Abstract
The in vitro and in vivo evidence compatible with a role for oxidative stress in OTA carcinogenicity has been collected and described. Several potential oxido-reduction mechanisms have been identified in the past. More recently, the possibility of a reduction of cellular antioxidant defense has been raised as an indirect source of oxidative stress. Consequences resulting from the production of oxidative stress are observed at different levels. First, OTA exposure has been associated with increased levels of oxidative DNA, lipid, and protein damage. Second, various biological processes known to be mobilized under oxidative stress were shown to be altered by OTA. These effects have been observed in both in vitro and in vivo test systems. In vivo, active doses were often within doses documented to induce renal tumors in rats. In conclusion, the evidence for the induction of an oxidative stress response resulting from OTA exposure can be considered strong. Because the contribution of the oxidative stress response in the development of cancers is well established, a role in OTA carcinogenicity is plausible. Altogether, the data reviewed above support the application of a threshold-based approach to establish safe level of dietary human exposure to OTA.
Highlights
Ochratoxin A (OTA) is a mycotoxin produced by several food-borne species of Aspergillus and Penicillium fungi
The carcinogenic mycotoxin OTA has been reviewed by a number of expert groups [3,4,5, 14, 137]
These expert groups identified the production of oxidative stress as an important event in the mode of action of OTA-induced nephrocarcinogenicity
Summary
Ochratoxin A (OTA) is a mycotoxin produced by several food-borne species of Aspergillus and Penicillium fungi. Using a LOAEL of 8 mcg/kg bw/day based on early markers of renal toxicity in pig (the most sensitive animal species) and applying an uncertainty factor of 450, EFSA [4] allocated a Tolerable Weekly Intake (TWI) of 120 ng/kg bw. The approach used by most expert groups (EFSA, JECFA, ILSI) to establish the safe level of exposure of OTA (based on uncertainty factors) implies the consideration of key events compatible with a threshold effect. For these groups, amongst the mechanisms of action highlighted as possible, oxidative stress has been presented as one of the most probable [5, 14]. The list shows that over the last two decades, numerous investigators have documented the generation of oxidative stress as a result of OTA treatment in both in vitro and in vivo model systems
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