Retrospective and Prospective Look at Aflatoxin Research and Development from a Practical Standpoint.

Among the array of structurally and toxicologically diverse mycotoxins, aflatoxins have attracted the most interest of scientific research due to their high toxicity and incidence in foods and feeds. Despite the undeniable progress made in various aspects related to aflatoxins, the ultimate goal consisting of reducing the associated public health risks worldwide is far from being reached due to multiplicity of social, political, economic, geographic, climatic, and development factors. However, a reasonable degree of health protection is attained in industrialized countries owing to their scientific, administrative, and financial capacities allowing them to use high-tech agricultural management systems. Less fortunate situations exist in equatorial and sub-equatorial developing countries mainly practicing traditional agriculture managed by smallholders for subsistence, and where the climate is suitable for mould growth and aflatoxin production. This situation worsens due to climatic change producing conditions increasingly suitable for aflatoxigenic mould growth and toxin production. Accordingly, it is difficult to harmonize the regulatory standards of aflatoxins worldwide, which prevents agri-foods of developing countries from accessing the markets of industrialized countries. To tackle the multi-faceted aflatoxin problem, actions should be taken collectively by the international community involving scientific research, technological and social development, environment protection, awareness promotion, etc. International cooperation should foster technology transfer and exchange of pertinent technical information. This review presents the main historical discoveries leading to our present knowledge on aflatoxins and the challenges that should be addressed presently and in the future at various levels to ensure higher health protection for everybody. In short, it aims to elucidate where we come from and where we should go in terms of aflatoxin research/development.

Una aplicación app para el diagnóstico de los micetismos / A computer app for the diagnosis of mycetisms

Antecedentes y objetivo: La intoxicación por hongos no es muy frecuente pero sí potencialmente grave: su sintomatología es ambigua y tardía, requiere de habilidad y conocimientos para identificar el agente causante, etc. Disponer de herramientas de consulta rápida y eficiente puede ser una ayuda valiosa en medios como urgencias y atención primaria. Teniendo en cuenta la utilización generalizada de dispositivos móviles, el formato app se presenta como un diseño óptimo. Hasta donde alcanza el conocimiento de los autores, existen pocas aplicaciones dedicadas a la toxicología y menos a los micetismos. El objetivo del desarrollo de MicoApp es proporcionar una herramienta que facilite, sin sustituir su criterio clínico, el diagnóstico clínico y de laboratorio de los facultativos ante una posible intoxicación por hongos. Materiales y métodos: MicoApp ha sido desarrollada en un entorno key responsive adaptable a ordenadores personales y dispositivos móviles (smartphones, tabletas...) para ser utilizada con facilidad, relacionando aspectos de toxicología, medicina clínica, medicina de laboratorio y un diseño gráfico optimizado. Resultados y conclusiones: Es un producto de distribución gratuita, orientado al paciente, que contempla las intoxicaciones más frecuentes, los hongos más representativos y que contextualiza los cuadros clínicos y resultados de laboratorio en esta problemática. El contenido de MicoApp puede ser traducido, ampliado o enmendado fácilmente, si ello fuera necesario

Background and objective: Fungal poisoning is not very common, but it is potentially serious. It has ambiguous and delayed symptoms, requires skills and knowledge to identify the causal agent, etc. The tools available for a rapid and efficient diagnosis can be a valuable help in situations such as emergency departments or Primary Care. Taking into account the general use of mobile devices, the app format is presented as an optimal design. As far as the authors are aware, there are few apps dedicated to toxicology and even less to mycetisms (mushroom poisoning). The aim of developing a MycoApp is to provide a tool that makes it easier, without replacing their clinical and laboratory criteria, for doctors when faced with a possible poisoning by fungi. Materials and methods: MycoApp has been developed in a key responsive environment, adaptable to personal computers and mobile devices (smartphones, tablets...) to be used with ease, combining aspects of toxicology, clinical medicine, laboratory medicine, and an optimised graphics design. Results and conclusions: The product is distributed free, oriented towards the patient, and considers the most common poisonings, the most representative fungi, and contextualises clinical symptomatology and laboratory results of this problem. The contents of MycoApp can be translated, amplified, and easily amended, if necessary

Putative neuromycotoxicoses in an adult male following ingestion of moldy walnuts.

