-
   - By Bianca Nogrady

10 November 2015

It used to be called ‘Chinese Restaurant Syndrome’: a collection of
symptoms such as headache, nausea and a strange numbness that certain
people seem to suffer after a meal of Chinese food, which went beyond the
usual queasiness and self-loathing at having eaten one too many barbecued
pork buns. The ingredient allegedly to blame is a commonly used seasoning
called monosodium glutamate, better known as MSG.

Monosodium glutamate’s notoriety took off in 1968 when Dr Ho Man Kwok wrote
a letter <http://www.nejm.org/doi/full/10.1056/NEJM196804042781419> to the
New England Journal of Medicine musing about the possible causes of a
syndrome he experienced whenever he ate at Chinese restaurants in the US.
In particular, he described a feeling of numbness at the back of his neck
that then spread to his arms and back, as well as general weakness and
heart palpitations.

As food-related health theories are wont to do, his suggestion went viral

Kwok speculated the cause could be soy sauce – but dismissed this as he
used it in home cooking without the same effects – or the more liberal use
of Chinese cooking wine in commercial establishments. Then came the
clanger: perhaps it was the monosodium glutamate used as a common seasoning
in Chinese restaurants. As food-related health theories are wont to do, his
suggestion went viral, spawning a huge number of scientific studies, books
exposing ‘the truth’ about MSG, anti-MSG cookbooks, and even prompting
Chinese restaurants to advertise that they didn’t use MSG in their cooking.

[image: (Credit: Mariano Montero/Alamy)]
<http://ichef.bbci.co.uk/wwfeatures/wm/1600_900/images/live/p0/37/8r/p0378rxj.jpg>

Kikunae Ikeda isolated glutamate from kombu seaweed, and added sodium to
create monosodium glutamate (Credit: Mariano Montero/Alamy)

Monosodium glutamate is the sodium salt of glutamic acid – or, if you
really want to impress someone at a dinner party, disodium
2-aminopentanedioate. As University of Tokyo chemistry professor Kikunae
Ikeda discovered in 1908
<https://www.s.u-tokyo.ac.jp/en/research/alumni/ikeda/>, MSG is the most
stable salt formed from glutamic acid, and one that best delivers the
sought-after ‘umami’ taste.

‘Umami’ – which translates as ‘savoury’ – is associated with a “meaty”
flavour, and was also Ikeda’s discovery, who pursued it believing that
there was something more than the four basic tastes of sweet, salty, sour
and bitter.

Glutamate is the magic ingredient in MSG. It’s a common amino acid that
occurs naturally in a large range of foods including tomatoes, parmesan
cheese, dried mushrooms, soy sauce, a host of fruits and vegetables, and
human breast milk.

After Kwok’s letter, a flurry of experiments followed in which various
animals were subjected to large doses of monosodium glutamate

Ikeda isolated it from the dried kombu seaweed (kelp) that his wife – and
just about every other Japanese cook on Earth – used to make the dashi
stock that is ubiquitous in Japanese cuisine. Adding sodium, one of the two
elements in table salt, allows the glutamate to be stabilised into a powder
and added to food, thus giving us monosodium glutamate and making Kikunae a
very rich man. His MSG-based condiment, Ajinomoto (‘essence of taste’) is
now found on tables the world over.

[image: (Credit: Richard Masoner/Cyclelicious/Flickr/CC BY-SA 2.0)]
<http://ichef.bbci.co.uk/wwfeatures/wm/1600_900/images/live/p0/37/8r/p0378ry6.jpg>

Kikunae Ikeda’s MSG-based condiment, Ajinomoto (‘essence of taste’) is now
found on tables the world over (Credit: Richard
Masoner/Cyclelicious/Flickr/CC BY-SA 2.0)

After Kwok’s letter, a flurry of experiments followed in which various
animals, including humans, were subjected to large doses of monosodium
glutamate both orally and intravenously.

At first, it looked like Kwok might have been onto something. Washington
University researcher Dr John W. Olney found thatinjecting enormous doses
of monosodium glutamate <http://www.sciencemag.org/content/164/3880/719> under
the skin of newborn mice led to the development of patches of dead tissue
in the brain. When these mice grew into adulthood they were stunted, obese,
and in some cases, sterile. Olney also repeated his study in infant rhesus
monkeys, giving them the MSG orally, and noted the same results. But 19 other
studies <http://jn.nutrition.org/content/130/4/1049S> in monkeys by other
researchers failed to show the same, or even similar results.

