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OchratoxinA
FromWikipedia,thefreeencyclopedia

OchratoxinAatoxinproducedbyAspergillusochraceus, OchratoxinA
Aspergilluscarbonarius,andPenicilliumverrucosumis
oneofthemostabundantfoodcontaminatingmycotoxins.[1]
Itisalsoafrequentcontaminantofwaterdamagedhouses
andofheatingducts.[2][3]Humanexposurecanoccurthrough
consumptionofcontaminatedfoodproducts,particularly
contaminatedgrainandporkproducts,aswellascoffee,
winegrapes,anddriedgrapes.[4][5][6]Thetoxinhasbeen
foundinthetissuesandorgansofanimals,includinghuman
bloodandbreastmilk.[7]OchratoxinA,likemosttoxic
substances,haslargespeciesandsexspecifictoxicological
differences.[5]

Names
IUPACname
Contents
N{[(3R)5chloro8hydroxy3methyl1oxo3,
1 Impactonhumanandanimalhealth 4dihydro1Hisochromen7yl]carbonyl}L
1.1 Carcinogenicity phenylalanine
1.2 Neurotoxicity Othernames
2 Immunosuppressionandimmunotoxicity (R)N[(5Chloro3,4dihydro8hydroxy3
2.1 Potentiallinktonephropathies
methyl1oxo1H2benzopyran7yl)
2.2 Foodanimalindustryimpact
2.3 Dietaryguidelines carbonyl]Lphenylalanine
3 Dermalexposure ()N[(5Chloro8hydroxy3methyl1oxo
4 Seealso 7isochromanyl)carbonyl]3phenylalanine
5 References Identifiers
CASNumber 303479(http://www.common
chemistry.org/ChemicalDetail.a
Impactonhumanandanimalhealth spx?ref=303479)
ChEBI CHEBI:7719(https://www.ebi.
Carcinogenicity
ac.uk/chebi/searchId.do?chebiId
OchratoxinAispotentiallycarcinogenictohumans(Group =7719)
2B),andhasbeenshowntobeweaklymutagenic,possibly ChEMBL ChEMBL589366(https://www.
byinductionofoxidativeDNAdamage.[8] ebi.ac.uk/chembldb/index.php/c
ompound/inspect/ChEMBL589
Theevidenceinexperimentalanimalsissufficienttoindicate
366)
carcinogenicityofochratoxinA.Itwastestedfor
carcinogenicitybyoraladministrationinmiceandrats.It ChemSpider 390954(http://www.chemspide
slightlyincreasedtheincidenceofhepatocellularcarcinomas r.com/ChemicalStructure.3909
inmiceofeachsex.[9]andproducedrenaladenomasand 54.html)
carcinomasinmalemiceandinrats(carcinomasin46%of ECHAInfoCard 100.005.586(https://echa.europ
malesand5%offemales).[10]Inhumans,verylittlehistology a.eu/substanceinformation//su
dataareavailable,soarelationshipbetweenochratoxinA bstanceinfo/100.005.586)
andrenalcellcarcinomahasnotbeenfound.However,the
IUPHAR/BPS 4672(http://www.guidetophar
incidenceoftransitionalcell(urothelial)urinarycancers
seemsabnormallyhighinBalkanendemicnephropathy macology.org/GRAC/LigandDi

