POTENTIAL OF LACTIC ACID FERMENTATION IN REDUCING AFLATOXIN B1 AND FUMONISIN B1 IN TANZANIAN MAIZE-BASED COMPLEMENTARY GRUEL By Frida Albinusi Nyamete A THESIS Submitted to Michigan State University in partial fulfilment of the requirements for the degree of Food Science - Master of Science 2013 ABSTRACT POTENTIAL OF LACTIC ACID FERMENTATION IN REDUCING AFLATOXIN B1 AND FUMONISIN B1 IN TANZANIAN MAIZE-BASED COMPLEMENTARY GRUEL By Frida Albinusi Nyamete Aflatoxin B1 (AFB1) and fumonisin B1 (FB1) are the most carcinogenic and heat-stable mycotoxins and they are harmful to both humans and animals. This study investigated the effect of fermentation on AFB1 and FB1 reduction in maize-based gruel fermented at 30°C for up to 24 h using four monocultures (Lactobacillus plantarum, Pediococcus pentosaceus, Lactobacillus casei and Lactobacillus fermentum) and two co-cultures (one composed of Enterococcus faecium, Lactobacillus plantarum and Lactobacillus buchneri (AS), and the other consisting of Enterococcus faecium, Lactobacillus plantarum and Lactobacillus lactis (SR3.54) (MC)) of lactic acid bacteria (LAB), natural fermentation and back-slopping. Generally, the bacteria increased by two log units and the acidity (expressed as lactic acid) ranged from 3.30 to 3.95 × 100µg/mL after 24 h of fermentation. Back-slopping and natural fermentation removed 68 and 56% of AFB1 and 30 and 20% of FB1, respectively after 24 h. Lactobacillus strains removed between 45 – 55% of AFB1 and 14 – 27%, of FB1. Co-culture of (AS) was superior at removing both AFB1 (68%) and FB1 (27%) than co-culture of (MC) which only removed 54% of AFB1 and 17% of FB1 respectively. Comparatively, back-slopping was the most convenient, economical and effective method for detoxification of mycotoxins in fermented gruel. To my beloved uncle, Mr. Alex Mgaya, who raised, cared and supported me in everything. Many thanks for educating me. And to the loving memory of my parents, the late Mr. and Mrs. Albinusi Nyamete. May God rest their souls in peace iii ACKNOWLEDGMENTS I would like to express my profound gratitude to my advisors Prof. Maurice Bennink, Prof. John E. Linz and Prof. Jovin K. Mugula. The work presented in this thesis is a testament of their invaluable advice, foresight and dedication. I would like to wish them unending success in their exemplary professional and family lives. I would also like to thank my committee members Prof. Leslie D. Bourquin and Prof. K. W. Ng Perry for their invaluable assistance and input in the modelling phase of the study. I would also like to sincerely thank the United States Agency for International Development (USAID), through the Innovative Agricultural Research Initiative (iAGRI) programme, for financial support, which enabled this study to be done. I would like to express my sincere gratitude to my employer, the Sokoine University of Agriculture, for granting me permission to pursue the graduate studies. I would like to thank Dr. James Swezey and Dr. O'Donnell of the NRRL Culture Collection Centre, National Center for Agricultural Utilization Research, Agricultural Research Service, United States Department of Agriculture, Peoria, Illinois, USA for provision of lactic acid bacteria strains. I would like to thank my colleagues at the Michigan State University and sponsored iAGRI first cohort students for their support and would like to wish them success in their individual endeavours. I would like to acknowledge the unwavering love, support, patience, humour and continuous encouragement of my best friend Dr. Leonnard Ojwang. I would also like to thank my siblings Aloyce, Angel, Jennifer and Godfrey for their unconditional love and for being there for me. iv In fair honesty, it is impossible to mention everyone. I am immensely indebted to for their help in and outside of the study, but to those I didn’t mention, thank you and may you be blessed with only the best in your lives. v TABLE OF CONTENTS LIST OF TABLES....................................................................................................................... ix LIST OF FIGURES...................................................................................................................... x LIST OF ABBREVIATIONS AND ACRONYMS................................................................... xi CHAPTER ONE............................................................................................................................1 GENERAL INTRODUCTION.......................................................................................................1 1.1 Background................................................................................................................................1 1.2 Problem statement and study justification................................................................................ 3 1.3 Significance and objectives...................................................................................................... 4 1.3.1 Significance and overall objective of the project.................................................................. 4 1.3.2 Specific objectives..................................................................................................................4 1.3.3 Research hypothesis...............................................................................................................4 BIBLIOGRAPHY.......................................................................................................................... 5 CHAPTER TWO..........................................................................................................................8 LITERATURE REVIEW...............................................................................................................8 2.1 Overview of maize production and handling in Tanzania....................................................... 8 2.1.1 Origin of maize..................................................................................................................... 8 2.1.2 Tanzania maize production and consumption........................................................................8 2.2 Mycotoxins................................................................................................................................9 2.2.1 Overview of mycotoxins........................................................................................................9 2.2.2. Major groups of mycotoxins...............................................................................................13 2.2.2.1 Aflatoxins......................................................................................................................... 13 2.2.2.2 Ochratoxin........................................................................................................................ 13 2.2.2.3 Citrinin............................................................................................................................. 14 2.2.2.4 Ergot alkaloids................................................................................................................. 14 2.2.2.5 Patulin.............................................................................................................................. 15 2.2.2.6 Fusarium mycotoxins....................................................................................................... 15 2.3 Occurrence of mycotoxins in cereal grains............................................................................ 16 2.3.1 Aflatoxin B1........................................................................................................................ 16 2.3.1.1. Biochemical mode of action............................................................................................ 18 2.3.2 Fumonisins.......................................................................................................................... 21 2.3.2.1 Fumonisin B1 mechanism of action................................................................................. 22 2.3.2.2 Toxic effects.....................................................................................................................23 2.3.2.3 Toxic effects in humans................................................................................................... 24 2.3.2.3.1 Neural tube defects....................................................................................................... 24 2.3.2.3.2 Oesophageal cancer...................................................................................................... 25 2.4 Overview of mycotoxins in African countries....................................................................... 25 2.4.1 Current status of mycotoxins in Africa............................................................................... 26 vi 2.4.2 Factors that affect mycotoxins production in Africa......................................................... 27 2.4.2.1 Climatic conditions......................................................................................................... 27 2.4.2.2 Pest infestation................................................................................................................ 28 2.4.2.3 Fungicides and/or fertilizers............................................................................................ 28 2.4.2.4 Post-harvest handling....................................................................................................... 29 2.5 Possible mitigation/intervention strategies for mycotoxins in Africa ................................... 29 2.5.1 Pre-harvest interventions..................................................................................................... 29 2.5.2 Storage................................................................................................................................. 30 2.5.3 Biological control strategies................................................................................................ 30 2.5.4 Physical methods................................................................................................................. 31 2.5.5 Food surveillance................................................................................................................. 31 2.5.6 Community education.......................................................................................................... 31 2.6 Fermentation........................................................................................................................... 32 2.6.1 Traditional fermentation...................................................................................................... 32 2.6.2 Tanzanian fermented gruel.................................................................................................. 32 2.6.3 Lactic acid fermentation...................................................................................................... 33 2.6.3.1 Lactic acid bacteria........................................................................................................... 33 2.6.3.2 Potential of lactic acid bacterial in reducing aflatoxins and fumonisins.……................. 34 BIBLIOGRAPHY......................................................................................................................... 35 CHAPTER THREE.................................................................................................................... 45 EFFECT OF LACTIC ACID FERMENTATION ON AFLATOXIN B1 AND FUMONISIN B1 IN FERMENTED MAIZE-BASED GRUEL.............................................................................. 45 3.1 Introduction............................................................................................................................ 45 3.2 Materials and methods............................................................................................................ 49 3.2.1 Starter culture preparation.....................................................................................................49 3.2.2 Gruel sample preparation..................................................................................................... 50 3.2.3 Sample spiking and inoculation........................................................................................... 51 3.2.4 pH determination................................................................................................................. 52 3.2.5 Lactic acid content determination........................................................................................ 53 3.2.5.1 Lactic acid quantification…….......................................................................................... 53 3.2.6 Microbial analysis................................................................................................................ 54 3.2.7 Aflatoxin B1 detection by thin layer chromatography........................................................ 55 3.2.7.1 Sample extraction.............................................................................................................. 55 3.2.7.2 Sample clean-up using SPE column................................................................................. 55 3.2.7.2.1 Procedure description.................................................................................................... 55 3.2.7.3 Aflatoxin B1 detection on TLC........................................................................................ 55 3.2.8 Aflatoxin B1 and fumonisin B1 quantification using Neogen Reveal Q+ assay.……....... 56 3.2.8.1 Assay principle..................................................................................................................56 3.2.8.2 Aflatoxin B1 and fumonisin B1 recovery........................................................................ 57 3.2.8.3 Quantification of AFB1.................................................................................................... 57 3.2.8.4 Fumonisin B1 extraction and quantification..................................................................... 57 3.2.9 Statistical data analysis........................................................................................................ 58 3.3 Results..................................................................................................................................... 58 vii 3.3.1 Thin layer chromatography assay for aflatoxin B1.............................................................. 58 3.3.2 Quantitative analysis of aflatoxin B1 and fumonisin B1 concentration in fermented maize gruel....................................................................................................................61 3.3.2.1 Aflatoxin B1 and fumonisin B1 recovery assay............................................................... 61 3.3.2.2 Quantification of AFB1 in fermented gruel...................................................................... 61 3.3.2.3 Effect of fermentation on fumonisin B1 levels................................................................. 66 3.3.3 pH......................................................................................................................................... 68 3.3.4 Lactic acid production during fermentation of maize based gruel...................................... 70 3.3.5 Effect of pH and lactic acid on aflatoxin B1 reduction....................................................... 72 3.3.6 Effect of pH and lactic acid on reduction of fumonisin B1................................................. 75 3.3.7 Microbial load during LAB fermentation............................................................................ 78 3.4 Discussion............................................................................................................................... 81 3.5 Conclusion.............................................................................................................................. 85 APPENDICES.............................................................................................................................. 87 Appendix A: ANOVA output for LAB and fermentation time on aflatoxin B1.......................... 88 Appendix B: ANOVA output for LAB and fermentation time on fumonisin B1........................ 89 Appendix C: ANOVA output for LAB and fermentation time on pH levels............................... 90 Appendix D: ANOVA output for LAB and fermentation time on lactic acid levels................... 91 Appendix E: ANOVA output for LAB and fermentation time on microbial count..................... 92 BIBLIOGRAPHY........................................................................................................................ 93 CHAPTER FOUR...................................................................................................................... 99 GENERAL DISCUSSION, CONCLUSIONS AND RECOMMENDATIONS......................... 99 4.1 General discussion................................................................................................................. 99 4.2 Conclusion............................................................................................................................ 102 4.3 Recommendations................................................................................................................ 103 BIBLIOGRAPHY...................................................................................................................... 105 viii LIST OF TABLES Table 1: Validation of aflatoxin B1 and fumonisin B1 recovery in gruel ..................................... 62 Table 2: Effect of fermentation on reduction of aflatoxin B1 in maize gruel............................... 63 Table 3: Effect of LAB on fumonisin B1 levels in fermented maize based gruel ........................ 