INTERNATIONAL PROGRAMME ON CHEMICAL SAFETY WORLD HEALTH ORGANIZATION SAFETY EVALUATION OF CERTAIN FOOD ADDITIVES AND CONTAMINANTS WHO FOOD ADDITIVES SERIES: 44 Prepared by the Fifty-third meeting of the Joint FAO/WHO Expert Committee on Food Additives (JECFA) World Health Organization, Geneva, 2000 IPCS - International Programme on Chemical Safety MISCELLANEOUS SUBSTANCES gamma-CYCLODEXTRIN First draft prepared by Dr P.J. Abbott Australia New Zealand Food Authority, Canberra, Australia Explanation Biological data Toxicological studies: Long-term studies Observations in humans Comments Evaluation References 1. EXPLANATION gamma-Cyclodextrin is a ring-shaped molecule made up of eight glucose units linked by alpha-1,4-bonds. The annular structure of gamma-cyclodextrin forms a hydrophobic cavity that allows incorporation and solubilization of a variety of organic molecules, while the hydrophilic outer surface makes gamma-cyclodextrin water-soluble. gamma-Cyclodextrin can be used as a carrier for flavours, sweeteners, and colours. It is also proposed for use as a carrier for vitamins and polyunsaturated fatty acids and as a flavour modifier. The estimated three-day average daily intake of gamma-cyclodextrin when used at a maximum level in 19 foods was 4 g, and the 90th percentile intake was 7.5 g. gamma-Cyclodextrin was evaluated by the Committee at its fifty-first meeting (Annex 1, reference 137), when it concluded that there were sufficient data to allocate a temporary ADI 'not specified' but that the results of a study of adverse side-effects in humans known to have been conducted should be reviewed in order to confirm the absence of adverse gastrointestinal symptoms at normal levels of intake. At the present meeting, the Committee reviewed the results of that study and of a 12-month study of toxicity in rats treated orally, which had also become available. 2. BIOLOGICAL DATA 2.1 Toxicological studies: Long-term studies Rats In a 12-month study of toxicity, four groups of 20 male and 20 female Wistar rats were fed a diet containing g-cyclodextrin at concentrations of 0, 5, 10, or 20%, equal to time-weighted average intakes of 2.1, 4.3, or 8.7 g/kg bw per day for males and 2.7, 5.4, or 11 g/kg bw per day for females. The animals were observed daily for signs of toxicity, and ophthalmoscopic examinations were performed at the start of the study and at 13, 26, and 39 weeks. Body weights were measured weekly for 13 weeks and then monthly. Food consumption was recorded weekly, and food conversion efficiency was calculated during the first 13 weeks. The intake of gamma-cyclodextrin was determined as a time-weighted average. Water consumption was recorded in weeks 1, 12, 24, 36, and 50. Haematological, clinical chemical, and urinary parameters were measured in 10 rats of each sex per group at various times during treatment. At the end of the study period, the animals were killed, their organs were weighed, and their tissues were examined by light microscopy. Groups of 10 animals of each sex were screened for neurotoxicity by observation and in a battery of tests. Indicators of immunotoxicity were derived from routine measurements. No clinical signs of toxicity were seen during the study in any group. One female rat at the high dose died under narcosis during blood collection on day 95. The ophthalmoscopic examinations showed no remarkable findings. The body weights of male rats at the intermediate and high doses were slightly lowered throughout the study, but the difference was statistically significant only in the first week. The slightly lowered body weight of females at the high dose was not statistically significant. The food intake of males was relatively low only in the first week of the study and, overall, there was no difference in food intake or food conversion efficiency among the groups. All treated males showed a slight but significant decrease in water consumption, but a significant decrease in females was seen only at the intermediate and high doses at certain times. Haematological parameters were not altered as a result of treatment, although some sporadic changes were seen in prothrombin time and in differential leukocyte counts. Some clinical chemical parameters showed statistically significant changes that may have been treatment-related, but they were not progressive and did not occur in all animals. Males and females at the high dose had increased alkaline phosphatase activity in week 14, and males at this dose had increased alanine aminotransferase activity in weeks 14 and 26. Ornithine carbamoyl transferase activity was increased in males at the high dose in week 14. The creatinine concentration was increased in females at the high dose in weeks 14 and 26 and in those at the intermediate dose in week 14. The triglyceride concentration was decreased in males at the high dose in week 14, while that of phospholipids was decreased in males and females at the high dose in week 14. The changes in triglycerides, phospholipids, and alkaline phosphatase may have been due to fermentation of the unabsorbed carbohydrate. Overall, the clinical chemical changes observed were considered not to be of toxicological significance. Slight changes seen in renal urinary volume were considered not to be related to treatment. A slight but significant increase in the absolute and relative weights of the caecum seen in males at the high dose was likely to be due to the presence of incompletely digested carbohydrates in the gut. The relative weight of the testis was also significantly increased in males at the high dose, but gross and histopathological examination revealed no treatment-related abnormalities. Screening for neurotoxicity and immunotoxicity did not provide any evidence for such toxicity. Thus, a dietary concentration of 20% gamma-cyclodextrin was tolerated by rats with no toxic effects. The minor changes reported were considered to be the result of incomplete digestion of gamma-cyclodextrin in the gut (Lina, 1999). 