<?xml version="1.0" encoding="UTF-8"?><!DOCTYPE article  PUBLIC "-//NLM//DTD Journal Publishing DTD v3.0 20080202//EN" "http://dtd.nlm.nih.gov/publishing/3.0/journalpublishing3.dtd"><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" dtd-version="3.0" xml:lang="en" article-type="research article"><front><journal-meta><journal-id journal-id-type="publisher-id">FNS</journal-id><journal-title-group><journal-title>Food and Nutrition Sciences</journal-title></journal-title-group><issn pub-type="epub">2157-944X</issn><publisher><publisher-name>Scientific Research Publishing</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.4236/fns.2022.131005</article-id><article-id pub-id-type="publisher-id">FNS-114759</article-id><article-categories><subj-group subj-group-type="heading"><subject>Articles</subject></subj-group><subj-group subj-group-type="Discipline-v2"><subject>Biomedical&amp;Life Sciences</subject></subj-group></article-categories><title-group><article-title>
 
 
  Risk Assessment of Mycotoxins Intake through the Consumption of Maize, Peanuts, Rice and Cassava in C&#244;te d’Ivoire
 
</article-title></title-group><contrib-group><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>James</surname><given-names>Halbin Kouadio</given-names></name><xref ref-type="aff" rid="aff1"><sub>1</sub></xref><xref ref-type="corresp" rid="cor1"><sup>*</sup></xref></contrib></contrib-group><aff id="aff1"><label>1</label><addr-line>Research Group of Crop Production Quality Management, Laboratory of Agrovalorisation, UFR Agroforesterie, Jean Lorougnon Guédé University, Daloa, C&amp;amp;#244te d’Ivoire</addr-line></aff><pub-date pub-type="epub"><day>11</day><month>01</month><year>2022</year></pub-date><volume>13</volume><issue>01</issue><fpage>41</fpage><lpage>54</lpage><history><date date-type="received"><day>19,</day>	<month>November</month>	<year>2021</year></date><date date-type="rev-recd"><day>18,</day>	<month>January</month>	<year>2022</year>	</date><date date-type="accepted"><day>21,</day>	<month>January</month>	<year>2022</year></date></history><permissions><copyright-statement>&#169; Copyright  2014 by authors and Scientific Research Publishing Inc. </copyright-statement><copyright-year>2014</copyright-year><license><license-p>This work is licensed under the Creative Commons Attribution International License (CC BY). http://creativecommons.org/licenses/by/4.0/</license-p></license></permissions><abstract><p>
 
 
  Mycotoxins are secondary metabolites of filamentous fungi that colonize a wide range of crops, including cereals and oilseeds, both in the field and after 
  harvest, especially during storage. Several studies carried out on the
   occurrence of mycotoxins in crops and their derived products such as maize, peanuts, rice and attieke (cassava product), reported substantial levels of Aflatoxins (AFs), Fumonisins (FBs), Ochratoxin A (OTA) and Zearalenone (ZEA). The aim of the present study was to analyze findings available on Aflatoxins, Ochratoxin A and Fusarium toxins occurrence in maize, peanuts, rice and attieke in order to assess the exposure level and cancers risk in the Ivorian population. References and publications related to OTA in C?te d’Ivoire were searched and selected. Medline/PubMed, Elsevier Bibliographic Databases, BioInfoBank Library, DOAJ (Directory of Open Acess Journal), Australian Journal of Basic and Applied Sciences and https://medwelljournals.com/home.php were used as databases. Data available showed Estimated Daily Intake (EDI) of AFs and OTA were above of their Tolerable Daily Intake (TDI) as recommended by the Joint FAO/WHO Experts Committee on Food Additives through rice, maize, peanut and attieke consumption in C?te d’Ivoire. In addition, there is a veritable incidence of cancers with the abundant and frequent consumption of foods maize, rice, peanuts and attieke. However, maize and rice seemed to be sources of FBs 
 
</p></abstract><kwd-group><kwd>Mycotoxins Exposure</kwd><kwd> Food Contamination</kwd><kwd> Cancers Prevalence</kwd></kwd-group></article-meta></front><body><sec id="s1"><title>1. Introduction</title><p>The term of mycotoxins refers to natural products with low molecular weight, produced as secondary metabolites by filamentous fungi that colonize a wide range of crops, including cereals and oilseeds, both in the field and after harvest, especially during storage [<xref ref-type="bibr" rid="scirp.114759-ref1">1</xref>]. Due to their thermal and chemical stability, mycotoxins can also be found in processed foods of plant origin, or by transfer, in food products of animal origin such as milk, eggs, meat and offal from animals consuming contaminated feed [<xref ref-type="bibr" rid="scirp.114759-ref2">2</xref>]. These natural contaminants represent a major concern for human and animal health since they can cause acute or chronic intoxications which are sometimes fatal due to their various toxic effects (carcinogenic, hepatotoxic, nephrotoxic, neurotoxic, genotoxic, immunotoxic, oestrogenic…) [<xref ref-type="bibr" rid="scirp.114759-ref3">3</xref>]. Some mycotoxins have been classified by the World Health Organization (WHO) as human carcinogens. Most mycotoxins currently known are grouped based on their toxic activity under chronic conditions, which are classified into mutagenic, carcinogenic, or teratogenic mycotoxins. For example, Aflatoxins that occur naturally are classified as human carcinogens (Group 1); Ochratoxins and fumonisin are classified as possible human carcinogens (Group 2B), while trichothecenes and Zearalenone are not recognized as human carcinogens (Group 3) [<xref ref-type="bibr" rid="scirp.114759-ref4">4</xref>]. Even today, after the identification of more than 300 mycotoxins, Aflatoxins, Ochratoxin A, Zearalenone and Fumonisins remain those usually found in African countries of only about 20 mycotoxins known to occur in foodstuffs at sufficient levels and frequencies to cause food safety concerns [<xref ref-type="bibr" rid="scirp.114759-ref5">5</xref>]. The most common genus of mycotoxigenic fungi in food and feed are Aspergillus, Fusarium, Penicillium, Claviceps and Alternaria [<xref ref-type="bibr" rid="scirp.114759-ref3">3</xref>] which are classified as species of fungi that can produce one or more mycotoxins. Mycotoxins can be produced by multiple fungal species [<xref ref-type="bibr" rid="scirp.114759-ref1">1</xref>] [<xref ref-type="bibr" rid="scirp.114759-ref6">6</xref>]; for example, Aflatoxins and Ochratoxins are produced by more than one fungal species [<xref ref-type="bibr" rid="scirp.114759-ref7">7</xref>], and this contributes to the year-round presence of mycotoxins. The co-occurrence of different mycotoxins within the same food almost always occurs and may result in greater toxicity to humans due to possible additives or synergistic effects [<xref ref-type="bibr" rid="scirp.114759-ref8">8</xref>] [<xref ref-type="bibr" rid="scirp.114759-ref9">9</xref>] [<xref ref-type="bibr" rid="scirp.114759-ref10">10</xref>]. In general, the effect of mycotoxins on human health can be influenced by age, sex, weight, diet, exposure to infectious agents, the quantity of toxins exposed, the presence of other mycotoxins (synergistic effects) and pharmacologically active substances [<xref ref-type="bibr" rid="scirp.114759-ref11">11</xref>]. For example, in humans, the rate at which exposure to mycotoxins occurs will affect a young person or an infant to a greater degree than an adult [<xref ref-type="bibr" rid="scirp.114759-ref1">1</xref>]; in addition, the quantity of exposure is a major determinant of the degree of