FAO Nutrition Meetings Resort Series No. 44A WHO/Food Add./68.33 TOXICOLOGICAL EVALUATION OF SOME FLAVOURING SUBSTANCES AND NON-NUTRITIVE SWEETENING AGENTS Geneva, 21-28 August 1967 The Eleventh Report of the Joint FAO/WHO Expert Committee on Food Additives is published as FAO Nutrition Meetings Report Series, 1967, No. 44; Wld Hlth Org. techn. Rep. Ser., 1968, 383. This Report contains general considerations, including the principles adopted for the evaluation, and a summary of the results of the evaluations of a number of food additives. Additional information, such as biological data and a toxicological evaluation, considered at that meeting, is to be found in this document. Food and Agriculture Organization of the United Nations World Health Organization 1967 SACCHARIN Chemical name o-Benzosulfimide; 2,3-dihydro-3-oxobenzisosulfonazole Empirical formula C7H5NO3S Structural formulaMolecular weight 183.19 Definition Saccharin contains not less than 98 per cent C7H5NO3S after drying. Description White crystals or a white, crystalline powder, odourless, or with a faint, aromatic odour Use Non-nutritive sweetener CALCIUM SACCHARIN Chemical name Calcium o-Benzosulfimide; Calcium salt of 2,3-dihydro- 3-oxobenzisosulfonazole Empirical formula C14H8CaN2O6S2.3-1/2H2O Structural formula
Molecular weight 467.49 Definition Calcium saccharin contains not less than 95 per cent. C14H8CaN2O6S2 calculated on anhydrous basis. Description White crystals or a white, crystalline powder, which is odourless or has a faint, aromatic, odour and an intensely sweet taste even in dilute solutions. Use Non-nutritive sweetener SODIUM SACCHARIN Chemical name Sodium o-Benzosulfamide; Sodium salt of 2,3-dihydro-3-oxobenzisosulfonazole Empirical formula C7H4NNaO3S.2H2O Structural formula
Molecular weight 241.20 Definition Sodium saccharin contains not less than 98 per cent. and not more than the equivalent of 101 per cent. C7H4NNaO3S (205.17) after drying. Description White crystals or a white, crystalline, efflorescent powder which is odourless or has a faint, aromatic odour and an intensely sweet taste, even in very dilute solutions. Use Non-nutritive sweetener Biological Data Biochemical aspects Saccharin and saccharin sodium have been in use since the late nineteenth century, the sodium salt being more soluble but of the same sweetening power as the acid form. Orally administered saccharin appears in the urine of man within a half hour and is completely eliminated unchanged in 16-48 hours (Staub & Staehelin, 1933), some 90 per cent. being excreted in the urine in 24 hours (Folin & Herter, 1912). Intravenous saccharin sodium in doses of 2.5 g has been used without adverse effect in sick and well people to determine circulation time (Fisher et al., 1933). No effect has been noted on human nitrogen balance or protein utilization in man by doses up to 4 g/day. Daily doses of 5 g reduced albumin absorption and utilization by 0.94 per cent. (Neunann, 1926). No abnormal effects on total urinary nitrogen excretion or uric acid output was noted by other workers after giving oral saccharin (Folin & Herter, 1912). No deleterious effects on blood sugar, kidney function, vitamin utilization, blood coagulation or enzyme activity has been detected in man (NAS-NRC, 1955). Early observations of hypoglycaemia induced by saccharin were confirmed in obese-hyperglycaemic mice by feeding 125-175 mg/animal daily for 4 weeks. No effect was shown on lean mice and adult rats. Intraperitoneal administration of 100 mg to fed rats and 10 mg to fed mice caused hypoglycaemia, but no effect was seen in fasted animals even after administration of 1 g (Thompson & Mayer, 1959). Intravenously administered saccharin sodium appears in the thoracic and cervical lymph within a few minutes, is distributed throughout all body fluids and appears in saliva and tears. One gram of saccharin given in water to goats appeared in the milk after 9 hours (Carlson et al., 1923). In vivo perfusion of rat stomach and small intestine demonstrated considerable absorption from the stomach at pH 1.0 and slow absorption from the small intestine, i.e. <9 per cent., in two hours (Kojima et al., 1966). Acute toxicity Animal Route LD50 References (mg/kg body-weight) Mouse i.p. 17 500 Tanaka, 1964 Rabbit oral 5000-8000(LD) Folin & Herter, 1912 Dog i.v. 