67 Table 4: pH levels during lactic acid fermentation of maize based gruel ..................................... 69 Table 5: Lactic acid production during fermentation of maize based gruel ................................. 72 Table 6: Microbial count (log CFU/ml) during fermentation of maize based gruel ..................... 80 Table 7: ANOVA for effect of LAB fermentation on aflatoxin B1 reduction in gruel ................ 88 Table 8: ANOVA for effect of LAB fermentation on fumonisin B1 reduction in gruel .............. 89 Table 9: ANOVA for effect of LAB fermentation on pH levels in gruel ..................................... 90 Table 10: ANOVA for effect of LAB fermentation on lactic acid levels in gruel ....................... 91 Table 11: ANOVA for effect of LAB fermentation on microbial counts in gruel ....................... 92 ix LIST OF FIGURES Figure 1: Chemical structures of mycotoxins found in food ........................................................ 12 Figure 2: Overview of biotransformation pathways for aflatoxin B1........................................... 19 Figure 3: Sphingolipid metabolism showing the inhibition of ceramide synthase (x) by fumonisins and the changed concentrations of other compounds caused by this inhibition ........ 23 Figure 4: Overall study design and sample collection procedure ................................................. 52 Figure 5: Thin layer chromatographic plate of the maize gruel samples spiked with AFB1 ....... 60 Figure 6: Thin layer chromatographic plate showing the effect of fermentation on aflatoxin B1 after 24 hours of fermentation....................................................................................................... 60 Figure 7: Effect of pH and lactic acid on aflatoxin B1 reduction during LAB fermentation of maize gruel .................................................................................................................................... 74 Figure 8: The effect of pH and lactic acid concentration on reduction of fumonisin B1 ............. 77 x LIST OF ABBREVIATIONS AND ACRONYMS ANOVA Analysis of Variance AOAC Association of Official Analytical Chemists. AFB1 Aflatoxin B1 BHA Butylated Hydroxy Anisole BHT Butylated Hydroxy Toluene ECS European Committee for Standardization FB1 Fumonisin B1 GRAS Generally Regarded as Safe GAP Good Agricultural Practices GMP Good Manufacturing Practices HCC Hepatocellular Carcinoma IITA International Institute of Agricultural Research IPCS International Programme on Chemical Safety IARC International Agency for Research on Cancer NTD Neural Tube Defect OTA Ochratoxin A OTB Ochratoxin B OTC Ochratoxin C PMTDL Provisional Maximum Tolerable Daily Limit PPB Part per billion PPM Part per million PCA Plate Count Agar SD Standard Deviation xi TFDA Tanzania Food and Drug Authority USEPA US- Environmental Protection Agency USFDA US- Food and Drug Administration xii CHAPTER ONE GENERAL INTRODUCTION 1.1 Background Mycotoxins are toxic secondary metabolites produced by fungi, especially by species of Aspergillus, Penicillium and Fusarium [1]. Factors related to environmental and agricultural practices favours mycotoxins contamination of food and feed in much of the African continent. Most African staple diets are based on crops susceptible to mycotoxins, such as maize, leading high risk of mycotoxins exposure. Tanzania lies between 40ºN and 40ºS latitude; a tropical location that is associated with high humidity and temperatures that favour fungal growth. Mycotoxins adversely affect the health of humans and animals when ingested or inhaled. Mycotoxins, such as aflatoxins, are known to be highly potent mutagenic and carcinogenic substances [2]. Mycotoxins are also immunosuppressive, and they can cause stunting, digestive problems, and nerve defects [2, 3]. In addition, mycotoxins are synergistic in the development of diseases that are common in Africa – malaria and HIV/AIDS for instance. A striking association between mycotoxins (AB1 and FB1) exposures and growth faltering has been reported in Tanzania [4,5]. The symptoms and severity of the symptoms depend upon the type and amount of mycotoxin ingested. Because of the adverse health effects of mycotoxin contamination, fungal contamination of staple crops can cause wastage of large quantities of food. In developing countries where food availability is already a problem, this waste can be extremely detrimental. It is estimated that mycotoxins affect a quarter of the world’s food crops [2]. The majority of sub-Saharan Africa relies on subsistence farming and there is often food insecurity. Food scarcity may force consumption of mycotoxin-contaminated staples particularly 1 if the people are ignorant concerning the adverse effect of eating mycotoxin contaminated foods. Due to the adverse effects associated with consuming mycotoxin, many countries have developed maximum tolerable limits for mycotoxin contamination. However, the standards are mostly enforced for exported or imported commodities and seldom in market places and probably never at the household level. For example, Kenya has maximum tolerable limits in place, but fatalities occurred anyway from consumption of mycotoxins contaminated maize in 2004 [6] because of food insecurity, ignorance of the severe consequences that can occur from consuming mouldy maize, and the inability to enforce standards. In Tanzania, maize is grown in all agro-ecological zones in the country. It is a major staple, but it also serves as a cash crop for about 85% of Tanzania’s population. Annually, more than two million hectares of maize are planted in the country. The annual average yield is 1.2–1.6 tonnes per hectare, accounting for 31% of the total food production [7-10] and more than 75% of the country’s cereal consumption. However, maize is highly susceptible to mycotoxins contamination, particularly by aflatoxin and fumonisin. Decontamination and good agricultural practices are some of the possible intervention strategies that have been proposed to reduce mycotoxin exposure [11, 12]. Because mycotoxins are heat stable, cooking maize does not reduce mycotoxins contamination. There is an urgent need to find affordable, inexpensive approaches for mycotoxin decontamination that could be used by rural communities. One of the strategies used for mycotoxin biodegradation includes the use of lactic acid bacteria (LAB) in an appropriate fermentation process [13]. The mechanism of decontamination by LAB 2 is reportedly via binding of mycotoxins to the cell wall of bacteria and/or conversion of mycotoxins into less or non-toxic forms [13, 14]. However, the specific mechanisms by which indigenous strains of LAB reduce mycotoxin toxicity in cereals is still unknown; and their potential to reduce aflatoxin B1 and fumonisin B1 during fermentation of maize based gruel has never been investigated. 1.2 Problem statement and study justification In Tanzania, maize contributes as much as 41% of the dietary calorie intake nationally. The overreliance on maize-based gruel during a child’s weaning stage increases its exposure to foodborne mycotoxins, particularly aflatoxin and fumonisin. Crops such as soybeans and groundnuts can be added to maize to improve the nutritive value of complementary foods, but soybeans and groundnuts are also prone to mycotoxins contamination. Thus, infant food mixes may be inadvertently providing mycotoxin exposure beyond the provisional maximum tolerable daily limit (PMTDL) [9]. The Tanzanian Food and Drug Authority (TFDA) is mandated with enforcing the standards set by the Tanzania Bureau of Standards (TBS) for mycotoxins, but enforcement focuses primarily on formally packaged foods, which constitutes a small fraction of maize consumption in the country. Fermented maize-based gruel is one popular form of maize consumption in Tanzania. Fermentation by lactic acid bacteria can be used as one practical and novel approach to reduce the mycotoxin content of maize-based foods. This approach could be easily adapted by the Tanzanian society because it is one of the traditional practices among rural communities. It is a low cost method of food preservation and it contributes to improvement of nutritional value and digestibility. No study has been conducted in the country to investigate the potential for 3 fermentation of maize-based gruel to reduce aflatoxin and fumonisin concentrations by using lactic acid bacteria. 1.3 Significance and objectives 1.3.1 Significance and overall objective of the project The overall objective of the research is to investigate the potential for lactic acid fermentation to reduce aflatoxin B1 and fumonisin B1 in a Tanzania maize-based complementary food. This objective is significant because the process can be used as a novel approach to reduce mycotoxin bioavailability in cereal-based weaning foods and improve the health status of children and potentially, even for adults. 1.3.2 Specific objectives The specific objectives are i. To determine the effect of lactic acid fermentation on aflatoxin B1 concentrations in maize-based gruel. ii. To determine the effect of lactic acid fermentation on fumonisin B1 concentrations in maize-based gruel. 1.3.3 Research hypothesis Aflatoxin B1 and fumonisin B1 concentrations in foods prepared from maize are reduced by fermenting these grains with specific prebiotic strains of lactic acid bacteria. 4 BIBLIOGRAPHY 5 BIBLIOGRAPHY 1. Shephard, G. S. (2006). Mycotoxins in the context of food risks and nutrition issues. Barug, D., Bhatnagar, D. Van Egmond, HP, Van Der Kamp, JW, Van Osenbruggen, WA und A. Visconti (Editors): The Mycotoxin Factbook: Food and Feed Topics. Wageningen Academic Publishers, 21-36. 2. Zain, M. E. (2011). Impact of mycotoxins on humans and animals. Journal of Saudi Chemical Society, 15(2), 129-144. 3. Wagacha, J. M., & Muthomi, J. W. (2008). Mycotoxin problem in Africa: current status, implications to food safety and health and possible management strategies. International Journal of Food Microbiology, 124(1), 1-12. 4. Kimanya, M. E., Meulenaer, B. D., Baert, K., Tiisekwa, B., Van Camp, J., Samapundo, S., ... & Kolsteren, P. (2009). Exposure of infants to fumonisins in maize‐based complementary foods in rural Tanzania. Molecular nutrition & food research, 53(5), 667674. 5. Egal, S., Hounsa, A., Gong, Y. Y., Turner, P. C., Wild, C. P., Hall, A. J., ... & Cardwell, K. F. (2005). Dietary exposure to aflatoxin from maize and groundnut in young children from Benin and Togo, West Africa. International Journal of Food Microbiology, 104(2), 215-224. 6. Lewis, L., Onsongo, M., Njapau, H., Schurz-Rogers, H., Luber, G., Kieszak, S., ... & Rubin, C. (2005). Aflatoxin contamination of commercial maize products during an outbreak of acute aflatoxicosis in eastern and central Kenya. Environmental Health Perspectives, 113(12), 1763. 7. Temu, A. E., Manyama, A., & Temu, A. A. (2010). 12. Maize trade and marketing policy interventions in Tanzania. Food Security in Africa: Market and Trade Policy for Staple Foods in Eastern and Southern Africa, 317. 8. Sassi, M. A. R. I. A. (2004). Improving efficiency in the agricultural sector as an answer to globalization, growth and equity: the case of Tanzania. Pavia: Università degli Studi di Pavia, Facoltà di Economia, Dipartimento di Ricerche Aziendali, Quaderni di ricerca, (4). 9. Amani, H. K. R. (2004). Agricultural Development and Food Security in Sub-Saharan Africa Tanzania Country Report. Economic and Social Research Foundation (ESRF) Dar es Salaam, Tanzania. 10. Isinika, A. C., Ashimogo, G. C., & Mlangwa, J. E. (2003). Africa in Transition Macro Study: Tanzania. Afrint Working Paper. 6 11. Turner, P. C., Sylla, A., Gong, Y. Y., Diallo, M. S., Sutcliffe, A. E., Hall, A. J., & Wild, C. P. (2005). Reduction in exposure to carcinogenic aflatoxins by postharvest intervention measures in west Africa: a community-based intervention study. The Lancet, 365(9475), 1950-1956. 12. He, J., Zhou, T., Young, J. C., Boland, G. J., & Scott, P. M. (2010). Chemical and biological transformations for detoxification of trichothecene mycotoxins in human and animal food chains: a review. Trends in Food Science & Technology, 21(2), 67-76. 13. Gourama, H., & Bullerman, L. B. (1995). Inhibition of growth and aflatoxin production of Aspergillus flavus by Lactobacillus species. Journal of Food Protection®, 58(11), 1249-1256. 14. Thyagaraja, N., & Hosono, A. (1994). Binding properties of lactic acid bacteria from ‘Idly’towards food-borne mutagens. Food and chemical toxicology, 32(9), 805-809. 7 CHAPTER TWO LITERATURE REVIEW 2.1 Overview of maize production and handling in Tanzania 2.1.1 Origin of maize Maize (Zea mays L), originally domesticated by indigenous peoples in Mesoamerica in prehistoric times, is a grain plant that quickly spread to the rest of the world because of its ability to grow in diverse climatic condition [1]. More maize is produced annually than any other grain worldwide. Maize varieties exist in different phenotypes and genotypes. The white and yellow varieties are the most preferred, and are region specific. Since its introduction into Africa in the 1500s, maize has become the most dominant food crop in the continent [2]. Maize grain is rich in vitamins A, C and E, carbohydrates, essential minerals, dietary fibre and contains about 9% protein. About 785 million tonnes of maize is produced worldwide, with the United States and Africa producing 42 and 6.5%, respectively. Therefore, Africa imports 28% of the required maize from other countries [3,4]. The largest African producer is Nigeria with nearly 8 million tons, followed by South Africa. 2.1.2 Tanzania maize production and consumption In Tanzania, the maize crop is cultivated on an average of two million hectares, which is about 45% of the cultivated area in the country [5,6]. The crop is grown mainly during the two main planting rain seasons: “masika” and “vuli”. Though maize is grown almost in all regions in the country, productivity is more favourable in the high rainfall areas in Tanzania, such as, southern highlands, the Lake Victoria zone, and the northern zone [7]. Over 80% of the maize growers in 8 Tanzania are peasant farmers that hold up to 10 hectares of farm land per household, accounting for about 85% of the maize produced in the country. Their farming system is, however, characterized by low use of improved technologies (fertilizers, seeds and crop husbandry practices) and poor post-harvest managements, resulting in the observed slow growth in productivity, low yield and increased mycotoxins proliferation [8-10]. As a major cereal grown and consumed in Tanzania, maize is the main staple crop in many households, with over 80% of population depending on it as food [6]. It is estimated that nearly 3 million tons of maize is consumed in Tanzania per year, contributing about 41% of dietary calories to Tanzanians [6]. 2.2 Mycotoxins 2.2.1 Overview of mycotoxins The term “mycotoxin” refers to a toxic chemical by-product readily produced by moulds in crops [21]. Different mycotoxins can be produced by one mould species. Similarly, different mould species can produce the same mycotoxins [11]. Generally, moulds are ubiquitous due to their minute size. Most are aerobic and reproduce by spore-formation. Moulds grow in organic matter wherever humidity and temperature are favourable, and thus are able to proliferate and produce high levels of mycotoxins. The reason for mycotoxin production by moulds is not yet fully understood; however, they are not critical for their growth or the development of the moulds [12]. But because mycotoxins are toxic to 9 other organisms in the environment, the fungus may utilize them as a strategy to destroy other competing organisms and thus promote fungal proliferation. Various intrinsic and extrinsic factors, such as organism infected, its susceptibility, metabolism, and defence mechanisms affect the types and levels of mycotoxins production and their severity [13,14]. Mycotoxin toxicity to animals and humans cause death and other health problems including weakened immune systems and allergies. Some mycotoxins, such as penicillin, cause harm to other micro-organisms including other fungi and even bacteria [15,16]. In the food chain, mycotoxins occur following fungal contamination of crops consumed by humans or when used as animal feed. Mycotoxins are generally resistant to microbial decomposition as well as digestion, Some mycotoxins, unfortunately, cannot be destroyed by common processing methods, such as cooking and freezing [17]. Mycotoxin levels in food therefore need to be regulated and many international agencies are working toward achieving this goal. Most countries recognize the potency of mycotoxin in human and animal health, and some have already placed regulatory measures in their feed industry [18]. The procedure for assessing a need for mycotoxin regulation is not simple. It includes complicated laboratory protocols such as careful sample extraction, clean-up and separation techniques, which require training and experience, as well as sophisticated instruments such as HPLC analysis [19] to determine concentration. It is important to note that regulations and control methods of these mycotoxins must be universal and in agreement with any other countries with which a trade agreement exists [20]. 