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PRESENCE OF AFLATOXINS IN SMOKED-DRIED FISH SOLD<br />
IN ABEOKUTA, OGUN STATE, SOUTHWESTERN NIGERIA<br />
ADEJOLA QUADRI ADETAYO<br />
(2006/0767)<br />
A PROJECT REPORT SUBMITTED TO THE DEPARTMENT<br />
OF AQUACULTURE AND FISHERIES MANAGEMENT<br />
COLLEGE OF ENVIRONMENTAL RESOURCES<br />
MANAGEMENT<br />
UNIVERSITY OF AGRICULTURE, ABEOKUTA<br />
IN PARTIAL FULFILLMENT OF THE REQUIREMENTS FOR<br />
THE AWARD OF BACHELOR OF AQUACULTURE AND<br />
FISHERIES MANAGEMENT.<br />
JUNE, 2011.<br />
i
CERTIFICATION<br />
I certify that this project was carried out by Adejola Quadri Adetayo <strong>of</strong> the Department <strong>of</strong><br />
Aquaculture and Fisheries Management, College <strong>of</strong> Environmental Resources Management,<br />
University <strong>of</strong> Agriculture Abeokuta, Ogun State Nigeria., and the report was prepared under my<br />
supervision.<br />
.................................... ...............................<br />
Pr<strong>of</strong>. G.N.O. Ezeri<br />
Date<br />
Supervisor<br />
........................................... ..................................<br />
Pr<strong>of</strong>. Y. Akegbejo-Samsons<br />
Date<br />
Head <strong>of</strong> Department,<br />
Aquaculture and Fisheries Management<br />
ii
DEDICATION<br />
I dedicate this work to Almighty Allah who willed every be<strong>in</strong>g to be orderly, well calculated,<br />
created as He willed and the giver <strong>of</strong> knowledge. To my parents, Mr. and Mrs. R. A. Adejola.<br />
Also, to Late Agoro Adey<strong>in</strong>ka, may Allah make him one <strong>of</strong> the dwellers <strong>of</strong> paradise.<br />
iii
ACKNOWLEDGEMENT<br />
All praises and gratitude goes to Almighty Allah who has given me the great privilege and<br />
strength to have gone this far. It would never have been possible without Him.<br />
I appreciate the great effort <strong>of</strong> my supervisor, Pr<strong>of</strong>. G.N.O. Ezeri. Thank you sir for ensur<strong>in</strong>g that<br />
my work is well done despite your busy schedule. Also to other lecturers <strong>in</strong> the department who<br />
have nurtured me till this moment; Pr<strong>of</strong>. Akegbejo-Samsons, Pr<strong>of</strong>. Otubus<strong>in</strong>, Dr. Idowu, Dr.<br />
Agbon, Dr. Abdul, just a few to mention, I say thank you.<br />
My successful journey <strong>in</strong> life has been accomplished with the moral, physical, f<strong>in</strong>ancial, and<br />
spiritual support <strong>of</strong> my Parents, Mr. and Mrs. R.A. Adejola. I am most grateful. May Allah<br />
cont<strong>in</strong>ue to shower His bless<strong>in</strong>gs on you and strengthen you.<br />
My acknowledgement will be <strong>in</strong>complete without appreciat<strong>in</strong>g my sibl<strong>in</strong>gs, Yusuf, Abdul Afeez,<br />
and Moshood, and to my cous<strong>in</strong>s, Mrs. Am<strong>in</strong>ah, Mrs Ogunbiyi (Nee Adejola), Abdul Rahman<br />
and Ahmed Adejola.<br />
I also commend the effort <strong>of</strong> my dear brothers Abdul Akeem, Ismael, Hasheem and Adeseye for<br />
their moral support. To my very dear friends, AbdulQodri, Hamzah, Gophuroh, Abdul Afeez,<br />
Necholas, khaleed, Idris Adenekan, Olabisi, Seun, Oriyomi, Michael, Asiwaju, Olanrewaju. I<br />
appreciate you all.<br />
iv
TABLE OF CONTENTS<br />
Title Page<br />
Certification<br />
Dedication<br />
Acknowledgement<br />
Table <strong>of</strong> Contents<br />
List <strong>of</strong> Tables<br />
List <strong>of</strong> Plates<br />
List <strong>of</strong> Figures<br />
Abstract<br />
i<br />
ii<br />
iii<br />
iv<br />
v<br />
vii<br />
ix<br />
x<br />
xi<br />
CHAPTER ONE<br />
1.0 INTRODUCTION 1<br />
1.1 Aflatox<strong>in</strong> 2<br />
1.1.1 Physical Characteristics 3<br />
1.1.2 Chemical Properties 3<br />
1.1.3 Biology <strong>of</strong> A. Flavus and A. Parasiticus 4<br />
1.1.4 Effect on Human Health 6<br />
1.1.5 Acute toxicity 7<br />
1.1.6 Chronic Toxicity 7<br />
1.1.7 Cellular Effects 8<br />
1.2 Objectives 8<br />
1.3 Justification 8<br />
v
CHAPTER TWO<br />
2.0 LITERATURE REVIEW 9<br />
2.1 Fungi Produc<strong>in</strong>g Aflatox<strong>in</strong>s 10<br />
2.2 Production and Reduction 12<br />
2.3 Uses 13<br />
2.4 Formation and Occurence 13<br />
2.4.1 Prevalence <strong>of</strong> Toxigenic Species <strong>in</strong> Foods 13<br />
2.4.2 Factors Affect<strong>in</strong>g Formation <strong>of</strong> Aflatox<strong>in</strong>s <strong>in</strong> Foods 13<br />
2.4.3 Occurrence 14<br />
2.5 Presence <strong>in</strong> Human Biological Fluids 14<br />
2.6 Absorption, Metabolism and Excretion <strong>in</strong> Humans 15<br />
2.7 Toxic Effects <strong>in</strong> Humans 16<br />
2.7.1 Immuno-suppression 17<br />
2.7.2 Reproductive and Developmental effects <strong>in</strong> Humans 18<br />
2.7.3 Genetic and Related Effects <strong>in</strong> Humans 20<br />
2.8 Studies <strong>of</strong> Cancer <strong>in</strong> Humans 21<br />
2.9 Human Biological Fluids 22<br />
2.10 Cases–Control Studies 23<br />
2.11 Analysis <strong>of</strong> Aflatox<strong>in</strong> <strong>in</strong> Foods 23<br />
2.12 Regulations and Guidel<strong>in</strong>es 25<br />
2.13 Outstand<strong>in</strong>g Health Questions <strong>in</strong> Aflatox<strong>in</strong> Management 27<br />
vi
CHAPTER THREE<br />
3.0 MATERIALS AND METHODS 28<br />
3.1 Sample Collection 28<br />
3.2 Assay Pr<strong>in</strong>ciples 28<br />
3.3 Materials Provided 28<br />
3.4 Sample Preparation and Extraction 29<br />
3.5 Test Procedure 30<br />
3.6 Statistical Analysis 31<br />
CHAPTER FOUR<br />
4.0 Result 32<br />
4.1 Sample Analysis 32<br />
CHAPTER FIVE<br />
5.0 DISCUSSION, CONCLUSION AND RECOMMENDATIONS 38<br />
5.1 Discussion 38<br />
5.1 Conclusion 39<br />
5.2 Recommendations 40<br />
REFERENCES 41<br />
APPENDIX 49<br />
vii
LIST OF TABLES<br />
Table 1: Melt<strong>in</strong>g-Po<strong>in</strong>ts and Ultraviolet Absorption <strong>of</strong> Aflatox<strong>in</strong>s 5<br />
Table 2: Analytical methods validated by AOAC International and the EU 24<br />
Table 3: The FDA regulatory levels for Aflatox<strong>in</strong>s 26<br />
Table 4: The identified <strong>smoked</strong>-<strong>dried</strong> <strong>fish</strong>es sampled from the two markets<br />
(Itoku and Lafenwa) total<strong>in</strong>g fifty 32<br />
Table 5: Result <strong>of</strong> Laboratory Analysis for the Aflatox<strong>in</strong> Levels <strong>of</strong> the Smoked-<strong>dried</strong><br />
Fishes sampled from the two markets 35<br />
viii
LIST OF PLATES<br />
Plate 1: Ethmalosa fimbriata 33<br />
Plate 2: Synodontis budgeti 33<br />
Plate 4: Ilisha africana 33<br />
Plate 5: Calamoichthys calabaricus 33<br />
Plate 5: Clarias gariep<strong>in</strong>us 34<br />
Plate 6: Schilbe uranoscopus 34<br />
Plate 7: Chrysichthys nigrodigitatus 34<br />
Plate 8: Gymnallabes typus 34<br />
Plate 9: Cynoglossus browni 34<br />
Plate 10: Alestes nurse 34<br />
ix
LIST OF FIGURES<br />
Figure 1: Aflatox<strong>in</strong> concentrations <strong>in</strong> the different <strong>smoked</strong>-<strong>dried</strong> <strong>fish</strong> samples 36<br />
x
ABSTRACT<br />
This study was aimed to estimate the aflatox<strong>in</strong> contam<strong>in</strong>ation <strong>of</strong> <strong>smoked</strong>-<strong>dried</strong> <strong>fish</strong> samples <strong>of</strong><br />
Sole, Cat<strong>fish</strong>, Silverside, Silver cat<strong>fish</strong>, West African shad, Mud Cat<strong>fish</strong>, Bonga, Cat<strong>fish</strong>, Rope<br />
and Butter <strong>fish</strong> <strong>in</strong> Abeokuta, Ogun State, Southwestern Nigeria. Fifty <strong>smoked</strong>-<strong>dried</strong> <strong>fish</strong> samples<br />
<strong>sold</strong> at two different markets <strong>in</strong> Abeokuta town; Lafenwa and Itoku <strong>in</strong> Abeokuta, Ogun State,<br />
Nigeria were found to be lightly contam<strong>in</strong>ated with aflatox<strong>in</strong>, after test<strong>in</strong>g for their aflatox<strong>in</strong><br />
levels us<strong>in</strong>g Veratox quantitative aflatox<strong>in</strong> test.<br />
The Aflatox<strong>in</strong> concentrations <strong>in</strong> the samples were between 0.030ppb-1.150ppb with a mean <strong>of</strong><br />
0.5980±0.1050 ppb. Rope <strong>fish</strong> had the lowest aflatox<strong>in</strong> concentration while Mud cat<strong>fish</strong> had the<br />
highest aflatox<strong>in</strong> concentration respectively. Aflatox<strong>in</strong>s are known to be carc<strong>in</strong>ogenic (caus<strong>in</strong>g<br />
hepatoma – cancer <strong>of</strong> the liver), acute hepatitis, reduced red blood cell and decreased immune<br />
system <strong>in</strong> man. Prolonged <strong>in</strong>take <strong>of</strong> <strong>smoked</strong> <strong>fish</strong> with these metabolites may constitute potential<br />
public health hazard.<br />
In conclusion <strong>smoked</strong>-<strong>dried</strong> <strong>fish</strong>es stored for sale <strong>in</strong> Abeokuta markets were not heavily<br />
contam<strong>in</strong>ated with <strong>aflatox<strong>in</strong>s</strong>.<br />
xi
CHAPTER ONE<br />
1.0 INTRODUCTION<br />
Fish is an important source <strong>of</strong> food and <strong>in</strong>come to many people <strong>in</strong> the develop<strong>in</strong>g world. In<br />
Africa, some 5 percent <strong>of</strong> the population, about 35 million people, depend wholly or partly on<br />
the <strong>fish</strong>eries sector, mostly artisanal <strong>fish</strong>eries, for their livelihood.<br />
Fish supplies a good balance <strong>of</strong> prote<strong>in</strong>, vitam<strong>in</strong>s and m<strong>in</strong>erals. It has a relatively 10% calories<br />
content hence its role <strong>in</strong> nutrition is recognized. Fish and <strong>fish</strong> products constitute more than 60%<br />
<strong>of</strong> the total prote<strong>in</strong> <strong>in</strong>take <strong>in</strong> adults especially <strong>in</strong> the rural areas. They are widely accepted on the<br />
menu card and form a much-cherished delicacy that cuts across socio economic, age, religious<br />
and educational barriers Fish flesh is one <strong>of</strong> the best sources <strong>of</strong> prote<strong>in</strong>. Its flesh is tender due to<br />
bundles <strong>of</strong> muscle fibers, which are held together by fibrous material when heated. It is better<br />
digested than beef or other types <strong>of</strong> prote<strong>in</strong>.<br />
In Nigeria, <strong>fish</strong> is eaten fresh, preserved or processed. The percentage composition <strong>of</strong> the<br />
different methods <strong>of</strong> <strong>fish</strong> disposed for consumption <strong>in</strong> the artisanal sector accord<strong>in</strong>g to Tobor<br />
(2004) are as follows live <strong>fish</strong> 7%, fresh <strong>fish</strong> 27%, smoke <strong>dried</strong> 45%, sun <strong>dried</strong> 20% salted and<br />
sun <strong>dried</strong> 10%. Various traditional methods are employed to preserve and process <strong>fish</strong> for<br />
consumption and storage. These <strong>in</strong>clude smok<strong>in</strong>g, dry<strong>in</strong>g, salt<strong>in</strong>g, fry<strong>in</strong>g and ferment<strong>in</strong>g and<br />
various comb<strong>in</strong>ations <strong>of</strong> these. In Nigeria, smok<strong>in</strong>g is the most widely practiced method.<br />
Practically all species <strong>of</strong> <strong>fish</strong> available <strong>in</strong> the country can be <strong>smoked</strong> and it has been estimated<br />
that 70-80 percent <strong>of</strong> the domestic mar<strong>in</strong>e and freshwater catch is consumed <strong>in</strong> <strong>smoked</strong> form.<br />
Smoke dry<strong>in</strong>g methods used <strong>in</strong> Nigeria requires low capital, <strong>in</strong>vestment and it is conducted <strong>in</strong><br />
<strong>fish</strong>ermen camps and <strong>fish</strong> process<strong>in</strong>g centuries <strong>in</strong> traditional smok<strong>in</strong>g kilns <strong>of</strong> clay, cement<br />
blocks, drums or iron sheets This result <strong>in</strong> a very short shelf life and low market value as well as<br />
<strong>in</strong>ability to withstand handl<strong>in</strong>g and transportation by retailers (Eyo, 1992).<br />
Smoked <strong>fish</strong> constitute a major source <strong>of</strong> animal prote<strong>in</strong> for a vast majority <strong>of</strong> the population <strong>in</strong><br />
Nigeria, particularly the rural population. These products can be kept for 2-4 weeks <strong>in</strong> market<br />
stalls with poor storage facilities. In a survey <strong>of</strong> aflatox<strong>in</strong> contam<strong>in</strong>ation <strong>of</strong> common Nigerian<br />
1
foods, Nwokolo andOkonkwo (1998) found that improperly stored <strong>dried</strong> <strong>fish</strong> conta<strong>in</strong>ed<br />
<strong>aflatox<strong>in</strong>s</strong>.<br />
1.1 Aflatox<strong>in</strong>s<br />
Aflatox<strong>in</strong> is a toxic compound produced by Aspergillus flavus and A. parasiticus.<br />
The molds can grow <strong>in</strong> improperly stored feeds and feeds with <strong>in</strong>ferior quality <strong>of</strong> <strong>in</strong>gredients.<br />
Aflatox<strong>in</strong>s represent a serious source <strong>of</strong> contam<strong>in</strong>ation <strong>in</strong> foods and feeds <strong>in</strong> many parts <strong>of</strong><br />
the world. These tox<strong>in</strong>s have been <strong>in</strong>crim<strong>in</strong>ated as the cause <strong>of</strong> high mortality <strong>in</strong> livestock<br />
and <strong>in</strong> some cases <strong>of</strong> death <strong>in</strong> human be<strong>in</strong>gs. Aflatox<strong>in</strong> B1 is known to be the most significant<br />
form that causes serious risk to animals and human health (Murjani, 2003).<br />
For long, fungi were regarded as caus<strong>in</strong>g only anesthetics spoilage <strong>of</strong> food. But dur<strong>in</strong>g 1966,<br />
when the famous “Turkey X” diseases killed 10,000 turkey poultry <strong>in</strong> Great Brita<strong>in</strong>, Western<br />
world became aware that common spoilage molds could produce significant <strong>of</strong> toxigenic fungi<br />
and potentially toxic compounds have been discovered. Aflatox<strong>in</strong>s, a group <strong>of</strong> toxic metabolic<br />
produced by certa<strong>in</strong> Aspergillus species have been found to be carc<strong>in</strong>ogenic tetratogenic and<br />
