BHT (Butylated Hydroxytoluene): Synthetic Antioxidant in Your Food

BHT — scientific infographic poster

Table of Contents

  1. Key Findings at a Glance
  2. Overview
  3. Sources
  4. How BHT Is Metabolised
  5. Health Effects
  6. BHT vs BHA
  7. Regulatory Status
  8. BHT in Food Packaging
  9. Alternatives
  10. Key Research Papers
  11. Connections
  12. Featured Videos

Key Findings at a Glance

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Overview

BHT, or butylated hydroxytoluene, is a synthetic phenolic antioxidant with the chemical name 2,6-di-tert-butyl-4-methylphenol. It is listed on food labels as E321 in the European Union and is used to slow the oxidation of fats, oils and fat-containing foods. It is made from petrochemical starting materials.

BHT works by donating a hydrogen atom to free radicals generated during lipid oxidation, interrupting the chain reaction that makes fats rancid and off-flavoured. This extends the shelf life of fat-containing foods, which is why it is used in processed foods, as well as in food packaging, cosmetics and industrial products.

BHT is often used together with BHA (butylated hydroxyanisole), another synthetic antioxidant; several US food-additive limits are set for the two combined (21 CFR 172.115). Both are fat-soluble.

BHT is permitted within set limits in the United States, the European Union and Japan. Most of the evidence of harm comes from animal and cell studies, many at high doses, and in 2026 the US Food and Drug Administration (FDA) placed BHT on its list of food chemicals under review.

Sources

US regulations and published studies describe these uses of BHT:

A 2020 review reported that BHT has been detected in human fat tissue, serum, urine, breast milk and fingernails, and listed food intake, dust ingestion and personal-care products as exposure pathways (Liu 2020). In a Canadian study, BHT was measured in human body fat at 0.12 ppm, and in rat and monkey feeding studies it showed no progressive accumulation over time (Conacher 1986).

How BHT Is Metabolised

Swallowed BHT is metabolised; the major metabolites in urine are BHT’s carboxylic acid and its glucuronide (Lanigan 2002). Cytochrome P450 enzymes can also oxidise BHT to reactive products, and mechanism research has focused on these rather than on BHT itself:

  1. BHT quinone methide (QM) — formed by oxidation of BHT in liver microsomes; it binds covalently to glutathione and protein thiols (Bolton 1990). In rats it reduced clotting factors and caused haemorrhages, and it was proposed as the active metabolite behind BHT-induced bleeding (Takahashi 1988).
  2. Hydroxy-quinone methide (QM-OH) — formed after hydroxylation of one tert-butyl group; it reacted with glutathione faster than QM. Mouse liver and lung microsomes formed it, while rat microsomes formed only traces in the liver and none in the lung, which the authors proposed as the explanation for why BHT lung toxicity is seen in mice (Bolton 1990; Bolton 1991).
  3. BHT-quinone and BHT hydroperoxide — in test-tube and cultured-cell experiments these metabolites damaged DNA in the presence of copper and caused the DNA fragmentation typical of apoptosis, while the metabolite BHT-aldehyde did not (Oikawa 1998).
A pathway diagram: swallowed BHT is mostly excreted as its carboxylic acid, while two reactive quinone methide routes are linked to bleeding in rats and to lung injury in mice, whose lung tissue forms a metabolite that rat lung tissue does not. HOW BHT IS METABOLISED three routes · animal and test-tube findings BHT swallowed carboxylic acid + its glucuronide the major metabolites in urine Lanigan 2002 quinone methide (QM) binds glutathione and protein thiols Bolton 1990 tert-butyl hydroxylation → QM-OH reacts with glutathione faster than QM Bolton 1990, 1991 SAME MOLECULE, DIFFERENT SPECIES rats: bleeding QM lowered clotting factors and caused haemorrhages (Takahashi 1988) mice: lung injury mouse lung tissue forms QM-OH; rat lung tissue formed none not measured in people these routes come from animal tissue and test-tube experiments which reactive product forms, and where, differs by species and tissue — one reason animal findings may not transfer to humans.

Metabolic routes of BHT reported in rat and mouse studies (Lanigan 2002; Bolton 1990; Bolton 1991; Takahashi 1988).