toxicity to the consumer. Thus, in order to protect consumer health by reducing mycotoxins exposure, many countries worldwide, and particularly in Europe, have established regulatory limits and guidances values for certain mycotoxins in foodstuffs [<xref ref-type="bibr" rid="scirp.114759-ref1">1</xref>]. In C&#244;te d’Ivoire, as in some African countries, the regulatory control of mycotoxins in retail foods sold on the local markets was rare. However, since the assessment of human mycotoxins exposure was based on the occurrence of mycotoxins or their biomarkers in both food and biological fluids, several studies have been carried out in this field in C&#244;te d’Ivoire [<xref ref-type="bibr" rid="scirp.114759-ref6">6</xref>] [<xref ref-type="bibr" rid="scirp.114759-ref7">7</xref>] [<xref ref-type="bibr" rid="scirp.114759-ref8">8</xref>] [<xref ref-type="bibr" rid="scirp.114759-ref12">12</xref>] [<xref ref-type="bibr" rid="scirp.114759-ref13">13</xref>]. Thus, the occurrence of mycotoxins such as Aflatoxins (AFs), Ochratoxin A (OTA), Fumonisins (FBs), Zearalenone (ZEA) and Deoxynivalenol (DON) had been evaluated in foods largely consumed by the Ivorian population namely coffee and cocoa [<xref ref-type="bibr" rid="scirp.114759-ref14">14</xref>] [<xref ref-type="bibr" rid="scirp.114759-ref15">15</xref>] [<xref ref-type="bibr" rid="scirp.114759-ref16">16</xref>], cereals (maize, rice, millet) and derived products (maize flour), in oleaginous products (peanut and peanut paste) [<xref ref-type="bibr" rid="scirp.114759-ref6">6</xref>] [<xref ref-type="bibr" rid="scirp.114759-ref7">7</xref>] [<xref ref-type="bibr" rid="scirp.114759-ref8">8</xref>], in spices and cassava products [<xref ref-type="bibr" rid="scirp.114759-ref17">17</xref>] [<xref ref-type="bibr" rid="scirp.114759-ref18">18</xref>]. Recent studies have shown an association between co-exposure of the population to major mycotoxins such as AFs, FBs, OTA through the frequent consumption of peanuts, rice, millet, attieke, maize [<xref ref-type="bibr" rid="scirp.114759-ref8">8</xref>] and the increased risk of developing hepatocellular carcinoma in patients infected with the Hepatitis B Virus (HBV) [<xref ref-type="bibr" rid="scirp.114759-ref18">18</xref>]. This manuscript provides, according to data available, an analysis of the AFs, OTA and Fusarium toxins exposure of the Ivorian population through reported results on both occurrences of the mycotoxin in foodstuffs, as well as reported internal dose assessments. After the review of mycotoxins external and internal doses, the most recent and representative data is used to draw a comparative contribution of each foodstuff to the mycotoxins intake of the Ivorian population. Thus, this study was focused on the risk of mycotoxins exposure in the Ivorian population.</p></sec><sec id="s2"><title>2. Material and Method</title><p>The present study is summary of studies focused on Ivorian mycotoxins exposure to date in C&#244;te d’Ivoire. The bibliographic sources consulted are original articles published in databases such as Medline/PubMed, Elsevier Bibliographic Databases, BioInfoBank Library, DOAJ (Directory of Open Access Journal), Australian Journal of Basic and Applied Sciences and https://medwelljournals.com/home.php, but also reports of training courses and studies not yet published or in the process of publication. The present article covers all the research work carried out on mycotoxins in C&#244;te d’Ivoire, including occurrence of mycotoxins in rice, maize, peanuts and Attieke, the assessment of exposure in the general population by biological fluids contamination and by determination of Estimated Daily Intake (EDI). In addition, the cancer risk has been estimated by Threshold of Toxicological Concern (TTC) and Margin of Exposure (MOE) approches for all mycotoxins.</p></sec><sec id="s3"><title>3. Results and Discussion</title><sec id="s3_1"><title>3.1. Biological Fluids Contamination</title><p>In general, bio-monitoring is preferable over the evaluation of food contamination, given that variations in food preparation methods, food intake, contamination level, intestinal absorption, and toxin distribution and excretion lead to individual variations in exposure that are more readily measured with a biomarker [<xref ref-type="bibr" rid="scirp.114759-ref12">12</xref>] [<xref ref-type="bibr" rid="scirp.114759-ref13">13</xref>]. In C&#244;te d’Ivoire, some studies have been carried out about mycotoxins in blood and in urine [<xref ref-type="bibr" rid="scirp.114759-ref8">8</xref>] [<xref ref-type="bibr" rid="scirp.114759-ref19">19</xref>] [<xref ref-type="bibr" rid="scirp.114759-ref20">20</xref>].</p><p>The first study concerned blood specimen-derived OTA exposure assessments in Abidjan from two categories of people namely apparently healthy donors (n = 63) and nephropathy patients undergoing dialysis (n = 39) [<xref ref-type="bibr" rid="scirp.114759-ref19">19</xref>]. Among healthy donors, 34.9% show OTA concentrations ranging from 0.01 - 5.81 &#181;g/l with a mean value of 0.83 &#181;g/l, whereas, among nephropathy patients undergoing dialysis 20.5% are OTA positive in a range of 0.167 - 2.42 &#181;g/l with a mean value of 1.05 &#181;g/l. Although the sex ratio is 0.82 (46 females for 56 males) Ochratoxin A contamination is equally distributed in both sexes. Nephropathy patients undergoing dialysis appear, however, less frequently contaminated than healthy donors (20.5% versus 34.9%) and show higher OTA concentrations (higher mean value, p = 0.01). It is worth mentioning that OTA concentrations found in human blood reflect concentrations previously detected in cereals and peanuts according to the eating habits and diets of people in C&#244;te d’Ivoire. But, the prevalence of Ochratoxin A in blood of nephropathy people undergoing dialysis appears lower than expected from the frequency of OTA contamination in cereals and peanuts. However, statistical analysis of data reported that among OTA-positive individuals renal dialysis and age are important modalities for consideration [<xref ref-type="bibr" rid="scirp.114759-ref19">19</xref>]. Another study focused on the impact of the OTA in the development of bladder tumors in Ivorian patients has been carried out [<xref ref-type="bibr" rid="scirp.114759-ref20">20</xref>]. This was a case study/control involving 120 patients with bladder tumor and 120 healthy as control during the period from 2005 to 2010. The obtained results have shown a relatively high ochratoxicosis level, because 70% to 76.67% of the sera were OTA positive respectively in controls and patients. The average OTA level detected in the control population was 0.79 &#177; 1.20 μg/l against 1.16 &#177; 1.85 μg/l in patients (no significant difference, p &gt; 0.01). Urine OTA biomarker had been also used to assess OTA exposure in population living in C&#244;te d’Ivoire in particular at Abidjan and Daloa. The aim of this study was to investigate the mycotoxins exposure of Ivorian population related to the consumption patterns of maize, peanuts, millet, and cassava product (attieke). Urine (n = 99) samples were collected during the period (July-September 2011) from volunteers living in Abidjan and Daloa cities. Biomarkers (AFM1, DON, DON + de-epoxydeoxynivalenol (DOM-1), FB1, α-zearalenol (ZOL), β-ZOL, and OTA) were simultaneously analyzed by reversed-phase liquid chromatography coupled with electrospray ionization triple quadrupole mass spectrometry (LC-ESI-MS/MS). As results, AFM1 was detected in 40% of urines samples (0.06 - 14.11 ng/ml), OTA in 37% (0.01 - 0.42 ng/ml), FB1 in 27% (0.07 to 15.31 ng/ml) and, DON was found in 21% of samples at levels up to 10.0 ng/ml. The correlation coefficients (R(2)) obtained by plotting the percentage of biomarker occurrence (positive samples) versus the frequency of food consumption revealed maize, peanuts, millet and attieke were strongly linked to AFB1 and OTA exposure with values of R(2) ranged from 0.462 to 0.956 [<xref ref-type="bibr" rid="scirp.114759-ref8">8</xref>].