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Wang L, Yan Z, Zhao QY, Liu N, Yu DZ, Jia BX, Li KL, Gao Y, Wu AB. A prospective study of total urinary deoxynivalenol in adolescents in Shanghai, China. CHEMOSPHERE 2022; 307:135727. [PMID: 35863411 DOI: 10.1016/j.chemosphere.2022.135727] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/06/2022] [Revised: 06/10/2022] [Accepted: 07/12/2022] [Indexed: 06/15/2023]
Abstract
There is growing interest in deoxynivalenol (DON) exposure during puberty because experimental evidence shows that DON-exposed to adolescents are more sensitive to DON and have limited detoxification ability. Nevertheless, there have been few surveys of DON exposure for adolescents in China. Furthermore, little is known about the effects of collection times on risk exposure. In the study, we estimated the risk of DON exposure for adolescents in Shanghai and explore the effects of collection time, areas, sex and BMI on intake estimates. A total of 315 adolescents aged 14-16 years, including 161 boys and 154 girls, were recruited. Urine samples were collected for three consecutive days and digested with β-glucuronidase and then purified using a DON-immunoaffinity column (IAC). Total deoxynivalenol levels were measured using liquid chromatography-tandem mass spectrometry (LC-MS/MS) in combination with a stable isotope dilution assay (SIDA). DON was detected in 945 morning urine samples taken from 315 individuals for three consecutive days. The mean estimated dietary intake of DON did not exceed the tolerable daily intake (TDI) of l μg/kg·bw/day, showing that exposure of adolescents in Shanghai is not of concern. However, 10-20% of probable daily intake (PDI) values exceed the TDI, indicating potential adverse effects. In addition, the DON concentration at the population level did not differ for urine samples collected at different times except for those of overweight adolescents. Therefore, assessment of exposure to DON by monitoring the morning urine of a healthy adolescent, except for overweight people, provides an appropriate estimate of exposure and related risk at the population level, but intake estimates for individuals are uncertain; these could be used to assess exposure of adolescents to DON rapidly and effectively for epidemiological investigations.
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Affiliation(s)
- Lan Wang
- CAS Key Laboratory of Nutrition, Metabolism and Food Safety, Shanghai Institute of Nutrition and Health, University of Chinese Academy of Sciences, Chinese Academy of Sciences, Shanghai, 200031, China
| | - Zheng Yan
- CAS Key Laboratory of Nutrition, Metabolism and Food Safety, Shanghai Institute of Nutrition and Health, University of Chinese Academy of Sciences, Chinese Academy of Sciences, Shanghai, 200031, China
| | - Qian Yu Zhao
- CAS Key Laboratory of Nutrition, Metabolism and Food Safety, Shanghai Institute of Nutrition and Health, University of Chinese Academy of Sciences, Chinese Academy of Sciences, Shanghai, 200031, China
| | - Na Liu
- CAS Key Laboratory of Nutrition, Metabolism and Food Safety, Shanghai Institute of Nutrition and Health, University of Chinese Academy of Sciences, Chinese Academy of Sciences, Shanghai, 200031, China
| | - Dian Zhen Yu
- CAS Key Laboratory of Nutrition, Metabolism and Food Safety, Shanghai Institute of Nutrition and Health, University of Chinese Academy of Sciences, Chinese Academy of Sciences, Shanghai, 200031, China
| | - Bing Xuan Jia
- CAS Key Laboratory of Nutrition, Metabolism and Food Safety, Shanghai Institute of Nutrition and Health, University of Chinese Academy of Sciences, Chinese Academy of Sciences, Shanghai, 200031, China
| | - Kai Lin Li
- CAS Key Laboratory of Nutrition, Metabolism and Food Safety, Shanghai Institute of Nutrition and Health, University of Chinese Academy of Sciences, Chinese Academy of Sciences, Shanghai, 200031, China
| | - Ying Gao
- CAS Key Laboratory of Nutrition, Metabolism and Food Safety, Shanghai Institute of Nutrition and Health, University of Chinese Academy of Sciences, Chinese Academy of Sciences, Shanghai, 200031, China
| | - Ai Bo Wu
- CAS Key Laboratory of Nutrition, Metabolism and Food Safety, Shanghai Institute of Nutrition and Health, University of Chinese Academy of Sciences, Chinese Academy of Sciences, Shanghai, 200031, China.
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Andrews‐Trevino J, Webb P, Shrestha R, Pokharel A, Acharya S, Chandyo R, Davis D, Baral K, Wang J, Xue K, Ghosh S. Exposure to multiple mycotoxins, environmental enteric dysfunction and child growth: Results from the AflaCohort Study in Banke, Nepal. MATERNAL & CHILD NUTRITION 2022; 18:e13315. [PMID: 35020261 PMCID: PMC8932698 DOI: 10.1111/mcn.13315] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 08/15/2021] [Revised: 12/07/2021] [Accepted: 12/14/2021] [Indexed: 11/30/2022]
Abstract
Evidence of the impact of exposure to multiple mycotoxins and environment enteric dysfunction (EED) on child growth is limited. Using data from a birth cohort study, the objectives of this study were to (a) quantify exposure to multiple mycotoxins (serum aflatoxin [AFB1] and ochratoxin A [OTA], urinary fumonisin [UFB1] and deoxynivalenol [DON]), as well EED (lactulose:mannitol [L:M] ratio); (b) examine the potential combined effects of multiple mycotoxin exposure and EED on growth. Multivariate regressions were used to identify associations between growth measurements (length, weight, anthropometric z‐scores, stunting and underweight) at 24–26 months of age and exposure to mycotoxins and EED at 18–22 months (n = 699). Prevalence of AFB1, DON, OTA and UFB1 exposure ranged from 85% to 100%; average L:M ratio was 0.29 ± 0.53. In individual mycotoxin models, AFB1 exposure was negatively associated with weight, WAZ, increased odds of stunting (odds ratio [OR]: 1.28, 95% confidence interval [CI]: 1.08, 1.52; p = 0.004) and underweight (OR: 1.18, 95% CI: 1.00, 1.38; p = 0.046). Irrespective of other mycotoxin exposure and presence of EED, AFB1 was negatively associated with length, weight, head circumference, LAZ and WAZ, and with increased odds of stunting and underweight, UFB1 was associated with increased odds of underweight, and DON was negatively associated with head circumference. EED was associated with the impaired length and weight. These findings suggest that certain mycotoxins and EED may have independent impacts on different facets of growth and that aflatoxin dominates such impacts. Thus, programs reducing exposure to mycotoxin and EED through multi‐sectoral nutrition‐sensitive interventions have the potential to improve child growth. Mycotoxin exposure was highly prevalent in children aged 18–22 months. Various mycotoxins and EED contribute independently to different manifestations of poor child growth AFB1 was negatively associated with length, weight, head circumference, LAZ, as well as WAZ, and associated with increased odds of stunting and underweight. UFB1 was also associated with increased odds of underweight. DON was negatively associated with head circumference.
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Affiliation(s)
- Johanna Andrews‐Trevino
- Division of Food and Nutrition Policy and Programs, Friedman School of Nutrition Science and Policy Tufts University Boston Massachusetts USA
| | - Patrick Webb
- Division of Food and Nutrition Policy and Programs, Friedman School of Nutrition Science and Policy Tufts University Boston Massachusetts USA
| | - Robin Shrestha
- Division of Food and Nutrition Policy and Programs, Friedman School of Nutrition Science and Policy Tufts University Boston Massachusetts USA
| | | | | | - Ram Chandyo
- Department of Community Medicine Kathmandu Medical College Kathmandu Nepal
| | - Dale Davis
- Helen Keller International‐Nepal Kathmandu Nepal
| | - Kedar Baral
- Department of Community Health Sciences Patan Academy of Health Sciences Lalitpur Nepal
| | - Jia‐Sheng Wang
- Department of Environmental Health Science University of Georgia Athens Georgia USA
| | - Kathy Xue
- Department of Environmental Health Science University of Georgia Athens Georgia USA
| | - Shibani Ghosh
- Division of Food and Nutrition Policy and Programs, Friedman School of Nutrition Science and Policy Tufts University Boston Massachusetts USA
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Berzina Z, Pavlenko R, Jansons M, Bartkiene E, Neilands R, Pugajeva I, Bartkevics V. Application of Wastewater-Based Epidemiology for Tracking Human Exposure to Deoxynivalenol and Enniatins. Toxins (Basel) 2022; 14:91. [PMID: 35202119 PMCID: PMC8878170 DOI: 10.3390/toxins14020091] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/27/2021] [Revised: 01/17/2022] [Accepted: 01/21/2022] [Indexed: 11/24/2022] Open
Abstract
Wastewater-based epidemiology (WBE) is a promising biomonitoring approach with the potential to provide direct information on human intake and exposure to food contaminants and environmental chemicals. The aim of this study was to apply WBE while employing the normalization method for exploring human exposure to selected mycotoxins according to population biomarker 5-hydroxyindoleacetic acid (5-HIAA). This type of normalization technique has been previously used to detect various other compounds. However, to the best of our knowledge, this is the first study tracking human exposure to mycotoxins. A sensitive analytical methodology was developed to achieve reliable quantification of deoxynivalenol, enniatins, and beauvericin in wastewater (WW) samples. The applicability of the method was evaluated by testing 29 WW samples collected at WW treatment plants in Latvia. With frequency of detection greater than 86%, enniatins B, B1, A, and A1 were revealed in WW samples. The estimated total daily intake for enniatins was in the range of 1.8-27.6 µg/day per person. Free deoxynivalenol (DON) was determined in all analysed WW samples. Based on the average 5-HIAA excretion level and the determined 5-HIAA content in the samples, the intake of DON by the human population of Riga was estimated at 325 ng/kg b.w. day.
