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Iranian Journal of Public Health logoLink to Iranian Journal of Public Health
. 2011 Dec 31;40(4):1–30.

Aflatoxins in Iran: Nature, Hazards and Carcinogenicity

B Khoshpey 1,*, DD Farhud 1, F Zaini 1
PMCID: PMC3481745  PMID: 23113099

Abstract

Many studies have shown that mycotoxin contamination of agricultural products is a challenge for individual’s health especially in developing countries. Improper production and storage of foods, prepare conditions for aflatoxin production in crops, especially rice, wheat, pistachio, walnut, almond, etc which are the main sources of foods for people. Feeding livestock by contaminated bread is another way of human exposure to mycotoxins, especially aflatoxin and because of expensive methods for detecting and analyzing aflatoxin in laboratory; it is not measured in foods. This manuscript is a review of some Iranian and nonIranian reports about aflatoxin, its exposure ways, its adverse effect on human health and nutrition, as well as methods for reducing its exposure. Based on studies on foods, aflatoxin exposure is high in Iran. Since livestock feeding by contaminated bread is one of the potential ways for milk contamination, we should control and reduce aflatoxin contamination by improving production process, storage condition and livestock feeding as soon as possible. Pistachio is one of the most important exporting products of Iran and to maintain Iran’s position in exporting of this product, specific regulations on lowering its contamination with aflatoxin should be considered seriously. Finally, effective controlling of all food and feedstuffs which are vulnerable to aflatoxin contamination is necessary to prevent its effects.

Keywords: Aflatoxicosis, Mycotoxins, Teratogenicity, Oxidative stress, Cytochrome P450, Congenital malformations, Iran

Introduction

The aflatoxins are a group of mycotoxins produced by certain Aspergillus species and can contaminate foodstuff especially in developing countries. These toxins are produced by fungi during production, storage and food processing. According to FDA although it is an unavoidable foodstuff contamination but it could be minimized by supervising systems (1).

Small factories with limited production and lack of food safety measures make contamination control, impossible economically and experimentally. In developed countries food production is in control and thanks to good economic situation food quality processing is effective and law is obeyed.

Knowing which and how many foods are contaminated is not enough because in many areas the people do not have other chances for food choice. In developing countries the maximum level of cutoff points for toxins are not useful because consumption traded food is very low and food laboratory control is expensive. In these countries the consumptive food is usually food that is produced, prepared and stored by family without considering aflatoxin danger. In some food production areas the low-contaminated foods are usually exported and high-contaminated foods are remained to consume by people who have been in exposure to toxin. Comprehensive biological information about amount and incidence of human exposure to aflatoxin are not available for evaluation, and direct measurement of human exposure exist just in a few countries (1).

Toxicology and pathogenesis

Aflatoxins belong to a group of mycotoxins and they are secondary metabolites which are produced commonly by certain Aspergillus species such as Aspergillus flavus, A. parasiticus, and rarely A. nomius and contaminate plants and their products (2).

Aflatoxins have high toxic, mutagenic, teratogenic and carcinogenic effects and cause liver and other organs cancer (3).

It is necessary to say that several materials have registered up to now that have one of mutagenic, carcinogenic or teratogenic effects but just a few of them have all of these effects and aflatoxin is one of them. Aflatoxins not only contaminate our foods but also enter milk, eggs and livestock products through their feed (4).

Four types of aflatoxins are B1, B2, G1, G2. B and G refer to fluorescence characteristics of aflatoxin under UV light (Blue and Green) and 1 and 2 refer to their position on layer chromatography.

Aflatoxin B1 and G1 are more toxic than B2 and G2 but aflatoxin G1 is more toxic than B2. Liver and kidney are the main toxic targets of aflatoxins and their carcinogenic effects (5).

Mutagenic and DNA damage

Aflatoxin B1 in first phase of metabolism is converted to different metabolites like aflatoxin B1-epoxide and hydroxylated metabolites like as aflatoxin M1 by cytochrome P450 enzymatic system. Epoxide form of aflatoxin B1 is very active and can attach to DNA, RNA and proteins. This attachment is related strongly to carcinogenic effects of aflatoxin in animal and human (5).

In most cases aflatoxin connect to DNA in N7guanine position in hepatic cells. Aflatoxin M1, hydroxylated form of aflatoxin and some other metabolites make water soluble esters and excreted in urine (5).

The degree of species vulnerability mostly depends on amount of toxin enters to any chemical pathway. The harmful effect is seen when epoxide forms is produced and react with DNA. On the other hand there is some evidence that show the amount aflatoxin which enters to each pathway depends on ingested aflatoxin amounts, which may be determined by competitive chemical processes (6).

First in the body aflatoxin is changed through enzymatic reactions in the liver by microsomal oxidase. This enzyme mostly exists in the liver but can be found in other organs like lung, kidney, etc. About 80% of ingested aflatoxin dose is excreted from the body in a week. Among detoxified products just 8–9-exoepoxide has mutagenic effects. This form of aflatoxin epoxide mostly is considered to active electrophilic form of aflatoxin which maybe attack to nitrogen, oxygen and nutrophilic sulphur that exist in different cellular components. These very active substances may be connected to DNA bases like guanine and cause them changing. Aflatoxin epoxide may be the most important carcinogenic substance. Formation of these materials and their attachment to DNA leads to cell function impairment and finally loss of cell control and division. However both human and animals have enzymatic systems which reduce effect of aflatoxin epoxide on DNA. For example glutathione-S-transferase is an enzyme that neutralize aflatoxin epoxide toxicity and its activity is lower in human than rats and mice so it is suggested that human has less ability to neutralize this toxin (7).

