R. Kroes et al., Threshold of toxicological concern for chemical substances present in the diet: A practical tool for assessing the need for toxicity testing, FOOD CHEM T, 38(2-3), 2000, pp. 255-312
The de,minimis concept acknowledges a human exposure threshold value for ch
emicals below which there is no significant risk to human health. It is the
underlying principle for the US Food and Drug Administration (FDA) regulat
ion on substances used in food-contact articles. Further to this, the princ
iple of Threshold of Toxicological Concern (TTC) has been developed and is
now used by the joint FAO/WHO Expert Committee on Food Additives (JECFA) in
their evaluations. Establishing an accepted TTC would benefit consumers, i
ndustry and regulators, since it would preclude extensive toxicity evaluati
ons when Lumen intakes are below such threshold, and direct considerable ti
me and cost resources towards testing substances with the highest potential
risk to human health. It was questioned, however, whether specific endpoin
ts that may potentially give rise to low-dose effects would be covered by s
uch threshold.
In this review., the possibility of defining a TTC for chemical substances
present in the diet was examined for general toxicity endpoints (including
carcinogenicity), as well as for specific endpoints, namely neurotoxicity a
nd developmental neurotoxicity, immunotoxicity and developmental toxicity.
For each of these endpoints, a database of specific no-observed-effect leve
ls (NOELs) was compiled by screening oral toxicity studies. The substances
recorded in each specific database were selected on the basis of their demo
nstrated adverse effects. For the neurotoxicity and developmental neurotoxi
city databases, it was intended to cover all classes of compounds reported
to hare tither a demonstrated neurotoxic or developmentally neurotoxic effe
ct, or at least, on a biochemical or pharmacological basis were considered
to have a potential for displaying such effects. For the immunotoxicity end
point, it was ensured that only immunotoxicants were included in the databa
se by selecting most of the substances from the Luster er al. database, pro
vided that they satisfied the criteria for immunotoxicity defined by Luster
. For the developmental toxicity database, substances were selected from th
e Munro ct nl. database that contained the lowest NOELs retrieved from the
literature for more than 600 compounds. After screening these, substances s
helving any effect which could point to developmental toxicity as broadly d
efined by the US EPA (1986) were recorded in the database.
Additionally., endocrine toxicity and allergenicity, were addressed as two
separate cases, using different approaches and methodology.
The distributions of NOELs for the neurotoxicity, developmental neurotoxici
ty and developmental toxicity endpoints were compared with the distribution
of NOELs for non-specific carcinogenic endpoints.
As the immunotoxicity database was too limited to draw such a distribution
of immune NOELs, the immunotoxicity endpoint,vas evaluated by comparing imm
une NOELs (or LOELs-lowest-observed-effect levels-when NOELs were not avail
able),vith non-immune NOELs (or LOELs), in order to compare the sensitivity
of this endpoint with non-specific endpoints.
A different methodology was adopted for the evaluation of the endocrine tox
icity endpoint since data currently available do not permit the establishme
nt of a clear causal link between endocrine active chemicals and adverse ef
fects in humans. Therefore, this endpoint was analysed by estimating the hu
man exposure to oestrogenic environmental chemicals and evaluating their po
tential impact on human health, based on their contribution to the overall
exposure, and their estrogenic potency relative to endogenous hormones.
The allergenicity endpoint was not analysed as such. It was addressed in a
separate section because this issue is not relevant to the overall populati
on but rather to subsets of susceptible individuals, and allergic risks are
usually controlled by other means (i.e, labelling) than the Threshold of T
oxicological Concern approach. However, as several researchers are currentl
y examining the existence of a threshold in allergy, the possibility of det
ermining threshold doses for food allergens was put into perspective, and t
he likelihood for chemical substances to induce allergy at dietary relevant
doses was discussed.
The analysis indicated that, within the limitation of the databases, develo
pmental neurotoxicity and developmental toxicity were not more sensitive th
an other non-specific endpoints.
Although the cumulative distribution of NOELs for neurotoxic compounds was
significantly loner than those for other non-cancer endpoints, these substa
nces were accommodated within the TTC of 1.5 mu g/person/day. Furthermore,
the analysis demonstrated that none of the specific non-cancer endpoints ev
aluated in the present study was more sensitive than cancer and, that a TTC
of 1.5 mu g/person/day based on cancer endpoints provides an adequate marg
in of safety.
Analysis of the immunotoxicity database should that for the group of immuno
toxicants examined here, the specific immunotoxic endpoint was not more sen
sitive than other endpoints. In other words, the distribution of immunotoxi
c NOELs for these compounds did not appear to differ from the distribution
of nonspecific endpoints NOELs for the same compounds.
The dietary intakes of environmental oestrogenic chemicals were estimated a
nd their oestrogenic potencies were compared with that of endogenous hormon
es, in order to assess their impact on human health. The results are in lin
e with scientific data obtained so far, suggesting that estrogenic compound
s of anthropogenic origin, in comparison with endogenous hormones, possess
only little hormonal activity lilts phytoestrogens. Results of animal studi
es do not suggest that hormonal effects are to be expected from the rather
lon concentrations found in foods.
More data are necessary to determine threshold doses for food allergens. Ho
wever, provided that numerous criteria need to be satisfied before sensitiz
ation occurs, it is unlikely that small molecules used in little amounts in
foods would induce such reactions.
On the basis of the present analysis, which was conducted using conservativ
e assumptions at each step of the procedure (i.e. in data compilation and d
ata analysis), and continually adopting a "worst case" perspective, it can
be concluded that a Threshold of Toxicological Concern of 1.5 mu g/person/d
ay provides adequate safety assurance. Chemical substances present in the d
iet that are consumed at levels below this threshold pose no appreciable ri
sk.
Moreover, for compounds which do not possess structural alerts for genotoxi
city and carcinogenicity, further analysis mag indicate that a higher Thres
hold of Toxicological Concern mag he appropriate. (C) 2000 Elsevier in Scie
nce Ltd. All rights reserved.