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Affiliation(s)
- Zane Berzina
- Animal Health and Environment “BIOR”, Institute of Food Safety, Lejupes 3, LV-1076 Riga, Latvia; (R.P.); (M.J.); (I.P.); (V.B.)
- Faculty of Chemistry, University of Latvia, Jelgavas 1, LV-1004 Riga, Latvia
| | - Romans Pavlenko
- Animal Health and Environment “BIOR”, Institute of Food Safety, Lejupes 3, LV-1076 Riga, Latvia; (R.P.); (M.J.); (I.P.); (V.B.)
- Faculty of Chemistry, University of Latvia, Jelgavas 1, LV-1004 Riga, Latvia
| | - Martins Jansons
- Animal Health and Environment “BIOR”, Institute of Food Safety, Lejupes 3, LV-1076 Riga, Latvia; (R.P.); (M.J.); (I.P.); (V.B.)
| | - Elena Bartkiene
- Department of Food Safety and Quality, Lithuanian University of Health Sciences, Mickeviciaus 9, LT-44307 Kaunas, Lithuania;
| | - Romans Neilands
- Department of Water Engineering and Technology, Riga Technical University, Kalku 1, LV-1658 Riga, Latvia;
| | - Iveta Pugajeva
- Animal Health and Environment “BIOR”, Institute of Food Safety, Lejupes 3, LV-1076 Riga, Latvia; (R.P.); (M.J.); (I.P.); (V.B.)
| | - Vadims Bartkevics
- Animal Health and Environment “BIOR”, Institute of Food Safety, Lejupes 3, LV-1076 Riga, Latvia; (R.P.); (M.J.); (I.P.); (V.B.)
- Faculty of Chemistry, University of Latvia, Jelgavas 1, LV-1004 Riga, Latvia
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Kępińska-Pacelik J, Biel W. Alimentary Risk of Mycotoxins for Humans and Animals. Toxins (Basel) 2021; 13:822. [PMID: 34822606 PMCID: PMC8622594 DOI: 10.3390/toxins13110822] [Citation(s) in RCA: 24] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2021] [Revised: 11/19/2021] [Accepted: 11/19/2021] [Indexed: 01/20/2023] Open
Abstract
Mycotoxins can be found in many foods consumed by humans and animals. These substances are secondary metabolites of some fungi species and are resistant to technological processes (cooking, frying, baking, distillation, fermentation). They most often contaminate products of animal (beef, pork, poultry, lamb, fish, game meat, milk) and plant origin (cereals, processed cereals, vegetables, nuts). It is estimated that about 25% of the world's harvest may be contaminated with mycotoxins. These substances damage crops and may cause mycotoxicosis. Many mycotoxins can be present in food, together with mold fungi, increasing the exposure of humans and animals to them. In this review we characterized the health risks caused by mycotoxins found in food, pet food and feed. The most important groups of mycotoxins are presented in terms of their toxicity and occurrence.
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Affiliation(s)
| | - Wioletta Biel
- Department of Monogastric Animal Sciences, Division of Animal Nutrition and Food, West Pomeranian University of Technology in Szczecin, Klemensa Janickiego 29, 71-270 Szczecin, Poland;
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Cao P, Wang X, Sun J, Liang J, Zhou P, Xu H, Yang H, Zhang L. Association of exposure to deoxynivalenol with DNA methylation in white blood cells in children in China. WORLD MYCOTOXIN J 2021. [DOI: 10.3920/wmj2021.2699] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
Deoxynivalenol (DON) is a mycotoxin that commonly contaminates cereals worldwide. Dietary exposure to DON is a subject of great public health concern, but studies on the health effects of chronic exposure to DON are not available. In this study, we investigated the connection between DNA methylation levels and DON exposure in children. The DNA methylation status of white blood cells from 32 children aged 2~15 years old in Henan, China, was profiled. A total of 378 differentially methylated CpGs were identified between the high and low DON exposure groups, and 8 KEGG pathways were found to be significantly enriched among the differentially methylated genes. In addition, the quantitative methylation of EIF2AK4, EMID2 and GNASAS was analysed using the Sequenom MassARRAY platform. The results showed that the methylation level of EIF2AK4 was significantly different between the two groups, and the methylation levels were associated with exposure to DON. Conclusively, our study found that chronic exposure to DON during childhood could affect DNA methylation levels.
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Affiliation(s)
- P. Cao
- NHC Key Laboratory of Food Safety Risk Assessment, China National Center for Food Safety Risk Assessment, No. 2 Building, Guangqu Road 37, Chao Yang District, 100022 Beijing, China P.R
| | - X.D. Wang
- NHC Key Laboratory of Food Safety Risk Assessment, China National Center for Food Safety Risk Assessment, No. 2 Building, Guangqu Road 37, Chao Yang District, 100022 Beijing, China P.R
| | - J.F. Sun
- School of Public Health, Southeast University, No. 87 Dingjiaqiao, Gu Lou District, 210009 Nanjing, China P.R
| | - J. Liang
- NHC Key Laboratory of Food Safety Risk Assessment, China National Center for Food Safety Risk Assessment, No. 2 Building, Guangqu Road 37, Chao Yang District, 100022 Beijing, China P.R
| | - P.P. Zhou
- NHC Key Laboratory of Food Safety Risk Assessment, China National Center for Food Safety Risk Assessment, No. 2 Building, Guangqu Road 37, Chao Yang District, 100022 Beijing, China P.R
| | - H.B. Xu
- NHC Key Laboratory of Food Safety Risk Assessment, China National Center for Food Safety Risk Assessment, No. 2 Building, Guangqu Road 37, Chao Yang District, 100022 Beijing, China P.R
| | - H. Yang
- NHC Key Laboratory of Food Safety Risk Assessment, China National Center for Food Safety Risk Assessment, No. 2 Building, Guangqu Road 37, Chao Yang District, 100022 Beijing, China P.R
| | - L. Zhang
- NHC Key Laboratory of Food Safety Risk Assessment, China National Center for Food Safety Risk Assessment, No. 2 Building, Guangqu Road 37, Chao Yang District, 100022 Beijing, China P.R
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Wang X, Qiu N, Zhang C, Zhou S, Zhao Y, Wu Y, Gong YY. Comprehensive dietary and internal exposure assessment of deoxynivalenol contamination in a high-risk area in China using duplicate diet studies and urinary biomarkers. Food Control 2021. [DOI: 10.1016/j.foodcont.2020.107830] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Abstract
Aflatoxins are endemic in Kenya. The 2004 outbreak of acute aflatoxicosis in the country was one of the unprecedented epidemics of human aflatoxin poisoning recorded in mycotoxin history. In this study, an elaborate review was performed to synthesize Kenya’s major findings in relation to aflatoxins, their prevalence, detection, quantification, exposure assessment, prevention, and management in various matrices. Data retrieved indicate that the toxins are primarily biosynthesized by Aspergillus flavus and A. parasiticus, with the eastern part of the country reportedly more aflatoxin-prone. Aflatoxins have been reported in maize and maize products (Busaa, chan’gaa, githeri, irio, muthokoi, uji, and ugali), peanuts and its products, rice, cassava, sorghum, millet, yams, beers, dried fish, animal feeds, dairy and herbal products, and sometimes in tandem with other mycotoxins. The highest total aflatoxin concentration of 58,000 μg/kg has been reported in maize. At least 500 acute human illnesses and 200 deaths due to aflatoxins have been reported. The causes and prevalence of aflatoxins have been grossly ascribed to poor agronomic practices, low education levels, and inadequate statutory regulation and sensitization. Low diet diversity has aggravated exposure to aflatoxins in Kenya because maize as a dietetic staple is aflatoxin-prone. Detection and surveillance are only barely adequate, though some exposure assessments have been conducted. There is a need to widen diet diversity as a measure of reducing exposure due to consumption of aflatoxin-contaminated foods.
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Martins C, Torres D, Lopes C, Correia D, Goios A, Assunção R, Alvito P, Vidal A, De Boevre M, De Saeger S, Nunes C. Deoxynivalenol exposure assessment through a modelling approach of food intake and biomonitoring data - A contribution to the risk assessment of an enteropathogenic mycotoxin. Food Res Int 2020; 140:109863. [PMID: 33648181 DOI: 10.1016/j.foodres.2020.109863] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2020] [Revised: 10/25/2020] [Accepted: 10/28/2020] [Indexed: 11/19/2022]
Abstract
Deoxynivalenol (DON), an enteropathogenic mycotoxin produced by Fusarium species, is usually associated with adverse health outcomes such as gastrointestinal diseases and immunotoxicity. To estimate DON exposure of the Portuguese population at national level, a modelling approach, based on data from 94 Portuguese volunteers, was developed considering the inputs of the food consumption data generated within the National Food and Physical Activity Survey and the human biomonitoring data used to assess the exposure to DON. Ten models of association between DON urinary biomarkers and food items (pasta, cookies, biscuits, sweets, bread, rusks, nuts, oilseeds, beer, meat, milk) were established. Applying the most adequate model to the consumption data (n = 5811) of the general population, the exposure estimates of the Probable Daily Intake revealed that a fraction (0.1%) of the Portuguese population might exceed the Tolerable Daily Intake defined for DON. The analysis stratified by age revealed children (3.2%) and adolescents (6.0%) are more likely to exceed the Tolerable Daily Intake for DON. Although the unavoidable uncertainties, these results are important contributions to understand the exposure to this mycotoxin in Portugal, to assess the associated risk and the potential public health consequences.
