Turck Dominique, Bohn Torsten, Castenmiller Jacqueline, De Henauw Stefaan, Hirsch-Ernst Karen Ildico, Maciuk Alexandre, Mangelsdorf Inge, McArdle Harry J, Naska Androniki, Pelaez Carmen, Pentieva Kristina, Siani Alfonso, Thies Frank, Tsabouri Sophia, Vinceti Marco, Cubadda Francesco, Frenzel Thomas, Heinonen Marina, Prieto Maradona Miguel, Marchelli Rosangela, Neuhäuser-Berthold Monika, Poulsen Morten, Schlatter Josef Rudolf, van Loveren Henk, Albert Océane, de Sesmaisons Lecarré Agnès, Knutsen Helle Katrine
EFSA J. 2021 Nov 12;19(11):e06843. doi: 10.2903/j.efsa.2021.6843. eCollection 2021 Nov.
Following a request from the European Commission, the EFSA Panel on Nutrition, Novel Foods and Food Allergens (NDA) was asked to deliver an opinion on the safety of an extension of use of the novel food (NF) nicotinamide riboside chloride (NRC) pursuant to Regulation (EU) 2015/2283. The assessment addresses the use of NRC in 'meal replacement products' and 'nutritional drink mixes' at levels up to 300 mg/day for the general population, and in food for special medical purposes (FSMP) and total diet replacement for weight control (TDRWC) (as per Regulation (EU) No 609/2013) at levels up to 500 mg/day in adults. Benchmark dose modelling was carried out on data from the 90-day oral toxicity studies in rats relevant to the safety assessment. Considering the lack of tolerable upper intake level (UL) for nicotinamide in infants and the narrow margin of exposure between the estimated intake in infants and the lower confidence bound of the benchmark doses (BMDL ) estimated by the models, the Panel concludes that the safety of the NF has not been established for use in 'meal replacement products' and 'nutritional drink mixes' under the proposed conditions of use. For FSMP and TDRWC, the proposed maximum use level corresponds to an intake of 210 mg nicotinamide per day, which is below the current UL for nicotinamide of 900 mg/day for adults. The Panel considers that the NF is as safe as pure nicotinamide for use in FSMP and TDRWC. The Panel, however, notes experimental data which indicate several pathways by which intakes of nicotinamide (or its precursors), at levels that are substantially higher than the physiological requirement, might cause adverse effects. The Panel considers that further investigations are required and that a re-evaluation of the UL for nicotinamide may be warranted.
应欧盟委员会的要求,欧洲食品安全局(EFSA)营养、新型食品及食品过敏原专家小组(NDA)被要求根据欧盟法规(EU)2015/2283,就新型食品烟酰胺核糖氯化物(NRC)的使用范围扩展安全性发表意见。该评估涉及一般人群在“代餐产品”和“营养饮料混合物”中使用NRC的剂量上限为每天300毫克,以及在特殊医学用途食品(FSMP)和体重控制全代餐(TDRWC)(根据欧盟法规(EU)No 609/2013)中成人使用剂量上限为每天500毫克。对大鼠90天经口毒性研究中与安全性评估相关的数据进行了基准剂量建模。考虑到婴儿缺乏烟酰胺的可耐受最高摄入量(UL),且婴儿估计摄入量与模型估计的基准剂量下限(BMDL)之间的暴露边际较窄,专家小组得出结论,在所提议的使用条件下,新型食品在“代餐产品”和“营养饮料混合物”中的安全性尚未确定。对于FSMP和TDRWC,提议的最大使用水平相当于每天摄入210毫克烟酰胺,低于成人目前烟酰胺900毫克/天的UL。专家小组认为,该新型食品在FSMP和TDRWC中的使用与纯烟酰胺一样安全。然而,专家小组指出实验数据表明,烟酰胺(或其前体)摄入量大大高于生理需求时,可能通过多种途径产生不良影响。专家小组认为需要进一步调查,可能有必要重新评估烟酰胺的UL。