Introduction to Toxicology EV 460/660 & BI 460/660 Fall 2014 Food Toxicology 1. Uniqueness of food toxicology A. anecdotal comments – evolutionary biology, human evolution, long history in toxicology, management is a mixture of science, tradition, and pragmatism B. essential for life, contributes to quality of life, rich cultural traditions, personal and emotional C. in many areas of world, microbiological contamination is greatest food-borne risk D. in U.S. highly regulated by complex mixture of FDA standards and legal regulations (CFRs) E. food more chemically complex and variable in composition than other substances to which humans are exposed, however, there is nothing to which humans have greater exposure (with exception of air and water) F. some nutrients, like vitamin A or selenium, may be toxic at levels slightly above those required to prevent deficiencies 2. Chemical complexity of foods A. contain hundreds of thousands of naturally present compounds, many more form in situ when food is cooked or prepared, most of which have not been fully identified or tested B. presumption of safety for these is based on a history of common use as a food C. compounds can be divided into nutrients and anutrients D. nutrients divided into macronutrients (carbohydrates, proteins, lipids) and micronutrients (vitamins and minerals), macronutrients have caloric value E. majority of anutrients are naturally occurring substances in foods F. naturally occurring anutrients include organoleptics which confer flavor, texture, color, or aroma to foods, e.g., make an apple look, taste, and smell like an apple G. other naturally occurring anutrients include substances vital for the growth and survival of the plant (i.e., plant hormones) or plant secondary compounds H. not naturally occurring anutrients include direct food additives (intentionally added to foods) and indirect additives (contaminants, and chemicals in food as result of processing or packaging of foods) -- these are regulated and held to a higher standard of safety than natural components of food 3. Importance of gastrointestinal tract in food toxicology A. large surface area, highly vascularized, extensive absorption by diffusion, active transport, and endocytosis B. extensive bacterial flora responsible for many metabolic chemical transformations C. intestinal epithelium has extensive capacity for phase I and phase II biotransformation reactions, perhaps second only to liver D. majority of absorbed compounds pass to liver via hepatic portal vein, but lipid-like compounds pass into lymph (miss the “first-pass” processing by the liver) E. may include compounds swallowed in mucus from respiratory system 4. Direct food additives divided into two major categories on the basis of the level of consumption and the similarity to food itself A. food-like additives – may be present at 1% or more in the food -- virtually indistinguishable from food, such as fats, oils, fatty acids, modified fats, starches, modified starches, cellulose, modified cellulose, sugars and sugar alcohols, proteins, hydrolyzed proteins, and amino acids -- specific limitations may be set by FDA regulations or may be on the FDA’s list of GRAS compounds (Generally Regarded As Safe, established by a panel of food science experts) B. non-food-like additives – typically present at levels far below 1%, often at ppm levels -- specific limitations may be set by FDA regulations or may be on the FDA’s list of GRAS compounds (Generally Regarded As Safe, established by a panel of food science experts) -- additives classified by functionality, FDA recognizes 32 classes of functionality 1. anticaking agents and free-flow agents 2. antimicrobial agents 3. antioxidants 4. colors and coloring adjuncts 5. curing and pickling agents 6. dough strengtheners 7. drying agents 8. emulsifiers and emulsifier salts 9. enzymes 10. firming agents 11. flavor enhancers 12. flavor agents and adjuvants 13. flour-treating agents 14. formulation aids 15. fumigants 16. humectants 5. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. leavening agents lubricants and release agents nonnutritive sweeteners nutrition supplements nutritive sweeteners oxidizing and reducing agents pH control agents processing aids propellants, aerating agents, and gases sequestrants solvents and vehicles stabilizers and thickeners surface-active agents surface-finishing agents synergists texturizers Safety standards for direct and indirect food additives – FD&C Act provides for a balance between science-based safety and practicable, workable approach A. Evaluation of safety – exposure and dose -- based upon EDI = C x I , Estimated Daily Intake (EDI), daily Intake (I) of the food containing the substance, and Concentration (C) of the substance in the food -- Intake (I) is estimated from several large, well-established databases on food consumption patterns, recognition of changing food habits -- many additives are present in more than one food type -- also taken into consideration is non-food exposure, e.g., in toothpaste, lipstick, etc. B. Structure-activity relationships – three categories are used -- Category A = low potential for toxicity -- Category B = indeterminate or intermediate toxicity potential -- Category C = high order of toxicity potential C. Assignment of Concern Level (CL) -- three Concern Levels based upon a matrix of EDI vs. Structure Category Concern Level Structure Category A Structure Category B Structure Category C I <0.05 ppm in total diet (<0.0012 mg//kg/day) <0.025 ppm (<0.0063) <0.0125 ppm (<0.00031) II >0.05 ppm in total diet (>0.0012 mg//kg/day) >0.025 ppm (>0.0063) >0.0125 ppm (>0.00031) III > 1 ppm in total diet (>0.25 mg/kg/day) >0.5 ppm (>0.0125) >0.25 ppm (>0.0063) D. Toxicity evaluation based upon Concern Level -- once the CL is established, a specific test battery is prescribed -- CL III tests are the most demanding and provide the greatest breadth for determination of adverse biological effects -- CL II tests are of intermediate breadth -- CL I tests are least broad -- if any potential problems are identified in lower level tests, the CL is raised and the next level battery of toxicity tests are conducted -- standard setting for safety levels are typically 1/100th of the NOEL (No Observable Effect Level) determined in animal testing CL I test battery includes: -- short-term (at least 28 days) feeding study in rodents -- short-term tests for carcinogenic potential CL II test battery includes: -- subchronic (at least 90 days) feeding study in rodents -- subchronic feeding study in a non-rodent species -- multigenerational reproduction study (minimum of two generations) with a teratology phase in one rodent species -- short-term tests for carcinogenic potential CL III test battery includes: -- chronic (at least 1 year) feeding study in a rodent species -- long-term (at least 1 year) feeding study in a non-rodent species -- multigenerational reproduction study (minimum of two generations) with a teratology phase in one rodent species -- short-term tests for carcinogenic potential -- carcinogenicity studies in two rodent species 6. Pragmatic use of tolerance and action levels for contaminants A. based upon concept of CGMP (Current Good Manufacturing Practices) B. tolerance levels are set by formal CFR regulation, action levels are more informally established by FDA C. contaminants that are unavoidable by CGMP have tolerance limits or action levels established for different foods -- ex. of action level standards – aflatoxins levels in peanuts, grain, and milk D. foods that contain CGMP unavoidable contaminants in excess of established tolerance limits or action levels are declared adulterated and unfit for human [or animal] consumption [note: FDA regulations also cover animal feeds] E. contaminants in foods that are avoidable by CGMP are declared unsafe under FDA regulations and are deemed unsafe and unfit for human consumption F. foods declared unsafe are subject to FDA recall, level of recall depends upon health risk posed by the contaminated food -- Class I recall – reasonable probability that the use of or exposure to food will cause serious adverse health consequences or death, provides the maximum public warning, greatest depth of recall, and most extensive follow-up -- Class II and III recalls represent progressively less health risk and require less public warning, less depth of recall, and less follow-up 7. Indirect food additives from processing and packaging A. enter food by migrating from surfaces that contact food B. surfaces may be those use in processing, holding, or transporting food or from packaging materials (cans, paper, plastic) or the coatings applied to packaging materials C. safety tests assume four classes of foods for purpose of extraction studies with food-simulating solvents, food/solvent classes are: aqueous, acidic, alcoholic, and fatty D. safety tests also take into consideration the temperature conditions under which the food will contact the potentially contaminating surface E. calculations of EDI exposure take into account the fraction of food types subject to chemical migration from various packaging categories Color additives A subject to particular concern because of potential for toxicity, color additives are not eligible for GRAS status -- manufacturer may not add more than is reasonably required to produce a desired color effect, ex., if desired color for strawberry ice cream is achieved with 1 ppm of red dye, then it is a violation of CGMP to add an amount greater than 1 ppm 8. B. C. D. E. F. two classes of color additives -- those requiring certification by FDA chemists -- those exempt from certification certification , which is based on chemical analysis, is required for each batch of most organic synthesized colors because they may contain impurities that vary from batch to batch currently certified colors include: FD&C Blue No. 1, FD&C Blue No. 2, FD&C Green No. 3, FD&C Red No. 3, FD&C Red No. 40, FD&C Yellow No. 5, FD&C Yellow No. 6, Orange B, and Citrus Red No. 2 certified colors are aromatic amines or aromatic azo structures -- aromatic amines are generally considered relatively toxic compounds -- however, the FD&C colors are notably nontoxic, extensively tested as CL III