</p><p>Critical analyses of data available suggested a frequent co-exposure to the major mycotoxins such as AFs, OTA, and Fumonisins, which appeared to be related to the frequency of peanuts, maize, millet and attieke consumption. When one compares the results of the healthy Ivorian population studied with population having any pathology such as nephropathy patients or bladder tumors patients, data available could not allow establishing the link between mycotoxins exposure and these pathologies. But, measures must be taken to eliminate the risk of OTA contamination in most commonly consumed foods because that could be aggravating factor in ethiology of bladder tumors [<xref ref-type="bibr" rid="scirp.114759-ref20">20</xref>]. Surprisingly, the presence of DON biomarker in population urine has been found. Indeed, any study carried out to day on mycotoxins occurrence in food from C&#244;te d’Ivoire reported contamination by trichotecene A or B toxins [<xref ref-type="bibr" rid="scirp.114759-ref6">6</xref>] [<xref ref-type="bibr" rid="scirp.114759-ref7">7</xref>] [<xref ref-type="bibr" rid="scirp.114759-ref8">8</xref>]. However, data available concerned only urban population by not rural population. There is need to investigate in rural areas of C&#244;te d’Ivoire, mainly in regions where the high consumption of foods potentially contaminated by mycotoxins was known. A comprizon of concentrations of urine or blood biomarkers showed that values from Ivorian population were higher than those from European countries. For example, while OTA concentrations in blood were ranged from 0.01 to 5.81 &#181;g/l with a mean value of 0.83 &#181;g/l (or 0.83 ng/mL), the average level, lower mean values were reported in Europe countries such as Zagreb (0.19 ng/mL) [<xref ref-type="bibr" rid="scirp.114759-ref21">21</xref>], Norway (0.18 ng/mL) and Sweden (0.21 ng/mL) [<xref ref-type="bibr" rid="scirp.114759-ref22">22</xref>], Lebanon (0.17 ng/mL) [<xref ref-type="bibr" rid="scirp.114759-ref23">23</xref>] and the Czech Republic (0.28 ng/mL) [<xref ref-type="bibr" rid="scirp.114759-ref24">24</xref>].</p></sec><sec id="s3_2"><title>3.2. Food Contamination</title><p>Our study concerned 4 foods largely consummed in C&#244;te d’Ivoire such as maize, peanuts, rice and cassava derived namely attieke. There is a frequent co-exposure to the major mycotoxins such as AFs, OTA, Fumonisins and Zearalenone, which appeared to be related to the frequency of peanuts, maize, millet and attieke consumption [<xref ref-type="bibr" rid="scirp.114759-ref8">8</xref>]. For example, in recent study, carried out of 238 food samples collected in C&#244;te d’Ivoire, 91% were contaminated with more than one mycotoxin (about 21% between 2 and 4 mycotoxins, 21% between 5 and 7 and 48% with more than 8), 4% with only one mycotoxin (9 rice samples) and 5% (12 rice samples) were not contaminated [<xref ref-type="bibr" rid="scirp.114759-ref6">6</xref>] (<xref ref-type="table" rid="table1">Table 1</xref>).</p><sec id="s3_2_1"><title>3.2.1. Maize Contamination</title><p>The major mycotoxins such as AFs, OTA, Fumonisins and Zearalenone (ZEA) have been found in maize with varied concentrations but not trichothecenes namely DON, T-2, and HT-2 toxins [<xref ref-type="bibr" rid="scirp.114759-ref6">6</xref>] [<xref ref-type="bibr" rid="scirp.114759-ref7">7</xref>] [<xref ref-type="bibr" rid="scirp.114759-ref8">8</xref>] [<xref ref-type="bibr" rid="scirp.114759-ref25">25</xref>] [<xref ref-type="bibr" rid="scirp.114759-ref26">26</xref>].</p><p>Aflatoxins contamination</p><p>For AFs, in a survey carried out on maize flour collected from all markets of 10 communes of Abidjan, AFB1 had been found the most frequently occurring</p><table-wrap id="table1" ><label><xref ref-type="table" rid="table1">Table 1</xref></label><caption><title> Mycotoxins range levels (&#181;g/kg) in food from C&#244;te d’Ivoire</title></caption><table><tbody><thead><tr><th align="center" valign="middle"  rowspan="2"  >Foods</th><th align="center" valign="middle"  colspan="2"  >AFB1</th><th align="center" valign="middle"  colspan="2"  >OTA</th><th align="center" valign="middle"  colspan="2"  >FB1</th><th align="center" valign="middle"  colspan="2"  >ZEA</th></tr></thead><tr><td align="center" valign="middle" >Levels (&#181;g/kg)</td><td align="center" valign="middle" >Authors</td><td align="center" valign="middle" >Levels (&#181;g/kg)</td><td align="center" valign="middle" >Authors</td><td align="center" valign="middle" >Levels (&#181;g/kg)</td><td align="center" valign="middle" >Authors</td><td align="center" valign="middle" >Levels (&#181;g/kg)</td><td align="center" valign="middle" >Authors</td></tr><tr><td align="center" valign="middle" >Rice</td><td align="center" valign="middle" >0.45 - 14</td><td align="center" valign="middle" >[<xref ref-type="bibr" rid="scirp.114759-ref6">6</xref>] [<xref ref-type="bibr" rid="scirp.114759-ref7">7</xref>] [<xref ref-type="bibr" rid="scirp.114759-ref29">29</xref>]</td><td align="center" valign="middle" >0.16 - 15</td><td align="center" valign="middle" >[<xref ref-type="bibr" rid="scirp.114759-ref6">6</xref>] [<xref ref-type="bibr" rid="scirp.114759-ref7">7</xref>] [<xref ref-type="bibr" rid="scirp.114759-ref25">25</xref>] [<xref ref-type="bibr" rid="scirp.114759-ref29">29</xref>]</td><td align="center" valign="middle" >2.7 - 13</td><td align="center" valign="middle" >[<xref ref-type="bibr" rid="scirp.114759-ref6">6</xref>] [<xref ref-type="bibr" rid="scirp.114759-ref7">7</xref>]</td><td align="center" valign="middle" >0.25 - 200</td><td align="center" valign="middle" >[<xref ref-type="bibr" rid="scirp.114759-ref7">7</xref>]</td></tr><tr><td align="center" valign="middle" >Maize</td><td align="center" valign="middle" >0.3 - 324</td><td align="center" valign="middle" >[<xref ref-type="bibr" rid="scirp.114759-ref6">6</xref>] [<xref ref-type="bibr" rid="scirp.114759-ref7">7</xref>] [<xref ref-type="bibr" rid="scirp.114759-ref8">8</xref>] [<xref ref-type="bibr" rid="scirp.114759-ref25">25</xref>] [<xref ref-type="bibr" rid="scirp.114759-ref26">26</xref>]</td><td align="center" valign="middle" >0.09 - 86</td><td align="center" valign="middle" >[<xref ref-type="bibr" rid="scirp.114759-ref6">6</xref>] [<xref ref-type="bibr" rid="scirp.114759-ref7">7</xref>] [<xref ref-type="bibr" rid="scirp.114759-ref8">8</xref>] [<xref ref-type="bibr" rid="scirp.114759-ref25">25</xref>] [<xref ref-type="bibr" rid="scirp.114759-ref26">26</xref>] [<xref ref-type="bibr" rid="scirp.114759-ref27">27</xref>]</td><td align="center" valign="middle" >0.3 - 763</td><td align="center" valign="middle" >[<xref ref-type="bibr" rid="scirp.114759-ref6">6</xref>] [<xref ref-type="bibr" rid="scirp.114759-ref7">7</xref>] [<xref ref-type="bibr" rid="scirp.114759-ref8">8</xref>]</td><td align="center" valign="middle" >2.3 - 50</td><td align="center" valign="middle" >[<xref ref-type="bibr" rid="scirp.114759-ref6">6</xref>] [<xref ref-type="bibr" rid="scirp.114759-ref8">8</xref>]</td></tr><tr><td align="center" valign="middle" >Attieke</td><td align="center" valign="middle" >0.01 - 35</td><td align="center" valign="middle" >[<xref