patients,especiallyfortheupperurinarytract.[11]The
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molecularmechanismofochratoxinAcarcinogenicityhas splayForward?tab=summary&li
beenunderdebateduetoconflictingliterature,howeverthis gandId=4672)
mycotoxinhasbeenproposedtoplayamajorrolein Jmol3Dmodel Interactiveimage(http://chema
reducingantioxidantdefenses.[12] pps.stolaf.edu/jmol/jmol.php?m
odel=O%3DC%28O%29%5B
Neurotoxicity C%40%40H%5D%28NC%2
8%3DO%29c1c%28O%29c2
OchratoxinAhasastrongaffinityforthebrain,especially
c%28c%28Cl%29c1%29C%5B
thecerebellum(Purkinjecells),ventralmesencephalon,and
C%40H%5D%28OC2%3DO%
hippocampalstructures.[13]Theaffinityforthehippocampus
29C%29Cc3ccccc3)
couldberelevanttothepathogenesisofAlzheimer'sdisease,
andsubchronicadministrationtorodentsinduces KEGG C09955(http://www.kegg.jp/en
hippocampalneurodegeneration.Ochratoxincausesacute try/C09955)
depletionofstriataldopamine,whichconstitutesthebedof PubChem 442530(https://pubchem.ncbi.n
Parkinson'sdisease,butitdidnotcausecelldeathinanyof
lm.nih.gov/compound/442530)
brainregionsexamined.[14]TeamsfromZheijiangUniv.and
KielUniv.holdthatochratoxinmaycontributeto InChI
Alzheimer'sandtoParkinson'sdiseases.Nonetheless,their SMILES
studywasperformedinvitroandmaynotextrapolateto Properties
humans.[15]Thedevelopingbrainisverysusceptibleto Chemicalformula C20H18ClNO6
ochratoxin,hencetheneedforcautionduringpregnancy.[16]
Molarmass 403.813
Meltingpoint 169C(336F442K)
Immunosuppressionand Exceptwhereotherwisenoted,dataaregivenfor
immunotoxicity materialsintheirstandardstate(at25C[77F],
100kPa).
OchratoxinAcancauseimmunosuppressionand verify(whatis ?)
immunotoxicityinanimals.Thetoxin'simmunosuppressant
Infoboxreferences
activityinanimalsmayincludedepressedantibody
responses,reducedsizeofimmuneorgans(suchasthe
thymus,spleen,andlymphnodes),changesinimmunecellnumberandfunction,andalteredcytokine
production.Immunotoxicityprobablyresultsfromcelldeathfollowingapoptosisandnecrosis,incombination
withslowreplacementofaffectedimmunecellsduetoinhibitionofproteinsynthesis.[1]

Potentiallinktonephropathies

Balkanendemicnephropathy(BEN),aslowlyprogressiverenaldisease,appearedinthemiddleofthe20th
century,highlylocalizedaroundtheDanube,butonlyhittingcertainhouseholds.Patientsovertheyears
developrenalfailurethatrequiresdialysisortransplantation.Theinitialsymptomsarethoseofa
tubulointerstitialnephritisofthesortmetwithaftertoxicaggressionstotheproximalconvolutedtubules.Such
proximaltubulenephropathiescanbeinducedbyaluminium(e.g.inantiperspirants),antibiotics(vancomycin,
aminosides),tenofovir(forAIDS),andcisplatin.Theirsymptomsarewellknowntonephrologists:glycosuria
withouthyperglycemia,microalbuminuria,poorurineconcentrationcapacity,impairedurineacidification,and
yetlonglastingnormalcreatinineclearance.[17]InBEN,renalbiopsyshowsacellularinterstitialfibrosis,
tubularatrophy,andkaryomegalyinproximalconvolutedtubules.[18]Anumberofdescriptivestudieshave
suggestedacorrelationbetweenexposuretoochratoxinAandBEN,andhavefoundacorrelationbetweenits
geographicaldistributionandahighincidenceof,andmortalityfrom,urothelialurinarytracttumours.[19]
However,insufficientinformationiscurrentlyavailabletoconclusivelylinkochratoxinAtoBEN.[20]Thetoxin
mayrequiresynergisticinteractionswithpredisposinggenotypesorotherenvironmentaltoxicantstoinduce
thisnephropathy.[21]Ochratoxinpossiblyisnotthecauseofthisnephropathy,andmanyauthorsareinfavorof
aristolochicacid,thatiscontainedinaplant:birthwort(Aristolochiaclematitis).Nevertheless,althoughmany
ofthepiecesofscientificevidencearelackingand/orneedseriousreevaluation,itremainsthatochratoxin,in
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pigs,demonstratesdirectcorrelationbetweenexposureandonsetandprogressionofnephropathy.[22]This
porcinenephropathy[23]bearstypicalsignsoftoxicitytoproximaltubules:lossofabilitytoconcentrateurine,
glycosuria,andhistologicalproximaltubuledegeneration.