2500(LD) Becht, 1920 Short-term studies Dog. One male and one female dog received 150 mg/day of saccharin in their food for 18 months without any adverse effects on weight, fertility or other bodily functions. Their pups developed normally (Bonjean, 1922). If given doses of 175 mg to 350 mg/day for 100 days, dogs developed hyperaemia of lungs, liver, myocardium and kidney as well as cloudy swelling of renal glomeruli and convoluted tubules (De Nito, 1936). Teratogenicity and fertility studies Mouse. Groups of 21 pregnant mice received 42-168 mg/kg body-weight/day of saccharin through the production of 3 successive litters without deleterious effect on growth, litter number and pups per litter when compared with controls fed sugar. No histological studies were performed (Lehmann, 1929). Groups of 4 pregnant mice received 125 mg/kg saccharin intragastrically on days 4-5 and 6-7 of pregnancy, 250 mg/kg on days 4-5 and 6-7 of pregnancy and 500 mg/kg or days 8-10 of pregnancy. Controls received saline. Abnormalities of the foetus in terms of resorption or retarded development were seen at 125 mg/kg and 250 mg/kg but not at 500 mg/kg. The mean foetal LD50 was calculated at 155 mg/kg (Tanaka, 1964). Rat. Eighteen pregnant controls and 15 pregnant test rats received either 0 or 6000 mg/kg/day of saccharin sodium from day 1 to 20 of pregnancy. Six of the controls and 6 test animals were killed on the twenty-first day and no foetal abnormalities were noted. Litter size, foetal mortality and foetal weight were unaffected. All test animals showed some reduced weight gain during the first week and gastric ulceration. The remaining 9 test and 12 control animals were allowed to go on to parturition and to suckle their young for 21 days. Again there was no difference between controls and test animals as regards litter size, percentage weaned and weaning weights (Bough et al., 1967). In another experiment 2 groups of 10 males and 20 females were given 0 or 10 000 ppm of saccharin in the diet for 60 premating days. No effect was seen on libido or fertility. Litter size at birth and number of pups weaned were comparable for both groups. After 6 weeks without treatment the animals were remated, again without difference in litter size and number of pups per litter (Bough et al., 1967). Rabbit. Oral doses of 0 and 600 mg/kg/day saccharin sodium were given to Californian rabbits (8 test and 7 controls) from day 1-29 of pregnancy, and the foetuses examined at day 30. The test mothers showed reduced body-weight gain in the first week, and gastric ulceration. There was no adverse effect on litter size, foetal mortality or foetal weight (Bough et al., 1967). Carcinogenicity studies Saccharin and croton oil together were tested for dermal cocarcinogenicity in mice. Although the treated group showed a greater incidence of skin papillomata compared with controls, the difference was not statistically significant (Salaman & Roe, 1956). Paraffin wax pellets containing saccharin when implanted in the mouse bladder induce a significant incidence of bladder tumours and this is interpreted as demonstrating a cocarcinogenic effect (Allen et al., 1957). Long-term studies Rat. Groups of 25 rats (5 males and 20 females) were fed diets containing 1.0, or 10 per cent. saccharin for 36 weeks. Similar groups of rats were fed diets containing 0, 0.1, or 1.0 per cent. saccharin for a life time. One female from each group in the second experiment was bred and 4 progeny from each litter were fed a diet containing the same amount of saccharin as their parents for a life time. Growth was retarded at the 10 per cent. level but no adverse effects were seen at the lower levels on histological examination of major organs (Fantus & Hektoen, 1923). In another study, groups of 7-10 male and 9-10 male rats were fed 0, 0.01, 0.1, 0.5, 1.0 and 5.0 per cent. of saccharin in their diet for 2 years. There was slight retardation of growth at the 5 per cent. level. All other levels showed no deleterious effect on rate of weight gain, mortality, haematology, organ weights or histology (Fitzhugh et al., 1951). A further study on groups of 20 male and 20 female rats fed 0, 0.005, 0.05, 0.5 and 5.0 per cent. saccharin in their diet for 2 years included a similar group given 1 ml of an aqueous 1 per cent. solution of trypan blue s.c. every 2 weeks