The aflatoxin levels in different people depend on ingested amount, exposure time and the body’s physiologic situation. The unmetabolized forms of aflatoxin like B1, B2, G1, G2 and metabolized forms like M1, M2 and aflatoxicol are excreted in urine, stool and milk (8). Some studies have reported the presence of these 7 kinds of aflatoxin in saliva. This secreted aflatoxin in saliva is absorbed in gastrointestinal tract again and it is a sort of aflatoxin recycling in the body (7). The first effect of aflatoxin in the cell is reduction of protein biosynthesis through forming adduct with DNA, protein and RNA to inhibit RNA synthesis and DNA dependent RNA polymerase activation and reticulum endoplasmic degranulation (7). In carcinogenicity process in the liver, aflatoxin B1 attack preferentially to mitochondrial DNA than nuclear DNA. It is possible that an increase in 8–9-aflatoxin epoxide cause a dramatic increase in liver lipids peroxidation levels. Cell membrane peroxidation initiates destroying cell membrane integrity, loss cell membrane bound enzymes activity and finally cell lysis. When produced active species of oxygen (O2•, H2O2, OH•) levels exceed cell neutralizing ability the oxidative damage occurs. So non-enzymatic antioxidant levels (for example vit C, vit E and glutathione) and enzymatic oxidants (superoxide dismutase, glutathione peroxidase and catalase) reduction are main determinant of cell defense. Antioxidant enzymes activity reduction may be due to protein biosenthesis reduction. In a study after 45 days aflatoxin administration, gluthatione levels reduced considerably in the liver, kidney and testis that may be due to rapid gluthatione oxidation. Gluthatione can inhibit peroxidation, scavenge free radicals and protect cell membrane so considerable reduction in gluthatione levels can aggravate aflatoxin toxic effects. Studies show that free radicals produced in biologic membranes react to alpha- tocopheryl radicals rapidly (7). Cytosolic gluthatione and ascorbic acid help alpha tocopheryl regeneration. Some studies show that oncogenes are critical targets of aflatoxin. Several mutations in p53 tumours suppressor genes in hepatocellular carcinoma in patients from high contaminated areas with aflatoxin and areas with high prevalence liver cancer have been reported (7). The fungi that produce aflatoxin can grow especially in proper situation like 15% humidity, minimum temperature 25°C, enough air wheat, barley, rice, soya, corn, peanut, fish powder, cotton-meal, chestnut, apricot, peach, almond, spices, livestock feed, walnut, millet, sesame, pistachio, pumpkin seed, juices, mouldy jam, wheat flour, noodle, mouldy bread, potato, pea, all kinds of bean, sorghum, peanut meal, coconut, cotton seed, all kinds of hazelnut, liver, meat, milk and milk products, egg, raisin, fermented sausages, processed meats, etc and contaminate these foods by aflatoxin and finally can damage liver, kidney, pharynx, sub skin tissues, glands and stomach after feeding (9).

Although the main mechanism of aflatoxin effect is addition of its oxidate products to DNA but some evidence show that oxidative damage has a role in its toxicity and carcinogenicity too (10).

Teratogenicity

Devries observed that in 54% of 125 Kenyan pregnant women with aflatoxin in their blood, the birth weights of their children decreased up to 255g. He also showed the presence of aflatoxin in 37% of umbilical cord blood species. Although he did not observe any increase in abnormalities but two intra uterus deaths occurred in persons whose blood had aflatoxin. New formed fetuses had 30% abnormalities but the fetuses that remained live showed 6% abnormality. Neural tube defect, microcephaly, umbilical hernia, cleft palate have been reported (11).

Neural tube is normally closed in fourth week of gestation. Defect in closing and reopening of neural tube leads to NTD. It seems that these anomalies are due to environmental and genetic factors combination (12).

Administration of 20ppm aflatoxin in second half of gestation in rats caused hepatic tumoral hyperplasia in 4 cases and collangiocarcinoma in 1 case of offsprings (13).

In a study in Nigeria, 327 neonatal serums with jaundice and 80 serums of their mothers, 60 normal neonatal serum and 7 of their mothers’ serum were tested to investigate unknown causes of neonatal jaundice. Blood group, serum bilirubin levels, red blood cell G6PD levels, aflatoxin and naphtol levels were evaluated. 30. 9% of children with jaundice had G6PD deficiency but just only 13. 3% of control group had this deficiency. Aflatoxin was observed in 27. 4% of children with jaundice, 17% of their mothers and 16. 6% of children in control group and 14. 4% of their mothers. Data analysis showed that G6PD deficiency or presence of aflatoxin in serum is risk factors for neonatal jaundice (14).

According to WHO reports the prevalence of G6PD deficiency in Iran is 10%–14. 9%. The most common form of G6PD deficiency in Iran is Mediterranean form (15).

Aflatoxicosis

According to amount and exposure duration by aflatoxin a range of complication can be observed (1):

Acute aflatoxicosis

Acute aflatoxicosis leads to death in 25% of cases when large doses exposure occurs. Death and serious illness due to aflatoxin usually are reported in developing countries. The number of acute poisoning is not high because people usually do not use moldy foods and human beings usually are resistant to toxin. However in food scarcity or because of poverty people are forced to consume contaminated foods.

Severe aflatoxicosis symptoms are hemorrhagic necrosis of liver, bile duct proliferation, edema and lethargy. In human, adults are more tolerant to aflatoxin than children and in acute exposure the children usually die (1).

Chronic aflatoxicosis

Chronic exposure to aflatoxin has considerable effects on animals’ nutrition status.

Soon after aflatoxin exposure covalent binding occurs between aflatoxin and DNA and protein synthesis decreases and this status remains for almost 5 days. The efficiency of food use is less considerably in aflatoxin exposed animals than those are not exposed. It is clearly shown that presence of aflatoxin in animals diet causes reduction in growing rate and other productivity factors. Recent studies on human have confirmed that these effects also occurred in human. As a logical consequence of aflatoxin effects on protein synthesis, aflatoxin exposure delays people recovery from protein malnutrition. Aflatoxin affects on vit A status in poultry and camels. If aflatoxin exposure affects on vit A status, prevention of aflatoxin exposure could be a way for reduction in vit A deficiency occurence. In chicken vitD status is affected by aflatoxin exposure too. Like vitA, vitD is involved in immune system efficiency. Selenium and zinc statues are affected by dietary aflatoxin and these minerals are essential for normal immune system function (1).

Cumulative aflatoxicosis

Hepatocellular carcinoma is the fifth common cancer around the world and one of the most important worldwide health problems. In 1990 new cases of hepatocellular carcinoma in the world was estimated more than 300000 and 120000 for men and women respectively (16). Hepatocellular carcinoma incidence varies based on different geographical areas. According to data, the hepatocellular carcinoma incidence is increasing around the world. The difference in incidence may be related to different exposure to carcinogenic risk factors of this cancer like hepatitis B virus and aflatoxin in developing countries, smoking and alcohol in developed countries (17).