mutagenic to several species <strong>of</strong> experiment animals. Aflatox<strong>in</strong> occurs <strong>in</strong> a variety <strong>of</strong> crops and<br />
animal product. The conditions that contribute to fungal growth and production <strong>of</strong> <strong>aflatox<strong>in</strong>s</strong> are<br />
a hot and humid climate, moisture content <strong>of</strong> 16% and above favorable substrate characteristics<br />
and factors that decrease the host’s immunity such as <strong>in</strong>sect damage.<br />
Aflatox<strong>in</strong>s have a high melt<strong>in</strong>g po<strong>in</strong>t i.e. 250°C. It has been proved that food items do carry<br />
residue <strong>of</strong> the tox<strong>in</strong>. Thus, it’s certa<strong>in</strong> that human be<strong>in</strong>gs are exposed to <strong>aflatox<strong>in</strong>s</strong> through<br />
contam<strong>in</strong>ated food items among which <strong>fish</strong> is an important component (Murjani, 2003).<br />
2
1.1.1 Physical Characteristics<br />
Accord<strong>in</strong>g to ICRI (2000), Aspergillus flavus and Aspergillus parasiticus are mostly the molds<br />
that produce Aflatox<strong>in</strong> which are potent toxic, carc<strong>in</strong>ogenic, mutagenic, immunosuppressive<br />
agents. These fungi can produce their toxic compounds on almost any food that will support<br />
growth. Among 18 different types <strong>of</strong> <strong>aflatox<strong>in</strong>s</strong> identified, major members which are metabolites<br />
produced by these fungi are named AFB1, AFB2, AFG1, and AFG2, all which occur naturally.<br />
Of the four, AFB1 is found <strong>in</strong> highest concentrations followed by AFG1, AFB2 and AFG2.<br />
Aspergillus flavus only produces AFB1 and AFB2 and Aspergillus parasiticus produces these<br />
same metabolites along with G1 and G2. Aspergillus flavus typically produces AFB1 and AFB2<br />
whereas A. parasiticus produce AFG1 and AFG2 as well as AFB1 and AFB2. Four other<br />
<strong>aflatox<strong>in</strong>s</strong> M1, M2, B2A, G2A which may be produced <strong>in</strong> m<strong>in</strong>ute amount were subsequently<br />
isolated from cultures <strong>of</strong> A. flavus and A. parasiticus. A member <strong>of</strong> closely related compounds<br />
namely aflatox<strong>in</strong> GM1, parasiticol are also produced by A. flavus. Aflatox<strong>in</strong> M1 and M2 are<br />
major metabolites <strong>of</strong> aflatox<strong>in</strong> B1 and B2 respectively, found <strong>in</strong> milk <strong>of</strong> animals that have<br />
consumed feed contam<strong>in</strong>ated with <strong>aflatox<strong>in</strong>s</strong>.<br />
Description: Colourless to pale-yellow crystals. Intensely fluorescent <strong>in</strong> ultraviolet light,<br />
emitt<strong>in</strong>g blue (<strong>aflatox<strong>in</strong>s</strong> B1 and B2) or green (aflatox<strong>in</strong> G1) and green–blue (aflatox<strong>in</strong><br />
G2) fluorescence, from which the designations B and G were derived, or blue–violet<br />
fluorescence (aflatox<strong>in</strong> M1).<br />
Solubility: Very slightly soluble <strong>in</strong> water (10–30 µg/ml); <strong>in</strong>soluble <strong>in</strong> non-polar solvents;<br />
freely soluble <strong>in</strong> moderately polar organic solvents (e.g., chlor<strong>of</strong>orm and methanol) and<br />
especially <strong>in</strong> dimethyl sulfoxide (Cole & Cox, 1981).<br />
Melt<strong>in</strong>g-po<strong>in</strong>ts: see Table 1.<br />
Absorption spectroscopy: see Table 1<br />
1.1.2 Chemical Properties<br />
Stability: Unstable to ultraviolet light <strong>in</strong> the <strong>presence</strong> <strong>of</strong> oxygen, to extremes <strong>of</strong> pH (< 3,<br />
> 10) and to oxidiz<strong>in</strong>g agents.<br />
3
Reactivity: The lactone r<strong>in</strong>g is susceptible to alkal<strong>in</strong>e hydrolysis. Aflatox<strong>in</strong>s are also<br />
degraded by reaction with ammonia or sodium hypochlorite. This hydrolysis appears to<br />
be reversible s<strong>in</strong>ce it has shown that recyclization occurs follow<strong>in</strong>g acidification <strong>of</strong> a<br />
basic solution conta<strong>in</strong><strong>in</strong>g aflatox<strong>in</strong>. At higher temperatures (100 0 C) r<strong>in</strong>g open<strong>in</strong>g<br />
followed by decarboxylation occurs and reaction may proceed further, lead<strong>in</strong>g to the loss<br />
<strong>of</strong> the methoxy group from the aromatic r<strong>in</strong>g. In the <strong>presence</strong> <strong>of</strong> m<strong>in</strong>eral acids, aflatox<strong>in</strong><br />
B1 and G1 are converted <strong>in</strong>to aflatox<strong>in</strong> B2A and G2A due to acid-catalyzed addition <strong>of</strong><br />
water across the double bond <strong>in</strong> the furan r<strong>in</strong>g. In the <strong>presence</strong> <strong>of</strong> acetic anhydride and<br />
hydrochloric acid, the reaction proceeds further to give the acetoxy derivative. Similar<br />
adducts <strong>of</strong> <strong>aflatox<strong>in</strong>s</strong> B1 and G1 are formed with formic acid-thionyl chloride, acetic<br />
acid-thionyl chloride and trifluoroacetic acid<br />
Oxidiz<strong>in</strong>g agents: Many oxidiz<strong>in</strong>g agents such as Sodium hypochlorite, potassium<br />
permanganate, chlor<strong>in</strong>e hydrogen peroxide, ozone amd sodium perborate react with<br />
aflatox<strong>in</strong> and change the aflatox<strong>in</strong> molecule <strong>in</strong> some way as <strong>in</strong>dicated by the loss <strong>of</strong><br />
yielded aflatox<strong>in</strong> RB1 and RB2 respectively. These arise as a result <strong>of</strong> open<strong>in</strong>g <strong>of</strong> the<br />
lactone r<strong>in</strong>g followed by the reduction <strong>of</strong> the acid group and reduction <strong>of</strong> the keto group<br />
<strong>in</strong> the cyclopentene r<strong>in</strong>g (Marryann et al., 2001).<br />
1.1.3 Biological Properties<br />
The two fungi, Aspergillus. flavus and A. parasiticus are closely related and grow as saprophytes<br />
on plant debris <strong>of</strong> many crops left on and <strong>in</strong> the soil. They are distributed worldwide, with a<br />
tendency to be more common <strong>in</strong> countries with tropical climates that have extreme ranges <strong>of</strong><br />
ra<strong>in</strong>fall, temperature and humidity. Members <strong>of</strong> the genus Aspergillus are characterized by the<br />
production <strong>of</strong> non-septate conidiophores, which are quite dist<strong>in</strong>ct from hyphae and which are<br />
swollen at the top to form a vesicle on which numerous specialized spore-produc<strong>in</strong>g cells, known<br />
as phialides or sterigmata are borne either directly (uniseriate) or on short outgrowths known as<br />
mutalae (biseriate). Colonies <strong>of</strong> A. flavus are green – yellow to yellow – green on zapek’s agar.<br />
They usually have biseriate sterigmata; reddish – brown sclerotia are <strong>of</strong>ten present, conidia f<strong>in</strong>ely<br />
roughened, variable <strong>in</strong> size and oval to spherical <strong>in</strong> shape. Aflatox<strong>in</strong> are one <strong>of</strong> the most potent<br />
toxic substances that occur naturally. These are a group <strong>of</strong> closely related mycotox<strong>in</strong>s produced<br />
4
y fungi Aspergillus flavus and A. parasiticus. Aflatoxicosis is poison<strong>in</strong>g that result from the<br />
<strong>in</strong>gestion <strong>of</strong> aflatox<strong>in</strong> <strong>in</strong> contam<strong>in</strong>ated foods or seeds (Sorenson et al., 1984).<br />
Table 1. Melt<strong>in</strong>g-Po<strong>in</strong>ts and Ultraviolet Absorption <strong>of</strong> Aflatox<strong>in</strong>s<br />
Aflatox<strong>in</strong> Melt<strong>in</strong>g-po<strong>in</strong>t ( 0 C) Ultraviolet absorption (ethanol)<br />
λmax (nm) ε(L mol –1 cm –1 )<br />
B1 268–269 (decomposition) 223 25 600<br />
(crystals from chlor<strong>of</strong>orm) 265 13 400<br />
362 21 800<br />
B2 286–289 (decomposition) 265 11 700<br />
(crystals from chlor<strong>of</strong>orm-pentane) 363 23 400<br />
G1 244–246 (decomposition) 243 11 500<br />
(crystals from chlor<strong>of</strong>orm-methane) 257 9 900<br />
264 10 000<br />
362 16 100<br />
G2 237–240 (decomposition) 265 9 700<br />
(crystals from ethyl acetate) 363 21 000<br />
M1 299 (decomposition) 226 23 100<br />
(crystals from methanol) 265 11 600<br />
357 19 000<br />
Source: O’Neil et al. (2001)<br />
5
1.1.4 Effect on Human Health<br />
Accord<strong>in</strong>g to ICRI (2000), Humans are exposed to <strong>aflatox<strong>in</strong>s</strong> by consum<strong>in</strong>g foods contam<strong>in</strong>ated<br />
with products <strong>of</strong> fungal growth. Such exposure is difficult to avoid because fungal growth <strong>in</strong><br />
foods is not easy to prevent. Even though heavily contam<strong>in</strong>ated food supplies are not permitted<br />
<strong>in</strong> the market place <strong>in</strong> developed countries, concern still rema<strong>in</strong>s for the possible adverse effects<br />
result<strong>in</strong>g from long-term exposure to low levels <strong>of</strong> <strong>aflatox<strong>in</strong>s</strong> <strong>in</strong> the food supply. Evidence <strong>of</strong><br />
acute aflatoxicosis <strong>in</strong> humans has been reported from many parts <strong>of</strong> the world. The syndrome is<br />
characterized by vomit<strong>in</strong>g, abdom<strong>in</strong>al pa<strong>in</strong>, pulmonary edema, convulsions, coma, and death<br />
with cerebral oedema and fatty <strong>in</strong>volvement <strong>of</strong> the liver, kidney, and heart. Conditions <strong>in</strong>creas<strong>in</strong>g<br />
the likelihood <strong>of</strong> acute aflatoxicosis <strong>in</strong> humans <strong>in</strong>clude limited availability <strong>of</strong> food,<br />
environmental conditions that favour fungal development <strong>in</strong> crops and commodities, and lack <strong>of</strong><br />
regulatory systems for aflatox<strong>in</strong> monitor<strong>in</strong>g and control.<br />
The expression <strong>of</strong> aflatox<strong>in</strong> related diseases <strong>in</strong> humans may be <strong>in</strong>fluenced by factors such as age,<br />
sex, nutritional status, and/or concurrent exposure to other causative agents such as viral hepatitis<br />
(HBV) or parasite <strong>in</strong>festation. Ingestion <strong>of</strong> aflatox<strong>in</strong>, viral diseases, and hereditary factors have<br />
been suggested as possible aetiological agents <strong>of</strong> childhood cirrhosis. There are evidences to<br />
<strong>in</strong>dicate that children exposed to aflatox<strong>in</strong> breast milk and dietary items such as unref<strong>in</strong>ed<br />
groundnut oil, may develop cirrhosis. Malnourished children are also prone to childhood<br />
cirrhosis on consumption <strong>of</strong> contam<strong>in</strong>ated food. Several <strong>in</strong>vestigators have suggested aflatox<strong>in</strong> as<br />
an aetiological agent <strong>of</strong> Reye’s syndrome <strong>in</strong> children <strong>in</strong> Thailand, New Zealand etc. Though<br />
there is no conclusive evidence as yet. Epidemiological studies have shown the <strong>in</strong>volvement <strong>of</strong><br />
<strong>aflatox<strong>in</strong>s</strong> <strong>in</strong> Kwashiorkor ma<strong>in</strong>ly <strong>in</strong> malnourished children. The diagnostic features <strong>of</strong><br />
Kwashiorkor are edema, damage to liver etc. These outbreaks <strong>of</strong> aflatoxicosis <strong>in</strong> man have been<br />
attributed to <strong>in</strong>gestion <strong>of</strong> contam<strong>in</strong>ated food such as animal products, maize, groundnut etc.<br />
Hence it is very important to reduce the dietary <strong>in</strong>take <strong>of</strong> <strong>aflatox<strong>in</strong>s</strong> by follow<strong>in</strong>g the procedures<br />
for monitor<strong>in</strong>g levels <strong>of</strong> <strong>aflatox<strong>in</strong>s</strong> <strong>in</strong> foodstuffs.<br />
There are differences <strong>in</strong> species with respect to their susceptibility to <strong>aflatox<strong>in</strong>s</strong>, but <strong>in</strong> general,<br />
most animals, <strong>in</strong>clud<strong>in</strong>g humans, are affected <strong>in</strong> the same manner.<br />
6
The pr<strong>in</strong>cipal target organ for <strong>aflatox<strong>in</strong>s</strong> is the liver. After the <strong>in</strong>vasion <strong>of</strong> <strong>aflatox<strong>in</strong>s</strong> <strong>in</strong>to the<br />
liver, lipids <strong>in</strong>filtrate hepatocytes and leads to necrosis or liver cell death. The ma<strong>in</strong> reason for<br />
this is that aflatox<strong>in</strong> metabolites react negatively with different cell prote<strong>in</strong>s, which leads to<br />
<strong>in</strong>hibition <strong>of</strong> carbohydrate and lipid metabolism and prote<strong>in</strong> synthesis. In correlation with the<br />
decrease <strong>in</strong> liver function, there is a derangement <strong>of</strong> the blood clott<strong>in</strong>g mechanism, icterus<br />
(jaundice), and a decrease <strong>in</strong> essential serum prote<strong>in</strong>s synthesized by the liver. Other general<br />
signs <strong>of</strong> aflatoxicosis are edema <strong>of</strong> the lower extremities, abdom<strong>in</strong>al pa<strong>in</strong>, and vomit<strong>in</strong>g.<br />
1.1.5 Acute toxicity<br />
ICRI (2000) also acute toxicity is less likely than chronic toxicity. The pr<strong>in</strong>cipal target organ for<br />
<strong>aflatox<strong>in</strong>s</strong> is the liver. After the <strong>in</strong>vasion <strong>of</strong> <strong>aflatox<strong>in</strong>s</strong> <strong>in</strong>to the liver, lipids <strong>in</strong>filtrate hepatocytes<br />
and leads to necrosis or liver cell death. The ma<strong>in</strong> reason for this is that aflatox<strong>in</strong> metabolites<br />
react negatively with different cell prote<strong>in</strong>s, which leads to <strong>in</strong>hibition <strong>of</strong> carbohydrate and lipid<br />
metabolism and prote<strong>in</strong> synthesis. In correlation with the decrease <strong>in</strong> liver function, there is a<br />
derangement <strong>of</strong> the blood clott<strong>in</strong>g mechanism, icterus (jaundice), and a decrease <strong>in</strong> essential<br />
serum prote<strong>in</strong>s synthesized by the liver. Other general signs <strong>of</strong> aflatoxicosis are edema <strong>of</strong> the<br />