Othernephropathies,althoughnotrespondingtothe"classical"definitionofBEN,maybelinkedtoochratoxin.
Thus,thiscouldincertaincircumstancesbethecaseforfocalsegmentalglomerulosclerosisafterinhalational
exposure:suchaglomerulopathywithnoteworthyproteinuriahasbeendescribed[24]inpatientswithveryhigh
urinaryochratoxinlevels(around10timeslevelsthatcanbemetwithin"normal"subjects,i.e.around10ppb
or10ng/ml).

Foodanimalindustryimpact

Ochratoxincontaminatedfeedhasitsmajoreconomicimpactonthepoultryindustry.Chickens,turkeys,and
ducklingsaresusceptibletothistoxin.Clinicalsignsofavianochratoxicosisgenerallyinvolvereductionin
weightgains,poorfeedconversion,reducedeggproduction,andpooreggshellquality.[25]Economiclosses
occuralsoinswinefarms,linkedtonephropathyandcostsforthedisposalofcarcasses.

Toxicitydoesnotseemtoconstituteaproblemincattle,astherumenharborsprotozoathathydrolyzeOTA.[26]
However,contaminationofmilkisapossibility.

Dietaryguidelines

EFSAestablishedin2006the"tolerableweekly
intake"(TWI)ofochratoxinA(onadviceofthe
ScientificPanelonContaminantsintheFoodChain)
at120ng/kg.,[27]equivalenttoatolerabledaily
intake(TDI)of14ng/kg.Otherorganizationshave
establishedevenlowerlimitsforintakeof
ochratoxinA,basedontheconsumptionhabitsof
thepopulation.[28]ForUSA,theFDAconsidersa
TDIof5ng/kg.IntheUS,meanbodyweightfor
menis86kg,andforwomen74kg.Hence,theTDI
formenis430ngandforwomenis370ng.Inthe
joinedtable"weightinkg"istheweighteatenper
dayofeachofthelistedfoodstuffs.Diet1,with
smallquantitiesofginger,nutmeg,andpaprika,a
goodservingofdryraisins,areasonableamountof
coffee,cereals,wine,pulses,andsalami,amountsto
asafediet(asforochratoxin,atleast),with286ng
perday.However,itwouldbeeasytogointo
excessivelevels(Diet1+),justbyeating200gof
pigkidneyand200gofpeanuts,whichwouldlead
toatotalofnearly462ngofochratoxin.Thisshows
howdelicateasafedietcanbe.

AlthoughochratoxinAisnotheldasoftodayasresponsibleforrenal
cellcarcinoma(RCC),themostfrequentrenalcancer,itisfrequently
USmeanbodyweight
writtenthatdietarypatternmightdecreaseorincreasetheriskofRCC.
AUruguayancasecontrolstudy[29]correlatesintakeofmeatwith
occurrenceofRCC.AverylargeprospectivecohortinSweden[30]explorescorrelationsbetweenRCC
occurrence,dietsrichinvegetablesandpoultry(socalled"healthydiets"),anddietsrichinmeat(especially
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processedmeat:salami,blackpudding).Thethesisdefendedisthatmorefruitandvegetablesmighthavea
protectiverole.Interestingly,fruit(exceptraisinsanddriedfruit)areverypoorinochratoxin,andprocessed
meatcanberichinochratoxin.

