Problems in assessing safety the example of P-carotene

One of the few phytochemicals that has been subjected to the rigorous testing procedures required by food safety authorities is P-carotene, a naturally-occurring carotenoid that is also a pre-cursor of vitamin A in humans. It is increasingly used as a food colour since the food product can be claimed to contain all natural ingredients. For this reason, detailed toxicological studies were undertaken that enabled the Joint FAO/WHO Expert Committee for Food Additives (JECFA) to set an ADI of 0-5 mg/kg/bw/day based on a NOAEL of 50 mg/day and the application of an uncertainty factor of 10 (JECFA, 1974). This low factor was used because it was argued that the compound occurred naturally in food, that its use as a food additive would not lead to a substantial increase in the total amount normally consumed, and that there had been no reports of adverse effects in humans. The ADI would correspond to an acceptable intake in humans of up to 350 mg/day. 

More recently, large human intervention trials were undertaken with P-carotene alone, or in combination with non-dietary amounts of vitamin E. These trials were undertaken because of promising animal studies that suggested that these antioxidants could offer chemo-preventive action against oxidative stress. The results, which are summarised in Table 11.1, were disappointing. Although the study population in two of the studies (ATBC and CARET) 

Study No of participants Dose Increase in plasma levels (fold) Effect on incidence ofCVD Effect on incidence of cancer 

ATBC (Albanes etal., 1996) 29133 male smokers 20 mg P-carotene + vitamin A 17.5 Increase Increase 

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