lower extremities, abdom<strong>in</strong>al pa<strong>in</strong>, and vomit<strong>in</strong>g.<br />
1.1.6 Chronic Toxicity<br />
Animals which consume sub-lethal quantities <strong>of</strong> aflatox<strong>in</strong> for several days or weeks develop a<br />
sub acute toxicity syndrome which commonly <strong>in</strong>cludes moderate to severe liver damage. Even<br />
with low levels <strong>of</strong> <strong>aflatox<strong>in</strong>s</strong> <strong>in</strong> the diet, there will be a decrease <strong>in</strong> growth rate, lowered milk or<br />
egg production, and immunosuppression. There is some observed carc<strong>in</strong>ogenicity, ma<strong>in</strong>ly related<br />
to aflatox<strong>in</strong> B1. Liver damage is apparent due to the yellow color that is characteristic <strong>of</strong><br />
jaundice, and the gall bladder will become swollen. Immunosuppression is due to the reactivity<br />
<strong>of</strong> <strong>aflatox<strong>in</strong>s</strong> with T-cells, decrease <strong>in</strong> Vitam<strong>in</strong> K activities, and a decrease <strong>in</strong> phagocytic activity<br />
<strong>in</strong> macrophages (ICRI, 2000).<br />
7
1.1.7 Cellular Effects<br />
Aflatox<strong>in</strong>s are <strong>in</strong>hibitors <strong>of</strong> nucleic acid synthesis because they have a high aff<strong>in</strong>ity for nucleic<br />
acids and polynucleotides. They attach to guan<strong>in</strong>e residues and for nucleic acid adducts.<br />
Aflatox<strong>in</strong>s also have been shown to decrease prote<strong>in</strong> synthesis, lipid metabolism, and<br />
mitochondrial respiration. They also cause an accumulation <strong>of</strong> lipids <strong>in</strong> the liver, caus<strong>in</strong>g a fatty<br />
liver. This is due to impaired transport <strong>of</strong> lipids out <strong>of</strong> the liver after they are synthesized. This<br />
leads to high fecal fat content. Carc<strong>in</strong>ogenisis has been observed <strong>in</strong> rats, ducks, mice, trout, and<br />
subhuman primates, and it is rarely seen <strong>in</strong> poultry or rum<strong>in</strong>ants. Trout are the most susceptible.<br />
In fact, 1ppb <strong>of</strong> aflatox<strong>in</strong> B1 will cause liver cancer <strong>in</strong> trout. Carc<strong>in</strong>ogenisis occurs due to the<br />
formation <strong>of</strong> –8, 9-epoxide, which b<strong>in</strong>ds to DNA and alters gene expression. There is a<br />
correlation with the <strong>presence</strong> <strong>of</strong> <strong>aflatox<strong>in</strong>s</strong> and <strong>in</strong>creased liver cancer <strong>in</strong> <strong>in</strong>dividuals that are<br />
hepatitis B carriers (ICRI, 2000).<br />
1.2 JUSTIFICATION<br />
Smoked-<strong>dried</strong> <strong>fish</strong> constitute a major source <strong>of</strong> animal prote<strong>in</strong> for a vast majority <strong>of</strong> the<br />
population <strong>in</strong> Nigeria, particularly the rural areas.<br />
It is therefore important from toxicological po<strong>in</strong>ts <strong>of</strong> view to <strong>in</strong>vestigate the effect <strong>of</strong><br />
smoke on aflatox<strong>in</strong> production.<br />
1.3 OBJECTIVES<br />
The study was undertaken to determ<strong>in</strong>e the quantities <strong>of</strong> <strong>aflatox<strong>in</strong>s</strong> produced on smoke<br />
<strong>dried</strong> <strong>fish</strong>.<br />
To determ<strong>in</strong>e the implication <strong>of</strong> high level consumption <strong>of</strong> <strong>smoked</strong> <strong>dried</strong> <strong>fish</strong> <strong>in</strong>fested<br />
with <strong>aflatox<strong>in</strong>s</strong> on the health <strong>of</strong> human be<strong>in</strong>gs.<br />
8
CHAPTER TWO<br />
2.0 LITERATURE REVIEW<br />
Aflatox<strong>in</strong>s are metabolites <strong>of</strong> Aspergillus flavus and A. parasiticus (Speare, 2005). The<br />
compounds are both toxic and carc<strong>in</strong>ogenic to a wide range <strong>of</strong> animals. A review by Ciegler<br />
(1999), complete with bibliography, deals extensively with chemical properties, production<br />
conditions, and biological effects <strong>of</strong> the <strong>aflatox<strong>in</strong>s</strong>. A number <strong>of</strong> <strong>in</strong>vestigators have studied the<br />
formation <strong>of</strong> <strong>aflatox<strong>in</strong>s</strong> on human food. Marth (2000) observed aflatox<strong>in</strong> production on Cheddar<br />
cheese and case<strong>in</strong>, which had been <strong>in</strong>oculated with A. flavus and A. parasiticus. Frank (2000)<br />
studied the production and diffusion <strong>of</strong> <strong>aflatox<strong>in</strong>s</strong> <strong>in</strong> apple juice, rye and wheat breads, and<br />
cheese by us<strong>in</strong>g a stra<strong>in</strong> <strong>of</strong> A. flavus isolated from food. Wildman et al. (1992) <strong>in</strong>oculated a large<br />
number <strong>of</strong> sterilized and nonsterilized solid foods and fruit juices with A. flavus and obta<strong>in</strong>ed<br />
<strong>aflatox<strong>in</strong>s</strong>. Sterilized beef <strong>in</strong>fusion and beef pieces supported yields <strong>of</strong> 15 and 11 jug <strong>of</strong> aflatox<strong>in</strong><br />
per g <strong>of</strong> meat, respectively, but no <strong>aflatox<strong>in</strong>s</strong> were produced on raw beef because <strong>of</strong> bacterial<br />
overgrowth. Frank (2000) obta<strong>in</strong>ed <strong>aflatox<strong>in</strong>s</strong> from A. flavus grown on a large number <strong>of</strong> foods<br />
<strong>in</strong>clud<strong>in</strong>g <strong>smoked</strong> <strong>fish</strong>, condensed and powdered milk, and egg noodles.<br />
Molds capable <strong>of</strong> produc<strong>in</strong>g <strong>aflatox<strong>in</strong>s</strong> are occasional contam<strong>in</strong>ants <strong>of</strong> foods. Van Walbeek et al.<br />
(2005) found that 16 <strong>of</strong> 128 fungi isolated from74 food samples produced tox<strong>in</strong>s when cultured<br />
on complex media and on shredded wheat. Molds <strong>of</strong>ten grow on meats, <strong>fish</strong> especially cured<br />
dur<strong>in</strong>g storage or ag<strong>in</strong>g. Some <strong>of</strong> these molds have tox<strong>in</strong>ogenic potential.<br />
Results obta<strong>in</strong>ed from a study carried out on the level <strong>of</strong> <strong>aflatox<strong>in</strong>s</strong> <strong>in</strong> <strong>smoked</strong>-<strong>dried</strong> <strong>fish</strong> <strong>in</strong> three<br />
markets <strong>in</strong> Uyo town, Akwa-Ibom State showed that Aspergillus flavus, Aspergillus tereus,<br />
A.fumigatus, Absidia sp., Rhizopus sp., Aspergillus niger, Mucor sp. Cladosporum sp.,<br />
Penicillium italicum, Penicilium viridatus, Candida tropicalis and Fusarium moniliformis were<br />
found to be associated with <strong>smoked</strong> <strong>dried</strong> <strong>fish</strong>es <strong>sold</strong> <strong>in</strong> different market <strong>in</strong> Uyo. Aspergillus<br />
flavus and Aspergillus tereus, A. fumigates were the dom<strong>in</strong>ant myc<strong>of</strong>lora <strong>in</strong> decreas<strong>in</strong>g sequential<br />
9
order. Adebayo et al. (2006) reported similar result <strong>in</strong> marketed bush mango seeds (Irv<strong>in</strong>gia<br />
spp.) stored for sale <strong>in</strong> Uyo. Penicillium viridatus, Candida tropicalis and Fusarium<br />
moniliformis occurred less frequently. The <strong>presence</strong> <strong>of</strong> A. flavus <strong>in</strong> the samples might probably<br />
make its consumption hazardous to health.<br />
Accord<strong>in</strong>g to Akande and Tobor, 1992 <strong>in</strong> artisanal <strong>fish</strong>ery, freshly caught <strong>fish</strong> are covered with<br />
damp sacks and at times, they are mixed with wet grass or water weeds to reduce the<br />
temperature. Fish treated this way is prone to contam<strong>in</strong>ation with microorganisms such as<br />
bacteria and fungi. This <strong>in</strong>dicates that spoilage <strong>of</strong> <strong>fish</strong> starts right from the aquatic ecosystem.<br />
Handl<strong>in</strong>g <strong>fish</strong>es are also prone to microbial attack especially <strong>in</strong> artisanal <strong>fish</strong>ery due to<br />
unhygienic methods <strong>of</strong> reduc<strong>in</strong>g temperature. Dur<strong>in</strong>g the smoke dry<strong>in</strong>g period, smok<strong>in</strong>g kilns<br />
used <strong>in</strong> artisanal <strong>fish</strong>ery and the overload<strong>in</strong>g <strong>of</strong> the <strong>fish</strong>es on the trays leads to improper<br />
process<strong>in</strong>g which <strong>in</strong> turn encourages fungal attack (Eyo, 1992). Dur<strong>in</strong>g storage <strong>of</strong> <strong>smoked</strong> <strong>dried</strong><br />
<strong>fish</strong> products, good storage practices are not adher<strong>in</strong>g by wholesaler hence stores are not well<br />
ventilated and pest can easily ga<strong>in</strong> access <strong>in</strong>to the stores. The environment <strong>in</strong> which <strong>fish</strong>es are<br />
displayed <strong>in</strong> the market is not always hygienic and this is another avenue for microbial<br />
contam<strong>in</strong>ation. Very <strong>of</strong>ten, retailers display the <strong>smoked</strong>-<strong>dried</strong> <strong>fish</strong> samples <strong>in</strong> open trays beside<br />
the gutter on refuse heaps, this also encourages fungi attack and subsequent production <strong>of</strong> tox<strong>in</strong>s.<br />
This is <strong>in</strong> agreement with the report <strong>of</strong> Akande and Tobor, 1992.<br />
2.1 Fungi Produc<strong>in</strong>g Aflatox<strong>in</strong>s<br />
Aflatox<strong>in</strong>s are produced by the common fungi Aspergillus flavus and the closely related species<br />
A. parasiticus. These are well def<strong>in</strong>ed species: A. flavus produces only B <strong>aflatox<strong>in</strong>s</strong> and<br />
sometimes the mycotox<strong>in</strong> cyclopiazonic acid (CPA), while A. parasiticus produces both B and G<br />
<strong>aflatox<strong>in</strong>s</strong>, but never CPA (Pitt, 1993). This simple situation, <strong>of</strong> just two aflatoxigenic species,<br />
has been complicated by more recent taxonomic f<strong>in</strong>d<strong>in</strong>gs. Kurtzman et al. (1987) described A.<br />
nomius, a species closely related to A. flavus but which produces small bullet-shaped sclerotia, as<br />
dist<strong>in</strong>ct from the large spherical sclerotia produced by many A. flavus isolates. This species is<br />
also dist<strong>in</strong>guished from A. flavus by the production <strong>of</strong> both B and G <strong>aflatox<strong>in</strong>s</strong> (Saito et al.,<br />
2003).<br />
10
A second new species, closely related to A. nomius, was described by Peterson et al. (2001) and<br />
named A. bombycis. These two species were dist<strong>in</strong>guished from each other by differences <strong>in</strong><br />
DNA, and also by differences <strong>in</strong> growth rates at 37 °C. Like A. nomius, A. bombycis produces<br />
both B and G <strong>aflatox<strong>in</strong>s</strong>. The species A. ochraceoroseus described by Bartoli et al. (1978) was<br />
recently shown to be another aflatox<strong>in</strong> producer. It also produces sterigmatocyst<strong>in</strong> (Klich et al.,<br />
2000). This same isolate was reported by Stubblefield et al. (1970) to produce B but not G<br />
<strong>aflatox<strong>in</strong>s</strong>, <strong>in</strong> l<strong>in</strong>e with those assessments. Moreover, Geiser et al. (2000) showed that the<br />
production <strong>of</strong> small versus large sclerotia does not have taxonomic significance with<strong>in</strong> A. flavus.<br />
Two aflatox<strong>in</strong>-produc<strong>in</strong>g isolates from Japan, orig<strong>in</strong>ally classified as aberrant A. tamari (Goto et<br />
al., 1996), were recently described as A. pseudotamarii. Like A. flavus, this species produces B<br />
<strong>aflatox<strong>in</strong>s</strong> and CPA, but differs from A. flavus by the production <strong>of</strong> orange-brown conidia (Ito et<br />
al., 2001).<br />
In study<strong>in</strong>g population genetics <strong>of</strong> A. flavus, Geiser et al. (2000) showed that A. flavus from an<br />
Australian peanut field comprised two dist<strong>in</strong>ct subgroups, which they termed Group I and Group<br />
II, and suggested that Group II differed from Group I sufficiently to be raised to species level.<br />
Further studies by Geiser et al. (2000) and <strong>in</strong>dependent observations have confirmed that A.<br />
flavus Group II comprises a dist<strong>in</strong>ct species, which will be described as ‘Aspergillus australis’.<br />
Unlike any other known species, A. australis produces both B and G <strong>aflatox<strong>in</strong>s</strong> and also CPA.<br />
It appears to occur almost exclusively <strong>in</strong> the southern hemisphere, where it has been found <strong>in</strong><br />
Argent<strong>in</strong>a, Australia, Indonesia and South Africa.<br />
The evidence <strong>in</strong>dicates that A. flavus and A. parasiticus are responsible for the overwhelm<strong>in</strong>g<br />
proportion <strong>of</strong> <strong>aflatox<strong>in</strong>s</strong> found <strong>in</strong> foodstuffs throughout the world. Of the other species, only A.<br />
australis, which appears to be widespread <strong>in</strong> the southern hemisphere and is common <strong>in</strong><br />
Australian peanut soils, may also be an important source <strong>of</strong> <strong>aflatox<strong>in</strong>s</strong> <strong>in</strong> a few countries.<br />
Results obta<strong>in</strong>ed from a study carried out on the level <strong>of</strong> <strong>aflatox<strong>in</strong>s</strong> <strong>in</strong> <strong>smoked</strong>-<strong>dried</strong> <strong>fish</strong> <strong>in</strong> three<br />
markets <strong>in</strong> Uyo town, Akwa-Ibom State showed that Aspergillus flavus, Aspergillus tereus,<br />
A.fumigatus, Absidia sp., Rhizopus sp., Aspergillus niger, Mucor sp. Cladosporum sp.,<br />
Penicillium italicum, Penicilium viridatus, Candida tropicalis and Fusarium moniliformis<br />
were found to be associated with <strong>smoked</strong> <strong>dried</strong> <strong>fish</strong>es <strong>sold</strong> <strong>in</strong> different market <strong>in</strong> Uyo.<br />
