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Effect of Tartrazine and Curcumin Intake on Serum Carcinoembryonic Antigen (CEA) and Stomach Histopathology in Rats

Year 2025, Volume: 52 Issue: 3, 415 - 422, 16.09.2025
https://doi.org/10.5798/dicletip.1784750

Abstract

Objective: Food colorants are known to induce physiological and biochemical changes in tissues, raising concerns about their potential health effects. The purpose of this study was to assess tartrazine's effects and curcumin supplementation on stomach tissue and serum carcinoembryonic antigen (CEA) levels in rats.
Methods: Thirty-five male rats were randomly divided into five groups (n=7 per group) and treated via oral gavage for three weeks: Group 1 consisted of a control group, Group 2 of low-dose tartrazine, Group 3 of high-dose tartrazine, Group 4 of low-dose tartrazine + curcumin, and Group 5 of high-dose tartrazine + curcumin. Serum CEA levels were measured and stomach tissues were subjected to histopathological examination.
Results: Following tartrazine treatment, serum CEA levels were higher than in the control group; however, this difference was not of statistical significance (p > 0.05). CEA levels were somewhat lowered by co-administration of curcumin. When compared to the control, histopathological investigation showed that all tartrazine-treated groups had degenerated stomach tissues. Hyperkeratosis was notably increased in all experimental groups relative to the control group, with the most pronounced effect observed in Group 5 (p < 0.001). While hyperplasia in Group 2 did not differ significantly from the control (p > 0.05), Groups 3, 4, and 5 exhibited a statistically notable rise (p < 0.05).
Conclusion: These results show that tartrazine may induce dose-dependent histopathological alterations in stomach tissue, and curcumin may exert a modest protective effect.

Ethical Statement

All groups included in the study were conducted in accordance with the NIH general guidelines for the care and use of laboratory animals and with ethical permission from the Dicle University Health Sciences Research and Application Center Animal Experiments Local Ethics Committee (25/09/2024, Decision no: 03, Meeting no: 12).