A tremorgenic syndrome occurs in dogs following ingestion of moldy walnuts, and Penicillium crustosum has been implicated as the offending fungus. This is the first report of suspected moldy walnut toxicosis in man. An adult male ingested approximately eight fungal-infected walnut kernels and after 12 h experienced tremors, generalized pain, incoordination, confusion, anxiety, and diaphoresis. Following symptomatic and supportive treatment at a local hospital, the man made an uneventful recovery. A batch of walnuts (approximately 20) was submitted for mycological culturing and identification as well as for mycotoxin analysis. Penicillium crustosum Thom was the most abundant fungus present on walnut samples, often occurring as monocultures on isolation plates. Identifications were confirmed with DNA sequences. The kernels and shells of the moldy walnuts as well as P. crustosum isolates plated on yeast extract sucrose (YES) and Czapek yeast autolysate (CYA) agars and incubated in the dark at 25 °C for 7 days were screened for tremorgenic mycotoxins and known P. crustosum metabolites using a liquid chromatography-tandem mass spectrometric (LC-MS/MS) method. A relatively low penitrem A concentration of only 1.9 ng/g was detected on the walnut kernels when compared to roquefortine C concentrations of 21.7 µg/g. A similar result was obtained from P. crustosum isolates cultured on YES and CYA, with penitrem A concentrations much lower (0.6-6.4 µg per g mycelium/agar) compared to roquefortine C concentrations (172-1225 µg/g). The authors surmised that besides penitrem A, roquefortine C might also play an additive or synergistic role in intoxication of man.

Evaluación del efecto tóxico de hongos Basidiomycota en la eclosión de quistes de Artemia franciscana / Evaluation of the toxicity of Basidiomycota fungi on the hatching of Artemia franciscana cysts

Antecedentes. El consumo de hongos silvestres se ha incrementado en los últimos años; sin embargo, no todos son comestibles y algunos son causantes de varios tipos de envenenamiento. Por esto es necesario realizar estudios que aporten información de su toxicidad. Artemia franciscana es un crustáceo que se emplea en ensayos de toxicidad con una gran aplicación en la detección de toxinas fúngicas. Objetivos. Determinar el porcentaje de inhibición de la eclosión y mortalidad de quistes de A. franciscana producidos por extractos de hongos de la división Basidiomycota. Métodos. Se prepararon extractos acuosos de basidiomas de 15 especies de basidiomicetos recolectados en Jalisco (México) y se probó el efecto de diferentes concentraciones sobre quistes de A. franciscana. Se utilizaron dicromato de potasio y agua de mar como controles positivo y negativo, respectivamente. Se determinaron los porcentajes de inhibición de la eclosión y de la mortalidad de los quistes de A. franciscana. Resultados. Trece de las 15 especies estudiadas afectaron en más del 80% la eclosión de los quistes de A. franciscana en todas las concentraciones probadas; en contraste, el dicromato de potasio inhibió la eclosión en menos del 50%. El mayor porcentaje de mortalidad en los quistes fue causado por los extractos acuosos de Amanita virosa, Leucopaxillus amarus y Tylopilus violatinctus, y el menor lo produjo el extracto de Macrolepiota mastoidea. Conclusiones. El ensayo con A. franciscana demostró ser eficaz en la evaluación de la toxicidad de los hongos, con la excepción de Scleroderma texense, que se considera venenoso, y que no resultó tóxico para este crustáceo (AU)