ref-type="bibr" rid="scirp.114759-ref18">18</xref>] [<xref ref-type="bibr" rid="scirp.114759-ref26">26</xref>]</td><td align="center" valign="middle" >0.06 - 2.78</td><td align="center" valign="middle" >[<xref ref-type="bibr" rid="scirp.114759-ref18">18</xref>] [<xref ref-type="bibr" rid="scirp.114759-ref26">26</xref>]</td><td align="center" valign="middle" >-</td><td align="center" valign="middle" >-</td><td align="center" valign="middle" >-</td><td align="center" valign="middle" >-</td></tr><tr><td align="center" valign="middle" >Peanut</td><td align="center" valign="middle" >0.6 - 4535</td><td align="center" valign="middle" >[<xref ref-type="bibr" rid="scirp.114759-ref6">6</xref>] [<xref ref-type="bibr" rid="scirp.114759-ref7">7</xref>] [<xref ref-type="bibr" rid="scirp.114759-ref28">28</xref>]</td><td align="center" valign="middle" >0.6 - 174</td><td align="center" valign="middle" >[<xref ref-type="bibr" rid="scirp.114759-ref6">6</xref>] [<xref ref-type="bibr" rid="scirp.114759-ref7">7</xref>] [<xref ref-type="bibr" rid="scirp.114759-ref25">25</xref>] [<xref ref-type="bibr" rid="scirp.114759-ref28">28</xref>]</td><td align="center" valign="middle" >0.3 - 6</td><td align="center" valign="middle" >[<xref ref-type="bibr" rid="scirp.114759-ref6">6</xref>] [<xref ref-type="bibr" rid="scirp.114759-ref7">7</xref>]</td><td align="center" valign="middle" >0 - 200</td><td align="center" valign="middle" >[<xref ref-type="bibr" rid="scirp.114759-ref6">6</xref>] [<xref ref-type="bibr" rid="scirp.114759-ref7">7</xref>]</td></tr></tbody></table></table-wrap><p>AFs (100% of positive samples) with levels up to 324 &#181;g/kg, followed by AFB2 (94% of positive samples) with levels up to 21.6 &#181;g/kg. AFG1 and AFG2 showed lower incidence but levels of AFG1 were up to 49 &#181;g/kg. Total AFs values ranged from 4.5 to 330 &#181;g/kg with mean of 128.7 &#177; 98.3 &#181;g/kg and median of 101.5 &#181;g/kg [<xref ref-type="bibr" rid="scirp.114759-ref8">8</xref>]. Similarly, in more recent study, AFB1 was recovered in 96%, AFB2 in 67%, AFG1 in 57% and AFG2 in 24% of maize samples, respectively. The highest levels quantified in maize samples were 80 &#181;g/kg for AFB1 (mean 8.6 &#181;g/kg), 84 &#181;g/kg for AFG1 (mean 5.3 &#181;g/kg), 7 &#181;g/kg for AFB2 (mean 1.5 &#181;g/kg), 3.8 &#181;g/kg for AFG2 (mean 0.8 &#181;g/kg) and 173 &#181;g/kg for AFT (mean 13 &#181;g/kg) [<xref ref-type="bibr" rid="scirp.114759-ref6">6</xref>]. Before these two major studies, it had been reported that 100% of maize samples collected from markets in Abidjan were contaminated by AFB1 but with lower levels (up to 20 &#181;g/kg) than those quantified in the two more recent studies probably from period and site of samples collected [<xref ref-type="bibr" rid="scirp.114759-ref7">7</xref>]. Similarly, in one more recent study focused on dried maize samples collected from Abobo, AFB1 levels were ranged from not detected to 10.08 &#181;g/kg with mean of 2.28 &#181;g/kg and 85% (n = 13) of positive samples [<xref ref-type="bibr" rid="scirp.114759-ref26">26</xref>].</p><p>Ochratoxin A (OTA) contamination</p><p>For OTA, the frequency of its occurrence in maize samples analyzed from studies carried out was mitigated [<xref ref-type="bibr" rid="scirp.114759-ref6">6</xref>] [<xref ref-type="bibr" rid="scirp.114759-ref7">7</xref>] [<xref ref-type="bibr" rid="scirp.114759-ref8">8</xref>] [<xref ref-type="bibr" rid="scirp.114759-ref25">25</xref>]. Indeed, some data available revealed that OTA was found in 13%, 22% of maize samples collected in C&#244;te d’Ivoire [<xref ref-type="bibr" rid="scirp.114759-ref6">6</xref>] [<xref ref-type="bibr" rid="scirp.114759-ref8">8</xref>] but, in another studies OTA had been found in 100% (n = 43) of maize samples [<xref ref-type="bibr" rid="scirp.114759-ref7">7</xref>] [<xref ref-type="bibr" rid="scirp.114759-ref25">25</xref>] and in 69% (n = 13) of maize samples [<xref ref-type="bibr" rid="scirp.114759-ref26">26</xref>] respectively. In addition, low levels of OTA have been reported ranging from 0.09 to 0.86 &#181;g.kg [<xref ref-type="bibr" rid="scirp.114759-ref7">7</xref>] and from not detected to 1.03 &#181;g/kg with mean of 0.48 &#181;g/kg [<xref ref-type="bibr" rid="scirp.114759-ref26">26</xref>] but surprisingly, high levels were also found in maize with mean 37 &#181;g/kg and ranged from 9.8 to 86 &#181;g/kg [<xref ref-type="bibr" rid="scirp.114759-ref25">25</xref>]. More recently, levels of OTA found in maize sample were ranged from not detected to 114 &#181;g/kg with mean of 21 &#181;g/kg [<xref ref-type="bibr" rid="scirp.114759-ref8">8</xref>] and</p><p>Fusarium toxins contamination</p><p>For Fumonisins, FB1 concentrations ranged from 32.3 to 1463.6 &#181;g/kg, and FB2 concentrations from 18.5 to 746.6 &#181;g/kg have been reported from maize flour collected at Abidjan markets [<xref ref-type="bibr" rid="scirp.114759-ref8">8</xref>]. Total Fumonisins levels were ranged from 45.3 to 2210.2 &#181;g/kg with mean of 355.5 &#177; 368.2 &#181;g/kg and median of 278 &#181;g/kg. It is worth noting that only two samples showed total Fumonisins levels above 1000 &#181;g/kg (i.e., the EC maximum permitted level in maize for human consumption) [<xref ref-type="bibr" rid="scirp.114759-ref8">8</xref>]. Similarly, values of concentrations of FB1 reported in more recent study, were ranged from 10 - 587 &#181;g/kg [<xref ref-type="bibr" rid="scirp.114759-ref6">6</xref>]. But, very low values of concentrations of FB1 (0.3 - 1.5 &#181;g/kg) have been reported [<xref ref-type="bibr" rid="scirp.114759-ref7">7</xref>]. Concerning ZEA, its occurrence in maize appeared low. Indeed, in one study focused on 51 samples of miaze flour, only one sample was contaminated at level above 100 &#181;g/kg (the EC maximum permitted level in maize for human consumption). The other samples showed low ZEA levels ranging from 2.3 to 28 &#181;g/kg. Mean and median values were 14.0 &#177; 20.1 and 7.2 &#181;g/kg, respectively [<xref ref-type="bibr" rid="scirp.114759-ref8">8</xref>]. Similar findings have been previously reported with concentrations ranged from 20 to 50 &#181;g/kg [<xref ref-type="bibr" rid="scirp.114759-ref7">7</xref>] and more recently with per se.</p></sec><sec id="s3_2_2"><title>3.2.2. Peanuts Contamination by Mycotoxins</title><p>Data available on mycotoxins occurrence in peanuts revealed the presence of Aflatoxins, Ochratoxins and low levels of Fursarium toxins [<xref ref-type="bibr" rid="scirp.114759-ref6">6</xref>] [<xref ref-type="bibr" rid="scirp.114759-ref7">7</xref>] [<xref ref-type="bibr" rid="scirp.114759-ref28">28</xref>].</p><p>Aflatoxins contamination</p><p>Data of peanut contamination by Aflatoxins available were very few. AFB1 had been found in 100% of peanuts (n = 10) samples collected from markets at Abidjan especially in Adjam&#233;, Abobo and Treichville. These markets represent the significant areas which provide feeds to other markets in C&#244;te d’Ivoire. Values of AFB1 were ranged from 1.5 to 10 &#181;g/kg in peanuts with mean of 4.8 &#181;g/kg [<xref ref-type="bibr" rid="scirp.114759-ref7">7</xref>]. These relative low values were supported by those reported more recently where AFB1 contents varied from 0.23 to 2.49 &#181;g/kg [<xref ref-type="bibr" rid="scirp.114759-ref28">28</xref>]. Suprisingly, alarming values of AFB1, AFG1 and AFTs have been reported in more recent study. AFB1, AFG1 and AFTs have been found in 100% of peanut paste (n = 71) collected in the main markets of Abidjan, Bouak&#233; (Center of C&#244;te d’Ivoire) and Korhogo (North of C&#244;te d’Ivoire). For AFB1 values were ranged from 0.6 to 4535 &#181;g/kg with mean of 260 &#181;g/kg, for AFG1, from 0.7 to 2194 &#181;g/kg with mean of 143 &#181;g/kg and for AFTs, from 1.4 to 8094 &#181;g/kg with mean of 530 &#181;g/kg [<xref ref-type="bibr" rid="scirp.114759-ref6">6</xref>].