compounds -- principal reason for low toxicity is sulfonation of the aromatic amine or azo compound -- sulfonic acid groups are highly polar, which, added with their high molecular weight largely prevents FD&C colors from entering cells or being absorbed by the GI tract food colors exempt from certification are derived primarily from natural sources -- currently 25 exempt food colors are approved -- examples: beet powder, grape skin extract, paprika, caramel, carrot oil -- lack precise chemical definition and variable in chemical composition -- with exception of caramel, tend not to be widely used -- lack uniformity, intensity, and stability characteristic of the synthetic colors 9. Carcinogens in food and the Delaney Clause A. Delaney Clause of the FD&C Act prohibits the approval of regulated food additives “found to induce cancer when ingested by man or animals” B. applies only to approval of food additives, color additives, and animal drugs; does not apply to unavoidable contaminants or GRAS substances or ingredients sanction by the FDA or USDA before 1958 C. because of harsh consequences of finding a food additive to be a carcinogen, the FDA has interpreted this clause as requiring clear and unequivocal demonstration of carcinogenicity upon ingestion D. only a few substances have been banned from foods due to the Delaney Clause E. FDA excludes cancers that arise from secondary means, e.g., secondary to nutritional, hormonal, or physiological imbalances F. FDA also does not exclude additives that may include carcinogenic contaminants, reasoning is that all substances may contain trace levels of carcinogenic contaminants G. statistical vs. biological significance – for purposes of compliance with the Delaney Clause, the FDA assumes that a lifetime risk of one case of cancer in a million people is equivalent to zero. 10. Transgenic or genetically modified plants A. if genetic modification does not result in a new, novel chemical in the plant, and the plant contains only GRAS substances then the plant may be approved without additional documentation B. if genetic modification does result in compounds that are not similar to substances commonly found in food, then a food additive petition must be filed, FDA will subject novel chemical(s) to same battery of tests required of other direct food additives 11. Tolerance settings A. pesticide residues -- pesticides regulated by EPA under FIFRA (Federal Insecticide, Fungicide, and Rodenticide Act), only EPA registered pesticides may be marketed in the U.S., registration must include designation of intended uses, e.g., on food crops or other uses -- pesticides intended for use of food crops must be granted tolerances or be exempted from tolerances under the FD&C Act B. C. D. E. -- EPA cannot register use of a pesticide on food crops unless tolerances have first been granted to cover residues that are expected to remain in or on food -- there are two types of tolerances, one permitting the presence of pesticide residues in or on raw agricultural commodities and the other permitting such residues in processed foods drugs used in food-producing animals -- food animal drugs widely used to promote animal health, growth, and food production -- extremely complex and difficult area, complicated by biotransformation reactions in both the food animal and humans, the tremendous sensitivity of modern analytical techniques to detect minute trace quantities, and the mandate of the Delaney Clause -- single parent compound may result in metabolites that may number in the hundreds in the food animal and correspondingly many more in humans, clearly it is not practical to subject all of these to complete toxicity screening -- pragmatic approach taken by FDA is combination of structure-activity assessments and in vitro screening of potentially problematic compounds -- compounds identified as potential carcinogens by in vitro screening are subjected to animal assays, if animal assays also suggest carcinogenic potential, then the “no residue” level mandated by the Delaney Clause is applied -- for many drugs used in food-producing animals safety limits require withdrawal of the drug a specified number of days prior to slaughter, these time periods are based upon pharmacokinetic studies in the food animal heavy metals -- of primary concern in foods are lead, arsenic, and cadmium -- considered unavoidable contaminants by CGMP due to prevalence of these elements in nature and their dispersion into the environment by human activities N-nitroso compounds (NOCs) -- two general classes are nitrosamines and nitrosamides, both classes are known carcinogens -- many sources in foods, including: use of nitrate and/or nitrites as food additives, drying processes involving open flames, spices, cooking over open flames -- tolerance provisions protect sources from exclusion by Delaney Clause due to pre-1958 allowance and by virtue of practicality involved in banning all such foods Food-borne molds and mycotoxins -- include both “field fungi” and “storage fungi” -- major classes are aflatoxins and tricothecenes -- considered unavoidable contaminants by CGMP