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. 2022 May 12;14(10):2038. doi: 10.3390/nu14102038

Table 5.

Most harmful mycotoxins that often contaminate human food.

Type * Genus Foods Clinical Picture Molecular Mechanisms References
Aflatoxin B1 (AFB1) Aspergillus Nuts, peanuts, maize Extremely potent carcinogen, strongly linked with liver cancer; immunosuppression; stunted growth Mutagenic and genotoxic effects: binds N7 of guanine; GC to TA transversions; (–) transcription, (+) oxidative stress [191,194,195]
Ochratoxin A (OTA) Aspergillus Cereals, coffee, figs, raisins, pork kidneys Nephrotoxic effects in all species tested; liver damage, immune suppression, and teratogenic effects in animals (–) Phe metabolism; (–) mitochondrial ATP production; (–) tumor-suppressor gene dmrt-1 in mice; (+) lipid peroxidation [195,196]
Zearalenone (ZEA) Fusarium Maize, corn, other cereals Reduced fertility, stillbirths in females; testicular atrophy and reduced spermatogenesis in males; hemato- and hepatoxic effects ZEA-estrogen receptor complex is translocated into the nucleus which regulates the transcription of many genes [195,197]
Fumonisins Fusarium Maize, rice, beans, beer, soybeans Suppression of the immune response; pulmonary edema, esophageal cancer (–) Sphingolipid synthesis; (–) mitochondrial ETC; (+) ROS generation; (+) cytotoxicity [191,195]
Trichothecenes Fusarium, Cephalosporium, Myrothecium, Stachybotrys, Trichothecium Grains: rice, barley, oats, maize, eggs, milk, meat Alimentary toxic aleukia (ATA): fever, diarrhea, nausea, vomiting, agranulocytosis, necrotic angina, bleeding; reduced serum levels of WBC and Ig in mice (–) Translation; (–) mitochondrial ETC; (+) lipid peroxidation and membrane remodeling; (+) apoptosis [191,196,198,199]
Patulin Penicillium Apples, pears, other fruits Neurotoxic and immunotoxic effects reported in animals As yet unknown [195]
Citrinin Penicillium, Aspergillus, Monascus Cereals, Italian sausages Nephrotoxic effects in all species tested; reproductive toxicity and chromosome aberrations in mice (–) DNA and RNA synthesis; (–) microtubules assembly; (–) HSP90 multichaperone complex; (+) ROS generation [191]
Ergot alkaloids Claviceps Various grasses and grains Ergotism, convulsions, ataxia, gangrene, abortion As yet unknown [191,195]

* Trichothecenes mycotoxins are classified in groups A (T-2, HT-2); B (Deoxynivalenol, DON); C (Crotocin), and D (Verrucarins, Roridin, Satratoxins). Designations: (–), inhibits; (+), stimulates; WBC, white blood cells; Ig, immunoglobulins; ROS, reactive oxygen species; ETC, electron-transport chain; Phe, Phenylalanine.