11
Aspergillus flavus and Aspergillus tereus, A. fumigates were the dom<strong>in</strong>ant myc<strong>of</strong>lora <strong>in</strong><br />
decreas<strong>in</strong>g sequential order. Adebayo et al. (2006) reported similar result <strong>in</strong> marketed bush<br />
mango seeds (Irv<strong>in</strong>gia spp.) stored for sale <strong>in</strong> Uyo. Penicillium viridatus, Candida tropicalis and<br />
Fusarium moniliformis occurred less frequently. The <strong>presence</strong> <strong>of</strong> A. flavus <strong>in</strong> the samples might<br />
probably make its consumption hazardous to health.<br />
Accord<strong>in</strong>g to Akande and Tobor, 1992 <strong>in</strong> artisanal <strong>fish</strong>ery, freshly caught <strong>fish</strong> are covered with<br />
damp sacks and at times, they are mixed with wet grass or water weeds to reduce the<br />
temperature. Fish treated this way is prone to contam<strong>in</strong>ation with microorganisms such as<br />
bacteria and fungi. This <strong>in</strong>dicates that spoilage <strong>of</strong> <strong>fish</strong> starts right from the aquatic ecosystem.<br />
Handl<strong>in</strong>g <strong>fish</strong>es are also prone to microbial attack especially <strong>in</strong> artisanal <strong>fish</strong>ery due to<br />
unhygienic methods <strong>of</strong> reduc<strong>in</strong>g temperature. Dur<strong>in</strong>g the smoke dry<strong>in</strong>g period, smok<strong>in</strong>g kilns<br />
used <strong>in</strong> artisanal <strong>fish</strong>ery and the overload<strong>in</strong>g <strong>of</strong> the <strong>fish</strong>es on the trays leads to improper<br />
process<strong>in</strong>g which <strong>in</strong> turn encourages fungal attack (Eyo, 1992). Dur<strong>in</strong>g storage <strong>of</strong> <strong>smoked</strong> <strong>dried</strong><br />
<strong>fish</strong> products, good storage practices are not adher<strong>in</strong>g by wholesaler hence stores are not well<br />
ventilated and pest can easily ga<strong>in</strong> access <strong>in</strong>to the stores. The environment <strong>in</strong> which <strong>fish</strong>es are<br />
displayed <strong>in</strong> the market is not always hygienic and this is another avenue for microbial<br />
contam<strong>in</strong>ation. Very <strong>of</strong>ten, retailers display the <strong>smoked</strong>-<strong>dried</strong> <strong>fish</strong> samples <strong>in</strong> open trays beside<br />
the gutter on refuse heaps, this also encourages fungi attack and subsequent production <strong>of</strong> tox<strong>in</strong>s<br />
(Akande and Tobor, 1992).<br />
2.2 Production and Reduction<br />
Apart from natural formation, <strong>aflatox<strong>in</strong>s</strong> are produced only <strong>in</strong> small quantities for research<br />
purposes, by A. flavus or A. parasiticus fermentations on solid substrates or media <strong>in</strong> the<br />
laboratory. Aflatox<strong>in</strong>s are extracted by solvents and purified by chromatography. Total annual<br />
production is less than 100g (IARC, 1993).<br />
Aflatox<strong>in</strong>s occurr<strong>in</strong>g naturally <strong>in</strong> foods and feeds may be reduced by a variety <strong>of</strong> procedures.<br />
Improved farm management practices, more rapid dry<strong>in</strong>g and controlled storage are now def<strong>in</strong>ed<br />
with<strong>in</strong> GAP (Good Agricultural Practice) or HACCP (Hazard Analysis and Critical Control<br />
Po<strong>in</strong>t) (FAO, 2005). By segregation <strong>of</strong> contam<strong>in</strong>ated lots after aflatox<strong>in</strong> analyses and by sort<strong>in</strong>g<br />
12
out contam<strong>in</strong>ated nuts or gra<strong>in</strong>s by electronic sorters, contam<strong>in</strong>ated lots <strong>of</strong> peanuts or maize can<br />
be cleaned up to produce food-grade products.<br />
Decontam<strong>in</strong>ation by ammoniation or other chemical procedures can be used for render<strong>in</strong>g highly<br />
contam<strong>in</strong>ated commodities suitable as animal feeds.<br />
2.3 Uses<br />
Aflatox<strong>in</strong>s are not used commercially, only for research.<br />
2.4 FORMATION AND OCCURENCE<br />
2.4.1 Prevalence <strong>of</strong> Toxigenic Species <strong>in</strong> Foods<br />
Because <strong>of</strong> the importance <strong>of</strong> <strong>aflatox<strong>in</strong>s</strong>, A. flavus has become the most widely reported<br />
foodborne fungus—even with the provision that A. parasiticus is sometimes not differentiated<br />
from A. flavus <strong>in</strong> general mycological studies. A. flavus is especially abundant <strong>in</strong> the tropics.<br />
Levels <strong>of</strong> A. flavus <strong>in</strong> warm temperate climates such as <strong>in</strong> the USA and Australia are generally<br />
much lower, while the occurrence <strong>of</strong> A. flavus is uncommon <strong>in</strong> cool temperate climates except <strong>in</strong><br />
foods and feeds imported from tropical countries.<br />
The major hosts <strong>of</strong> A. flavus among food and feed commodities are peanuts, maize and<br />
cottonseed; <strong>in</strong> animals, they <strong>in</strong>clude <strong>fish</strong>, meat. In addition, various spices sometimes conta<strong>in</strong><br />
<strong>aflatox<strong>in</strong>s</strong>, while tree nuts are contam<strong>in</strong>ated less frequently. Low levels may be found <strong>in</strong> a wide<br />
range <strong>of</strong> other foods (Pitt et al., 1997).<br />
It seems probable that although A. parasiticus has the same geographical range as A. flavus, it is<br />
less widely distributed. In particular, it has been found only rarely <strong>in</strong> southeast Asia. The food<br />
related hosts <strong>of</strong> A. parasiticus are similar to those <strong>of</strong> A. flavus, except that A. parasiticus is very<br />
uncommon <strong>in</strong> maize (Pitt et al., 1994).<br />
2.4.2 Factors Affect<strong>in</strong>g Formation <strong>of</strong> Aflatox<strong>in</strong>s <strong>in</strong> Foods<br />
A fundamental dist<strong>in</strong>ction must be made between aflatox<strong>in</strong> formation <strong>in</strong> crops and animals<br />
before (or immediately after) harvest, and that occurr<strong>in</strong>g <strong>in</strong> stored commodities or foods.<br />
13
Peanuts, maize and cottonseed are associated with A. flavus, and <strong>in</strong> the case <strong>of</strong> peanuts, also with<br />
A. parasiticus, so that <strong>in</strong>vasion <strong>of</strong> plants and develop<strong>in</strong>g seed or nut may occur before harvest.<br />
This close association results <strong>in</strong> the potential for high levels <strong>of</strong> <strong>aflatox<strong>in</strong>s</strong> <strong>in</strong> these commodities<br />
and is the reason for the cont<strong>in</strong>u<strong>in</strong>g difficulty <strong>in</strong> elim<strong>in</strong>at<strong>in</strong>g <strong>aflatox<strong>in</strong>s</strong> from these products.<br />
In contrast, A. flavus lacks this aff<strong>in</strong>ity for other crops and animals, so it is not normally present<br />
at harvest. Prevention <strong>of</strong> the formation <strong>of</strong> <strong>aflatox<strong>in</strong>s</strong> therefore relies ma<strong>in</strong>ly on avoidance <strong>of</strong><br />
contam<strong>in</strong>ation after harvest, us<strong>in</strong>g rapid dry<strong>in</strong>g and good storage practice.<br />
2.4.3 Occurrence<br />
Aflatox<strong>in</strong>s have been found <strong>in</strong> a variety <strong>of</strong> agricultural commodities, but the most pronounced<br />
contam<strong>in</strong>ation has been encountered <strong>in</strong> maize, peanuts, cottonseed and tree nuts. Aflatox<strong>in</strong>s were<br />
first identified <strong>in</strong> 1961 <strong>in</strong> animal feed responsible for the deaths <strong>of</strong> 100, 000 turkeys <strong>in</strong> the United<br />
K<strong>in</strong>gdom (Sargeant et al., 1991).<br />
2.5 Presence <strong>in</strong> Human Biological Fluids<br />
Covalent b<strong>in</strong>d<strong>in</strong>g <strong>of</strong> aflatox<strong>in</strong> to album<strong>in</strong> <strong>in</strong> peripheral blood has been measured <strong>in</strong> a number <strong>of</strong><br />
studies (Montesano et al., 1997). The levels <strong>of</strong> these adducts are assumed to reflect exposure to<br />
aflatox<strong>in</strong> over the previous 2–3 months, based on the half-life <strong>of</strong> album<strong>in</strong>. Experimental data<br />
have also shown that this biomarker reflects the formation <strong>of</strong> the reactive metabolite <strong>of</strong> aflatox<strong>in</strong><br />
B1 and the level <strong>of</strong> DNA damage occurr<strong>in</strong>g <strong>in</strong> the livers <strong>of</strong> rats treated with aflatox<strong>in</strong> B1.<br />
Maxwell (2008) has discussed the <strong>presence</strong> <strong>of</strong> <strong>aflatox<strong>in</strong>s</strong> <strong>in</strong> human body fluids and tissues <strong>in</strong><br />
relation to child health <strong>in</strong> the tropics. In Ghana, Kenya, Nigeria and SierraLeone, 25% <strong>of</strong> cord<br />
blood samples conta<strong>in</strong>ed <strong>aflatox<strong>in</strong>s</strong>, primarily M1 and M2, as well as others <strong>in</strong> variable amounts<br />
(range: 1 µg aflatox<strong>in</strong> M1/l to 64 973 µg aflatox<strong>in</strong> B1/l).<br />
Of 35 cord serum samples from Thailand, 48% conta<strong>in</strong>ed <strong>aflatox<strong>in</strong>s</strong> at concentrations <strong>of</strong> 0.064–<br />
13.6 nmol/ml (mean, 3.1 nmol/ml). By comparison, only two <strong>of</strong> 35 maternal sera obta<strong>in</strong>ed<br />
immediately after birth conta<strong>in</strong>ed aflatox<strong>in</strong> (mean, 0.62 nmol/ml). These results show that<br />
transplacental transfer and concentration <strong>of</strong> aflatox<strong>in</strong> by the fetoplacental unit occur (Denn<strong>in</strong>g et<br />
al., 1990).<br />
14
Analyses <strong>of</strong> breast milk <strong>in</strong> Ghana, Nigeria, Sierra Leone and Sudan showed primarily aflatox<strong>in</strong><br />
M1, aflatox<strong>in</strong> M2 and aflatoxicol. Aflatox<strong>in</strong> exposure pre- or post-natally at levels ≥ 100 µg/l<br />
was very <strong>of</strong>ten associated with illness <strong>in</strong> the child (Maxwell, 2008). Exposure <strong>of</strong> <strong>in</strong>fants to<br />
aflatox<strong>in</strong> M1 from mothers’ breast milk <strong>in</strong> the United Arab Emirates has been measured by Saad<br />
et al. (1995). Among 445 donors <strong>of</strong> breast milk, 99.5% <strong>of</strong> samples conta<strong>in</strong>ed aflatox<strong>in</strong> M1 at<br />
concentrations rang<strong>in</strong>g from 2–3 µg/l. The mothers were <strong>of</strong> a wide range <strong>of</strong> nationalities, ages<br />
and health status; no correlation was observed between these factors and aflatox<strong>in</strong> M1 content <strong>of</strong><br />
the milk.<br />
2.6 Absorption, Metabolism and Excretion <strong>in</strong> Humans<br />
Rigorous quantitative comparisons <strong>of</strong> dietary <strong>in</strong>takes and aflatox<strong>in</strong> metabolites <strong>in</strong> body fluids<br />
follow<strong>in</strong>g absorption and distribution are lack<strong>in</strong>g, aflatox<strong>in</strong> M1 concentrations <strong>in</strong> ur<strong>in</strong>e and<br />
human milk have been correlated with dietary aflatox<strong>in</strong> <strong>in</strong>take. However, studies <strong>of</strong> human<br />
exposure have yielded quantitatively very different correlations between aflatox<strong>in</strong> concentrations<br />
<strong>in</strong> foods and either aflatox<strong>in</strong>–prote<strong>in</strong> or aflatox<strong>in</strong>–DNA adducts <strong>in</strong> ur<strong>in</strong>e and sera (Hall et al.,,<br />
1994). Hudson et al. (1992) very carefully measured aflatox<strong>in</strong> <strong>in</strong>take based on plate foods <strong>in</strong> a<br />
village <strong>in</strong> The Gambia. They found <strong>in</strong>takes less than those estimated from aflatox<strong>in</strong>–serum and<br />
ur<strong>in</strong>ary adduct levels <strong>in</strong> the same <strong>in</strong>dividuals. In humans, as with other species, the DNA b<strong>in</strong>d<strong>in</strong>g<br />
and carc<strong>in</strong>ogenicity <strong>of</strong> aflatox<strong>in</strong> B1 result from its conversion to the 8,9-epoxide by cytochrome<br />
P450 (CYP) enzymes (Essigman et al., 2002). There is <strong>in</strong>dividual variability <strong>in</strong> the rate <strong>of</strong><br />
activation <strong>of</strong> aflatox<strong>in</strong>, <strong>in</strong>clud<strong>in</strong>g between children and adults, which may be material to the<br />
pharmacok<strong>in</strong>etics (Wild et al., 2001). The pharmacok<strong>in</strong>etics <strong>of</strong> <strong>aflatox<strong>in</strong>s</strong> <strong>in</strong> humans are still not<br />
clearly known.<br />
Factors that expla<strong>in</strong> variation <strong>in</strong> response to aflatox<strong>in</strong> between <strong>in</strong>dividual humans, animal species<br />
and stra<strong>in</strong>s <strong>in</strong>clude the proportion <strong>of</strong> aflatox<strong>in</strong> metabolized to the 8,9- epoxide (ma<strong>in</strong>ly by CYP<br />
enzymes) relative to the other much less toxic metabolites and the prevalence <strong>of</strong> pathways<br />
form<strong>in</strong>g non-toxic conjugates with reduced mutagenicity and cytotoxicity. The metabolism <strong>of</strong><br />
<strong>aflatox<strong>in</strong>s</strong> <strong>in</strong> humans has been extensively studied and the major CYP enzymes <strong>in</strong>volved have<br />
been identified as CYP1A2 and CYP3A4 (Gallagher et al., 1998). CYP3A4 mediates formation<br />
<strong>of</strong> the exo-epoxide and aflatox<strong>in</strong> Q1 while CYP1A2 can generate some exo-epoxide but also a<br />
15
high proportion <strong>of</strong> endo-epoxide and aflatox<strong>in</strong> M1. In-vitro evidence that both CYP3A4 and 1A2<br />
are responsible for aflatox<strong>in</strong> metabolism <strong>in</strong> humans has been substantiated by biomarker studies.<br />
Aflatox<strong>in</strong>s M1 and Q1, produced by CYP1A2 and 3A4, respectively, are present <strong>in</strong> the ur<strong>in</strong>e <strong>of</strong><br />