Dermalexposure
OchratoxinAcanpermeatethroughthehumanskin.[31]Althoughnosignificanthealthriskisexpectedafter
dermalcontactinagriculturalorresidentialenvironments,skinexposuretoochratoxinAshouldneverthelessbe
limited.

Seealso
Ochratoxin

References
1.AlAnatiL,PetzingerE(2006)."Immunotoxic 11.BasicJukicN,etal.(2007)."Renaltransplantationin
activityofochratoxinA".J.Vet.Pharmacol.Ther.29 patientswithBalkanendemicnephropathy".
(2):7990.doi:10.1111/j.13652885.2006.00718.x. TransplantProc.39(5):14321435.
PMID16515661. doi:10.1016/j.transproceed.2006.11.019.
2.PolizziV.,etal."Fungi,mycotoxinsandvolatile 12.C.CavinT.DelatourM.MarinKuanD.
organiccompoundsinmouldyinteriorsfromwater HolzhauserL.HigginsC.Bezencon(2007).
damagedbuildings".JournalofEnvironmental "REductioninantioxidantdefencesmaycontributeto
Monitoring11:184918582009 ochratoxinAtoxicityandcarcinogenicity".
3.RichardJLatal.(1999)."Theoccurrenceof ToxicologicalSciences.96:3039.
ochratoxinAindustcollectedfromaproblem doi:10.1093/toxsci/kfl169.
household".Mycopathologia.146(2):99103. 13.BelmadaniA,etal.(1999)."Selectivetoxicityof
doi:10.1023/A:1007056627296. ochratoxinAinprimaryculturesfromdifferentbrain
4.PfohlLeszkowiczA,MandervilleRA(2007). regions".ArchToxicol.73(2):108114.
"OchratoxinA:Anoverviewontoxicityand doi:10.1007/s002040050594.
carcinogenicityinanimalsandhumans".MolNutr 14.SavaV,etal.(2006)."Acuteneurotoxiceffectsofthe
FoodRes.51(1):6199. fungalmetaboliteochratoxinA".Neurotoxicology.27
doi:10.1002/mnfr.200600137.PMID17195275. (1):8292.doi:10.1016/j.neuro.2005.07.004.
5.O'BrienE,DietrichDR(2005)."OchratoxinA:the 15.XiangnanZhangetal.(2009)."OchratoxinAinduces
continuingenigma".Crit.Rev.Toxicol.35(1):3360. apoptosisinneuronalcells".GenesNutr.4:4148.
doi:10.1080/10408440590905948.PMID15742902. doi:10.1007/s122630080109y.
6.BlesaJ,etal.(2006)."Factorsaffectingthepresence 16.KunioDoiKojiUetsuka(2011)."Mechanismsof
ofochratoxinAinwines".Criticalreviewsinfood MycotoxinInducedNeurotoxicitythroughOxidative
scienceandnutrition.46(6):4738. StressAssociatedPathways".InternationalJournalof
doi:10.1080/10408390500215803.PMID16864140. MolecularSciences.12:52135327.
7.ClarkHA,SnedekerSM(2006)."OchratoxinA:its doi:10.3390/ijms12085213.
cancerriskandpotentialforexposure".Journalof 17.AleckovicM,etal.(2010)."Glomerularfiltrationrate
toxicologyandenvironmentalhealth.PartB,Critical inexaminedpopulationofBosnianPosavinaregion
reviews.9(3):26596. ofBalkanEndemicNephropathy".BosnJBasicMed
doi:10.1080/15287390500195570.PMID16621780. Sci.10(34):25661.
8.PalmaN,etal.(2007)."OchratoxinAInduced 18.DjukanovicL,etal.(2010)."InvestigationofBalkan
MutagenesisinMammalianCellsIsConsistentwith endemicnephropathyinSerbia:howtoproceed?".Srp
theProductionofOxidativeStress".Chemical ArhCelokLek.138(Suppl.1):S6872.
ResearchinToxicology.20(7):10311037. 19.CastegnaroM,etal.(2006)."Balkanendemic
