Bladder tumours in rats, and why the classification changed
In studies from the 1970s and 1980s, high doses of saccharin caused bladder tumours in male rats. Later work showed this happens through crystals forming in rat urine, which does not happen in human urine. On that basis IARC moved saccharin in 1999 from possibly causing cancer (Group 2B) to not classifiable (Group 3). Large studies in people have not found a clear link with bladder cancer.
Saccharin causes bladder tumours in male rats at high doses, but through urine chemistry specific to rats that is not thought to apply to humans.
1999Animal studyIARC Monograph, Volume 73
IARC moved saccharin to Group 3 (not classifiable as to whether it causes cancer in humans), noting the rat bladder tumour route does not carry over to human biology.
1999Regulator reviewIARC Overall Evaluations of Carcinogenicity, Supplement 7 and Volume 73
Two large case-control studies found small raised risks in some subgroups, but the results did not agree between studies and no clear link was established.
ObservationalUS National Cancer Institute, Artificial Sweeteners and Cancer fact sheet
It can change gut bacteria and blood sugar
A 2022 randomised trial gave people saccharin for two weeks. Their gut bacteria changed, and some of them had higher blood sugar after a standard glucose drink. When the researchers moved those people's gut bacteria into germ-free mice, the mice showed the same blood sugar changes. The effect was not seen in everyone and depended on the bacteria each person started with. Earlier mouse studies had pointed the same way.
Saccharin changed the make-up of gut bacteria and, in some participants, raised blood sugar responses in a short randomised trial.
2022Randomised trial in peopleSuez et al., Cell
In mice, saccharin changed gut bacteria and worsened blood sugar control, and antibiotics reversed this, pointing to the bacteria as the route.
2014Lab and animal studySuez et al., Nature
A higher daily limit in 2024
European reviewers completed a full review of saccharin in 2024 and set a daily limit of 9mg per kg of body weight, higher than the old limit. They estimated that intake in Europe is below it for most groups, though people who have a lot of different sweetened products could get close.
Reviewers set a daily limit of 9mg per kg of body weight for saccharin and its salts after a systematic review of the evidence.
2024Regulator reviewEFSA Journal, Re-evaluation of saccharin and its sodium, potassium and calcium salts (E 954)
The old US cancer warning
From 1977 saccharin carried a compulsory cancer warning in the United States, because of the rat findings. In 2000, after the IARC change and a review by the US National Toxicology Program, it was taken off the US list of suspected carcinogens and the warning was dropped.
Saccharin was taken off the US National Toxicology Program's Report on Carcinogens after the rat tumour route was found not to apply to humans.
2000Regulator reviewUS National Toxicology Program