FAO Nutrition Meetings Report Series No. 48A WHO/FOOD ADD/70.39 TOXICOLOGICAL EVALUATION OF SOME EXTRACTION SOLVENTS AND CERTAIN OTHER SUBSTANCES The content of this document is the result of the deliberations of the Joint FAO/WHO Expert Committee on Food Additives which met in Geneva, 24 June -2 July 19701 Food and Agriculture Organization of the United Nations World Health Organization 1 Fourteenth report of the Joint FAO/WHO Expert Committee on Food Additives, FAO Nutrition Meetings Report Series in press; Wld Hlth Org. techn. Rep. Ser., in press. CALCIUM AND SODIUM CYCLAMATE Biological data Biochemical aspects The incorporation of inorganic S35 into protein polysacarchides was used as a test system to determine the effects of sodium and calcium cyclamate on membrane processes. Normally over 98% of S goes into the macromolecule, less than 2% into S-containing amino-acids. This was unaffected by the addition of cyclamate (Wortman et al., 1968). C14-labelled cyclamate was shown to have an average serum half-life of 8 hours in dogs and rats. 32% of plasma cyclamate is not protein bound. All tissues except the brain were shown to contain cyclamate. Milk levels of cyclamate in lactating dogs were higher than blood levels and amounted to 1% of the dose of cyclamate/1 milk (Sonders & Wiegand, 1968). C14-labelled orally given cyclamate was excreted in the urine and faeces of rats after 3 days as follows: 20-30% appeared in the urine, 70-80% in the faeces, 0% in the expired air. Urinary excretion of C14-material was higher in converters due to the additional excretion of C14-CHA (Lethco et al., 1969). Sodium or calcium cyclamate fed to female Holtzman rats at a dose level of 1 g/kg produced no hepatic microsomal enzyme induction as measured by the N-demethylase, O-demethylase and phosphorothioate detoxification activities. A 10:1 calcium cyclamate/calcium saccharin mixture produced a small increase in activity attributable to the saccharin (DuBois & Kinoshita, 1968). Cyclohexylamine (CHA) conversion Rat Four groups of 35 male and 45 female rats were fed a 10:1 sodium cyclamate/sodium saccharin mixture at 0, 500, 1120 and 2500 mg/kg bodyweight per day for their lifespan. After 27 and 34 weeks examination of the urines from each dose level showed a greater percentage of converters at higher dose levels. Rats were either non-converters (less than 0.1% of daily cyclamate ingested excreted CHA in the urine), low converters (0.1-0.7% CHA of daily cyclamate ingested excreted in the urine) or high converters (1% or more CHA of daily cyclamate ingested excreted in the urine). Converting ability of rats appeared to vary from time to time (Oser et al., 1968). Rats pre-treated with water containing 0.5% calcium cyclamate were found to develop the ability to convert cyclamate into CHA. Such pre-treated rats were given 14C-labelled cyclamate I.P. and unlabelled cyclamate orally. Gas-liquid chromatography and scintillation counting of the urine at 24 hours showed that 0.9% of the cyclamate giver I.P. was converted to CHA but about 38% of the cyclamate given orally was so converted. About 90% of the injected cyclamate was excreted in the urine at 24 hours compared with 58% of the cyclamate given orally. When pre-treated rats were taken off the cyclamate containing diet the ability to produce CHA from cyclamate fell to a low level (Renwick & Williams, 1969), Groups of Holtzman rats were fed calcium cyclamate at levels of 0 and 0.1% for 8 months. Twelve rats from each group were then intubated with 14C-cyclamate following which urine and faeces were collected for 5 days. None of the controls showed a conversion of the labelled cyclamate to CHA, dicyclohexylamine or hydroxycyclohexylamine. Seven of 11 cyclamate-fed rats converted cyclamate to CHA, the labelled CHA accounting for 12 to 25% of the total radioactivity seen in the urine. Traces of radioactive dicyclohexylamine were seen in 2 of the urine samples (Prosky & O'Dell, 1970). The ability of rats to convert cyclamate to CHA can be transferred to non-converter rats either by bodily contact with converter rats for only 4 days or by contact with faeces from converters (Unilever Research Labs, 1970). Groups of 7 male and 7 female rats were fed for 1 year on diets containing either sodium or calcium cyclamate at 0, 0.4%, 2% and 10% levels. 24 rats acted as controls. 