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Affiliation(s)
- Carla Martins
- Food and Nutrition Department, National Institute of Health Dr. Ricardo Jorge, Avenida Padre Cruz, 1649-016 Lisboa, Portugal; CESAM, Centre for Environmental and Marine Studies, University of Aveiro, Campus Universitário de Santiago, 3810-193 Aveiro, Portugal; NOVA National School of Public Health, Public Health Research Centre, Universidade NOVA de Lisboa, Avenida Padre Cruz, 1600-560 Lisboa, Portugal.
| | - Duarte Torres
- Faculty of Nutrition and Food Sciences, University of Porto, Rua Dr. Roberto Frias, 4200-465 Porto, Portugal; Epidemiology Research Unit, Institute of Public Health, University of Porto, Rua das Taipas 135, 4050-091 Porto, Portugal
| | - Carla Lopes
- Epidemiology Research Unit, Institute of Public Health, University of Porto, Rua das Taipas 135, 4050-091 Porto, Portugal; Department of Public Health and Forensic Sciences, and Medical Education, Faculty of Medicine, University of Porto, Alameda Prof. Hernâni Monteiro, 4200-319 Porto, Portugal
| | - Daniela Correia
- Epidemiology Research Unit, Institute of Public Health, University of Porto, Rua das Taipas 135, 4050-091 Porto, Portugal; Department of Public Health and Forensic Sciences, and Medical Education, Faculty of Medicine, University of Porto, Alameda Prof. Hernâni Monteiro, 4200-319 Porto, Portugal
| | - Ana Goios
- Faculty of Nutrition and Food Sciences, University of Porto, Rua Dr. Roberto Frias, 4200-465 Porto, Portugal; Epidemiology Research Unit, Institute of Public Health, University of Porto, Rua das Taipas 135, 4050-091 Porto, Portugal
| | - Ricardo Assunção
- Food and Nutrition Department, National Institute of Health Dr. Ricardo Jorge, Avenida Padre Cruz, 1649-016 Lisboa, Portugal; CESAM, Centre for Environmental and Marine Studies, University of Aveiro, Campus Universitário de Santiago, 3810-193 Aveiro, Portugal; NOVA National School of Public Health, Public Health Research Centre, Universidade NOVA de Lisboa, Avenida Padre Cruz, 1600-560 Lisboa, Portugal
| | - Paula Alvito
- Food and Nutrition Department, National Institute of Health Dr. Ricardo Jorge, Avenida Padre Cruz, 1649-016 Lisboa, Portugal; CESAM, Centre for Environmental and Marine Studies, University of Aveiro, Campus Universitário de Santiago, 3810-193 Aveiro, Portugal
| | - Arnau Vidal
- Centre of Excellence in Mycotoxicology and Public Health, Faculty of Pharmaceutical Sciences, Ghent University, Ottergemsesteenweg 460, B-9000 Ghent, Belgium
| | - Marthe De Boevre
- Centre of Excellence in Mycotoxicology and Public Health, Faculty of Pharmaceutical Sciences, Ghent University, Ottergemsesteenweg 460, B-9000 Ghent, Belgium
| | - Sarah De Saeger
- Centre of Excellence in Mycotoxicology and Public Health, Faculty of Pharmaceutical Sciences, Ghent University, Ottergemsesteenweg 460, B-9000 Ghent, Belgium
| | - Carla Nunes
- NOVA National School of Public Health, Public Health Research Centre, Universidade NOVA de Lisboa, Avenida Padre Cruz, 1600-560 Lisboa, Portugal
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Ali N, Manirujjaman M, Rana S, Degen GH. Determination of aflatoxin M 1 and deoxynivalenol biomarkers in infants and children urines from Bangladesh. Arch Toxicol 2020; 94:3775-3786. [PMID: 32880717 PMCID: PMC7603468 DOI: 10.1007/s00204-020-02857-5] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2020] [Accepted: 07/14/2020] [Indexed: 12/25/2022]
Abstract
The mycotoxins aflatoxin B1 (AFB1) and deoxynivalenol (DON) are found worldwide in crops and dietary staples. The prevalence and levels of these contaminants can vary greatly, and data in Bangladeshi food commodities are scarce. To characterize human exposure, we have conducted biomonitoring, analyzing AFM1 (a metabolite of AFB1) and DON levels in urines of adult cohorts in Bangladesh. Yet, AFM1 and DON occurrence has not been studied in the very young population of this country. Thus, the same methods, HPLC-FD for AFM1 and LC-MS/MS for DON analysis, were now applied to determine these biomarkers in urines of infants (n = 49) and young children (n = 105) in Rajshahi and Dhaka district. Overall, AFM1 and DON detection frequency was 43.5% and 33.4%, with 34.7% and 11.5% in infant and 47.6% and 39.4% in children urines, respectively. The mean AFM1 levels in all infants (9.1 ± 14.3, max 55.6 pg/mL) and children (8.8 ± 12.9, max 75.3 pg/mL) were not significantly different. The AFM1 mean level was slightly higher in Dhaka (9.4 ± 12.4) compared to Rajshahi (8.5 ± 13.9 pg/mL) district. The average DON level was about 2-fold higher in infant (3.8 ± 2.9, max 6.8 ng/mL) than children urines (1.6 ± 1.8, max 8.6 ng/mL), and higher in Rajshahi (2.1 ± 2.3 ng/mL) than Dhaka (1.4 ± 1.6 ng/mL) district. The biomarker-based estimated average daily DON intake (29.6 ± 108.3 ng/kg bw in infants and 36.4 ± 81.8 ng/kg bw in children) or the maximum exposure (560 ng/kg bw) do not exceed the current maximum provisional tolerable daily intake value of 1 µg/kg bw for DON, although DON exposure in infants and children is higher than that of Bangladeshi adults. The AFM1 urine levels in young children are somewhat lower than those found previously in adult cohorts in Bangladesh, but the frequent detection of this biomarker for AFB1 exposure raises further concerns, also for this vulnerable part of the population. Therefore, continuous surveillance for aflatoxins in Bangladeshi food commodities is clearly required, first to identify major sources of intake and then to reduce exposure.
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Affiliation(s)
- Nurshad Ali
- Department of Biochemistry and Molecular Biology, Shahjalal University of Science and Technology, Sylhet, 3114 Bangladesh
| | - M. Manirujjaman
- Department of Biochemistry, Gonoshasthaya Samaj Vittik Medical College, Gono University, Savar, Dhaka, 1344 Bangladesh
| | - Sohel Rana
- Department of Veterinary and Animal Science, Rajshahi University, Rajshahi, 6205 Bangladesh
| | - Gisela H. Degen
- Leibniz-Research Centre for Working Environment and Human Factors (IfADo) at the TU Dortmund, Ardeystr. 67, 44139 Dortmund, Germany
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Adaku Chilaka C, Mally A. Mycotoxin Occurrence, Exposure and Health Implications in Infants and Young Children in Sub-Saharan Africa: A Review. Foods 2020; 9:E1585. [PMID: 33139646 PMCID: PMC7693847 DOI: 10.3390/foods9111585] [Citation(s) in RCA: 17] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2020] [Revised: 10/22/2020] [Accepted: 10/29/2020] [Indexed: 02/07/2023] Open
Abstract
Infants and young children (IYC) remain the most vulnerable population group to environmental hazards worldwide, especially in economically developing regions such as sub-Saharan Africa (SSA). As a result, several governmental and non-governmental institutions including health, environmental and food safety networks and researchers have been proactive toward protecting this group. Mycotoxins, toxic secondary fungal metabolites, contribute largely to the health risks of this young population. In SSA, the scenario is worsened by socioeconomic status, poor agricultural and storage practices, and low level of awareness, as well as the non-establishment and lack of enforcement of regulatory limits in the region. Studies have revealed mycotoxin occurrence in breast milk and other weaning foods. Of concern is the early exposure of infants to mycotoxins through transplacental transfer and breast milk as a consequence of maternal exposure, which may result in adverse health effects. The current paper presents an overview of mycotoxin occurrence in foods intended for IYC in SSA. It discusses the imperative evidence of mycotoxin exposure of this population group in SSA, taking into account consumption data and the occurrence of mycotoxins in food, as well as biomonitoring approaches. Additionally, it discusses the health implications associated with IYC exposure to mycotoxins in SSA.