10 The European Committee for Standardization (CEN) is widely involved in setting the standards for performance for analytical methods for mycotoxins [19]. However, regional differences can be a challenge. For example, cultural and political influence may have significant impact on robustness and effectiveness of universal scientific risk assessment procedures, as well as on trade regulations of food containing mycotoxins [20]. Around the 20 th century, many food-based mycotoxins were reported around the world. Following this, different countries begun regulating mycotoxins levels in food and animal feed [21]. For example, in Europe, the European Directives and Commission regulations set and define the statutory levels of various mycotoxins permitted in food and animal feed. In the U.S., the Food and Drug Administration regulate and enforce limits on concentrations of mycotoxins permitted in foods and animal feeds, and various compliance programs have been put in place to monitor and guarantee that mycotoxins are kept at a minimum level in these industries [21]. Typical tropical conditions (e.g. high temperatures and humidity), harvesting as well as poor post-harvesting practices (e.g. improper storage) promote mould proliferation and mycotoxins in foods and animal feeds [22]. Deoxynivalenol (DON) and ergot alkaloids (produced before harvest), fumonisins and ochratoxins (produced during and immediately following harvest), and aflatoxins (predominantly produced during storage), are the most potent mycotoxins to humans [23]. 11 Figure 1: Chemical structures of mycotoxins found in food O O O O OH HO O O O O O O O CH3 CH3 OCH3 Aflatoxin B1 CH3 OH Citrinin O Patulin COOH COOH O R2 OH R1 O NH2 COOH O COOH Fumonisin B1: R1 = R2 = OH Fumonisin B2: R1 = H; R2 = OH O OH O OH N H OH O O CH3 O O CH3 HO Cl Ochratoxin A O Zearalonone O O OH CH2 C N O O O S NH CH3 CH3 O COOH OMe Penicillin Sterigmatocystin 12 2.2.2. Major groups of mycotoxins 2.2.2.1 Aflatoxins Aflatoxins are naturally occurring mycotoxins of fungal origin that are mainly produced by several species of Aspergillus, particularly, Aspergillus flavus and Aspergillus parasiticus [24]. The four major types of aflatoxins produced in nature include aflatoxins B1, B2, G1, and G2 [25]. In humans, aflatoxin B1, is the most potent toxin and carcinogenic mycotoxin, and can cause cancer of the hepatic system [24]. Human foods that are particularly susceptible to aflatoxin contamination are those cultivated in the tropics and subtropics including maize and peanuts [25]. 2.2.2.2 Ochratoxin Ochratoxin is a group of mycotoxins produced as secondary metabolites mainly by Penicillium and Aspergillus species. These metabolites, namely, Ochratoxin A, B, and C, are typically carried by spores, and can even be detected in air samples at high spore concentrations. The three forms differ from each other by their substituent groups: Ochratoxin B (OTB) is a dechlorinated analog of Ochratoxin A (OTA) and Ochratoxin C (OTC) is an ethyl ester form of OTA. OTA has proven carcinogenic properties and has been associated with tumourogenes is in the human urinal system [26]. In drinks, Aspergillus ochraceus and its toxin can be found in beer and wine; while Aspergillus carbonarius and its toxin can be found in the vine fruit juice [26]. 13 2.2.2.3 Citrinin Citrinin is a mycotoxin that is produced by several species of Penicillium and Aspergillus species. Even though citrinin was first isolated from Penicillium citrinum, it has since been identified in other species such as Penicillium camemberti and Aspergillus oryzae that are used for making cheese and soy sauce, respectively. Moreover, despite the fact that in Japan, consumption of foods contaminated with citrinin was associated with yellow rice disease, its full impact in the rest of the world is still unknown, yet it has also been identified in many other food commodities such as wheat, rice, corn, barley, oats and rye. Citrinin has been proven to depress RNA synthesis in murine kidneys, particularly in the presence of ochratoxin A [11]. 2.2.2.4 Ergot alkaloids The ergot alkaloids are mycotoxins produced by several species of Claviceps, particularly Claviceps purpurea that infect many grasses as well as cereals such as rye, wheat, barley, triticale, oats, millet, sorghum and maize. The main ergot alkaloids are ergotamine, ergocornine, ergocristine, ergocryptine, ergometrine and agroclavine, produced in the sclerotia of claviceps. Ingestion of these ergot alkaloids cause ergotism, the human disease also known as St. Anthony’s fire [27]. Ergotism can be classified into two classes; the gangrenous form which affects the vascular system and the convulsive form which affect the central nervous system. Significant reduction of ergotism as a human disease can be achieved through good manufacturing practices such as grain cleaning [11]. 14 2.2.2.5 Patulin Patulin, reported to damage the immune system in animals [28], is a mycotoxin that is produced by Penicillium, Aspergillus, Paecilomyces and Byssochylamysspecies. It has been associated with a variety of mouldy flour, malt feed, vegetables, cheeses, grains and fruits, in particular rotting apples, pears and figs [29,30]. However, the manufacturing processes such as fermentation and thermal processes destroy patulin, with the exception of apple juice [30]. Consumption practices, such as removal of the rotten portions of most fruits and grains, seem to reduce risk of patulin poisoning, and so patulin does not appear to pose a safety concern. The intrinsic components of a food are also keys in controlling patulin. For instance, the cysteine in cheese has been proven to inactivate patulin [31]. Even though the carcinogenic properties of patulin are still unknown, it has been proven to interfere with the immune system in vivo [28]. Some food products now have set limits of concentrations of patulin set by the European Community. These include fruit juice concentrates, solid apple products for direct consumption, and children’s apple products set at 50, 25 and 10 μg/kg, respectively [32]. 2.2.2.6 Fusarium mycotoxins The two main mycotoxins produced by Fusarium, a member of the filamentous moulds widely distributed in soil, are fumonisins and trichothecenes. Because of the relative abundance of Fusarium in the soil, these mycotoxins can enter the food chain through commonly consumed cereals such as maize and wheat [33]. Ingestion of fumonisins has been reported to cause dysfunction of the nervous systems and cancer in horses and rats and oesophageal cancer in humans respectively. On the other hand, ingestion of trichothecenes causes fatal toxic effects in 15 both animals and humans. Other less prominent Fusarium toxins have also been identified, including zearalenone, beauvercin, enniatins, butenolide, equisetin, and fusarins [34]. 2.3 Occurrence of mycotoxins in cereal grains Due to the relative abundance of mycotoxins-producing moulds in the soil, crops grown under conventional and/or organic agriculture are both not immune to mycotoxins contamination [35]. However, post-harvest handling of crops, especially cereal grains; play an important role is determining the extent of fungal proliferation on human foods. For example, maize stored under poor conditions may be infected by Aspergillus flavus and Fusarium verticillioides, which have great potential of producing toxic such as aflatoxins and fumonisin. Aflatoxin B1 and fumonisin B1 will be covered in this study. 2.3.1 Aflatoxin B1 Of the four naturally occurring aflatoxins (B1, B2, G1 and G2), aflatoxin B1 (AFB1) is the most abundant and toxic. The US Environmental Protection Agency (USEPA) has classified aflatoxin B1 as a group 1 carcinogen (that means carcinogenic to humans) [36] and a Class A or group 1 carcinogenic agent due to the exposure to hepatitis B virus [37]. AFB1, the most predominant aflatoxin in cases of aflatoxicosis illness, is found in many staple foods including cereals such as maize and wheat, in products made from these cereals, in oilseeds such as cotton seed, in nuts such as pistachio, and in other foods which are commonly consumed by humans such as chillies and peppers, wines, legumes, fruits, milk, and milk 16 products. Exposure to high levels of AFB1 is lethal due to its acute toxicity, chronic toxicity, carcinogenicity, teratogenicity, genotoxicity and immunotoxicity. Aflatoxin M1 (AFM1), is a metabolic derivative of AFB1, and aflatoxin M2 (AFM2), is a metabolic derivative of AFB2; both occur in milk as well as milk-based and meat based products (hence the designation M1) [38, 39]. High incidence rates of aflatoxin M1 have been reported in several regions of the world; however, the reported contamination levels have not caused any serious public health problem [36]. Populations of developing countries in tropical regions, which rely on these commodities as their staple food source, are the most susceptible to aflatoxicosis [38] through contaminated foods [40]. This is because available economic resources cannot ensure proper regulation and implementation of aflatoxin control measures at pre-harvest and post-harvest stages to limit aflatoxin exposure in the food supply. Because of high incidences of aflatoxin contaminated food crops in the tropics, aflatoxin poisoning is now considered an important public health issue. Chronic incidence of aflatoxin in diets is evident from the presence of aflatoxin M1 in breast milk and in umbilical cord blood samples in several human subjects sampled in Africa [41]. Generally, concentration and toxicity of aflatoxins vary with the amount of aflatoxin ingested and the physiological state of the body. Adult humans usually have a high aflatoxin tolerance, however, children exposed to acute poisoning may die [42]. 17 2.3.1.1. Biochemical mode of action Aflatoxins are enzymatically converted by the microsomal mixed function oxidase (MFO) primarily present in the liver. Depending on affinity and expression, the main enzymes involved in aflatoxin metabolism are CYP3A4, 3A5, 3A7 and 1A2; the most important of these is CYP3A4 [43]. Therefore, following AFB1 ingestion and transportation to the liver, it is enzymatically metabolized by the cytochromes p450 (CYP) of hepatocytes to form its major carcinogenic metabolites AFB1-8,9-exo-epoxide and AFB1-8,9-endo-epoxide (AFBO), or to less mutagenic forms such as AFM1, Q1 or P1 [44,45]. Figure 2 shows the pathways that AFBO takes, leading to cancer and toxicity. AFB1-8,9-exoepoxide is highly unstable, and readily binds to cellular macromolecules such as proteins and DNA, to form adducts, such as 8,9-dihydro-8-(N7-guanyl)-9-hydroxy-AFB1 (AFB1–N7-Gua) adduct, which is then excreted in the urine of those exposed [46]. AFB1–N7-Gua adduct is the most important product that establishes the mutagenic properties of the compound. The AFBO not only reacts with DNA but also with guanine residues of specific sites, in particular the third base position of codon 249 of the human p53 tumour suppression gene [47]. Indeed, the conversion from G (guanine) to T (thymine) at the 3 rd nucleotide of the codon induced by AFBO makes it a critical locus for mutation, and has predominantly been reported among patients with hepatocellular carcinomas who have been exposed to high levels of aflatoxins [48]. 18 Figure 2: Overview of biotransformation pathways for aflatoxin B1 AFB 1 AFM1, AFP1, AFQ 1 UDP-GT, ST Glucuronide & sulphate conjugate CYP450(s) Lipoxygenase PHS AFB1-8,9-epoxide Oxo, endo-stereoisomer DNA repair DNA adduct GST(S) GSH conjugate Epoxide hydrolase Protein binding Dihydrodiol Mutation Cell death CANCER TOXICITY Enzymes systems such as glutathione-S-transferase (GST) facilitate metabolic detoxification of AFBO, thus reducing the damage to DNA and other cellular constituents caused by AFBO; this is an important strategy for prevention of mutations [48]. Levels of GST (effective in neutralizing the toxic effects of AFBO), in both animals and humans, vary significantly. For example, mice have 3-5 times more GST activity than susceptible species such as rats; as such, mice are more resistant to aflatoxin carcinogenesis than rats. Unfortunately, humans have lower GST activity or AFBO conjugation than rats or mice, suggesting that humans are inferior at detoxifying AFBO [49]. However, lower aflatoxin intake is still the best strategy to reduce hepatocellular carcinoma (HCC) in humans. 19 AFB1 is a strong potentiating factor for human HCC [50]. For example, a cohort study of more than 18,000 individuals in China found that a person exposed to AFB1 is 3.4 times more likely to develop HCC [50]. However, human clinical trials of this population showed that excretion of AFB1-mercapturate (a metabolite of GST reaction with AFB1) significantly increased when subjected to a daily dose (125 mg/d) of oltipraz. However, long term effects of oltipraz in lowering human risk for AFB1 carcinogenesis are still unknown. Therefore, epidemiological studies investigating such intervention strategies and mechanisms underlying overall susceptibility are still required. In Africa, Gambia and Kenya are among the areas with reported high incidences of HCC. A seven day study of the Gambian population revealed that urinary aflatoxin metabolites reflected day-to-day variations in aflatoxin intake, demonstrating the critical dose-response relationships for various aflatoxin metabolites, including the major nucleic acid adduct, serum aflatoxinalbumin adduct, and AFM1 [51]. Such relationships are typically dependent on the specific urinary marker under study. For instance, AFB1-N7-Gua and AFM1 were strongly correlated with intake, whereas urinary AFP1, a different oxidative metabolite, had no such correlation. Therefore, it is evident that measuring dietary aflatoxin intake and biomarkers at the individual level is crucial in validating a biomarker for aflatoxin exposure assessment [52]. In Kenya, however, acute human aflatoxicoses have already caused serious fatal problems. For example, in 2004, a severe outbreak, causing a 39% death rate, was reported in some districts in 20 Kenya, in which up to 12% of half of the maize food samples tested contained AFB1 levels ranging from 1000 – 8000 ppb, which is significantly higher than 20 ppb (the upper safe limit set by Kenya). Out of the 317 cases reported, 125 of the deaths were caused by acute hepatotoxicity [53]. 2.3.2 Fumonisins Fumonisins are mycotoxins produced by different species of Fusarium, of which Fusarium proliferatum and Fusarium verticillioides are the most dangerous contaminants on crops in the field and during storage [54]. More than 15 types of fumonisins have been isolated and characterized. Group B fumonisins (i.e. B1, B2 and B3) are believed to be the most toxic and the most predominant, constituting about 70% of fumonisins found naturally in food and feeds [55]. Fumonisins are highly water soluble; but since they are not aromatically structured, they are usually hard to detect and identify [56]. Pathogenic effects of fumonisins include fatal diseases to farm animals. Major outbreaks of equine leukoencephalomalacia in horses were reported in 1989 and 1990 in the United States as the result of ingestion of fumonisin contaminated maize [57]. Pigs have also been shown to suffer from pulmonary oedema after ingesting fumonisin contaminated feeds [58]. The International Agency for Research on Cancer (IARC) has classified fumonisin B1 as a 2B group compound, which means that it is potentially carcinogenic [36]. In humans, fumonisin has been linked with oesophageal cancer in some regions with high maize consumption such as 21 South Africa, China and northern Italy [59]. Fumonisin B1 reportedly causes interruption of sphingolipid metabolism through inhibition of ceramide synthase enzymes responsible for lipid synthesis. This in turn affects the uptake of folic acid in the human body which may result in neural tube defects (NTD) [60]. Different studies in animal have successfully examined the ratio of sphinganine/sphingosine as a biomarker of fumonisin exposure [61]. However, in human studies, this correlation could not be established [62]. 2.3.2.1 Fumonisin B1 mechanism of action Fumonisin B1 is known to have a similar structure to sphingoid bases (i.e. sphingosine and sphinganine) which are the principle components of the sphingolipid molecule. The part of fumonisin B1 that is structurally similar to sphingoid bases (the aminopentol part) may interact with the sphinganine binding site of ceramide synthase, with a further interaction between the negatively charged tricarbyllic acid groups and the fatty acyl-CoA binding site [63]. Thus, the proposed mechanism of action of the toxin is mainly through disruption of sphingolipid metabolism (Figure 3). Fumonisin B1 fills the fatty acyl-CoA space, thus is not acylated in the reaction, and by doing so it inhibits ceramide synthase which is a key enzyme in de novo sphingolipid biosynthesis (Figure 3) [63]. Subsequent hydrolytic removal of tricarbillic acid group from fumonisin B1 results in a product known as aminopentol and this compound acts as both an inhibitor and a substrate for ceramide synthase [64]. Ceramide synthase can then acylate aminopentol to form N-palmitoyl-AP1 [65]. This supports the suggestion that the aminopentol part of FB1 occupies the space of sphinganine in the enzyme. N-palmitoyl-AP1 is a highly potent inhibitor of ceramide synthase and may be responsible for the toxicity of nixtamalized fumonisins [64]. 22 Figure 3: Sphingolipid metabolism showing the inhibition of ceramide synthase (x) by fumonisins and the changed concentrations of other compounds caused by this inhibition Palmitoyl CoA+ serine Serine palmitoyltra nsferase Increase biosythesis of phosphatidlyethanolamine and selected fatty acid Sphinganini -1-p lyase Free sphingaine Sphingaine-1-p Phosphoethanolamine + long chain aldehyde Lyase Sphingosine-1-p CoAdependant ceramide sythase Ceramide Complex sphingolipids x Kinase Sphingosine Ceramide 2.3.2.2 Toxic effects Due to the toxic effect associated with consumption of fumonisins contaminated foods in both human and animals, various international organizations (i.e. World Health Organization’s International Programme on Chemical Safety (IPCS) and the Scientific Committee on Food (SCF) of the European Commission) have identified recommended maximum fumonisin levels that are considered adequate to protect human and animal health and that are achievable in human foods and animal feeds [65]. These organizations evaluated all possible risk associated with fumonisin exposure and determined the tolerable daily intake (TDI) [65]. TDI ranges from 2 to 4µg/g in maize intended for human consumption, and 1 to 50µg/g in animal feeds [18]. 