These factors as well as male androgen hormones trophic effects make men more susceptible than women to this cancer. The most cases of hepatocellurar carcinoma occur in old people with liver chronic infections. However, in regions with high hepatitis B virus carriers and high aflatoxin exposure like south African sahara, the initiation age of this disease goes down to 33 years. When there are several risk factors in the same period, like hepatitis C plus alcohol or hepatitis B plus aflatoxin exposure the incidence rate will increase. The hepatocellular carcinoma incidence in developing countries is 16–32 times more than developed countries.

From 500000–600000 worldwide hepatocellular carcinoma new cases in a year, about 25200 to 155000 cases may be related to aflatoxin (18).

Aflatoxin is one of the most important environment toxins that have a role in hepatocellular carcinoma especially in regions with high food contamination like contaminated pistachio, peanut, Brazil nut, spices, corn and fig. Aflatoxins have several chemical forms like B1, B2, G1, G2 and the most toxic of them is B1 and WHO has classified aflatoxin B1 in carcinogenic first class substances. As mentioned earlier aflatoxin B1 is metabolized in liver by cytochrome p450 system and is converted to very carcinogenic substance AFB1–8, 9 epoxide and finally this substance binds to DNA. The binding to DNA in 7 position of guanine leads to preferal mutation C:G>A:T in 249 codon of p53 tumors suppressor. The mutation in p53 tumor suppressor gene in patients with hepatocellular carcinoma who have been in aflatoxin exposure has been proved. Aflatoxin exposure through foodstuffs have important effect on hepatocellular carcinoma especially in hepatitis B infected people which leads to 50 times increase in hepatocellular carcinoma incidence risk in these people. There are several mechanisms for it. First, hepatitis B virus infection make liver cells susceptible to carcinogenic effects of aflatoxin, second presence of both risk factors together leads to activation of phase II detoxification of enzyme and finally cause cancer (19).

Upper limit allowance of aflatoxin in human and animals foodstuffs according to European food standard of aflatoxin (CODEX), world maximum tolerated levels of mycotoxins, according to different countries regulations based on FAO data, national standard of Iran (Industrial Research and Standard Organization) are gathered in Tables 13.

Table 1:

Upper limit allowance for aflatoxin in human food and animal feed according to European standard 2010 (20)

Foods item AflatoxinB1 ng/g new standard Total aflatoxins ng/g new standard AflatoxinB1 ng/g up to March2010 Total Aflatoxin ng/g up to March2010
Almond, pistachio, apricot seed ready to eat 8 10 2 4
For more process 12 15 5 10
Hazelnut, brazil nut ready to eat 5 10 2 4
For more process 8 15 5 10
Other tree nuts ready to eat 2 4 2 4
For more process 5 10 5 10
Peanut ready to eat 2 4 2 4
For more process 8 15 8 15
Other oily seeds ready to eat 2 4 - -
For more process 8 15 - -
Corn ready to eat 2 4 2 4
For more process 5 10 5 10
Rice ready to eat 2 4 2 4
For more process 5 10 - -
Other cereals ready to eat 2 4 2 4

Table 3:

Upper limit allowances for aflatoxin in human and animal foodstuffs according to national standard of Iran (22)

Food item Aflatoxin B1 ng/g All kind of aflatoxins ng/g
Wheat 5 15
Barley 10 50
Corn 5 30
Rice 5 30
Legumes 5 15
Whole pistachio and its nut walnut, peanut, cashew nut other nuts 5 15
Date, raisin, fig, different dried fruits 5 15
Infant formula based cereal without milk 1
Infant formulas based milk 0. 5
Fish powder, meat powder, bone powder, blood powder, one cellular protein, rice 10 20
Bran, corn bran, wheat bran, barley bran, Wheat and barley used in: 5 20
a)sheep, goat, steer feed
b)poultry, calf, lamb, yeanling lactesent sheep, goat and cow
Cotton seed meal 15 50
Supplements including mineral and vitamin
supplement which are used in :
a)sheep, goat, steer feed 10
b)poultry, calf, lamb, yeanling lactesent sheep, goat and cow 5
c)poultry 10
Whole feed used in :
a)sheep, goat, steer feed 50
b)poultry, calf, lamb, yeanling lactesent sheep, goat and cow 5
c)poultry (oviparous, fowl and oviparous) 10 20
d)fowl poultry, semi oviparous 10

Milk and milk products Aflatoxin M1
Crude, pasteurized and sterilized milk 0. 05
Industrial powdered milk 0. 5
Cheese 0. 2
Butter, butter oil 0. 02
Other milk products 0. 05

Aflatoxin contamination in Iran

According to published data there are limited numbers of studies about aflatoxin contamination of food in cities and different regions during different times in Iran. These researches show that contamination quantity is considerably high. Here are some research results about aflatoxin contamination in Iran.

The mean bread consumption in Iran per person is estimated 180–200 kg yearly that about 20%–30% of it is thrown away from food cycle as waste bread. In Iran almost all of this wasted bread is used as livestock feed (23).

Nutritional and chemical toxicology bulletin published a new report in December 2006 in which Iranian researchers have shown that although a lot of efforts have achieved to aflatoxin contamination control but Iranian pistachio contamination is high up to now. Aflatoxin can be found in pistachio more than other foodstuff in Iran. Because of international competition in pistachio market, every contamination levels higher than standard lead to substitution of other countries for Iran in this market. According to this new research Iran’s pistachio contamination is in the American standards range but is higher than European standards (24).

American standard for aflatoxin is 20ng/g pistachio and European standard is 2–4ng/g pistachio but total aflatoxin contamination of Iranian pistachio is almost 16ng/g pistachio. The worry about increasing hepatocellular carcinoma cases in Europe where have lower incidence of diseases like hepatitis B cause more restrictions for Iranian pistachio (24).

A survey on distribution of Aspergillus section flavi in corn field soils collected from Mazandaran and Semnan with totally different climatic in Iran showed a relatively larger isolated proportion of aflatoxigenic A. flavus strains were from corn field soils of Mazandaran province. These results indicate a possible relationship between humidity and higher rate of aflatoxin producing fungi (25).

Examination of 32 milk samples collected from Babol City, north of Iran on Caspian littoral, in 2007 and revealed that all of them had aflatoxin M1 contamination (26).

In a study in Tehran 5 (11. 11%) of 45 clinical isolates (4 from sinusitis, 1 from onychomycosis ) showed to be aflatoxigenic by TLC (27).

A study on 52 milk samples collected from Tehran city has shown that all of them had contamination levels higher than European upper limit allowance (28).