Background. The consumption of wild mushrooms has increased in recent years. However, not all mushrooms are edible and some of them may cause poisoning. Therefore, their toxicity needs to be studied. Artemia franciscana is a crustacean used in toxicity tests including toxins of fungi. Aims. To determine the percentage of inhibition and mortality produced by extracts of several basidiomycetes on the hatching of A. franciscana cysts. Methods. Aqueous extracts were prepared from 15 species of mushrooms collected from Jalisco state, Mexico. Different concentrations of the extracts were assayed in order to test their toxicity. Potassium dichromate and artificial seawater were the positive and negative controls, respectively. The percentages of hatching and mortality of the cysts were evaluated. Results. Inhibition of hatching greater than 80% in all the concentrations tested was found in 13 of the 15 species studied, in contrast to the positive control, which inhibited cyst hatching less than 50% in all cases. The highest percentage of mortality in the cysts was caused by the aqueous extracts of Amanita virosa, Leucopaxillus amarus, and Tylopilus violatinctus, and the lowest by Macrolepiota mastoidea. Conclusions. The brine shrimp bioassay appeared to be useful in the evaluation of the toxicity of several basidiomycetes, with the exception of Scleroderma texense, a mushroom considered poisonous, which showed no toxicity over A. franciscana (AU)

Current Understanding of Acute Bovine Liver Disease in Australia.

Acute bovine liver disease (ABLD) is a hepatotoxicity principally of cattle which occurs in southern regions of Australia. Severely affected animals undergo rapid clinical progression with mortalities often occurring prior to the recognition of clinical signs. Less severely affected animals develop photosensitization and a proportion can develop liver failure. The characteristic histopathological lesion in acute fatal cases is severe, with acute necrosis of periportal hepatocytes with hemorrhage into the necrotic areas. Currently there are a small number of toxins that are known to cause periportal necrosis in cattle, although none of these have so far been linked to ABLD. Furthermore, ABLD has frequently been associated with the presence of rough dog's tail grass (Cynosurus echinatus) and Drechslera spp. fungi in the pasture system, but it is currently unknown if these are etiological factors. Much of the knowledge about ABLD is contained within case reports, with very little experimental research investigating the specific cause(s). This review provides an overview of the current and most recently published knowledge of ABLD. It also draws on wider research and unpublished reports to suggest possible fungi and mycotoxins that may give rise to ABLD.

Diagnosis of intoxications of piglets fed with Fusarium toxin-contaminated maize by the analysis of mycotoxin residues in serum, liquor and urine with LC-MS/MS.

Concentrations of zearalenone (ZEN), deoxynivalenol (DON) and their metabolites α-zearalenol (α-ZEL), ß-zearalenol (ß-ZEL), zearalanone (ZAN), α-zearalanol (α-ZAL), ß-zearalanol (ß-ZAL) and de-epoxy-deoxynivalenol (de-DON) in serum, liquor and urine of female piglets fed diets containing 0.01, 0.05, 0.08, 0.17 and 0.29 mg ZEN/kg and 0.03, 0.59, 1.27, 2.01 and 4.52 mg DON/kg during 29 days of treatment were analysed. After 1, 3, 8, 15, 22 and 29 days, four piglets per group were slaughtered. The simultaneous determination of all analytes was carried out using a sensitive and selective in-house-validated liquid chromatography tandem mass spectrometry (LC-MS/MS) method after sample preparation with Oasis™ HLB columns. ZEN, α-ZEL, DON and de-DON were detected in serum, whereas in liquor only ZEN, DON and de-DON were found at lower concentrations. In urine, all analytes were detected in considerably higher concentrations as in serum and liquor, whereby α- and ß-ZAL could only be detected sporadically. Apart from ZEN in liquor and α- and ß-ZAL in urine, the mycotoxin concentrations increased with increasing concentrations of Fusarium toxins in the diet. The toxin intake per kg body weight 3-4 h prior to slaughtering correlated well with the DON and the sum of DON and de-DON concentrations in all three specimens as well as with the ZEN, α-ZEL and the sum of ZEN and metabolite concentrations in urine. Due to the high correlation between the dietary DON concentration and the DON (r = 0.855) and the sum of DON and de-DON (r = 0.870) concentration in serum, the exposure to DON can be evaluated. Moreover, serum levels of these toxins indicative of an exceeding of the guidance value in feed can be established using the corresponding regression equations. Strictly speaking, these relationships are only valid for the experimental conditions of the underlying experiment. For practical application of these relationships, the individual variation needs to be additionally considered. Effects of the duration of toxin exposure within the feeding groups were observed for ZEN, DON and de-DON in all specimens as well as for α-ZEL, ß-ZEL and ZAN in urine.