23 Limited information is available on the kinetics and metabolism of fumonisins in humans [63]. However, several possible pathways that may result in fumonisin toxic effect have been proposed. One mechanism is through alteration of sphigolipid metabolism by blocking the ceramide synthase enzyme, resulting in reactive oxygen species (ROS) production. This generates an increase in oxidative stress and induction of lipid peroxidation that damage cells [66]. To support this argument that (fumonisin produces ROS), studies have shown that fumonisin treatment decreases the level of glutathione – a small intracellular protein in the body which has anti-oxidative property [67]. Fumonisin may also induce cytotoxic effects through fragmentation of DNA and caspace-3 activation which result in induction of apoptosis in various cells and tissues. Studies have demonstrated that fumonisin B1 stimulates apoptosis of several different human and animal cell types, indicating that treatment can directly lead to apoptosis [68]. 2.3.2.3 Toxic effects in humans 2.3.2.3.1 Neural tube defects A deficiency of folic acid may be a major risk factor for neural tube defect (NTD), i.e., a defect of the brain and spinal cord in the embryo that results from failure of the neural tube to close [69]. Disruption of sphingolipid metabolism by fumonisin B1 may affect folic acid uptake and cause NTD [66]. In 1990 and 1991, a NTD outbreak was reported to occur along the TexasMexico border and it was suggested that the outbreak might have been caused by high levels of fumonisin B1 that had been reported in corn in the previous season [70]. A similar outbreak was 24 reported in China and South Africa in regions with high corn consumption showing a high prevalence of NTD [60]. 2.3.2.3.2 Oesophageal cancer Available clinical trials conducted in South Africa and China suggests a correlation between dietary fumonisin exposure and oesophageal cancer. This was observed in regions with proportionately high exposure to fumonisin and where environmental conditions promote fumonisin accumulation in maize, which is an important dietary staple [60]. People living in such regions with high of FB1, FB2 and F. verticillioides in maize are at higher risk to develop oesophageal cancer [71]. This was observed in some areas in Italy, Iran, Kenya, Zimbabwe, United States and Brazil [18]. However, there was no correlation found between sphingolipid levels in blood cells and cancer incidence with serum sphingolipids and risk of oesophageal cancer [60]. 2.4 Overview of mycotoxins in African countries Mycotoxin contamination in food products is a serious issue in African countries [3]. Avoiding consumption of food contaminated with mycotoxins seems to be one of the most fundamental approaches for minimizing the risks associated with mycotoxicosis risk in humans. However, avoidance of contaminated food is not feasible for poor communities in sub-Sahara Africa. Therefore, feasible mitigation strategies to manage mycotoxins contamination are highly encouraged or sought [72]. At least fifteen African countries, accounting for approximately 59% of the continent’s population, have had mycotoxin regulations since 2003 [73]. There are numerous reports on 25 aflatoxin levels in commodities such as maize and peanuts, which exceed the allowable limits, set by the Codex Alimentarius, especially in Africa. Mycotoxicosis has already caused massive fatalities in the Africa continent. For example, a widespread outbreak of mycotoxicosis in the North Eastern region of Kenya in 2004 caused 125 deaths out of the 137 cases reported, resulting from consumption of contaminated maize [74]. The same region experienced a similar outbreak in 2005 and 2006. Mycotoxin contamination in grains and other staple foods and feedstuffs has serious implications to human health. In Tanzania, for instance, growth faltering is affecting infants and young children in the country. In year 2004–2005 growth failure statistics, stunting, underweight and wasting affected about 38, 22 and 3% of children under 5 years of age, respectively. Growth retardation is often experienced during the weaning period, suggesting a possibility of fumonisin and aflatoxin contaminated complementary foods being a causative agent for stunting of young children in the country. A study conducted to assess fumonisin exposure for infants consuming maize in Tanzania revealed the percentage of fumonisin exposure that was significantly higher than the provisional maximum tolerable daily intake (PMTDI) [75]. Other reports from West Africa (Benin and Togo) showed that children exposed to higher aflatoxin level had lower height gains than those exposed to the lowest levels [76]. 2.4.1 Current status of mycotoxins in Africa Exposures to mycotoxins are widespread in Africa. Different food commodities across the continent have been tested for mycotoxins and reportedly carry mycotoxins levels above the recommended limit. In some villages in Tanzania, for example, 52% of 120 home-stored maize 26 samples collected in 2005 were contaminated with fumonisins at levels of up to 11,048 μg/kg. Around the same year, Tanzanian maize-based weaning foods consumed by 131 infants contained fumonisins at levels ranging between 21 to 3,201 µg/kg [77]. Maize samples collected from home storage facilities in Kenya in 2010 were found to contain 1,776 ppb aflatoxin while those sampled from the markets had 1,632 ppb aflatoxin [78]. In 2010, about 40% of corn sampled from farms in the Eastern and Western Kenya had aflatoxin level of >10 ppb; while maize in Benin contained 4,000 ng/g aflatoxin. Other foods also contain mycotoxins. In Nigeria, peanut oil and yam flour reportedly contained 500and 7,600ng/g of aflatoxin, respectively [79]. A significant number of peanuts harvested in Mali were also found to contain >10 ppb aflatoxin levels in the 2009 – 2010 season, while peanut paste had 300 ppb [80]. In Ghana, however, aflatoxin levels in peanuts and peanut paste were reported as 216 and 3,278 ng/g, respectively. Intervention strategies are urgently needed to manage/mitigate mycotoxin contamination, particularly aflatoxin and fumonisin, which affect most of the foods in the region. 2.4.2 Factors that affect mycotoxins production in Africa 2.4.2.1 Climatic conditions Hot and humid conditions are critical environmental components that favour growth of moulds and mycotoxins production. These conditions are typical in most parts of Sub-Saharan Africa. Drought stress and other factors facilitate toxigenic mould infections which promote production of mycotoxins. Drought stress can happen rapidly if plants are exposed to high ambient temperatures and low relative humidity [81]. High temperatures, drought, poor fertilization, and 27 strong nutrients competition are some conditions that results into weakening of plant’s natural defences, thus predisposing them to increased mycotoxins infections. Intrinsic factors such as moisture content, water activity, substrate type, plant type and nutrient composition may influence growth of mycotoxigenic fungi as well as toxin production in the field. 2.4.2.2 Pest infestation Insect infestation is one of the major causes of deterioration of grains in the fields and in storage facilities since insects act as vectors of mycotoxigenic fungi [82]. Insect damage results into lowering of cereals’ quality and market value of the crops, and can render crops unsafe for human consumption. Pest infestation can be caused by poor harvesting and storage practices; higher levels of insect damage increases risk of mycotoxins contamination [82]. 2.4.2.3 Fungicides and/or fertilizers Fertilizers and fungicides, if properly used, can be effective at inhibiting mould growth and mycotoxin production [83]. For example, NPK (Nitrogen, Phosphorus and Potassium) fertilizer has been found to reduce aflatoxin while urea fertilizers increases aflatoxin levels on corn. However, some fungicides such as Fenpropimorph have actually been observed to not only significantly increase aflatoxin B1 and aflatoxin G1 production but to also shift production in favour of the more potent aflatoxin B1 [84]. 28 2.4.2.4 Post-harvest handling After harvest, food commodities may be stored, transported, and processed, before reaching consumers. Each step in this process has the potential for mycotoxin contamination if appropriate preventive measures are not taken. For example, if transport containers are not dry and have free visible mould growth, insects or any contaminated material; this can promote mould growth which results into mycotoxins production. Wet storage of cereals, the presence of insects during storage, and the use of storage facilities which are not well ventilated have been reported to be major reasons for mycotoxigenic mould growth during storage [22]. 2.5 Possible mitigation/intervention strategies for mycotoxins in Africa Cereals, roots and tubers dominate crop production in most African countries [85]. These food crops are highly susceptible to mycotoxins contamination, and in particular aflatoxins and fumonisins. Constantly social- economic challenges accelerate the magnitude of mycotoxins problem [90]. Good agricultural practices (GAP) during pre-harvest and good manufacturing practices (GMP) after harvest are proposed as a primary line of defense against contamination of cereals with mycotoxins [86]. Multidisciplinary approaches involving all actors along the food chain are critical for mycotoxins reduction and control. 2.5.1 Pre-harvest interventions Crop management during the period of production is critical for reducing mycotoxins, including minimizing insect damage and fungal infection and proper use of registered insecticides, 29 fungicides and herbicides. Mechanical injury to the plant during cultivation should also be reduced [87]. One valuable method to reduce plant stress is the use of irrigation. However, in most African countries, this practice is still a challenge due to issues related to water availability and cost [88]. Crop rotation should be encouraged; and care must be taken to avoid rotating crops identified to be susceptible to toxigenic moulds with each other. Grains should be harvested after reaching maturity, and then dried to safe moisture level (13%) before storage [88]. Cleaning and removal of infected seeds should follow recommended procedures. 2.5.2 Storage Storage facilities should be well ventilated and protected from rain. Drainage of ground water should be achieved, and insect and rodent infestation should be minimized. Crops to be stored should also be dried to a safe moisture level to ensure prevention of fungal invasion and mycotoxin production [89]. 2.5.3 Biological control strategies Indigenous atoxigenic strains of A. flavus that outcompete and replace the toxin-producing strains have been identified as one potential strategy to mitigate mycotoxin contamination in Africa. This technique, pioneered by the USDA and International Institute for Agricultural Research (IITA), involves the development of Aflasafe which contains indigenous atoxigenic strains of A. flavus and has been used effectively in some African countries such as Nigeria in 30 controlling mycotoxins in maize [90]. In Tanzania, atoxigenic strains of aspergilli have been isolated and atoxigenic cultures are being developed. 2.5.4 Physical methods Physical separation of visibly contaminated product can be applied as one mycotoxin minimizing strategy. Sorting and cleaning may lower levels of mycotoxins by removing the contaminated material. Broken maize kernels have been reported to contain nearly 10 times higher levels of mycotoxins [91]. Thus, visible sorting of grains can reduce the exposure of subsistence farmers and consumers to mycotoxins [92]. 2.5.5 Food surveillance Surveillance for mycotoxins is a primary intervention routine done in order to protect consumers and economic interests of producers and traders in various countries. Surveillance data can be used to establish regulatory guidelines that define the limits of mycotoxins, especially aflatoxins and fumonisins, in foods. However, in many developing countries, these guidelines require better enforcement to help minimize risk for aflatoxicosis to these populations [65]. 2.5.6 Community education Sensitization, or educating the community about mycotoxins, could be the most practical and fundamental intervention at the subsistence farm level in developing countries. This includes education on how to use low-energy technologies for food preservation, proper food handling and storage methods [93]. If these primary approaches can be routinely adapted and implemented 31 it can significantly reduce the level of mycotoxins contamination in post-harvest foods and associated exposure in human populations. 2.6 Fermentation 2.6.1 Traditional fermentation Traditional fermentation is one of the oldest methods of food preparation, processing and preservation. Fermented foods have improved taste and texture, extended shelf life, improved nutritional value, and in some cases improved levels of safety. Fermentation of locally consumed foods is considered a cost-effective and nutritionally beneficial technology for communities with food safety and malnutrition problems, especially in developing countries. Changes that occur during the fermentation process are predominantly the result of enzymatic activity brought about by bacteria, yeasts and moulds. Some microorganisms produce desirable characteristics while others are responsible for spoilage or toxicity. Several microorganisms may be involved in a particular, single fermentation; and each may be responsible for a specific change or series of changes in the entire process [94]. 2.6.2 Tanzanian fermented gruel Fermented gruel, commonly known as togwa, is made from maize, sorghum, millet, cassava, or a blend of two or more of these cereal flours. Basically, togwa can be made by mixing flour with water. This mixture is then boiled, cooled and left to ferment for at least 18 hours. Togwa can be served at any time of the day in traditional (rural) society, either alone as a thirst quencher or as a breakfast drink. Togwa is also widely used as a complementary food for children. It has a long 32 history in Tanzanian tribal custom, that is, as it is consumed as a symbolic drink during ceremonies such as weddings, funerals, dances and other occasions. Consumption of togwa in the country has been declining particularly in urban areas. Decline in consumption is thought to be the result of several factors, including the time needed for preparation and the availability of cheaper and more easily prepared substitutes such as tea and coffee. 2.6.3 Lactic acid fermentation 2.6.3.1 Lactic acid bacteria Lactic acid bacteria (LAB) are Gram-positive, catalase-negative, non-spore forming rods and cocci. They are generally non-motile and utilize carbohydrates fermentatively to form lactic acid as the major end product [95]. A few LAB are aero-tolerant Most LAB are used for preservation of food products such as sauerkraut, fermented cereal gruels and legumes [96], by inhibiting the growth of spoilage and pathogenic bacteria through production of lactic acid, acetic acid, diacetyl, and acetaldehyde. Accumulation of these products causes inhibition of spoilage bacteria in some foods and beverages. The use of LAB in food preservation and to enhance food safety has recently gained momentum, as consumers are increasingly becoming more concerned with products containing artificial preservatives. All LAB used in food fermentation have GRAS (Generally Regarded As Safe) status [78]. 33 2.6.3.2 Potential of lactic acid bacterial in reducing aflatoxins and fumonisins One practical approach for the prevention of mycotoxins (aflatoxin B1 and fumonisin B1) is the use of lactic acid producing bacteria. LAB are reported to be able to metabolize or transform mycotoxins into compounds that are less toxic. The ability of some of the LAB strains to repress mycotoxins by producing low-molecular-weight metabolites and/or binding of the toxic to bacteria cell wall has been reported [97]. Microorganisms can either use sorption and/or enzymatic degradation to detoxify mycotoxins. Lactic acid bacteria can absorb mycotoxins either by attaching them to their cell wall components or by active internalization and accumulation [98]. During cell rupture, it is postulated that LAB can release molecules that potentially inhibit mould growth and therefore lead to a lower accumulation of their mycotoxins [99]. Some LAB, have been identified with the strain-specific ability to reduce mycotoxins, especially aflatoxins with great efficiency [100]. For example, an in vitro study on probiotic strains such as Lactobacillus rhamnosus GG and Lactobacillus rhamnosus LC-705, demonstrated that they were very effective in removing aflatoxin B1, with more than 80% of the toxin removed [101]. 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Surface binding of aflatoxin B1 by lactic acid bacteria.Applied and Environmental Microbiology, 67(7), 3086-3091. 101. Shah, N., & Wu, X. (1999). Aflatoxin B1 binding abilities of probiotic bacteria.Bioscience and microflora, 18, 43-48. 