In a survey on 180 dried bread samples collected from Lorestan Province in Iran it was found that aflatoxin B1 amount in 29 samples and total aflatoxin amount in 18 samples were higher than upper limit allowance (9).

In a study on 43 isolates of A. flavus from cultured green tiger shrimps of Persian Gulf, it was found only 8 (18. 7%) isolates to be aflatoxin producers by HPLC method. Aflatoxin B1 in these isolates ranging from 0.32 to 12. 18 ppb. One (2. 3%) of isolates from hepatopancreatic sample produced 18. 88ppb and 0. 36 ppb of aflatoxin B1 and aflatoxin B2 respectively, but no histopathological change was observed in that tissue (29).

Investigators tested 71 rice samples which were imported to Iran during March 2006 – March 2007. Among 71 rice sample, AFB1 was detected in 59 samples (83% of total). AFB1 level in two samples (2. 8%) was above the maximum tolerated level of AFB1 in Iran. Aflatoxin total level was lower than maximum tolerated level in Iran and was lower than maximum level of EU for aflatoxin total level. Only 9 samples had levels above the maximum tolerated level of Eu in aflatoxin total level (30).

Results of another study on 428 crude and pasteurized milk and livestock feed samples in different seasons in Shiraz city shows that 43. 35% of livestock feed had aflatoxin B1 higher than upper limit allowance. Crude milk samples had 38. 03% and pasteurized samples had 14. 42% aflatoxin contamination levels higher than upper limit allowance. Contamination amount in summer and fall were more than winter and spring which may be due to high humidity in fall and high temperature in summer (31).

A study on 210 sterilized milk sample collected from Tehran city supermarkets in 2010, showed aflatoxin M1 (detoxified product of aflatoxin B1 which is excreted in urine but this product has also considerable effects on newborn immune system and nutritional status ) in 52. 2% of samples and in 33. 3% of samples with more than allowance levels. The contamination amount was different according to month which was highest in February and least in August. This difference is likely due to livestock feed (32).

Other researchers tested 90 milk samples obtained from Ardebil city in 2010, showed that 100% of them had aflatoxin M1 contamination which in 33% of these samples contamination was higher than upper limit allowance (33).

In a research by Safara for determination aflatoxin levels in different seeds (rice, barley, bean, sesame, Japanese seed) she found out rice, bean, sesame were healthy according to Iranian standard but were not according to European standard and Japanese seeds were not healthy according to both Iranian and European standards (34).

Investigators measured the amount of aflatoxin M1 in 50 samples of pasteurized milks collected from two dairy factories that provide one of Tehran university dairy needs. 84% of the milk samples (42 samples) examined by ELISA were contaminated with AFM1 by measurable amounts. AFM1contamination was higher than Iran national standard (50 ng/l) only in two (4%)of the milk samples. The mean concentration of AFM1 was higher in no. 1 company’s products in comparison with No. 2 Company. The No. 1 company’s winter products were more contaminated than its summer products (35).

In another study, 72 pasteurized milk packages collected from Mazandaran province (Babol City) supermarkets and tested for AFM1 with the competitive ELISA method. The results showed that all the samples (100%) had Aflatoxin M1 contamination. The contamination means in January, February and March were 227. 85, 229. 64, and 233. 1 ng/l, respectively. The highest contamination was observed in March and the lowest in January. AFM1 contamination level ranged from 178. 8 to 253. 5ng/l (mean value 230. 2), which shows that the contamination level in all samples (100%) exceeded the European community regulations (50 ng/l). There was no significant relationship between AFM1 contamination level and different months of winter (P ≤0. 05) (36).

Prevention of aflatoxin exposure

Food production

Drought has a very important role in prevention of crops contamination so irrigation is an important mean of food quality ensuring (37). Technological developments have achieved recently, in one of them some genes which cause prevention of aflatoxin production by fungi or reduce fungal action are used. In developing countries some of these technologies are not used in preharvest period for minimizing contamination. Insect damage is not controlled by insecticide or other cultural strategies and drought is a common phenomenon and correct ways of irrigation are not used as preventive tool. Mechanized harvesting is not also used and drying is achieved inefficiently and depends on weather situation (1).

Food storage

The most aflatoxin contamination is occurred during storage so for prevention of this contamination, biologic activity should be prevented through adequate drying (less than 10% humidity), insect activity elimination (which can increase humidity by respiration), low temperature and inert atmosphere, but these processes are not easy to carry out in developing countries. Most people in rural areas grow and store their foods by themselves and most foods are stored in small and traditional granaries and there is low investment in contamination control and management field (38).

Food processing

Aflatoxin detoxifications include physical and chemical methods. Physical methods include separation, thermal inactivation, irradiation, solvent extraction, adsorbtion from solution, microbial inactivation, and fermentation. Two chemical methods for detoxification of aflatoxin are ammoniation and reaction with sodium bisulfate (39).

Food processing could be achieved to reduce aflatoxin contamination. There are 3 main ways in this field: dilution, decontamination and separation. The easiest way is to mix contaminated crops with efficiently controlled low aflatoxin contaminated crops. Through this way the toxin amount could be diluted, although total toxin amount per person is decreased but these persons are still in exposure. Unfortunately, this way usually fails because there is not enough clean grain for dilution and there are not proper instrument for mixing (40).

Sodium bisulfate has been shown to react with aflatoxins (B1, G1, and M1) under different conditions like temperature, concentration, and time to form water soluble products (39).

For detoxification, ammonia, alkaline substances and ozone are used to denature the aflatoxin but whether this change is permanent is not clear. For example use of soda for corn processing which is used by Mesoamericans reduces aflatoxin amount but there are several evidences which show that these chemical changes may be reversible and aflatoxin may be formed in acidic condition of stomach again after consumption (40).

A new method for detoxification of aflatoxin is the addition of chemisorbent materials such as hydrated sodium calcium aluminosilicate (HSCAS) to the diet of animals. This substance can bind tightly to aflatoxin and immobilize it in the gastrointestinal tract of animals, resulting in reduction in its bioavailability (39). An investigation has shown that 1normal citric acid causes sufficient reduction of aflatoxin in rice. In samples with 4–30ppb aflatoxin contamination, using citric acid leads to destroy 97. 22% of contamination (41).

In separation method, considerable success is obtained when contaminated grain are separated from the bulk but unfortunately poor producers consume these high contaminated grain themselves or feed their livestock with it (1).

