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The Contribution of cocoa additive to cigarette smoking addiction

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Page 62 <strong>of</strong> 207 RIVM report 650270002<br />

Sero<strong>to</strong>nin<br />

elevated plasma sero<strong>to</strong>nin level; it evokes several vascular pathologies e.g. in the<br />

diabetic population. It is also involved in several CNS effects. <strong>The</strong>re are no data<br />

available on the carcinogenicity effect <strong>of</strong> sero<strong>to</strong>nin. Sero<strong>to</strong>nin displays some<br />

reproduction <strong>to</strong>xicity effects through its neuroendocrine effect.<br />

Sero<strong>to</strong>nin can form radicals by oxidation. Several compounds affect the metabolic<br />

pathway <strong>of</strong> sero<strong>to</strong>nin. Several agents interact with the large sero<strong>to</strong>nin recep<strong>to</strong>r family<br />

and affect thereby the local or systemic sero<strong>to</strong>nin level and cause typical sero<strong>to</strong>nin<br />

clinical effects. No data were available on respira<strong>to</strong>ry interaction effects via<br />

inhalation.<br />

<strong>The</strong> sero<strong>to</strong>ninergic system in the brain is affected by <strong>to</strong>bacco <strong>smoking</strong> and this system<br />

plays a role in the <strong>to</strong>bacco dependency and <strong>smoking</strong> cessation. From literature on<br />

chocolate craving, it seems that exogenous sero<strong>to</strong>nin does not contribute <strong>to</strong> chocolate<br />

craving quality.<br />

It can be concluded that sero<strong>to</strong>nin exerts various pharmacological and <strong>to</strong>xicological<br />

effects in the body through the large sero<strong>to</strong>nin recep<strong>to</strong>r family. <strong>The</strong>re are no data<br />

available on the pharmacodynamics, pharmacokinetics and <strong>to</strong>xicology <strong>of</strong> exogenous<br />

sero<strong>to</strong>nin after oral and inhalation exposure. Assuming similar systemic effects after<br />

oral and inhalation exposure, the additional risk for systemic effects <strong>of</strong> sero<strong>to</strong>nin by<br />

<strong>cigarette</strong> <strong>smoking</strong> (estimated <strong>to</strong> be 15 µg/day) will be low compared with the oral<br />

intake via chocolate, <strong>cocoa</strong> drinks and banana (estimated 19 – 15000 µg/day). Due <strong>to</strong><br />

its negligible effect on the bronchi in normal human subjects, it is unlikely that the<br />

<strong>cigarette</strong> sero<strong>to</strong>nin dose will exert any bronchoconstric<strong>to</strong>ry effect. Considering the<br />

large endogenous sero<strong>to</strong>nin pool (estimated 10 mg), it seems unlikely that the low<br />

sero<strong>to</strong>nin dose from <strong>cigarette</strong> smoke (estimated 15 µg/day) will affect the sero<strong>to</strong>nin<br />

level in the body. Since no data on the local <strong>to</strong>xicological effects <strong>of</strong> sero<strong>to</strong>nin<br />

exposure through inhalation are available, the shortterm and longterm effects <strong>of</strong><br />

exposure <strong>to</strong> sero<strong>to</strong>nin through <strong>smoking</strong> on the respira<strong>to</strong>ry system cannot be<br />

established. Furthermore, its <strong>additive</strong> effects on other biogenic amines present in<br />

<strong>cigarette</strong> smoke are also not known and have <strong>to</strong> be studied.<br />

More studies are needed on:<br />

- the determination <strong>of</strong> pyrolysis and combustion products <strong>of</strong> sero<strong>to</strong>nin in <strong>cigarette</strong><br />

smoke;<br />

- the local (respira<strong>to</strong>ry system) effects <strong>of</strong> long-term use <strong>of</strong> sero<strong>to</strong>nin alone and in<br />

combination with other biogenic amines via inhalation.<br />

Date this sheet was generated<br />

Based on literature available in July 2001.<br />

REFERENCES<br />

(1) Chemfinder website: http://chemfinder.cambridges<strong>of</strong>t.com/ chemfinder .<br />

2001.

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