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Affiliation(s)
- Cynthia Adaku Chilaka
- Institute of Pharmacology and Toxicology, Julius Maximilian University of Würzburg, Versbacher Straβe 9, 97078 Würzburg, Germany;
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Xia L, Routledge MN, Rasheed H, Ismail A, Dong Y, Jiang T, Gong YY. Biomonitoring of Aflatoxin B 1 and Deoxynivalenol in a Rural Pakistan Population Using Ultra-Sensitive LC-MS/MS Method. Toxins (Basel) 2020; 12:E591. [PMID: 32932694 PMCID: PMC7551319 DOI: 10.3390/toxins12090591] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2020] [Revised: 09/06/2020] [Accepted: 09/10/2020] [Indexed: 11/17/2022] Open
Abstract
There are limited data on exposure to mycotoxins in Pakistan. Here, we measured exposure to deoxynivalenol (DON), a common contaminant of wheat, and aflatoxin B1 (AFB1), a known contaminant of rice, using biomarkers of exposure. Wheat (n = 195) and rice (n = 62) samples were analyzed for AFB1 and DON levels, and the corresponding urinary biomarkers were analyzed in urine samples from a rural population (n = 264, aged 4-80 years, male 58%) using ultra-sensitive liquid chromatography-tandem mass spectrometry. AFB1 was detected in 66% of rice (5.04 ± 11.94 µg/kg) and 3% of wheat samples. AFM1 (hydroxylated form of AFB1)was detected in 69% of urine samples, mean 0.023 ± 0.048 ng/mL and DON was detected in 20% of urine samples, mean 0.170 ± 0.129 ng/mL. The maximum probable daily intake for DON derived from the urinary biomarker was 59.8 ng/kg b.w./day, which is below the Joint Food and Agriculture Organization/World Health Organization Expert Committee on Food Additives' tolerable daily intake (1000 ng/kg b.w./day). However, for aflatoxin, the derived margin of exposure (MoE) of (13.2) was well below the safe MoE (10,000) suggested by the European Food Safety Authority. The calculated aflatoxin-associated cancer risk of 0.514/105 individuals/year suggests that measures should be taken to reduce the AFB1 contamination in food, particularly rice, in Pakistan.
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Affiliation(s)
- Lei Xia
- School of Food Science & Nutrition, University of Leeds, Leeds LS2 9JT, UK; (L.X.); (Y.D.); (T.J.)
| | - Michael N. Routledge
- School of Medicine, University of Leeds, Leeds LS2 9JT, UK;
- School of Food and Biological Engineering, Jiangsu University, Zhenjiang 212013, Jiangsu, China
| | - Hifza Rasheed
- Pakistan Council of Research in Water Resources, Islamabad 44080, Pakistan;
| | - Amir Ismail
- Institute of Food Science and Nutrition, Bahauddin Zakariya University, Multan 60000, Pakistan;
| | - Yao Dong
- School of Food Science & Nutrition, University of Leeds, Leeds LS2 9JT, UK; (L.X.); (Y.D.); (T.J.)
| | - Tao Jiang
- School of Food Science & Nutrition, University of Leeds, Leeds LS2 9JT, UK; (L.X.); (Y.D.); (T.J.)
| | - Yun Yun Gong
- School of Food Science & Nutrition, University of Leeds, Leeds LS2 9JT, UK; (L.X.); (Y.D.); (T.J.)
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Risk assessment and spatial analysis of deoxynivalenol exposure in Chinese population. Mycotoxin Res 2020; 36:419-427. [PMID: 32829468 DOI: 10.1007/s12550-020-00406-8] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2020] [Revised: 08/07/2020] [Accepted: 08/11/2020] [Indexed: 10/23/2022]
Abstract
Deoxynivalenol (DON) is one of the most commonly found mycotoxins across the world, and it mainly contaminates staple food crops. This study aims to evaluate the dietary exposure of DON and to provide a geographical profile of DON exposure in China. The concentrations of DON and its acetylated derivatives in 15,004 cereal samples (10,192 wheat flour, 1750 maize meal, 892 oat flakes, and 2170 polished rice) were collected from 30 provinces, autonomous regions, or municipalities across China during 2010-2017, through a national food safety risk surveillance system. The consumption data for cereals were obtained from China National Nutrition and Health Survey in 2002, and 67,923 respondents from the same 30 regions were included in the analysis. Among all the cereals considered, the concentration was the highest in wheat flour, with the mean concentration of 250.8 μg/kg. Applying a worst-case scenario, some individuals were possibly at risk, but the probability of acute effects was low. The mean and median exposure for the entire population was 0.61 and 0.36 μg/kg bw/day, respectively, below the (PM) TDI, indicating an acceptable overall health risk in Chinese population. Wheat contributed to 86% of the total DON exposure. Significant discrepancy was observed between the exposure and the contamination of DON. The high-exposure cluster area was in northern China, whilst the most seriously contaminated regions were all located in the southeast, which formed a seriously contaminated area.
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Krstović S, Krulj J, Jakšić S, Bočarov‐Stančić A, Jajić I. Ozone as decontaminating agent for ground corn containing deoxynivalenol, zearalenone, and ochratoxin A. Cereal Chem 2020. [DOI: 10.1002/cche.10289] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Affiliation(s)
- Saša Krstović
- Faculty of Agriculture Department of Animal Science University of Novi Sad Novi Sad Serbia
| | - Jelena Krulj
- Institute of Food Technology University of Novi Sad Novi Sad Serbia
| | - Sandra Jakšić
- Scientific Veterinary Institute “Novi Sad” Novi Sad Serbia
| | | | - Igor Jajić
- Faculty of Agriculture Department of Animal Science University of Novi Sad Novi Sad Serbia
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Visser ME, Schoonees A, Ezekiel CN, Randall NP, Naude CE. Agricultural and nutritional education interventions for reducing aflatoxin exposure to improve infant and child growth in low- and middle-income countries. Cochrane Database Syst Rev 2020; 4:CD013376. [PMID: 32270495 PMCID: PMC7141997 DOI: 10.1002/14651858.cd013376.pub2] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
Abstract
BACKGROUND Aflatoxins are carcinogenic mycotoxins that contaminate many food crops. Maize and groundnuts are prone to aflatoxin contamination, and are the major sources of human exposure to aflatoxins, due to their high intake as staple foods, particularly in low- and middle-income countries (LMICs). Observational studies suggest an association between dietary exposure to aflatoxins during pregnancy and early childhood and linear growth in infants and young children. OBJECTIVES To assess the effects on pre- and postnatal growth outcomes when agricultural and nutritional education interventions during the post-harvest period that aim to reduce aflatoxin exposure are compared to usual support or no intervention. We assessed this in infants, children, and pregnant and lactating women at the household or community level in LMICs. SEARCH METHODS In July and August 2019, we searched: CENTRAL, MEDLINE, Embase, CINAHL, Web of Science Core Collection, Africa-Wide, LILACS, CAB Abstracts, Agricola, and two trials registers. We also checked the bibliographies of the included studies and contacted relevant mycotoxin organisations and researchers for additional studies. SELECTION CRITERIA We included randomised controlled trials (RCTs) and cluster-RCTs of agricultural education and nutritional education interventions of any duration, at the household or community level, aimed at reducing aflatoxin intake by infants, children, and pregnant and lactating women, in LMICs during the post-harvest period, compared to no intervention or usual support. We excluded studies that followed participants for less than four weeks. We assessed prespecified prenatal (at birth) and postnatal growth outcomes (during infancy, childhood, and adolescence), with linear growth (as the primary outcome), infectious disease morbidity, and unintended consequences. DATA COLLECTION AND ANALYSIS Two authors independently assessed study eligibility using prespecified criteria, extracted data, and assessed risk of bias of included RCTs. We evaluated the certainty of the evidence using GRADE, and presented the main results in a 'Summary of findings' table. MAIN RESULTS We included three recent cluster-RCTs reporting the effects of agricultural education plus post-harvest technologies, compared to usual agricultural support or no intervention. The participants were pregnant women and their children, lactating women and their infants (< 6 months), women of childbearing age, and young children (< 59 months), from rural, subsistence maize-farming communities in Kenya, Zimbabwe, and Tanzania. Two trials randomised villages to the intervention and control groups, including a total of at least 979 mother-child pairs from 60 villages. The third trial randomised 420 households, including 189 mother-child pairs and 231 women of childbearing age. Duration of the intervention and follow-up ranged between five and nine months. Due to risk of attrition bias, the overall risk of bias was unclear in one trial, and high in the other two trials. None of the included studies addressed the effects of nutritional education on pre- and postnatal growth. One trial reported outcomes not prespecified in our review, and we were unable to obtain unpublished growth data from the second trial, even after contacting the authors. The third trial, in lactating women and their infants in Tanzania, reported on the infants' weight-for-age z-score (WAZ) after six months. This trial found that providing agricultural education aimed at changing farmers' post-harvest practices to reduce aflatoxin exposure, by using demonstrations (e.g. handsorting, de-hulling of maize, drying sheets, and insecticides), may improve WAZ in infants from these farmers' households, on average, by 0.57 (95% confidence interval (CI) 0.16 to 0.98; 1 study; 249 participants; very low-certainty evidence), compared to infants from households where the farmers received routine agricultural extension services. Another way of reporting the effect on WAZ is to compare the proportion of underweight infants (WAZ > 2 SD below the reference median value) per group. This trial found that the intervention may reduce the proportion of underweight infants in the intervention households by 6.7% (95% CI -12.6 to -1.4; 249 participants; very low-certainty evidence) compared to control households. No studies reported on unintended effects of agricultural and nutritional education. AUTHORS' CONCLUSIONS Evidence on the effects on child growth in LMICs of agricultural or nutritional education interventions that reduce aflatoxin exposure was very limited; no included study reported on linear growth. Very low-certainty evidence suggested that agricultural education aimed at changing farmers' post-harvest practices to reduce aflatoxin exposure by using demonstrations, may result in an increase in WAZ, when compared to usual or no education.
