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. 2022 Jun 24;9:915681. doi: 10.3389/fnut.2022.915681

Table 3.

Examples of combined mycotoxins effects disturbing metabolic and immune reactions (focusing on low concentrations).

Mycotoxin Effective dose, target Effect Major conclusion References
AFB1/ AFM1 5–30 μM, murine macrophage ↓ NO production by LPS-stimulated macrophages Alteration of immune response and ↓defense ability against tumorgenesis (73)
AFB1/ AFB2/ AFG1/ AFG2 1.0, 0.5, 0.25, and 0.25 ng/mL (respectively), bovine PBMCs ↑ TLR-4 mRNA expression level Signal transduction by TLRs (74)
AFB1/ AFB2/ AFG1/ AFG2 2.0, 1.0, 0.5, and 0.5 ng/mL (respectively), porcine monocyte-derived DCs ↑ Expression of co-stimulatory molecules; CD25 and CD80/86
↑ Antigen-presenting capacity of DCs
Breakdown of immunological tolerance (75)
AFB1/ AFB2/ AFB2a/ AFG1/ AFG2/ AFM1 0.1, 1, and 10 pg/mL, rat macrophage ↓ Phagocytosis activity
↓ Intracellular killing and spontaneous superoxide production
(The biggest effect by AFB1 and AFM1
The smallest effect by AFG1)
Depressive effect on macrophages and a susceptibility of host to infectious diseases (76)
AFB1/ OTA/ FB1/ T-2 1, 3, 10, and 30 μM, human Caco-2 cell ↓ mRNA expression of the tight junction proteins (claudin-3 and occludin) ↑ Paracellular (epithelium) permeability (77)
AFB1/ OTA/ FB1 OTA and AFB1 (5 and 40 ng/mL) FB1 (5 and 40 μg/mL), human mononuclear blood cells ↑ DNA damage and fragmentation
↑ Cell apoptosis
↓ Cell viability
Increased immuno-suppression by chronic exposure, especially in patients with chronic diseases, like cancers, tuberculosis, malaria, and HIV (78)
OTA/ FB1 OTA (5 ng/kg b.w.)
FB1 (200 ng/kg b.w.), rat
kidney and liver
↑ MDA and Protein carbonyls
↓ CAT activity
High potential to induce oxidative damage (79)
0.05, 0.5 and 5 μg/mL, porcine kidney epithelial cells ↑ Lipid peroxidation
↓ GSH level
↓ Cell viability
Long-term exposure is an important inducer of immunosuppression and development of chronic renal diseases (80)
FB1/ DON FB1 (110 μg/kg b.w./day) DON (45 μg/kg b.w./day), mice ↑ Triglyceride and total cholesterol
↑ Blood total proteins and creatinine
↑ m5dC level from 3.6 to 7.2% (DNA methylation)
↑ DNA fragmentation
Lipid and lipoprotein (increased serum proteins) metabolism disorders Blood lymphocytes cell deaths (81)
3+6 mg/kg, piglet ↓ The number of goblet cells
↑ The number of lymphocytes, plasma cells, and eosinophils
↓ Lymphocytic infiltration
↓ Epithelial cell proliferation
↑ TNF-α, IL-1β, IFN-γ, IL-2, IL-6, IL-12p40, MIP-1β, and IL-10 expression in ileum or jejunum (alone)
↓ Adherent junction protein E-cadherin and occludin in the intestine
Alteration in the intestine and induction of more susceptibility to infections by enteric pathogens (82)
DON/ ZON 40+12 μg/kg, porcine peripheral blood lymphocytes ↓ CD4+ and CD8+ lymphocytes Transiently depletion of immunoregulatory mechanisms (strong effects of mixed AFs) (83)

AFB1, aflatoxin B1; NO, nitric oxide; LPS, lipopolysaccharides; PBMCs, peripheral blood mononuclear cells; TLR, toll-like receptor; DCs, dendritic cells; OTA, ochratoxin A; FB1, fumonisin B1; HIV, human immunodeficiency virus; MDA, malondialdehyde; CAT, catalase; GSH, glutathione; DON, deoxynivalenol; m5dC, 5-methyldeoxycytidine; TNF-α, tumor necrosis factor-alpha; IL-1β, interleukin 1β; IFN-γ, interferon-gamma; MIP-1β, macrophage inflammatory protein 1-beta; ZON, zearalenone; CD4, cluster of differentiation 4.