<?xml version="1.0" encoding="utf8"?>
 <!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.0 20120330//EN" "http://jats.nlm.nih.gov/publishing/1.0/JATS-journalpublishing1.dtd"> <article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" article-type="review-article" dtd-version="1.0" xml:lang="en">
  <front>
    <journal-meta>
      <journal-id journal-id-type="publisher-id">IJN</journal-id>
      <journal-title-group>
        <journal-title>International Journal of Nutrition</journal-title>
      </journal-title-group>
      <issn pub-type="epub">2379-7835</issn>
      <publisher>
        <publisher-name>Open Access Pub</publisher-name>
        <publisher-loc>United States</publisher-loc>
      </publisher>
    </journal-meta>
    <article-meta>
      <article-id pub-id-type="publisher-id">IJN-19-3100</article-id>
      <article-id pub-id-type="doi">10.14302/issn.2379-7835.ijn-19-3100</article-id>
      <article-categories>
        <subj-group>
          <subject>review-article</subject>
        </subj-group>
      </article-categories>
      <title-group>
        <article-title>Aflatoxin Contamination in Animal-Derived Foods and Health Risks </article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <name>
            <surname>Rahim</surname>
            <given-names>Aydin</given-names>
          </name>
          <xref ref-type="aff" rid="idm1850733628">1</xref>
          <xref ref-type="aff" rid="idm1850732548">*</xref>
        </contrib>
      </contrib-group>
      <aff id="idm1850733628">
        <label>1</label>
        <addr-line>Department of Animal Nutrition and Nutritional Diseases, Balikesir University, 10100 Balikesir, Turkey </addr-line>
      </aff>
      <aff id="idm1850732548">
        <label>*</label>
        <addr-line>Corresponding author</addr-line>
      </aff>
      <contrib-group>
        <contrib contrib-type="editor">
          <name>
            <surname>Fei</surname>
            <given-names>He</given-names>
          </name>
          <xref ref-type="aff" rid="idm1850601756">1</xref>
        </contrib>
      </contrib-group>
      <aff id="idm1850601756">
        <label>1</label>
        <addr-line>University of Illinois Urbana Champaign, USA.</addr-line>
      </aff>
      <author-notes>
        <corresp>
    
    Rahim Aydin, <addr-line>Department of Animal Nutrition and Nutritional Diseases, Balikesir        University, 10100 Balikesir, Turkey</addr-line>. Email: <email>rahimaydin@yahoo.com</email></corresp>
        <fn fn-type="conflict" id="idm1842725428">
          <p>The authors have no conflicts of interest to declare. </p>
        </fn>
      </author-notes>
      <pub-date pub-type="epub" iso-8601-date="2020-05-14">
        <day>14</day>
        <month>05</month>
        <year>2020</year>
      </pub-date>
      <volume>5</volume>
      <issue>3</issue>
      <fpage>26</fpage>
      <lpage>32</lpage>
      <history>
        <date date-type="received">
          <day>19</day>
          <month>11</month>
          <year>2019</year>
        </date>
        <date date-type="accepted">
          <day>03</day>
          <month>05</month>
          <year>2020</year>
        </date>
        <date date-type="online">
          <day>14</day>
          <month>05</month>
          <year>2020</year>
        </date>
      </history>
      <permissions>
        <copyright-statement>© </copyright-statement>
        <copyright-year>2020</copyright-year>
        <copyright-holder>Rahim Aydin</copyright-holder>
        <license xlink:href="http://creativecommons.org/licenses/by/4.0/" xlink:type="simple">
          <license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.</license-p>
        </license>
      </permissions>
      <self-uri xlink:href="http://openaccesspub.org/ijn/article/1352">This article is available from http://openaccesspub.org/ijn/article/1352</self-uri>
      <abstract>