for 1 year as a positive control. In the 5 per cent. group and the trypan blue group, mortality was higher than in the controls. Mortality was lower than for the controls in the 0.005 per cent. group. Retardation of growth was observed in the males and females of the 5 per cent. group despite greater food consumption. There was no difference in the incidence of tumours between test and control groups (Lessel, 1967). Observations in man Doses of 1.5-3.0 g/day in man cause a persistent sweet metallic taste (Carlson et al., 1923). Single doses of 5-10 g have been tolerated and even 100 g orally is said to have caused no harm. A few non-fatal cases of acute poisoning and allergic response have been reported (NAS-NRC, 1955). During high-intake balance studies, 3 male volunteers received 0.3 g/day of saccharin sodium for a maximum of 4 months and 1-1.5 g/day of saccharin sodium for a maximum of 2 months. All saccharin administered was fully accounted for. Seven volunteers received from 0.15-0.3 g per day of saccharin for 1.3 months without adverse effects except for increased urine output (Folin & Herter, 1912). 90-180 mg/day was well tolerated by children aged 10-12 years for 3 months (Jessen, 1890). Diabetic patients have received as much as 4.8 g daily for 5 months without adverse effect (Neumann, 1926), and 0.4-0.5 g/day for 15-24 years without any adverse effects (NRC, 1955). Comments The extensive biochemical studies with saccharin and sodium saccharin show the inertness of these substances. Following an oral dose saccharin appears unchanged in the urine of man within a half-hour and is completely excreted within 48 hours. The long-recorded use by man without any apparent deleterious effects in normal individuals and diabetic patients indicates the safety of the normal intakes of saccharin. Although long-term animal studies are limited to rats, two reports show no effects at dosage levels as high as 1 per cent. and only slight growth retardation at 5 per cent. These studies are adequate to rule out carcinogenicity. The cocarcinogenic studies are limited to skin application and bladder implantation in mice and lack significance in the oral use of saccharin for man. Reports on studies in mice, rats and rabbits are adequate to show the lack of any effect on fertility and progeny. EVALUATION Level causing no significant toxicological effects Rat: 1 per cent. (10 000 ppm) in the diet, equivalent to 500 mg/kg body-weight/day. Acceptable daily intake for man mg/kg body-weight Unconditional acceptance 0-5 Conditional acceptance1 5-15 1 For dietetic foods only REFERENCES Allen, M. J., Boyland, E., Dukes, C. E., Horning, E. S. & Watson, J. G. (1957) Brit. J. Cancer, 11, 212 Becht, F. C. (1920) J. Pharmacol. exp. Therap., 16, 155 Bonjean, E. (1922) Rev. Hyg., 44, 50 Bough, R. G., Lessel, B., Sutton, M. M. & Williams, G. A. H. Unpublished report submitted by Boots Pure Drug Co., 1967 Carlson, A. J., Eldridge, C. J., Martin, H. P. & Foran, F. L. (1923) J Metab. Res., 3, 45 De Nito, G. (1936) Boll. Soc. ital. Biol. sper., 11, 934 Fantus, B. & Hektoen, L. (1923) J. Amer. Pharm Ass., Sci. Ed., 12, 318 Fishberg, A. M., Hitzig, W. M. & King, F. H. (1933) Proc. Soc. exp Biol. Med., 30, 651 Fitzhugh, O. G., Nelson, A. A. & Frawley, J. P. (1951) J. Amer. Pharm. Ass., Sci. Ed., 60, 583 Folin, O. & Herter, C. (1912) US Dept. Agric. Rep. No. 94 Jessen, F. (1890) Arch. f. Hyg., 10, 64 Kojima, S., Ichibagase, H. & Igudin, S. (1966) Chem. Pharm. Bull., 14, 965 Kusaka, -. (1926) Folia Japon. Pharmakol., 2, 370 Lehmann, K. B. (1929) Arch. f. Hyg., 101, 39 Lessel, B. Unpublished report submitted by Boots Pure Drug Co., 1967 National Academy of Sciences - National Research Council (1955) The safety of artificial sweeteners for use in food, Publication No. 386 Neumann, R. O. (1926) Arch. f. Hyg., 263; 97, 275 Salaman, M. H. & Roe, F. J. C. (1950) Brit. J. Cancer, 10, 363 Staub, H. & Staehelin, R. (1936) Med. Press Circ., 193, 2 Tanaka, R. (1964) J. Iwate med. Ass., 16, 330 Thompson, M. M. & Mayer, J. (1959) Amer. J. Clin. Nutr., 7, 80
See Also: Toxicological Abbreviations Saccharin (FAO Nutrition Meetings Report Series 48a) Saccharin (WHO Food Additives Series 17) SACCHARIN (JECFA Evaluation) Saccharin (IARC Summary & Evaluation, Supplement7, 1987) Saccharin (IARC Summary & Evaluation, Volume 22, 1980)