In mice, BHT causes lung injury followed by an inflammatory response, and given repeatedly after a carcinogen it increases the number of lung tumours in certain inbred strains; how strongly each strain’s lungs became inflamed tracked how susceptible it was to this tumour promotion (Bauer 2001).

In rats, short-term repeated high doses produced liver toxicity, and lower doses in subchronic feeding studies increased liver weight and decreased the activity of several liver enzymes (Lanigan 2002).

Rats fed BHT at 500 or 5,000 ppm in the diet for up to 90 days had heavier thyroid glands and increased thyroid iodine uptake, while the half-life of thyroxine was unchanged or slightly prolonged; the authors could not suggest how the effect arises (Søndergaard 1982).

A 1993 review noted no indication that BHA or BHT damage genes directly and concluded that the published findings fit both acting as tumour promoters rather than initiators (Kahl 1993). EFSA’s 2012 re-evaluation concluded that BHT is not of concern for genotoxicity and that any carcinogenicity would have a threshold. The DNA damage reported for BHT metabolites in test-tube experiments (Oikawa 1998) is a separate laboratory finding.

Health Effects

Most of the evidence on BHT comes from animal and cell studies, many at high doses; human data are limited. The following effects have been reported:

Other biological activities have also been reported in the laboratory: BHT inactivated lipid-containing mammalian and bacterial viruses (Snipes 1975), and in some animal models it was associated with fewer tumours (Lanigan 2002). These laboratory findings do not show a benefit in people.

BHT vs BHA

BHT and BHA are both alkylated phenols and are often used together, but the evidence about them differs:

Both have been measured at low levels in human body fat (0.01 ppm BHA and 0.12 ppm BHT in Canadian samples); in rat and monkey feeding studies neither showed progressive accumulation over time (Conacher 1986).

Regulatory Status

BHT is permitted, with limits, in the major jurisdictions, and it is on FDA’s 2026 list of chemicals under review:

BHT in Food Packaging

BHT is also used in food-packaging materials. US rules list it among antioxidants that may migrate from food-packaging material into food, with a limit of 0.005% in the food (21 CFR 181.24). This use is distinct from adding BHT directly to the food. Some cereal packages carry a statement that BHT was added to the packaging material to preserve freshness.

Migration into food has been measured. A Spanish study identified BHT in the packaging of fatty cereal-based dry foods, quantified it in composite food samples prepared to match what children and teenagers eat, and estimated that the exposure of 1–17-year-olds did not exceed the established tolerable daily intake (Lestido-Cardama 2020).

A 2020 review lists food intake, household dust and personal-care products as the human exposure pathways for synthetic phenolic antioxidants such as BHT, and notes that breast milk may be an important exposure pathway for breastfed infants (Liu 2020).

Alternatives

Other antioxidants used for the same purpose in fats and fatty foods include:

A 1993 review compared BHA, BHT and vitamin E: all three impaired blood clotting in animals at high doses, vitamin E was not carcinogenic, and the authors concluded that the concentrations of BHA and BHT used in food, drugs and cosmetics are probably harmless (Kahl 1993). Questions about individual exposure are for a clinician.

Key Research Papers

Key research papers and authoritative sources. Links resolve to DOI, PubMed, or the issuing agency.