        <p>Aflatoxins (AFs)B<sub>1</sub>, B<sub>2</sub>, G<sub>1</sub>, and G<sub>2</sub> are important hepatotoxic mycotoxins produced by <italic>Aspergillus flavus, A. parasiticus, </italic>and<italic> A. nominus. </italic>They are converted into metabolites of AFM<sub>1</sub>, AFM<sub>2, </sub>B<sub>2a</sub>, and aflatoxicol by cytochrome P450-related enzymes in the liver after digestion of the feed. These metabolites accumulating in the animal-derived food products such as eggs, milk, cheese, and honey cannot be destroyed by pasteurization or heating process and may influence public health negatively.  Therefore, it is very important to prevent or limit the aflatoxin contamination in the animal feeds to decrease the risk of contamination of these metabolites in animal-derived foods. </p>
        <p> </p>
      </abstract>
      <kwd-group>
        <kwd>Animal-derived foods</kwd>
        <kwd>aflatoxins</kwd>
        <kwd>human health</kwd>
      </kwd-group>
      <counts>
        <fig-count count="1"/>
        <table-count count="1"/>
        <page-count count="7"/>
      </counts>
    </article-meta>
  </front>
  <body>
    <sec id="idm1850599596" sec-type="intro">
      <title>Introduction</title>
      <p>Aflatoxins are toxic secondary metabolites produced by fungi of the genus Aspergillus, particularly <italic>A. flavus</italic>, <italic>A. parasiticus</italic>, and <italic>A. nomius</italic><xref ref-type="bibr" rid="ridm1842643308">1</xref>. The name “aﬂatoxin” was derived from the combination of “a” for the Aspergillus genus and “ﬂa” for the species ﬂavus and toxin meaning poison <xref ref-type="bibr" rid="ridm1842643740">2</xref>. The aflatoxin problem was first recognized in 1960, when there was a severe outbreak of a disease referred to as "Turkey 'X' Disease" in the United Kingdom where more than 100,000 turkey poults and farm animals died. The cause of the disease was reported to be attributed to Brazilian peanut meal infected with A. <italic>flavus</italic><xref ref-type="bibr" rid="ridm1842652028">3</xref><xref ref-type="bibr" rid="ridm1842742316">4</xref>. The major aflatoxins are characterized as AFB<sub>1</sub>, AFB<sub>2</sub>, AFG<sub>1</sub>,and AFG<sub>2 </sub>(based on their fluorescence under UV light, blue or green) and related chromatographic mobility during thin-layer chromatography <xref ref-type="bibr" rid="ridm1842499612">5</xref>. Fungal species belonging to <italic>A. ﬂavus</italic> typically produce AFB<sub>1</sub> and AFB<sub>2</sub>, whereas <italic>A. parasiticus</italic> produces AFG<sub>1</sub> and AFG<sub>2</sub> as well as AFB<sub>1</sub> and AFB<sub>2</sub> (<xref ref-type="fig" rid="idm1841899612">Figure 1</xref>). </p>
      <fig id="idm1841899612">
        <label>Figure 1.</label>
        <caption>
          <title> General structures of major                     aflatoxins AFB1, AFB2, AFG1, and AFG2 6.</title>
        </caption>
        <graphic xlink:href="images/image1.png" mime-subtype="png"/>
      </fig>
      <p>AFB<sub>1</sub>, the most prevalent toxin in feeds, represents the greatest toxigenic and carcinogenic threat for animals and humans <xref ref-type="bibr" rid="ridm1842494548">7</xref><xref ref-type="bibr" rid="ridm1842492748">8</xref>. It was reported that the toxic effects of AFB<sub>1</sub> were both dose and              time-dependent <xref ref-type="bibr" rid="ridm1842491308">9</xref>. The total aflatoxin content can be estimated from AFB<sub>1</sub> due to a higher correlation between AFB<sub>1</sub> and total aflatoxin contents <xref ref-type="bibr" rid="ridm1842484020">10</xref>. AFB<sub>1</sub> is biotransformed by cytochrome P450-associated enzymes that generate hydroxylated metabolites such as                  AFM<sub>1</sub> and AFB<sub>2a</sub> in the liver <xref ref-type="bibr" rid="ridm1842478044">11</xref>. Aﬂatoxicol (AFL)                   can be formed by the reduction of AFB<sub>1</sub> by an                NADPH-dependent cytoplasmic enzyme present in the soluble fraction of liver homogenates <xref ref-type="bibr" rid="ridm1842457444">12</xref>. </p>
      <sec id="idm1850573892">
        <title>Aflatoxin Deposition and Clearance from Animal Tissues</title>