Tremorgenic mycotoxicosis in dogs.

Ingestion of tremorgenic mycotoxins formed in spoiled food can cause an acute tremor syndrome, the severity of which can range from mild to life-threatening. Swift recognition of the likely cause is required for accurate prognostication and rapid institution of appropriate therapy, which leads to complete resolution in most cases.

Simultaneous LC-MS/MS determination of aflatoxin M1, ochratoxin A, deoxynivalenol, de-epoxydeoxynivalenol, α and ß-zearalenols and fumonisin B1 in urine as a multi-biomarker method to assess exposure to mycotoxins.

Humans and animals can be simultaneously exposed through the diet to different mycotoxins, including aflatoxins, ochratoxin A, deoxynivalenol, zearalenone, and fumonisins, which are the most important. Evaluation of the frequency and levels of human and animal exposure to these mycotoxins can be performed by measuring the levels of the relevant biomarkers in urine. Available data on the toxicokinetics of these mycotoxins in animals suggest that aflatoxin M(1) (AFM(1)), ochratoxin A (OTA), deoxynivalenol (DON)/de-epoxydeoxynivalenol (DOM-1), alpha-zearalenol (α-ZOL)/beta-zearalenol (ß-ZOL), and fumonisin B(1) (FB(1)) can be used as urinary biomarkers. A liquid chromatographic-tandem mass spectrometric method has been developed for simultaneous determination of these mycotoxin biomarkers in human or animal urine. Urine samples were purified and concentrated by a double cleanup approach, using a multitoxin immunoaffinity column and a reversed-phase SPE Oasis HLB column. Separation of the biomarkers was performed by reversed-phase chromatography using a multi-step linear methanol-water gradient containing 0.5% acetic acid as mobile phase. Detection and quantification of the biomarkers were performed by triple quadrupole mass spectrometry (LC-ESI-MS/MS). The clean-up conditions were optimised to obtain maximum analyte recovery and high sensitivity. Recovery from spiked samples was performed at four levels in the range 0.03-12 ng mL(-1), using matrix-matched calibration curves for quantification. Mean recoveries of the biomarkers tested ranged from 62 to 96% with relative standard deviations of 3-20%. Enzymatic digestion with ß-glucuronidase/sulfatase resulted in increased concentrations of the biomarkers, in both human and pig urine, in most samples containing measurable concentrations of DON, DOM-1, OTA, α-ZOL, or ß-ZOL. A highly variable increase was observed between individuals. Co-occurrence of OTA and DON in human urine is reported herein for the first time.

Staggers in horses grazing paspalum infected with Claviceps paspali.

Invasion of the flowering heads of grasses by Claviceps spp. can produce sclerotia (ergots) containing several toxins. Ingestion of these toxins, through the consumption of paspalum (Paspalum dilatatum), can induce a range of clinical symptoms, including staggers. Cattle are the most commonly affected species, but although sheep and horses have been reported affected there are no published descriptions of paspalum staggers in horses. We describe two occurrences of paspalum staggers, the first in three Australian Stockhorse foals and the second in mature Standardbred horses. All three foals presented with ataxia in all limbs after consuming infected paspalum. One foal died from misadventure and the other two recovered within 1 week of removal from the infected paddock. In the second case, two of eight mares and geldings grazing in an irrigation channel developed hindquarter paresis. After removal of all horses from the area, one of the affected horses continued to deteriorate. Both horses were treated with antibiotics. The more severely affected horse was also treated with fluids and electrolytes, but had to be euthanased. The second affected horse recovered after 2 days. Paspalum pastures should inspected for Claviceps paspali infection before the introduction of horses.

The treatment of patients with mycotoxin-induced disease.

