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Safety evaluation of certain food additives - ipcs inchem

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STEVIOL GLYCOSIDES (addendum) 189<br />

al., 2004a, 2006). Stevioside was found to stimulate secretion <strong>of</strong> insulin in pancreatic<br />

islets isolated from NMRI mice with no evidence <strong>of</strong> desensitization <strong>of</strong> the -cells<br />

observed over time; in combination with glucagon-like peptide-1, stevioside was<br />

found to counteract the desensitization <strong>of</strong> pancreatic cells induced by the diabetes<br />

drug glyburide (Chen et al., 2006a, 2006b).<br />

In a study in which isosteviol (99.8% purity) was incubated with rat aortic<br />

smooth muscle cells (0.01–10 μmol/l) and a range <strong>of</strong> cardioactive drugs<br />

(vasopressin, phenylaphrine, apamin, glibenclamide, 4-aminopyridine and<br />

charybdotoxin), the intracellular calcium concentration was lowered by isosteviol,<br />

which was mediated through the small-conductance calcium-activated potassium<br />

channels and voltage-gated channels as well as the adenosine triphosphate (ATP)–<br />

sensitive potassium channels. Large-conductance calcium-activated potassium<br />

channels did not mediate the action <strong>of</strong> steviol (Wong et al., 2004b).<br />

Stevioside has the potential to regulate acetyl-coenzyme A carboxylase<br />

(ACC) and subsequently may have a role in protecting the function <strong>of</strong> pancreatic<br />

-cells when exposed to high levels <strong>of</strong> glucose (Chen et al., 2007).<br />

Stevioside was found to inhibit absorption <strong>of</strong> glucose by up to 40% in rat<br />

duodenum at levels <strong>of</strong> 0.8 mg/ml (Maier et al., 2003).<br />

Stevioside (98% purity) increased the production <strong>of</strong> proinflammatory<br />

cytokines tumour necrosis factor-alpha (TNF-) and interleukin-1beta (IL-1) at a<br />

concentration <strong>of</strong> 1 mmol/l and induced nitric oxide production at 0.1 and 1.0 mmol/l<br />

in unstimulated THP-1 cells. In lipopolysaccharide-stimulated THP-1 cells,<br />

stevioside (1 mmol/l) reduced the release <strong>of</strong> TNF- and IL-1 and had no effect on<br />

nitric oxide production. The authors concluded that stevioside could have an antiinflammatory<br />

role and that its TNF- and nitric oxide stimulatory properties may form<br />

a basis to reports <strong>of</strong> anti-tumour-promoting effects (Boonkaewwan et al., 2006).<br />

A number <strong>of</strong> other studies were available on steviol-related material <strong>of</strong><br />

unspecified composition, for which the administered dose <strong>of</strong> steviol could not be<br />

identified (Pezzuto, 1986; Chatsudthipong & Thongouppakarn, 1995;<br />

Chatsudthipong & Jutabha, 2001; Chatsudthipong et al., 2003; Nakamura et al.,<br />

2003; Srimaroeng et al., 2005a, 2005b; Chen et al., 2006c; Hong et al., 2006;<br />

Ghanta et al., 2007).<br />

2.2 Toxicological studies<br />

2.2.1 Acute toxicity<br />

Studies on the acute toxicity <strong>of</strong> steviol glycosides and related substances are<br />

summarized in Table 1.<br />

A number <strong>of</strong> other studies were available on steviol-related material <strong>of</strong><br />

unspecified composition, for which the administered dose <strong>of</strong> steviol could not be<br />

identified (Pomaret & Lavieille, 1931; Lee et al., 1979).

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