53 oat of 53 rats became converters of which 25 excreted less than 0.1% of ingested cyclamate as ChA, 16 excreted 0.1-1.0% of ingested cyclamate as CHA and 12 excreted 2-38% of ingested cyclamate as CHA. A G-ve bacterial red was isolated from the faeces of converter rats that was capable of converting cyclamate to CHA in vitro but lost this ability after several passages. Generally it was not possible to obtain conversion of cyclamate to CHA by incubating intestinal contents from various gut levels with cyclamate (Lethco et al., 1969). The contents of the hind gut of rats pre-treated with cyclamate converted 0.8-3.5% of ingested cyclamate into CHA aerobically and 0.4-2.5% anaerobically. Liver, kidney, spleen and blood from these rats failed to convert cyclamate to CHA (Renwick & Williams, 1969). Feeding antibiotics, e.g. neomycin, to converter rats inhibited the conversion of orally administered cyclamate to CHA. One rat which converted 14% of oral cyclamate and 1% of i.v. cyclamate to CHA lost this ability completely (Sonders, 1969). Dog Dogs given orally 100 mg/kg bodyweight/day were found to convert up to 0.1% of the ingested cyclamate to CHA. The C14 of C14-labelled cyclamate took longer to clear from the body after prolonged consumption compared with clearance after a single dose. Incubation of C14-cyclamate with large and small gut contents produced 0.13-0.25% conversion of cyclamate to C14 CHA, possibly by Clostridium perfringens (Goldberg et al., 1968; 1969). Pig Four pigs were shown to be able to convert orally fed cyclamate to CHA. When neomycin was given to 2 pigs conversion was completely inhibited. S.c. injection of cyclamate into 2 converter pigs for 8 days produced no CHA. No cyclamate appeared in the faeces and the whole dose was excreted in the urine. Only anerobic incubation of intestinal contents from the large colon produced CHA from cyclamate hence this may be the probable site of conversion in the pig (Unilever Research Labs., 1970). Man Various subjects given 512 mg/day of cyclamate orally converted from 0-28% of the ingested cyclamate to CHA within 3-5 days after starting consumption. Other metabolites identified were cyclohexanone, cyclohexanol and N-hydroxy cyclohexylamine (Goldberg et al., 1968; 1969). 40 volunteers showed 5 converters at about 0.8% of the dose and one subject converting 0.5% to CHA (Huntingdon Laboratories, 1967). Forty-nine children, aged 3 to 10, consumed 516 mg of cyclamate per day for 4 days. On the 4th day a 24-hour urine sample was collected and assayed for cyclamate and CHA. 4 of the 49 children excreted 3.4 mg, 22 mg, 54 mg and trace amounts of CHA respectively. The incidence of converters among the children was similar to that seen in 138 normal adults tested with cyclamate orally (Sanders et al., 1970). Of 141 volunteers given 0.5 g sodium cyclamate per day for 3 days some 25% converted more than 0.15% of the ingested cyclamate to CHA, The maximum observed conversion rate was 60%. No CHA was detected in 100 people who did not ingest cyclamate. Converters given oral cyclamate start excreting cyclamate in the urine within 24 hours but CHA only after 24 hours. Peak excretion CHA occurs after 3-4 days. On withdrawal of oral cyclamate there is rapid fall in urinary cyclamate but CHA excretion does not fall until after 2 days. The percentage converted had a biological half life of 20 minutes and that of CHA was 30 minutes. On. converter was used to demonstrate that CHA was not necessary to start off conversion of cyclamate. While the absolute amounts of urinary CHA excreted depend on the dose administered to man, the proportion converted decreased with increased amounts ingested. This was demonstrated in 3 volunteers. In 2 volunteers it was shown that giving antibiotics stops conversion to CHA by elimination of most of the intestinal bacterial flora (Unilever Research Labs, 1970). 