Commonly used food dye may trigger Crohn's disease, IBDs and ulcerative colitis

Canada:

Researchers have found in a new study that commonly used food dye Allura Red may trigger Crohn's disease, IBDs and ulcerative colitis

The study has been published in Nature Communications.

The study showed that long-term intake of Allura Red food dye could trigger Crohn's disease, IBDs and ulcerative colitis. Waliul Khan from McMaster University in Canada and colleagues using experimental animal models of IBD found that continual exposure to Allura Red AC is harmful for gut health and promotes inflammation.

The dye directly disrupts gut barrier function and increases the production of serotonin, a hormone/neurotransmitter found in the gut, which subsequently alters gut microbiota composition leading to increased susceptibility to colitis.

Khan said Allura Red (also called FD&C Red 40 and Food Red 17) is a common ingredient in candies, soft drinks, dairy products and some cereals. The dye is used to add colour and texture to foodstuffs, often to attract children.

The use of synthetic food dyes such as Allura Red has increased significantly over the last several decades. Still, there has been a little earlier study of these dyes' effects on gut health. Yun Han (Eric) Kwon, who recently completed PhD in Khan's laboratory, is the first author.

"This study demonstrates significant harmful effects of Allura Red on gut health and identifies gut serotonin as a critical factor mediating these effects. These findings have important implications in the prevention and management of gut inflammation," said Khan, the study's senior author, a professor of the Department of Pathology and Molecular Medicine and a principal investigator of Farncombe Family Digestive Health Research Institute.

"What we have found is striking and alarming, as this common synthetic food dye is a possible dietary trigger for IBDs. This research is a significant advance in alerting the public on the potential harms of food dyes we consume daily," he said.

"The literature suggests that the consumption of Allura Red also affects certain allergies, immune disorders and behavioural problems in children, such as attention deficit hyperactivity disorder."

Khan said that IBDs are serious chronic inflammatory conditions of the human bowel that affect millions worldwide. While their exact causes are still not fully understood, studies have shown that dysregulated immune responses, genetic factors, gut microbiota imbalances, and environmental factors can trigger these conditions.

In recent years there has been significant progress in identifying susceptibility genes and understanding the role of the immune system and host microbiota in the pathogenesis of IBDs. However, he said similar advances in defining environmental risk factors have lagged.

Khan said that environmental triggers for IBDs include the typical Western diet, which includes processed fats, red and processed meats, sugar and a lack of fibre. He added that the Western diet and processed food also include many additives and dyes.

He added that the study suggests a link between a commonly used food dye and IBDs and warrants further exploration between food dyes and IBDs at experimental, epidemiological and clinical levels.

Reference:

Kwon, Y.H., Banskota, S., Wang, H. et al. Chronic exposure to synthetic food colorant Allura Red AC promotes susceptibility to experimental colitis via intestinal serotonin in mice. Nat Commun 13, 7617 (2022). https://doi.org/10.1038/s41467-022-35309-y