Twenty-eight incapacitated individuals (average 43 years old, 7 males, 21 females, range 12-70) exposed to molds and mycotoxins were studied and treated with a protocol of cleaning up or changing their environment to be mold free. Injections of the optimum dose of antigens were given as part of the treatment protocol as was oral and intravenous (i.v.) antioxidants; heat depuration (sauna); physical therapy with massage and exercise under environmentally controlled conditions; oxygen therapy at 4-8 L/min for 2 hours with a special wood-grade cellophane reservoir and a glass oxygen container. Many patients were sensitive to plastics; therefore, exposures to these were kept to a minimum. Autogenous lymphocytic factor was given as an immune modulator. Of 28 patients, 27 did well and returned to work. One patient improved but did not return to work during the period of study.

Presumptive tremorgenic mycotoxicosis in a dog in New Zealand, after eating mouldy walnuts.

CASE HISTORY: A 1-year-old, intact male Labrador-cross dog vomited after eating walnuts that had been on the ground for 5 months. The dog then developed tremors, ataxia, increased salivation, and hyperaesthesia. CLINICAL FINDINGS: The dog had marked generalised tremors, ataxia and a temperature of 39.9 degrees C. Both pupils were of normal size and normally responsive to light. Vomiting was induced, and walnut shell was visible in the vomitus. DIAGNOSIS: Due to the sudden onset of tremors, lack of exposure to other convulsive toxins, and the evidence of ingestion of walnuts, the provisional diagnosis was tremorgenic mycotoxicosis. The dog was treated symptomatically, and made a full recovery over 18 hours. Tremorgenic mycotoxins were detected within walnuts collected from the dog's environment. CLINICAL RELEVANCE: Fungi that produce tremorgenic mycotoxins are present in New Zealand. Intoxication should be suspected in dogs that suddenly develop muscle tremors, especially if there is a history of ingestion of mouldy food 2-3 hours prior to the development of tremors.

Investigación del efecto de las micotoxinas en el ser humano / Micotoxins research in humans

El propósito de esta investigación es estudiar la presencia de las aflatoxinasen Ecuador. El escaso conocimiento en nuestro país a este respecto,nos llevó a un equipo de investigadores de las universidades de Guayaquil yAgraria del Ecuador, a realizar un proyecto de investigación, titulado“Las aflatoxinas y otras micotoxinas en los alimentos y su relación con lasalud humana en nuestro medio”. Siendo la micotoxicosis aquella intoxicaciónresultante de la ingesta de los metabolitos secundarios producidos pordiferentes especies de mohos que generan diferentes cuadros clínicos,¿por qué no investigar metabolitos de Aspergillus en la orina de una pacientecon aspergiloma pulmonar? Consideramos que el propio organismo podríagenerar metabolitos secundarios, por lo que incluimos en este estudio nuestrocaso de aspergiloma pulmonar comprobado. La determinación de lasmicotoxinas se realizó por ELISA, utilizando reactivos específicos de NeogenCorporation, que permiten determinaciones cuantitativas en orina. Se instauróa la paciente tratamiento con itraconazol durante nueve meses, realizandocontroles clínicos, radiológicos y determinación de aflatoxinas. Se estudiaron,también, tres casos de niños con desnutrición en grado III, detectándoseúnicamente la presencia de vomitoxina. Además, se encontraron trazas deaflatoxinas en uno de tres casos de otomicosis por Aspergillus niger(AU)

Micotoxins research in humansThis study investigates the occurrence of aflatoxines in Ecuador. Earlyinvestigators proved the presence of aflatoxins on human and animal food, butthe disturbing data lead to the formation of two research teams at GuayaquilUniversity and the Agrarian University of Ecuador to investigate aflaxotins andother mycotoxins on food and its relationship to human health. Because theconcept of mycotoxicosis as a result of the secondary metabolites producedby different species of moulds could cause different clinical patterns, theresearch team includes Aspergillus metabolites found in the urine for a patientwith pulmonary aspergilloma. We considered that the body itself could createsecondary metabolites. An ELISA method was used to detect mycotoxins withthe specific reactive compounds using a company base assay. This allows thedetection quantitative of such metabolites in 24 h collected urine. The patientwas treated with itraconazol for nine months, after clinical, radiological andaflatoxins testing. We also investigated three other cases in children with asecond level of malnutrition and only with vomitoxins results and on threeinvestigated cases of otomycosis caused by Aspergillus niger only in one casetraces of aflatoxins was found(AU)

Some major mycotoxins and their mycotoxicoses--an overview.