4 male and 3 female subjects received 3 g sodium cyclamate in divided daily doses and 4 females received 1 g daily as a single dose for 14-42 days. All converted cyclamate to CHA and excreted on the average 2-8% of the ingested cyclamate as CHA in the urine and faeces. CHA excretion became approximately constant for each individual in the second week. A positive correlation was noted between frequency of constipation and increases in CHA excretion. Anaerobic incubation of cyclamate with faeces produced no CHA, all cyclamate being recovered unchanged. One converter excreted 154 mg CHA/day after ingestion of 1 g cyclamate and excreted 88% of the ingested cyclamate in his faeces and urine (Davis et al., 1969). Acute Toxicity LD50 Animal Route. mg/kg Reference Cyclamate-Saccharine Mouse oral 12800 Tremolières, 1964 (90%:10%) " " " 21500 Mollet, 1966 Extemp Prep " i.p. 4600 Tremolières, 1964 Cyclamate-Saccharine " oral 17300 " Tabs (Abbott) Cyclamate-Saccharine " " >25000 " Granules (Abbott) Cyclamate-Saccharine Rat " >16500 " (90%:10%) " i.p. 6500 " Mouse When the lipids in a standard diet were increased and intraperitoneal injections of saccharin were given in increasing doses to mice followed by a second injection 1 hour later of a fixed dose of cyclamate a considerable lowering of the toxicity of both products was noted (Tremolières, 1964). 5 groups of 5 male mice were given subcutaneous injections of saccharin sodium, 0, 0.007, 0.07, 0.7 and 7 g/kg body-weight. A second injection of 7 g/kg sodium cyclamate was given to all groups 1 hour later. At first the mortality decreased gradually with increased doses of saccharin to reach the lowest point with the proportion of 90%:10% cyclamate/saccharin. After this the mortality increased sharply. 5 further groups of 5 male mice were given sodium cyclamate 0, 0.007, 0.07, 0.7 and 7 g/kg body-weight by subcutaneous injection. A second injection of sodium saccharin 7 g/kg was given to all groups 1 hour later. Again the mortality was lowest with the proportion cyclamate/saccharin 90%:10%. (Tremolières, 1964). Special Studies Six rabbits received sodium cyclamate at 0.5% and 2% in drinking water for 4 weeks and the coagulation properties of their blood were examined. At the 2% level was there a reduction in the Quick value and factor VII. Another group of rabbits received 0.5% cyclamate in their drinking water while on an anticoagulant. This addition increased the anticoagulant effect (Gottinger et al., 1968). Tests to show the effect of cyclamate excreted in the faeces on faecal moisture revealed no correlation (Unilever Research Labs., 1970). Cyclamate administration to guinea-pigs has been shown to produce an allergic reaction of the delayed hypersensitivity type (Chung, 1969). Oral cyclamate appears to have a diabetogenic action as evidenced by blockage of the action of tolbutamide and chlorpropamide (Wisconsin Alumni Research Foundation, 1969). In another experiment however insulin has been shown to be more toxic in the presence of cyclamate (Fels Research Laboratory, 1969). Cyclamate has been shown to interfere with the intestinal absorption of lincomycin by competing for plasma protein absorption sites (Wagner, 1969). 14C-sodium, cyclamate infused into 2 rhesus monkeys during the last trimester of pregnancy traversed the placenta to the extent of about 29% while 14-CHA hydrochloride appeared to diffuse freely across the placenta (Pitkin et al., 1969). Placental transmission and foetal localization of radioactive cyclamate was studied in 5 patients at the time of therapeutic abortion and hysterectomy. Pregnancies were estimated to range from 68-93 days. A solution in distilled water of 14C-cyclamic acid together with nonradioactive sodium cyclamate to a total cyclamate concentration of 2 g/ml (0.105 mg/ml radioactive) was sterilized and infused into the antecubital vein at constant rates. A volume of 50 ml was infused over a 1 hour period in 3 cases, over a 3 minute period in one case and 99 ml were infused in 1 hour in one case. Maximum foetal blood values were found to be approximately one quarter of comparable maternal values. Amniotic levels were consistently low. Approximately 90% of the radioactivity was recovered in the maternal urine over a 72 hour period, 0.6% being recovered in the foetus in which it was widely distributed (Pitkin et al., 1970). Short-term studies Rat A litter mate paired feeding study in rats at dietary levels of 0, 0.5% 1% and 2% calcium cyclamate increased food consumption but showed no adverse effects on growth, skeletal development or gastrointestinal activity (Weinberg & Harrington, 1968). Groups of 20 male and 20 female weanling rats were fed 0, 0.05% and 0.5% sodium cyclamate for 3 months. No adverse effects were seen in terms of growth, food intake, haematology, chemistry and gross pathology (Loser, 1970). 