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PREGNANCY, LACTATING MOTHERS, INFANTS AND ASPARTAME

PREGNANCY, LACTATING MOTHERS, INFANTS AND ASPARTAME

The opinion of Louis J. Elsas, II, M.D., Director, Division of Medical Genetics, 
Professor of
Pediatrics, as stated to the Labor and Human Resources Committee, U.S. Senate

EMORY UNIVERSITY SCHOOL OF MEDICINE
DEPARTMENT OF PEDIATRICS
2040 Ridgewood Drive, NE
Atlanta, Georgia 30322
Division of Medical Genetics

Statement for the Labor and Human Resources Committee, U.S. Senate

I have considerable concern for the increased dissemination and consumption of the
sweetener, aspartame (1-methyl N- Laspartyl-L- phenylalanine) in our world food supply.
This artificial dipeptide is hydrolyzd by the intestinal tract to product 
L-phenylalanine which
in excess is a known neurotoxin. Normal humans do not metabolize phenylalanie as
efficiently as do lower species such as rodents, and thus most of the previous studies 
in
Aspartame effects on rats are irrelevant to the question, “does phenylalanine excess 
occur
with Aspartame ingestion?” and if so “will it adversely affect human brain function?”


Preliminary studies in my laboratory provide tentative positive answers to both 
questions.
Many studies of both acute and chronic ingestion of 34 mg Aspartame/kg/day have
demonstrated a two to five fold increase in semi-fasting blood phenylalanine 
concentrations
(from approximately 50 5o 250 pM) without concomitant increases in tyrosine or other
amino acids. The degree of increase by normal humans depends on several variables
including the efficiency of gut transport, liver utilization, and growth rates. It was 
thought by
many scientists and clinicians that this degree of blood phenylalanine increases would 
not
affect brain function. However, currently available information indicates that this is 
not true.

1) In the developing fetus such a rise in maternal blood phenylalanine could be 
magnified
four to six fold by the concentrative efforts of the placenta and fetal blood brain 
barrier.
Thus a maternal phenylalanine of 150 pM could reach 900 pM in the developing fetal 
brain
cell and this concentration kills such cells in tissue culture. The effect of such an 
increased
fetal brain concentrations in vivo would probably be much more subtle and expressed as
mental retardation, microcephaly, or potential certain birth defects.

2) In the rapidly growing post-natal brain (children of 9-12 months) irreversible brain
damage could occur by the same mechanism.

3) In the adult we have found that changes in blood phenylalanine in these 
concentration
ranges are associated with slowing of the electroencephalogram, and prolongation of
cognitive function tests. Fortunately, these effects on the mature brain are 
reversible but
provide clear evidence for a negative effect on sensitive parameters of brain 
function. In
view of these new (and confirmation of old) research findings, I suggest the following:
1) Immediate quantitative labeling of all aspartame-containing foods, so the consumer 
will
know how much phenylalanine he/ she is ingesting.
2) Declare an immediate moratorium on addition of aspartame to more foods, and remove
it from all low-protein beverages, foods, and children’s medications.
3) Provide funds not controlled by industry to:

a) Allow active surveillance for potential side-effects of aspartame on newborns whose
mothers dieted with NutraSweet (aspartame)-containing foods.
b) Allow active evaluation of other users whose complaints cannot be adequately 
studied at
present.
c) Clarify the dose relationship and mechanisms by which L- phenylalanine affects human
brain function..

Respectfully submitted,

Louis J. Elsas, II, M.D.
Director, Division of Medical Genetics, Professor of Pediatrics

Written by Louis J. Elsas, II, M.D., Director, Division of Medical Genetics, Professor 
of
Pediatrics--Posted 11/3/2002
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11/4/2002 6:55:20 PM EST





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