Natural occurrence of the mycotoxin ochratoxin A in food commodities h
as been linked to endemic diseases in certain human populations, where
a high incidence of nephropathy is observed (Balkan endemic nephropat
hy). The increase of renal disease is accompanied with a high risk for
urinary tract tumours. Despite epidemiological and experimental evide
nce for the carcinogenicity of ochratoxin A the underlying mechanism n
eeds to be established. The pivotal role of cytochrome P450 in the mut
agenicity of ochratoxin A could be demonstrated in experiments with ce
ll lines stably expressing the human cytochrome P450 enzymes, CYP1A1,
1A2, 2C10 and 3A4, which were able to activate the non-mutagenic ochra
toxin A into mutagenic metabolites. In the cell lines the bacterial la
cZ' gene was used as reporter gene for mutagenicity. Sequencing of the
lacZ' gene resulted in the detection of large deletions. In addition,
in metabolically competent rat hepatocytes an increase of single stra
nd breaks could be observed by means of the DNA alkaline elution assay
. These DNA alterations could be related to biotransformation processe
s, indicating extensive metabolism of ochratoxin A. The discrepancies
found between microsomal and cellular metabolism leads to the conclusi
on that ochratoxin A mediated mutagenicity requires additional process
ing of cytochrome P450 derived metabolism.