WHO/Food Add./24.65 FAO Nutrition Meetings Report Series No. 38A SPECIFICATIONS FOR IDENTITY AND PURITY AND TOXICOLOGICAL EVALUATION OF SOME ANTIMICROBIALS AND ANTIOXIDANTS The content of this document is the result of the deliberations of the Joint FAO/WHO Expert Committee on Food Additives which met 8-17 December 1964a a Eighth Report of the Joint FAO/WHO Expert Committee on Food Additives, Wld Hlth Org. techn. Rep. Ser., 1965, 309; FAO Nutrition Meetings Report Series 1965, 38. HEXAMETHLENETETRAMINE CHEMICAL NAMES Hexamethylenetetramine; methenamine; methamin; hexamethyleneamine EMPIRICAL FORMULA C6H12N4 STRUCTURAL FORMULAMOLECULAR WEIGHT 140.2 DESCRIPTION White odourless crystals, which sublime at about 263°C. 1 g yields 1.2 of formaldehyde on hydrolysis. One part is soluble in 1.5 ml of water or 12.5 ml of alcohol. USE As a preservative for fish, meat and pickles. Biological Data Biochemical aspects Formaldehyde and formic acid occur in fresh unpreserved cod-fish muscle.1,2 Formaldehyde and formic acid are excreted in the urine of dogs and cats fed a meal of fish not treated with preservatives, the source of these substances being trimethylamineoxide occurring naturally in fish muscle.3,4,5 The concentration of free formaldehyde in the urine of these dogs and cats given unpreserved fish was 4 to 5 times higher than that found in human subjects who had consumed fish preserved with hexamethylenetetramine. Humans fed almost exclusively on unpreserved fish did not show an increase in the excretion of formaldehyde or formic acid.3 Under acid conditions, or in the presence of proteins, hexamethylenetetramine decomposes gradually yielding ammonia and formaldehyde.6 Hexamethylenetetramine liberates free formaldehyde in the stomach.7 Intravenous infusion in dog of formaldehyde, 35 mg/kg as a 0.6% solution during 8 to 10 minutes, was carried out. Two minutes after completion of the infusion them was no increase in formaldehyde but a high increase in the formic acid level in the blood. The formic acid level decreased by 50% in 1 hour, by 75% after 2 hours, and was back to normal after 4 hours. In vitro human blood oxidizes 30% formaldehyde (0.7 mg to 4 ml blood) to formic acid within 4 hours. Addition of methylene blue (0.05% to 0.2%) results in a complete oxidation of the formaldehyde.8 Experiments with 14C-labelled formaldehyde given by stomach tube to rats and mice showed that 5 minutes after application the radioactivity was distributed over the total body. After 12 hours, approximately 40% had been expired as 14CO2, 10% had been excreted in the urine, and 1% in the faeces. The homogenized whole animals contained 20% of the radioactivity after 24 hours and 10% after 96 hours.9 Further work on the metabolism of hexamethylenetetramine and formaldehyde is in progress.10,11,12 Special studies Both hexamethylenetetramine13 and formaldehyde14 have been shown to act as mutagens in Drosophila. Acute toxicity Animal Route LD50 Reference (mg/kg body-weight) Rat intravenous 9200 15 Short-term studies Rat. Two groups of 5 male and 5 female rats received respectively 0.4 and 0.2 hexamethylenetetramine per day parenterally or by stomach tube for 90 days. Groups of 15 male and 15 female rats were also given 0.4 g hexamethylenetetramine by stomach tube for 333 days. During the latter experiment 9 males and 3 females died compared with 1 male and 2 females in the control group. In both experiments no macroscopic changes in organs were observed in the animals receiving hexamethylenetetramine, nor did the body-weight of the test animals vary from that of the controls. However, a citrus yellow colour of the coat was noted.16 Cat. (Work In progress) Since October 1963, 0.124% hexamethylenetetramine and 0.0375% formaldehyde have been fed in the diet to groups of 5 and 4 cats respectively.17 Dog. (Work in progress) Since January 1963, 0.125% hexamethylenetetramine and 0.375% formaldehyde have each been fed to groups of 6 dogs. In