<strong>in</strong>dividuals exposed to aflatox<strong>in</strong> <strong>in</strong> human fetal liver, which has the capacity to activate aflatox<strong>in</strong><br />
B1 to the 8,9-epoxide (Kitada et al., 2000). This is consistent with the detection <strong>of</strong> aflatox<strong>in</strong>–<br />
album<strong>in</strong> adducts <strong>in</strong> the cord blood <strong>of</strong> newborns whose mothers were exposed to dietary aflatox<strong>in</strong><br />
<strong>in</strong> The Gambia (Wild et al., 2001).<br />
2.7 Toxic Effects <strong>in</strong> Humans<br />
There are data suggest<strong>in</strong>g that children are more vulnerable than adults to acute hepatotoxicity<br />
result<strong>in</strong>g from <strong>in</strong>gestion <strong>of</strong> aflatox<strong>in</strong>. In 1988, 13 Ch<strong>in</strong>ese children died <strong>of</strong> acute hepatic<br />
encephalopathy <strong>in</strong> Perak, Malaysia (Lye et al., 1995). Common symptoms <strong>in</strong>cluded vomit<strong>in</strong>g,<br />
haematemesis and seizures; jaundice was detected <strong>in</strong> seven cases and all children had liver<br />
dysfuntion with elevated serum concentrations <strong>of</strong> hepatic enzymes. The deaths occurred 1–7<br />
days after hospital admission and were associated with consumption <strong>of</strong> Ch<strong>in</strong>ese rice noodles<br />
shortly before the outbreak. Aflatox<strong>in</strong>s were found <strong>in</strong> blood and organs from the children (Chao<br />
et al., 1991). Pesticides, carbon tetrachloride and mushroom poisons were not found. The flour<br />
used to make the noodles was found to conta<strong>in</strong> aflatox<strong>in</strong>. Adults who presumably consumed the<br />
same contam<strong>in</strong>ated food were not reported to have been affected (Lye et al., 1995).<br />
Children suffer<strong>in</strong>g from prote<strong>in</strong>-energy malnutrition <strong>in</strong> develop<strong>in</strong>g countries may also be<br />
exposed to aflatox<strong>in</strong>. In a study conducted <strong>in</strong> South Africa, aflatox<strong>in</strong> concentrations <strong>in</strong> serum<br />
were higher <strong>in</strong> 74 children with prote<strong>in</strong>-energy malnutrition than <strong>in</strong> 35 age-matched control<br />
children. The control group, however, had a higher concentration <strong>of</strong> <strong>aflatox<strong>in</strong>s</strong> <strong>in</strong> ur<strong>in</strong>e (Ramjee<br />
et al., 1992). [Possible explanations for this result are that aflatox<strong>in</strong> metabolism is affected <strong>in</strong><br />
children with prote<strong>in</strong>-energy malnutrition or that malnourished children are more highly<br />
exposed]. A second study compared children with prote<strong>in</strong>-energy malnutrition with high (n = 21)<br />
and undetectable (n = 15) aflatox<strong>in</strong> concentrations <strong>in</strong> serum and ur<strong>in</strong>e. The aflatox<strong>in</strong>-positive<br />
group <strong>of</strong> children with prote<strong>in</strong>-energy malnutrition showed a significantly lower haemoglob<strong>in</strong><br />
level (p = 0.02), longer duration <strong>of</strong> oedema (p = 0.05), an <strong>in</strong>creased number <strong>of</strong> <strong>in</strong>fections (p =<br />
0.03) and a longer duration <strong>of</strong> hospital stay (p = 0.008) than the aflatox<strong>in</strong>-negative group<br />
16
(Adhikari et al., 2004). This f<strong>in</strong>d<strong>in</strong>g confirmed result <strong>of</strong> an earlier study which suggested that<br />
malarial <strong>in</strong>fections were <strong>in</strong>creased <strong>in</strong> children exposed to aflatox<strong>in</strong>, as determ<strong>in</strong>ed on the basis <strong>of</strong><br />
the amounts <strong>of</strong> aflatox<strong>in</strong>–album<strong>in</strong> adducts (Allen et al., 1992). However, a similar study from the<br />
Philipp<strong>in</strong>es gave <strong>in</strong>conclusive results (Denn<strong>in</strong>g et al., 1995).<br />
2.7.1 Immuno-suppression<br />
Studies on the immunosuppressive effects <strong>of</strong> <strong>aflatox<strong>in</strong>s</strong> published before 1993 were reviewed <strong>in</strong><br />
the previous monograph (IARC, 1993). Aflatox<strong>in</strong>s modulate the immune system <strong>in</strong> domestic and<br />
laboratory animals after dietary <strong>in</strong>take <strong>of</strong> up to several milligrams per kg feed (Hall and Wild,<br />
1994; Bondy and Pestka, 2000). The major effects <strong>in</strong>volve suppression <strong>of</strong> cell-mediated<br />
immunity, most notably impairment <strong>of</strong> delayed-type hypersensitivity, which has been a<br />
consistent observation at low dose levels <strong>in</strong> various species (Bondy and Pestka, 2000). Other<br />
notable effects <strong>in</strong>clude suppression <strong>of</strong> non-specific humoral substances, reduced antibody<br />
formation, suppression <strong>of</strong> allograft rejection, decreased phagocytic activity and decreased<br />
blastogenic response to mitogens (WHO, 1990). Strong modification <strong>of</strong> cytok<strong>in</strong>e secretion and<br />
<strong>in</strong>terleuk<strong>in</strong> gene expression has also been observed <strong>in</strong> vitro with mycotox<strong>in</strong>s, <strong>in</strong>clud<strong>in</strong>g<br />
<strong>aflatox<strong>in</strong>s</strong> (Han et al., 1999). The immune system <strong>of</strong> develop<strong>in</strong>g pigs was affected by maternal<br />
dietary exposure to aflatox<strong>in</strong> B1 or aflatox<strong>in</strong> G1 dur<strong>in</strong>g gestation and lactation. Motility and<br />
chemotaxis <strong>of</strong> neutrophils were <strong>in</strong>hibited <strong>in</strong> piglets from aflatox<strong>in</strong>-treated sows (Silvotti et al.,<br />
1997). In a further study, thymic cortical lymphocytes were depleted and thymus weight was<br />
reduced <strong>in</strong> piglets from sows exposed to aflatox<strong>in</strong> B1 (800 ppb <strong>in</strong> diet) from day 60 <strong>of</strong> gestation<br />
up to day 28 <strong>of</strong> lactation (Mocchegiani et al., 1998).<br />
The effects <strong>of</strong> aflatox<strong>in</strong> B1 on grow<strong>in</strong>g rats have been shown to be similar to those <strong>in</strong> adult<br />
animals. Weanl<strong>in</strong>g rats [stra<strong>in</strong> unspecified] were given oral doses <strong>of</strong> 60, 300 or 600 µg/kg body<br />
weight aflatox<strong>in</strong> B1 <strong>in</strong> corn oil every other day for four weeks. Aflatox<strong>in</strong> B1 selectively<br />
suppressed cell-mediated immunity, assessed by measur<strong>in</strong>g the delayed-type hypersensitivity<br />
response, at the 300- and 600-µg/kg body weight doses (Raisudd<strong>in</strong> et al., 1993).<br />
In order to determ<strong>in</strong>e the effect <strong>of</strong> aflatox<strong>in</strong> B1 on the activation <strong>of</strong> toxoplasmosis, CF1 mice<br />
were <strong>in</strong>jected with the cyst-form<strong>in</strong>g parasite Toxoplasma gondii one month before aflatox<strong>in</strong> B1<br />
was given by gavage daily for 50 days at 100 µg/kg body weight. Cysts developed <strong>in</strong> the bra<strong>in</strong>s<br />
17
<strong>of</strong> all mice, but the lesions were judged to be more severe <strong>in</strong> the aflatox<strong>in</strong> B1-treated animals<br />
(Ventur<strong>in</strong>i et al., 2006).<br />
2.7.2 Reproductive and Developmental effects <strong>in</strong> Humans<br />
Several studies have reported high levels <strong>of</strong> free <strong>aflatox<strong>in</strong>s</strong> <strong>in</strong> maternal and umbilical cord blood<br />
<strong>in</strong> humans liv<strong>in</strong>g <strong>in</strong> areas where consumption <strong>of</strong> large amounts <strong>of</strong> food highly contam<strong>in</strong>ated with<br />
<strong>aflatox<strong>in</strong>s</strong> is suspected or has been demonstrated <strong>in</strong> previous studies.<br />
However, the chemical analysis <strong>in</strong> each study relied on a s<strong>in</strong>gle method and the results were not<br />
confirmed by other means. A number <strong>of</strong> studies have reported effects <strong>in</strong> <strong>in</strong>fants, but <strong>in</strong> most<br />
studies, various confounders were not controlled for and exposure levels were not <strong>in</strong>vestigated.<br />
Aflatox<strong>in</strong>s have been reported to occur <strong>in</strong> up to 40% <strong>of</strong> samples <strong>of</strong> breast milk collected from<br />
women <strong>in</strong> tropical Africa (Hendrickse, 1997).<br />
Maxwell (2008) reviewed the <strong>presence</strong> <strong>of</strong> <strong>aflatox<strong>in</strong>s</strong> <strong>in</strong> human body fluids and tissues <strong>in</strong> relation<br />
to child health <strong>in</strong> the tropics. In Ghana, Kenya, Nigeria and Sierra Leone, 25% <strong>of</strong> cord blood<br />
samples conta<strong>in</strong>ed <strong>aflatox<strong>in</strong>s</strong>, primarily M1 and M2, <strong>in</strong> variable amounts (range for aflatox<strong>in</strong><br />
M1: 7 µg/l–65 µg/l).<br />
Of 35 cord serum samples from Thailand, 17 (48%) conta<strong>in</strong>ed aflatox<strong>in</strong> concentrations <strong>of</strong> 0.064–<br />
13.6 nmol/ml (mean, 3.1 nmol/ml). By comparison, only two (6%) <strong>of</strong> 35 maternal sera obta<strong>in</strong>ed<br />
immediately after birth <strong>of</strong> the child conta<strong>in</strong>ed aflatox<strong>in</strong> (mean, 0.62 nmol/ml). These results<br />
demonstrate transplacental transfer and <strong>in</strong>dicate that aflatox<strong>in</strong> is concentrated by the feto<br />
placental unit (Denn<strong>in</strong>g et al., 1990).<br />
A study <strong>of</strong> 480 children (aged 1–5 years) <strong>in</strong> Ben<strong>in</strong> and Togo exam<strong>in</strong>ed aflatox<strong>in</strong> exposure <strong>in</strong><br />
relation to growth parameters. Mean concentrations <strong>of</strong> aflatox<strong>in</strong>–album<strong>in</strong> adducts <strong>in</strong> the blood<br />
were 2.5-fold higher <strong>in</strong> fully weaned children than <strong>in</strong> those who were still partially breast-fed.<br />
There was a strong negative correlation between aflatox<strong>in</strong>– album<strong>in</strong> adduct levels <strong>in</strong> the blood<br />
and both height-for-age (stunt<strong>in</strong>g) and weight for- age (be<strong>in</strong>g underweight) compared with WHO<br />
reference population data after adjustment for age, sex, wean<strong>in</strong>g status, socioeconomic status and<br />
18
geographical location. These data suggest that aflatox<strong>in</strong> may <strong>in</strong>hibit growth <strong>in</strong> West African<br />
children (Gong et al., 2002).<br />
In a small study <strong>of</strong> the <strong>presence</strong> <strong>of</strong> aflatox<strong>in</strong> <strong>in</strong> cord blood <strong>in</strong> Ibadan, Nigeria, a significant<br />
reduction <strong>in</strong> birth weight was found <strong>in</strong> jaundiced neonates, who had significantly higher serum<br />
aflatox<strong>in</strong> concentrations compared with babies without jaundice (Abulu et al., 1998).<br />
In a study to <strong>in</strong>vestigate whether <strong>aflatox<strong>in</strong>s</strong> contribute to the occurrence <strong>of</strong> jaundice <strong>in</strong> Ibadan,<br />
blood samples were obta<strong>in</strong>ed from 327 jaundiced neonates and 60 non-jaundiced controls.<br />
Aflatox<strong>in</strong>s were detected <strong>in</strong> 24.7% <strong>of</strong> jaundiced neonates and <strong>in</strong> 16.6% <strong>of</strong> controls. Analysis <strong>of</strong><br />
the data <strong>in</strong>dicated that either glucose-6-phosphate dehydrogenase deficiency or serum aflatox<strong>in</strong><br />
are risk factors for neonatal jaundice; odds ratios were significantly <strong>in</strong>creased: 3.0 (95% CI, 1.3–<br />
6.7) and 2.7 (95% CI, 1.2–6.1), respectively (Sode<strong>in</strong>de et al., 2005).<br />
Aflatox<strong>in</strong>s were detected <strong>in</strong> 14 <strong>of</strong> 64 (37.8%) cord blood samples from jaundiced neonates<br />
compared with 9 <strong>of</strong> 60 (22.5%) samples from non-jaundiced control babies <strong>in</strong> another study <strong>in</strong><br />
Nigeria, but the difference was not statistically significant (Ahmed et al., 1995).<br />
Aflatox<strong>in</strong>s were detected <strong>in</strong> 37% <strong>of</strong> cord blood samples <strong>in</strong> a study <strong>of</strong> 125 pregnancies <strong>in</strong> rural<br />
Kenya, with 53% <strong>of</strong> maternal blood samples be<strong>in</strong>g aflatox<strong>in</strong>-positive. There was no correlation<br />
between <strong>aflatox<strong>in</strong>s</strong> <strong>in</strong> maternal and cord blood. A significantly lower mean birth weight <strong>of</strong><br />
<strong>in</strong>fants born to aflatox<strong>in</strong>-positive mothers was recorded for female babies, but not for males (De<br />
Vries et al., 1989).<br />
In cord blood collected from 625 babies <strong>in</strong> Nigeria, <strong>aflatox<strong>in</strong>s</strong> were detected <strong>in</strong> 14.6% <strong>of</strong> the<br />
samples. There was no significant difference <strong>in</strong> birth weight between the groups positive or<br />
negative for <strong>aflatox<strong>in</strong>s</strong> (Maxwell et al., 2004).<br />
In a study <strong>of</strong> the <strong>presence</strong> <strong>of</strong> the imidazole r<strong>in</strong>g-opened form <strong>of</strong> aflatox<strong>in</strong> B1–DNA adducts <strong>in</strong><br />
placenta and cord blood, 69 <strong>of</strong> 120 (57.5%) placentas conta<strong>in</strong>ed the adduct at 0.6–6.3 µmol/mol<br />
DNA and 5 <strong>of</strong> 56 (8.9%) cord blood samples conta<strong>in</strong>ed the adduct at 1.4–2.7 µmol/mol DNA.<br />
The results <strong>in</strong>dicate that transplacental transfer <strong>of</strong> aflatox<strong>in</strong> B1 and its metabolites to the progeny<br />
is possible (Hsieh, 2003).<br />
A random sampl<strong>in</strong>g <strong>of</strong> semen from adult men, compris<strong>in</strong>g 50 samples collected from <strong>in</strong>fertile<br />
men and 50 samples from fertile men from the same community <strong>in</strong> Nigeria, revealed the<br />
