Relationship Between Aflatoxin B1 Exposure and Etiology of Liver Disease in Saudi Arabian Patients

Exposure to chronic low levels of aflatoxin B1 (AFB1) contamination can lead to immune suppression and nutritional consequences that might greatly contributed in the increase of hepatocellular carcinoma (HCC). The toxicity of AFB1 is greatly vary between different population, affected by age, gen...

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Main Authors: Randa Mohamed M.A. Farag, Dujana AlAyobi, Hye-Joo Kwon, Afaf EL-Ansary
Format: Article
Language:English
Published: Journal of Pure and Applied Microbiology 2018-09-01
Series:Journal of Pure and Applied Microbiology
Subjects:
Online Access:https://microbiologyjournal.org/relationship-between-aflatoxin-b1-exposure-and-etiology-of-liver-disease-in-saudi-arabian-patients-2/
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author Randa Mohamed M.A. Farag
Dujana AlAyobi
Hye-Joo Kwon
Afaf EL-Ansary
author_facet Randa Mohamed M.A. Farag
Dujana AlAyobi
Hye-Joo Kwon
Afaf EL-Ansary
author_sort Randa Mohamed M.A. Farag
collection DOAJ
description Exposure to chronic low levels of aflatoxin B1 (AFB1) contamination can lead to immune suppression and nutritional consequences that might greatly contributed in the increase of hepatocellular carcinoma (HCC). The toxicity of AFB1 is greatly vary between different population, affected by age, gender, and environmental factors. Aflatoxin B1 (AFB1) was measured in 50 blood samples collected from non B, C hepatitis viruses and non CMV-Ab liver disease patients from different general hospitals and polyclinic in KSA during period 01- 2013 to 06-2014. All Patients demonstrate elevation of ALT and AST with unknown etiology. Serum samples were obtained and kept at “20 °C for AFB1detection. Out of the 50 blood samples, 38 demonstrate a detectable serum level of AFB1 while the remaining 12 patients were AFB1 negative. ALT was significantly higher in AFB1 positive samples compared to control AFB1- negative. AFB1 was positively correlated with AST and ALT as liver function enzymes and with age as a risk factor of long duration of AFB1 chronic exposure. Multiple linear regression analysis ascertained the association between AFB1 chronic exposure and ALT increase in liver dysfunction Saudi patients. Measurement of elevated ALT as marker of liver injury in AFB1 chronically exposed Saudi patients can help to avoid the future development of HCC. Moreover, early detection of AFB1 exposure, together with early vaccination against HBV and HCV can remove the synergistic effects of these two etiological factors and thus decrease the risk of developing liver cancer.
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spelling doaj.art-440f1c2642984e52a7dfa30acf3acc4c2022-12-21T19:15:02ZengJournal of Pure and Applied MicrobiologyJournal of Pure and Applied Microbiology0973-75102581-690X2018-09-011231147115310.22207/JPAM.12.3.13Relationship Between Aflatoxin B1 Exposure and Etiology of Liver Disease in Saudi Arabian PatientsRanda Mohamed M.A. Farag0Dujana AlAyobi1Hye-Joo Kwon2Afaf EL-Ansary3Assistant Prof of Virology and molecular microbiology, Health Science Research Central, Princess Nourah bint Abdulrahman University (PNU), Kingdom of Saudi Arabia (KSA). Prof of Genetic, Biology department, Princess Nourah bint Abdulrahman University (PNU), Kingdom Saudi Arabia (KSA).Assistant Prof of Molecular Biology, Biology department, Princess Nourah bint Abdulrahman University (PNU), Kingdom of Saudi Arabia (KSA).Prof Biochemistry, Central Labe, King Saud University (KSU).Exposure to chronic low levels of aflatoxin B1 (AFB1) contamination can lead to immune suppression and nutritional consequences that might greatly contributed in the increase of hepatocellular carcinoma (HCC). The toxicity of AFB1 is greatly vary between different population, affected by age, gender, and environmental factors. Aflatoxin B1 (AFB1) was measured in 50 blood samples collected from non B, C hepatitis viruses and non CMV-Ab liver disease patients from different general hospitals and polyclinic in KSA during period 01- 2013 to 06-2014. All Patients demonstrate elevation of ALT and AST with unknown etiology. Serum samples were obtained and kept at “20 °C for AFB1detection. Out of the 50 blood samples, 38 demonstrate a detectable serum level of AFB1 while the remaining 12 patients were AFB1 negative. ALT was significantly higher in AFB1 positive samples compared to control AFB1- negative. AFB1 was positively correlated with AST and ALT as liver function enzymes and with age as a risk factor of long duration of AFB1 chronic exposure. Multiple linear regression analysis ascertained the association between AFB1 chronic exposure and ALT increase in liver dysfunction Saudi patients. Measurement of elevated ALT as marker of liver injury in AFB1 chronically exposed Saudi patients can help to avoid the future development of HCC. Moreover, early detection of AFB1 exposure, together with early vaccination against HBV and HCV can remove the synergistic effects of these two etiological factors and thus decrease the risk of developing liver cancer.https://microbiologyjournal.org/relationship-between-aflatoxin-b1-exposure-and-etiology-of-liver-disease-in-saudi-arabian-patients-2/aflatoxin b1transaminaseshepatocellular carcinomasaudi patientsliver dysfunction
spellingShingle Randa Mohamed M.A. Farag
Dujana AlAyobi
Hye-Joo Kwon
Afaf EL-Ansary
Relationship Between Aflatoxin B1 Exposure and Etiology of Liver Disease in Saudi Arabian Patients
Journal of Pure and Applied Microbiology
aflatoxin b1
transaminases
hepatocellular carcinoma
saudi patients
liver dysfunction
title Relationship Between Aflatoxin B1 Exposure and Etiology of Liver Disease in Saudi Arabian Patients
title_full Relationship Between Aflatoxin B1 Exposure and Etiology of Liver Disease in Saudi Arabian Patients
title_fullStr Relationship Between Aflatoxin B1 Exposure and Etiology of Liver Disease in Saudi Arabian Patients
title_full_unstemmed Relationship Between Aflatoxin B1 Exposure and Etiology of Liver Disease in Saudi Arabian Patients
title_short Relationship Between Aflatoxin B1 Exposure and Etiology of Liver Disease in Saudi Arabian Patients
title_sort relationship between aflatoxin b1 exposure and etiology of liver disease in saudi arabian patients
topic aflatoxin b1
transaminases
hepatocellular carcinoma
saudi patients
liver dysfunction
url https://microbiologyjournal.org/relationship-between-aflatoxin-b1-exposure-and-etiology-of-liver-disease-in-saudi-arabian-patients-2/
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AT hyejookwon relationshipbetweenaflatoxinb1exposureandetiologyofliverdiseaseinsaudiarabianpatients
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