Tobacman J K
College of Medicine, University of Iowa, 200 Hawkins Drive, Iowa City, IA 52242-1081, USA.
Environ Health Perspect. 2001 Oct;109(10):983-94. doi: 10.1289/ehp.01109983.
In this article I review the association between exposure to carrageenan and the occurrence of colonic ulcerations and gastrointestinal neoplasms in animal models. Although the International Agency for Research on Cancer in 1982 identified sufficient evidence for the carcinogenicity of degraded carrageenan in animals to regard it as posing a carcinogenic risk to humans, carrageenan is still used widely as a thickener, stabilizer, and texturizer in a variety of processed foods prevalent in the Western diet. I reviewed experimental data pertaining to carrageenan's effects with particular attention to the occurrence of ulcerations and neoplasms in association with exposure to carrageenan. In addition, I reviewed from established sources mechanisms for production of degraded carrageenan from undegraded or native carrageenan and data with regard to carrageenan intake. Review of these data demonstrated that exposure to undegraded as well as to degraded carrageenan was associated with the occurrence of intestinal ulcerations and neoplasms. This association may be attributed to contamination of undegraded carrageenan by components of low molecular weight, spontaneous metabolism of undegraded carrageenan by acid hydrolysis under conditions of normal digestion, or the interactions with intestinal bacteria. Although in 1972, the U.S. Food and Drug Administration considered restricting dietary carrageenan to an average molecular weight > 100,000, this resolution did not prevail, and no subsequent regulation has restricted use. Because of the acknowledged carcinogenic properties of degraded carrageenan in animal models and the cancer-promoting effects of undegraded carrageenan in experimental models, the widespread use of carrageenan in the Western diet should be reconsidered.
在本文中,我回顾了角叉菜胶暴露与动物模型中结肠溃疡和胃肠道肿瘤发生之间的关联。尽管国际癌症研究机构在1982年确定了充分的证据表明降解角叉菜胶在动物中具有致癌性,应将其视为对人类构成致癌风险,但角叉菜胶仍被广泛用作西方饮食中各种加工食品的增稠剂、稳定剂和质地改良剂。我回顾了与角叉菜胶作用相关的实验数据,特别关注与角叉菜胶暴露相关的溃疡和肿瘤的发生情况。此外,我还从已有的资料来源中查阅了从未降解或天然角叉菜胶产生降解角叉菜胶的机制以及有关角叉菜胶摄入量的数据。对这些数据的回顾表明,未降解和降解角叉菜胶的暴露均与肠道溃疡和肿瘤的发生有关。这种关联可能归因于未降解角叉菜胶被低分子量成分污染、在正常消化条件下未降解角叉菜胶通过酸水解的自发代谢,或与肠道细菌的相互作用。尽管在1972年,美国食品药品监督管理局考虑将膳食角叉菜胶的平均分子量限制在>100,000,但该决议未获通过,随后也没有相关法规限制其使用。鉴于降解角叉菜胶在动物模型中公认的致癌特性以及未降解角叉菜胶在实验模型中的促癌作用,西方饮食中角叉菜胶的广泛使用应该重新审视。