Mycotoxins likely have existed for as long as crops have been grown but recognition of the true chemical nature of such entities of fungal metabolism was not known until recent times. Conjecturally, there is historical evidence of their presence back as far as the time reported in the Dead Sea Scrolls. Evidence of their periodic, historical occurrence exists until the recognition of aflatoxins in the early 1960s. At that time mycotoxins were considered as a storage phenomenon whereby grains becoming moldy during storage allowed for the production of these secondary metabolites proven to be toxic when consumed by man and other animals. Subsequently, aflatoxins and mycotoxins of several kinds were found to be formed during development of crop plants in the field. The determination of which of the many known mycotoxins are significant can be based upon their frequency of occurrence and/or the severity of the disease that they produce, especially if they are known to be carcinogenic. Among the mycotoxins fitting into this major group would be the aflatoxins, deoxynivalenol, fumonisins, zearalenone, T-2 toxin, ochratoxin and certain ergot alkaloids. The diseases (mycotoxicoses) caused by these mycotoxins are quite varied and involve a wide range of susceptible animal species including humans. Most of these diseases occur after consumption of mycotoxin contaminated grain or products made from such grains but other routes of exposure exist. The diagnosis of mycotoxicoses may prove to be difficult because of the similarity of signs of disease to those caused by other agents. Therefore, diagnosis of a mycotoxicoses is dependent upon adequate testing for mycotoxins involving sampling, sample preparation and analysis.

Biomarcadores para avaliação da exposição humana às micotoxinas / Biomarkers for assessment of human exposure to mycotoxins

Atualmente, as micotoxinas representam um risco de contaminação ambiental, acarretando sérios prejuízos à saúde humana. Essas toxinas podem estar presentes em diferentes tipos de alimentos, que constituem a principal fonte de exposição para o homem. As exposições podem ser monitoradas através do uso de biomarcadores, que elucidam a relação causa/efeito e dose/efeito na avaliação de risco à saúde para fins de diagnóstico clínico e laboratorial. Realizou-se uma revisão bibliográfica do período de 1981-2005, no MEDLINE, sobre utilização e propostas de biomarcadores para a exposição a aflatoxinas, fumonisinas, desoxinivalenol e ocratoxina A. Os possíveis biomarcadores para avaliar a exposição humana às aflatoxinas foram os metabólitos urinários de aflatoxina B1, como aflatoxina M1, aflatoxina P1, aflatoxina Q1, aflatoxina livre em soro ou plasma, os adutos de AFB-N7-guanina, os adutos de albumina ou mutação no gene supressor de tumor p53, presentes em fluidos biológicos. Para as fumonisinas, os biomarcadores foram os níveis de fumonisina B1 e fumonisina B2 livres, ou de esfinganina e esfingosina em sangue e urina. O desoxinivalenol tem como biomarcadores de exposição os produtos de seu metabolismo e adutos macromoleculares (proteína/DNA) presentes nos fluidos biológicos. Para a exposição à ocratoxina A (OA) os biomarcadores se restringem à quantificação da própria toxina nos fluidos biológicos. A avaliação da exposição às micotoxinas constitui um importante aspecto para a saúde pública, tendo em vista a possibilidade de prevenir ou minimizar a incidência de doenças decorrentes da sua interação com o organismo.

Currently, mycotoxins represent a risk of environmental contamination, causing serious damages to human health. Those toxins can be found in different kinds of foods, and they constitute the main source of human exposure. The evaluation of such exposures can be monitored through the use of biomarkers, which elucidates the cause/effect and dose/effect relation in the evaluation of health risks for clinical and laboratory diagnostic purposes. The MEDLINE review about the use of biomarkers for assessment of aflatoxins, fumonisins, deoxynivalenol and ochratoxin A was carried out from 1981 to 2005. The biomarkers for assessment of human exposure to aflatoxins were the urinary metabolites of aflatoxin B1: aflatoxin M1, aflatoxin P1, aflatoxin Q1, the free aflatoxin in serum or plasma, the AFB-N7-guanine adducts and the albumin adducts or mutation in the tumour suppressor gene p53 present in human biological fluids. As far as fumonisins are concerned, levels of free fumonisin B1 and fumonisin B2, or levels of sphinganine and sphingosin, were quantified in blood and urine. As exposure biomarkers, deoxynivalenol has its own metabolism products and adducts (protein/DNA) present in human fluids. As to ochratoxin A exposure, we measure it in biological fluids, once it enables us to prevent or minimize the incidence of deaths or illnesses provoked by chemical exposure.