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Affiliation(s)
- Marianne E Visser
- Stellenbosch UniversityCentre for Evidence‐based Health Care, Division of Epidemiology and Biostatistics, Faculty of Medicine and Health SciencesCape TownSouth Africa
| | - Anel Schoonees
- Stellenbosch UniversityCentre for Evidence‐based Health Care, Division of Epidemiology and Biostatistics, Faculty of Medicine and Health SciencesCape TownSouth Africa
| | - Chibundu N Ezekiel
- Babcock UniversityDepartment of MicrobiologyIlishan RemoOgun StateNigeria
| | - Nicola P Randall
- Harper Adams UniversityCrop and Environmental SciencesNewportShropshireUK
| | - Celeste E Naude
- Stellenbosch UniversityCentre for Evidence‐based Health Care, Division of Epidemiology and Biostatistics, Faculty of Medicine and Health SciencesCape TownSouth Africa
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15
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Vidal A, Bouzaghnane N, De Saeger S, De Boevre M. Human Mycotoxin Biomonitoring: Conclusive Remarks on Direct or Indirect Assessment of Urinary Deoxynivalenol. Toxins (Basel) 2020; 12:E139. [PMID: 32102452 PMCID: PMC7076754 DOI: 10.3390/toxins12020139] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2020] [Accepted: 02/20/2020] [Indexed: 12/14/2022] Open
Abstract
Deoxynivalenol is one of the most ubiquitous mycotoxins in the Western diet through its presence in cereals and cereal products. A vast amount of studies indicate the worrying level of exposure to this toxin, while even high percentages of the population exceed the tolerable daily intake. To evaluate and assess dietary exposure, analysis of urinary levels of deoxynivalenol and its glucuronides has been proposed as a reliable methodology. An indirect preliminary method was used based on the cleavage of deoxynivalenol glucuronides through the use of enzymes (β-glucuronidase) and subsequent determination of "total deoxynivalenol" (sum of free and released mycotoxins by hydrolysis). Next, a direct procedure for quantification of deoxynivalenol-3-glucuronide and deoxynivalenol-15-glucuronide was developed. As deoxynivalenol glucuronides reference standards are not commercially available, the indirect method is widely applied. However, to not underestimate the total deoxynivalenol exposure in urine, the direct and indirect methodologies need to be compared. Urinary samples (n = 96) with a confirmed presence of deoxynivalenol and/or deoxynivalenol glucuronides were analysed using both approaches. The indirect method clarified that not all deoxynivalenol glucuronides were transformed to free deoxynivalenol during enzymatic treatment, causing an underestimation of total deoxynivalenol. This short communication concludes on the application of direct or indirect assessment of urinary deoxynivalenol.
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Affiliation(s)
- Arnau Vidal
- Centre of Excellence in Mycotoxicology and Public Health, Department of Bioanalysis, Ghent University, Ottergemsesteenweg 460, 9000 Ghent, Belgium (S.D.S.); (M.D.B.)
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16
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Martins C, Assunção R, Nunes C, Torres D, Alvito P. Are Data from Mycotoxins’ Urinary Biomarkers and Food Surveys Linked? A Review Underneath Risk Assessment. FOOD REVIEWS INTERNATIONAL 2020. [DOI: 10.1080/87559129.2019.1709200] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/22/2022]
Affiliation(s)
- C. Martins
- Food and Nutrition Department, National Institute of Health Doutor Ricardo Jorge, Lisboa, Portugal
- CESAM, Centre for Environmental and Marine Studies, University of Aveiro, Campus Universitário de Santiago, Aveiro, Portugal
- NOVA National School of Public Health, Universidade NOVA de Lisboa, Lisboa, Portugal
- CISP, Centro de Investigação em Saúde Pública, Universidade NOVA de Lisboa, Lisboa, Portugal
| | - R. Assunção
- Food and Nutrition Department, National Institute of Health Doutor Ricardo Jorge, Lisboa, Portugal
- CESAM, Centre for Environmental and Marine Studies, University of Aveiro, Campus Universitário de Santiago, Aveiro, Portugal
| | - C. Nunes
- NOVA National School of Public Health, Universidade NOVA de Lisboa, Lisboa, Portugal
- CISP, Centro de Investigação em Saúde Pública, Universidade NOVA de Lisboa, Lisboa, Portugal
| | - D. Torres
- Faculty of Nutrition and Food Sciences, University of Porto, Porto, Portugal
- Epidemiology Research Unit, Institute of Public Health, University of Porto, Porto, Portugal
| | - P. Alvito
- Food and Nutrition Department, National Institute of Health Doutor Ricardo Jorge, Lisboa, Portugal
- CESAM, Centre for Environmental and Marine Studies, University of Aveiro, Campus Universitário de Santiago, Aveiro, Portugal
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17
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Tuanny Franco L, Mousavi Khaneghah A, In Lee SH, Fernandes Oliveira CA. Biomonitoring of mycotoxin exposure using urinary biomarker approaches: a review. TOXIN REV 2019. [DOI: 10.1080/15569543.2019.1619086] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
Affiliation(s)
- Larissa Tuanny Franco
- Department of Food Engineering, School of Animal Science and Food Engineering, University of São Paulo, São Paulo, Brazil
| | - Amin Mousavi Khaneghah
- Department of Food Science, Faculty of Food Engineering, University of Campinas (UNICAMP), São Paulo, Brazil
| | - Sarah Hwa In Lee
- Department of Food Engineering, School of Animal Science and Food Engineering, University of São Paulo, São Paulo, Brazil
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18
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Visser ME, Ezekiel CN, Schoonees A, Esterhuizen TM, Randall N, Naude CE. Agricultural and nutritional educational interventions for reducing aflatoxin exposure to improve infant and child growth in low- and middle-income countries. Hippokratia 2019. [DOI: 10.1002/14651858.cd013376] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Affiliation(s)
- Marianne E Visser
- Stellenbosch University; Centre for Evidence-based Health Care, Division of Epidemiology and Biostatistics, Faculty of Medicine and Health Sciences; Cape Town South Africa
| | - Chibundu N Ezekiel
- Babcock University; Department of Microbiology; Ilishan Remo Ogun State Nigeria
| | - Anel Schoonees
- Stellenbosch University; Centre for Evidence-based Health Care, Division of Epidemiology and Biostatistics, Faculty of Medicine and Health Sciences; Cape Town South Africa
| | - Tonya M Esterhuizen
- Stellenbosch University; Centre for Evidence-based Health Care, Division of Epidemiology and Biostatistics, Faculty of Medicine and Health Sciences; Cape Town South Africa
| | - Nicola Randall
- Harper Adams University; Crop and Environmental Sciences; Newport Shropshire UK
| | - Celeste E Naude
- Stellenbosch University; Centre for Evidence-based Health Care, Division of Epidemiology and Biostatistics, Faculty of Medicine and Health Sciences; Cape Town South Africa
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19
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Chen C, Turna NS, Wu F. Risk assessment of dietary deoxynivalenol exposure in wheat products worldwide: Are new codex DON guidelines adequately protective? Trends Food Sci Technol 2019. [DOI: 10.1016/j.tifs.2019.05.002] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
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20
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Xia L, Sugita-Konishi Y, Gong Y, Routledge M. Dietary Deoxynivalenol Exposure Assessment in University Students from Japan. Food Saf (Tokyo) 2019; 7:48-53. [PMID: 31998586 PMCID: PMC6978884 DOI: 10.14252/foodsafetyfscj.2018021] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2019] [Accepted: 05/22/2019] [Indexed: 11/29/2022] Open
Abstract
This study was conducted to give a preliminary estimation of deoxynivalenol (DON) dietary exposure in Japanese university students (n = 30, aged 22-25 years) using a biomarker approach and to examine the correlation between wheat food intake and DON exposure levels. Spot urine samples were collected from 30 students of Azabu University, Tokyo. Urine samples were treated with enzyme digestion (for total DON measurement) and without (for unconjugated DON analysis) before clean-up using an immuno-affinity column and analysis using an LC-MS method, with a 13C15- DON internal standard used for accurate quantification. The limit of detection for this method is 0.5 ng/mL urine. The geometric mean (95% CI) of DON concentration was 2.03 (1.64 - 6.87) ng per mL urine. Ninety of the urine samples had detectable levels of urinary DON. The DON dietary intake exposure estimation suggested that one out of the 30 subjects had an intake of DON that exceeded Joint FAO/WHO Expert Committee on Food Additives (JECFA) provisional maximum tolerable daily intake (PMTDI) level. Mean ratio of free DON to total DON was determined to be 19%. Wheat intake assessed using a basic food frequent questionnaire method did not show a significant correlation with the urinary DON level.