        <p>Feeds contaminated with AFs were shown to result in the accumulation of the metabolites in the animal tissues including liver, adipose tissues, and animal products such as milk, meat, and                            eggs <xref ref-type="bibr" rid="ridm1842455284">13</xref><xref ref-type="bibr" rid="ridm1842466732">14</xref><xref ref-type="bibr" rid="ridm1842461836">15</xref>. Those metabolites may cause potential health risks in the people because they can be carried over into the animal products. After AFs were recognized in the 1960s, the Food Drug Administration (FDA) of the USA set an action level of 30 ppb of AFs in raw or finished products <xref ref-type="bibr" rid="ridm1842460108">16</xref>. In 1969, the FDA revised the action level for AFs to 20 ppb for food and feed ingredients <xref ref-type="bibr" rid="ridm1842460108">16</xref>. The FDA set an action level of 0.5 ppb of AFM<sub>1</sub> in milk <xref ref-type="bibr" rid="ridm1842460108">16</xref>. It was reported that only about                 1-3% of the AFB<sub>1</sub> might be converted into AFM<sub>1</sub> of the milk <xref ref-type="bibr" rid="ridm1842421972">17</xref>.</p>
        <p>Previously, feeding diet supplemented with AF was reported to result in the highest level of AF in the gizzard, kidney, and liver tissues <xref ref-type="bibr" rid="ridm1842455284">13</xref>. Feeding a diet including 2500 ppb AFB<sub>1</sub> for 28 days was                     shown to cause 4.13 ppb AFB<sub>1</sub> deposition in the laying hens’ liver <xref ref-type="bibr" rid="ridm1842418804">18</xref>. It was shown that the levels of AFB<sub>1</sub> in the liver and kidney of chickens were significantly higher than the levels in the eggs and breast meat <xref ref-type="bibr" rid="ridm1842431332">19</xref>. Residues of AFB<sub>1 </sub>were detected in the eggs of hens fed supplemental 500µg per kg feed, at levels that ranged from 0.05 to 0.16 µg/kg <xref ref-type="bibr" rid="ridm1842426292">20</xref>.  Laying chicken fed diets contaminated with AFB<sub>1</sub> (3300 mg/kg) for 28 days was shown to produce eggs contaminated with AFB<sub>1</sub><xref ref-type="bibr" rid="ridm1842455284">13</xref>. Also, no aflatoxin residues were recovered from whole eggs after feeding laying chickens with aflatoxin-free diet (i.e. control diet) <xref ref-type="bibr" rid="ridm1842455284">13</xref>. AFM<sub>1</sub>, a metabolite of AFB<sub>1</sub>, was reported to present in the eggs of laying hens fed AFB<sub>1 </sub>contaminated feed <xref ref-type="bibr" rid="ridm1842415444">21</xref>. Also, it was shown that AFM<sub>1</sub> and AFM<sub>2</sub> might be recovered in the poultry                 litter <xref ref-type="bibr" rid="ridm1842410188">22</xref>. A study was conducted in laying                        hens to evaluate the effect of AFB<sub>1</sub> on the egg              quality in laying hens fed diet supplemented with mannan-oligosaccharides (MOS) and showed that neither AFB<sub>1</sub> nor AFM<sub>1</sub> residues were found in the eggs of groups <xref ref-type="bibr" rid="ridm1842418804">18</xref>. The same study also demonstrated that hepatic levels of AFB<sub>1 </sub>were significantly lower in the group fed MOS-supplemented diet compared to the group fed MOS-excluded diet <xref ref-type="bibr" rid="ridm1842418804">18</xref>. It was suggested that MOS could have an ability to adsorb and degrade AFB<sub>1</sub>, reducing gastrointestinal absorption of AFB<sub>1</sub> and its levels in tissues of laying hens. In another study, synthetic zeolite was shown to have efficacy to counteract some of the toxic effects of AFs in broiler chicks <xref ref-type="bibr" rid="ridm1842404500">23</xref>.</p>
        <p>Compared to the chickens, dairy cows are less sensitive to AFs due to biodegradation by rumen microorganisms <xref ref-type="bibr" rid="ridm1842401692">24</xref>. In the liver, AFB<sub>1</sub> and AFB<sub>2 </sub>are metabolized into AFM<sub>1</sub> and AFM<sub>2</sub>, less toxic metabolites, using cytochrome P-450 associated enzymes <xref ref-type="bibr" rid="ridm1842461836">15</xref><xref ref-type="bibr" rid="ridm1842421972">17</xref><xref ref-type="bibr" rid="ridm1842378300">25</xref>. AFM<sub>1 </sub>in the contaminated feedstuffs may be transferred into milk as AFM<sub>1</sub> in the range of 0.3-6.3% <xref ref-type="bibr" rid="ridm1842372900">26</xref>. </p>