</p><p>OTA contamination</p><p>The contamination of peanuts by Ochratoxin A had been reported in some studies focused on peanuts grains or peanut paste. For peanuts grains, OTA levels were ranged from not detected to 0.642 &#181;g/kg with 60% of peanuts samples (n = 10) contaminated by OTA [<xref ref-type="bibr" rid="scirp.114759-ref7">7</xref>]. Similar values of OTA have also been reported (0.53 - 2.23 &#181;g/kg) [<xref ref-type="bibr" rid="scirp.114759-ref28">28</xref>]. Suprisingly, another study reported OTA levels in peanuts ranged from 0.6 to 64 &#181;g/kg with mean of 23 &#181;g/kg and OTA had been found in 100% of peanuts samples [<xref ref-type="bibr" rid="scirp.114759-ref25">25</xref>]. Peanut past contamination by OTA had been recently evaluated [<xref ref-type="bibr" rid="scirp.114759-ref6">6</xref>]. OTA had been found in 65% of peanut past samples at levels ranged from</p><p>Toxins of fusarium</p><p>Fumonisins have been found in peanuts from C&#244;te d’Ivoire but the values of their concentrations were low ranged from &lt;0.3 to 6 &#181;g/kg [<xref ref-type="bibr" rid="scirp.114759-ref7">7</xref>] and not detected in 71 samples of peanut paste [<xref ref-type="bibr" rid="scirp.114759-ref6">6</xref>]. But, Zearalenone occurrence appeared questionable because it had been found in 10 peanuts samples from C&#244;te d’Ivoire at levels ranged from 50 to 200 &#181;g/kg [<xref ref-type="bibr" rid="scirp.114759-ref7">7</xref>] but not detected in 71 samples of peanut paste collected from three localities of C&#244;te d’Ivoire such as Abidjan, Bouak&#233; and Korhogo [<xref ref-type="bibr" rid="scirp.114759-ref6">6</xref>].</p></sec><sec id="s3_2_3"><title>3.2.3. Rice Contamination</title><p>Occurrence of mycotoxins in rice samples collected from C&#244;te d’Ivoire had been also evaluated [<xref ref-type="bibr" rid="scirp.114759-ref6">6</xref>] [<xref ref-type="bibr" rid="scirp.114759-ref7">7</xref>] [<xref ref-type="bibr" rid="scirp.114759-ref25">25</xref>] [<xref ref-type="bibr" rid="scirp.114759-ref29">29</xref>]. Rice samples were obtained from markets in Abidjan, C&#244;te d’Ivoire, especially in Adjam&#233;, Abobo and Treichville, also from markets of Bouak&#233; and Korhogo. These markets represent the significant areas which provide feeds to other markets in C&#244;te d’Ivoire [<xref ref-type="bibr" rid="scirp.114759-ref6">6</xref>] [<xref ref-type="bibr" rid="scirp.114759-ref7">7</xref>] [<xref ref-type="bibr" rid="scirp.114759-ref25">25</xref>] [<xref ref-type="bibr" rid="scirp.114759-ref29">29</xref>].</p><p>Aflatoxins contamination</p><p>Data available revealed occurrence of AFB1, AFG1 and AFTs in rice samples collected from C&#244;te d’Ivoire. AFB1 had been found in 100% (n = 10) of rice samples at levels ranged from &lt;1.5 to 10 &#181;g/kg [<xref ref-type="bibr" rid="scirp.114759-ref7">7</xref>], from 0.45 to 1.17 with 50% of positive samples [<xref ref-type="bibr" rid="scirp.114759-ref29">29</xref>] and from</p><p>OTA contamination</p><p>OTA was found in 100% of rice samples from C&#244;te d’Ivoire but at relative low concentrations ranged from 0.16 to 0.92 [<xref ref-type="bibr" rid="scirp.114759-ref7">7</xref>]. In addition, in more recent study, any OTA has been found in 100% of samples of rice collected (n = 20 and LOQ = 0.4 &#181;g/kg) from Abidjan markets [<xref ref-type="bibr" rid="scirp.114759-ref29">29</xref>]. But relative high levels of OTA have been found in 8% (n = 47) of rice samples collected from Abidjan, Bouak&#233; and Korhogo. Values of OTA concentrations were ranged from</p><p>Fusarium toxins</p><p>Despite relative high levels of Zearalenone in 100% (n = 10) rice samples from C&#244;te d’Ivoire ranged from 50 to 200 &#181;g/kg [<xref ref-type="bibr" rid="scirp.114759-ref7">7</xref>], toxins of Fusarium levels in rice were low in C&#244;te d’Ivoire. Thus, in more recent study, Zearalenone has been found in only 4% of samples (n = 47) at levels of</p></sec><sec id="s3_2_4"><title>3.2.4. Cassava Contamination by Mycotoxins</title><p>The few data available on mycotoxins in cassava concerned those reported on dried cassava and Attiek&#233; collected from markets from Abidjan namely [<xref ref-type="bibr" rid="scirp.114759-ref18">18</xref>] [<xref ref-type="bibr" rid="scirp.114759-ref26">26</xref>]. Mycotoxins researched and found in cassava product were Aflatoxins and OTA.</p><p>Aflatoxins contamination</p><p>In dried cassava collected from markets of Abidjan, AFB1 had been found in 94% of samples (n = 16) at levels ranged from not detected to 29.82 &#181;g/kg with mean of 4.17 &#181;g/kg [<xref ref-type="bibr" rid="scirp.114759-ref26">26</xref>]. Similarly, AFTs has been found in 97% of cassava derived namely Attiek&#233; samples (n = 290) at values ranged from 0.01 to 39.85 &#181;g/kg with mean of 13.95 &#181;g/kg [<xref ref-type="bibr" rid="scirp.114759-ref18">18</xref>]. Levels of individual AFTs such as AFB1, AFB2, AFG1 and AFG2 were relatively critical. Values were ranged from 0.02 to 35.78 &#181;g/kg with mean of 3.44 &#181;g/kg for AFB1, from 0.1 to 23.95 &#181;g/kg with mean of 1.9 &#181;g/kg for AFB2, from 0.56 to 69.32 &#181;g/kg with mean of 8.07 &#181;g/kg for AFG1 and from 0.04 to 13.33 &#181;g/kg with mean of 0.56 &#181;g/kg for AFG2 [<xref ref-type="bibr" rid="scirp.114759-ref18">18</xref>]. AFB1 has been found in 56% of Attieke samples (n = 170), 23% (n = 70) for AFB2, 46% (n = 140) for AFG1 and 40% (n = 120) for AFG2 respectively [<xref ref-type="bibr" rid="scirp.114759-ref18">18</xref>].</p><p>OTA contamination</p><p>OTA had been found in 63.3% (n = 190) Attieke samples [<xref ref-type="bibr" rid="scirp.114759-ref18">18</xref>] and in 69% (n = 13) dried cassava samples [<xref ref-type="bibr" rid="scirp.114759-ref26">26</xref>]. Values of OTA reported in both studies were ranged from not detected to 2.78 &#181;g/kg with mean of 0.94 &#181;g/kg [<xref ref-type="bibr" rid="scirp.114759-ref26">26</xref>] and from 0.06 to 1.83 &#181;g/kg with mean of 0.42 &#181;g/kg [<xref ref-type="bibr" rid="scirp.114759-ref18">18</xref>].</p></sec></sec><sec id="s3_3"><title>3.3. Exposure Estimate</title><p>Calculation of the Estimated Daily Intake (EDI) was done by using the mean levels of mycotoxins obtained in rice, peanuts, maize and cassava product or Attieke samples, the daily intakes of same samples [<xref ref-type="bibr" rid="scirp.114759-ref30">30</xref>] [<xref ref-type="bibr" rid="scirp.114759-ref31">31</xref>], and the average body weight. The EDI for mean each mycotoxin was calculated according to the following formula and expressed in μg/kg of body weight/day (μg/kg bw/day) [<xref ref-type="bibr" rid="scirp.114759-ref32">32</xref>].</p><p>EDI = Daily intake (food) &#215; level of mycotoxin/Average body weight.