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Affiliation(s)
- Lei Xia
- School of Food Science & Nutrition, University of Leeds,
Leeds, UK
| | | | - Yunyun Gong
- School of Food Science & Nutrition, University of Leeds,
Leeds, UK
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21
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Mishra S, Srivastava S, Dewangan J, Divakar A, Kumar Rath S. Global occurrence of deoxynivalenol in food commodities and exposure risk assessment in humans in the last decade: a survey. Crit Rev Food Sci Nutr 2019; 60:1346-1374. [DOI: 10.1080/10408398.2019.1571479] [Citation(s) in RCA: 62] [Impact Index Per Article: 12.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Affiliation(s)
- Sakshi Mishra
- Genotoxicity Laboratory, Division of Toxicology and Experimental Medicine, Central Drug Research Institute (CSIR-CDRI), Lucknow, Uttar Pradesh, India
| | - Sonal Srivastava
- Genotoxicity Laboratory, Division of Toxicology and Experimental Medicine, Central Drug Research Institute (CSIR-CDRI), Lucknow, Uttar Pradesh, India
| | - Jayant Dewangan
- Genotoxicity Laboratory, Division of Toxicology and Experimental Medicine, Central Drug Research Institute (CSIR-CDRI), Lucknow, Uttar Pradesh, India
| | - Aman Divakar
- Genotoxicity Laboratory, Division of Toxicology and Experimental Medicine, Central Drug Research Institute (CSIR-CDRI), Lucknow, Uttar Pradesh, India
| | - Srikanta Kumar Rath
- Genotoxicity Laboratory, Division of Toxicology and Experimental Medicine, Central Drug Research Institute (CSIR-CDRI), Lucknow, Uttar Pradesh, India
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The role of mycotoxins in the human exposome: Application of mycotoxin biomarkers in exposome-health studies. Food Chem Toxicol 2018; 121:504-518. [DOI: 10.1016/j.fct.2018.09.039] [Citation(s) in RCA: 34] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2018] [Revised: 09/16/2018] [Accepted: 09/19/2018] [Indexed: 12/12/2022]
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Deng C, Li C, Zhou S, Wang X, Xu H, Wang D, Gong YY, Routledge MN, Zhao Y, Wu Y. Risk assessment of deoxynivalenol in high-risk area of China by human biomonitoring using an improved high throughput UPLC-MS/MS method. Sci Rep 2018; 8:3901. [PMID: 29497102 PMCID: PMC5832810 DOI: 10.1038/s41598-018-22206-y] [Citation(s) in RCA: 31] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2017] [Accepted: 02/16/2018] [Indexed: 11/09/2022] Open
Abstract
A risk assessment of deoxynivalenol (DON) was recently conducted for the residents in Henan province, China, where wheat as the staple food are highly consumed. A high-throughput sensitive UPLC-MS/MS method following 96-well μElution solid-phase extraction (SPE) were developed and validated for the determination of DON biomarkers in human urine. Isotope labelled internal standard, 13C-DON, was used for accurate quantification. Urinary samples collected from 151 healthy Chinese aged 2-78 years were processed with and without enzyme hydrolysis to determine total and free biomarkers, respectively. DON, and de-epoxy-deoxynivalenol (DOM-1) to a lesser extent, can be frequently detected in these samples both with and without enzyme hydrolysis. Free DOM-1 was detected at low level in human urine for the first time. Total DON was detected in all samples with a mean concentration at 47.6 ng mL-1. The mean and median probable daily intakes (PDI) for the whole participants, estimated to be 1.61 μg/kg bw and 1.10 μg/kg bw, both exceeded the PMTDI (1 μg/kg bw/day), indicating a potential risk for the residents in this area, especially for children and adolescents.
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Affiliation(s)
- Chunli Deng
- China National Center for Food Safety Risk Assessment, Key laboratory of Food Safety Risk Assessment, Ministry of Health, Beijing, 100021, PR China
| | - Chenglong Li
- China National Center for Food Safety Risk Assessment, Key laboratory of Food Safety Risk Assessment, Ministry of Health, Beijing, 100021, PR China
| | - Shuang Zhou
- China National Center for Food Safety Risk Assessment, Key laboratory of Food Safety Risk Assessment, Ministry of Health, Beijing, 100021, PR China.
| | - Xiaodan Wang
- China National Center for Food Safety Risk Assessment, Key laboratory of Food Safety Risk Assessment, Ministry of Health, Beijing, 100021, PR China
| | - Haibin Xu
- China National Center for Food Safety Risk Assessment, Key laboratory of Food Safety Risk Assessment, Ministry of Health, Beijing, 100021, PR China
| | - Dan Wang
- China National Center for Food Safety Risk Assessment, Key laboratory of Food Safety Risk Assessment, Ministry of Health, Beijing, 100021, PR China
| | - Yun Yun Gong
- China National Center for Food Safety Risk Assessment, Key laboratory of Food Safety Risk Assessment, Ministry of Health, Beijing, 100021, PR China.
- School of Food Science and Nutrition, University of Leeds, Leeds, LS2 9JT, UK.
| | | | - Yunfeng Zhao
- China National Center for Food Safety Risk Assessment, Key laboratory of Food Safety Risk Assessment, Ministry of Health, Beijing, 100021, PR China
| | - Yongning Wu
- China National Center for Food Safety Risk Assessment, Key laboratory of Food Safety Risk Assessment, Ministry of Health, Beijing, 100021, PR China
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Assessment of Urinary Deoxynivalenol Biomarkers in UK Children and Adolescents. Toxins (Basel) 2018; 10:toxins10020050. [PMID: 29360781 PMCID: PMC5848151 DOI: 10.3390/toxins10020050] [Citation(s) in RCA: 31] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2017] [Revised: 01/11/2018] [Accepted: 01/17/2018] [Indexed: 12/14/2022] Open
Abstract
Deoxynivalenol (DON), the mycotoxin produced mainly by Fusarium graminearum and found in contaminated cereal-based foodstuff, has been consistently detected in body fluids in adults. Available data in children and adolescents are scarce. This study assessed urinary DON concentrations in children aged 3-9 years (n = 40) and adolescents aged 10-17 years (n = 39) in the UK. Morning urine samples were collected over two consecutive days and analysed for free DON (un-metabolised form), DON-glucuronides (DON-GlcA), deepoxy deoxynivalenol (DOM-1), and total DON (sum of free DON, DON-GlcA, and DOM-1). Total DON was detected in the urine of >95% of children and adolescents on both days. Mean total DON concentrations (ng/mg creatinine) were 41.6 and 21.0 for children and adolescents, respectively. The greatest total DON levels were obtained in female children on both days (214 and 219 ng/mg creatinine on days 1 and 2, respectively). Free DON and DON-GlcA were detected in most urine specimens, whereas DOM-1 was not present in any sample. Estimation of dietary DON exposure suggested that 33-63% of children and 5-46% of adolescents exceeded current guidance regarding the maximum provisional tolerable daily intake (PMTDI) for DON. Although moderate mean urinary DON concentrations were shown, the high detection frequency of urinary DON, the maximum biomarker concentrations, and estimated dietary DON exposure are concerning.
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Alassane-Kpembi I, Schatzmayr G, Taranu I, Marin D, Puel O, Oswald IP. Mycotoxins co-contamination: Methodological aspects and biological relevance of combined toxicity studies. Crit Rev Food Sci Nutr 2018; 57:3489-3507. [PMID: 26918653 DOI: 10.1080/10408398.2016.1140632] [Citation(s) in RCA: 172] [Impact Index Per Article: 28.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
Mycotoxins are secondary fungal metabolites produced mainly by Aspergillus, Penicillium, and Fusarium. As evidenced by large-scale surveys, humans and animals are simultaneously exposed to several mycotoxins. Simultaneous exposure could result in synergistic, additive or antagonistic effects. However, most toxicity studies addressed the effects of mycotoxins separately. We present the experimental designs and we discuss the conclusions drawn from in vitro experiments exploring toxicological interactions of mycotoxins. We report more than 80 publications related to mycotoxin interactions. The studies explored combinations involving the regulated groups of mycotoxins, especially aflatoxins, ochratoxins, fumonisins, zearalenone and trichothecenes, but also the "emerging" mycotoxins beauvericin and enniatins. Over 50 publications are based on the arithmetic model of additivity. Few studies used the factorial designs or the theoretical biology-based models of additivity. The latter approaches are gaining increased attention. These analyses allow determination of the type of interaction and, optionally, its magnitude. The type of interaction reported for mycotoxin combinations depended on several factors, in particular cell models and the tested dose ranges. However, synergy among Fusarium toxins was highlighted in several studies. This review indicates that well-addressed in vitro studies remain valuable tools for the screening of interactive potential in mycotoxin mixtures.
