FDA Medical Bulletin * January 1996 * Volume 26
Number 1
Monosodium
Glutamate
Monosodium glutamate (MSG) is used as a flavor enhancer in a
variety of foods prepared at home, in restaurants, and by food
processors. Its use has become controversial in the past 30 years
because of reports of adverse reactions in people who have eaten
foods that contain MSG. Research on the role of glutamate-a group
of chemicals that includes MSG in the nervous system-also has
raised questions about the chemical's safety.
Studies have shown that the body uses glutamate, an amino acid,
as a nerve impulse transmitter in the brain and that there are
glutamate-responsive tissues in other parts of the body as well.
Abnormal function of glutamate receptors has been linked with
certain neurological diseases, such as Alzheimer's disease and
Huntington's chorea. Injections of glutamate in laboratory
animals have resulted in damage to nerve cells in the brain, but
consuming glutamate in food does not have this effect. Although
people normally consume dietary glutamate in large amounts, and
the body can make and metabolize glutamate efficiently, the
results of animal studies conducted in the 1980's raised a
significant question: Can MSG and possibly some other glutamates
harm the nervous system?
A 1995 report from the Federation of American Societies for
Experimental Biology (FASEB), an independent body of scientists,
helps put these safety concerns into perspective and reaffirms
FDA's belief that MSG and related substances are safe food
ingredients for most people when eaten at customary levels.
FASEB Report
FDA contracted with FASEB in 1992 to review the available
scientific data, addressing 18 questions dealing with the
following:
- the possible role of MSG in eliciting MSG symptom complex;
- the possible role of dietary glutamates in forming brain
lesions and damaging nerve cells in humans;
- underlying conditions that may predispose a person to
adverse
effects from MSG; and
- the quality of scientific data and previous safety reviews.
FASEB held a 2-day meeting and convened an expert panel that
thoroughly reviewed all the available scientific literature on
these issues.
Although the information in FASEB's final report of July 31,
1995, is not new, the report offers a new safety assessment based
on a comprehensive evaluation of existing data relating to
glutamate's safety. The following are some of the report's key
findings:
- An unknown percentage of the population may react to MSG and
develop MSG symptom complex, a condition characterized by one or
more of the following symptoms:
- burning sensation in the back of the neck, forearms, and
chest
- numbness in the back of the neck, radiating to the arms and
back
- tingling, warmth, and weakness in the face, temples, upper
back, neck, and arms
- facial pressure or tightness
- chest pain
- headache
- nausea
- rapid heartbeat
- bronchospasm in MSG-intolerant people with asthma
- drowsiness
- weakness
- In otherwise healthy MSG-intolerant people, the MSG symptom
complex tends to occur within 1 hour after eating 3 g or more of
MSG on an empty stomach or without other food. A typical serving
of glutamate-treated food contains less than 0.5 g of MSG. A
reaction is most likely if the MSG is eaten in a large quantity
or in a liquid, such as a clear soup.
- Severe, poorly controlled asthma may be a predisposing
medical
condition for MSG symptom complex.
- No evidence exists to suggest that dietary MSG or glutamate
contributes to Alzheimer's disease, Huntington's chorea,
amyotrophic lateral sclerosis, AIDS dementia complex, or any
other long-term or chronic diseases.
- There is no scientific evidence that the levels of glutamate
in hydrolyzed proteins cause adverse effects or that other
manufactured glutamate has effects different from glutamate
normally found in foods. Under current FDA regulations, when MSG
is added to a food it must be identified as "monosodium
glutamate" in the label's ingredient list. Each ingredient must
be specified by name in this list.
- In 1994, FDA received a citizen's petition requesting
changes in labeling requirements for foods that contain MSG or
related substances. The petition asks for mandatory listing of
MSG as an ingredient on labels of manufactured and processed
foods that contain manufactured free glutamic acid. It further
asks that the amount of free glutamic acid or MSG in such
products be stated on the label, along with a warning that MSG
may be harmful to certain groups of people. FDA is evaluating the
petition.
Copies of the 1995 FASEB report are available for $50
each by writing to FASEB, 9650 Rockville Pike, Bethesda, MD
20814.
REPORT SERIOUS ADVERSE EVENTS AND PRODUCT PROBLEMS TO
MEDWATCH
1-800-FDA-1088