<strong>presence</strong> <strong>of</strong> aflatox<strong>in</strong> B1 <strong>in</strong> 40% <strong>of</strong> samples from <strong>in</strong>fertile men compared with 8% <strong>in</strong> fertile men.<br />
19
The mean concentration <strong>of</strong> <strong>aflatox<strong>in</strong>s</strong> <strong>in</strong> semen <strong>of</strong> the <strong>in</strong>fertile men was significantly higher than<br />
that <strong>in</strong> semen <strong>of</strong> fertile men. Infertile men with aflatox<strong>in</strong> <strong>in</strong> their semen showed a higher<br />
percentage <strong>of</strong> spermatozoal abnormalities (50%) than the fertile men (10–15%) (Ibeh et al.,<br />
1994).<br />
2.7.3 Genetic and Related Effects <strong>in</strong> Humans<br />
DNA and prote<strong>in</strong> adducts <strong>of</strong> aflatox<strong>in</strong> have been detected <strong>in</strong> many studies <strong>of</strong> human liver tissues<br />
and body fluids (IARC, 1993). Some studies related the level <strong>of</strong> adducts detected to<br />
polymorphisms <strong>in</strong> metaboliz<strong>in</strong>g enzymes, <strong>in</strong> order to <strong>in</strong>vestigate <strong>in</strong>ter<strong>in</strong>dividual susceptibility to<br />
aflatox<strong>in</strong>.<br />
Wild et al. (2001) measured serum aflatox<strong>in</strong>–album<strong>in</strong> adducts <strong>in</strong> 117 Gambian children <strong>in</strong><br />
relation to GSTM1 genotype and found no difference <strong>in</strong> adduct levels by genotype.<br />
In a larger study <strong>of</strong> 357 adults <strong>in</strong> the same population, aflatox<strong>in</strong>–album<strong>in</strong> adduct levels were<br />
exam<strong>in</strong>ed <strong>in</strong> relation to genetic polymorphisms <strong>in</strong> the GSTM1, GSTT1, GSTP1 and epoxide<br />
hydrolase genes. Only the GSTM1-null genotype was associated with a modest <strong>in</strong>crease <strong>in</strong><br />
aflatox<strong>in</strong>–album<strong>in</strong> adduct levels and this effect was restricted to non-HBV-<strong>in</strong>fected <strong>in</strong>dividuals.<br />
CYP3A4 phenotype, as judged by ur<strong>in</strong>ary cortisol metabolite ratios, was also not associated with<br />
adduct level. The ma<strong>in</strong> factors affect<strong>in</strong>g the level <strong>of</strong> aflatox<strong>in</strong>–album<strong>in</strong> adducts were place <strong>of</strong><br />
residence (rural areas higher than urban areas) and season <strong>of</strong> blood sample collection (dry season<br />
higher than wet season) (Wild et al., 2000). Kensler et al. (1998) also found no association<br />
between aflatox<strong>in</strong>– album<strong>in</strong> adducts and GSTM1 genotype <strong>in</strong> 234 adults from Qidong County,<br />
Ch<strong>in</strong>a.<br />
Studies <strong>of</strong> the types <strong>of</strong> genetic alteration associated with exposure to aflatox<strong>in</strong> <strong>in</strong> vivo have been<br />
less extensive. In human subjects from Qidong County, Ch<strong>in</strong>a, aflatox<strong>in</strong> exposure was<br />
determ<strong>in</strong>ed as high or low (dichotomized around the population mean) by aflatox<strong>in</strong>– album<strong>in</strong><br />
adduct level <strong>in</strong> serum and compared with the HPRT mutation frequency <strong>in</strong> lymphocytes. A<br />
raised HPRT mutant frequency was observed <strong>in</strong> subjects with high compared with low aflatox<strong>in</strong><br />
exposure (OR, 19; 95% CI, 2.0–183) (Wang et al., 1999).<br />
The levels <strong>of</strong> chromosomal aberrations, micronuclei and sister chromatid exchange were studied<br />
<strong>in</strong> 35 Gambian adults, 32 <strong>of</strong> whom had measurable concentrations <strong>of</strong> aflatox<strong>in</strong>– album<strong>in</strong> adducts.<br />
20
There was no correlation with<strong>in</strong> this group between the cytogenetic alterations and aflatox<strong>in</strong>–<br />
album<strong>in</strong> adducts <strong>in</strong> peripheral blood at the <strong>in</strong>dividual level. In a further study, blood samples <strong>of</strong><br />
29 <strong>in</strong>dividuals <strong>of</strong> the same Gambian group were tested for DNA damage <strong>in</strong> the s<strong>in</strong>gle-cell gel<br />
electrophoresis (comet) assay but no correlation was observed with aflatox<strong>in</strong>–album<strong>in</strong> adducts or<br />
GSTM1 genotype (Anderson et al., 1999).<br />
2.8 Studies <strong>of</strong> Cancer <strong>in</strong> Humans<br />
Beg<strong>in</strong>n<strong>in</strong>g <strong>in</strong> the 1960s and throughout the 1980s, a large number <strong>of</strong> ecological correlation<br />
studies were carried out to look for a possible correlation between dietary <strong>in</strong>take <strong>of</strong> <strong>aflatox<strong>in</strong>s</strong><br />
and risk <strong>of</strong> primary liver cancer (IARC, 1993). Most <strong>of</strong> these studies were carried out <strong>in</strong><br />
develop<strong>in</strong>g countries <strong>of</strong> sub-Saharan Africa or Asia, where liver cancer is common. With some<br />
notable exceptions, and despite the methodological limitations <strong>of</strong> these studies, they tended to<br />
show that areas with the highest presumed aflatox<strong>in</strong> <strong>in</strong>take also had the highest liver cancer rates.<br />
However, the limitations <strong>of</strong> these studies, <strong>in</strong>clud<strong>in</strong>g questionable diagnosis and registration <strong>of</strong><br />
liver cancer <strong>in</strong> the areas studied, questionable assessment <strong>of</strong> aflatox<strong>in</strong> <strong>in</strong>take at the <strong>in</strong>dividual<br />
level, non-existent or questionable control for the effect <strong>of</strong> hepatitis virus and the usual problem<br />
<strong>of</strong> mak<strong>in</strong>g <strong>in</strong>ferences for <strong>in</strong>dividuals from observations on units at the ecological level, led to<br />
<strong>in</strong>creas<strong>in</strong>g recognition <strong>of</strong> the need for studies based on <strong>in</strong>dividuals as units <strong>of</strong> observation.<br />
In the 1980s, some case–control studies were carried out <strong>in</strong> high-risk areas, generally based on<br />
reasonably reliable diagnostic criteria for liver cancer (IARC, 1993). The comparability <strong>of</strong> cases<br />
and controls was limited <strong>in</strong> some <strong>of</strong> these studies. Exposure to <strong>aflatox<strong>in</strong>s</strong> was sometimes<br />
assessed via dietary questionnaires and sometimes via biomarker measurements. As both <strong>of</strong> these<br />
were collected after disease onset, their relevance to past lifetime <strong>in</strong>take <strong>of</strong> <strong>aflatox<strong>in</strong>s</strong> was<br />
uncerta<strong>in</strong>. Beg<strong>in</strong>n<strong>in</strong>g <strong>in</strong> the mid 1980s, some prospective cohort studies were undertaken which<br />
avoided many <strong>of</strong> the methodological limitations <strong>of</strong> earlier studies. Among the major advantages<br />
<strong>of</strong> this new generation <strong>of</strong> studies were the follow<strong>in</strong>g: new improved biomarkers <strong>of</strong> aflatox<strong>in</strong><br />
exposure, improved ability to measure hepatitis <strong>in</strong>fection, better comparability <strong>of</strong> cases and<br />
controls with<strong>in</strong> a well def<strong>in</strong>ed cohort, and control <strong>of</strong> the temporal sequence by measur<strong>in</strong>g<br />
exposure before disease onset.<br />
In 1992, an IARC Work<strong>in</strong>g Group described all relevant human studies that had been<br />
21
eported and concluded that there was sufficient evidence <strong>in</strong> humans for carc<strong>in</strong>ogenicity<br />
<strong>of</strong> aflatox<strong>in</strong> B1 and <strong>of</strong> naturally-occurr<strong>in</strong>g mixtures <strong>of</strong> <strong>aflatox<strong>in</strong>s</strong>. The outcome <strong>in</strong>vestigated <strong>in</strong><br />
most studies was liver cancer. Different studies used different sources (e.g., death certificates,<br />
hospital registries, medical exam<strong>in</strong>ations) and different criteria (cl<strong>in</strong>ical, cytological) for<br />
def<strong>in</strong>ition <strong>of</strong> liver cancer. Different terms, such as liver cancer, primary liver cancer or<br />
hepatocellular carc<strong>in</strong>oma (HCC) were used.<br />
2.9 Human Biological Fluids<br />
Covalent b<strong>in</strong>d<strong>in</strong>g <strong>of</strong> aflatox<strong>in</strong> to album<strong>in</strong> <strong>in</strong> peripheral blood has been measured <strong>in</strong> a number <strong>of</strong><br />
studies (Montesano et al., 1997). The levels <strong>of</strong> these adducts are assumed to reflect exposure to<br />
aflatox<strong>in</strong> over the previous 2–3 months, based on the half-life <strong>of</strong> album<strong>in</strong>. Experimental data<br />
have also shown that this biomarker reflects the formation <strong>of</strong> the reactive metabolite <strong>of</strong> aflatox<strong>in</strong><br />
B1 and the level <strong>of</strong> DNA damage occurr<strong>in</strong>g <strong>in</strong> the livers <strong>of</strong> rats treated with aflatox<strong>in</strong> B1.<br />
Maxwell (2008) has discussed the <strong>presence</strong> <strong>of</strong> <strong>aflatox<strong>in</strong>s</strong> <strong>in</strong> human body fluids and tissues <strong>in</strong><br />
relation to child health <strong>in</strong> the tropics. In Ghana, Kenya, Nigeria and Sierra Leone, 25% <strong>of</strong> cord<br />
blood samples conta<strong>in</strong>ed <strong>aflatox<strong>in</strong>s</strong>, primarily M1 and M2, as well as others <strong>in</strong> variable amounts<br />
(range: 1 µg aflatox<strong>in</strong> M1/l to 64 973 µg aflatox<strong>in</strong> B1/l).<br />
Of 35 cord serum samples from Thailand, 48% conta<strong>in</strong>ed <strong>aflatox<strong>in</strong>s</strong> at concentrations <strong>of</strong> 0.064–<br />
13.6 nmol/ml (mean, 3.1 nmol/ml). By comparison, only two <strong>of</strong> 35 maternal sera obta<strong>in</strong>ed<br />
immediately after birth conta<strong>in</strong>ed aflatox<strong>in</strong> (mean, 0.62 nmol/ml). These results show that<br />
transplacental transfer and concentration <strong>of</strong> aflatox<strong>in</strong> by the fetoplacental unit occur (Denn<strong>in</strong>g et<br />
al., 1990).<br />
Analyses <strong>of</strong> breast milk <strong>in</strong> Ghana, Nigeria, Sierra Leone and Sudan showed primarily aflatox<strong>in</strong><br />
M1, aflatox<strong>in</strong> M2 and aflatoxicol. Aflatox<strong>in</strong> exposure pre- or post-natally at levels ≥ 100 ng/L<br />
was very <strong>of</strong>ten associated with illness <strong>in</strong> the child (Maxwell, 2008). Exposure <strong>of</strong> <strong>in</strong>fants to<br />
aflatox<strong>in</strong> M1 from mothers’ breast milk <strong>in</strong> the United Arab Emirates has been measured by Saad<br />
et al. (1995). Among 445 donors <strong>of</strong> breast milk, 99.5% <strong>of</strong> samples conta<strong>in</strong>ed aflatox<strong>in</strong> M1 at<br />
concentrations rang<strong>in</strong>g from 2–3 µg/L. The mothers were <strong>of</strong> a wide range <strong>of</strong> nationalities, ages<br />
and health status; no correlation was observed between these factors and aflatox<strong>in</strong> M1 content <strong>of</strong><br />
the milk.<br />
22
2.10 Cases–Control Studies<br />
Olubuyide et al. (1993) carried out a small case–control study <strong>in</strong> Nigeria to assess the role <strong>of</strong><br />
HBV and <strong>aflatox<strong>in</strong>s</strong> <strong>in</strong> primary hepatocellular carc<strong>in</strong>oma. Cases were 22 patients at a university<br />
hospital <strong>in</strong> Ibadan <strong>in</strong> 1988. Controls were 22 patients from the gastroenterology ward <strong>of</strong> the same<br />
hospital with acid peptic disease unrelated to liver diseases and matched to cases for sex and age.<br />
Blood samples were collected after subjects were on hospital diet for one week and were<br />
analysed for HBsAg and a number <strong>of</strong> <strong>aflatox<strong>in</strong>s</strong> (B1, B2, M1, M2, G1, G2) and aflatoxicol.<br />
HBsAg was detected <strong>in</strong> 16 cases and 8 controls. Elevated levels <strong>of</strong> <strong>aflatox<strong>in</strong>s</strong> were detected <strong>in</strong><br />
five (23%) cases and one (5%) control, the difference be<strong>in</strong>g significant (p < 0.05).<br />
2.11 Analysis <strong>of</strong> Aflatox<strong>in</strong> <strong>in</strong> Foods<br />
Methods for determ<strong>in</strong><strong>in</strong>g <strong>aflatox<strong>in</strong>s</strong> <strong>in</strong> agricultural commodities and food products have been<br />
verified by AOAC International (Stroka et al., 2001) and by various <strong>in</strong>ternational committees<br />
(ISO, 2001). The methods have greatly improved <strong>in</strong> recent years with the commercial<br />
availability <strong>of</strong> multifunctional columns and immunoaff<strong>in</strong>ity columns, which are simple and rapid<br />
to use, and with reduction <strong>in</strong> the use <strong>of</strong> toxic solvents for extraction and clean-up.<br />
A number <strong>of</strong> approaches have been used to analyse <strong>aflatox<strong>in</strong>s</strong> and their metabolites <strong>in</strong> human<br />
tissues and body fluids. These <strong>in</strong>clude immunoaff<strong>in</strong>ity purification, immunoassay (Wild et al.,<br />
1987), high performance liquid chromatography (HPLC) with fluorescence or ultraviolet<br />
detection and synchronous fluorescence spectroscopy (Groopman et al., 1991). Molecular<br />
biomarkers, such as ur<strong>in</strong>ary markers, metabolites <strong>in</strong> milk and parent compounds <strong>in</strong> blood, are<br />
used for determ<strong>in</strong><strong>in</strong>g exposure to <strong>aflatox<strong>in</strong>s</strong> (Groopman, 1993).<br />
23
Table2: Analytical methods validated by AOAC International and the EU<br />
Method No. Aflatox<strong>in</strong> Food Method Detection limit<br />
(µg/kg)<br />
975.36 All Food and feeds MC 5–15<br />
(Screen<strong>in</strong>g)<br />
979.18 All Maize and peanuts MC 10<br />
(Screen<strong>in</strong>g)<br />
990.31 All Maize and peanuts IC 10<br />
(Screen<strong>in</strong>g)<br />
