title: The carcinogenic effects of aspartame: The urgent need for regulatory re-evaluation.
abstract: Aspartame (APM) is an artificial sweetener used since the 1980s, now present in >6,000 products, including over 500 pharmaceuticals. Since its discovery in 1965, and its first approval by the US Food and Drugs Administration (FDA) in 1981, the safety of APM, and in particular its carcinogenicity potential, has been controversial. The present commentary reviews the adequacy of the design and conduct of carcinogenicity bioassays on rodents submitted by G.D. Searle, in the 1970s, to the FDA for market approval. We also review how experimental and epidemiological data on the carcinogenic risks of APM, that became available in 2005 motivated the European Commission (EC) to call the European Food and Safety Authority (EFSA) for urgent re-examination of the available scientific documentation (including the Searle studies). The EC has further requested that, if the results of the evaluation should suggest carcinogenicity, major changes must be made to the current APM specific regulations. Taken together, the studies performed by G.D. Searle in the 1970s and other chronic bioassays do not provide adequate scientific support for APM safety. In contrast, recent results of life-span carcinogenicity bioassays on rats and mice published in peer-reviewed journals, and a prospective epidemiological study, provide consistent evidence of APM's carcinogenic potential. On the basis of the evidence of the potential carcinogenic effects of APM herein reported, a re-evaluation of the current position of international regulatory agencies must be considered an urgent matter of public health.
authors.affiliation: Cesare Maltoni Cancer Research Center, Ramazzini Institute, Bologna, Italy.
authors.forename: Morando
authors.initials: M
authors.lastname: Soffritti
authors.forename: Michela
authors.initials: M
authors.lastname: Padovani
authors.forename: Eva
authors.initials: E
authors.lastname: Tibaldi
authors.forename: Laura
authors.initials: L
authors.lastname: Falcioni
authors.forename: Fabiana
authors.initials: F
authors.lastname: Manservisi
authors.forename: Fiorella
authors.initials: F
authors.lastname: Belpoggi
mesh_terms: D000818:Animals; D001218:Aspartame / Q000633:toxicity*; D015197:Carcinogenicity Tests / Q000592:standards; D002273:Carcinogens / Q000633:toxicity*; D003257:Consumer Product Safety / Q000592:standards*; D005060:Europe; D006801:Humans; D009369:Neoplasms / Q000139:chemically induced*; D064306:Non-Nutritive Sweeteners / Q000633:toxicity*; D014481:United States; D014486:United States Food and Drug Administration
chemical_list: D002273:Carcinogens; D064306:Non-Nutritive Sweeteners; D001218:Aspartame
keywords: animal models; aspartame; carcinogenicity; long-term experimental bioassays; public health