Fumonisins are mycotoxins produced worldwide by Fusarium fungi, princi
pally F. moniliforme. The fungus is present in virtually all harvested
corn, but the toxins produced are variable. The toxins, especially fu
monisin B-1, cause mild to fatal diseases in animals, with peculiar sp
ecies specificity for the dominant signs of toxicity. The mechanism of
toxicity is poorly understood, but it appears to be related to interf
erence with sphingolipid biosynthesis in multiple organs. Whereas brai
n, lung, and liver are well-known target organs, toxic effects on the
kidney are also widespread and have only recently begun to be characte
rized. Increased urine volume and decreased osmolarity are early chang
es associated with the toxin, as are increased excretions of high-and
low-molecular-weight proteins. Enzymuria in vivo, reduced ion transpor
t in vitro, and elevation of free sphinganine in renal tissue and in u
rine are present. An increase in serum creatinine and blood urea nitro
gen and histopathologic change in renal tubules occur later and at hig
her doses. The morphologic change principally affects the junction of
cortex and medulla and includes prominent apoptosis of epithelial cell
s of proximal convoluted tubules. Nephrotoxicity has been reported in
several species, and in rats and rabbits, the kidney appears to be the
most sensitive target organ.