November 1963, 5 litters born after the commencement of the feeding trials were also included in the experiment.17 Long-term studies Mouse. (Work in progress) Since January 1963, 2 groups of 30 males and 30 females of a special strain of mice with a high incidence of spontaneous tumours (about 80% after 1 year) have been fed 1% hexamethylenetetramine and 0.15% formaldehyde respectively.17 Rat. (work in progress) Since April 1963, rats have been fed 0.5% and 1% hexamethylenetetramine and 0.05% and 0.15% formaldehyde.17 (Work in progress) A long-term, seven-generation feeding study on rats was commenced in May 1963. 5 mg/kg and 50 mg/kg hexamethylenetetramine are given in the drinking-water.18 (Work in progress) In March 1964, a three-generation chronic toxicity test was begun, feeding rats 0.04%, 0.08% and 0.16% hexamethylenetetramine in the diet.19 Repeated subcutaneous injections of 35-40% solutions of hexamethylenetetramine produced local sarcomas in 8 out of 14 rats.20 (Work In progress) Two groups of rats (15 male and 15 female) are being given twice weekly subcutaneous injections with 1 ml of a 40% solution of hexamethylenetetramine and 0.1% formaldehyde respectively. Two control groups, each having 7 male and 7 female rats, are being given respectively NaCl and saccharose solution of equal osmotic pressure to that of the 40% hexamethylenetetramine solution. Evaluation The toxicological data are considered to be insufficient for evaluation of an acceptable level for use as a food additive in man. In addition, hexamethylenetetramine produces sarcomas in rats after subcutaneous injection and has a mutagenic action in insects. It is concluded that, pending the evaluation of the results of work now in progress, hexamethylenetetramine should not be used as a food additive in human foodstuffs. References 1. Malorny, G. (1964) FAO Symposium on the Significance of Fundamental Research in the Utilisation of Fish, Paper No. WP/II/11 2. Amano, K. & Yamada, K. (1964) FAO Symposium on the Significanae of Fundamental Research in the Utilisation of Fish, Paper No. WP/II/9 3. Malorny, G. & Rietbrock. N. (1962) Naturwissenschaften 49, 520 4. Malorny, G., Rietbrock, N. & Schassan, H. H. (1963) Arch. exp. Path. Pharmak., 246, 62 5. Schassan, H. H. (1963) Inauguraldissertation, Hamburg 6. Hutschenreuter, H. (1956) Z. Lebensmitt.-Untersuch., 104, 161 7. Malorny. G. & Rietbrock. N. (1963) Vortrag auf der X. Tagung des Ernährungswissenschaftlichen Beirats der deutschen Fischwirtschaft, Bremen. 8. Malorny. G., Rietbrock. N. & Schneider, M. (1964) Arch. exp. Path. Pharmak., 247, 381 9. Buss, J., Kuschinsky, K., Kewitz, H. & Koransky, W. (1964) Arch. exp. Path. Pharmak., 247, 380 10. Malorny, G., Rietbrock, N. & Schneider, M. (1964) Der Stoffwechsel des Formaldehyds. 1. Die Oxydation des Formaldehyds im Blut (In preparation) 11. Malorny, G. & Reitbrock, N. (1964) Pharmakologisch-toxikologische Wirkungen des Hexamethlentetramins und seines Spaltproduktes Formaldehyd (In preparation) 12. Malorny, G., Netter, K. J. & Seidel, G. (1964) Untersuchungen über die Hemmbarkeit enzymatischer Reaktionen durch Formaldehyd und einige seiner Homologen (In Preparation) 13. Auerbach. C. (1951) Cold Spr. Harb. Symp. quant. Biol., 16, 199 14. Rapoport. I. A. (1946) C.R. Acad. Sci. USSR, 54, 65 15. Langecker. H. (1954) Arch. exp. Path. Pharmak., 221, 166 16. Brendel. R. (1964) Arzneimittel-Forsch., 14, 51 17. Kewitz, H. (1964) Work in progress, Institute for Veterinary Pharmacology, Free University of Berlin 18. Malorny, G. (1964) Work in progresss, Pharmacological Institute, University of Hamburg 19. Berglund, F. (1964) Work in progress, National Institute of Public Health, Stockholm 20. Watangabe, G. & Sugimoto, S. (1955) Gann, 46, 365
See Also: Toxicological Abbreviations Hexamethylenetetramine (ICSC) Hexamethylenetetramine (WHO Food Additives Series 1) Hexamethylenetetramine (WHO Food Additives Series 5) HEXAMETHYLENETETRAMINE (JECFA Evaluation)