Inhibitors of aflatoxin biosynthesis and its toxic effects

Understanding of genetic differences, genome function and components in foods leads to precise manipulating of genes function and stability in life span to maintain human health and prevention of diseases (42).

Medical research has shown that usual diets containing Apiaceous family vegetables like carrot, parsley and celery can reduce carcinogenic effects of aflatoxin (43).

As mentioned earlier oxidative damage may have role in toxic and carcinogenic effects of aflatoxin. In a study on Hep G2 (Human hepatoma-derived cell line) and CaCo-2 (Human colonic adenocarcinoma cell line) researchers showed that natural antioxidants in oranges, blackberries, strawberries and cranberries named Cyanidin3-o-β-glucopyranoside have protective effects against oxidative damage caused by mycotoxins like aflatoxin B1 (10).

In a research on blood cultures which were under aflatoxin exposure, researchers showed that antioxidant vitamins like vitA, C and E reduce sister chromatid exchange which induced by aflatoxin and is responsible for mutagenic effects of aflatoxin and this effect is dose dependent which means more amounts of vitamins cause more protective effects. Among these vitamins according to efficacy vit C has the most effects and after that vit E and vitA. VitC probably induces its effects through free radicals scavenging and reaction with mutagenic substances like OH radical and neutralize them before reaching and damaging DNA. Animal studies have shown that low calorie diets cause reduction in carcinogenic effects of aflatoxin. Consumption of vegetables such as cauliflower, cabbage, broccoli and brussels cabbage lead to reduction in bladder, colon and rectum cancer through neutralizing aflatoxin effects (5).

Neem plant is a known inhibitor of aflatoxin production. The effects of different concentrations of aqueous neem leaf extract on fungal growth and aflatoxin production by Aspergillus parasiticus was studied at different incubation times and revealed that inhibition of aflatoxin production by neem leaf extract is time and dose dependent. The maximum inhibitory effect of this plant extract was 80–90% in the presence of 50% concentration and was significant in comparing with control samples (44).

Dillapiol which is a specific inhibitor of aflatoxin G1 production is isolated from the essential oil of dill (Anethum graveolens L., an Iranian medicinal plant). It inhibits aflatoxin production by Aspergillus parasiticus. Apiol and myristicin which both are congeners of dillapiol, have the same activity but in more amounts (45).

Other authors reported the effects of phenolic compounds on aflatoxin control and found out that an increase in the phenolic compounds content of pistachio fruits causes a reduction or control of aflatoxin production in them (46). Some others studied inhibitory effects of essential oil of Ageratum conyzoides on the mycelia growth and aflatoxin B1 production by Aspergillus flavus. Comparison of fungal cells, control and those incubated with different concentrations of essential oils showed structural changes of fungal cells which were concentration dependent of the essential oil of A. conyzoides (47).

Aflatoxin analysis methods

First samples are cleaned up before analysis to remove extra materials that often interfere with determination of main analytes. Then samples are analyzed by one of following techniques (39):

Thin-Layer Chromatography (TLC)

This technique is widely used to separate aflatoxin from other metabolites. It has been considered as the official method to identify and quantitative aflatoxins at levels as low as 1 ng/g.

Liquid chromatography (LC)

This technique is similar to TLC. LC and TLC complement each other.

Immunochemical Methods

TLC and LC methods for determining aflatoxins in foods are hard and time consuming and these methods need knowledge and experience so new techniques such as highly specific antibody based tests are available which can identify and measure aflatoxins in foods in less than 10 minutes. These techniques are based on monoclonal or polyclonal antibodies affinity for aflatoxins. Three type of these methods are radioimmunoassay (RIA), enzyme-linked immunosorbent assay (ELISA), and immunoaffinity column assay (ICA).

Conclusion

Analysis for mycotoxins is essential to minimize the consumption of contaminated food and feed. It is necessary to prevent the presence of thereof in milk and milk products intended for human consumption and young children in particular. To control aflatoxins in Iran, food and feedstuffs specific regulations control methods should be established. The amount of aflatoxin levels can be minimized by prevention of contaminated food and feed-stuffs consumption and by reduction of fungal growth and production through agricultural phases. When aflatoxin concentration levels can not be reduced to safe levels addition of aflatoxin adsorbents can be recommended.

Ethical Considerations

Ethical issue principles including plagiarism, informed consent, misconduct, data fabrication and/or falsification, double publication and/or submission, redundancy, etc. have been completely observed by the authors.

Table 2:

World maximum tolerated levels of mycotoxins in human foodstuffs, dairy products and animal feedstuffs in 2002/2003 survey, according to different countries regulations (21)

Country Food Item Mycotoxin type Limit (μg/kg)
Algeria Peanut, nut, cereals afla B1 10
afla B1B2G1G2 20
Cattle feed afla B1 20

Antigua and Bar-buda - - -

Argentina see MERCOSUR member state (harmonized regulations)

Armenia all foods afla B1 5
milk afla M1 0. 5

Australia (all regulations harmonized with New Zealand) Peanuts, tree nuts afla B1B2G1G2 15
Australia[Eu member state]) Other products[outside EU regulations] afla B1 1
afla B1B2G1G2 5

Bahamas - - -
Bahrain - - -
Bangladesh feed (maize, rice polish and mixed feed for poultry) afla B1B2G1G2 100μg/kg
is used in practice

Barbados all foods afla B1B2G1G2 20
milk afla M1 0. 5
all feedstuffs afla B1B2G1G2 50

Belarus grain, leguminous plants afla B1 5
infant food afla B1 not allowed
butter, milk protein concentrate afla M1 0. 5
infant food afla M1 not allowed

Belgium (Eu member State) see EU

Belize maize, groundnut afla B1B2G1G2 20

Benin - - -
Bolivia - - -

Bosnia & Herzego-vina (FAO 1997) wheat, maize, rice, cereals afla B1G1 1
beans afla B1G1 5

Brazil additional regulations of Brazil: MERCOSUR member state
all foodstuffs afla B1G1 30
feed (animal feed and ingredients: hay cotton, peanut, rice, oats, residues of bird bowels, babassu, cocoa, sugar cane (residue-pulp), linhaça, dendĕ, manioc, sunflower, crisălidas, malt, wheat, soya, yeast (sugar cane subproducts) afla B1B2G1G2 50