2 groups of 6 rats were fed on diets containing 0 or 1% cyclamate/saccharin (90:10%) mixture for 5 days, then subjected to partial hepatectomy (90%) and post operatively maintained for 48 hours on their respective diets. At autopsy on the 3rd day it was found that hepatic regeneration was markedly diminished (15%) with the cyclamate/saccharin mixture (Tremolières, 1964). A group of 8 male and 8 female rats were given 1 mg/kg of a 10:1 cyclamate/saccharin mixture by gavage daily for 16 days. The control group consisted of 2 male and 2 female rats. The growth rate was the same in test and controls but the percentage weight gain was slightly higher in the control groups (Mollet, 1966). 2 groups of 7 rats received 0 or 2% cyclamate/saccharin (90%:10%) mixture for 5 weeks. Growth rate was only slightly lower in the test group. In 3 test rats focal hepatic necrosis and congestive renal lesions were found. (Tremolières, 1964). 2 groups 16 male and 16 female rats were given a 10:1 cyclamate/saccharin mixture in their diet at levels of 0.5% or 2%. The control group consisted of 8 male and 8 female rats. After 16 weeks 50% of the animals in each group were sacrificed and the rest continued on the same diet. Only 3 rats receiving the 0.5% level and 4 rats receiving the 2% level died during the experiment. No significant effect of the test substance was noted on growth rate, food consumption or haematology. Histological examination of the stomach, liver, kidneys, gonads, spleen and pancreas revealed no alterations (Mollet, 1966). Guinea-pig Two adult guinea-pigs received for 103-120 days in their drinking water 0.5% sodium cyclamate, 2% (= 1200 mg/kg) sodium cyclamate or 0.3% sodium chloride. The water intake of the 2% test group was 30 ml/24 hours and the other 2 test groups were also kept at 30 ml fluid intake/24 hours. Dead animals were replaced at once by fresh guinea-pigs from stock. There was an apparent increase in mortality and 20% decrease in body-weight at the 2% level. Histology of the liver of 4 animals at both levels showed "reduced protoplasmic content", vacuolization and occasional scattered focal necrosis. At the 0.5% level there was less evidence of these hepatic lesions. Histology of controls was apparently normal. The serum lactic dehydrogenase and SGOT levels were raised at the 2% level but the serum alkaline phosphatase level was normal. No changes were seen at the 0.5% level (Gottinger et al., 1968). A continuation of this experiment in female guinea-pigs kept for 64 days at 27, cyclamate in their drinking water, 95 days at 0.5% cyclamate and 126 days at 0.3% sodium chloride showed a loss in average body-weight of 36%, 37% and 23.4% respectively and a two-fold mortality in the 0.5% cyclamate group compared with 0.3% saline (Hellauer, 1968). Hamster Oral administration of high doses of calcium cyclamate produced myocardial degenerative lesions and coronary artery sclerosis when compared with other calcium salts (Bajusz, 1969). Human 30 adults took a 10:1 cyclamate/saccharin mixture (C:S) 6.4 g/day for 12 months. Transient diarrhoea was noted in 5 subjects (Radding, 1967). For 6 weeks 32 adults took a C:S mixture 1.5 g/day increasing to 7 g/day (7 days). At 7 g increased stool weight and softness was noted (Olson, 1955). 184 children and adolescents took C:S mixture 1.0-1.5 g per 30 lb weight for 3 months and 6 months respectively, There were some reports of soft light colour stools (Freese et al., 1964). 20 adults with functional gastrointestinal conditions took 5 g/day C:S mixture for 10 weeks. Improvement in constipation was noted (Batterman, 1966) 42 adult diabetics took C:S mixture 1.1 g/day for 6 months followed by 3.2 g/day for a further 6 months. No significant changes in laboratory tests or physical status were noted (Stern, 1967). Reproduction and teratogenicity studies Mouse Groups of 2-4 mice with control groups of 3 mice were given single intragastric doses of sodium cyclamate at various stages of pregnancy as follows: 62.5 mg on day 4-5, 125 mg on day 4-5 and 6-7, 250 mg on day 6-7 and 8-10 and 500 mg on day 6-7 and 8-10. The uteri were removed on the eighteenth day, opened and the foetuses assessed and absorption sites counted. No abnormalities were detected following any administrations on days 8-10 but in all other instances the majority of embryos had either been resorbed or appeared dead and showed delayed development compared with controls. The foetal LD50 was calculated to be 180 