994.08 B1, B2, Maize, Almond MFC/HPLC 5<br />
G1, G2 (Mycosep)<br />
999. All, B1 Peanut butter, IC/HPLC NG<br />
(Screen<strong>in</strong>g)<br />
989.06 B1 Cottonseed products ELISA 15<br />
(Screen<strong>in</strong>g)<br />
990.32 B1 Maize and roasted peanuts ELISA 20<br />
24
Method No. Aflatox<strong>in</strong> Food Method Detection limit<br />
(µg/kg)<br />
2000.16 B1 Baby foods (<strong>in</strong>fant formula) IC/HPLC 0.1<br />
990.34 B1, B2, G1 Maize, cottonseed, peanuts ELISA 20–30<br />
978.15 B1 Eggs TLC 0.1<br />
982.24 B1 and M1 Liver TLC 0.1<br />
974.17 M1 Dairy products TLC 0.1<br />
986.16 M1 and M2 Fluid milk HPLC 0.1<br />
6651 B1 Animal feed<strong>in</strong>g stuff TLC/fluorescence 4<br />
Source: IARC (1995); ISO (2001); Stroka et al. (2001)<br />
2.12 Regulations and Guidel<strong>in</strong>es<br />
Efforts to reduce human and animal exposure to <strong>aflatox<strong>in</strong>s</strong> have resulted <strong>in</strong> the establishment <strong>of</strong><br />
regulatory limits and monitor<strong>in</strong>g programme worldwide. The rationale for the establishment <strong>of</strong><br />
specific regulations varies widely; however, most regulations are based on some form <strong>of</strong> risk<br />
analysis <strong>in</strong>clud<strong>in</strong>g the availability <strong>of</strong> toxicological data, <strong>in</strong>formation on susceptible commodities,<br />
sampl<strong>in</strong>g and analytical capabilities, and the effect on the availability <strong>of</strong> an adequate food supply<br />
(Stol<strong>of</strong>f et al., 1991). In 1995, among countries with more than five million <strong>in</strong>habitants, 77 had<br />
known regulations for mycotox<strong>in</strong>s (all <strong>of</strong> which <strong>in</strong>cluded <strong>aflatox<strong>in</strong>s</strong>) and 13 reported the absence<br />
25
<strong>of</strong> regulations. Data were not available for 40 countries (FAO, 2005). The regulation ranges for<br />
aflatox<strong>in</strong> B1 and total <strong>aflatox<strong>in</strong>s</strong> (B1, B2, G1, G2) were ‘none detectable’ to 30 or 50 µg/kg,<br />
respectively. Seventeen countries had regulations for aflatox<strong>in</strong> M1 <strong>in</strong> milk. The regulatory range<br />
for aflatox<strong>in</strong> M1 <strong>in</strong> milk was ‘none detectable’ to 1.0 µg/kg. New m<strong>in</strong>imum EU regulations to<br />
which all EU countries must adhere were provided <strong>in</strong> 1998 (European Commission, 1998).<br />
These regulations apply to all <strong>aflatox<strong>in</strong>s</strong> (B1, B2, G1, G2) <strong>in</strong> raw commodities and processed<br />
foods and to aflatox<strong>in</strong> M1 <strong>in</strong> milk. Regulations for other commodities <strong>in</strong>clude <strong>in</strong>fant foods<br />
(European Commission, 2001) and selected spices (European Commission, 2002).<br />
However, the US food and Drug Adm<strong>in</strong>istration has set maximum allowable levels <strong>of</strong> aflatox<strong>in</strong><br />
<strong>in</strong> food and feed. Therefore, accurate determ<strong>in</strong>ation <strong>of</strong> the <strong>presence</strong> <strong>of</strong> the tox<strong>in</strong> is <strong>of</strong> major<br />
importance to those monitor<strong>in</strong>g the quality <strong>of</strong> food and feed <strong>in</strong> which aflatox<strong>in</strong> may occur.<br />
Test<strong>in</strong>g these commodities for the tox<strong>in</strong> requires careful sampl<strong>in</strong>g, chemical extraction,<br />
sanitation and quantitative analysis.<br />
Table: 3 The FDA regulatory levels for <strong>aflatox<strong>in</strong>s</strong><br />
For Level Commodities<br />
Humans 20 ppb All foods such as meat, <strong>fish</strong>,<br />
except milk<br />
All animal species 20 ppb All feeds (exceptions below)<br />
Exceptions:<br />
Breed<strong>in</strong>g cattle<br />
Breed<strong>in</strong>g sw<strong>in</strong>e<br />
Mature poultry<br />
100 ppb Corn<br />
F<strong>in</strong>ish<strong>in</strong>g sw<strong>in</strong>e<br />
200 ppb Corn<br />
(>100lbs.)<br />
F<strong>in</strong>ish<strong>in</strong>g beef cattle 300 ppb Corn<br />
F<strong>in</strong>ish<strong>in</strong>g beef cattle,<br />
sw<strong>in</strong>e, poultry<br />
300 ppb Cottonseed meal<br />
26
2.13 Outstand<strong>in</strong>g Health Questions <strong>in</strong> Aflatox<strong>in</strong> Management<br />
Increased liver cancer <strong>in</strong>cidence associated with <strong>aflatox<strong>in</strong>s</strong> occurs <strong>in</strong> areas <strong>of</strong> the world with<br />
chronic high levels <strong>of</strong> tox<strong>in</strong>s, frequently exceed<strong>in</strong>g the regulatory levels under consideration by<br />
the Codex Alimentarius Commission (2001) by large amounts, sometimes factors <strong>of</strong> 10 or 100,<br />
and endemic <strong>in</strong>fection with hepatitis B or C viruses (HBV or HCV). Some basis exists for<br />
quantify<strong>in</strong>g the effects <strong>of</strong> aflatox<strong>in</strong> exposure on liver cancer risk, and for the greater impact <strong>of</strong><br />
<strong>aflatox<strong>in</strong>s</strong> <strong>in</strong> areas <strong>of</strong> high HBV or HCV <strong>in</strong>cidence (JECFA, 2001). However, uncerta<strong>in</strong>ty<br />
rema<strong>in</strong>s regard<strong>in</strong>g the health effects <strong>of</strong> occasional high exposures occurr<strong>in</strong>g due to unusual<br />
weather patterns, <strong>in</strong> comparison with those due to normal chronic exposure; the effect <strong>of</strong><br />
comb<strong>in</strong>ations <strong>of</strong> mycotox<strong>in</strong>s, e.g. <strong>aflatox<strong>in</strong>s</strong> and fumonis<strong>in</strong>s, on cancer risk; and the broader<br />
health effects <strong>of</strong> aflatox<strong>in</strong> exposure. Under the latter consideration, the most important aspects<br />
are the greater sensitivity <strong>of</strong> children to acute toxicity <strong>of</strong> <strong>aflatox<strong>in</strong>s</strong> as compared with adults; the<br />
<strong>in</strong>-utero effects <strong>of</strong> <strong>aflatox<strong>in</strong>s</strong>, known to cross the placenta; the immunosuppressive effects <strong>of</strong><br />
<strong>aflatox<strong>in</strong>s</strong>, which may <strong>in</strong>fluence susceptibility to <strong>in</strong>fectious disease; the suppressive effects <strong>of</strong><br />
<strong>aflatox<strong>in</strong>s</strong> on growth; and the <strong>in</strong>teractions between HCV, HBV and <strong>aflatox<strong>in</strong>s</strong> <strong>in</strong> liver cancer<br />
development <strong>in</strong> various populations <strong>in</strong> the world.<br />
The areas mentioned are important ones for future research, to provide <strong>in</strong>formation <strong>of</strong> direct<br />
relevance to public health decisions regard<strong>in</strong>g aflatox<strong>in</strong> exposure.<br />
27
CHAPTER THREE<br />
3.0 MATERIALS AND METHODS<br />
3.1 Sample Collection<br />
Smoke <strong>dried</strong> <strong>fish</strong>es were randomly sampled and purchased from two different market<strong>in</strong>g sites,<br />
Itoku and Lafenwa <strong>in</strong> Abeokuta town, Ogun State, Nigeria. Five samples <strong>of</strong> related species were<br />
grouped together to make ten composite samples total<strong>in</strong>g fifty samples <strong>in</strong> all. They were<br />
subsequently packed <strong>in</strong> sterile polyethylene bags and tagged accord<strong>in</strong>gly, and taken to Zartech<br />
laboratory for analyses.<br />
3.2 Assay Pr<strong>in</strong>ciples<br />
Veratox for Aflatox<strong>in</strong> is a direct competitive ELISA <strong>in</strong> a microwell format which allows the user<br />
to obta<strong>in</strong> exact concentrations <strong>in</strong> part per billion (ppb). Free aflatox<strong>in</strong> <strong>in</strong> the samples and controls<br />
are allowed to compete with enzyme-labelled aflatox<strong>in</strong> (conjugate) for the antibody b<strong>in</strong>d<strong>in</strong>g<br />
sites. After a wash step, substrate is added, which reacts with the bound conjugate to produce<br />
blue colour. More blue colour means less aflatox<strong>in</strong>. The test is read <strong>in</strong> a microwell reader to yield<br />
optical densities <strong>of</strong> the controls from the standard curve, and the sample optical densities are<br />
plotted aga<strong>in</strong>st the curve to calculate the exact concentration <strong>of</strong> aflatox<strong>in</strong>.<br />
3.3 Materials Provided<br />
1. 48 antibody-coated microwells.<br />
2. 48 red-marked mix<strong>in</strong>g wells.<br />
3. 4 yellow-labelled bottles <strong>of</strong> 0, 5, 15 and 50 ppb.<br />
4. 1 blue-labelled bottle <strong>of</strong> aflatox<strong>in</strong>-HRP conjugate solution.<br />
5. 1 green-labelled bottle <strong>of</strong> K-Blue Substrate solution.<br />
6. 1 red-labelled bottle <strong>of</strong> Red Stop solution.<br />
7. Extraction materials (items c through e available <strong>in</strong> kit form from Neogen):<br />
a. 70% ACS Grade methanol<br />
28
. 250ml graduated cyl<strong>in</strong>der<br />
c. Conta<strong>in</strong>er with 125ml capacity.<br />
d. Neogen filter syr<strong>in</strong>ges. Whatman #1 filter paper<br />
e. Sample collection tubes.<br />
8. High-speed blender.<br />
9. Agri-Gr<strong>in</strong>d gr<strong>in</strong>der or blender.<br />
10. Scale capable <strong>of</strong> weigh<strong>in</strong>g 5-50grams<br />
11. Microwell reader with a 650nm filter.<br />
12. Pipettor, 12-channel.<br />
13. Pipettor, 100µl.<br />
14. Pipette tips for 100µl and 12-channel pipettors.<br />
15. Towel as an absorbent material.<br />
16. Plastic bucket for use as a waste receptacle.<br />
17. Microwell holder.<br />
18. Timer.<br />
19. Waterpro<strong>of</strong> marker.<br />
20. Wash bottle.<br />
21. 2 reagents boats for 12-channel pipettor.<br />
22. Good quality grade distilled water.<br />
3.4 Sample Preparation and Extraction<br />
1. The collected samples (<strong>smoked</strong>-<strong>dried</strong> <strong>fish</strong>) were ground <strong>in</strong>to powdery form with the use<br />
<strong>of</strong> high-speed blender, thoroughly mixed together and made <strong>in</strong>to composite, followed by<br />
weigh<strong>in</strong>g on an electronic scale. 5 grams <strong>of</strong> the representative sample was put <strong>in</strong>to an<br />
extraction cup.<br />
2. 25ml <strong>of</strong> 70% methanol was added, the extraction cup was covered and shaked vigorously<br />
us<strong>in</strong>g hand for 3 m<strong>in</strong>utes, then the mixture was allowed to settle down.<br />
3. The extract was filtered by pour<strong>in</strong>g 5ml through a Whatman #1 filter syr<strong>in</strong>ge, and filtrate<br />
was collected as a sample.<br />
4. The sample is now ready for test<strong>in</strong>g.<br />
29
3.5 Test Procedure<br />
1. The kit (conta<strong>in</strong><strong>in</strong>g coated well, mix<strong>in</strong>g well, conjugate, subscript and stop solution) were<br />
set at room temperature (20 0 C).<br />
2. A well holder was obta<strong>in</strong>ed and 1 red-marked mix<strong>in</strong>g well for each sample tested plus 4<br />
red-marked wells for controls, and placed <strong>in</strong> the well holder.<br />
3. An equal number <strong>of</strong> antibody-coated wells were removed. One end <strong>of</strong> strip was marked<br />
with a “1”, and strip was placed <strong>in</strong> the well holder with the marked end on the left.<br />
Mark<strong>in</strong>g the <strong>in</strong>side or bottom <strong>of</strong> the wells was avoided.<br />
4. Each reagent was mixed swirl<strong>in</strong>g the reagent bottle prior to use.<br />
5. 100µl <strong>of</strong> conjugate from the blue-labelled bottle was placed <strong>in</strong> each red-marked mix<strong>in</strong>g<br />
well.<br />
6. Us<strong>in</strong>g a new pipette tip for each, 100µl <strong>of</strong> controls and samples were transferred to the<br />
red-marked mix<strong>in</strong>g wells as described below:<br />
0 5 15 50 S1 S2 S3 S4 S5 S6 S7 S8 Strip 1<br />
S9 S10 S11 S12 S13 S14 S15 S16 S17 S18 S19 S20 Strip2<br />
7. Us<strong>in</strong>g a 12-channel pipettor, mix the liquid <strong>in</strong> the well and swirled up and down for 3<br />
times. 100µl was transferred to the anti-body coated wells, then the red-marked mix<strong>in</strong>g<br />
wells.<br />
8. The timer was set for 2 m<strong>in</strong>utes, mix<strong>in</strong>g the wells by forward pipett<strong>in</strong>g and set at room<br />
temperature for <strong>in</strong>cubations by slid<strong>in</strong>g the mix<strong>in</strong>g wells back and forth on a flat surface<br />
without splash<strong>in</strong>g the wells.<br />
9. The content <strong>of</strong> the antibody wells was shaked, filled with good quality distilled water and<br />
dumped out. Then wells were turned upside-down and tap-<strong>dried</strong> with towel until the<br />
rema<strong>in</strong><strong>in</strong>g water has been removed.<br />
10. With new tips on the 12-channel pipettor, 100µl <strong>of</strong> substrate was added <strong>in</strong>to the wells.<br />
11. The timer was set for 3 m<strong>in</strong>utes, the wells were mixed by slid<strong>in</strong>g back and forth on a flat<br />
surface. The mixture was then discarded and the reagent boat was r<strong>in</strong>sed with distilled<br />
water.<br />
30
12. Red Stop solution was poured from the red-labelled bottle <strong>in</strong>to the labelled reagent boat.<br />
13. Excess substrate from the 12-channel pipette tips was ejected, and 100µl <strong>of</strong> Red Stop<br />
solution was pipetted <strong>in</strong>to each well, mixed back and forth on a flat surface and<br />
discarded.<br />
14. The bottom <strong>of</strong> the microwells was wiped with a dry towel such that there was no fluid<br />
rema<strong>in</strong><strong>in</strong>g, the plate was tak<strong>in</strong>g <strong>in</strong>to the microwell reader us<strong>in</strong>g a 650nm filter. Air<br />
bubbles were elim<strong>in</strong>ated, as they could affect analytical results.<br />
3.6 Statistical Analysis<br />
The result was read and calculated us<strong>in</strong>g Neogen’s Veratox s<strong>of</strong>tware, while T-test was used to<br />
test for the significant level <strong>of</strong> the means.<br />
31
CHAPTER FOUR<br />
4.0 RESULTS<br />
4.1 Sample Analysis<br />