References

  • 1.Barciela P, Perez-Vazquez A, Prieto MA. Azo dyesin the food industry: Features, classification, toxicity,alternatives, and regulation. Food Chem Toxicol2023; 178: 113935.https://doi.org/10.1016/j.fct.2023.113935
  • 2.Lipskikh OI, Korotkova EI, Khristunova YP, et al.Sensors for voltammetric determination of food azodyes - a critical review. Electrochim Acta 2018; 260:974-85.https://doi.org/10.1016/j.electacta.2017.12.027.
  • 3.EFSA. Panel on food additives and nutrientsources added to food Scientific opinion on the re-evaluation tartrazine (E 102) EFSA J 2009; 7: 1331.https://doi.org/10.2903/j.efsa.2009.1331
  • 4.Ameur FZ, Mehedi N, Soler Rivas C, et al. Effect oftartrazine on digestive enzymatic activities: in vivoand in vitro studies. Toxicol Res 2019; 36(2): 159-66.https://doi.org/10.1007/s43188-019-00023-3.
  • 5.Amchova P, Siska F, Ruda-Kucerova J. Safety oftartrazine in the food industry and potentialprotective factors. Heliyon 2024; 10(18): e38111.https://doi.org/10.1016/j.heliyon.2024.e38111
  • 6.El-Borm HT, Badawy GM, El-Nabi SH, et al. Theameliorative effect of curcumin extract on themorphological and skeletal abnormalities inducedby sunset yellow and tartrazine in the developingchick embryo Gallus domesticus. Heliyon 2020;6(1): e03305. https://doi.org/10.1016/j.heliyon.2020.e03305.
  • 7.Elwan WM, & Ibrahim MA. Effect of tartrazine ongastric mucosa and the possible role of recoverywith or without riboflavin in adult male albino rat.Egypt J Histol 2019; 42(2): 297-311.https://doi.org/10.21608/ejh.2019.6312.1043
  • 8.Zahedi A, Saravy A, & Poorghasemi M. Evaluatingthe antioxidant effects of onion (allium cepa) onblood biochemical factors and antioxidants afterconsuming tartrazine in rats. Arch Razi Inst 2023;78(6): 1836.https://doi.org/10.32592/ARI.2023.78.6.1836
  • 9.Altinoz E, Erdemli ME, Gül M, et al. Prevention oftoxic effects of orally administered tartrazine bycrocin in Wistar rats. Environ Toxicol Chem 2021;103(2): 184-98.https://doi.org/10.1080/02772248.2021.1942472
  • 10.Kankanala VL, Mukkamalla SKR.Carcinoembryonic Antigen. 2 Treasure Island (FL):StatPearls. 2024. Publishing PMID: 35201700. 2024.
  • 11.Marrelli D, Pinto E, De Stefano A, et al.Preoperative positivity of serum tumor markers is astrong predictor of hematogenous recurrence ofgastric cancer. J Surg Oncol 2001; 78(4): 253-8.https://doi.org/10.1002/jso.1163
  • 12.Elbanna K, Sarhan OM, Khider M, et al.Microbiological, histological, and biochemicalevidence for the adverse effects of food azo dyes onrats. J Food Drug Anal 2017; 25(3): 667- 80.https://doi.org/10.1016/j.jfda.2017.01.005
  • 13.Tuorkey M, & Karolin K. Anti-ulcer activity ofcurcumin on experimental gastric ulcer in rats andits effect on oxidative stress/antioxidant, IL-6 andenzyme activities. Biomed Environ Sci. 2009; 22(6):488-95.https://doi.org/10.1016/S0895-3988(10)60006-2
  • 14.Bastaki M, Farrell T, Bhusari S, et al. Lack ofgenotoxicity in vivo for food color additiveTartrazine. Food Chem Toxicol 2017; 105: 278-84.https://doi.org/10.1016/j.fct.2017.04.034
  • 15.Frantz JD, Betton G, Cartwright ME, et al.Proliferative Lesions of the non-glandular andglandular stomach in rats. In: Guides for Toxicologic Pathology. STP/ARP/AFIP. Washington DC. USA. 1991.
  • 16.Nolte T, Brander-Weber P, Dangler C, et al.Nonproliferative and proliferative lesions of thegastrointestinal tract, pancreas and salivary glandsof the rat and mouse. J Toxicol Pathol 2016; 29(1Suppl): 1S-125S.https://doi.org/10.1293/tox.29.1S.
  • 17. Hegazy AA, Haliem WAHRA, El-Bestawy EM. et al.Brief overview about tartrazine effects on health.Eur Chem Bull 2023; 12(1): 4698-707.
  • 18.Ibrahim LI, Diab MS, & Mohamed SH.Prophylactic effect of curcumin against long-termand high-dose tartrazine-ınduced structural,biochemical, and genetic alteration in male rats.Egypt Acad J Biol Sci C Physiol Mol Biol 2024; 16(1):365-86.https://doi.org/10.21608/EAJBSC.2024.354812
  • 19.Amin KA, Abdel Hameid H, Abd Elsttar AH. Effectof food azo dyes tartrazine and carmoisine onbiochemical parameters related to renal, hepaticfunction and oxidative stress biomarkers in youngmale rats. Food Chem Toxicol 2010; 48(10): 2994-9.https://doi.org/10.1016/j.fct.2010.07.039.
  • 20.Çakırca G, Polat C, İnal A, et al. Comparison ofCYFRA 21-1, CEA, CA 19-9 and CA 72-4 levels ingastric cancer. Dicle Med J 2023; 40(2): 227-30.https://doi.org/10.5798/diclemedj.0921.2013.02.0259
  • 21.Putri LA, Prabowo YD, Dewi DMM. et al. Reviewof noble metal nanoparticle-based colorimetricsensors for food safety monitoring. ACS AppliedNano Materials 2024; 7(17): 19821-53.https://doi.org/10.1021/acsanm.4c04327
  • 22.El-Sakhawy MA, Mohamed DW, & Ahmed YH.Histological and immunohistochemical evaluationof the effect of tartrazine on the cerebellum, submandibular glands, and kidneys of adult male albino rats. Environ Sci Pollut Res 2019; 26: 9574-84.https://doi.org/10.1007/s11356-019-04399-5
  • 23.Himri I, Bellaheen S, Souna F, et al. A 90-day oraltoxicity study of tartrazine a synthetic food dye inwistar rats. Int J Pharm Pharmaceut Sci 2011; 3(3):159-69.
  • 24.Sasaki YF, Kawaguchi S, Kamaya A. et al. Thecomet assay with 8 mouse organs: results with 39currently used food additives. Mutat Res-Gen ToxEnv Mut 2002; 519(1-2): 103-
  • 19.https://doi.org/10.1016/S1383-5718(02)00128-6
  • 25.Moutinho ILD, Bertges LC, & Assis RVC.Prolonged use of the food dye tartrazine (FD&Cyellow n° 5) and its effects on the gastric mucosa ofWistar rats. Braz J Biol 2007; 67: 141-5.https://doi.org/10.1590/S1519-69842007000100019
  • 26.Al-Seeni MN, El Rabey HA, Al-Hamed AM, et al.Nigella sativa oil protects against tartrazine toxicityin male rats. Toxicol Rep 2018; 5: 146-55.https://doi.org/10.1016/j.toxrep.2017.12.022
  • 27.Soutelino MEM, de Paiva Vieira G, Goulart MB. etal. Natural food dyes on dairy products: A criticalapproach between 2012-2023 literature regardingthe technological and functional aspects, healthbenefits and future trends. Trends Food Sci Technol2024; 146: 104370.https://doi.org/10.1016/j.tifs.2024.104370
  • 28.Zafar M, Javaid S, Shahab SA, et al. Curcumin'sneuroprotective effects on the neurons of the ratcerebrum's motor cortex against tartrazine'sneurotoxic effects. J Pak Soc Intern Med 2024; 5(3):640-3. https://doi.org/10.70302/jpsim.v5i3.2456