44 CHAPTER THREE EFFECT OF LACTIC ACID FERMENTATION ON AFLATOXIN B1 AND FUMONISIN B1 IN FERMENTED MAIZE-BASED GRUEL 3.1 Introduction Even though maize is known to be highly susceptible to aflatoxin and fumonisin contamination, lack of adequate economic resources in developing countries such as Tanzania prevent proper implementation of existing regulations to reduce aflatoxins and fumonisin exposure in the food supply. Many factors promote mycotoxin contamination of Tanzanian maize including drought stress, erratic rainfall, insect activity, soil type, minimum and maximum daily temperatures [1], poor harvesting practices, heavy rains during harvest, improper drying before storage and poor storage methods (i.e. gunny bags, poor traditional storage structures, etc.) [2]. Additionally, unprecedented climate change and global warming provide the right conditions where fungi proliferate and produce high levels of aflatoxins and fumonisins [3]. As such, the production environment and handling practices increase the risk of toxic contamination of Tanzanian maize, thus presenting serious health problems to both humans and animals [2]. This is because not only the grains (generally consumed by people), but also the whole plant from which they are harvested (generally fed to animals), can be contaminated by mycotoxins. The danger to humans is exacerbated because maize is a major cereal staple and component in Tanzanian complementary food, such as gruel, thus increasing the risk of exposure of many Tanzanian children to high levels of these toxins in their diets at an early stage. This is particularly problematic because children are highly susceptible to aflatoxins and fumonisins [4]. In children, these toxins may cause stunted growth, and in severe cases, culminate in liver failure and even death. Unfortunately, many rural and urban communities in developing countries such as Tanzania may not be aware of risks associated with mycotoxins [5]. It’s even 45 more alarming that a majority of sub-Saharan Africa inhabitants are at risk for chronic dietary exposure to mycotoxins [6]. It is also unsettling that the number of people in these countries, including Tanzania, who are occasionally exposed to high levels of mycotoxins in contaminated foods, is still unknown. In certain areas where hepatitis B virus (HBV) infection is endemic such as in China and other parts of Asia, chronic dietary exposure to aflatoxins can cause aflatoxicosis in episodic poisoning outbreaks, thus HBV patients are considered at risk for fulminant liver failure [7], and in severe cases, hepatocarcinogenicity [1]. A similar situation in Tanzania would also be catastrophic. Due to this largely ignored worldwide health matter, some organizations and institutions such as the International Agency for Research on Cancer (IARC) have classified aflatoxin B1 (AFB1) as a group 1 carcinogen (which means it is carcinogenic to humans) and fumonisin B1 (FB1) as a group2B compound (which means that it is potentially carcinogenic) [8,9]. Thus, a great number of prevention strategies have been proposed to reduce the risks posed by AFB1 and FB1, particularly in developing countries. However, the full benefits of efforts to reduce the risk in local communities have not been realized due to lack of political will and financial commitment from host governments. A significant amount of Tanzania’s maize crop is used for direct human consumption. However, the prevalence of aflatoxin and fumonisin contamination in Tanzanian maize varies significantly; more prevalence is reported in the Eastern and Western agricultural zones. Therefore, because of the enormous significance of AFB1 and FB1 (responsible for acute toxicity, chronic toxicity, 46 carcinogenicity, teratogenicity, genotoxicity and immunotoxicity), the Tanzanian Food and Drug Authority (TFDA) recently conducted aflatoxin testing for 254 maize samples. They found that average aflatoxin levels in maize samples from the Eastern zone (Morogoro) and the Western zone (Shinyanga) were 50 and 28 ppb, respectively [10]. More than 40% of all maize sampled from both regions had more than 5 ppb aflatoxin (minimum tolerated dose in Europe). From a global health perspective, these results show that infants and school children that regularly consume maize-based complementary foods (especially those living in the Morogoro and Shinyanga regions), are at higher risk of dietary aflatoxin exposure due to their relatively high energy needs, which can lead to stunting. Increased incidences of neural tube defects in infants of mothers who consume maize-based foods contaminated with fumonisins have also been reported [11]. In adults, however, fumonisin contamination is reportedly associated with oesophageal and liver cancers in South Africa [12] and China [13], respectively. Around the world, many communities rely on maize as a dietary staple food. In India, a severe outbreak of abdominal pain and diarrhoea was associated with consumption of mouldy maize contaminated with fumonisin B1 [14]. It is therefore important not only to discourage consumption of mouldy crops but also to find better processing methods that can eliminate or reduce the concentration of food-borne fumonisins. The Tanzanian Food and Drugs Authority (TFDA) is tasked with enforcing standards for maximum aflatoxin and fumonisin concentrations that were set by the Tanzanian Bureau of Standards (TBS). These standards apply to several products that are highly susceptible to contamination by aflatoxin and fumonisin (e.g. maize and maize products). However, most of 47 their efforts focus on formally packaged foods intended for domestic and export markets. Sadly, because of the socio-economic and cultural status of the Tanzanian population, a majority of these toxin-susceptible foods, which are typically unpackaged, are locally consumed or traded within domestic markets without being tested by TFDA. Thus, there is a significant risk of mycotoxicosis outbreaks should there be contamination levels similar to those in Kenya in 2004. Unfortunately, most Tanzanian maize farmers and consumers still have a low awareness about these toxins and their health impacts primarily due to weak regulatory mechanisms, poor preand post-harvest management practices, and economic pressure during chronic food shortages [15]. It is therefore critically important to find practical and economical approaches to reduce the level of mycotoxin in foods and this approaches must be accepted by the local population. Traditional fermentation, one of the oldest practices for food preparation, could be a practical and novel approach that can be used in reducing aflatoxins and fumonisins in cereal-based foods. It is a low cost method of food preservation that not only improves the nutritional value and organoleptic properties of food but also its digestibility [16]. Traditional lactic acid bacteria (LAB) fermentation, which is known to confer preservative and detoxifying effects on food and feed, can be used to make fermented gruel. Selected strains of lactic acid bacteria reportedly reduce mycotoxins to trace levels during fermentation. Thus, it is expected that when used to ferment maize gruel, fermentation may represent one key strategy to reduce health risks associated with exposure to aflatoxins and fumonisins. Even though trace amounts of these mycotoxins in fermented food products should continue to be a cause for concern, the extent to which LAB fermentation may reduce the biological potency of aflatoxin 48 and fumonisin contaminated maize gruel is still unknown. Therefore, the effect of LAB fermentation process on maize gruel was investigated in this study in order to elucidate its ability to reduce the levels of AFB1 and FB1. 3.2 Materials and methods 3.2.1 Starter culture preparation Strains of lactic acid bacteria (Lactobacillus plantarum B 4496, Lactobacillus casei subsp casei B 1922, Lactobacillus fermentum B 1840, Pediococcus pentosaceus B 14009, were obtained from the NRRL Culture Collection Centre at the National Center for Agricultural Utilization Research, Agricultural Research Service, United States Department of Agriculture, Peoria, Illinois, USA. Co-cultures composed of Enterococcus faecium, Lactobacillus plantarum and Lactobacillus buchneri (AS), or consisting of Enterococcus faecium, Lactobacillus plantarum and Lactobacillus lactis (SR3.54) (MC) were obtained from Chr. Hansen, Germany. The lyophilized strains were activated by inoculation into MRS broth (Becton) in screw-capped test o tubes and incubated at 30 C for 24hours (Becton Dickinson, Cockeysville, MD, USA). The LAB were single colony isolated by streaking on MRS agar (Fischer) plates which were o incubated at 30 C for 48 hours. A colony was picked from each plate, grown in MRS broth, and then centrifuged at 655×g for 15 min (Kubota 2010, Kubota, Tokyo, Japan). The bacterial cell pellet was then washed in peptone physiological salt solution (ingredients and concentrations), centrifuged as above, and re-suspended in physiological salt solution. The procedure resulted 7 into a culture preparation containing 10 colony forming units (CFU, examined as viable count o on MRS agar). The remaining LAB were stored in an ultra-freezer at –80 C in sterile cryo-tubes 49 containing MRS broth with 10% (v/v) glycerol (with several acid-washed glass beads) until required. 3.2.2 Gruel sample preparation Maize and millet grains for gruel preparation were purchased from Morogoro municipality markets in Tanzania. Maize grains were ground using a Neogen Grinder #9401 (Neogen, USA) and the flour was collected, sieved (Retsch, USA) and stored in cool and dry cupboard. Millet grains were cleaned, weighed and then steeped in water at room temperature for 18 h. The steeped grains were washed thrice at 6 h intervals to prevent fermentation. After steeping, the grains were spread on a cheese cloth, covered, sprinkled with water, and left to germinate in a dark cupboard at room temperature for 48h. Germinated millet grains were sun-dried, milled and the flour was sieved (mesh size 20 µm) and stored in a dry container before use for preparation of gruel samples. Gruel was prepared according to procedure described by Mugula [17]. Maize flour was mixed o with water in a ratio of 1:9 (10% w/v), and the slurry was heated (100 C) (Belling,UK) while stirring continuously for approximately 20 minutes. The mixture was then cooled using water bath (Memmert, Germany). For naturally fermented samples (NF); the gruel was cooled to o around 30 C and then mixed with millet malt flour at a ratio of 9:1. To prepare back slopped samples (BS), the gruel was mixed with millet malt flour and this was inoculated by addition of (10% v/v) a successful spontaneously fermented gruel. To prepare control fermentation samples, 50 o malt flour was added when the gruel reached a temperature of 55 – 58 C, left to cool, sterilized o o by autoclaving at 121 C for 15 minutes, and then cooled to 30 C prior to inoculation. 3.2.3 Sample spiking and inoculation For natural fermentation and back slopping, 100 mL of prepared gruel sample was spiked with 800 ppb of aflatoxin B1 and 20 ppm of fumonisin B1. For controlled fermentation, 100 mL of the sterile gruel was spiked with 800 ppb aflatoxin B1 and 20 ppm fumonisins B1 followed by inoculation with 1mL of LAB cultures. The inoculated samples were completely vortexed (Gene-2 Model G-560E, Scientific Industries, Behemia, New York) to make a homogenous mix. In summary, triplicates of the spiked sample were prepared as follows (Figure 5): (i) gruel spiked with aflatoxin B1 and fumonisins B1, but fermented naturally (NF); (ii) gruel spiked with aflatoxin B1 and fumonisins B1 and fermented by back slopping (BS); (iii) gruel spiked with aflatoxin B1 and fumonisins B1, fermented with various LAB cultures. Each tube was screwcapped aseptically, vortexed and allowed to ferment in an incubator set at 30°C for 24 h. Aflatoxin B1, fumonisin B1, pH and lactic acid concentrations were monitored at 0, 4 and 24 h. All measurements were taken in duplicate for three replications. 51 Figure 4: Overall study design and sample collection procedure Maize flour 90% H O + heat+ malt 2 Maize gruel AFB / FB 1 1 Spiked gruel Spiked gruel + back slopping Control 15 mL 15 mL 15 mL Spiked gruel + LAB AFB , FB , pH, 1 0 hour 1 L.A & CFU AFB , FB , pH, 1 4 hours 1 & L.A AFB , FB , pH, 1 24 hours 1 L.A & CFU 3.2.4 pH determination The pH of the gruel samples was measured using a glass electrode pH-meter (Model HI 9124, Hanna Instrument Inc, Romania). Prior to reading, the pH was calibrated against standard buffer solutions at pH 4.0, 7.0 and 10.0. 52 3.2.5 Lactic acid content determination The standard method and standard curve for lactic acid determination was based on the method 1 developed by Taylor [18] but with minor modifications. Between 0 – 60 µg mL— of standard lactic acid (in 15 µg increment) were added into borosilicate tubes, and brought to 1 mL volume by adding double distilled water. Concentrated sulphuric acid (6 mL) was then added to the tubes and then vortexed to mix. The quantity of acid was defined as 82% acid. The mixed solutions o were then incubated at 95 – 100 C for 10 min in a steam water bath, and then cooled to room temperature using a water bath, upon which 100µL copper sulphate (Sigma Aldrich, USA) was added immediately, followed by 200 µL of the p-hydroxydiphenyl reagent (Sigma Aldrich, USA), and then vortexed. The tubes were kept at room temperature for at least 30 minutes and the absorbance was recorded at 570 nm. Blank samples had values ranging between 0.2 – 0.5 compared to water. 3.2.5.1 Lactic acid quantification The samples were filtered using Whatman #1 filter paper. The collected filtrate was diluted (1:100) with de-ionized water. The diluted filtrate was collected in small test tubes. Each diluted filtrate was treated as follows: The filtrate (1 mL) was placed in a tube (15 mL corning plastic centrifuge tube) and 6 mL of concentrated sulphuric acid (H2SO4) was added. The tubes were allowed to stand in boiling water for 5 min and cooled to room temperature in a water bath. To each tube 100 µL copper sulphate (Sigma Aldrich, USA) was added immediately, followed by 200 µL of the p-hydroxydiphenyl reagent and the contents were vortexed to ensure even distribution of the insoluble reagent. The tubes were kept at room temperature for about 30 53 minutes and absorbance was measured using a spectrophotometer (Thermo Fisher Scientific GENESYS 20 Spectrophotometer). Lactic acid concentration was estimated by using the standard curve. 3.2.6 Microbial analysis Using aseptic technique, the initial dilution was made by transferring 1mL of gruel that had been fermented for 24 h to 9 mL sterile peptone saline (0.1% neutral peptone, 0.9% NaCl), and homogenized by shaking. Subsequent dilutions were prepared with the same diluents, and in all cases duplicate plates were prepared from each of the dilutions. o The relevant dilutions were surface plated on MRS agar and incubate at 30 C for 48 h. At the end of incubation period, all the petri plates containing between 30 – 300 colonies were selected. Number of bacteria (CFU) per sample was calculated by dividing the number of colonies by the dilution factor multiplied by the amount of sample added to MRS agar as indicated in the equation below. 54 3.2.7 Aflatoxin B1 detection by thin layer chromatography 3.2.7.1 Sample extraction Five grams of gruel samples were extracted with 25 mL of 65% ethanol (v/v), vortexed for 3 minutes, and then allowed to settle. Aliquots of the solvent extracts were decanted and filtered using Whatman #1 filter paper. 3.2.7.2 Sample clean-up using SPE column 3.2.7.2.1 Procedure description The SPE column was conditioned by adding 5 mL of ethanol followed by 5 mL of double distilled water. One mL of sample extract was diluted with 5 mL of double distilled water. This is because ethanol concentration in the sample must be less than 10% to improve retention of AFB1 and its metabolites on the SPE column. A total of 6 mL of diluted samples was then passed through the conditioned SPE column followed by 10% ethanol to remove polar compounds from the column bed. AFB1 was then eluted by passing 2 mL of 80% ethanol through the column. 3.2.7.3 Aflatoxin B1 detection on TLC Thin layer chromatography (TLC) is one of the preferred qualitative methods for aflatoxins detection [19]. TLC of mycotoxins was performed in all instances on pre-coated silica gel G glass plates (Camlab Limited, UK). Approximately 20 μL of each of the analytes were spotted on TLC plate, and then air dried. The plate was placed into the TLC chamber saturated with acetone: chloroform (1:9) solvent. TLC was also performed on standard aflatoxin B1, within the same chamber, alongside the analytes. Further, the spiking of samples with standard aflatoxin B1 55 was done to confirm the presence of aflatoxin spots on TLC. TLC plates were observed under UV illuminator at 365 nm. 3.2.8 Aflatoxin B1 and fumonisin B1 quantification using Neogen Reveal Q+ assay 3.2.8.1 Assay principle Quantitative testing of aflatoxin B1 and fumonisin B1 was performed using Reveal Q+ for aflatoxin and fumonisin test methods, which utilize a single-step lateral flow immunochromatographic principle based on a competitive immunoassay format. Using a mycotoxin-antibody particle complex coated test strip and the Reveal AccuScan ® III reader (Neogen, USA), the presence of aflatoxin and fumonisin in the samples was determined by following approved test protocols and Neogen’s assay principles. First, the extract was wicked through a reagent zone containing antibodies specific for the mycotoxin conjugated to colloidal gold particles. If the mycotoxin of interest such as AFB1, was present, it was captured by the particle-antibody complex. The mycotoxin-antibody-particle complex was then wicked onto the membrane containing a zone of mycotoxin conjugated to a protein carrier, which captured any uncomplexed mycotoxin antibody, thus, allowing the particles to concentrate and form visible lines. Free mycotoxin in a sample would always complex with the antibody-gold particles, thus allowing less antibody-gold to be captured in the test zone. Algorithms programmed into the Reveal AccuScan ® III reader converted the line densities into quantitative results reported in parts per billion (ppb). The membrane also contained a control zone to ensuring the strip was functioning properly. A visible line would always form regardless of the level of mycotoxin when an immune complex present in the reagent zone was captured by an antibody. 