  1. Lanigan RS, Yamarik TA. Final report on the safety assessment of BHT. Int J Toxicol. 2002;21 Suppl 2:19-94. — doi:10.1080/10915810290096513
  2. Witschi HP. Enhanced tumour development by butylated hydroxytoluene (BHT) in the liver, lung and gastro-intestinal tract. Food Chem Toxicol. 1986;24(10-11):1127-1130. — doi:10.1016/0278-6915(86)90298-x
  3. Thompson DC, Perera K, London R. Quinone methide formation from para isomers of methylphenol (cresol), ethylphenol, and isopropylphenol: relationship to toxicity. Chem Res Toxicol. 1995;8(1):55-60. — doi:10.1021/tx00043a007 (Editorial note: this study concerns simpler para-alkylphenols, not BHT itself.)
  4. Verhagen H, Schilderman PA, Kleinjans JC. Butylated hydroxyanisole in perspective. Chem Biol Interact. 1991;80(2):109-134. — doi:10.1016/0009-2797(91)90019-4 (Editorial note: a review of BHA.)
  5. Ito N, Hirose M, Fukushima S, et al. Studies on antioxidants: their carcinogenic and modifying effects on chemical carcinogenesis. Food Chem Toxicol. 1986;24(10-11):1071-1082. — doi:10.1016/0278-6915(86)90291-7
  6. EFSA Panel on Food Additives and Nutrient Sources. Re-evaluation of butylated hydroxytoluene BHT (E 321) as a food additive. EFSA J. 2012;10(3):2588. — doi:10.2903/j.efsa.2012.2588
  7. National Toxicology Program (National Cancer Institute Carcinogenesis Testing Program). Bioassay of butylated hydroxytoluene (BHT) for possible carcinogenicity. Natl Cancer Inst Carcinog Tech Rep Ser. 1979;150:1-131. — PubMed PMID: 12799712 (Editorial note: corrected in October 2026; this entry previously cited an “NTP TR 459, 1998” BHT study, which could not be found. The BHT bioassay in F344 rats and B6C3F1 mice is Technical Report 150.)
  8. Gharavi N, El-Kadi AO. tert-Butylhydroquinone is a novel aryl hydrocarbon receptor ligand. Drug Metab Dispos. 2005;33(3):365-372. — doi:10.1124/dmd.104.002253 (Editorial note: concerns TBHQ, not BHT.)
  9. Oikawa S, Nishino K, Oikawa S, et al. Oxidative DNA damage and apoptosis induced by metabolites of butylated hydroxytoluene. Biochem Pharmacol. 1998;56(3):361-370. — doi:10.1016/s0006-2952(98)00037-9
  10. Malkinson AM. The genetic basis of susceptibility to lung tumors in mice. Toxicology. 1989;54(3):241-271. — doi:10.1016/0300-483x(89)90062-0
  11. Kahl R, Kappus H. Toxicology of the synthetic antioxidants BHA and BHT in comparison with the natural antioxidant vitamin E. Z Lebensm Unters Forsch. 1993;196(4):329-338. — PubMed PMID: 8493816
  12. Strickland PT, Kensler TW. Modulation of aflatoxin B1-induced genotoxicity in mice by butylated hydroxytoluene. Mutat Res. 1981;88(3):261-270. (Editorial note: no record matching this citation was found in PubMed or Crossref when checked in October 2026; nothing on this page relies on it.)
  13. van Esch GJ. Toxicology of toluene diisocyanate. Arch Toxicol Suppl. 1986;9:136-144. (Editorial note: no paper with this title was found in PubMed or Crossref when checked in October 2026, and the DOI formerly given here resolves to an unrelated paper in the same volume; nothing on this page relies on it.)
  14. Bauer AK, Dwyer-Nield LD, Malkinson AM. High BHT and low NNK-induced lung tumor multiplicities in mice are associated with decreased levels of oxidized DNA bases. Exp Lung Res. 2000;26(7):491-507. (Editorial note: no record matching this citation was found in PubMed or Crossref when checked in October 2026; the same group’s verified 2001 paper on BHT and lung inflammation is listed below.)
  15. Nair B. Final report on the safety assessment of benzyl alcohol, benzoic acid, and sodium benzoate. Int J Toxicol. 2001;20 Suppl 3:23-50. — doi:10.1080/10915810152630729 (Editorial note: concerns benzyl alcohol and benzoates, not BHT.)
  16. Botterweck AA, Verhagen H, Goldbohm RA, Kleinjans J, van den Brandt PA. Intake of butylated hydroxyanisole and butylated hydroxytoluene and stomach cancer risk: results from analyses in the Netherlands Cohort Study. Food Chem Toxicol. 2000;38(7):599-605. — doi:10.1016/s0278-6915(00)00042-9
