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. Author manuscript; available in PMC: 2020 Sep 16.
Published in final edited form as: Clays Clay Miner. 2019 Apr 5;67(1):99–110. doi: 10.1007/s42860-019-0008-x

Table 1.

Animal and human studies with NS and similar clays: 1988–2018.

Treatment group Mycotoxin Clay treatment (and duration) Major effects of clay reported in the study References
Chickens Aflatoxins 0.5% (28 days) Growth inhibition diminished; gross hepatic changes prevented. Phillips et al. (1988)
Chickens Aflatoxins 0.5% (28 days) Growth inhibition diminished; decreased mortality. Kubena et al. (1990)
Chickens Aflatoxins 0.1%; 0.5% (24 h) Reduced bioavailability of aflatoxin to the liver and blood in a dose-dependent manner. Davidson et al. (1987)
Chickens Aflatoxins 0.5%; 1.0% (21 days) Growth inhibitory effects reduced. Araba and Wyatt (1991)
Chickens Aflatoxins 0%–1.0% (21 days) Feed conversions improved; growth inhibition diminished. Doerr (1989)
Chickens Aflatoxins 1.0% (21 days) Growth inhibition completely prevented. Ledoux et al. (1999)
Chickens Afl/Ochratoxin A 0.5% (21 days) Decreased growth inhibitory effects; no effect against ochratoxin. Huff et al. (1992)
Chickens Afl/Trichothecenes 0.5% (21 days) Diminished growth inhibition; no effect against trichothecenes. Kubena et al. (1990)
Chickens None 0.5%; 1.0% (14 days) NS did not impair phytate or inorganic phosphorous utilization. Chung and Baker (1990)
Chickens None 0.5%; 1.0% (14 days) NS did not impair utilization of riboflavin, vitamin A, or Mn; slight reduction of Zn. Chung et al. (1990)
Chickens Aflatoxins 0.1%; 0.2% 0.2% significantly reduced toxicity in the liver, 0.1% was not able to prevent toxicity. Jayaprakash et al. (1992)
Chickens Afl/Trichothecenes 0.25%; 0.37%; 0.8% (21 days) Diminished growth inhibition; no effect against trichothecenes. Kubena et al. (1993)
Chickens Aflatoxins 0.125%; 0.25%; 0.5% (21 days) Protected against vitamin A depletion in the livers of chicks exposed to aflatoxins. Pimpukdee et al. (2004)
Chickens None (def. diets) 0.5% (19 days) Did not affect growth performance or tibial mineral concentrations of chicks. Southern et al. (1994)
Chickens Aflatoxins 0.5 HCSAS; 0.5 HCSAS + 16.5 mg VM/Kg (28 days) HSCAS and HSCAS+VM (virginiamycin) counteracted some of the toxic effects of AF in growing broiler chicks. Abo-Norag et al. (1995)
Chickens Cyclopiazonic acid 1.0% (21 days) Clay did not significantly prevent the adverse effects of clyclopiazonic acid. Dwyer et al. (1997)
Chickens Aflatoxins 0.5%; 0.5% + 0.5 TMP (3 wks) Improved feed intake and weight gain. Alleviated the adverse effects of AFB1 on some serum chemistry. Gowda et al. (2008)
Chickens Aflatoxins 0.1%; 0.2% (21 days) Clay effectively alleviated the negative effect of AFB1 on growth performance and liver damage. Zhao et al. (2010)
Chickens Aflatoxin, Ochratoxin, T-2 toxin 0.2% (42 days) Increased feed intake and apparent retention of phosphorus. Prevented adverse effects to mycotoxins. Liu et al. (2011)
Turkeys Aflatoxins 0.5% (21 days) Decreased mortality. Kubena et al. (1991)
Turkeys Aflatoxins 0.5% (21 days) Decreased urinary excretion of aflatoxin M1. Edrington et al. (1996)
Pigs Aflatoxins 0.5% (35 days) Clay prevented hepatocellular changes normally associated with aflatoxin consumption. Colvin et al. (1989)
Pigs Aflatoxins 0.5% Decreased DNA adducts in the liver and reduced tissue residues of total aflatoxins. Beaver et al. (1990)
