AFLATOXINS :

Occurrence and Health Risks


Table of Contents :


Abstract


Aflatoxins are toxic metabolites produced by certain fungi in/on foods and feeds . They are probably the best known and most intensively researched mycotoxins in the world. Aflatoxins have been associated with various diseases , such as aflatoxicosis , in livestock , domestic animals and humans throughout the world . The occurence of aflatoxins is influenced by certain environmental factors ; hence the extent of contamination will vary with geographic location , agricultural and agronomic practices, and the susceptibility of commodities to fungal invasion during preharvest , storage, and/or processing periods . Aflatoxins have received greater attention than any other mycotoxins because of their demonstrated potent carcinogenic effect in susceptible laboratory animals and their acute toxicological effects in humans . As it is realized that absolute safety is never achieved , many countries have attempted to limit exposure to aflatoxins by imposing regulatory limits on commodities intended for use as food and feed .


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Introduction


In the 1960 more than 100,000 young turkeys on poultry farms in England died in the course of a few months from an apparently new disease that was termed "Turkey X disease" . It was soon found that the difficulty was not limited to turkeys . Ducklings and young pheasants were also affected and heavy mortality was experienced .
A careful survey of the early outbreaks showed that they were all associated with feeds, namely Brazilian peanut meal . An intensive investigation of the suspect peanut meal was undertaken and it was quickly found that this peanut meal was highly toxic to poultry and ducklings with symptoms typical of Turkey X disease .
Speculations made during 1960 regarding the nature of the toxin suggested that it might be of fungal origin. In fact, the toxin-producing fungus was identified as Aspergillus flavus (1961) and the toxin was given the name Aflatoxin by virtue of its origin (A.flavis--> Afla).

This discovery has led to a growing awareness of the potential hazards of these substances as contaminants of food and feed causing illness and even death in humans and other mammals. Studies that are summarized in the following sections revealed that aflatoxins are produced primarily by some strains of A. Flavus and by most , if not all , strains of A. parasiticus , plus related species, A. nomius and A. niger . Moreover , these studies also revealed that there are four major aflatoxins : B1 , B2 , G1 , G2 plus two additional metabolic products , M1 and M2 , that are of significance as direct contaminants of foods and feeds . The aflatoxins M1 and M2 were first isolated from milk of lactating animals fed aflatoxin preparations ; hence , the M designation . Whereas the B designation of aflatoxins B1 and B2 resulted from the exhibition of blue fluorescence under UV-light , while the G designation refers to the yellow-green fluorescence of the relevant structures under UV-light . These toxins have closely similar structures and form a unique group of highly oxygenated, naturally occuring heterocyclic compounds . Their molecular formulas as established from elementary analyses and mass spectrometric determinations are :


Aflatoxins B2 and G2 were established as the dihydroxy derivatives of B1 and G1 , respectively . Whereas , aflatoxin M1 is 4-hydroxy aflatoxin B1 and aflatoxin M2 is 4-dihydroxy aflatoxin B2 .


[Top of Page] [Abstract] [Introduction] [Occurence] [Factors favorizing aflatoxin production] [Aflatoxicosis and animal health] [Aflatoxins and human health] [Methods of analysis for aflatoxins] [Assessing human exposure to aflatoxins] [Control and management of aflatoxins] [Economic impact of aflatoxins] [References]

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Occurence



[Top of Page] [Abstract] [Introduction] [Occurence] [Factors favorizing aflatoxin production] [Aflatoxicosis and animal health] [Aflatoxins and human health] [Methods of analysis for aflatoxins] [Assessing human exposure to aflatoxins] [Control and management of aflatoxins] [Economic impact of aflatoxins] [References]

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Factors Favorizing Aflatoxin Production


Fungal growth and aflatoxin contamination are the consequence of interactions among the fungus, the host and the environment . The appropriate combination of these factors determine the infestation and colonization of the substrate , and the type and amount of aflatoxin produced . However , a suitable substrate is required for fungal growth and subsequent toxin production , although the precise factor(s) that initiates toxin formation is not well understood . Water stress , high-temperature stress , and insect damage of the host plant are major determinig factors in mold infestation and toxin production . Similarly , specific crop growth stages, poor fertility , high crop densities, and weed competition have been associated with increased mold growth and toxin production. Aflatoxin formation is also affected by associated growth of other molds or microbes . For example, preharvest aflatoxin contamination of peanuts and corn is favored by high temperatures, prolonged drought conditions, and high insect activity; while postharvest production of aflatoxins on corn and peanuts is favored by warm temperatures and high humidity.