</p><p>The tolerable daily intake (TDI) set by the Joint FAO/WHO Experts Committee on Food Additives were respectively for Aflatoxins &lt;1 μg/kg bw/day, OTA (14.28 ng/kg bw/day), fumonisin B1 (2 &#181;g or 2000 ng/kg bw/day) and Zearalenone (250 ng/kg bw/day) [<xref ref-type="bibr" rid="scirp.114759-ref33">33</xref>] [<xref ref-type="bibr" rid="scirp.114759-ref34">34</xref>]. Especially for OTA, several values of tolerable daily intake (TDI) were recommended by food safety organism such as the European Commission’s SCF with 5 ng/kg bw/day, the Joint FAO/WHO Experts Committee on Food Additives, 14.28 ng/kg bw/day and EFSA, 17.14 ng/kg bw/day. But, value of TDI recommended by the Joint FAO/WHO Experts Committee on Food Additives, 14.28 ng/kg bw/day was applied in C&#244;te d’Ivoire and most of African countries. Thus, the consumption of rice, maize, peanut and Attieke could present risk of Aflatoxins exposure above of TDI &lt; 1 ng/kg bw/day. Similarly for OTA, maize, peanut and rice according to our data could present risk of exposue above 14.28 ng/kg bw/day. Despite the EDI of 12.8 ng/kg bw/day for OTA though Attieke was lower than 14.28 ng/kg bw/day, the low difference could pose some concerns. In addition, lower TDI is recommended by European Commission’s SCF with 5 ng/kg bw/day. For toxins of Fusarium, maize consumption could present risk of exposure above 2000 ng/kg bw/day while rice could be the food with high exposure of ZEA above of 250 ng/kg bw/day (<xref ref-type="table" rid="table2">Table 2</xref>).</p></sec><sec id="s3_4"><title>3.4. Cancers Risk Assessment</title><p>The cancer risk has been estimated by Threshold of Toxicological Concern (TTC) method and Margin of Exposure (MOE) according to <xref ref-type="table" rid="table2">Table 2</xref>.</p><p>Cancer risk assessment by TTC</p><p>According TTC approch, when the EDI was above of 0.0025 &#181;g or 2.5 ng/kg bw/day for genotoxic substance [<xref ref-type="bibr" rid="scirp.114759-ref35">35</xref>], there is risk of cancer for the population. Aflatoxin B1 is classified as human carcinogens (Group 1); Ochratoxins and fumonisin are classified as possible human carcinogens (Group 2B), whereas trichothecenes and zearaleone are not recognized as human carcinogens (Group 3). Thus, AFB1 with minimal values of EDI below 2.5 ng/kg bw/day, could not cause ineluctably cancers though the consumption of maize, peanut, attieke and rice (<xref ref-type="table" rid="table2">Table 2</xref>). That supports the importance of improving postharvest practices by farmers and solders.</p><p>HCC and neoplastic effects risk assessment by MOE</p><p>This method has been used only for AFs though AFB1 and OTA. The benchmark dose lower confidence limit (BMDL) for a benchmark response of 10% of 0.4 μg/kg body weight (bw) per day for the incidence of HCC in male rats following AFB1 exposure to be used in a margin of exposure (MOE) approach [<xref ref-type="bibr" rid="scirp.114759-ref36">36</xref>]. Similarly, for characterization of neoplastic effects, a BMDL10 of 14.5 &#181;g/kg bw par day was calculated from kidney tumors seen in rats [<xref ref-type="bibr" rid="scirp.114759-ref37">37</xref>] (<xref ref-type="table" rid="table3">Table 3</xref>).</p><p>MOE = BMDL1 0 / EDI</p><p>MOE values for AFB1 exposure were below 10,000 regardless the food concerned. This raises a health concern. The estimated cancer risks in humans following exposure to AFB1 is real though MOE approach for all foods (rice, maize, attieke and peanut). For OTA, all foods could cause neoplastic effects but with extreme values of OTA EDI. In contrast to AFB1, the minimum values of OTA EDI did not pose any concerns.</p><table-wrap id="table2" ><label><xref ref-type="table" rid="table2">Table 2</xref></label><caption><title> Estimated Daily Intake (EDI) range by food consumption with daily intake estimated at 300 g of food (maize, attieke and rice) and at 22 g for peanut and an average body weight of 65 kg. AFB1 is aflatoxin B 1, the major aflatoxin among total aflatoxins (AFs)</title></caption><table><tbody><thead><tr><th align="center" valign="middle"  rowspan="2"  >Food</th><th align="center" valign="middle"  rowspan="2"  >Daily intake (g)</th><th align="center" valign="middle"  colspan="4"  >Estimated daily intake (ng/kg bw/day)</th></tr></thead><tr><td align="center" valign="middle" >AFB1</td><td align="center" valign="middle" >OTA</td><td align="center" valign="middle" >FB1</td><td align="center" valign="middle" >ZEA</td></tr><tr><td align="center" valign="middle" >Rice</td><td align="center" valign="middle" >300</td><td align="center" valign="middle" >2 - 65*</td><td align="center" valign="middle" >0.74 - 69*</td><td align="center" valign="middle" >12 - 60</td><td align="center" valign="middle" >1.1 - 923*</td></tr><tr><td align="center" valign="middle" >Maize</td><td align="center" valign="middle" >300</td><td align="center" valign="middle" >1.3 - 1495*</td><td align="center" valign="middle" >0.4 - 397*</td><td align="center" valign="middle" >1.3 - 3521*</td><td align="center" valign="middle" >10.6 - 231</td></tr><tr><td align="center" valign="middle" >Attieke</td><td align="center" valign="middle" >300</td><td align="center" valign="middle" >0.046 - 162*</td><td align="center" valign="middle" >0.28 - 12.8</td><td align="center" valign="middle" >-</td><td align="center" valign="middle" >-</td></tr><tr><td align="center" valign="middle" >Peanut</td><td align="center" valign="middle" >22</td><td align="center" valign="middle" >0.2 - 1534*</td><td align="center" valign="middle" >0.2 - 58*</td><td align="center" valign="middle" >0.1 - 2</td><td align="center" valign="middle" >0 - 67.7</td></tr></tbody></table></table-wrap><p>*Values of EDI above Tolerable Daily Intake (TDI) of mycotoxins; TDI for Aflatoxins (&lt;1 ng/kg bw/day), OTA (1.5 - 17.14 ng/kg bw/day), FB1 (2000 ng/kg bw/day) and ZEA (250 ng/kg bw/day).</p><table-wrap id="table3" ><label><xref ref-type="table" rid="table3">Table 3</xref></label><caption><title> MOE values range though consumption of rice, maize, peanut and attieke</title></caption><table><tbody><thead><tr><th align="center" valign="middle" ></th><th align="center" valign="middle" >Rice</th><th align="center" valign="middle" >Maize</th><th align="center" valign="middle" >Attieke</th><th align="center" valign="middle" >Peanut</th></tr></thead><tr><td align="center" valign="middle" >MOE of AFB1</td><td align="center" valign="middle" >6.15 - 200</td><td align="center" valign="middle" >0.267 - 307.6</td><td align="center" valign="middle" >2.47 - 8695</td><td align="center" valign="middle" >0.0003 - 2000</td></tr><tr><td align="center" valign="middle" >MOE of OTA</td><td align="center" valign="middle" >19,595 - 210</td><td align="center" valign="middle" >36,250 - 36.53</td><td align="center" valign="middle" >51,786 - 1133</td><td align="center" valign="middle" >72,500 - 250</td></tr></tbody></table></table-wrap></sec></sec><sec id="s4"><title>4. Conclusion</title><p>The risk assessment of mycotoxins intake through the consumption of maize, peanuts, rice and cassava in C&#244;te d’Ivoire revealed significant exposure of the population to Aflatoxins and Ochratoxins. These findings were supported by high Estimated Daily Intake (EDI) of aflatoxins namely aflatoxin B1 and ochratoxin A and the high prevalence of their biomarkers in biological fluids. Among mycotoxins, AFs were more critical in C&#244;te d’Ivoire following OTA with a high incidence of cancers as confirmed by Margin of Exposure (MOE) and TTC approaches. The risk of toxins of Fusarium was low but the consumption of rice and maize was abundant and daily could enhance ZEA and FBs exposure respectively. The need to ensure postharvest practices in C&#244;te d’Ivoire is impertive since the contamination of foods by mycotoxins poses some concerns.</p></sec><sec id="s5"><title>Conflicts of Interest</title><p>The author declares no conflicts of interest regarding the publication of this paper.