mg/kg body-weight (Tanaka, 1964a; 1964b). In embryo toxicity studies, groups of 10-20 mice were given single intragastric doses of 5 and 10 g/kg of sodium cyclamate on days 5, 7 and 9 of pregnancy. The fetuses were delivered by caesarian section on day 18. Foetal LD50 was found to be greater than 10.0 g/kg (Lorke, 1969). Groups of 10 mice were given intragastric doses of calcium cyclamate of 86, 173, 346, 692 mg/kg sodium cyclamate of 62, 125, 250, 500 mg/kg and calcium cyclamate/sodium saccharin, 10:1 of 83, 166, 333, 667 mg/kg. Controls were 100 sham treated mice. Doses were given on day 4, 6 and 9 of gestation. The foetuses were delivered by caesarian section on day 18. Foetal swellings, implantation sites, foetus numbers and viability were determined. Gross examination was made for foetal growth and external evidence of terata, presence of the latter being looked for additionally by serial sectioning and clearing and alizerin staining. No cyclamate or cyclamate/saccharin induced effects were seen (Industrial Bio-test Lab. Inc, 1967). 5 groups of 10 pregnant mice over 6 weeks were administered 0, 83, 166, 333 and 667 mg/kg body-weight of a 10:1 calcium cyclamate/sodium saccharin mixture on gestation days 4, 6 and 9. All animals were sacrificed on gestation day 18. The test material did not significantly increase the incidence of foetal resorption and no teratogenic effect could be related to treatment (Kennedy & Arnold, 1967). Rat 20-23 female rats were dosed orally each day, from 6-15 day of pregnancy, with the sodium cyclamate 50 mg/kg, 100 g/kg 250 g/kg. These were compared with tap water (20 ml/kg) and saccharin and sucrose as additional controls as well as 363 untreated controls. Dams were autopsied on the 21st day of pregnancy. There were no significant differences between any treated and control groups as regards litter size, resorption rate and mean foetus eight. No abnormal incidence of malformation was noted (Bein et al., 1967; Fritz. & Hess, 1968). 3 groups of 25 female rats were given by gavage a 10:1 sodium cyclamate/ sodium saccharin mixture at levels of 0, 500, 2500 mg/kg/day based on their pre-pregnant weight from the 6th through the 16th day of gestation. No adverse responses were found regarding behaviour, appearance, survival and reproduction. At 500 mg one dam produced a malformed pup and another dam had 6 pups with absent lumbar vertebrae. These changes are probably not attributable to the test material as none occurred at 2500 mg/kg (Abbott, 1968). Rabbit Groups of 10 pregnant rabbits were given 50, 100 and 250 mg/kg of sodium cyclamate or 5, 10 and 25 mg/kg of saccharin intragastrically on days 6-18 of pregnancy. Pregnancies were terminated on day 29 by caesarian section. Implantation sites, resorption sites and corpora lutae were counted and foetuses were examined for evidence of visceral or skeletal anomalies. No evidence of teratogenic or embryotoxic effects were seen (Klotzche, 1969). Forty pregnant rabbits received 2500 mg/kg of sodium cyclamate/sodium saccharin (10:1) mixture by gavage from days 6 through 18 of pregnancies. Thirty-eight pregnant controls received water. Delivery was by caesarian section on day 29. No effects attributable to the C:S mixture were seen in terms of implantation and resorption sites live and dead foetuses, foetal survival and terata (US Food and Drug Research Laboratories, 1969). 3 groups of 15 pregnant rabbits were given orally doses of 0, 500 and 2500 mg/kg of a 10:1 cyclamate/saccharin mixture once daily during the 6th to 18th days of pregnancy. No teratogenic potential was noted. One out of 61 pups from the high dosage level group showed malformation of cranial structures, herniated abdomen and only one kidney. The mean number of live pups in the treated groups in this study was equal to or greater than that found in the control groups (Oser, 1968). Because of 1 malformed pup the experiment was repeated using 84 pregnant rabbits dosed intragastrically with 2500 mg/kg of 10:1 cyclamate/saccharin mixture once daily from 6th to 18th day of pregnancy. No adverse effects were noted on the number of implantation sites or live foetuses, resorption sites or dead foetuses in the test group. No unusual malformations attributable to treatment were seen. There was no evidence of teratogenesis (Oser, 1969). Dog Groups of 2 male and 4 female dogs were given a sodium cyclamate: sodium saccharin (10:1) mixture (C:S) at 0, 0.5, - and 1.5 g/kg/day for 2 years. No significant changes were seen in terms of growth, food consumption, behaviour, appearance, haematology, biochemistry, ophthalmological findings, endocrine function, hepatic biopsy, reproductive performance, gross observation for terata and gross and microscopic appearance of the major organs. A first litter obtained from these animals and fed at similar levels for one year showed no effects from the C:S mixture in terms of growth, food consumption, haematology, biochemistry, endocrine function, ophthalmological findings and gross and microscopic appearance of major organs. A second litter was observed for periods ranging from 2 to 6 months beyond weaning, receiving the C:S mixture at parental dosage levels. In these animals growth, haematology, biochemistry, and gross and microscopic findings were compared to control (Industrial Bio-test Lab. Inc., 1968). 4 groups of 2 male and 4 female beagles were given 0, 0.5, 1 and 1.5 g/kg body-weight of a (10:1) sodium cyclamate:sodium saccharin mixture for 2 years. The first and second litters received the same dosage as their parents. No effect was noted in any generation on blood chemistry, urine analysis or organ function. Reproduction parameters including mating ability and gestation were normal; liver biopsies, gross and microscopic pathology did not reveal any test related lesions. There were no significant differences between test and control animals in the first generation with regard to growth, haematology, urology, organ function and pathology. The second litters were also unaffected. No congenital malformations were observed in any of the offspring (Jackson, 1968; Blockus et al., 1968). Chick embryo Calcium cyclamate and cyclamic acid were inoculated into fresh fertile eggs either directly into the yolk or through the air cell at 0 and 96 hours of incubation. Decreased viability of embryos and a high incidence of malformations were found at a dose level of 10 ppm per egg when compared with sugar inoculation (Verrett, 1969). Similar experiments using "doses equivalent to 18 g/day in man" produced characteristic deformities in the embryos (Ghiani & Accame, 1969). Special teratogenicity study Rabbit Rabbit embryos collected 30 hours post coitum in situ or in vitro from superovulated mature doses were placed in a treatment media containing a 10:1 sodium cyclamate:sodium saccharin mixture at concentrations of 0, 3, 6 and 8 mg/ml. There was no effect on cleavage in vitro or subsequent development of the same embryos in vivo (Manor & Szymanski, 1968). Mutagenicity studies Cyclamate produced no chromosomal alterations in microbial cell cultures and using a host-mediated assay with the S-typhimurium cyclamate had no effect. High levels of cyclamate have been found to cause breaks in chromosomes of human leucocytes cultured in vitro (Stone et al., 1969; Staltz et al., 1970). Groups of 2 male and 2 female humans established as converters of cyclamate to CHA and a similarly constituted group established as nonconverters received 70 mg/kg of sodium cyclamate daily for 4 days. A third control group received no cyclamate. Chromosome analyses were performed on peripheral leucocyte cultures prior to and immediately following the cyclamate ingestion. The frequency of chromosome abnormalities in all 12 subjects prior to cyclamate was 0-4% with a mean of 1.6% (based on counts of 100 metaphase cells per subject) and after 4 days of treatment 0-4% with a mean of 1.8% (Abbott Labs., 1970). Long-term studies Mouse Sodium cyclamate was given in drinking water ad libitum to groups of 30 day old mice. Cyclamate intake was estimated at 20-25 mg/mouse/day. Four mouse strains were used: C3H -40 males and 40 females, RIII -60 males, XVII/G -60 females, F1(C3H × RIII) -80 males. In each group half of the animals served as controls. Animals dying prior to the appearance of a tumor in each group were not considered in the evaluation. Average survival times for the animals considered in the various groups ranged from 430 days to 667 days. In the C3H and RIII strains no effects in terms of tumour numbers or onset were seen. For the XVII/G strain tumor genic a greater number multiple pulmonary tumours were seen. In the F1 (hybrid) strain the hepatoma incidence was increased (Rudali et al., 1969). Groups of 100 female Swiss mice were