[Top of Page] [Abstract] [Introduction] [Occurence] [Factors favorizing aflatoxin production] [Aflatoxicosis and animal health] [Aflatoxins and human health] [Methods of analysis for aflatoxins] [Assessing human exposure to aflatoxins] [Control and management of aflatoxins] [Economic impact of aflatoxins] [References]

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Aflatoxicosis and Animal Health


Aflatoxicosis is primarily a hepatic disease . The susceptibility of individual animals to aflatoxins varies considerably depending on species, age, sex, and nutrition . In fact, aflatoxins cause liver damage, decreased milk and egg production, recurrent infection as a result of immunity suppression (eg. salmonellosis), in addition to embryo toxicity in animals consuming low dietary concentrations. While the young of a species are most susceptible, all ages are affected but in different degrees for different species. Clinical signs of aflatoxicosis in animals include gastrointestinal dysfunction, reduced reproductivity, reduced feed utilization and efficiency , anemia, and jaundice. Nursing animals may be affected as a result of the conversion of aflatoxin B1 to the metabolite aflatoxin M1 excreted in milk of dairy cattle.
The induction of cancer by aflatoxins has been extensively studied. Aflatoxin B1, aflatoxin M1, and aflatoxin G1 have been shown to cause various types of cancer in different animal species. However, only aflatoxin B1 is considered by the International Agency for Research on Cancer (IARC) as having produced sufficient evidence of carcinogenicity in experimental animals to be identified as a carcinogen.


[Top of Page] [Abstract] [Introduction] [Occurence] [Factors favorizing aflatoxin production] [Aflatoxicosis and animal health] [Aflatoxins and human health] [Methods of analysis for aflatoxins] [Assessing human exposure to aflatoxins] [Control and management of aflatoxins] [Economic impact of aflatoxins] [References]

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Aflatoxins and Human Health


Humans are exposed to aflatoxins by consuming foods contaminated with products of fungal growth . Such exposure is difficult to avoid because fungal growth in foods is not easy to prevent . Even though heavily contaminated food supplies are not permitted in the market place in developed countries, concern still remains for the possible adverse effects resulting from long-term exposure to low levels of aflatoxins in the food supply .
Evidence of acute aflatoxicosis in humans has been reported from many parts of the world , namely the Third World Countries, like Taiwan, Ouganda, India, and many others . The syndrome is characterized by vomiting, abdominal pain, pulmonary edema, convulsions, coma, and death with cerebral edema and fatty involvment of the liver , kidneys , and heart.
Conditions increasing the likelihood of acute aflatoxicosis in humans include limited availability of food, environmental conditions that favor fungal development in crops and commodities, and lack of regulatory systems for aflatoxin monitoring and control.
Because aflatoxins, especially aflatoxin B1, are potent carcinogens in some animals, there is interest in the effects of long-term exposure to low levels of these important mycotoxins on humans . In 1988, the IARC placed aflatoxin B1 on the list of human carcinogens. This is supported by a number of epidemiological studies done in Asia and Africa that have demonstrated a positive association between dietary aflatoxins and Liver Cell Cancer (LCC) . Additionally , the expression of aflatoxin-related diseases in humans may be influenced by factors such as age, sex, nutritional status, and/or concurrent exposure to other causative agents such as viral hepatitis (HBV) or parasite infestation.


[Top of Page] [Abstract] [Introduction] [Occurence] [Factors favorizing aflatoxin production] [Aflatoxicosis and animal health] [Aflatoxins and human health] [Methods of analysis for aflatoxins] [Assessing human exposure to aflatoxins] [Control and management of aflatoxins] [Economic impact of aflatoxins] [References]

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Recent Methods of Analysis for Aflatoxins in Foods and Feeds



[Top of Page] [Abstract] [Introduction] [Occurence] [Factors favorizing aflatoxin production] [Aflatoxicosis and animal health] [Aflatoxins and human health] [Methods of analysis for aflatoxins] [Assessing human exposure to aflatoxins] [Control and management of aflatoxins] [Economic impact of aflatoxins] [References]

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Monitoring Techniques for Assessing Human Exposure to Aflatoxins


In the last few years, new technologies have been developed that more accurately monitor individual exposures to aflatoxins. Particular attention has been paid to the analysis of aflatoxin DNA adducts and albumin adducts as surrogates for genotoxicity in people. Autrup et al.(1983) pioneered the use of synchronous fluorescence spectroscopy for the measurement of aflatoxin DNA adducts in urine. Urine samples collected after exposure to alfatoxins were found to contain 2,3-dihydroxy-2-(N7-guanyl)-3-hydroxyaflatoxin B1, trivially known as AFB-Gual . Wild et al.(1986) used highly sensitive immunoassays to quantitate aflatoxins in human body fluids. An enzyme linked immunosorbent assay (ELISA) was used to quantitate aflatoxin B1 over the range of 0.01 ng /ml to 10 ng/ml , and was validated in human urine samples. Using this method, aflatoxin-DNA adduct excretion into urine was found to be positively correlated with dietary intake, and the major aflatoxin B1-DNA adduct excreted in urine was shown to be an appropriate dosimeter for monitoring aflatoxin dietary exposure.