Hongos toxicogénicos contaminantes de frutos de alpataco / Putative mycotoxin-producing fungi isolated from “alpataco” (Prosopis flexuosa) fruits

Se estudió la presencia de hongos potencialmente toxicogénicos en frutos dealpataco (Prosopis flexuosa D.C. var. depressa Roig) recolectados en laprovincia de La Pampa, Argentina. Las especies predominantes fueronAlternaria alternata y Sphaeropsis sapinea. En menor proporción se aislaronPhoma sp., Nigrospora sp., Preussia minima, Cladosporium sp., Pithomyceschartarum, Epicoccum nigrum, Aspergillus niger y Aspergillus speluneus.La capacidad para producir micotoxinas se determinó en 12 cepas deAlternaria alternata, única especie potencialmente toxicogénica aislada conrelativa frecuencia. Dos cepas produjeron ácido tenuazónico (AT), alternariol(AOH) y alternariol-metil-éter (AME), seis produjeron AOH y AME, una produjosolamente AME y las tres restantes resultaron no toxicogénicas. Losresultados de este estudio preliminar indican un riesgo potencial decontaminación con toxinas de Alternaria en la harina de alpataco, de crecienteuso en la alimentación humana y animal en ciertas áreas geográficas(AU)

Fungi contaminant of “alpataco” (Prosopis flexuosa) fruits from “La Pampaprovince” (Argentina) were identified. Alternaria alternata and Sphaeropsissapinea were the dominant species. Phoma sp., Nigrospora sp., Preussiaminima, Cladosporium sp., Pithomyces chartarum, Epicoccum nigrum,Aspergillus niger and Aspergillus speluneus were also isolated but with lessfrequency. Twelve strains of Alternaria alternata, the toxigenic species withhigher incidence, were screened for alternariol (AOH), alternariol monomethylether (AME) and tenuazonic acid (TA) production. Since one isolate was ableto produce AME, six isolates produced AOH and AME and two isolatesproduced AOH, AME and TA, these results indicate a potential risk ofcontamination with Alternaria toxins in this substrate(AU)

What the primary care pediatrician should know about syndromes associated with exposures to mycotoxins.

Disease associated with exposure to mycotoxins is known as the "Great Masquerader" of the 21st century because of its complex natural history involving different tissues and resembling different diseases at each stage in its evolution. It can present with a variety of nonspecific clinical signs and symptoms such as rash, conjunctivitis, epistaxis, apnea, cough, wheezing, nausea, and vomiting. Some cases of vomiting illness, bone marrow failure, acute pulmonary hemorrhage, and recurrent apnea and/or "pneumonia" are associated with exposure to mycotoxins. Familiarity with the symptoms of exposure to the major classes of mycotoxins enables the clinician to ask pertinent questions about possible fungal exposures and to remove the infant or child from the source of exposure, which could be contaminated food(s), clothing and furniture, or the indoor air of the home. Failure to prevent recurrent exposure often results in recurrent illness. A variety of other conditions, including hepatocellular and esophageal cancer and neural tube defects, are associated with consumption of foods contaminated with mycotoxins. Awareness of the short- and long-term consequences of exposures to these natural toxins helps pediatricians to serve as better advocates for children and families.

Effects of feeding Fusarium verticillioides (formerly Fusarium moniliforme) culture material containing known levels of fumonisin B1 in Japanese quail (Coturnix coturnix japonica).

