Linked to heart disease in a large French study
The NutriNet-Santé study asked about 95,000 French adults to record everything they ate, then followed their health for about 7 years. People who ate more cellulose gum had more heart and circulation disease and more coronary heart disease. This shows a link, not proof that cellulose gum causes it, and the researchers said the results need repeating in other groups of people.
Among 95,442 French adults followed for a median of 7.4 years, higher intake of carboxymethylcellulose (E466) was linked to higher risk of heart and circulation disease and of coronary heart disease.
2023Observational study in peopleSellem et al., BMJ, NutriNet-Santé cohort
Caused gut inflammation in mice at high doses
Two mouse studies by Chassaing and colleagues found that cellulose gum, at doses equal to a high human intake, thinned the protective mucus lining the gut, changed the gut bacteria and caused ongoing low-level inflammation. One linked this to signs of metabolic syndrome, including weight gain and higher blood sugar. These were mice given large doses in their drinking water, and whether the amounts people eat do the same is not known.
Emulsifiers including cellulose gum, at 1% in drinking water, changed the gut bacteria, thinned the mucus layer, and caused low-level gut inflammation and signs of metabolic syndrome in mice.
2015Animal studyChassaing B et al., Nature
In mice, cellulose gum let bacteria move into the normally germ-free mucus layer and raised signs of gut inflammation. This did not happen in mice with no gut bacteria, so the effect depends on the bacteria.
2015Animal studyChassaing B et al., Nature
A small trial in people found changes in some
The same research group tested cellulose gum in a small study of healthy adults. Some people's gut bacteria changed and became less varied after eating it, but the study was very small and the results were not the same for everyone. It is an early signal, not a confirmed effect in people.
A small randomised crossover trial found cellulose gum changed the gut bacteria of some, but not all, healthy adults, with no consistent change in signs of inflammation.
2022Randomised trial in peopleChassaing B et al., Gastroenterology
European reviewers set no daily limit but noted gaps
European reviewers looked at all the cellulose additives, E466 included, in 2018 and set no numerical daily limit for the general population. A 2022 follow-up on formula for babies under 16 weeks found no data had been sent in, though makers said E466 is not used in that formula. Reviewers recommended tighter limits on traces of arsenic, lead and cadmium in cellulose gum.
No numerical daily limit was set for E466, and reviewers raised no safety issue for the general population at reported use levels. They noted an indicative intake of about 660 to 900mg per kg of body weight a day.
2018Regulator reviewEFSA Panel on Food Additives and Flavourings (FAF), EFSA Journal
No data were sent in on E466 in foods for babies under 16 weeks. Because makers said it is not used in those foods, no assessment for that age was done.
2022Regulator reviewEFSA Panel on Food Additives and Flavourings (FAF), EFSA Journal