2.2 Observations in humans In a study of possible adverse side-effects, the gastrointestinal response of exposure of two group of six men and six women aged 18-24 (mean weights, 73 and 62 kg, respectively) to gamma-cyclodextrin was examined after they had eaten 100 g of plain yoghurt containing 0 or 8 g of maltodextrin or gamma-cyclodextrin within 15 min as a mid-morning snack. The yoghurts bore only code numbers to identify the content, and the design was a double-blind, randomized, controlled, cross-over study. Information on the frequency of passing faeces, the incidence of watery, normal, and hard faeces, and the occurrence of belching, nausea, vomiting, abdominal distension, borborygmia, abdominal cramp, and flatulence was collected 3-4 and 7-8 h after consumption. After one week, the people in each group were given the alternative substance in yoghurt and the information on symptoms was collected again. None of the subjects withdrew from the study because of gastrointestinal symptoms or for any other reason. Dietary records were collected for each person during each consumption period in order to check that the dietary restrictions were being followed. None of the participants drank less than 300 ml per day of milk or fresh juice, and none had eaten products containing polyols or other alternative sweeteners. None reported any change in their dietary habits or smoking habits during the study. None reported taking laxatives, anti-diarrhoetics, antibiotics, steroids, or any prescribed medication during the study. The women continued to take contraceptive pills if they were already doing so. The participants were asked to note the number of visits to the toilet after they had eaten the yoghurt and the consistency of the faeces passed. No difference in the number of visits to the toilet or in the consistency of the faeces after consumption of maltodextrin or gamma-cyclodextrin was seen at either 3-4 h or 7-8 h. The faeces were rated as normal, hard, or watery. Subjects were also asked to describe any gastrointestinal symptoms that might have been related to consumption of the yoghurt containing gamma-cyclodextrin or maltodextrin and were told to rank their symptoms as normal (none), slightly more than normal (mild), noticeably more than normal (moderate), or considerably more than normal (severe). At 3-4 and 7-8 h after consumption, there was no difference between the subjects who had eaten yoghurt containing gamma-cyclo-dextrin or maltodextrin in the ranking of symptoms of belching, nausea, vomiting, bloating, borborygmia, colic, or flatulence. After intake of maltodextrin, five subjects reported a total of 12 symptoms, 11 of which occurred in the first 3-4 h. After intake of gamma-cyclodextrin, five subjects reported a total of seven symptoms, all of which occurred in the first 3-4 h. There was no statistically significant difference in the incidence of the individual symptoms between those given maltodextrin and those given gamma-cyclodextrin. The total symptom scores after administration of gamma-cyclodextrin and maltodextrin were compared by assigning a numerical value of 0-3 to gastrointestinal symptoms and a numerical value of 1-3 for the number of visits to the toilet to pass watery faeces. When the total symptom scores for 3-4 h and 7-8 h were analysed by paired t tests, there was no significant difference, although there was a trend towards an increase in total scores with maltodextrin. Further statistical analysis of the data on symptoms in the Fisher exact test for probability and the test for order effect indicated no significant difference in total symptom scores at 3-4 or 7-8 h after consumption of 8 g maltodextrin or gamma-cyclodextrin (Koutsou & Storey, 1998). 3. COMMENTS In a 12-month study of toxicity, rats were given diets containing up to 20% gamma-cyclodextrin. Minimal changes were seen and only at the high dose, probably as a result of the presence of a large amount of an osmotically active substance in the large intestine. These changes were considered to be transient and not of toxicological significance. A study of adverse effects in humans indicated that gamma-cyclodextrin was tolerated at concentrations up to 8 g per serving, equal to 0.11 g/kg bw, which caused no symptoms of gastrointestinal discomfort. 4. EVALUATION On the basis of the studies described above and information received at the fifty-first meeting, the Committee allocated an ADI 'not specified'1 to gamma-cyclodextrin. 1 ADI 'not specified' is a term applicable to a food component of very low toxicity which, on the basis of the available chemical, biological, toxicological, and other data, the total dietary intake of the substance arising from its use at the levels necessary to achieve the desired effect and from its acceptable background in food, does not, in the opinion of the Committee, represent a hazard to health. For this reason and for those stated in the evaluation, the establishment of an ADI expressed in numerical form is deemed unnecessary. 5. REFERENCES Koutsou, G.A. & Storey, D.M. (1998) The gastrointestinal response of young adults following consumption of maltodextrin and gamma-cyclodextrin incorporated into plain natural yogurt. Unpublished report from Nutritional Sciences, Department of Biological Sciences, University of Salford. Submitted to WHO by Bioresearch Management and Consulting Ltd. Lina, B.A.R. (1999) Chronic (1-year) toxicity study with gamma-cyclodextrin in rats. Unpublished study from TNO Nutrition and Food Research Institute, The Netherlands. Submitted to WHO by Bioresearch Management and Consulting Ltd.
See Also: Toxicological Abbreviations Cyclodextrin, gamma- (WHO Food Additives Series 42)