        <p>AFM<sub>1</sub> is very commonly detected in milk and dairy products <xref ref-type="bibr" rid="ridm1842371316">27</xref><xref ref-type="bibr" rid="ridm1842381612">28</xref> and concentration in the milk was shown to increase linearly depending on the level of the AFB<sub>1 </sub>in the feed <xref ref-type="bibr" rid="ridm1842379596">29</xref>. AFB<sub>1 </sub>levels of 20% and 13.6% of the yogurt and ayran samples were found to be exceeded the maximum tolerable limit of the Turkish Food Codex <xref ref-type="bibr" rid="ridm1842360316">30</xref>.  Therefore, nursing animals may be affected as a result of having milk contaminated with the toxin. Those metabolites of the AFs were reported not to be destroyed during pasteurization and thermal processing <xref ref-type="bibr" rid="ridm1842356500">31</xref>. A recent study showed that 36.4% of colostrum samples were found to be contaminated with an above maximum allowable level of AFB<sub>1</sub><xref ref-type="bibr" rid="ridm1842351604">32</xref>. Studies showed that milk including a significant level of AFM<sub>1</sub> may have potential risks especially for infants and children <xref ref-type="bibr" rid="ridm1842347788">33</xref>. AFM<sub>1</sub> concentration in the milk was reported to decline to an undetectable level after 72 hours when the intake of AFB<sub>1</sub> is stopped <xref ref-type="bibr" rid="ridm1842346348">34</xref>. Lactating cows fed a ration including 20 ppb or more AFB<sub>1</sub> was reported to produce milk that exceeds the tolerance level of the toxin in the milk.</p>
        <p>Special attention should be paid in food for infants and young children, where more restrictive levels have been regulated. Thus, limits as low as 0.1 µg kg<sup>-1</sup> of AFB<sub>1</sub> are set for baby foods and processed                 cereal-based foods for infants and young children and 0.025 µg kg<sup>-1</sup> for AFM<sub>1</sub> and 0.5 µg kg<sup>-1</sup> for OTA <xref ref-type="bibr" rid="ridm1842341380">35</xref>. International legislation on AFM<sub>1</sub> in milk and dairy products for human consumption is shown in <xref ref-type="table" rid="idm1841847892">Table 1</xref>.</p>
        <table-wrap id="idm1841847892">
          <label>Table 1.</label>
          <caption>
            <title> International legislation on AFM1 in milk and dairy products for human consumption 36.</title>
          </caption>
          <table rules="all" frame="box">
            <tbody>
              <tr>
                <td>Country/region</td>
                <td>Raw milk (µg/kg)</td>
                <td>Dairy products (µg/kg)</td>
              </tr>
              <tr>
                <td>Argentina</td>
                <td>0.05</td>
                <td>0.50 (milk products)</td>
              </tr>
              <tr>
                <td>Austria</td>
                <td>0.05, 0.01 (pasteurized             infant milk)</td>
                <td>0.02 (butter), 0.25 (cheese), 0.4 (powdered milk)</td>
              </tr>
              <tr>
                <td>Brazil</td>
                <td> </td>
                <td>0.50 (liquid milk), 5.0 powdered milk</td>
              </tr>
              <tr>
                <td>Bulgaria</td>
                <td>0.50</td>
                <td>0.10 (powdered milk)</td>
              </tr>
              <tr>
                <td>Czech Republic</td>
                <td>0.50</td>
                <td> </td>
              </tr>
              <tr>
                <td>Egypt</td>
                <td>0</td>
                <td>0</td>
              </tr>
              <tr>
                <td>European Union</td>
                <td>0.05</td>
                <td>0.05</td>
              </tr>
              <tr>
                <td>France</td>
                <td>0.05, 0.03 (for children &lt;3 years)</td>
                <td> </td>
              </tr>
              <tr>
                <td>Honduras</td>
                <td>0.05</td>
                <td>0.25 (cheese)</td>
              </tr>