56 3.2.8.2 Aflatoxin B1 and fumonisin B1 recovery Recovery of AFB1 and FB1 were determined by spiking a series of duplicate maize gruel samples with AFB1 standards (0, 20, 50, 100 ppb) and FB1 standards (0, 2, 4, 6 ppm). The spiked gruel was then analysed by Reveal Q+ for aflatoxin and fumonisin. Procedures for analysis are described in section below. 3.2.8.3 Quantification of aflatoxin B1 Reveal Q+ for aflatoxin was used to quantify aflatoxin B1 during lactic acid fermentation. Extracts sampled at 0, 4, 12 and 24 h were used for AFB1 detection. Approximately 500 μL of sample diluent was added to a dilution cup followed with 100 μL of sample extract. The solution was mixed by pipetting up and down 5 times. A 100 μL aliquot of the diluted sample extract was transferred into a new clear sample cup. Reveal Q+ for aflatoxin test strip with the sample end down was placed into the sample for 6 minutes. After 6 minutes the strip was removed from the sample cup and inserted into the cartridge adapter. The adapter was placed into Reveal ® AccuScan III reader and concentration of aflatoxin B1 was recorded. 3.2.8.4 Fumonisin B1 extraction and quantification Fumonisin B1 was extracted from 5 mL of fermented gruel samples by adding 25 mL of 65% (v/v) ethanol/water and shaken for 3 minutes at 200 rpm in a shaker. The extracts were then filtered using a filter paper (Whatman #1) and fumonisin B1 concentration was measured using Neogen Reveal Q+ for fumonisin test kit (Neogen, USA). Exactly, 200 μL of Neogen sample 57 diluent was added into a dilution cup followed by 100 μL of the sample extract. The solution was mixed by pipetting up and down 5 times. A 100 μL aliquot of diluted sample extract was transferred into a new clear sample cup. Reveal Q+ for fumonisin test strip was placed with the sample end-down into the sample cup for 6 minutes. The strip was then removed promptly, inserted into black cartilage adapter, analysed and quantitative results were displayed by the Reveal AccuScan III reader in ppm. 3.2.9 Statistical data analysis The data were analysed by using SAS 9.2 software statistical package for two-way ANOVA to determine the significant differences and interaction between the factors’ means at (P < 0.05). Means were separated by Tukey’s Honest Significant Difference at P < 0.05. Results were presented in tables as means ± SD. 3.3 Results 3.3.1 Thin layer chromatography assay for aflatoxin B1 Even though it is time-consuming, thin-layer chromatography (TLC) is one of the most specific and sensitive methods for determining levels of aflatoxins in food commodities or in culture [20]. This method requires extraction procedures that remove interfering substances, by using a mixture of water and a polar organic solvent [20]. Using this TLC technique in this study, it was observed that all maize gruel extract samples spiked with AFB1 standard showed visible spots on the TLC plate under UV florescence light (Figure 5).This screening technique for detection of AFB1 in the gruel sample extracts provided 58 reliable preliminary information about the presence of AFB1 prior to quantitation of the mycotoxin by Neogen Reveal Q+. Figure 6, on the other hand, shows the effect of fermentation on aflatoxin B1 in maize gruel after 24 h. As was expected, the standard showed very intense spots compared to the maize gruel samples. Since TLC is specific for the aflatoxin type, it was possible to confirm that the fermentation process reduced AFB1 levels in maize gruel fermented for 24 h. The retention factor (Rf) value for both the standard and the gruel samples was not expected to differ significantly. However, the Rf value or the standard sample was 0.42, while that for fermented maize gruel samples was 0.31 (Figure 6), suggesting possible formation of other metabolites during the fermentation process or other isolates that might have affected AFB1 affinity, thus reducing elution time. 59 Figure 5: Thin layer chromatographic plate of the maize gruel samples spiked with AFB1 Figure 6: Thin layer chromatographic plate showing the effect of fermentation on aflatoxin B1 after 24 hours of fermentation 60 3.3.2 Quantitative analysis of aflatoxin B1 and fumonisin B1 concentration infermented maize gruel 3.3.2.1 Aflatoxin B1 and fumonisin B1 recovery assay Aflatoxin B1 and fumonisin B1 in the maize gruel samples, analysed by Reveal Q+ for aflatoxin and reveal Q+ for fumonisin, are presented in Table 1. To validate that Reveal Q+ for aflatoxin and fumonisin would provide us with accurate and reliable values when determining toxic levels in the fermented gruel samples, it was critical to establish the mean recovery on samples spiked with known concentrations of standard aflatoxin B1 and fumonisin B1. The results indicated that, in each of the gruel samples, more than 93% of the added toxins were recovered. Similar observations were also reported by other investigators who reported about 92% mean recovery of AFB1 and FB1 using reveal Q+ for aflatoxin and fumonisins [21, 22]. The device was therefore, accurate with a low level of variability. 3.3.2.2 Quantification of AFB1 in fermented gruel Probiotic bacteria have been shown to efficiently bind AFB1 in vitro [23]. Other strategies of mycotoxin inactivation are reported in the literature [24], but only a handful of them are accepted for practical use, e.g. ammonia treatment. Toxigenic colonies from contaminated grains would change colour from yellow to pink upon exposure to ammonia [25], thus colour intensity correlates with aflatoxin concentration. Other cultural methods are also used to detect and decontaminate mycotoxins in food [26]. Since none is entirely effective, some researchers suggest that the best approach for decontamination of mycotoxins in foods should be degradation by selected bacterial strains [27]. Lactic acid bacteria are well known for their fermentative activity causing transformation of mycotoxins into compounds that are less toxic. 61 Table 1: Validation of aflatoxin B1 and fumonisin B1 recovery in gruel AFB1 spike level (ppb) AFB1 detected (ppb) Net b detected (ppb) 0 a 19.1 18.7 50 47.1 100 93.7 FB1 spike level (ppm) 0.4 20 % c Recovery a FB1 detected (ppm) Net b detected (ppm) % c Recovery a 0.2 93.3 2 1.88 1.86 93.0 46.9 93.7 4 3.74 3.72 93.0 93.3 93.3 6 5.60 5.58 93.0 0 Controls (samples with no toxin added); b Net detected = Corrected for control (by subtracting toxin concentration found in unspiked samples from the toxin concentration in samples with added toxin); c % Recovery, Percentage recovery. Several lactic acid bacteria strains have been identified that are able to efficiently reduce mycotoxins in foods during fermentation [28]. In this study, selected lactic acid bacteria strains including the species that were reported to be isolated from Tanzanian fermented gruel (Togwa) were used to ferment maize gruel, and their ability to remove aflatoxins in maize gruel after 24 h is indicated in Table 2. 62 Table 2: Effect of fermentation on reduction of aflatoxin B1 in maize gruel Concentration of AFB1 in gruel % Reduction of 2 AFB1 1 Culture 0h Natural fermentation (NF) Back Slopping (BS) AS 3 4 MC 5 40.0±0.00 39.3±0.26 35.5±1.27 4h a a a 37.4± 0.30 a Pediococcus pentosaceus (PP) 39.1±0.59 Lactobacillus plantarum (LP) 38.0 ±0.03 Lactobacillus casei (LC) 35.7±1.19 Lactobacillus fermentum (LF) 37.7±0.26 1 2 3 a a a a 24 h 36.7±1.20 28.5±0.28 27.9±0.54 28.8±0.14 26.6±0.31 28.7±0.17 29.7±0.33 27.3±0.33 a b b b b b b b 4h 24 h c 8.4 55.9 d 28.8 68.0 d 30.2 68.3 c 28.1 53.9 c 33.4 45.0 c 28.3 54.8 c 25.9 51.7 c 31.7 55.1 17.7±0.33 12.8±0.41 12.7±0.20 18.5±0.24 18.4±0.30 18.1±0.15 19.3±0.24 18.0±0.08 Values are means of three replicate measurements; Change is expressed as %, relative to readings recorded at 0 hour; Back-sloped with 10% (v/v) previously fermented gruel, (BS); 4 Co-culture of Enterococcus faecium, Lactobacillus plantarum and Lactobacillus buchneri; (AS); 5 Co-culture of Enterococcus faecium, Lactobacillus plantarum and Lactobacillus lactis, (SR3.54); (MC) Means in the same column with the same superscript are not significantly different (p<0.05). 63 The duration of fermentation was critical in determining the ability of LAB in detoxifying AFB1, with longer fermentation time being more effective (Table 2). It was observed that for all examined strains, the percentage of aflatoxins AFB1 removal in fermented maize-based gruel increased with fermentation period (24 h) (Table 2). Removal of AFB1 was slower through the natural fermentation (NF), in which only 8% of the initial AFB1 concentration was reduced after 4 h. All the other methods reduced more than 25% of AFB1 within the same time period. There was no significant difference (p<0.05) amongst the bacterial cultures in reducing AFB1 after 4 h, suggesting that the synergistic effect of mixed cultures compared to single bacterial strains was not clearly visible at the beginning of fermentation (Table 2). This could be partly due to the fact that during this initial stage of fermentation, the bacteria were still actively metabolizing to produce lactic acid and other fermentation by-products, as it establishes a suitable environment for survival. However, after 24 h, the ability of LAB strains to significantly repress AFB1 in samples was observed. All bacterial cultures showed a significant ability (p<0.05) to remove AFB1 after 24 h of fermentation (Table 2). Even natural fermentation removed more than half of the initial AFB1 concentration in the gruel samples after 24 h (Table 2). It was also observed that all the Lactobacillus strains tested removed between 52 – 55% of the AFB1 from the gruel samples while the Pediococcus pentosaceus had the lowest toxin reduction (45%) after 24 h of 64 fermentation (Table 2). Since bacterial activity on substrates differ considerably, this suggested that bacterial effect on AFB1 reduction during fermentation processes could be strain specific and therefore there is need for further exploration with other different lactic acid producing bacterial strains. Some researchers also reported that a number of LAB vary in their AFB1 detoxification rate, and some strains had higher percentage of AFB1 reduction than others [29]. It could also be argued that the synergistic effect of mixed bacterial strains on AFB1 reduction was more effective in the presence of Lactobacillus buchneri than in the presence of Lactobacillus lactis (Table 2). This is because a commercially mixed culture containing Enterococcus faecium, Lactobacillus plantarum and Lactobacillus buchneri (AS) significantly reduced AFB1 from the gruel samples by 68% while a similar co-culture of Enterococcus faecium, Lactobacillus plantarum and Lactobacillus lactis, (SR3.54); (MC), reduced AFB1 by 54.9%, after 24 h of fermentation (Table 2). Surprisingly, back-slopping, a typical traditional procedure used in fermented dough process using the sponge-method, and is also used by some communities in fermenting their gruel, had similar effect in reducing AFB1 as the commercial co-culture containing Enterococcus faecium, Lactobacillus plantarum and Lactobacillus buchneri (AS) (Table 2). Our results indicated that back-slopping reduced AFB1 by 68% in maize-based gruel fermented for 24 h, which was significantly higher (p<0.05) than that of monobacterial strain cultures tested (Table 2). 65 Furthermore, back-slopping was even superior to natural fermentation in reducing AFB1 in maize gruel samples after 24 h at 30° C (Table 2). 3.3.2.3 Effect of fermentation on fumonisin B1 levels In many developing countries including Tanzania, often maize grains for consumption are not screened for the presence of mycotoxins such as, fumonisin B1. This poses a challenge because when these grains are used in food preparation, the exposure levels to these potentially harmful mycotoxins are unknown. However, the fermentation process, particularly, by using lactic acid bacteria, has been reported to detoxify fumonisin B1 [30] and thus may potentially be capable of reducing levels of this toxin in fermented maize-based gruel. In this study, removal of fumonisin B1 appeared to be time dependent. The results indicated that removal of fumonisin B1 increased with time of fermentation (Table 3). The use of LAB starter cultures was superior at removing fumonisin B1 within the first 4 h of fermentation compared to natural fermentation or back-slopping (Table 3). Fermenting maize-based gruel using LAB cultures at 30°C reduced the levels of fumonisin B1 by about 10 – 17% within 4 h, while natural fermentation reduced levels by 7%. However, reduction of fumonisin B1 in maize based gruel was more substantial after 24 h in the presence of LAB (14 – 27% reduction), indicating that longer fermentation time is essential in achieving greater elimination of mycotoxins in fermented foods. It was also observed that a co-culture of Enterococcus faecium, Lactobacillus plantarum and Lactobacillus buchneri, (AS) was superior (removed 27%) to that of Enterococcus faecium, Lactobacillus plantarum and Lactobacillus lactis (SR3.54) (MC) (removed 14%) of the 66 fumonisin B1 from gruel within 24 h (Table 3), indicating the possibility of the strain-strain interaction relationship in elimination of fumonisins. Table 3: Effect of LAB on fumonisin B1 levels in fermented maize based gruel Culture % Reduction of 2 FB1 1 Concentration of FB1 (ppb) 0h Natural fermentation (NF) Back Sloping (BS) AS 3 4 MC 5 1.00±0.00 1.00±0.00 0.93±0.03 1.00±0.00 Pediococcus pentosaceus (PP) 1.00±0.00 Lactobacillus plantarum (LP) 0.96±0.03 Lactobacillus casei (LC) 0.93±0.03 Lactobacillus fermentum (LF) 1.00±0.00 4h a a a a a a a a 0.93±0.03 0.93±0.03 0.83±0.03 0.90±0.00 0.80±0.00 0.86±0.03 0.90±0.03 0.86±0.03 24 h a a a a a a a a 24 h a 7.0 20.0 a 7.0 30.0 a 17.0 27.0 a 10.0 14.0 a 20.0 24.0 a 14.0 24.0 a 10.0 17.0 a 14.0 17.0 0.80±0.03 4h 0.70±0.03 0.73±0.06 0.86±0.03 0.76±0.03 0.76±0.03 0.83±0.03 0.83±0.03 1 Values are means of three replications 2 Change is expressed as %, relative to readings recorded at 0 hour 3 Back-sloped with 10% (v/v) previously fermented gruel, (BS) 4 Co-culture of Enterococcus faecium, Lactobacillus plantarum and Lactobacillus buchneri; (AS) 5 Co-culture of Enterococcus faecium, Lactobacillus plantarum and Lactobacillus lactis, (SR3.54); (MC) Means in the same column with the same superscript are not significantly different (p<0.05). At the end of fermentation period, it was also observed that back-slopping was superior (30% reduction) to natural fermentation process (20% reduction) in the elimination of fumonisins from 67 fermented gruel within 24 h. This might be due to the fact that inoculation with previously fermented gruel samples (back-slopping) might have facilitated selection of strains which are best adapted to the food substrate. Other authors [31] also reported a 13% reduction of fumonisin in ogi (a fermented suspension of wet milled maize in water) when fermented for 24 h. Even though time was critical for fumonisin B1 in gruel samples and highest reduction occurred at 24 h , but the reduction was not statistically significant (p<0.05). 3.3.3 pH Time permitting, lactic acid bacteria are capable of producing significant levels of lactic acid when conditions are right, thus lowering pH of their environments which confers protection to foods against spoilage agents and pathogens, for example in sauerkraut and fermented cereal gruels [32]. Therefore, pH drop is a key indicator of bacterial activity in fermented foods. The change in pH during lactic acid bacteria fermentation of Tanzania maize gruel is presented in Table 4. At the beginning of the fermentation process, all the maize based gruel samples had pH levels around 5.8. After 4 h of fermentation, natural fermentation (NF) method had significantly (p<0.05) slower pH drop compared to the other methods when considered against time 0 h (Table 4). This corresponded with the lower reduction of AFB1 and FB1 by natural fermentation method as indicated in Table 2 and 3, within the same time period, and suggested that NF had slower bacterial activity in the initial stages of fermentation. However, the slow production of lactic acid by Lactobacillus casei compared to the other Lactobacillus strains after 4 h at 30° C (Table 4) could be an indication of selectivity of bacteria on substrates. 68 Table 4: pH levels during lactic acid fermentation of maize based gruel pH Culture 0h Natural fermentation (NF) Back-slopped (BS) AS 2 3 MC 4 4h 5.76±0.04 5.80±0.00 5.80±0.00 5.80±0.00 Pediococcus pentosaceus (PP) 5.80±0.00 Lactobacillus plantarum (LP) 5.80±0.00 Lactobacillus casei (LC) 5.80±0.00 Lactobacillus fermentum(LF) 5.80±0.00 1 2 1 a a a a a a a a 24 h 5.36±0.17 4.67±0.05 4.28±0.03 4.33±0.00 4.26±0.01 4.27±0.04 b b b b b 5.42±0.01 4.43±0.01 a a b 3.74±0.10 3.52±0.03 3.44±0.06 3.47±0.05 3.46±0.03 3.41±0.07 3.68±0.07 c c c c c c c 3.50± 0.53 c Values are means of replicate measurements Back-slopped with 10% (v/v) previously fermented gruel, (BS) 3 Commercial mixed culture of Enterococcus faecium, Lactobacillus plantarum and Lactobacillus buchneri; (AS) 4 Commercial mixed culture of Enterococcus faecium, Lactobacillus plantarum and Lactobacillus lactic, (SR3.54); (MC) Means in the same column with the same superscript are not significantly different (p<0.05). Within the first 4h, using commercially mixed cultures was not significantly superior at producing lactic acid compared to back-slopping method (Table 4), which also corresponded 69 with their respective ability to reduce AFB1 and FB1 reported in Tables 2 and 3, suggesting fermentation rate and detoxification potential of lactic acid bacteria were not influenced by the process but by the types of bacteria used. This information is crucial in the determination of bacterial strains for recommendation when fermentation time is critical and specific organoleptic properties are desired. After 24 h, all the other bacterial strains were still not significantly different (p<0.05) from the natural fermentation process in lowering pH of the gruel (Table 4). The pH of the samples, after 24 hours at 30° C, ranged between 3.4 – 3.7, with the Lactobacillus plantarum strain having the greatest ability to produce more lactic acid than the rest, and lowering the pH to 3.4 (Table 4). These results agree with earlier reports that Lactobacillus plantarum strains produce lactic acid faster than other Lactobacillus strains during fermentation of heat processed cereal substrates [17]. 