twitter

Sunday 1 May 2016

Thujone and thujone-containing herbal medicinal and botanical products: Toxicological assessment


  • a Department of Pharmacology and Toxicology, Institute of Biomedicine, University of Oulu, FIN-90014 Oulu, Finland
  • b European Medicines Agency, Committee of Herbal Medicinal Products, London E14 4HB, United Kingdom
  • c Centre For Arctic Medicine, Thule Institute, University of Oulu, FIN-90014 Oulu, Finland
  • d Federal Institute for Drugs and Medical Devices (BfArM), Complementary and Alternative Medicines and Traditional Medicines, Kurt-Georg-Kiesinger-Allee 3, D-53175 Bonn, Germany


Abstract

Thujone, a major component of the notoriously famous absinthe drink, is neurotoxic, although the current view rather downgrades its risk to humans. In animal studies, thujone inhibits the gamma-aminobutyric acid A (GABAA) receptor causing excitation and convulsions in a dose-dependent manner, although there are uncertainties about the doses required in humans. Toxicity of thujone has been extensively studied. Neurotoxicity is the principal toxic outcome in acute and chronic studies. There is some equivocal evidence of carcinogenicity in rats. Metabolism of thujone has been elucidated both in vitro and in vivo in several species and in vitro in human liver preparations. CYP2A6 is the principal metabolic enzyme, followed by CYP3A4 and, to a lesser extent, CYP2B6. CYP-associated metabolism may give rise to some potential pharmacogenetic and metabolic interaction consequences. Although the data base for determining exposure limits is of variable usefulness, the best estimates for allowable daily intakes via herbal preparations and diet are of the order of 3–7 mg/day. There are still important gaps in the knowledge required to assess thujone toxicity, the most important ones being human dose-concentration-effect relationships including the elucidation of bioavailability, and the actual toxicological consequences of potential pharmacogenetic variations and environmental factors.

Highlights

► Thujone (e.g. in absinthe) has a long-term reputation as a neurotoxicant. ► α-Thujone is rapidly acting modulator of the GABAA-receptor. ► Thujone occurs widely in essential oils of medicinal and botanical plants. ► Analytical techniques are available to detect α- and β-thujone in various matrices. ► Regulatory status needs re-assessment based on focussed investigations.

Keywords

  • Thujone;
  • Risk assessment;
  • Toxicity;
  • Metabolism;
  • Pharmacokinetics

Abbreviations

  • ADI, acceptable daily intake;
  • BMDL, benchmark dose (lower confidence limit);
  • CNS, central nerve system;
  • CYP, cytochrome P450;
  • EMA, European Medicines Agency;
  • GABAA, gamma-aminobutyric acid type A receptor;
  • GC–FID, gas chromatography–flame ionization detector;
  • GC–MS, gas chromatography–mass spectrometry;
  • HMPC, Committee of Herbal Medicinal Products;
  • HS-SPME, head-space solid phase micro extraction;
  • LC/MS, liquid chromatography–mass spectrometry;
  • LC–TOF, liquid chromatography–time of flight;
  • NLM, National Library of Medicine;
  • NOEL, no-observed-effect-level;
  • NTP, National Toxicology Program;
  • SCF, Scientific Committee on Food;
  • TDI, tolerable daily intake;
  • TMDI, theoretical maximum daily intake
Corresponding author. Address: University of Oulu, Department of Pharmacology and Toxicology, Aapistie 5 B, P.O. Box 5000, FIN-90014 Oulu, Finland. Fax: +358 8 5375247.
1
Permanent address: Department of Pesticides, Menoufiya University, P.O. Box 32511, Egypt.