Bulgaria see EU

Burkina Faso - - -

Cameroon - - -

Canada nuts and nut products
all feeds
afla B1B2G1G2 15
aflaB1B2G1G2 20
Chile all foods afla B1B2G1G2 5
milk afla M1 0. 05
complete feedingstuffs for poultry, goats and cattle complete feedingstuffs for other animals afla B1B2G1G2 30
10
all ingredients for use in animal feed except peanuts and derivatives, cottonseed and derivatives, maize and derivatives 50
peanuts and derivatives, cottonseed and derivatives, maize and derivatives afla B1B2G1G2 200

China maize and maize products, peanut and peanut products, peanut oil, irradiated pea nut afla B1 20
rice, irradiated rice, edible vegetable oil 10
soya bean sauce, grain paste, vinegar, other grains, beans, fermented foods, fermented bean products, starch products, fermented wine, red rice, butter cake, pastry biscuit and bread, food additive glucoamylase preparation, salad oil 5
infant formula-soybean based, infant formula ′5410′, formulated weaning supplementary foods (rice, soybean, wheat flour, milk powder) afla M1 non-detectable
milk and milk products food for infants and young children, infant formula milk powder 0. 5
non-detectable
CODEX ALIMENTARIUS created in 1963 by FAO and WHO in 2003 the codex alimentarius commission had 168 member countries peanut, raw afla B1B2G1G2 15
milk afla M1 0. 5

Colombia all foods afla B1B2G1G2 10
aflaM1 10
afla M2 10
maize feed: afla B1B2G1G2 20
maize and maize products afla B1B2G1G2 20
sorghum 40
rabbit/trout feeds 10
poultry/dog/cat/fish feeds 20
bovine/pig feeds 50

Costa Rica ( FAO1997) maize afla B1B2G1G2 35
feed (maize) afla B1B2G1G2 50

Cote d’Ivory (FAO1997) straight feedstuffs afla B1B2G1G2 100
complete feedstuffs 10
complete feedstuffs for pigs/poultry except young animals/ducks 38
complete feedstuffs for cattle/sheep/goats 75
complete foodstuffs for dairy cattle 50

Croatia cereals, beans, peanuts, coffee, tea afla B1 5
spices 30
cocoa, beans, almonds, flours, hazelnuts, walnuts afla B1B2G1G2 3
milk, milk products afla M1 0. 5

Cuba Cereals, peanuts, cocoa mass afla B1 5
all foods afla B1B2G1G2 5
all feeds and feed ingredients afla B1B2G1G2 5

Cyprus see EU

Czech Republic see EU

Denmark see EU

Dominican Republic maize (products), groundnut, soya, tomato (products) afla B1G1 0
imported maize afla B1B2G1G2 20

Ecuador - - -

Egypt peanut and cereals afla B1 5
afla B1B2G1G2 10
corn afla B1 10
afla B1B2G1G2 20
animal and chicken feed afla B1 10
afla B1B2G1G2 20

Estonia see EU

Ethiopia - -

European Union: ( EU ) EU member states: Austria, Belgium, Denmark, Finland, France, Germany, Greece, Ireland, Italy, Luxemburg, The Netherlands, Portugal, Spain, Sweden, United Kingdom
groundnuts, nuts and dried fruit and processed products thereof, intended for direct human consumption or as an ingredient in foodstuffs afla B1 2
afla B1B2G1G2 4
groundnuts to be subjected to sorting or other physical treatment, before human consumption or use as an ingredient in foodstuffs afla B1 8
afla B1B2G1G2 15
nuts and dried fruit to be subjected to sorting, or other physical treatment, before human consumption or use as an ingredient in foodstuff afla B1 5
afla B1B2G1G2 10
cereal (including buckwheat t, Fagupyrum sp.) an processed products thereof in tended for direct human consumption or use as an ingredient in foodstuffs afla B1 2
afla B1B2G1G2 4
cereal (including buckwheat, Fagupyrum sp.), with the exception of maize, to be subjected to sorting, or other physical treatment, before human consumption or use as an ingredient in food-stuffs afla B1 2
afla B1B2G1G2 4
maize to be subjected to sorting, or other physical treatment, before human consumption or use as an ingredient in foodstuffs afla B1 5
afla B1B2G1G2 10
spices:Capsicum spp. (dried fruits thereof, whole or ground, including chillies, chilli powder, cayenne and paprika); Piper spp. (fruits thereof, including white and black pepper); Myristica fragrans (nutmeg); Zingiber officinale ( ginger); Curcuma longa afla B1 5
afla B1B2G1G2 10
milk (raw milk, milk for the manufacture of milk-based products and heat –treated milk as defined by Council Directive 92/46/EEC, as last amended by Council Directive 94/71/EC) aflaM1 0. 05
all feed materials aflaB1 20
complete feedingstuffs for cattle, sheep and goats with the exception of:
-complete feedingstuffs for dairy animals 20
-complete feedingstuffs for calves and lambs
complete feedingstuffs for dairy animals 5
complete feedingstuffs for calves and lambs 10
complete feedingstuffs for pigs and poultry (except young animals) 20
other complete feedingstuffs 10
complementary feedingstuffs for cattle, sheep and goats (except complementary feedingstuffs for dairy animals, calves and lambs 20
complementary feedingstuffs for pigs and poultry (except young animals) 20
other complementary feedingstuffs 5

Finland see EU

France see EU

Germany see EU
Ghana - - -

Greece see EU

Guatemala [FAO1997] maize, kidney beans, rice, sorghum, groundnuts, ground butter afla B1B2G1G2 20
feed (concentrate) afla B1B2G1G2 20


Honduras [FAO1997] all foods afla B2G1G2 1
maize (ground or whole grain) afla B1 1
baby food afla B1B2G1G2 0. 01
milk (products) afla M1 0. 02
cheese aflaM1 0. 05
0. 25

Hong Kong foods afla B1 15
afla B1B2G1G2 15
afla M1 15
peanuts, peanut products afla B1 20
afla B1B2G1G2 20

afla M1 20

Hungary see EU

Iceland see EU

India all food products afla B1B2G1G2 30
aflaM1 30
feed: peanut meal (export) aflaB1 120

Indonesia peanuts, coconuts, spices, traditional drugs/medicine/herbs aflaB1B2G1G2 20
milk, cheese aflaM1 5