3.3.4 Lactic acid production during fermentation of maize based gruel Bacterial production of lactic acid during fermentation correlates with pH levels of the samples in which they are inoculated and rate of substrate utilization. Table 5 shows relative amounts of lactic acid produced during fermentation of Tanzanian maize-based gruel. Among the methods used, the natural fermentation process had the lowest level of lactic acid production during fermentation (Table 5), which also correlated with the slightly higher pH level indicated in Table 4, indicating it had lower metabolic activities that corresponded with the lower reduction of AFB1 and FB1. 70 Even though Lactobacillus casei strain produced significantly (p<0.05) lower amounts of lactic acid after 4 h of fermentation compared to other Lactobacillus species (Table 5), which correlated with its comparatively slightly higher pH reported in Table 4, it however had greater ability to rapidly produce lactic acid between 4 and 24 h, compared to the rest of the strains (Table 5). Quantitatively, Lactobacillus plantarum still produced significantly (p<0.05) higher amount of lactic acid after 24 h compared to all the other cultures (Table 5), which also correlated with its ability to significantly lower the pH of samples in which it is present (Table 4). This implies that acid production or microbial mass might a play part in toxin reduction. This study confirms observations [33] that maize mash fermented with Lactobacillus cultures of Lactobacillus fermentum, Lactobacillus brevis and Lactobacillus salivarius also showed similar levels of acid after 24 h of fermentation. However, it is important to note that the back-slopping, Lactobacillus fermentum as well as fermentation with commercially mixed culture of Enterococcus faecium, Lactobacillus plantarum and Lactobacillus buchneri (AS) produced significantly (p<0.05) higher levels of lactic acid after 4 h at 30°C (Table 5), which also correlated with significantly lower pH levels compared to natural fermentation method reported in Table 4, indicating the rapid bacterial activity in these samples during the initial stages of fermentation process. 71 Table 5: Lactic acid production during fermentation of maize based gruel Lactic acid (µg/mL) × 100 Culture treatment 0h Natural fermentation (NF) Back-slopped (BS) AS 2 3 MC 4 4h 0.00±0.00 0.00±0.00 0.00±0.00 0.00±0.00 Pediococcus pentosaceus (PP) 0.00±0.00 Lactobacillus plantarum (LP) 0.00±0.00 Lactobacillus casei (LC) 0.00±0.00 Lactobacillus fermentum(LF) 0.00±0.00 1 2 a a a a a a a a 0.11±0.00 24 h b 0.92±0.00 0.92±0.00 0.67±0.00 0.69±0.00 0.68±0.00 e e d d d 0.35±0.05 0.88±0.01 c e 3.01±0.01 f 3.67±0.00 3.34±0.01 3.33±0.03 3.52±0.00 i g g h 3.95±0.01 3.62±0.01 3.63±0.00 j i i Values are means of replicate measurements Back-slopped with 10% (v/v) previously fermented gruel, (BS) 3 Commercial mixed culture of Enterococcus faecium, Lactobacillus plantarum and Lactobacillus buchneri; (AS) 4 Commercial mixed culture of Enterococcus faecium, Lactobacillus plantarum and Lactobacillus lactis, (SR3.54); (MC) Means in the same column with the same superscript are not significantly different (p<0.05). 3.3.5 Effect of pH and lactic acid on aflatoxin B1 reduction Bacterial production of lactic acid is directly correlated to pH of fermented foods (Tables 4 and 5), which may result in active inhibition of spoilage and pathogenic bacteria. This inhibition is 72 not only due to lactic acid production but also to production of fermentation end products such as diacetyl, acetaldehyde and acetic acid, which may accumulate over time to inhibitory levels. However, lowering pH through production of lactic acid by lactic acid bacteria may also be connected to reduction of AFB1 in fermented foods. In this study, a proportional relationship was established between the reduction in both pH values and the corresponding reduction of aflatoxins B1 in fermented maize based gruel samples i.e. the lower the pH value, the greater the decrease of AFB1 content in the gruel samples tested (Figure 7A). It seems that the rate of reduction of AFB1 in maize-based fermented gruel at the end of the fermentation period varied with the type of bacterial strain (Figure 7A). Back-slopping (BS) and commercially mixed culture of Enterococcus faecium, Lactobacillus plantarum and Lactobacillus buchneri (AS) had the most extensive reduction of AFB1 between the pH ranges of 3.4 – 3.6; both showed about 68% AFB1 removal. Within the same pH range, commercially mixed culture of Enterococcus faecium, Lactobacillus plantarum and Lactobacillus lactic, SR3.54 (MC), Lactobacillus plantarum (LP) and Lactobacillus faecium (LF) removed 54, 55 and 55% of AFB1, respectively; while Pediococcus pentosaceus (PP) only removed 45% of AFB1 after 24 h of fermentation (Table 3; Figure 7A). Thus, maize-based gruel consumers in aflatoxin prone regions such as the Eastern zone (Morogoro) and Western zone (Shinyanga) of Tanzania would be at less health risk if their gruel was fermented with Lactobacillus bacterial species. This would partly be due to production of significantly (p<0.05) higher levels of lactic acid by 73 Lactobacillus species (3.62 – 3.95 mg/mL × 100) compared to Pediococcus pentosaceus (3.52 µg/mL) (Table 5; Figure 7B). Figure 7: Effect of pH and lactic acid on aflatoxin B1 reduction during LAB fermentation of maize gruel Sample pH (A); and Lactic acid (B) levels. Values plotted are means of triplicate analysis. Natural fermentation (NF); Back-slopped (BS); Co-culture of Enterococcus faecium, Lactobacillus plantarum and Lactobacillus buchneri (AS); Co- culture of Enterococcus faecium, Lactobacillus plantarum and Lactobacillus lactis, (SR3.54)(MC); Pediococcus pentosaceus (PP); Lactobacillus plantarum (LP); Lactobacillus casei (LC); and Lactobacillus fermentum (LF). 74 Lactic acid production has been reported to transform AFB1 into the nontoxic aflatoxins B2a thus reducing the effect of the toxin as reported in fermented milk products [34], and by other authors [35]. Lactic acid and/or lactic acid bacteria metabolites have also been suggested to confer inhibitory effects on aflatoxins [36]. 3.3.6 Effect of pH and lactic acid on reduction of fumonisin B1 The role of pH and lactic acid production in the fermented samples in reduction of FB1 was evident in this study. For example, after 24 h, of fermentation mono-cultures of LAB strains that had the ability to lower the pH of the fermented products to less than 3.5, i.e., Pediococcus pentosaceus and Lactobacillus plantarum, had greater ability to reduce fumonisin B1 (24% reduction) than the rest of the mono-cultures, i.e. Lactobacillus casei and Lactobacillus fermentum (pH > 3.5; 14.0% FB1 reduction) (Tables 3 and 4; Figure 8A). It was inferred that production of organic acids by these organisms during fermentation could be key to observed mycotoxins reduction (Table 5; Figure 8B). On the other hand, based on observations made in this study, strain specificity in reduction of fumonisins B1 toxin could not be overlooked. For instance, the pH and the lactic acid levels in samples fermented with mixed cultures i.e. AS and MC, were statistically similar (Tables 4 and 5); however, AS had greater ability to reduce fumonisin B1 compared to MC at the end of the fermentation period (Table 3). It was observed that AS and MC had 27 and 14% fumonisin B1 reduction, respectively, when samples were allowed to ferment for 24 h (Table 3). This significant difference could be related to their microbial profiles in the final phase of 75 fermentation rather than their total bacterial population or sample pH. This could also explain why Pediococcus pentosaceus and Lactobacillus plantarum had greater ability to reduce fumonisin B1 than Lactobacillus casei and Lactobacillus fermentum observed in this study (Tables 3 and 4; Figure 8A). The total microbial count in samples was found to be statistically similar after 24 h; however, the relative cell numbers of the individual strains present in AS and MC samples at the end of the fermentation process was not determined. Since bacterial growth is dependent on substrate and the cultural conditions therein, the antagonistic or synergistic effects created by these culture mixes in reducing fumonisin B1 in maize-based fermenting process might merit further investigation. It was also observed that the back-slopping method, due to its ability to promote faster bacterial growth and thus greater production of lactic acid in the gruel (and lower the pH of the samples) than natural fermentation process, also seemed to have greater fumonisin reduction potential (Tables 4 and 5; Figures 8A and B). It was observed that when back-slopped method was used, the level of lactic acid produced after 24 h of fermentation (Table 5; Figure 8B) was significant enough to create conditions that favoured greater reduction of fumonisin B1 (30% reduction) than when natural fermentation was used (20% reduction) (Table 3; Figure 8B). 76 40.0 35.0 30.0 25.0 20.0 15.0 10.0 5.0 0.0 Fumonisin B1 Reduction (%) pH 4.0 3.9 3.8 3.7 3.6 3.5 3.4 3.3 3.2 3.1 3.0 pH A Fumonisin B1 Reduction (%) Figure 8: The effect of pH and lactic acid concentration on reduction of fumonisin B1 Gruel Samples Sample pH (A); and Lactic acid (B) levels. Values plotted are means of triplicate analysis. Natural fermentation (NF); Back-slopped (BS); Co- culture of Enterococcus faecium, Lactobacillus plantarum and Lactobacillus buchneri (AS); Co- culture of Enterococcus faecium, Lactobacillus plantarum and Lactobacillus lactis, (SR3.54)(MC); Pediococcus pentosaceus (PP); Lactobacillus plantarum (LP); Lactobacillus casei (LC); and Lactobacillus fermentum (LF). 77 3.3.7 Microbial load during LAB fermentation Apart from pH values and lactic acid levels, microbial cell numbers of the added cultures were also monitored to investigate the fermentation process in Tanzanian maize- based gruel samples. Typically, an extended storage of the gruel and malt during the fermentation period allows for bacterial populations to increase. The bacterial activity is thus associated with pleasant organoleptic properties of fermented gruel. Little is known about the microbial content and biodiversity of homemade maize-based gruel in Tanzania, but it is expected to vary depending on pre- and post- harvest handling of the crop, initial bacterial load, bacterial strains present, fermentation time, as well as the hygiene of the person preparing it. A pH drop and lactic acid production are some physiological changes bacterial cultures utilize to colonize an environment. It was observed, in this study, that variations in the rate at which different strains of bacteria tested affected the pH and lactic acid levels in the gruel samples, especially at the end of the fermentation period (24) (Tables 4 and 5).We therefore wanted to determine the bacterial abundance of the LAB strains tested after 24 h of fermentation to elucidate their intimate relationship with pH and lactic acid levels in the fermented maize based gruel sample. The microbial levels during fermentation of maize-based gruel samples fermented at 30° C with different LAB strains for 24 hours is shown in Table 6. The high counts of the starter cultures 9 ensured high final levels of cell counts in the medium: 10 CFU/mL. These cell concentrations 78 6 7 were above the bacterial levels required for probiotic products (10 –10 CFU), which would ensure a sufficient number of living cells reaching the colon in order to be effective. There was no significant difference (p<0.05) between the bacterial abundance of all the LAB cultures tested at the beginning of the fermentation period (0 h) (Table 6). This provided a statistically good reference for comparison purposes across the strains when pH and lactic acid production potential were considered. However, after 24 h of fermentation, the number all the LAB strains tested increased by about 2 log units(Table 6), with a concurrent decrease in pH (Table 4), and increase in acidity (lactic acid levels) (Table 5) of the maize-based fermented gruel within the same time period. Comparison of LAB strains counts at the end of the fermentation period (24 h) indicated significant (p<0.05) predominance of Lactobacillus plantarum (LP) with an increase of about 2.1 log units (Table 6). This suggested it was highly favoured by the fermentation conditions (temperature, substrate, etc.). This strain also produced significantly (p<0.05) higher lactic acid (3.95 mg/mL × 100) (Table 5) with a concurrent decrease in pH (Table 4) of the gruel samples after 24 h, indicating Lactobacillus plantarum had better fermenting properties in maize-based substrates than the other strains tested in this study. Compared to the mono-culture of Lactobacillus species tested, it could not be ascertained whether there was any antagonism between the LAB strains within the co-cultures AS (Enterococcus faecium, Lactobacillus plantarum and Lactobacillus buchneri) and MC (Enterococcus faecium, Lactobacillus plantarum and Lactobacillus lactis, SR3.54. 79 This is because the relative abundance of the individual LAB strains was not investigated. Additionally, there was no statistical difference in the total bacterial load of AS and MC after 24 h of fermentation in the maize-based gruel (Table 6). These results also correlate with the observed pH (Table 4) and lactic acid (Table 5) levels between these two cultures, after 24 h of fermentation. Table 6: Microbial count (log CFU/ml) during fermentation of maize based gruel Microbial count during fermentation (log CFU/ml) 1 Bacterial strain 0h AS 2 MC 7.26±0.00 3 7.25±0.01 Pediococcus pentosaceus (PP) 7.29±0.00 Lactobacillus plantarum (LP) 7.27±0.00 Lactobacillus casei (LC) 7.27±0.00 Lactobacillus fermentum(LF) 7.27±0.00 1 24 h a a a a a a 9.24±0.00 9.24±0.00 9.27±0.00 b b b 9.36±0.03 9.29±0.00 9.30±0.00 c b b Values are means of three replicate counts 2 Commercial mixed culture of Enterococcus faecium, Lactobacillus plantarum and Lactobacillus buchneri; (AS) 3 Commercial mixed culture of Enterococcus faecium, Lactobacillus plantarum and Lactobacillus lactis, (SR3.54); (MC) Means in the same column with the same superscript are not significantly different (p<0.05). 80 3.4 Discussion In humans, aflatoxin B1 and fumonisin B1 are currently unavoidable contaminants of foods, and among the most dangerous mycotoxins due to their carcinogenic property [38]. Highly aflatoxin and fumonisin susceptible human foods are those cultivated in the tropics and subtropics such as maize [38], especially in developing countries. Homemade staple diets in developing countries, and especially those made from contaminated maize crops, for instance, fermented maize based gruel, may therefore be a significant source of aflatoxin and fumonisin contamination [39]. Additionally, animals are also at high risk of aflatoxin and fumonisin poisoning when they ingest feeds contaminated with some common moulds such as Aspergillus flavus, A. parasiticus and Fusarium verticillioides [40]. Due to their carcinogenic properties, AFB1 and FB1 also represent a greater global health risk because of their possible accumulation over time and linkage to DNA [41]. Agronomic strategies to reduce toxic contamination, for example, the use of transgenic crops, may have a significant impact in high exposure populations, such as the Western and Eastern regions of Tanzania, but are resource intensive and more importantly, unlikely to eliminate aflatoxin and fumonisins exposure. Maize is typically ground into flour for various uses and thus must be processed before consumption. Therefore, intervention strategies must also encompass and promote economically feasible processing methods, such as fermentation, which have great potential of reducing mycotoxins before being ingested. The popularity of fermented human foods, such as yoghurt and fermented gruel, will continue to grow. This is because not only do they possess the beneficial probiotic effects of lactic acid bacteria (LAB) strains used in the fermentation process but also pleasant organoleptic properties. 