.I. tract, mammary gland, and pancreas in experimental animals. The inhibitory effects of BHT may also be influenced by the type of diet in which it is fed, since in one study BHT was an effective inhibitor of DMBA-induced mammary tumours in rats when a NIH-07 diet was used, but was without effect when the rats were fed an AIN-76A diet. In another study on mice, conventional laboratory chow containing BHT reportedly produced a higher incidence of spontaneous-occurring tumours than did a BHT-free semi-synthetic diet. BHT was not mutagenic in a number of in vitro tests. However, BHT inhibited 3,2'-dimethyl-4-aminobiphenyl- and benzidine-induced mutagenicity in the Salmonella test. In a recent two-generation lifetime study in Wistar rats, BHT caused a dose-related increased number of hepatocellular adenomas and carcinomas. Most of the hepatocellular tumours were detected when the rats were more than two years old. Previously-reported single- generation carcinogenicity studies in Fischer 344 and Wistar rats with BHT were negative (Annex 1, references 51 and 63). The significance of the hepatocarcinogenicity of BHT in the recent studies to the toxicological evaluation raises a number of questions. These relate to the differences in design of the recent rat study and those previously reported to be negative, such as in utero exposure, duration of the study, and low body weights of the test animals. An elucidation of the reasons for the in utero effect is a priority. In a study with male and female C3H mice fed semi-synthetic diets containing BHT for 10 months there was a significant increase in the incidence of liver tumours in male but not female animals under the conditions of the study. This effect was not dose related, the lower dose showing a higher incidence of these tumours than the higher dose (58% versus 38%. In addition, the tumour incidence was not significantly different from other controls of similar age in studies with the same inbred strain and the reported increase of hepatocellular tumours (adenomas) appeared to be strain specific, since an increased incidence of liver tumours was not observed in male BALB/c mice fed diets containing 0.51 BHT for 12 months. In the previously-reported carcinogenicity studies in B6D3F1 mice, BHT was not carcinogenic under the conditions of the test (Annex 1, references 54 and 63). In a one-generation reproduction study in rats, BHT had no effect on gestation rate, but showed a dose-related response in litter size, number of males per litter, and body-weight gain during the lactation period. The Committee based its evaluation on the no-effect level in this study. EVALUATION Level causing no toxicological effect Rat: 25 mg/kg b.w./day (based on one-generation reproduction study) Estimate of temporary acceptable daily intake for man 0 - 0.125 mg/kg b.w. 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See Also: Toxicological Abbreviations Butylated hydroxytoluene (ICSC) Butylated hydroxytoluene (FAO Nutrition Meetings Report Series 38a) Butylated hydroxytoluene (FAO Nutrition Meetings Report Series 40abc) Butylated hydroxytoluene (WHO Food Additives Series 5) Butylated hydroxytoluene (WHO Food Additives Series 10) Butylated hydroxytoluene (WHO Food Additives Series 35) BUTYLATED HYDROXYTOLUENE (JECFA Evaluation)