Iran, Islamic republic of pistachio nuts, peanuts, walnuts, other nuts and edible seeds afla B1 5
afla B1B2G1G2 15
dates, dried grapes (raisins and sultanas), figs and all dried fruits afla B1 5
afla B1B2G1G2 15
babhy food based on cereals with milk afla B1 1
afla M1 1
barley afla B1 10
afla B1B2G1G2 50
maize, rice afla B1 5
afla B1B2G1G2 30
wheat afla B1 5
afla B1B2G1G2 15
legumes afla B1 5
afla B1B2G1G2 10
milk[raw, pasteurized, sterilized] aflaM1 0. 05
milk powder
milk powder for babies (after reconstitution) 0. 5
cheese 0. 01
  butter, gee 0. 2
other dairy products 0. 02
feed: cotton seed meal 0. 05
fishmeal, meat meal, bone meal, blood meal, single cell protein, rice and wheat bran: intended for sheep, goats and beef cattle afla B1 15
afla B1B2G1G2 50
aflaB1 10
intended for poultry, calf, lamb, kid, dairy sheep, goats and cattle afla B1 5
afla B1B2G1G2 20
soya bean meal, sunflower meal, sesame seed meal, olive meal and other meals from oil producing seeds:
intended for sheep, goats and beef cattle afla B1 10
afla B1B2G1G2 20
intended for poultry, calf, lamb, kid, dairy, sheep, dairy sheep, dairy goats and dairy cattle
maize:
afla B1 5
afla B1B2G1G2 20
intended for sheep, goats and beef cattle, poultry, calf, lamb, kid, dairy sheep, dairy goats and dairy cattle premixes including vitamins and mineral premixes: afla B1 5
afla B1B2G1G2 20
intended for sheep goats and beef cattle aflaB1B2G1G2 10
intended for calf, lamb, kid, dairy sheep, goats and cattle intended for poultry complete feed: aflaB1 5
10
intended for sheep, goats and beef cattle aflaB1 50
intended for calf, lamb, kid, dairy sheep, goats and cattle afla B1 5
afla B1B2G1G2 10
intended for layers and breeders (broilers and layers) aflaB1 20
10
intended for broilers and pullet
intended for parent and grandparent stocks
afla B1 5
afla B1B2G1G2 20

Iraq - - -

Ireland see Eu

Israel nuts, peanuts, maize flour, figs and their products and other foods afla B1 5
afla B1B2G1G2 15
milk and milk products feed (all grains) aflaM1 0. 05
afla B1B2G1G2 20

Italy see Eu

Jamaica[FAO1997] food, grains afla B1B2G1G2 20

Japan all foods feed: afla B1 10
compound feeds for cattle (except calves, dairy cows), pigs (except piglets), chicken (except young chicken, broilers) and quails afla B1 20

Jordan almonds, cereals, maize, peanuts, pistachio nuts, pine nuts, rice afla B1 15
afla B1B2G1G2 30
all feedstuffs afla B1 15
afla B1B2G1G2 30

Kenya[FAO1997] peanut (product)s, vegetable oils afla B1B2G1G2 20

orea, Republic of grains, soy-bean, peanuts, nuts, wheat and the products made from these by simple processing such as grinding and cutting milk and milk products feed: afla B1 10
aflaM1 0. 5
compound feeds for calfs, chicken, piglets, broilers (early stage)and dairy cattle other compound feeds (except premixes) aflaB1 10
20
feed ingredients:vegetable proteins, grains, by-products of grains and food 50

Kuwait infant and children food liquid milk and milk products[except dried milk] afla B1B2G1G2 0. 05
0. 2

Latvia see EU

Liechtenstein see EU

Lithuania see EU

Luxembourg see EU

Macedonia wheat, maize, rice, bean aflaB1G1 1
afla B1G1 5

Malavi[FAo1997] peanuts (export) aflaB1 5
Malaysia[FAO1997] all foods aflaB1B2G1G2 35

Malta nuts, dried fruit, cereals afla B1 2
afla B1B2G1G2 4
milk aflaM1 0. 05

Mauritius [FAO 1997] all foods aflaB1 5
afla B1B2G1G2 10
aflaM1M2 10
groundnuts aflaB1 5
afla B1B2G1G2 15
aflaM1M2 15
MERCOSUR: member states: Argentina, Brazil, Paraguay, Uruguay peanuts, maize and products thereof afla B1B2G1G2 20
fluid milk aflaM1 0. 5
powdered milk 5

Mexico cereals and products afla B1B2G1G2 20
corn flour for tortillas 12
feed:cereals for bovine and porcine fattening feedstuffs 200
feedstuffs for dairy cattle/poultry 0

Moldova, republic of cereals, legumes, flour, cocoa, nuts, coffee, sunflower, tea alfaB1 5
milk, cottage cheese, butter aflaM1 0. 5
Morocco all foods aflaB1 10
peanuts, pistache nuts, almonds, vegetable oils in pasta, children foods 1
wheat meal 3
wheat bran 10
vegetable oils, cereals, wheat 5
meal (complete)
milk (product) aflaM1 0. 05
milk (product) forinfants under3 years 0. 03
milk powder 0. 5
milk powder for infants under 3 years 0. 3
feed: simple feedstuffs (except peanuts, copra, cottonseed, babassu, maize and their products) aflaB1 50
peanuts, copra, cottonseed, babassu, maize and their products complete feedstuffs for cattle, sheep and goats (except for dairy animals, calves and lambs) 20
50
complete feedstuffs for dairy animals 5
complete feedstuffs for calves and lambs 10
complete feedstuffs for pigs and poultry (except young animals) 20
other complete feedstuffs 10
complementary feedstuffs for cattle, sheep and goats (except for dairy animals, calves and lambs) 50
complementary feedstuffs for pigs and poultry (except young animals) 30
other complementary feedstuffs, especially dairy animals 10

Mozambique peanut, peanut milk aflaB1B2G1G2 10
milk aflaM1 Unknown
feed: peanut, maize, peanut aflaB1B2G1G2 10
butter aflaB1B2G1G2 10
cereals and feedstuffs aflaB1 unknown
feedstuff

Myanmar - - -

Nepal cereals aflaB1 20
feedstuffs 50

Netherlands see EU

New Zealand see Australia

Nicaragua - - -

Nigeria foodstuffs aflaB1 20

Norway see EU

Oman complete foodstuffs aflaB1 10
complete feedstuffs for poultry 20

Pakistan - - -

Panama - - -

Paraguay see MERCOSUR

Peru raw and processed peanuts aflaB1B2G1G2 15
milk aflaM1 0. 5

Philippines nut (products) feed: aflaB1B2G1G2 20
mixed feed aflaB1 20
copra and copra products 20