Ratlarda Tartrazin ve Kurkumin Alımının Serum Karsinoembriyonik Antijen (CEA) ve Mide Histopatolojisi Üzerine Etkisi

Year 2025, Volume: 52 Issue: 3, 415 - 422, 16.09.2025
https://doi.org/10.5798/dicletip.1784750

Abstract

Öz
Amaç: Gıda renklendiricilerinin dokularda fizyolojik ve biyokimyasal değişikliklere neden olduğu bilinmekte olup, potansiyel sağlık etkileri konusunda endişelere yol açmaktadır. Bu çalışma, tartrazin ve kurkumin takviyesinin sıçanlarda mide dokusu ve serum karsinoembriyonik antijen (CEA) düzeyleri üzerindeki etkisini değerlendirmeyi amaçlamaktadır.
Yöntemler: Otuz beş erkek sıçan rastgele beş gruba ayrıldı (grup başına n=7) ve üç hafta boyunca oral gavaj yoluyla tedavi edildi: Grup 1 (kontrol), Grup 2 (düşük doz tartrazin), Grup 3 (yüksek doz tartrazin), Grup 4 (düşük doz tartrazin +kurkumin) ve Grup 5 (yüksek doz tartrazin + kurkumin). Serum CEA düzeyleri ölçüldü ve mide dokuları histopatolojikincelemeye tabi tutuldu.
Bulgular: Tartrazin uygulaması, kontrol grubuna kıyasla serum CEA seviyelerinin yükselmesine rağmen önemli bir istatistiksel fark tespit edilmedi (p > 0,05). Kurkumin ile birlikte uygulanması, CEA seviyelerinde kısmi bir azalmaya yol açtı. Histopatolojik analiz, tartrazin ile tedavi edilen tüm gruplarda kontrol grubuna kıyasla mide dokularında dejenerasyon olduğunu ortaya koydu. Hiperkeratoz, kontrol grubuna kıyasla tüm deney gruplarında anlamlı şekilde arttı ve en belirgin etki Grup 5'te gözlendi (p < 0,001). Grup 2'deki hiperplazi kontrolden anlamlı şekilde farklı olmasa da (p > 0,05), Grup 3, 4 ve 5 istatistiksel olarak anlamlı bir yükselme gösterdi (p < 0,05).
Sonuç: Bu bulgular tartrazinin mide dokusunda doza bağlı histopatolojik değişikliklere neden olabileceğini, kurkuminin ise orta düzeyde koruyucu etki gösterebileceğini düşündürmektedir.

