Table 2.
Safety tests of hyaluronan
| Test procedure | Substance | Origin | Molecular weight | Subject | Result | Reference |
|---|---|---|---|---|---|---|
| Daily oral administration test for 8 weeks |
HA |
Chicken comb |
9 × 105 |
Human |
No abnormalities in hematology due to 240 mg/kg body weight/day for 12 weeks |
Sato, T. et al. (2009) [63] |
| Daily oral administration test for 1 year |
HA |
Chicken comb |
9 × 105 |
Human |
No abnormalities on clinical observations due to oral administration of 200 mg/kg body weight/day for 1 year |
Tashiro, T. et al. (2012) [7] |
| Single-dose toxicity test |
Sodium hyaluronate |
Chicken comb |
Not shown |
Mouse |
LD50 (mg/kg body weight) > 2400 |
Nagano, K. et al. (1984) [55] |
| LD50 (mg/kg body weight) > 1200 |
Nagano, K. et al. (1984) [56] |
|||||
| Sodium hyaluronate |
Chicken comb |
Not shown |
Rat |
LD50 (mg/kg body weight) > 800 |
Nagano, K. et al. (1984) [55] |
|
| LD50 (mg/kg body weight) > 1200 |
Nagano, K. et al. (1984) [56] |
|||||
| Microbial fermentation |
16.8 × 105 |
LD50 (mg/kg body weight) > 200 |
Morita, H. et al. (1991) [57] |
|||
| Sodium hyaluronate |
Chicken comb |
Not shown |
Rabbit |
LD50 (mg/kg body weight) > 1000 |
Nagano, K. et al. (1984) [55] |
|
| LD50 (mg/kg body weight) > 900 |
Nagano, K. et al. (1984) [56] |
|||||
| Repeated-dose toxicity test |
HA |
Microbial fermentation |
3 × 105 |
rat |
No abnormalities on clinical observations due to administration in doses equivalent to 0, 34, 235, 3536 mg/kg body weight/day. |
Oe, M. et al. (2011) [58] |
| Sodium hyaluronate |
Chicken comb |
Not shown |
NOAEL 48 mg/kg body weight, or more |
Ishihara, M. et al. (1996) [59] |
||
| Antigenicity test |
Sodium hyaluronate |
Microbial fermentation |
18.8 × 105 |
Bacteria (Ames test) |
No mutagenicities to S. typhimurium (TA1535, TA1537, TA98, or TA100) or E.coli (WP 2 urA) |
Sugiyama, C. et al. (1991) [60] |
| Not shown |
21.2 × 105 |
No mutagenicities to S. typhimurium (TA98, TA100, TA1535, or TA1537) or E.coli (2 urA) |
Onishi, M. et al. (1992) [61] |
|||
| Chicken comb |
20.0–21.2 × 105 |
Mouse, rat, rabbit |
No antigenicity on PCA reaction in mice or guinea pigs |
Takemoto, M. et al. (1992) [62] |
||
| No antigenicity on active systemic anaphylactic reaction in guinea pigs |