[image: (Credit: Richard Masoner /Cyclelicious/Flickr/CC BY-SA 2.0)]
<http://ichef.bbci.co.uk/wwfeatures/wm/1600_900/images/live/p0/37/8r/p0378rvn.jpg>

Fears about side-effects have prompted some restaurants to advertise that
they don’t use MSG (Credit: Richard Masoner/Cyclelicious/Flickr/CC BY-SA
2.0)

Human studies also fell short of coming up with a smoking gun. In one study
<http://www.sciencedirect.com/science/article/pii/027869159390012N>, 71
healthy individuals were treated with increasing doses of MSG or placebo in
capsule form. Researchers found the so-called Chinese Restaurant Syndrome
symptoms occurred at roughly the same rate, regardless of whether subjects
were given the MSG or the placebo, and even after the participants were
swapped over to the alternative option.

In an attempt to lay the issue to rest, in 1995 the US Food and Drug
Administration (FDA) commissioned the Federation of American Societies for
Experimental Biology to look into all the available evidence
<http://jn.nutrition.org/content/125/11/2891S.full.pdf> and decide whether
MSG really was the food fiend that it was made out to be.

To begin with, the expert panel dismissed the term ‘Chinese Restaurant
Syndrome’ as “pejorative and not reflective of the extent or nature of the
symptoms”, choosing instead the term ‘MSG symptom complex’ to describe the
many and varied symptoms linked to consumption of MSG.

[image: (Credit: Thinkstock)]
<http://ichef.bbci.co.uk/wwfeatures/wm/1600_900/images/live/p0/37/8r/p0378rxd.jpg>

A collection of symptoms now associated with MSG used to be called ‘Chinese
Restaurant Syndrome’ (Credit: Thinkstock)

But they did conclude there was enough scientific evidence to suggest the
existence of a subgroup of healthy individuals in the general population
who may respond badly to large doses of MSG, usually within an hour of
exposure. But these reactions were observed in studies where they were
given three grams or more of MSG delivered in water, without food; a
scenario unlikely to occur in the real world where, according to the FDA
<http://www.fda.gov/food/ingredientspackaginglabeling/foodadditivesingredients/ucm328728.htm>,
most people will get around 0.55 grams per day of added MSG in their diet.

A study in 2000 <http://www.ncbi.nlm.nih.gov/pubmed/11080723> tried to
explore this further with 130 people who described themselves as being
reactive to MSG. These otherwise healthy people were first given a dose of
MSG without food, or given a placebo. If anyone scored above a certain
level on a list of 10 symptoms, they were tested again with the same dose
(or placebo) to see if their response was consistent. They were also tested
with higher doses to see if this increased their symptoms. After another
round of retests, only two of the original 130 had shown consistent
reactions to MSG and not the placebo. But then, when they were tested again
with MSG in food, their reactions differed – which cast doubt on the
validity of self-described MSG sensitivity.

[image: (Credit: Claudia Stocker/Science Photo Library)]
<http://ichef.bbci.co.uk/wwfeatures/wm/1600_900/images/live/p0/37/8r/p0378rvc.jpg>

MSG is the most stable salt formed from glutamic acid, and one that best
delivers the sought-after ‘umami’ taste (Credit: Claudia Stocker/Science
Photo Library)

Glutamate is remarkably low in toxicity

But otherwise, glutamate is remarkably low in toxicity. A rat or mouse can
take a dose of 15-18 grams per kilogram of body weight before it is at risk
of dying from glutamate poisoning. It’s also now known that baby mice are
particularly sensitive to the effects of MSG.

So while nothing is ever truly laid to rest in science – and Dr John Olney
spent much of his life after his early animal experiments campaigning for
tighter regulation of MSG use – the FDA now says the addition of MSG to
foods is GRAS, or ‘Generally Recognised As Safe’.

It’s reassurance to the many fans of Chinese cuisine, for whom a lazy
weekend just isn’t complete without a few spins of a soy sauce-spattered
lazy Susan.


Ref:
http://www.bbc.com/future/story/20151106-is-msg-as-bad-as-its-made-out-to-be

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