Joint FAO/WHO Expert
Committee
on Food Additives (JECFA)'s Evaluation Report on Stevioside
(Extracted from WHO Technical Report Series 891)
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Sweetening agent: stevioside
Stevioside
is a sweet glycoside of the diterpene derivative steviol
(ent-13-hydroxykaur-16-en-18-oic acid). It is a natural constituent of
the plant Stevia rebaudiana Bertoni, belonging to the
Compositae family. Stevioside has not been previously evaluated by the
Committee.
After oral
administration to rats, stevioside is not readily absorbed from the
upper small intestine but is hydrolysed to the aglycone, steviol,
before absorption from the gut. Steviol is completely absorbed and is
excreted in the bile as conjugates; only a very small fraction is
detectable in urine. After biliary excretion, the conjugates are
hydrolysed, and steviol undergose enterohepatic circulation; its
elimination half-life is 24 hours. Steviol is the only feacal
metabolite of stevioside that has been identified, and excretion in
the faeces is the major route. After intravenous administration,
stevioside is rapidly distributed throughout the body, partially
secreted by the renal tubular epithelium, and excreted in the urine.
At high
concentrations, stevioside affected a variety of biochemical
parameters in rat tissues in vitro. It weakly inhibited
oxidative phosphorylation; steviol was about 30 times more potent in
this respect. The most likely mechanism for this effect is inhibition
of the mitochondrial translocation of adenine nucleotides. Steviol
also inhibited glucose absorption from rat gut by reducing the ATP
content of the intestinal mucosa. Stevioside may also act as a calcium
antagonist, showing a hypotensive effect and inducing diuresis,
natriuresis and a fall in reabsorption of glucose in the renal
tubules. Stevioside may not, however, be able to penetrate cell
membranes. Although most of these studies were performed after
intravenous injection of stevioside, oral administration of extracts
of S. rebaudiana to rats caused similar effects (hypotension
and diuresis).
Stevioside
has very low acute oral toxicity. Oral administration of stevioside at
a concentration of 25g/kg (2.5%) in the diet to rats for 2 years,
equal to 970 and 1100mg/kg of body weight per day in males and
females, respectively, had no significant effect. Reduced body-weight
gain and survival rate were observed at a level of 50g/kg (5%) in the
diet. There was no indication of carcinogenic potential in the
long-term study and no evidence of potential to promote tumours of the
urinary bladder in a separate bioassay.
In
reproductive toxicity studies, administration of stevioside at doses
of up to 2500mg/kg of body weight per day to hamsters and 3000mg/kg of
body weight per day to rats had no effect. Although an aqueous
infusion of S. rebaudiana administered orally to female rats
was reported to cause a severe, long-lasting reduction in fertility,
the contraceptive effects was probably not due to stevioside. Neither
teratogenic nor embryotoxic effect were observed in rats given
stevioside at doses of up to 1000mg/kg of body weight per day by
gavage.
The results
of genotoxicity tests with stevioside in various in vitro
systems were uniformly negative.
The
aglycone, steviol, exhibited greater acute toxicity than stevioside in
hamsters but not in rats. Steviol was clearly genotoxic after
metabolic activation, inducing forward mutations in bacteria and gene
mutations and chromosomal aberrations in lung fibroblasts of Chinese
hamsters. Several mechanistic studies indicated that the structural
features necessary for the expression of mutagenic activity include a
hydroxyl group at position C13 and an unsaturated bond joining the C16
and C17 carbon atoms of steviol. The fact that stevioside is
glycosylated at position C13 could explain the absence of
mutagenicity. The active metabolite of steviol responsible for its
mutagenic activity is not known. While some data suggest that
epoxidation may be involved in the metabolic activation of steviol,
other data indicate that the active metabolite is not an epoxide.
Preliminary data indicate that steviol may be activated to a mutagenic
metabloite by human liver microsomes.
The
Committee noted a number of shortcomings in the information available
on stevioside. In several studies, the material tested (stevioside or
steviol) was poorly specified or of variable quality, and no
information was available on other constituents or contaminants.
Furthermore, no studies of metabolism of stevioside and steviol in
humans were available. In addition, data on long-term toxicity and
carcinogenicity were available for stevioside in only one species. The
mutagenic potential of steviol has been tested sufficiently only in
vitro.
In view of
the absence of information for the elaboration of specifications for
stevioside and since the evaluation of the available toxicological
data revealed several limitations, the Committee was unable to relate
the results of the toxicological investigations to the commercial
product and could not allocate an ADI to stevioside.
Before
reviewing stevioside again, the Committee considered that it would be
necessary to develop specifications to ensure that the material tested
was representative of the commercial product. Further information on
the nature of the substance that was tested, data on the metabolism of
stevioside in humans and the results of suitable in vivo
genotoxicity studies with steviol would also be necessary.
A
toxicological monograph was prepared. No specifications were prepared
as no information was forthcoming.
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(The Food
and Environmental Hygiene Department would like to acknowledge the
World Health Organization's permission to translate the above report
into Chinese and post the report at the Department's website.)
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