</p></sec><sec id="s6"><title>Cite this paper</title><p>Kouadio, J.H. (2022) Risk Assessment of Mycotoxins Intake through the Consumption of Maize, Peanuts, Rice and Cassava in C&#244;te d’Ivoire. Food and Nutrition Sciences, 13, 41-54. https://doi.org/10.4236/fns.2022.131005</p></sec></body><back><ref-list><title>References</title><ref id="scirp.114759-ref1"><label>1</label><mixed-citation publication-type="journal" xlink:type="simple"><name name-style="western"><surname>Creppy</surname><given-names> E.E. </given-names></name>,<etal>et al</etal>. (<year>2002</year>)<article-title>Update of Survey, Regulation and Toxic Effects of Mycotoxins in Europe</article-title><source> Toxicology Letters</source><volume> 127</volume>,<fpage> 19</fpage>-<lpage>28</lpage>.<pub-id pub-id-type="doi"></pub-id></mixed-citation></ref><ref id="scirp.114759-ref2"><label>2</label><mixed-citation publication-type="other" xlink:type="simple">Yiannikouris, A. and Jouany, J.P. (2002) Mycotoxins in Feeds and Their Fate in Animals: A Review. Animal Research, 51, 81-99.</mixed-citation></ref><ref id="scirp.114759-ref3"><label>3</label><mixed-citation publication-type="journal" xlink:type="simple"><name name-style="western"><surname>Mohamed</surname><given-names> Z. </given-names></name>,<etal>et al</etal>. (<year>2011</year>)<article-title>Impact of Mycotoxins on Humans and Animals</article-title><source> Journal of Saudi Chemical Society</source><volume> 15</volume>,<fpage> 129</fpage>-<lpage>144</lpage>.<pub-id pub-id-type="doi"></pub-id></mixed-citation></ref><ref id="scirp.114759-ref4"><label>4</label><mixed-citation publication-type="other" xlink:type="simple">Omotayo, O.P., Omotayo, A.O., Mwanza, M. and Babalola, O.O. (2019) Prevalence of Mycotoxins and Their Consequences on Human Health. Toxicological Research, 35, 1-7.</mixed-citation></ref><ref id="scirp.114759-ref5"><label>5</label><mixed-citation publication-type="other" xlink:type="simple">Chilaka, C.A. and Mally, A. (2020) Mycotoxin Occurrence, Exposure and Health Implications in Infants and Young Children in Sub-Saharan Africa: A Review. Foods, 9, Article No. 1585. https://doi.org/10.3390/foods9111585</mixed-citation></ref><ref id="scirp.114759-ref6"><label>6</label><mixed-citation publication-type="other" xlink:type="simple">Manizan, A.L., Oplatowska-Stachowiak, M., Piro-Metayer, I., Campbell, K., Koffi-Nevry, R., Elliott, C., Akaki, D., Montet, D. and Brabet, C. (2018) Multi-Mycotoxin Determination in Rice, Maize and Peanut Products Most Consumed in C&amp;#244te d’Ivoire by UHPLC-MS/MS. Food Control, 87, 22-30.</mixed-citation></ref><ref id="scirp.114759-ref7"><label>7</label><mixed-citation publication-type="other" xlink:type="simple">Sangare-Tigori, B., Dem, A., Halbin, K., Betbeder, A.M., Dano, S., Serge, M. and Creppy, E. (2006) Preliminary Survey of Ochratoxin A in Millet, Maize, Rice and Peanuts in C&amp;#244te d’Ivoire from 1998 to 2002. Human &amp; Experimental Toxicology, 25, 211-216.</mixed-citation></ref><ref id="scirp.114759-ref8"><label>8</label><mixed-citation publication-type="other" xlink:type="simple">Kouadio, J.H., Lattanzio, V.M.T., Ouattara, D., Kouakou, B. and Visconti, A. (2014) Assessment of Mycotoxin Exposure in C&amp;#244te d’ivoire (Ivory Coast) through Multi-Biomarker Analysis and Possible Correlation with Food Consumption Patterns. Toxicology International, 21, 248-257.</mixed-citation></ref><ref id="scirp.114759-ref9"><label>9</label><mixed-citation publication-type="other" xlink:type="simple">Alassane-Kpembi, I., Puel, O., Pinton, P., Cossalter, A.-M., Chou, T.C. and Oswald, I.P. (2017) Co-Exposure to Low Doses of the Food Contaminants Deoxynivalenol and Nivalenol Has a Synergistic Inflammatory Effect on Intestinal Explants. Archives of Toxicology, 91, 2677-2687. https://doi.org/10.1007/s00204-016-1902-9</mixed-citation></ref><ref id="scirp.114759-ref10"><label>10</label><mixed-citation publication-type="other" xlink:type="simple">Grenier, B. and Oswald, I. (2011) Mycotoxin Co-Contamination of Food and Feed: Meta-Analysis of Publications Describing Toxicological Interactions. World Mycotoxin Journal, 4, 285-313. https://doi.org/10.3920/WMJ2011.1281</mixed-citation></ref><ref id="scirp.114759-ref11"><label>11</label><mixed-citation publication-type="other" xlink:type="simple">Halbin, K., Dano, S., Serge, M., Mobio, T. and Creppy, E. (2007) Effects of Combinations of Fusarium Mycotoxins on the Inhibition of Macromolecular Synthesis, Malondialdehyde Levels, DNA Methylation and Fragmentation and Viability in Caco-2 Cells. Toxicon: Official Journal of the International Society on Toxinology, 49, 306-317.</mixed-citation></ref><ref id="scirp.114759-ref12"><label>12</label><mixed-citation publication-type="other" xlink:type="simple">Shephard, G.S., Van Der Westhuizen, L. and Sewram, V. (2007) Biomarkers of Exposure to Fumonisin Mycotoxins: A Review. Food Additives &amp; Contaminants, 24, 1196-1201. https://doi.org/10.1080/02652030701513818</mixed-citation></ref><ref id="scirp.114759-ref13"><label>13</label><mixed-citation publication-type="other" xlink:type="simple">Castegnaro, M., Canadas, D., Vrabcheva, T., Petkova-Bocharova, T., Chernozemsky, I.N. and Pfohl-Leszkowicz, A. (2006) Balkan Endemic Nephropathy: Role of Ochratoxins A through Biomarkers. Molecular Nutrition &amp; Food Research, 50, 519-529.https://doi.org/10.1002/mnfr.200500182</mixed-citation></ref><ref id="scirp.114759-ref14"><label>14</label><mixed-citation publication-type="other" xlink:type="simple">Dano, S., Manda, P., Halbin, K., Aissata, D., Jér&amp;#244me, D.K., Serge, K.K. and Adjourma, D. (2009) Etude de L’incidence de la Torréfaction Appliquée au Café Vert Sur la Réduction du Taux de L’ochratoxine a (OTA) dans le Produit Fini. European Journal of Scientific Research, 26, 393-401.</mixed-citation></ref><ref id="scirp.114759-ref15"><label>15</label><mixed-citation publication-type="other" xlink:type="simple">Dano, S.D., Manda, P., Dembélé, A., Abla, A.M.J.K., Bibaud, J.H., Gouet, J.Z. and Sika, C.B.Z.M. (2013) Influence of Fermentation and Drying Materials on the Contamination of Cocoa Beans by Ochratoxin A. Toxins, 5, 2310-2323. https://doi.org/10.3390/toxins5122310</mixed-citation></ref><ref id="scirp.114759-ref16"><label>16</label><mixed-citation publication-type="other" xlink:type="simple">Olga, D., Sevastianos, R., Gaime, I., Macarie, H., Germain, K. and Labrousse, Y. (2015) Fungal Population, Including Ochratoxin A Producing Aspergillus Section Nigri Strains from Ivory Coast Coffee Bean. African Journal of Agricultural Research, 10, 2576-2589. https://doi.org/10.5897/AJAR2015.9494</mixed-citation></ref><ref id="scirp.114759-ref17"><label>17</label><mixed-citation publication-type="other" xlink:type="simple">Manda, P., Jean, A., Adepo, B., Ngbé, J. and Dano, S. (2016) Assessment of Ochratoxin A Intake Due to Consumption of Coffee and Cocoa Derivatives Marketed in Abidjan (C&amp;#244te d’Ivoire) Journal of Toxicology and Environmental Health Sciences, 8, 41-45.https://doi.org/10.5897/JTEHS2016.0366</mixed-citation></ref><ref id="scirp.114759-ref18"><label>18</label><mixed-citation publication-type="other" xlink:type="simple">Anoman, A.T., Koffi, K.M., Aboua, K.N. and Koussemon, M. (2018) Determination of ETM, Histamine and Mycotoxins in Garba, a Traditional Ivoirian Meal. American Journal of Analytical Chemistry, 9, 245-256. https://doi.org/10.4236/ajac.2018.94019</mixed-citation></ref><ref id="scirp.114759-ref19"><label>19</label><mixed-citation publication-type="other" xlink:type="simple">Sangare-Tigori, B., Moukha, S., Kouadio, J.H., Dano, D.S., Betbeder, A.M., Achour, A. and Creppy, E.E. (2006) Ochratoxin A in Human Blood in Abidjan, C&amp;#244te d’Ivoire. Toxicon, 47, 894-900.