fed diets containing 0 and 5% sodium cyclamate for 18 months. At the start of the feeding 50 mice in each group received intragastrically a single dose of 50 micrograms of 3,4-benzopyrene in 0.2 ml of polyethylene glycol 400 (PEG) the other 50 receiving PEG alone. Results did not indicate that the feeding of cyclamate was associated with an increase in tumours either arising in the G.I. tract or tumours at other sites, nor was there any evidence of carcinogenicity or effects upon mortality (Roe et al., 1970). Implantation of cholesterol pellets containing 20% sodium cyclamate into the urinary bladder have produced an increased number of tumours in mice after 16 months. (Bryan & Ertürk, 1970). 4 groups of 35 male and 45 female rats were given a 10:1 sodium cyclamate/sodium, saccharin mixture (C:S) at dosage levels of 0, 500, 1120 and 2500 mg/kg/day. At the 79th week each group was divided and in addition to the C:S mixture the rats in 3 subgroups were dosed as follows with cyclohexylamine until animals reached 2 years. C:S Mixture Cyclohexylamine 500 mg/kg + 25 mg/kg 1120 mg/kg + 56 mg/kg 2500 mg/kg + 125 mg/kg The other subgroups continued with their original C:S dosage. The subgroups contained equal numbers of converters and non-converters. The only physical sign seen in these test animals was occasional soft stools or diarrhoea occurring primarily in male rats in the high dosage group. Growth and food intake were similar in the control and test animals. Haemograms and urine analyses performed at periodic intervals revealed no adverse responses. Bladder tumours were seen only at the 2500 mg/kg level between the 78th and 105th week. Almost all, except for 1, occurred in male converters. Out of 25 male controls 1 developed a papilloma. Out of 25 male test animals 2 developed papillomata and 5 developed carcinomata. Out of 35 test females 1 developed a carcinoma (Price et al., 1969). 6 groups of male and female Osborne-Mendal rats were fed diets containing 0.4%, 2% and 10% sodium or calcium cyclamates. Preliminary histopathological evaluation of only the bladders of rats autopsied at 88 and 101 weeks indicate bladder effects in the animals fed cyclamate as compared to controls. These effects were largely evident in the animals autopsied at 88 weeks. They suggest a possible carcinogenic effect, the calcium salt apparently being more potent. These findings are tentative pending a complete evaluation (US Food and Drug Administration, 1970). Groups of 12 female and 6 male rats received 0, 0.8%, 1.6% and 3% sodium cyclamate in their diet over 3 generations showed some disturbance of oestrus and depression of growth as well as increased mortality in the second generation and some testicular degeneration (Ferrando et al., 1968). Observations in man Photoallergic dermatitis has been reported as a delayed reaction to UV light in a patient taking 3600 mg calcium cyclamate per day. The reaction was verified by testing with pure cyclamate and saccharin separately (Lamberg, 1967). Pruritus, urticaria and other disorders have been reported after ingestion of cyclamate (Feingold, 1968). Groups of 8 men were given 0, 5, 10 and 18 g/day of sodium cyclamate. Seven on the highest dose level develop a severe persistent diarrhoea but the eighth tolerated this intake for 62 days. Some persistent diarrhoea also occurred at 10 g/day in two men but none at 5 g/day (Wills et al., 1968). In a continuation of studies previously described (Zollner & Schnelle, 1969), patients suffering from liver and kidney disease were continued on sodium cyclamate at dosage levels of 5 g/day and 2 g/day. Patients receiving 2 g/day were observed over an average time of 21 months, those receiving 5 g/day were observed over 23 months in the case of kidney patients and 30 months in the case of liver patients, there being 10 of each type. Results of clinical biochemistry and function tests did not in general show any deleterious effects on renal or hepatic function nor were effects on the course of the diseases seen (Zollner & Pieper, 1970). Epidemiologic study of the incidence rates for bladder cancer indicates a gradual increase. While epidemiological features of this neoplasm may be attributable to cigarette smoking, an effect due to artificial sweeteners may be undetectable because of the short observation time (Burbank & Fraumeni, 1970).
See Also: Toxicological Abbreviations