The result <strong>of</strong> the total aflatox<strong>in</strong> concentrations expressed <strong>in</strong> part per billion (ppb) obta<strong>in</strong>ed<br />
from the sampl<strong>in</strong>g <strong>of</strong> ten <strong>smoked</strong>-<strong>dried</strong> <strong>fish</strong> species purchased from local markets <strong>in</strong><br />
Abeokuta are shown <strong>in</strong> table 5.<br />
Table 4: Identified <strong>smoked</strong>-<strong>dried</strong> <strong>fish</strong>es sampled from the two markets (Itoku and<br />
Lafenwa) total<strong>in</strong>g fifty<br />
Scientific Names<br />
Common Names<br />
Alestes nurse<br />
Synodontis budgeti<br />
Ethmalosa fimbriata<br />
Schilbe uranoscopus<br />
Clarias gariep<strong>in</strong>us<br />
Gymnallabes typus<br />
Ilisha Africana<br />
Chrysichthys nigrodigitatus<br />
Cynoglossus browni<br />
Calamoichthys calabaricus<br />
Silverside <strong>fish</strong><br />
Cat<strong>fish</strong><br />
Bonga <strong>fish</strong><br />
Butter<strong>fish</strong><br />
Mudcat<strong>fish</strong><br />
Cat<strong>fish</strong><br />
West African Shad<br />
Silver cat<strong>fish</strong><br />
Sole<br />
Rope <strong>fish</strong><br />
32
PLATES SHOWING THE SAMPLED SMOKED-DRIED FISH SPECIES<br />
Plate 1: Ethmalosa fimbriata<br />
Plate 2: Synodontis budgeti<br />
Plate 5: Ilisha africana<br />
Plate 4: Calamoichthys calabaricus<br />
33
Plate 5: Clarias gariep<strong>in</strong>us<br />
Plate 6: Schilbe uranoscopus<br />
Plate 7: Chrysichthys nigrodigitatus<br />
Plate 8: Gymnallabes typus<br />
Plate 9: Cynoglossus browni<br />
34<br />
Plate 10: Alestes nurse
Table 5: Result <strong>of</strong> Laboratory Analysis for the Aflatox<strong>in</strong> Levels <strong>of</strong> the Smoked-<strong>dried</strong><br />
<strong>fish</strong>es sampled from the two markets<br />
Slope: -2.090 Correlation Co-efficient Units: ppb<br />
Sample Description Optical Prelim<strong>in</strong>ary Dilution F<strong>in</strong>al<br />
Density Result Factor Result<br />
1 0 ppb 1.220 0.0000<br />
2 5 ppb 0.752 5.290<br />
3 15 ppb 0.497 13.480<br />
4 50 ppb 0.203 52.620<br />
5 A 1.184 0.190 1.0 0.190 ± 0.105<br />
6 B 1.121 0.620 1.0 0.620 ± 0.105<br />
7 C 1.117 0.650 1.0 0.650 ± 0.105<br />
8 D 1.127 0.570 1.0 0.570 ± 0.105<br />
9 E 1.056 1.150 1.0 1.150 ± 0.105<br />
10 F 1.096 0.810 1.0 0.810 ± 0.105<br />
11 G 1.154 0.380 1.0 0.380 ± 0.105<br />
12 H 1.083 0.910 1.0 0.910 ± 0.105<br />
13 I 1.114 0.670 1.0 0.670 ± 0.105<br />
14 J 1.214 0.030 1.0 0.030 ± 0.105<br />
Keys:<br />
A: Alestes nurse F: Gymnallabes typus<br />
B: Synodontis budgeti G: Ilisha Africana<br />
C: Ethmalosa fimbriata H: Chrysichthys nigrodigitatus<br />
D: Schilbe uranoscopus I: Cynoglossus browni<br />
E: Clarias gariep<strong>in</strong>us J: Calamoichthys calabaricus<br />
Aflatox<strong>in</strong> concentrations <strong>of</strong> the <strong>smoked</strong>-<strong>dried</strong> <strong>fish</strong> samples ranged from 0.030 ppb to 1.150 ppb<br />
with a mean <strong>of</strong> 0.5980±0.1050 ppb.<br />
35
Figure 1: Aflatox<strong>in</strong> concentrations <strong>in</strong> the different <strong>smoked</strong>-<strong>dried</strong> <strong>fish</strong> samples<br />
36
CHAPTER FIVE<br />
5.0 DISCUSSION, CONCLUSION AND RECOMMENDATIONS<br />
5.1 DISCUSSION<br />
Results obta<strong>in</strong>ed from this study showed that <strong>aflatox<strong>in</strong>s</strong> were found to be associated with<br />
<strong>smoked</strong>-<strong>dried</strong> <strong>fish</strong>es <strong>sold</strong> <strong>in</strong> different markets <strong>in</strong> Abeokuta, but <strong>in</strong> non-significant levels<br />
(0.030ppb-1.150ppb) that may not be toxic to human health accord<strong>in</strong>g to the regulatory levels for<br />
<strong>aflatox<strong>in</strong>s</strong> issued by the Food and Adm<strong>in</strong>istration (FDA) <strong>of</strong> the United States (The FDA<br />
regulatory levels for aflatox<strong>in</strong> <strong>in</strong>take for humans and all animal species is maximum <strong>of</strong> 20 ppb).<br />
Adebayo-Tayo et al. (2006), reported different results <strong>in</strong> marketed <strong>smoked</strong>-<strong>dried</strong> <strong>fish</strong> stored for<br />
sale <strong>in</strong> Uyo, Akwa-Ibom State, whereby the <strong>presence</strong> <strong>of</strong> <strong>aflatox<strong>in</strong>s</strong> were <strong>in</strong> higher concentrations<br />
(The Aflatox<strong>in</strong> concentrations <strong>in</strong> the samples were between 1.5ppb – 8.1ppb) <strong>in</strong> the samples<br />
which might probably make their consumption hazardous to health. Such a higher difference <strong>in</strong><br />
aflatox<strong>in</strong> concentrations might be as a result <strong>of</strong> higher relative humidity usually recorded <strong>in</strong> Uyo,<br />
unlike Abeokuta town. This might favour the accumulation <strong>of</strong> aflatox<strong>in</strong> due to high moisture<br />
content when displayed for sale <strong>in</strong> the market. The processes <strong>of</strong> handl<strong>in</strong>g <strong>fish</strong>es are also prone to<br />
aflatox<strong>in</strong> contam<strong>in</strong>ation especially <strong>in</strong> artisanal <strong>fish</strong>ery due to unhygienic methods <strong>of</strong><br />
preservation. Accord<strong>in</strong>g to Akande and Tobor (1992), <strong>in</strong> artisanal <strong>fish</strong>ery, freshly caught <strong>fish</strong> are<br />
covered with damp sacks and at times, they are mixed with wet grass or water weeds to reduce<br />
the temperature. Fish treated this way is prone to contam<strong>in</strong>ation with microorganisms such as<br />
bacteria and fungi. This <strong>in</strong>dicates that spoilage <strong>of</strong> <strong>fish</strong> starts shortly after harvest<strong>in</strong>g. Dur<strong>in</strong>g the<br />
smoke-dry<strong>in</strong>g period, smok<strong>in</strong>g kilns used <strong>in</strong> artisanal <strong>fish</strong>ery and the overload<strong>in</strong>g <strong>of</strong> the <strong>fish</strong>es on<br />
the trays leads to improper process<strong>in</strong>g which <strong>in</strong> turn encourages aflatox<strong>in</strong> contam<strong>in</strong>ation (Eyo,<br />
1992). Dur<strong>in</strong>g storage <strong>of</strong> <strong>smoked</strong>-<strong>dried</strong> <strong>fish</strong> products, good storage practices are not adhered to,<br />
hence stores are not well ventilated and pests can easily ga<strong>in</strong> access <strong>in</strong>to the stores. The<br />
environment <strong>in</strong> which <strong>fish</strong>es are displayed <strong>in</strong> the market is not always hygienic and this is<br />
another avenue for aflatox<strong>in</strong> contam<strong>in</strong>ation. Very <strong>of</strong>ten, retailers display the <strong>smoked</strong>-<strong>dried</strong> <strong>fish</strong>es<br />
<strong>in</strong> open trays beside the gutter on refuse heaps, this also encourages fungal attack and subsequent<br />
production <strong>of</strong> tox<strong>in</strong>s. This is <strong>in</strong> agreement with the report <strong>of</strong> Akande and Tobor (1992). The<br />
37
esult also revealed that Aflatox<strong>in</strong>s were detected <strong>in</strong> all <strong>of</strong> the samples. The aflatox<strong>in</strong><br />
concentration ranged from 0.030ppb-1.150ppb (Table 4). Rope <strong>fish</strong> had the lowest aflatox<strong>in</strong><br />
concentration while Mud cat<strong>fish</strong> had the highest aflatox<strong>in</strong> concentration as shown <strong>in</strong> Table 4.<br />
The extracted <strong>smoked</strong>-<strong>dried</strong> <strong>fish</strong> samples produced bluish and greenish spots dur<strong>in</strong>g laboratory<br />
analysis. Sharma (2002) reported that the two major metabolites <strong>of</strong> Aspergillus sp. called<br />
<strong>aflatox<strong>in</strong>s</strong> were designated B and G because they fluoresce blue (B ) and green (G ) when<br />
exposed to long-wave ultraviolet light.<br />
Aflatox<strong>in</strong>s are highly carc<strong>in</strong>ogenic caus<strong>in</strong>g hepatoma (cancer <strong>of</strong> the liver) and have also been<br />
associated with acute hepatitis <strong>in</strong> man, mostly the develop<strong>in</strong>g world (Eaton and Groopman,<br />
2004). Aflatox<strong>in</strong> have been reported <strong>in</strong> grapes <strong>in</strong> France (Sage et al., 2002), edible nuts and nut<br />
products, milk and milk products (Prasad, 1992), bush mango seeds (Adebayo-Tayo et al.,<br />
2006). The implication <strong>of</strong> this report is that, though <strong>in</strong> Abeokuta most <strong>of</strong> the populace feed on<br />
<strong>smoked</strong>-<strong>dried</strong> <strong>fish</strong>es, it can be confirmed that most <strong>of</strong> the consumers would have been<br />
consum<strong>in</strong>g <strong>aflatox<strong>in</strong>s</strong>. Though, <strong>in</strong> relatively small amount, but, prolong <strong>in</strong>take <strong>of</strong> these <strong>aflatox<strong>in</strong>s</strong><br />
may constitute a health hazard. Goldbatt and Stoll<strong>of</strong>f (1993) reported that <strong>aflatox<strong>in</strong>s</strong> occurred <strong>in</strong><br />
the human diet and this could pass from feed to milk. S<strong>in</strong>ce, improper smok<strong>in</strong>g and dry<strong>in</strong>g <strong>of</strong><br />
<strong>fish</strong>es may lead to <strong>in</strong>sect <strong>in</strong>festation, fungal attack, fragmentation and degradation <strong>of</strong> the product<br />
(Eyo, 1992), it is therefore important that both the artisanal <strong>fish</strong>ermen and the marketers should<br />
adapt a better method <strong>of</strong> preservation. Better smok<strong>in</strong>g kilns should be provided for artisanal<br />
<strong>fish</strong>ermen at subsidized rates and <strong>fish</strong> product should be well stored.<br />
5.2 CONCLUSION<br />
This work has dealt with a number <strong>of</strong> issues. Many areas have been highlighted which are<br />
<strong>in</strong> need <strong>of</strong> much future research to provide <strong>in</strong>formation that is directly relevant not only<br />
to public health, but also to availability <strong>of</strong> a wholesome food and feed supply.<br />
Smoked-<strong>dried</strong> <strong>fish</strong>es samples stored for sale <strong>in</strong> Abeokuta markets were not heavily<br />
contam<strong>in</strong>ated with <strong>aflatox<strong>in</strong>s</strong> and they are still acceptable for consumption due to the<br />
aflatox<strong>in</strong> levels, which is less than the prescribed maximum concentration.<br />
38
Increased liver cancer <strong>in</strong>cidence associated with aflatox<strong>in</strong> exposure occurs <strong>in</strong> areas where<br />
there is <strong>in</strong>take <strong>of</strong> high levels <strong>of</strong> <strong>aflatox<strong>in</strong>s</strong> (<strong>of</strong>ten higher than the regulatory limits).<br />
5.3 RECOMMENDATIONS<br />
There is a need for further study <strong>of</strong> <strong>in</strong>teraction between <strong>aflatox<strong>in</strong>s</strong> and hepatitis virus and<br />
jo<strong>in</strong>t effects <strong>of</strong> <strong>aflatox<strong>in</strong>s</strong> and hepatitis virus on liver cancer.<br />
Pharmacok<strong>in</strong>etic studies <strong>of</strong> <strong>in</strong>gested <strong>aflatox<strong>in</strong>s</strong> <strong>in</strong> humans (with and without liver<br />
disease).<br />
Populations with a low mean aflatox<strong>in</strong> <strong>in</strong>take are likely to achieve a decrease <strong>in</strong> liver<br />
cancer cases by <strong>in</strong>troduc<strong>in</strong>g lower aflatox<strong>in</strong> limits.<br />
Surveillance should be targeted to staple foods.<br />
HACCP (Hazard analysis and critical control po<strong>in</strong>t) pr<strong>in</strong>ciples can be used to highlight<br />
the roles that fungal ecology play <strong>in</strong> aflatox<strong>in</strong> contam<strong>in</strong>ation, prevention and control.<br />
The stakeholders <strong>in</strong> the production cha<strong>in</strong>, particularly farmers, <strong>fish</strong> processors should be<br />
made aware <strong>of</strong> the importance <strong>of</strong> measures to reduce aflatox<strong>in</strong> contam<strong>in</strong>ation.<br />
Tra<strong>in</strong><strong>in</strong>g programmes for the development <strong>of</strong> practical control and management strategies<br />
should be developed and conducted <strong>in</strong> order to set up strong aflatox<strong>in</strong> management<br />
programmes.<br />
Complicated aflatox<strong>in</strong> analysis procedure should be replaced with commercial kits such<br />
as Veratox Quantitative Aflatox<strong>in</strong> Test used for this particular work, which is easy to run.<br />
Health regulatory bodies such as NAFDAC should carry this out so that aflatox<strong>in</strong> can be<br />
easily detected and samples conta<strong>in</strong><strong>in</strong>g them <strong>in</strong> very high concentrations should be<br />
discarded.<br />
39
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48
APPENDIX I<br />
One- Sample Statistics<br />
FINAL<br />
RESULT<br />
N Mean Standard Standard Error<br />
Deviation Mean<br />
10 0.598000 0.3321245 0.1050270<br />
The mean <strong>of</strong> the sample result obta<strong>in</strong>ed was 0.5980, while standard error was 0.3321.<br />
The required maximum level <strong>of</strong> aflatox<strong>in</strong> concentration <strong>in</strong> human and even all animal species is<br />
20 ppb.<br />
Thus,<br />
H 0 : µ= 20<br />
H 1 : µ≠20<br />
Level <strong>of</strong> significant (α): 0.05<br />
49
APPENDIX II<br />
One –Sample T-test<br />
Test Value =20<br />
95% Confidence Interval <strong>of</strong><br />
the Difference<br />
T df Sig. (2-tailed) Mean<br />
Difference<br />
Lower<br />
Upper<br />
FINAL<br />
RESULT<br />
-184.733 9 0.000 -19.4020000 -19.639588 -19.164412<br />
P→Value = (0.000)<br />
S<strong>in</strong>ce P Value is less than 0.05, which is the level <strong>of</strong> Significance used, we thereby reject Ho<br />
(Null hypothesis) and accept H 1 (Alternative hypothesis).<br />
However, from the analyses above, it shows that the level <strong>of</strong> <strong>aflatox<strong>in</strong>s</strong> <strong>in</strong> the <strong>smoked</strong>-<strong>fish</strong><br />
samples does not equal to 20. S<strong>in</strong>ce the average <strong>of</strong> the sample is less than 20, thus, it is not toxic<br />
to human health.<br />
50