Poland see EU

Portugal see EU

Qatar - - -

Romania see EU

Russian Federation bread grains, grain legumes, cereals, oat flour, flakes, wheat flour, pasta, bread, bakery products, cocoa, nuts, tea, coffee, oil seeds, vegetable oils, wheat germ flake aflaB1 5
cow butter 0. 5
milk and milk products aflaM1 0. 5

Salvador, El foods aflaB1B2G1G2 20
all feedstuffs aflaB1 10
supplementary feeds for porcine/poultry/dairy cattle; single composite feedstuffs; bovine/caprine/ovine feedstuffs 20

Saudi Arabia infant and children food liquid milk and milk products[except dried milk] all afla 0. 05
0. 2

Senegal[FAO1997] peanut products (straight feedstuffs) aflaB1 50
peanut products (feedstuff ingredients) 300

Serbia and Montenegro wheat, corn, rice, barley, bean, peas, rosted coffee, roasted peanut, tea aflaB1 5
meat and meat products 0. 5
spices 30
milk and milk products aflaB1 0. 5
aflaM1 0. 5
feed for chicken, pigs (until 50kg), calf, young turkey, duckling, cow feed for ox, sheep, goat feed for swine and poultry aflaB1B2G1G2 10
50
20

Singapore corn, nuts, and cereal products aflaB1 not given
aflaB1B2G1G2 5
milk and cheese products aflaM1 0. 5

Slovakia see EU

Slovenia see EU

South Africa all foodstuffs aflaB1 5
aflaB1B2G1G2 10
milk aflaM1 0. 05

Spain see EU

Sri Lanka all foods all afla 30
food for children up to 3 years 1

Sudan Oil seeds aflaB1B2G1G2 see codex

Suriname[FAO199]] maize aflaB1B2G1G2 30
groundnut (products), legumes aflaB1 5
feedstuffs aflaB1B2G1G2 30

Sweden see EU

Switzerland nutmeg aflaB1 10
aflaB1B2G1G2 20
spices aflaB1 5
aflaB1B2G1G2 10
infant formulae and follow-on formulae aflaB1B2G1G2 0. 01
aflaM1 0. 02
processed cereal-based foods and baby foods for infants and young children aflaB1B2G1G2 0. 01
aflaM1 0. 02
all foodstuffs aflaB1 2
aflaB1B2G1G2 4
milk and milk products aflaM1 0. 05
cheese
feed:
0. 25
babassu seed, cotton seed, peanut, coconut, maize kernel aflaB1 200
complementary for lactating bovine animals, lactating sheep and lactating goats 5
other complete and complementary feeds 10

Syrian Arab Republic peanuts and pistachio aflaB1 5
baby food aflaB1B2G1G2 005
pulses, mixed nuts, oil seeds and products thereof 20
liquid milk aflaM1 0. 2
dried milk[not used in baby food] 0. 05
domestic feed aflaB1B2G1G2 20
livestock cattle feed 10

Taiwan Province of China peanut, corn, maize aflaB1B2G1G2 15
rice, sorghum, legumes, nuts, wheat and barley, oats 10
edible oils and fats 10
other foods 10
infant food not detectable
milk aflaM1 0. 5
milk powder 5
maize (raw material) aflaB1B2G1G2 50
all feedstuffs aflaB1 25–100
Tanzania, United Republic of cereals, oil seeds aflaB1 5
aflaB1B2G1G2 10
feeds aflaB1 5
aflaB1B2G1G2 10

Thailand all food products aflaB1B2G1G2 20

Trinidad and Tobago - - -

Tunisia all products aflaB1 2
aflaB1B2G1G2 unknown
milk aflaM1 unknown

Turkey hazelnut, peanut and other nuts; oily seed;dried fruits(fig, raisin, etc. ) and foodstuffs prodused of these, spices, and other foods aflaB1 5
aflaB1B2G1G2 10
cereals and cereal flour aflaB1 2
aflaB1B2G1G2 4
baby food aflaB1 1
aflaB1B2G1G2 2
milk aflaM1 0. 05
milk powder 0. 05
cheese 0. 5
feed ingredients, mixed feed for rominants except young animals 0. 25
aflaB1 50
mixed feed for poultry except young animals 20

other mixed feeds 10

Uganda - - -

Ukrain milk and dairy products; grain based baby food aflaB1 1
meat products, sausages, poultry; egg, grains, beans, flour, bread, all nuts, cocoa, coffee, tea, vegetable oil 5
grain based babyfood products, babyfood for early born babies, milk and dairy products, dairy products for babyfood aflaM1 0. 5
combined feed for non-productive animals aflaB1 10
combined feed for poultry 25
combined feed for cows in the period of lactation
combined feed for calves and sheep older than 4 months, animals for meat, breeding bulls 50
100

United Arab Emirates - - -

United Kingdom of Great Britain and Northern Ireland see EU

United States of America all foods except milk aflaB1B2G1G2 20
milk
feed:
aflaM1 05
corn and peanut products intended for fishing (i. e., feedlot) beef cattle aflaB1B2G1G2 300
cottonseed meal intended for beef cattle, swine, or poultry 300
corn and peanut products intended for finishing swine of 100 pound or greater 200
corn and peanut products intended for breeding beef cattle, breeding swine, or mature poultry 100
corn and peanut products and other animal feeds and feed ingredients, excluding cottonseed meal, intended for immature animals 20

Uruguay MERCOSUR member state

Venezuela corn, corn flour, peanuts, peanut aflaB1B2G1G2 20
butter
fluid milk aflaM1 0. 5
milk powder 5

Viet Nam Foodstuffs aflaB1B2G1G2 10
total of other mycotoxins 35
milk and milk products aflaM1 0. 5

Yemen no official regulations, but some control takes place

Zambia - - -
Zimbabwe foods aflaB1 5
groundnuts, maize, sorghum aflaB1 5
aflaG1 4
feedstuffs aflaB1B2G1G2 unknown
poultry feed aflaB1G1 10

Acknowledgments

The authors thank, Dr. H. Sadigi, Tehran Genetic Clinic, for reading the manuscript. The authors declare that there is no conflict of interests.

References

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