Sodium ascorbate, like other sodium salts such as saccharin, glutamate
, and bicarbonate, produces urinary alterations when fed at high doses
to rats, which results in mild superficial urothelial cytotoxicity an
d regeneration but not tumors in a standard 2-year bioassay, Sodium sa
ccharin was shown to produce a low incidence of bladder tumors in rats
if administered in a two-generation bioassay, In the present study, w
e evaluated sodium ascorbate in a two-generation bioassay that involve
d feeding to the male and female parental F344 rats for 4 weeks before
mating, feeding the dams during gestation and lactation, and then fee
ding the weaned (at 28 days of age) male F-1 generation rats for the r
emainder of their lifetime (up to 128 weeks of the experiment). Dietar
y levels of 1.0, 5.0, and 7.0% sodium ascorbate were tested. At 5.0 an
d 7.0% sodium ascorbate, there was an increase in urinary bladder urot
helial papillary and nodular hyperplasia and the induction of a few pa
pillomas and carcinomas. There was a dose-responsive increase in renal
pelvic calcification and hyperplasia and inhibition of the aging neph
ropathy of rats even at the level of 1% sodium ascorbate, Because the
short-term urothelial effects of sodium ascorbate in rats are inhibite
d by treatments producing urinary acidifi cation to pH < 6.0, we coadm
inistered high doses of long-term NH4Cl to groups of rats with 5.0 or
7.0% sodium ascorbate to evaluate the longterm effects. The combinatio
n of 7.0% sodium ascorbate plus 2.78% NH4Cl in the diet was toxic, and
the group was terminated early during the course of the experiment. T
he group fed 5.0% sodium ascorbate plus 2.04 NH4Cl showed complete inh
ibition of the urothelial effects of sodium ascorbate and significant
inhibition of its renal effects. We also demonstrated the presence of
a calcium phosphate-containing urinary precipitate in rats fed sodium
ascorbate at all doses, in a dose-responsive manner. The formation of
the precipitate was inhibited by coadministration with NH4Cl. The prol
iferative effects of sodium ascorbate on the male rat urinary tract in
this study are similar to those seen with sodium saccharin when admin
istered in a two-generation bioassay, Mechanistic information suggests
that this is a high-dose, rat-specific phenomenon.