Ee. Creppy et al., ASPARTAME AS A PREVENTIVE AGENT OF CHRONIC TOXIC EFFECTS OF OCHRATOXIN A IN EXPERIMENTAL-ANIMALS, Journal of toxicology. Toxin reviews, 15(3), 1996, pp. 207-221
Ochratoxin A (OTA) is a mycotoxin produced by ubiquitous Aspergilli, m
ainly by Aspergillus ochraceus and also by Penicillium verrucosum. It
is found all over the world in feed and Human food and blood as well a
s in animal blood and tissues. The most threatening effects of OTA are
nephrotoxicity and carcinogenicity, since this mycotoxin is nephrotox
ic to all animal species studied so far and is increasingly involved i
n the Balkan Endemic Nephropathy (BEN) a human chronic interstitial ne
phropathy which is most of the time associated to urinary tract tumour
s. Many data are available on the different mechanisms whereby OTA is
absorbed, transported, distributed, metabolised, accumulated and/or el
iminated in vivo. Its molecular mode of action in vivo and in vitro in
the inhibition of total protein synthesis and of a specific protein s
uch as renal phosphoenolpyruvate carboxykinase (PEPCK) are also well d
ocumented. There are evidence of the implication of oxidative pathways
in the OTA-induced cellular damage and in its genetoxicity, the mecha
nism of which is being more and more understood. Since it seems imposs
ible to avoid foodstuffs contamination by toxigenic fungi, detoxificat
ion and detoxication for OTA were needed. The results of these investi
gations showed that some of these potential antidotes were efficient i
n preventing the main OTA toxic effects whereas some others were not.
Promising compounds are structural analogues, and/or compounds having
a high binding affinity for plasma proteins such as A19 (Aspartame), p
iroxicam, a NSAID, some enzymes such as SOD and catalase, radical scav
engers, vitamins, PG-synthesis inhibitors, (such as piroxicam), pH mod
ificators such as sodium bicarbonate, adsorbent resin such as cholesty
ramine etc. Some of the results obtained in vivo needed to be confirme
d in vitro in order to know how to use safely these antidotes. The mos
t globally acting compound seemed to be Aspartame, a structural analog
ue of OTA and phenylalanine. When given to rats (25mg/kg/48h) combined
to OTA (289 mu g/kg/48h) for several weeks, it largely prevented OTA-
nephrotoxicity and genotoxicity. When given after intoxication of anim
als with OTA it washed out the toxin efficiently. In vitro, A19 (10 mu
g/ml) prevented OTA (20 to 500 mu g/ml) binding to plasma proteins. I
t also prevented its cytotoxicity in a renal cell-line in culture. Sin
ce Aspartame is not toxic and of a very convenient use, it is proposed
for the prevention of the ochratoxin A-induced toxic effects.