References

  • 1.Barciela P, Perez-Vazquez A, Prieto MA. Azo dyesin the food industry: Features, classification, toxicity,alternatives, and regulation. Food Chem Toxicol2023; 178: 113935.https://doi.org/10.1016/j.fct.2023.113935
  • 2.Lipskikh OI, Korotkova EI, Khristunova YP, et al.Sensors for voltammetric determination of food azodyes - a critical review. Electrochim Acta 2018; 260:974-85.https://doi.org/10.1016/j.electacta.2017.12.027.
  • 3.EFSA. Panel on food additives and nutrientsources added to food Scientific opinion on the re-evaluation tartrazine (E 102) EFSA J 2009; 7: 1331.https://doi.org/10.2903/j.efsa.2009.1331
  • 4.Ameur FZ, Mehedi N, Soler Rivas C, et al. Effect oftartrazine on digestive enzymatic activities: in vivoand in vitro studies. Toxicol Res 2019; 36(2): 159-66.https://doi.org/10.1007/s43188-019-00023-3.
  • 5.Amchova P, Siska F, Ruda-Kucerova J. Safety oftartrazine in the food industry and potentialprotective factors. Heliyon 2024; 10(18): e38111.https://doi.org/10.1016/j.heliyon.2024.e38111
  • 6.El-Borm HT, Badawy GM, El-Nabi SH, et al. Theameliorative effect of curcumin extract on themorphological and skeletal abnormalities inducedby sunset yellow and tartrazine in the developingchick embryo Gallus domesticus. Heliyon 2020;6(1): e03305. https://doi.org/10.1016/j.heliyon.2020.e03305.
  • 7.Elwan WM, & Ibrahim MA. Effect of tartrazine ongastric mucosa and the possible role of recoverywith or without riboflavin in adult male albino rat.Egypt J Histol 2019; 42(2): 297-311.https://doi.org/10.21608/ejh.2019.6312.1043
  • 8.Zahedi A, Saravy A, & Poorghasemi M. Evaluatingthe antioxidant effects of onion (allium cepa) onblood biochemical factors and antioxidants afterconsuming tartrazine in rats. Arch Razi Inst 2023;78(6): 1836.https://doi.org/10.32592/ARI.2023.78.6.1836
  • 9.Altinoz E, Erdemli ME, Gül M, et al. Prevention oftoxic effects of orally administered tartrazine bycrocin in Wistar rats. Environ Toxicol Chem 2021;103(2): 184-98.https://doi.org/10.1080/02772248.2021.1942472
  • 10.Kankanala VL, Mukkamalla SKR.Carcinoembryonic Antigen. 2 Treasure Island (FL):StatPearls. 2024. Publishing PMID: 35201700. 2024.
  • 11.Marrelli D, Pinto E, De Stefano A, et al.Preoperative positivity of serum tumor markers is astrong predictor of hematogenous recurrence ofgastric cancer. J Surg Oncol 2001; 78(4): 253-8.https://doi.org/10.1002/jso.1163
  • 12.Elbanna K, Sarhan OM, Khider M, et al.Microbiological, histological, and biochemicalevidence for the adverse effects of food azo dyes onrats. J Food Drug Anal 2017; 25(3): 667- 80.https://doi.org/10.1016/j.jfda.2017.01.005
  • 13.Tuorkey M, & Karolin K. Anti-ulcer activity ofcurcumin on experimental gastric ulcer in rats andits effect on oxidative stress/antioxidant, IL-6 andenzyme activities. Biomed Environ Sci. 2009; 22(6):488-95.https://doi.org/10.1016/S0895-3988(10)60006-2
  • 14.Bastaki M, Farrell T, Bhusari S, et al. Lack ofgenotoxicity in vivo for food color additiveTartrazine. Food Chem Toxicol 2017; 105: 278-84.https://doi.org/10.1016/j.fct.2017.04.034
  • 15.Frantz JD, Betton G, Cartwright ME, et al.Proliferative Lesions of the non-glandular andglandular stomach in rats. In: Guides for Toxicologic Pathology. STP/ARP/AFIP. Washington DC. USA. 1991.