One hundred fifty 1-d-old quail chicks (Coturnix coturnix japonica) were divided into 2 groups. The 2 groups were designated as controls (CX) and fumonisin-fed birds (FX) with each containing 50 and 100 chicks, respectively. The birds in group CX were maintained on quail mash alone, whereas the birds in group FX were maintained on diets supplemented with 300 ppm of fumonisin B1 from Fusarium verticillioides (formerly Fusarium moniliforme) culture material from 1 d. Quail chicks in both groups were examined daily for clinical signs and mortality. Five randomly selected quail from each group were individually weighed on 0, 7, 14, 21, and 28 d post-feeding (DPF). After weighing, blood was collected from these birds at 7, 14, 21, and 28 DPF for hematological studies and at 14, 21, and 28 DPF for biochemical studies. Fumonisin B1-fed birds (FX) had ruffled feathers, reduced feed and water intake, poor body growth, and greenish mucus diarrhea with 59% mortality. Nearly 30% of the fumonisin B1-fed birds showed nervous signs during the 4-wk experimental period. From 7 DPF onward, BW in group FX were significantly lower than those in group CX. Fumonisin feeding significantly increased hemoglobin, packed cell volume, total erythrocyte count, and total leukocyte count. There was also a significant increase in aspartate transaminase and alanine transaminase in the fumonisin-fed group. Fumonisins significantly increased concentrations of total serum protein and albumin on 14 and 21 DPF, serum calcium and cholesterol levels from 14 DPF onward, and creatinine from 21 DPF onward. This study revealed that the addition of F. verticillioides culture material supplying a level of 300 ppm of FB1/kg of diet is highly toxic to quail chicks, resulting in heavy mortality, decreased growth rate, and significant alterations in hemato-biochemical parameters.

Acute aflatoxicosis: case report.

The objective of this presentation is to document the salient clinical findings in a case of aflatoxicosis and to review the literature on the same so as to increase the index of suspicion, enhance early diagnosis and improve management. The case was a 17-year-old schoolboy presenting with vomiting, features of infection and gastrointestinal tract symptoms. Examination revealed a very ill looking pale patient with abdominal distension, tenderness and rectal bleeding and easy bruisability. Investigations showed abnormal liver function tests, pancytopenia and elevated serum levels of aflatoxins. Management consisted of supportive care including antibiotics and antifungal therapy, transfusion of red blood cells and fresh frozen plasma. His recovery was uneventful. The literature on human aflatoxicosis shows that the presentation may be acute, subacute and chronic. The degree of emanating clinical events also conforms to status of the aflatoxicosis. Overall, the features are protean and may masquerade many other forms of toxaemias. In conclusion, the diagnosis of aflatoxicosis takes cognisance of geographical location, past events, staple diet and clinical features to exclude other infections. Also required are high index of suspicion and importantly serum levels of aflatoxin. Treatment strategies involved use of antimicrobials and supporting the damaged multi-organs.

Effect of foodstuff contamination by aflatoxin on the one-humped camel (Camelus dromedarius) in Al Ain, United Arab Emirates.

Twenty young female adult one-humped racing camels (Camelus dromedarius) kept in camps scattered outside Al Ain city and aged between 3- and 6-years-old, died after a short clinical illness. Affected camels were dull, inappetant and pyrexic, with submandibular oedema and enlargement of submandibular lymph nodes. Of 100 camels within the camps, 31 showed clinical signs. At necropsy examination, the liver of dead animals appeared yellowish, enlarged, congested and friable. The main hepatic histological findings were centrolobular necrosis, haemorrhages and cellular vacuolation. Aflatoxins were detected in sera, liver, ruminal contents and in feed ingested by affected animals. Sera of symptomatic and recovered camels also showed increased levels of glutamic oxaloacetic transaminases, glutamic pyruvic transaminases, aspartate transaminases, gamma glutamyl transaminases, glucose, urea nitrogen, phosphorus and total iron. Decreased levels of albumin, calcium, cholesterol and triglycerides were also observed. It was probable that aflatoxicosis was responsible for clinical signs and subsequent death of the camels. The need for suitable and appropriate storage conditions of animal feed to prevent fungal growth and aflatoxin contamination is highlighted.