</mixed-citation></ref><ref id="scirp.114759-ref20"><label>20</label><mixed-citation publication-type="other" xlink:type="simple">Thé, Y., Manda, P., Elleingand, E., Yapi, F., Yapo, F., David, N.J., Dano, S. and Djaman, J. (2015) R&amp;#244le de l’ochratoxine A dans le développement des tumeurs de la vessie chez les patients ivoiriens. Toxicologie Analytique et Clinique, 27, 66-71.</mixed-citation></ref><ref id="scirp.114759-ref21"><label>21</label><mixed-citation publication-type="other" xlink:type="simple">Thuvander, A., Paulsen, J.E., Axberg, K., Johansson, N., Vidnes, A., Enghardt-Barbieri, H., Trygg, K., Lund-Larsen, K., Jahrl, S., Widenfalk, A., et al. (2001) Levels of Ochratoxin A in Blood from Norwegian and Swedish Blood Donors and Their Possible Correlation with Food Consumption. Food and Chemical Toxicology, 39, 1145-1151.</mixed-citation></ref><ref id="scirp.114759-ref22"><label>22</label><mixed-citation publication-type="other" xlink:type="simple">Domijan, A.M., Peraica, M., Fuchs, R., Luci&amp;#263, A., Radi&amp;#263, B., Balija, M., Bosanac, I. and Grgicevi&amp;#263, D. (1999) Ochratoxin A in Blood of Healthy Population in Zagreb. Archives of Industrial Hygiene and Toxicology, 50, 263-271.</mixed-citation></ref><ref id="scirp.114759-ref23"><label>23</label><mixed-citation publication-type="other" xlink:type="simple">Assaf, H., Betbeder, A.M., Creppy, E.E., Pallardy, M. and Azouri, H. (2004) Ochratoxin A Levels in Human Plasma and Foods in Lebanon. Human &amp; Experimental Toxicology, 23, 495-501.</mixed-citation></ref><ref id="scirp.114759-ref24"><label>24</label><mixed-citation publication-type="other" xlink:type="simple">Ostry, V., Malir, F., Roubal, T., Skarkova, J., Ruprich, J., Cerna, M. and Creppy, E.E. (2005) Monitoring of Mycotoxin Biomarkers in the Czech Republic. Mycotoxin Research, 21, Article No. 49. https://doi.org/10.1007/BF02954817</mixed-citation></ref><ref id="scirp.114759-ref25"><label>25</label><mixed-citation publication-type="other" xlink:type="simple">Sangare-Tigori, B., Moukha, S., Kouadio, J.H., Dano, D.S., Betbeder, A.M., Achour, A. and Creppy, E.E. (2006) Ochratoxin A in Human Blood in Abidjan, C&amp;#244te d’Ivoire. Toxicon, 47, 894-900.</mixed-citation></ref><ref id="scirp.114759-ref26"><label>26</label><mixed-citation publication-type="other" xlink:type="simple">Serge, E., Benjamin, Y., Hortense, H., Alimata, F., Sory, T. and Kablan, T. (2017) Mycotoxins in Food: Evaluation of Aflatoxin B1 and Ochratoxin A in a Few Foodstuffs in C&amp;#244te D’Ivoire. International Journal of Current Research in Biosciences and Plant Biology, 4, 1-8. https://doi.org/10.20546/ijcrbp.2017.411.001</mixed-citation></ref><ref id="scirp.114759-ref27"><label>27</label><mixed-citation publication-type="other" xlink:type="simple">Stephane, K.Y., Halbin, K.J. and Joseph, S. (2021) Disparities in Agricultural Practices According to Cashew Nut Production Regions in C&amp;#244te d’Ivoire and Probable Incidence on Nut Quality. Agricultural Sciences, 12, 1168-1183. https://doi.org/10.4236/as.2021.1210075</mixed-citation></ref><ref id="scirp.114759-ref28"><label>28</label><mixed-citation publication-type="other" xlink:type="simple">Boli, Z., Zoue, L., Koffi-Nevry, R. and Koussemon, M. (2014) Fungal Contamination and Mycotoxins’ Occurrence in Peanut Butters Marketed in Abidjan District (C&amp;#244te D’ivoire) Food and Environment Safety Journal, 13, 267-275.</mixed-citation></ref><ref id="scirp.114759-ref29"><label>29</label><mixed-citation publication-type="other" xlink:type="simple">Louko, A.L., Adepo, A.J.B., Alloh, A.N.R. and Brou K. (2021) Evaluation of Practices Favoring the Development of Mycotoxigenic Molds in Rice Sold in the Retail Markets of Abidjan, C&amp;#244te d’Ivoire. Journal of Toxicology and Environmental Health Sciences, 13, 45-51. https://doi.org/10.5897/JTEHS2021.0495</mixed-citation></ref><ref id="scirp.114759-ref30"><label>30</label><mixed-citation publication-type="other" xlink:type="simple">Taghizadeh, S.F., Davarynejad, G., Asili, J., Nemati, S.H., Rezaee, R., Goumenou, M., Tsatsakis, A.M. and Karimi, G. (2017) Health Risk Assessment of Heavy Metals via Dietary Intake of Five Pistachio (Pistacia vera L.) Cultivars Collected from Different Geographical Sites of Iran. Food and Chemical Toxicology, 107, 99-107. https://doi.org/10.1016/j.fct.2017.06.035</mixed-citation></ref><ref id="scirp.114759-ref31"><label>31</label><mixed-citation publication-type="other" xlink:type="simple">Taghizadeh, S.F., Rezaee, R., Davarynejad, G., Asili, J., Nemati, S.H., Goumenou, M., Tsakiris, I., Tsatsakis, A.M., Shirani, K. and Karimi, G. (2018) Risk Assessment of Exposure to Aflatoxin B1 and Ochratoxin A through Consumption of Different Pistachio (Pistacia vera L.) Cultivars Collected from Four Geographical Regions of Iran. Environmental Toxicology and Pharmacology, 61, 61-66. https://doi.org/10.1016/j.etap.2018.05.010</mixed-citation></ref><ref id="scirp.114759-ref32"><label>32</label><mixed-citation publication-type="other" xlink:type="simple">dos Santos, J.S., Souza, T.M., Ono, E.Y.S., Hashimoto, E.H., Bassoi, M.C., de Miranda, M.Z., Itano, E.N., Kawamura, O. and Hirooka, E.Y. (2013) Natural Occurrence of Deoxynivalenol in Wheat from Paraná State, Brazil and Estimated Daily Intake by Wheat Products. Food Chemistry, 138, 90-95. https://doi.org/10.1016/j.foodchem.2012.09.100</mixed-citation></ref><ref id="scirp.114759-ref33"><label>33</label><mixed-citation publication-type="other" xlink:type="simple">The Joint FAO/WHO Expert Committee on Food Additives (1999) Evaluation of Certain Food Additives and Contaminants. Technical Report Series Number 884. WHO, Geneva, 69-77. https://apps.who.int/iris/handle/10665/42142</mixed-citation></ref><ref id="scirp.114759-ref34"><label>34</label><mixed-citation publication-type="other" xlink:type="simple">The Joint FAO/WHO Expert Committee on Food Additives (2004) Safety Evaluation of Certain Mycotoxins in Food. Prepared by the 56th Meeting of the Joint FAO/WHO Expert Committee on Food Additives (JECFA) Food and Nutrition Paper 74. WHO, Geneva, 172 p. https://www.fao.org/documents/card/en/c/f4cff169-7af4-485b-9138-1d4e840f4503/</mixed-citation></ref><ref id="scirp.114759-ref35"><label>35</label><mixed-citation publication-type="other" xlink:type="simple">Kroes, R., Kleiner, J. and Renwick, A. (2005) The Threshold of Toxicological Concern Concept in Risk Assessment. Toxicological Sciences, 86, 226-230. https://doi.org/10.1093/toxsci/kfi169</mixed-citation></ref><ref id="scirp.114759-ref36"><label>36</label><mixed-citation publication-type="other" xlink:type="simple">EFSA Panel on Contaminants in the Food Chain (CONTAM), Schrenk, D., Bignami, M., Bodin, L., Chipman, J.K., del Mazo, J., Grasl-Kraupp, B., Hogstrand, C., Hoogenboom, L., Leblanc, J.C., et al. (2020) Risk Assessment of Aflatoxins in Food. EFSA Journal, 18, e06040. https://doi.org/10.2903/j.efsa.2020.6040</mixed-citation></ref><ref id="scirp.114759-ref37"><label>37</label><mixed-citation publication-type="other" xlink:type="simple">EFSA Panel on Contaminants in the Food Chain (CONTAM), Schrenk, D., Bodin, L., Chipman, J.K., del Mazo, J., Grasl-Kraupp, B., Hogstrand, C., Hoogenboom, L., Leblanc, J.C., Nebbia, C.S., Nielsen, E., Ntzani, E., Petersen, A., Sand, S., Schwerdtle, T., Vleminckx, C., Wallace, H., Alexander, J., Dall’Asta, C., Mally, A., Metzler, M., Binaglia, M., Horváth, Z., Steinkellner, H. and Bignami, M. (2020) Scientific Opinion on the Risk Assessment of Ochratoxin A in Food. EFSA Journal, 18, e06113. https://doi.org/10.2903/j.efsa.2020.6113</mixed-citation></ref></ref-list></back></article>