              <tr>
                <td>Nigeria</td>
                <td>1</td>
                <td> </td>
              </tr>
              <tr>
                <td>Rumania</td>
                <td>0</td>
                <td>0</td>
              </tr>
              <tr>
                <td>Switzerland</td>
                <td>0.05</td>
                <td>0.025 (milk whey and products), 0.25 (cheese), 0.02 (butter)</td>
              </tr>
              <tr>
                <td>Turkey</td>
                <td>0.05</td>
                <td>0.25 (cheese)</td>
              </tr>
              <tr>
                <td>US</td>
                <td> </td>
                <td>0.50 (liquid milk),5.0 (powdered milk)</td>
              </tr>
            </tbody>
          </table>
        </table-wrap>
      </sec>
      <sec id="idm1850545156">
        <title>Foods Contaminated with Aflatoxins and Health Risks</title>
        <p>Aflatoxins are the hepatotoxic compounds causing health risks in the people consuming them more than the allowable amounts in the foods. As in the animals, these compounds or their metabolites                   may easily accumulate in the liver, kidney, and               adipose tissues. It was reported that AFB<sub>1</sub>, the most hepatocarcinogenic compound, caused cancer mainly in the liver and other organs of animals and humans <xref ref-type="bibr" rid="ridm1842334324">37</xref>. After maternal exposure of AFs during pregnancy, AFB<sub>1</sub>, AFB<sub>1</sub>-metabolites, and AFB<sub>1</sub>-albumen adducts were detected in cord blood of babies <xref ref-type="bibr" rid="ridm1842364636">38</xref>. In a study conducted in Gambian children, it was reported that there was a relationship between impaired growth, particularly stunting and exposure to AFs <xref ref-type="bibr" rid="ridm1842312012">39</xref><xref ref-type="bibr" rid="ridm1842307620">40</xref>. The research suggested that ethnicity, dietary practice and                     socio-economic status of the individuals might influence AF-exposure significantly <xref ref-type="bibr" rid="ridm1842301572">41</xref>. </p>
        <p>Attempts have been made to develop methods to remove AFs from contaminated feeds or foods by physical, chemical, and biological methods <xref ref-type="bibr" rid="ridm1842298188">42</xref>. It was reported that implementing advanced agricultural technologies, good agricultural, and storage practices could mitigate the mycotoxin contaminations in the products <xref ref-type="bibr" rid="ridm1842293724">43</xref>. Microwave heating, treatments with ozone, or ammonia were reported to be some of the methods used for detoxification of AFs in the                    foods <xref ref-type="bibr" rid="ridm1842289836">44</xref><xref ref-type="bibr" rid="ridm1842287028">45</xref><xref ref-type="bibr" rid="ridm1842316908">46</xref>. Previously, it was shown that ozone treatment could significantly reduce the level of AFs in the red pepper <xref ref-type="bibr" rid="ridm1842247668">47</xref>. Recently, it was shown that AFB<sub>1</sub> could be removed by ozone treatment <xref ref-type="bibr" rid="ridm1842245868">48</xref>. However, the application of ozone treatment for the degradation AFs was reported to have limitations in food products because of the cost factor <xref ref-type="bibr" rid="ridm1842271860">49</xref>. </p>
      </sec>
    </sec>
    <sec id="idm1850514164" sec-type="conclusions">
      <title>Conclusions</title>
      <p>Chronic intake of AF-contaminated foods is a common problem especially in people of the developing countries.Contamination of crops with AFs in the field or storage may be controlled by implementing good agricultural and storage conditions. Also, identifying exposure of unacceptable AF levels in the feeds with reliable methods will decrease the exposure of AFs in the animals. Hence, minimizing exposure of domestic animals to moldy feed and taking precautions to prevent possible fungal growth in the products during the storage level will decrease AFs exposure in humans.  </p>
    </sec>
  </body>
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