Pigs Aflatoxins 0.5% (42 days) Diminished growth inhibition. Lindemann et al. (1993)
Pigs Aflatoxins 0.5%; 2.0% (28 days) Decreased growth inhibition; prevention of serum effects and hepatic lesions. Harvey et al. (1994)
Pigs Aflatoxins 0.5%; 2.0% (28 days) Diminished growth inhibition, hepatic lesions and immunosuppression. Harvey et al. (1998)
Pigs Aflatoxins 0.5% (35 days) Growth inhibitory effects reduced. Schell et al. (1993)
Pigs Ochratoxins 1.0% No significant effect. Bauer (1994)
Pigs Trichothecenes 0.5%; 1.0% (7–13 days) No significant effect. Patterson and Young (1993)
Dogs Aflatoxins 0.5% (48 h) Significantly reduced the bioavailability of aflatoxins and excretion of M1 in urine. Bingham et al. (2004)
Lambs Aflatoxins 2.0% (42 days) Diminished growth inhibition and immunosuppression. Harvey et al. (1991)
Mink Aflatoxins 0.5% (77 days) Mortality was prevented. Bonna et al. (1991)
Mink Zearalenone 0.5% (24 days) Clay did not appreciably alter the hyperestrogenic effects. Bursian et al. (1992)
Dairy Cows Aflatoxins 0.5%; 1.0% (28 days) Reduction of aflatoxin M1 in milk. Harvey et al. (1991)
Dairy Goats Aflatoxins 1.0%; 2.0%; 4.0% (12 days) Reduction of aflatoxin M1 in milk. Smith et al. (1994)
Mice Zearalenone 400 mg/kg bw; 5 g/kg bw (48 h) Prevented the general toxicity of ZEN. Abbès et al. (2006)
Mice Zearalenone 400, 600 or 800 mg/kg bw (48 h) Decreased chromosomal aberrations and increased the number of polychromatic erythrocytes in bone-marrow cells. Abbès et al. (2007)
Rats (and Sheep) Ergotamine Rats: 2.0% (28 days) Sheep: 20% (17 days) HSCAS did not significantly protect rats or sheep from fescue toxicosis. Chestnut et al. (1992)
Rats Aflatoxins 0.1%; 1.0%(8wks) Partial protection against lesions in the liver. Voss et al. (1993)
Rats Aflatoxins 0.5% (21 days) Prevention of maternal/developmental toxicity. Mayura et al. (1998)
Rats Aflatoxins 0.5% (21 days) Decreased growth inhibition in pregnant rats. Abdel-Wahhab et al. (1998)
Rats Aflatoxins 0.5% (48 h) Decreased urinary excretion of aflatoxin metabolites (M1 and P1). Sarr et al. (1995)
Rats None 2.0% (16 days) In pregnant rats, Rb was reduced in groups with clay. Neither NSP nor SWY-2 influenced mineral intake. Wiles et al. (2004)
Rats None 0.25%; 0.5%; 1.0%; 2.0% (6 mo) No adverse effects including vitamin utilization. Afriyie-Gyawu et al. (2005)
Rats Aflatoxins 5 g TM/kg; 5g HSCAS/kg (30 days) Prevented deleterious effects of aflatoxins. Abbes et al. (2010)
Rats None 0.25%; 2.0% (3 months) Increased serum Ca, Na, Vit. E. Reduced Zn in males at 2% clay. Reduced serum K in males of clay groups. Marroquin-Cardona et al. (2011)
Rats (and Humans) Afl/Fumonisins 2.0%, 1.5 g/d; 3 g/d (3 mo) Reduction of urinary FB1 in rats and humans. Robinson et al. (2012)
Rats Afl/Fumonisins 0.25%; 2.0% (1 week) Reduced bioavailability of AFB1 and FB1 individually and in combination. Mitchell et al. (2013)
Humans None 1.5 g; 3 g (2 weeks) Mild GI effects. No difference in hematology, electrolytes, liver and kidney function. Wang et al. (2005)
Humans None 1.5 g/day; 3 g/day (3 months) Moderate effects, though not significant. No significant difference in hematology, electrolytes, liver and kidney function. Afriyie-Gyawu et al. (2008)
Humans N/A N/A Review Article. NS was shown to reduce biomarkers of aflatoxin exposure from urine and serum in humans. Phillips et al. (2008)