doi:10.1021/tx700027j.PMC2367102 . nephropathy:roleofochratoxinsAthrough
PMID17567156. biomarkers".MolNutrFoodRes.50(6):51929.
9.BendeleAM,etal."OchratoxinACarcinogenesisin doi:10.1002/mnfr.200500182.PMID16715544.
the(C57BL/6JXC3H)F1mouse".J.NatlCancer 20.LongDT,VoiceTC(2007)."Roleofexposure
Inst1985Oct75(4):73342. analysisinsolvingthemysteryofBalkanendemic
10.GaryA.Boorman."ToxicologyandCarcinogenesis nephropathy".Croat.Med.J.48(3):30011.
studiesofOchratoxinAinF344/Nrats".National PMC2080532 .PMID17589972.
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21.AbouziedMM,HorvathAD,PodlesnyPM,etal. 27.ScientificPanelonContaminantsintheFoodChain
(2002)."OchratoxinAconcentrationsinfoodandfeed (2006)."OpinionoftheScientificPanelon
fromaregionwithBalkanEndemicNephropathy". ContaminantsintheFoodChainonarequestfromthe
Foodadditivesandcontaminants.19(8):75564. CommissionrelatedtoOchratoxinAinFood,
doi:10.1080/02652030210145036.PMID12227939. QuestionNEFSAQ2005154,Adoptedon4April
22.FinkGremmelsJ.(29June1July2005). 2006"(PDF).TheEFSAJournal.365:156.
"ConclusionsfromtheworkshopsonOchratoxinAin 28.CodexAlimentariusCommission(1999)."Codex
Food:recentdevelopmentsandsignificance". CommitteeonFoodAdditivesandContaminants,
OrganizedbyILSIEuropeinBaden(Austria). PositionpaperonochratoxinA,ThirtyfirstSession,
23.KroghP,etal.(1976)."Experimentalporcine TheHague,TheNetherlands,2226March1999"
nephropathy:changesofrenalfunctionandstructure (PDF).JointFAO/WHOFoodStandardsProgramme:
peroralyinducedbycrystallineochratoxinA".Acta 19.
PatholMicrobiolScandA.84(5):42934. 29.DeStefanietal.(1998)."Meatintake,matedrinking
24.HopeJH,HopeBE(2012)."AReviewofthe andrenalcellcancerinUruguay:acasecontrol
DiagnosisandTreatmentofOchratoxinAInhalational study".BrJ.Cancer.78(9):12391243.
ExposureAssociatedwithHumanIllnessandKidney doi:10.1038/bjc.1998.661.
DiseaseincludingFocalSegmental 30.RashidkhaniB,etal.(2005)."Majordietarypatterns
Glomerulosclerosis".JournalofEnvironmentaland andriskofRenalCellCarcinomainaprospective
PublicHealth.doi:10.1155/2012/83505.ArticleID cohortofSwedishwomen".J.Nutr.135:17571762.
835059,. 31.Boonen,JenteMalysheva,SvetlanaV.Taevernier,
25.Niemiec,J.Borzemska,W.(1994)."Theeffectof LienDianaDiMavungu,JosDeSaeger,SarahDe
OchratoxinAoneggqualitydevelopmentofembryos Spiegeleer,Bart(2012)."Humanskinpenetrationof
andtheleveloftoxinineggandtissueofhensand selectedmodelmycotoxins".Toxicology.301(13):
chicks".JournalofAnimalandFeedSciences.3(4): 2132.doi:10.1016/j.tox.2012.06.012.
309316. PMID22749975.
26.BattaconeG.NuddaA.PulinaG.(2010)."Effectsof
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17961824.doi:10.3390/toxins2071796.

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Categories: Mycotoxins IARCGroup2Bcarcinogens Isochromenes Lactones Phenols Benzamides


Halogencontainingnaturalproducts Chloroarenes Suspectedtesticulartoxins

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