[Top of Page] [Abstract] [Introduction] [Occurence] [Factors favorizing aflatoxin production] [Aflatoxicosis and animal health] [Aflatoxins and human health] [Methods of analysis for aflatoxins] [Assessing human exposure to aflatoxins] [Control and management of aflatoxins] [Economic impact of aflatoxins] [References]

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Control and Management of Aflatoxins


A- Regulatory Control :

Aflatoxins are considered unavoidable contaminants of food and feed, even where good manufacturing practices have been followed. The FDA has established specific guidelines on acceptable levels of aflatoxins in human food and animal feed by establishing action levels that allow for the removal of violative lots from commerce. The action level for human food is 20 ppb total aflatoxins, with the exception of milk which has an action level of 0.5 ppb for aflatoxin M1. The action level for most feeds is also 20 ppb. However, it is very difficult to accurately estimate aflatoxins concentration in a large quantity of material because of the variability associated with testing procedures; hence, the true aflatoxin concentration in a lot cannot be determined with 100% certainty.

B- Detoxification Strategies :

Because aflatoxin contamination is unavoidable, numerous strategies for their detoxification have been proposed. These include physical methods of separation, thermal inactivation, irradiation, solvent extraction, adsorption from solution, microbial inactivation, and fermentation. Chemical methods of detoxification are also practiced as a major strategy for effective detoxification :


[Top of Page] [Abstract] [Introduction] [Occurence] [Factors favorizing aflatoxin production] [Aflatoxicosis and animal health] [Aflatoxins and human health] [Methods of analysis for aflatoxins] [Assessing human exposure to aflatoxins] [Control and management of aflatoxins] [Economic impact of aflatoxins] [References]

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Economic Impact of Aflatoxins


The economic impact of aflatoxins derive directly from crop and livestock losses as well as indirectly from the cost of regulatory programs designed to reduce risks to animal and human health. The Food and Agriculture Organization (FAO) estimates that 25% of the world's food crops are affected by mycotoxins, of which the most notorious are aflatoxins. Aflatoxin losses to livestock and poultry producers from aflatoxin-contaminated feeds include death and the more subtle effects of immune system suppression, reduced growth rates, and losses in feed efficiency. Other adverse economic effects of aflatoxins include lower yields for food and fiber crops .



In addition, the abilitiy of aflatoxins to cause cancer and related diseases in humans given their seemingly unavoidable occurrence in foods and feeds make the prevention and detoxification of these mycotoxins one of the most challenging toxicology issues of present time.


[Top of Page] [Abstract] [Introduction] [Occurence] [Factors favorizing aflatoxin production] [Aflatoxicosis and animal health] [Aflatoxins and human health] [Methods of analysis for aflatoxins] [Assessing human exposure to aflatoxins] [Control and management of aflatoxins] [Economic impact of aflatoxins] [References]

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References


  1. Anon.1989.Mycotoxins , Economic and Health Risks.Council for Agricultural science and Technology, Report No.116 pp91.
  2. Eaton,D.L. and Groopman,J.D.1994.The Toxicology of Aflatoxins. Academic Press, New York.pp383-426.
  3. Finley,J.W.,Robinson,S.F. and Armstrong ,D.J.1992.Food Safety Assessment. American Chemical Society,Washington ,D.C. pp261-275.
  4. Goldbatt, L.A.1969.Aflatoxin.Academic Press,New York. pp1-40.
  5. Heathcote,J.G. and Hibbert,J.R. 1978. Aflatoxins : Chemical and biological aspect. Elsevier, New York.pp.173-186.
  6. Liener,I.E.1969.Toxin constituents of plant foodstuffs. Academic Press , New york.pp392-394.
  7. Wyllie,T.D. and Morchause,L.G. 1978.Mycotoxin Fungi, Mycotoxins, Mycotoxicoses-An Encyclopedic Handbook.Vols.1,2, and 3.Marcel Dekker,Inc.New york.


[Top of Page] [Abstract] [Introduction] [Occurence] [Factors favorizing aflatoxin production] [Aflatoxicosis and animal health] [Aflatoxins and human health] [Methods of analysis for aflatoxins] [Assessing human exposure to aflatoxins] [Control and management of aflatoxins] [Economic impact of aflatoxins] [References]


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