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presence of aflatoxins in smoked-dried fish sold in abeokuta, ogun ...

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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 />

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