  • 16.Nolte T, Brander-Weber P, Dangler C, et al.Nonproliferative and proliferative lesions of thegastrointestinal tract, pancreas and salivary glandsof the rat and mouse. J Toxicol Pathol 2016; 29(1Suppl): 1S-125S.https://doi.org/10.1293/tox.29.1S.
  • 17. Hegazy AA, Haliem WAHRA, El-Bestawy EM. et al.Brief overview about tartrazine effects on health.Eur Chem Bull 2023; 12(1): 4698-707.
  • 18.Ibrahim LI, Diab MS, & Mohamed SH.Prophylactic effect of curcumin against long-termand high-dose tartrazine-ınduced structural,biochemical, and genetic alteration in male rats.Egypt Acad J Biol Sci C Physiol Mol Biol 2024; 16(1):365-86.https://doi.org/10.21608/EAJBSC.2024.354812
  • 19.Amin KA, Abdel Hameid H, Abd Elsttar AH. Effectof food azo dyes tartrazine and carmoisine onbiochemical parameters related to renal, hepaticfunction and oxidative stress biomarkers in youngmale rats. Food Chem Toxicol 2010; 48(10): 2994-9.https://doi.org/10.1016/j.fct.2010.07.039.
  • 20.Çakırca G, Polat C, İnal A, et al. Comparison ofCYFRA 21-1, CEA, CA 19-9 and CA 72-4 levels ingastric cancer. Dicle Med J 2023; 40(2): 227-30.https://doi.org/10.5798/diclemedj.0921.2013.02.0259
  • 21.Putri LA, Prabowo YD, Dewi DMM. et al. Reviewof noble metal nanoparticle-based colorimetricsensors for food safety monitoring. ACS AppliedNano Materials 2024; 7(17): 19821-53.https://doi.org/10.1021/acsanm.4c04327
  • 22.El-Sakhawy MA, Mohamed DW, & Ahmed YH.Histological and immunohistochemical evaluationof the effect of tartrazine on the cerebellum, submandibular glands, and kidneys of adult male albino rats. Environ Sci Pollut Res 2019; 26: 9574-84.https://doi.org/10.1007/s11356-019-04399-5
  • 23.Himri I, Bellaheen S, Souna F, et al. A 90-day oraltoxicity study of tartrazine a synthetic food dye inwistar rats. Int J Pharm Pharmaceut Sci 2011; 3(3):159-69.
  • 24.Sasaki YF, Kawaguchi S, Kamaya A. et al. Thecomet assay with 8 mouse organs: results with 39currently used food additives. Mutat Res-Gen ToxEnv Mut 2002; 519(1-2): 103-
  • 19.https://doi.org/10.1016/S1383-5718(02)00128-6
  • 25.Moutinho ILD, Bertges LC, & Assis RVC.Prolonged use of the food dye tartrazine (FD&Cyellow n° 5) and its effects on the gastric mucosa ofWistar rats. Braz J Biol 2007; 67: 141-5.https://doi.org/10.1590/S1519-69842007000100019
  • 26.Al-Seeni MN, El Rabey HA, Al-Hamed AM, et al.Nigella sativa oil protects against tartrazine toxicityin male rats. Toxicol Rep 2018; 5: 146-55.https://doi.org/10.1016/j.toxrep.2017.12.022
  • 27.Soutelino MEM, de Paiva Vieira G, Goulart MB. etal. Natural food dyes on dairy products: A criticalapproach between 2012-2023 literature regardingthe technological and functional aspects, healthbenefits and future trends. Trends Food Sci Technol2024; 146: 104370.https://doi.org/10.1016/j.tifs.2024.104370
  • 28.Zafar M, Javaid S, Shahab SA, et al. Curcumin'sneuroprotective effects on the neurons of the ratcerebrum's motor cortex against tartrazine'sneurotoxic effects. J Pak Soc Intern Med 2024; 5(3):640-3. https://doi.org/10.70302/jpsim.v5i3.2456
There are 29 citations in total.