81 Lactic acid bacteria are also popular in food systems due to their Generally Recognized As Safe (GRAS) status. Additionally, LAB strains are known to bind aflatoxins and other mycotoxins to their surface [42], thus have the ability to reduce the bioavailability of these toxins in foods.In this study, all the Lactobacillus spp tested were found to remove between 45 – 55% of AFB1 and between 14–27% of FB1 in maize-based gruel fermented for 24 hours at 30° C. Our results show that single strains can be used to remove single compounds, such as AFB1 and FB1 from maizebased gruel. Different single bacterial strains have previously been reported to bind these toxic in significantly different amounts [43]. A 23% reduction of fumonisin was reported in South African fermented stiff porridge obtained from whole maize meal [44]. In addition, a 13% fumonisin B1 reduction was reported in back-slopped ogi (fermented maize thick paste popular in West African countries) [31]. Combining LAB strains together is not only practiced when desirable organoleptic characteristics are targeted, such as in yoghurt, but may also be used to remove several toxic compounds together [45]. In this study, however, co-cultures, AS and MC, were tested for their ability to remove AFB1 and FB1, in maize-based gruel fermented for 24 h. AS and MC culture mixes differed in that AS contained a Lactobacillus buchneri strain, while MC contained a Lactobacillus lactis strain; but both had Enterococcus faecium and Lactobacillus plantarum strains. It was observed that AS showed greater ability to remove both AFB1 and FB1 (as was observed with back-slopping method) than MC at the end of the fermentation period (24 h) in maize-based gruel (Tables 2 and 3), suggesting possible strain specificity in removing these 82 toxins, as was previously observed amongst the pure strains tested (Tables 2 and 3). Other studies have also reported a wide range of genus, species and strain specific binding capacities of several LAB strains [46]. These results show that fermentation method influences AFB1 and FB1 removal, with the use of Pediococcus pentosaceus as a starter culture showing the least ability to remove aflatoxin B1 and co- culture comprised of Enterococcus faecium, Lactobacillus plantarum and Lactobacillus lactis, (SR 3.54); MC showed the least ability to remove fumomisin B1; while back-slopping and the use of mixed cultures containing Enterococcus faecium, Lactobacillus plantarum strains and Lactobacillus buchneri (AS) strains had greater ability to reduce aflatoxins B1 and fumonisins B1 in maize-based gruel fermented for 24 h. Since removal of mycotoxins is intimately linked to bacterial cell wall and / or conversion of mycotoxins by LAB into less toxic compounds, it seems therefore, that higher amounts of AFB1 and FB1 would be removed by higher bacterial cell counts. From our results, an increase in bacterial count by 2.0 log (Table 6) seemed sufficient to remove significant amount of AFB1 and FB1 in maize-based fermented gruel (Table 3), thus longer fermentation time (24 h) that allowed for bacterial multiplication is beneficial (Table 6). Other authors [42] also reported that viable 9 cell populations greater than 1×10 CFU/mL were necessary for significant removal of AFB1. These authors reported that approximately 10 10 CFU/mL of F. aurantiacum was capable of removing about 80% AFB1. Similarly, other authors also observed that AFB1 was rapidly removed by both Lactobacillus rhamnosus strain GG and L. rhamnosus strain LC-705 strains to 83 about 80% of their initial levels at 24 h [37]. Thus, cell count is directly related to toxic removal efficiency. As bacteria metabolize substrates during growth, they produce several by-products including lactic acid, which reduce the pH of the product and modify its sensory properties. In this study, a proportional relationship was established between LAB ability to reduce pH (by producing lactic acid) and the corresponding reduction of aflatoxins B1 and FB1 in maize-based fermented gruel (Tables 2, 3, 4 and 5; and Figures 7 and 8). These results agree with other authors who reported that higher reduction of toxic content in yoghurt occurred at reduced pH values [24]. It has been suggested that pH may contribute to reducing mycotoxins content by transforming mycotoxins to its less toxic compounds [24]. In this study, however, we could not determine with 100% certainty that the observed AFB1 and FB1 removal was only influenced by pH reduction, since other factors such as higher bacteria populations after 24 hours of fermentation could also have been involved. Additionally, inhibition of aflatoxin B1 and fumonisins B1 accumulation could also be related to production of low-molecular-weight metabolites produced by the lactic acid bacteria at the exponential growth phase [48]. However, pH reduction (lactic acid production) may not be solely responsible for removal or inhibition of AFB1 and FB1 in foods. Some authors had previously reported inhibitory effects conferred by other different metabolites other than organic acid [36]. It would therefore be interesting to establish the association between the levels of other metabolites produced by different LAB strains and removal of AFB1 and FB1 during the fermentation of maize based gruel. 84 3.5 Conclusion The ability of LAB strains used in this study to reduce AFB1 and FB1 from maize-based fermented gruel has not been reported. Factors such as LAB ability to produce lactic acid, lower pH and increase in bacteria number were observed to influence the toxin removal process. Significant strain differences in the production of lactic acid in fermented maize-based gruel were noted, but this did not cause any significant differences (p<0.05) in pH values after 24 h when the pH values of all LAB strains tested were compared (Table 4). Direct correlation between pH and mycotoxins removal was therefore not possible. However, since pH values ranged from 3.4 to 3.7 at 24 h, it suggested that the ability to lower pH was strain specific. This indicated that production of lactic acid was also strain specific. A proportional relationship between ability of LAB to produce lactic acid and lower pH of the gruel samples (Tables 4 and 5); as well as between amounts of lactic acid produced and the corresponding reduction of AFB1 and FB1 in maize based gruel was established (Figures 7B and 8B). The removal of AFB1 and FB1 by all the LAB strains tested was also time-dependent, with greater reduction occurring after 24 h of fermentation than after 4 h (Tables 2 and 3). This also corresponded with the greater mycotoxin reduction observed under higher lactic acid levels (Table 5) and higher bacterial cell counts when fermentation was allowed to proceed for 24 h (Table 6). This implied that adequate fermentation time was beneficial in not only conferring preservation and organoleptic properties but also had greater potential in removing AFB1 and 85 FB1 from lactic acid fermented gruel. The ability of LAB co-cultures to remove AFB1 and FB1 from maize-based gruel was also observed to be dependent on constituent strains (Table 3). In this study it was established that fermentation of maize-based gruel by back-slopping enhanced production of lactic acid (Table 5) and reduction of AFB1 and FB1 more than the natural fermentation (Tables 2 and 3). Back-slopping induced faster bacterial growth, and this is an added advantage considering that AFB1 and FB1 bind to bacteria cell walls and/ or convent into less toxic metabolites, hence the more the bacteria present in gruel the higher the amount of AFB1 and FB1 would be removed by 24 h (Tables 2, 3 and 6). The results of this study indicated that back-slopping is a cost-effective and user friendly way of removing AFB1 and FB1 in lactic acid fermented gruel. Thus, households and small-scale food processors in Tanzania who might find it difficult to access afford and manage bacteria starter cultures could use simple and widely acceptable fermentation methods such as back-slopping. More investigation is still needed on the interactions between strains within the mixed LAB cultures and pH to provide insight on how fermentation conditions can be optimized to achieve greater mycotoxins reduction capacity of probiotic microorganisms. 86 APPENDICES 87 Appendix A: ANOVA output for LAB and fermentation time on aflatoxin B1 Table 7: ANOVA for effect of LAB fermentation on aflatoxin B1 reduction in gruel Source Degree of freedom Sum of Square Mean Square F Value Pr (>F) Time 2 5301.4 2650.71 3313.032 <.0001 Treatments 7 183.4 26.20 32.747 <.0001 Time × Treatments 14 223.3 15.95 19.934 <.0001 Residuals 48 38.4 0.80 Response: aflatoxin B1 88 Appendix B: ANOVA output for LAB and fermentation time on fumonisin B1 Table 8: ANOVA for effect of LAB fermentation on fumonisin B1 reduction in gruel Degree of freedom Sum of Square Mean Square F Value Pr (>F) Time 2 0.44111 0.220556 79.4000 <.0001 Treatments 7 0.05542 0.007917 2.8500 0.01436 Time × Treatments 14 0.07667 0.005476 1.9714 0.04144 Residuals 48 0.13333 0.00277 Response: FB1 89 Appendix C: ANOVA output for LAB and fermentation time on pH levels Table 9: ANOVA for effect of LAB fermentation on pH levels in gruel Source Degree of freedom Sum of Square Mean Square F Value Pr (>F) Time 2 59.200 29.6000 679.4619 <.0001 Treatments 7 3.431 0.4901 11.2509 <.0001 Time × Treatments 14 3.686 0.2633 6.0443 <.0001 Residuals 48 2.091 0.0436 Response: pH 90 Appendix D: ANOVA output for LAB and fermentation time on lactic acid levels Table 10: ANOVA for effect of LAB fermentation on lactic acid levels in gruel Source Degree of freedom Sum of Square Mean Square F Value Pr (>F) Time 2 111.495 55.748 163163.76 <.0001 Treatments 7 1.127 0.161 471.05 <.0001 Time × Treatments 14 1.156 0.083 241.69 <.0001 Residuals 48 0.008 0.000 Response: Lactic acid 91 Appendix E: ANOVA output for LAB and fermentation time on microbial count Table 11: ANOVA for effect of LAB fermentation on microbial counts in gruel Source Degree of freedom Sum of Square Mean Square F Value Pr (>F) Time 1 24.4505 24.4505 116460 <.0001 Treatments 5 0.0082 0.0016 7.809 0.0017 Time × Treatments 5 0.0168 0.0034 15.981 <.0001 Residuals 12 0.0025 0.0002 Response: CFU 92 BIBLIOGRAPHY 93 BIBLIOGRAPHY 1. 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Applied and environmental microbiology, 49(1), 163-167. 98 CHAPTER FOUR GENERAL DISCUSSION, CONCLUSIONS AND RECOMMENDATIONS 4.1 General discussion In Tanzania, maize is a staple food for the majority of the population and is grown largely under subsistence farming with limited inputs and infrastructure for proper handling and storage. Heavy reliance on maize for people’s daily calorie needs – 41% of the calorie intake of Tanzanian diets – is the biggest risk factor in Tanzania. The crop is traditionally consumed in various forms, including as a main dish (stiff porridge), gruel (as a weaning food for children and refreshment for adults), and a snack (both roasted and steamed). In Tanzania, maize is grown almost in every part of the country under different environmental conditions. There are aflatoxins and fumonisin in Tanzanian maize; little contamination is found in the South and Southern Highlands, while a higher prevalence for aflatoxin and fumonisin contamination occurs in the Western and Eastern zones. Yet consumers’ awareness of aflatoxin knowledge is still very poor, simply because aflatoxin and fumonisin contamination is not readily visible on the crop. To protect consumers from illness associated with mycotoxins (aflatoxin and fumonisin), the Tanzanian Bureau of Standard (TBS) has set regulatory standards for total aflatoxins in maize at 10 ppb, and for aflatoxin B1 at 5 ppb. The Tanzanian Food and Drugs Authority (TFDA) is tasked with enforcing these standards, but real enforcement is unfortunately limited to formally packaged foods destined for trade. The TFDA conducted aflatoxin testing for 254 maize samples in Tanzania and found that more than 40% of all maize sampled from the Eastern (Morogoro) 99 and the Western (Shinyanga) regions had more than 5 ppb aflatoxin [24]. Since most of the maize produced is consumed domestically, the mycotoxin-contaminated maize can easily enter the human food chain, increasing the risk of adverse health impacts. Infants and school going children living in Morogoro and Shinyanga regions, for example, are at higher risk of higher aflatoxin exposure due to their relatively higher energy needs, and this exposure can cause stunting [1]. Maize is an excellent substrate for the growth of mycotoxigenic fungi that produce highly potent toxins, with aflatoxin B1 (AFB1) and fumonisin B1 (FB1) being the most toxic to humans. Thus, several strategies to reduce aflatoxin and fumonisin levels in maize-based foods have been proposed but are mostly based on the environmental conditions, proper crop storage and agronomic practices [2, 3]. Biological control using competitive exclusion has been successfully used to reduce aflatoxin contamination in various crops including maize [4]. The use of competitive atoxigenic strains to out-compete toxigenic strains at the farm level [5] as well as lactic acid bacteria (LAB) to detoxify mycotoxins have also been proposed [6, 7] . LAB strains have GRAS status (generally recognized as safe) and when used in food fermentation they contribute to the development of the desired sensory properties in the final product. Fermentation – a low energy preservation process – is an old but important food processing technology. It is attractive and affordable to poor farmers in Tanzania. LAB fermentation may be an effective strategy to reduce mycotoxin contamination in maize-based complementary foods in Tanzania. 100 In this study, it was observed that processing maize into traditional products, such as fermented gruel, can significantly reduce the levels of mycotoxins in food. Both aflatoxin B1 and fumonisin B1 decreased when LAB strains were used to ferment maize-based gruel at 30° C (Tables 2 and 3). Co-cultures of Enterococcus faecium, Lactobacillus plantarum and Lactobacillus buchneri, (AS), had greater ability to remove AFB1 (68.3% reduction) and FB1 (27% reduction) than cocultures of Enterococcus faecium, Lactobacillus plantarum and Lactobacillus lactis, (SR 3.54), (MC), (54% reduction), which only reduced AFB1 and FB1 by 54 and 14%, respectively, after 24 h at 30°C (Tables 2 and 3). This suggested that even though mycotoxin reduction might be strain specific, elimination of mycotoxins in naturally contaminated maize is possible using LAB fermentation. Overall, the results suggested that back-slopping (which removed 68% of AFB1 and 30% of FB1 within 24 h) was the most feasible and effective method to detoxify mycotoxins in homemade foods such as maize-based fermented gruel. Production of lactic acid (and reduction of pH of samples) by LAB, higher bacterial cell counts and longer fermentation time (24 h) were considered significant factors in AFB1 and FB1 removal in the fermented gruel. Reduction of mycotoxins was more substantial after 24 h of fermentation, when acidity was lower. Careful selection of LAB strains is therefore critical. In this study, the co-culture comprising of Enterococcus faecium, Lactobacillus plantarum and Lactobacillus buchneri showed the best ability to remove mycotoxins in fermented gruel. 101 The ability of lactic acid bacteria to detoxify mycotoxins has previously been reported [8, 9]. The use of this strategy in reducing mycotoxins from naturally contaminated maize is thus quite promising. The mechanisms of mycotoxin biosynthesis inhibition by lactic acid bacteria have been reported as strain dependent and could involve the binding of mycotoxin to the cell wall of bacteria and/or conversion of mycotoxin into less/non-toxic derivatives [10, 11]. More investigation is still needed on how the LAB strains used in this study and pH work together to reduce mycotoxin levels in maize-based substrates. This would provide insight on how fermentation conditions could be optimized to achieve greater mycotoxin reduction capacity of probiotic microorganisms. 4.2 Conclusion Mycotoxin (especially AFB1 and FB1) contamination has become a global health issue especially in sub-Saharan African countries and the consumption of these toxins has been reported to cause acute and chronic effects in animals and human beings. The results of this study indicated that lactic acid fermentation could be a part of a comprehensive mycotoxicosis prevention strategy that can help detoxify the commonly consumed maize-based gruels in Tanzania. Consumers could benefit from enhanced food safety, through consumption of gruel less contaminated with mycotoxins and, might in addition, benefit from the probiotic effects of LAB. In the scenario where LAB starter culture access and handling could prove challenging especially at household level and to small-scale food processors, the use of back-slopping in gruel fermentation might be advocated in order to reduce mycotoxins. However, further research is still required to elucidate whether the mycotoxins apparently eliminated are completely destroyed, bio-degraded or actually complexed with bacteria to non-toxic forms. 102 4.3 Recommendations In Tanzania, chronic exposure to mycotoxins can be reduced but it will require a multidisciplinary approach, including the collaboration between the agriculture and public health sectors, political will as well as commitment of sufficient resources by the national government. The results in this study indicated that acute mycotoxicosis is preventable. The use of LAB starter cultures for controlled fermentation and, promotion of traditional fermentation techniques such as back-slopping should be encouraged. It is proposed that complementary food processors should use fermented rather than the unfermented gruel as one of the practical ways of reducing the risks of aflatoxicosis. Further investigations are required on the binding mechanisms and possible stability of the bacteria-toxin complex in vivo. This will help assess any possible adherence properties of the bacteria-toxin complex on to the intestinal mucosa. In addition, the metabolic derivatives of AFB1 and FB1 should be characterized and the toxicity of these metabolic derivatives needs to be assessed. Since mycotoxin reduction by LAB could be strain specific, development of LAB strains with greater mycotoxin reduction activity need to be explored. This study demonstrated the ability of some strains of lactic acid bacteria to reduce the initial concentration of AFB1 and FB1 in maize-based complementary food. However, this intervention strategy should be rigorously tested and validated using clinical trials designed with biomarkers serving as object end points of efficacy. 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