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Affiliation(s)
- Imourana Alassane-Kpembi
- a Toxalim , Research Centre in Food Toxicology Université de Toulouse, INRA, ENVT, INP- PURPAN, UPS , Toulouse , France.,b Hôpital d'Instruction des Armées Camp Guézo , Cotonou , Bénin
| | | | - Ionelia Taranu
- d National Institute for Research and Development in Animal Biology and Nutrition (IBNA), Calea Bucuresti , Balotesti , Romania
| | - Daniela Marin
- d National Institute for Research and Development in Animal Biology and Nutrition (IBNA), Calea Bucuresti , Balotesti , Romania
| | - Olivier Puel
- a Toxalim , Research Centre in Food Toxicology Université de Toulouse, INRA, ENVT, INP- PURPAN, UPS , Toulouse , France
| | - Isabelle Paule Oswald
- a Toxalim , Research Centre in Food Toxicology Université de Toulouse, INRA, ENVT, INP- PURPAN, UPS , Toulouse , France
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Kamala A, Kimanya M, Lachat C, Jacxsens L, Haesaert G, Kolsteren P, Ortiz J, Tiisekwa B, De Meulenaer B. Risk of Exposure to Multiple Mycotoxins from Maize-Based Complementary Foods in Tanzania. JOURNAL OF AGRICULTURAL AND FOOD CHEMISTRY 2017; 65:7106-7114. [PMID: 28830150 DOI: 10.1021/acs.jafc.6b03429] [Citation(s) in RCA: 33] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
This study estimated exposure to multiple mycotoxins in 249 infants aged between 6 and 12 months in three agro-ecological zones of Tanzania. Maize-based complementary food intakes were estimated using two 24 h dietary recalls. Using @Risk software, probabilistic exposure assessment was conducted by modeling maize intake data (kg/kg body weight/day) with previously determined multiple mycotoxin (except for ochratoxin A (OTA) and zearalenone (ZEA), present in only a few samples) contamination data (μg/kg) in maize. Maize intakes ranged from 0.13 to 185 g/child/day (average = 59 ± 36 g/child/day). The estimated mean exposures were higher for aflatoxins (6-fold), fumonisins (3-fold), and deoxynivalenol (2-fold) than health-based guidance values of 0.017 ng/kg body weight/day, 2 μg/kg body weight/day, and 1 μg/kg body weight/day, respectively. The population at risk of exposures above the limits of health concern ranged from 12% for HT-2 toxin through 35% for deoxynivalenol to 100% for aflatoxins. The exposure varied among the agro-ecological zones. Strategies targeting multiple mycotoxins in maize are urgently needed to minimize exposures in Tanzania.
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Affiliation(s)
- Analice Kamala
- nutriFOODchem unit, Department of Food Safety and Food Quality, partner in Food2Know, Faculty of Bioscience Engineering, Ghent University , Coupure Links 653, 9000 Ghent, Belgium
- Directorate of Food Safety, Tanzania Food and Drugs Authority , P.O. Box 77150, Dar es Salaam, Tanzania
| | - Martin Kimanya
- School of Life Sciences and Bio-Engineering, The Nelson Mandela African Institution of Science and Technology (NM-AIST) , P.O. Box 447, Arusha, Tanzania
| | - Carl Lachat
- nutriFOODchem unit, Department of Food Safety and Food Quality, partner in Food2Know, Faculty of Bioscience Engineering, Ghent University , Coupure Links 653, 9000 Ghent, Belgium
| | - Liesbeth Jacxsens
- nutriFOODchem unit, Department of Food Safety and Food Quality, partner in Food2Know, Faculty of Bioscience Engineering, Ghent University , Coupure Links 653, 9000 Ghent, Belgium
| | - Geert Haesaert
- Department of Applied Biosciences, Faculty of Bioscience Engineering, Ghent University , Valentin Vaerwyckweg 1, BE-9000 Ghent, Belgium
| | - Patrick Kolsteren
- nutriFOODchem unit, Department of Food Safety and Food Quality, partner in Food2Know, Faculty of Bioscience Engineering, Ghent University , Coupure Links 653, 9000 Ghent, Belgium
| | - Johana Ortiz
- nutriFOODchem unit, Department of Food Safety and Food Quality, partner in Food2Know, Faculty of Bioscience Engineering, Ghent University , Coupure Links 653, 9000 Ghent, Belgium
- Department of Biosciences, Faculty of Chemical Sciences, Cuenca University , Av. 12 de Abril s/n Cdla, Universitaria, 010201 Cuenca, Ecuador
| | - Bendantuguka Tiisekwa
- College of Agriculture, Sokoine University of Agriculture , P.O. Box 3005, Morogoro, Tanzania
| | - Bruno De Meulenaer
- nutriFOODchem unit, Department of Food Safety and Food Quality, partner in Food2Know, Faculty of Bioscience Engineering, Ghent University , Coupure Links 653, 9000 Ghent, Belgium
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Watson S, Gong YY, Routledge M. Interventions targeting child undernutrition in developing countries may be undermined by dietary exposure to aflatoxin. Crit Rev Food Sci Nutr 2017; 57:1963-1975. [PMID: 26176888 DOI: 10.1080/10408398.2015.1040869] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/21/2023]
Abstract
Child undernutrition, a form of malnutrition, is a major public health burden in developing countries. Supplementation interventions targeting the major micronutrient deficiencies have only reduced the burden of child undernutrition to a certain extent, indicating that there are other underlying determinants that need to be addressed. Aflatoxin exposure, which is also highly prevalent in developing countries, may be considered an aggravating factor for child undernutrition. Increasing evidence suggests that aflatoxin exposure can occur in any stage of life, including in utero through a trans-placental pathway and in early childhood (through contaminated weaning food and family food). Early life exposure to aflatoxin is associated with adverse effects on low birth weight, stunting, immune suppression, and the liver function damage. The mechanisms underlying impaired growth and aflatoxin exposure are still unclear but intestinal function damage, reduced immune function, and alteration in the insulin-like growth factor axis caused by the liver damage are the suggested hypotheses. Given the fact that both aflatoxin and child undernutrition are common in sub-Saharan Africa, effective interventions aimed at reducing undernutrition cannot be satisfactorily achieved until the interactive relationship between aflatoxin and child undernutrition is clearly understood, and an aflatoxin mitigation strategy takes effect in those vulnerable mothers and children.
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Affiliation(s)
- Sinead Watson
- a Institute for Global Food Safety, Queen's University Belfast , Belfast , United Kingdom
| | - Yun Yun Gong
- a Institute for Global Food Safety, Queen's University Belfast , Belfast , United Kingdom
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28
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Sun J, Wu Y. Evaluation of dietary exposure to deoxynivalenol (DON) and its derivatives from cereals in China. Food Control 2016. [DOI: 10.1016/j.foodcont.2016.04.040] [Citation(s) in RCA: 32] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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29
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Determination of multi-mycotoxin occurrence in maize based porridges from selected regions of Tanzania by liquid chromatography tandem mass spectrometry (LC-MS/MS), a longitudinal study. Food Control 2016. [DOI: 10.1016/j.foodcont.2016.04.018] [Citation(s) in RCA: 33] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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30
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Ali N, Blaszkewicz M, Degen GH. Assessment of deoxynivalenol exposure among Bangladeshi and German adults by a biomarker-based approach. Toxicol Lett 2016; 258:20-28. [DOI: 10.1016/j.toxlet.2016.06.006] [Citation(s) in RCA: 30] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2016] [Revised: 06/08/2016] [Accepted: 06/09/2016] [Indexed: 10/21/2022]
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31
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Chen L, Yu M, Wu Q, Peng Z, Wang D, Kuča K, Yao P, Yan H, Nüssler AK, Liu L, Yang W. Gender and geographical variability in the exposure pattern and metabolism of deoxynivalenol in humans: a review. J Appl Toxicol 2016; 37:60-70. [DOI: 10.1002/jat.3359] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2016] [Revised: 05/28/2016] [Accepted: 05/29/2016] [Indexed: 12/12/2022]
Affiliation(s)
- Liangkai Chen
- Department of Nutrition and Food Hygiene, Hubei Key Laboratory of Food Nutrition and Safety; Tongji Medical College, Huazhong University of Science and Technology; Wuhan China
- Department of Nutrition and Food Hygiene and MOE Key Lab of Environment and Health, School of Public Health; Tongji Medical College, Huazhong University of Science and Technology; Wuhan China
| | - Miao Yu
- Department of Nutrition and Food Hygiene, Hubei Key Laboratory of Food Nutrition and Safety; Tongji Medical College, Huazhong University of Science and Technology; Wuhan China
- Department of Nutrition and Food Hygiene and MOE Key Lab of Environment and Health, School of Public Health; Tongji Medical College, Huazhong University of Science and Technology; Wuhan China
| | - Qinghua Wu
- College of Life Science; Yangtze University; Jingzhou Hubei China
- Center for Basic and Applied Research, Faculty of Informatics and Management; University of Hradec Kralove; Czech Republic
| | - Zhao Peng
- Department of Nutrition and Food Hygiene, Hubei Key Laboratory of Food Nutrition and Safety; Tongji Medical College, Huazhong University of Science and Technology; Wuhan China
- Department of Nutrition and Food Hygiene and MOE Key Lab of Environment and Health, School of Public Health; Tongji Medical College, Huazhong University of Science and Technology; Wuhan China
| | - Di Wang
- Department of Nutrition and Food Hygiene, Hubei Key Laboratory of Food Nutrition and Safety; Tongji Medical College, Huazhong University of Science and Technology; Wuhan China
- Department of Nutrition and Food Hygiene and MOE Key Lab of Environment and Health, School of Public Health; Tongji Medical College, Huazhong University of Science and Technology; Wuhan China
| | - Kamil Kuča
- Center for Basic and Applied Research, Faculty of Informatics and Management; University of Hradec Kralove; Czech Republic
- Biomedical Research Center; University Hospital Hradec Kralove; Czech Republic
| | - Ping Yao
