Association between aflatoxin content of food and hepatoma frequency in Uganda

Aflatoxin levels were determined in 480 food samples stored for consumption between harvests and collected from different parts of Uganda, in 1966–1967. Among these samples, 29.6% contained detectable levels of aflatoxins and 3.7% contained more than 1 μg/kg. The frequency of aflatoxin contamination was particularly high in provinces with a high hepatoma incidence, or where cultural and economic factors favored the ingestion of moldy foods. This observation suggests that aflatoxin exposure may account for the high incidence of hepatoma in Uganda and perhaps elsewhere.

[1]  D. Burkitt,et al.  Geographical Distribution of Cancer in East Africa: A New Clinicopathological Approach , 1965, British medical journal.

[2]  G. Wogan,et al.  Effects of cirrhosis and other liver insults on induction of liver tumors by aflatoxin in rats. , 1966, Laboratory investigation; a journal of technical methods and pathology.

[3]  C. S. Davidson,et al.  Hepatoma in Uganda. A study in geographic pathology. , 1968, Lancet.

[4]  C. W. Hesseltine,et al.  Mycotoxins in Foodstuffs , 1966 .

[5]  J. O'kelly,et al.  Toxicity associated with Certain Samples of Groundnuts , 1961, Nature.

[6]  E. Alpert,et al.  Aflatoxin-induced hepatic injury in the African monkey. , 1970, Archives of environmental health.

[7]  J. Knowelden,et al.  Incidence rates of cancer in Kyandondo County, Uganda, 1954-1960. , 1965, Journal of the National Cancer Institute.

[8]  Shimkin Mb,et al.  CARCINOGENESIS RELATED TO FOODS CONTAMINATED BY PROCESSING AND FUNGAL METABOLITES. , 1964 .

[9]  Wogan Gn,et al.  Dose-response characteristics of aflatoxin B1 carcinogenesis in the rat. , 1967 .

[10]  W. H. Butler,et al.  Acute and chronic effects of aflatoxin on the liver of domestic and laboratory animals: a review. , 1969, Cancer research.

[11]  R. Schoental LIVER DISEASE AND "NATURAL" HEPATOTOXINS. , 1963, Bulletin of the World Health Organization.

[12]  C. S. Davidson,et al.  Mycotoxins. A possible cause of primary carcinoma of the liver. , 1969, The American journal of medicine.

[13]  R. Sinnhuber,et al.  Dietary factors and hepatoma in rainbow trout (Salmo gairdneri). II. Cocarcinogenes by cyclopropenoid fatty acids and the effect of gossypol and altered lipids on aflatoxin-induced liver cancer. , 1968, Journal of the National Cancer Institute.

[14]  K. Warren,et al.  Increased incidence of hepatoma in mice with chronic schistosomiasis mansoni treated with a carcinogen. , 1967, The American journal of pathology.

[15]  C. S. Davidson,et al.  Primary hepatoma in Uganda. A prospective clinical and epidemiologic study of forty-six patients. , 1969, The American journal of medicine.

[16]  P. Newberne,et al.  Inhibition of aflatoxin carcinogenesis by diethylstilbestrol in male rats. , 1969, Archives of environmental health.

[17]  I. Purchase Fungal metabolites as potential carcinogens, with particular reference to their role in the aetiology of hepatoma. , 1967, South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde.

[18]  G. Wogan Chemical nature and biological effects of the aflatoxins. , 1966, Bacteriological reviews.

[19]  W. H. Butler,et al.  Aflatoxin carcinogenesis: Inhibition of liver cancer induction in hypophysectomized rats , 1969, International journal of cancer.

[20]  C. S. Davidson HEPATOTOXICITY OF FOODS: A CONSIDERATION OF THE HEPATOTOXICITY OF A FEW PHANEROGAMS AND CRYPTOGRAMS; THEIR POSSIBLE INFLUENCE IN THE PATHOGENESIS OF CIRRHOSIS AND HEPATOMA *, † , 1963 .