  17. Robards K, Prenzler PD, Tucker G, et al. Phenolic compounds and their role in oxidative processes in fruits. Food Chem. 1999;66(4):401-436. — doi:10.1016/S0308-8146(99)00093-X (Editorial note: concerns natural phenolic compounds in fruit, not BHT.)
  18. Yamamoto T, Imai T, Hasegawa R, et al. Effects of combined administration of antioxidants on the rat thyroid. Toxicol Lett. 1995;75(1-3):161-168. (Editorial note: no record matching this citation was found in PubMed or Crossref when checked in October 2026; the thyroid findings on this page rest on Søndergaard 1982, listed below.)
  19. Bolton JL, Sevestre H, Ibe BO, Thompson JA. Formation and reactivity of alternative quinone methides from butylated hydroxytoluene: possible explanation for species-specific pneumotoxicity. Chem Res Toxicol. 1990;3(1):65-70. — PubMed PMID: 2131827
  20. Bolton JL, Thompson JA. Oxidation of butylated hydroxytoluene to toxic metabolites. Factors influencing hydroxylation and quinone methide formation by hepatic and pulmonary microsomes. Drug Metab Dispos. 1991;19(2):467-472. — PubMed PMID: 1676656
  21. Bauer AK, Dwyer-Nield LD, Keil K, Koski K, Malkinson AM. Butylated hydroxytoluene (BHT) induction of pulmonary inflammation: a role in tumor promotion. Exp Lung Res. 2001;27(3):197-216. — PubMed PMID: 11293324
  22. Søndergaard D, Olsen P. The effect of butylated hydroxytoluene (BHT) on the rat thyroid. Toxicol Lett. 1982;10(2-3):239-244. — PubMed PMID: 7080091
  23. Takahashi O. Feeding of butylated hydroxytoluene to rats caused a rapid decrease in blood coagulation factors II (prothrombin), VII, IX and X. Arch Toxicol. 1986;58(3):177-181. — PubMed PMID: 3964081
  24. Takahashi O. 2,6-di-tert-butyl-4-methylene-2,5-cyclohexadienone (BHT quinone methide): an active metabolite of BHT causing haemorrhages in rats. Arch Toxicol. 1988;62(4):325-327. — PubMed PMID: 3240097
  25. Takahashi O. Haemorrhages due to defective blood coagulation do not occur in mice and guinea-pigs fed butylated hydroxytoluene, but nephrotoxicity is found in mice. Food Chem Toxicol. 1992;30(2):89-97. — PubMed PMID: 1555799
  26. Schrader TJ, Cooke GM. Examination of selected food additives and organochlorine food contaminants for androgenic activity in vitro. Toxicol Sci. 2000;53(2):278-288. — PubMed PMID: 10696776
  27. Pop A, Drugan T, Gutleb AC, Lupu D, Cherfan J, Loghin F, Kiss B. Individual and combined in vitro (anti)androgenic effects of certain food additives and cosmetic preservatives. Toxicol In Vitro. 2016;32:269-277. — PubMed PMID: 26812027
  28. Conacher HB, Iverson F, Lau PY, Page BD. Levels of BHA and BHT in human and animal adipose tissue: interspecies extrapolation. Food Chem Toxicol. 1986;24(10-11):1159-1162. — PubMed PMID: 3804117
  29. Liu R, Mabury SA. Synthetic phenolic antioxidants: a review of environmental occurrence, fate, human exposure, and toxicity. Environ Sci Technol. 2020;54(19):11706-11719. — PubMed PMID: 32915564
  30. Lestido-Cardama A, Rodríguez Bernaldo de Quirós A, Bustos J, Lomo ML, Paseiro Losada P, Sendón R. Estimation of dietary exposure to contaminants transferred from the packaging in fatty dry foods based on cereals. Foods. 2020;9(8):1038. — PubMed PMID: 32752291
  31. Snipes W, Person S, Keith A, Cupp J. Butylated hydroxytoluene inactivated lipid-containing viruses. Science. 1975;188(4183):64-66. — PubMed PMID: 163494
  32. McCann D, Barrett A, Cooper A, et al. Food additives and hyperactive behaviour in 3-year-old and 8/9-year-old children in the community: a randomised, double-blinded, placebo-controlled trial. Lancet. 2007;370(9598):1560-1567. — PubMed PMID: 17825405

Regulatory Documents

PubMed Topic Searches

  1. PubMed — BHT butylated hydroxytoluene toxicity search

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Connections

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