- Department of Nutrition and Food Hygiene, Hubei Key Laboratory of Food Nutrition and Safety; Tongji Medical College, Huazhong University of Science and Technology; Wuhan China
- Department of Nutrition and Food Hygiene and MOE Key Lab of Environment and Health, School of Public Health; Tongji Medical College, Huazhong University of Science and Technology; Wuhan China
| | - Hong Yan
- Department of Nutrition and Food Hygiene and MOE Key Lab of Environment and Health, School of Public Health; Tongji Medical College, Huazhong University of Science and Technology; Wuhan China
| | - Andreas K. Nüssler
- Department of Traumatology; BG Trauma Center, Eberhard Karls University of Tübingen; Tübingen Germany
| | - Liegang Liu
- Department of Nutrition and Food Hygiene, Hubei Key Laboratory of Food Nutrition and Safety; Tongji Medical College, Huazhong University of Science and Technology; Wuhan China
- Department of Nutrition and Food Hygiene and MOE Key Lab of Environment and Health, School of Public Health; Tongji Medical College, Huazhong University of Science and Technology; Wuhan China
| | - Wei Yang
- Department of Nutrition and Food Hygiene, Hubei Key Laboratory of Food Nutrition and Safety; Tongji Medical College, Huazhong University of Science and Technology; Wuhan China
- Department of Nutrition and Food Hygiene and MOE Key Lab of Environment and Health, School of Public Health; Tongji Medical College, Huazhong University of Science and Technology; Wuhan China
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Gong YY, Watson S, Routledge MN. Aflatoxin Exposure and Associated Human Health Effects, a Review of Epidemiological Studies. Food Saf (Tokyo) 2016; 4:14-27. [PMID: 32231900 PMCID: PMC6989156 DOI: 10.14252/foodsafetyfscj.2015026] [Citation(s) in RCA: 134] [Impact Index Per Article: 16.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/30/2015] [Accepted: 02/23/2016] [Indexed: 11/21/2022] Open
Abstract
Aflatoxins are fungal toxins that possess acute life threatening toxicity, carcinogenic properties and other potential chronic adverse effects. Dietary exposure to aflatoxins is considered a major public health concern, especially for subsistence farming communities in sub-Saharan Africa and South Asia, where dietary staple food crops such as groundnuts and maize are often highly contaminated with aflatoxin due to hot and humid climates and poor storage, together with low awareness of risk and lack of enforcement of regulatory limits. Biomarkers have been developed and applied in many epidemiological studies assessing aflatoxin exposure and the associated health effects in these high-risk population groups. This review discusses the recent epidemiological evidence for aflatoxin exposure, co-exposure with other mycotoxins and associated health effects in order to provide evidence on risk assessment, and highlight areas where further research is necessary. Aflatoxin exposure can occur at any stage of life and is a major risk factor for hepatocellular carcinoma, especially when hepatitis B infection is present. Recent evidence suggests that aflatoxin may be an underlying determinant of stunted child growth, and may lower cell-mediated immunity, thereby increasing disease susceptibility. However, a causal relationship between aflatoxin exposure and these latter adverse health outcomes has not been established, and the biological mechanisms for these have not been elucidated, prompting further research. Furthermore, there is a dearth of information regarding the health effects of co-exposure to aflatoxin with other mycotoxins. Recent developments of biomarkers provide opportunities for important future research in this area.
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Affiliation(s)
- Yun Yun Gong
- Institute for Global Food Security, School of Biological Sciences, Queen's University Belfast, UK
| | - Sinead Watson
- Institute for Global Food Security, School of Biological Sciences, Queen's University Belfast, UK
| | - Michael N Routledge
- Leeds Institute of Cardiovascular and Metabolic Medicine, School of Medicine, University of Leeds, UK
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33
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Fromme H, Gareis M, Völkel W, Gottschalk C. Overall internal exposure to mycotoxins and their occurrence in occupational and residential settings – An overview. Int J Hyg Environ Health 2016; 219:143-65. [DOI: 10.1016/j.ijheh.2015.11.004] [Citation(s) in RCA: 48] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2015] [Revised: 11/12/2015] [Accepted: 11/16/2015] [Indexed: 12/18/2022]
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Smith LE, Prendergast AJ, Turner PC, Mbuya MNN, Mutasa K, Kembo G, Stoltzfus RJ. The Potential Role of Mycotoxins as a Contributor to Stunting in the SHINE Trial. Clin Infect Dis 2015; 61 Suppl 7:S733-7. [PMID: 26602301 PMCID: PMC4657594 DOI: 10.1093/cid/civ849] [Citation(s) in RCA: 42] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Abstract
Children in developing countries experience multiple exposures that are harmful to their growth and development. An emerging concern is frequent exposure to mycotoxins that contaminate a wide range of staple foods, including maize and groundnuts. Three mycotoxins are suspected to contribute to poor child health and development: aflatoxin, fumonisin, and deoxynivalenol. We summarize the evidence that mycotoxin exposure is associated with stunting, and propose that the causal pathway may be through environmental enteric dysfunction (EED) and disturbance of the insulin-like growth factor 1 (IGF-1) axis. The objectives of this substudy are to assess the relationship between agricultural and harvest practices and mycotoxin exposure; to evaluate associations between mycotoxin exposure and child stunting; and to investigate EED as a potential pathway linking mycotoxin exposure to child stunting, to inform potential areas for intervention.
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Affiliation(s)
- Laura E. Smith
- Division of Nutritional Sciences, Cornell University, Ithaca, New York
| | - Andrew J. Prendergast
- Blizard Institute, Queen Mary University of London, United Kingdom
- Zvitambo Institute for Maternal and Child Health Research, Harare, Zimbabwe
| | - Paul C. Turner
- Maryland Institute for Applied Environmental Health, School of Public Health, University of Maryland, College Park
| | - Mduduzi N. N. Mbuya
- Division of Nutritional Sciences, Cornell University, Ithaca, New York
- Zvitambo Institute for Maternal and Child Health Research, Harare, Zimbabwe
| | - Kuda Mutasa
- Zvitambo Institute for Maternal and Child Health Research, Harare, Zimbabwe
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35
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36
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Gong Y, Shirima C, Srey C, Kimanya M, Routledge M. Deoxynivalenol and fumonisin exposure in children and adults in a family study in rural Tanzania. WORLD MYCOTOXIN J 2015. [DOI: 10.3920/wmj2015.1878] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
The relationship between child and parent exposure and excretion of deoxynivalenol (DON) and fumonisin B1 (FB1), were compared in rural Tanzania. Morning urine samples from matched child-mother-father in 50 families of the Iringa district were collected and analysed for urinary DON and FB1 using LC-MS methods. Maize intake was obtained using a seven-day food frequency questionnaire and a duplicate diet method. The urinary DON geometric means were 15.4, 45.0 and 42.0 ng/ml in children, mothers and fathers, respectively, and the urinary FB1 were 0.62, 1.25 and 1.38 ng/ml, respectively. Children had significantly lower levels of urinary DON and FB1 than their parents (P<0.001 and P=0.009, respectively) but the difference became non-significant when corrected for creatinine concentration. Both DON and FB1 were detected in urine samples from all adults and >96% of the children, respectively and were positively correlated between the child and the mother (P=0.007 and 0.02, respectively). DON or FB1 biomarkers were not correlated with maize intake. Children who were fully weaned had 3-fold higher urinary DON than those on partial breastfeeding (P=0.002). In adults, maize brew (a local produced beer) showed a strong positive correlation with both urinary DON and FB1 levels (P<0.001). The ratio of daily urinary excretion of DON between children and adult, based on assumed urine volume, was 1:2.26, but the excretion of FB1 was similar between children and adults. The study showed that DON and FB1 exposure are prevalent in rural Tanzania. Further study is required to determine the mechanism for the lower excretion of DON in children compared to adults. There is a good correlation between child and mother’s exposure levels to DON and FB1. Increased exposure risk through maize brew in adults is highlighted in this study.
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Affiliation(s)
- Y.Y. Gong
- Institute for Global Food Security, School of Biological Sciences, Queen's University of Belfast, 18-30 Malone Road, Belfast BT9 5BN, United Kingdom
- LICAMM, School of Medicine, University of Leeds, Leeds LS2 9JT, United Kingdom
| | - C.P. Shirima
- Tanzania Food and Drugs Authority (TFDA), Dar es Salaam, Tanzania
| | - C. Srey
- Institute for Global Food Security, School of Biological Sciences, Queen's University of Belfast, 18-30 Malone Road, Belfast BT9 5BN, United Kingdom
- LICAMM, School of Medicine, University of Leeds, Leeds LS2 9JT, United Kingdom
| | - M.E. Kimanya
- Tanzania Food and Drugs Authority (TFDA), Dar es Salaam, Tanzania
- The Nelson Mandela Institute of Science and Technology (NM-AIST), School of Life Sciences and Bioengineering, Arusha, Tanzania
| | - M.N. Routledge
- LICAMM, School of Medicine, University of Leeds, Leeds LS2 9JT, United Kingdom
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Rodríguez-Carrasco Y, Moltó JC, Mañes J, Berrada H. Exposure assessment approach through mycotoxin/creatinine ratio evaluation in urine by GC–MS/MS. Food Chem Toxicol 2014; 72:69-75. [DOI: 10.1016/j.fct.2014.07.014] [Citation(s) in RCA: 66] [Impact Index Per Article: 6.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2014] [Revised: 07/06/2014] [Accepted: 07/07/2014] [Indexed: 11/28/2022]
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