Germanium Sesquioxide: Safer Than Table SaltFrom The November 2003 Issue of Natural Foods Merchandiser Connections Germanium Sesquioxide: Safer Than Table SaltTo The Editor, I am troubled by a recent article published in The Natural Foods Merchandiser's "Behind the Label" magazine. The article was titled "Finding Information on Troubled Herbs" and stated: "Retailers are discouraged from selling germanium, for example, because of problems with toxic contamination in its manufacture." We truly live in an information age and I am a strong supporter of educating the public on the nutritional industry. However, more important than the dissemination of information is the dissemination of correct information. It's time to set the record straight.
History
Germanium sesquioxide contains a germanium carbon bond and is therefore correctly classified as an organic form. Indistinguishable from germanium sesquioxide in appearance, germanium dioxide lacks a germanium carbon bond and is therefore correctly classified as inorganic. GeO2 contamination has tainted the reputation of the germanium supplement market considerably.26,27,28 However, contamination of germanium sesquioxide with dangerous levels of inorganic germanium occurs only as a result of extreme carelessness or a wanton act. Analytical testing is capable of detecting levels of contamination far below anything considered dangerous29. Common sense dictates that careful processing and quality controls are necessary to insure the safety of germanium or any other supplement. The image of germanium sesquioxide was tainted by the actions of a few reckless and unscrupled profiteers over a decade ago. Asian material, grossly contaminated with GeO2, caused numerous cases of renal compromise and some fatalities30-33. This, combined with the failure of "scientists" to correctly classify the different forms, generated considerable fear and confusion and fostered overgeneralized statements on the dangers of all germanium-containing products.26,27,28,31,34 A report issued in 1987 by Okuda, et al, further compounded the misunderstanding. Two cases of renal toxicity were attributed to germanium sesquioxide35. The discussion section of this publication suggested possible product contamination but still attributed the toxicity to germanium sesquioxide. However, the presence of GeO2 contamination in the Okuda, et al, study was proven conclusively in a paper published the following year by Matsusaka, et al.36. Two years later, Okuda revised his position on germanium sesquioxide by demonstrating the inherent safety of chronic high doses of germanium sesquioxide (240 mg/kg/day) and the toxic effects of GeO2 at 150 g/kg/day 37. The original Okuda error of 1987 has been cited for 15 years as evidence of germanium sesquioxide toxicity. This creates a false perception of a larger body of evidence against germanium sesquioxide. Subsequent authors of scientific publications 30, 32, 34, 38, 39 seem unaware that a correction was made in 198836 and that the subject of germanium sesquioxide toxicity was fully explored again in 199037.
Safety I also think it is important to note that contamination problems occurred with Asian material. However, there has never been a problem with U.S.-manufactured germanium sesquioxide. —David Parish References 1. Aso H, et al. Microbiology and Immunology 1985;29(1):65-74. 2. Nakada Y, et al. Journal of Veterinary Medical Science 1993;55(5):795-799. 3. Suzuki F, et al. British Journal of Cancer 1985;52(5):757-763. 4. Suzuki F, et.al. Anticancer Research 1985;5(5):479-483. 5. Suzuki F. Journal of Interferon Research 1984;4(2):223-233. 6. Suzuki F. Gan To Kagaku Ryoho 1985;12(11):2122-2128. 7. Suzuki F, et.al. Anticancer Research 1986;6(2):177-182. 8. Suzuki F. Gan To Kagaku Ryoho 1987;14(1):127-134. 9. Fujita H, Seto Y. Pharmacometrics 1990;39(4):385-388. 10. Aso H, et al. Journal of Biological Response Modifiers 1989;8(2):180-189. 11. Fujita H, et al. Pharmacometrics 1990;39(4):389-395. 12. Kumano N, et al. Tohoku Journal of Experimental Medicine 1985;146(1):97-104. 13. Kobayashi H, et al. Gan To Kagaku Ryoho 1986;13(8):2588-2593. 14. Chen F, Zhang Q. Zhonghua Yu Fang Yi Xue Za Zhi 1995;29(1):13-17. 15. Song WS. Zhonghua Yu Fang Yi Xue Za Zhi 1993;27(5):286-289. 16. Ming X, et al. Zhonghua Wai Ke Za Zhi 1996;34(4):221-223. 17. Ikemoto K, et.al. Experientia 1996;15(52):159-166. 18. Mainwaring MG, et al. Chest 2000;117:591-593. 19. Masaki Y, et al. Transplanatation Proceedings 1989;21:1250-1251. 20. Wakabayashi Y. Biosci Biotechnol Biochem 2001;65(8):1893-1896. 21. Yang MK, Kim YG. Journal of Toxicology and Environmental Health 1999;12(58):289-297. 22. Unakar NJ, et al. Current Eye Research 1997;16(8):832-837. 23. C.C. Ho, et al. Pharmacology 1990;41:286-291 24. Fujii A, et al. General Pharmacology 1993;24(6):1527-1532. 25. NNFA Today, 16:1, 2002 26. van der Spoel JI, et al. The Lancet 1990;336:117. 27. Raisin J, et al. Schweiz Med Wochenschr 1992;122(1-2):11-13. 28. Omata M, et al. Amsterdam: Elsevier Science Publishers B.V., 1986: 15-20. 29. Designed Nutritional Products analytical method archives (available upon request). 30. Krapf R, et al. Nephron 1992;62:351-356. 31. Luck BE, et al. Nephrology Dialysis Transplantation 1999(14):2464-2468. 32. Takeuchi A, et al. Nephron 1992;60:436-442. 33. Okuda K, et al. Clinical Nephrology 1989;31:219-224. 34. Schauss AG. Renal Failure 1991;13(1):1-4. 35. Okuda S, et al. Current Therapeutic Research 1987;41:265-275. 36. Matsusaka T, et al. Clinical Nephrology 1988;30(6 - 1988):341-345. 37. Sanai T, Okuda S, Onoyama K, et al. Nephron 1990;54:53-60. 38. Tao SH, Bolger PM. Regulatory Toxicology and Pharmacology 1997;25(3):211-219. 39. Schauss A, G. Biological Trace Element Research 1991;29(3):267-280. 40. Sanai T, Okuda S, et al. Kidney International 1991;40:882-890. 41. Anger F, et al. Applied Organometallic Chemistry 1992;6(3):267-272. 42. Obara K, Saito T, Sato H, et al. Japanese Journal of Medicine 1991;30:67-72. 43. Miyao K, et al. Washington, D.C.: American Society of Microbiology, 1980: 1527-1529. 44. Gerber GB, Leonard A. Mutation Research 1997;387(3):141-146. 45. Ishida et al. United States Patent 1984; # 4473581. 46. Proc 11th Int. Cong., Chemother. 1980; 1527-1529. 47. Fisher Scientific North Carolina catalog; Calcium Carbonate MSDS. 48. Sigma Chemical MSDS database. 49. Expert Group on Vitamins and Minerals Secretariat Review of Chromium January 2000. 50. Import Alert IA #54-07 Germanium Products 1995 revision. Natural Foods Merchandiser volume XXIV/number 11/p. 14
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