Details

Primary Language English
Subjects Health Care Administration, Medical Education, Health Services and Systems (Other)
Journal Section Original Articles
Authors

Metin Varlı This is me

Mehmet Cihan Yavaş

İzzettin Toktaş

Güldidar Basmacı This is me

Musluh Hakseven This is me

Publication Date September 16, 2025
Submission Date January 15, 2025
Acceptance Date July 10, 2025
Published in Issue Year 2025 Volume: 52 Issue: 3

Cite

APA Varlı, M., Yavaş, M. C., Toktaş, İ., … Basmacı, G. (2025). Effect of Tartrazine and Curcumin Intake on Serum Carcinoembryonic Antigen (CEA) and Stomach Histopathology in Rats. Dicle Medical Journal, 52(3), 415-422. https://doi.org/10.5798/dicletip.1784750
AMA Varlı M, Yavaş MC, Toktaş İ, Basmacı G, Hakseven M. Effect of Tartrazine and Curcumin Intake on Serum Carcinoembryonic Antigen (CEA) and Stomach Histopathology in Rats. Dicle Medical Journal. September 2025;52(3):415-422. doi:10.5798/dicletip.1784750
Chicago Varlı, Metin, Mehmet Cihan Yavaş, İzzettin Toktaş, Güldidar Basmacı, and Musluh Hakseven. “Effect of Tartrazine and Curcumin Intake on Serum Carcinoembryonic Antigen (CEA) and Stomach Histopathology in Rats”. Dicle Medical Journal 52, no. 3 (September 2025): 415-22. https://doi.org/10.5798/dicletip.1784750.
EndNote Varlı M, Yavaş MC, Toktaş İ, Basmacı G, Hakseven M (September 1, 2025) Effect of Tartrazine and Curcumin Intake on Serum Carcinoembryonic Antigen (CEA) and Stomach Histopathology in Rats. Dicle Medical Journal 52 3 415–422.
IEEE M. Varlı, M. C. Yavaş, İ. Toktaş, G. Basmacı, and M. Hakseven, “Effect of Tartrazine and Curcumin Intake on Serum Carcinoembryonic Antigen (CEA) and Stomach Histopathology in Rats”, Dicle Medical Journal, vol. 52, no. 3, pp. 415–422, 2025, doi: 10.5798/dicletip.1784750.
ISNAD Varlı, Metin et al. “Effect of Tartrazine and Curcumin Intake on Serum Carcinoembryonic Antigen (CEA) and Stomach Histopathology in Rats”. Dicle Medical Journal 52/3 (September2025), 415-422. https://doi.org/10.5798/dicletip.1784750.
JAMA Varlı M, Yavaş MC, Toktaş İ, Basmacı G, Hakseven M. Effect of Tartrazine and Curcumin Intake on Serum Carcinoembryonic Antigen (CEA) and Stomach Histopathology in Rats. Dicle Medical Journal. 2025;52:415–422.
MLA Varlı, Metin et al. “Effect of Tartrazine and Curcumin Intake on Serum Carcinoembryonic Antigen (CEA) and Stomach Histopathology in Rats”. Dicle Medical Journal, vol. 52, no. 3, 2025, pp. 415-22, doi:10.5798/dicletip.1784750.
Vancouver Varlı M, Yavaş MC, Toktaş İ, Basmacı G, Hakseven M. Effect of Tartrazine and Curcumin Intake on Serum Carcinoembryonic Antigen (CEA) and Stomach Histopathology in Rats. Dicle Medical Journal. 2025;52(3):415-22.