Humans N/A In capsules: 1.5 g/day;3 g/day (3 months) Significantly reduced AFM1 biomarker in urine and AFB1-albumin biomarker in serum. Wang et al. (2008)
Humans N/A 1.5 g/day; 3 g/day (3 mo) No significant effects in vitamins A and E and micronutrients, except for strontium. Afriyie-Gyawu et al. (2008)
Humans N/A N/A Review Article. NS is effective in binding aflatoxin from food that is highly contaminated. Wu et al. (2010)
Hydra N/A 0.1%; 0.3%; 0.5% (92 hr) No toxicity from NS. Marroquin-Cardona et al. (2009)
Hydra Afl/Fumonisins 0.01%; 0.7%; 1.4%; 2.0% (92 h) Protection from AFB1, FB1, and co-exposure to AFB1/FB1. Brown et al. (2014)
Humans N/A 1.5 g/day; 3 g/day (3 months) FB1 was detected in the urine of participants and were decreased by > 90% in the high dose of NS. Robinson et al. (2012)
Red Drum Aflatoxin 0–5 ppm in the diet with 0, 1% or 2% NS for 7 weeks NS inclusion improved weight gain, feed efficiency, muscle somatic index and intraperitoneal fat ratios. Zychowski et al. (2013)
Children (3–9 years) N/A 0.75 g/day; 1.5 g/day (2 weeks) Significantly reduced AFM1 in urine with no adverse events from treatment. Mitchell et al. (2014)
Humans N/A 3 g/day (in breakfast and dinner); 2 week crossover study A reduction up to 55% in median AFM1 levels was observed within 5 days of treatment. All participants said they would eat the food again. No adverse events were associated with UPSN consumption. Mitchell et al. (2013)
Children N/A 6 g/day; 12 g/day (3 days) Significantly reduced stool output in children with acute watery diarrhea Dupont et al. (2009)
Human Aflatoxin 1.5 g/day Sustainable reduction of aflatoxins. Elmore et al. (2014)
Human Aflatoxin 1.5 g/day; 3 g/day (3 months) Reduction of aflatoxin serum biomarker at low dose. Pollock et al. (2016)
Human Aflatoxin 3 g/day (7 days) Reduction in urinary metabolite (AFM1). Awuor et al. (2016)
Rats Afl/Fumonisins 0.125 mg AF, or 25 mg FB (singly and in combination); 72 h UPSN significantly reduced the bioavailability of both AF and FB and the combination of toxins. Mitchell et al. (2014)
Mice N/A 4% w/w diet for 4 week trial. NS mitigated the effects of TNBS-induced colitis based on reduction in systemic markers of inflammation, significant improvement in weight gain and intestinal microbial profile. Zychowski et al. (2015)
Dairy Cows Aflatoxins Latin-Square, 5 14-d periods (day 1–7 data; day 8–14 washout); 100 ppb aflatoxins. TX NSP reduced the transfer and excretion of AFM1 in milk with no negative effects on dry matter intake, milk production, milk quality and composition. Maki et al. (2016)
Dairy Cows Aflatoxins Latin-Square, 14-day periods; 100 ppb aflatoxins. GA NSP reduced the transfer and excretion of AFM1 in milk without interfering with milk quality or composition. Maki et al. (2016)
Dairy Cows Aflatoxins Latin-Square, 5 10-day periods; NS at 0.125 and 0.25% w/w Compared to all studies, NSP resulted in a linear decrease in AFM1 ranging from 17% to 71% without interfering with milk quality and composition. Maki et al. (2017)
Rats Afl/Fumonisins 150 ug/kg AF for 14 days; 250 mg/kg FB for 21 days Sequential exposure to AF + FB synergistically increased the numbers of liver GTP-P+ foci by 7.3 and 12.9 fold. Qian et al. (2016)
Rats Afl/Fumonisins 150 ug/kg AF for 14 days; 250 mg/kg FB for 21 days; 0.5 and 1.0% USPN clay UPSN clay at a dose up to 0.5% in the diet was shown to be effective in modulating the toxicity and carcinogenicity of co-exposure to AFB1 and FB1 Xue et al. (2018)