Risk assessment and the importance of ochratoxins

The multi-faceted and potent toxicity of ochratoxin A to experimental animals, its accepted role as disease determinant in mycotoxic porcine nephropathy, its putative role in the idiopathic human disease Balkan endemic nephropathy and associated urinary tract tumours, and its widespread occurrence usually in trace amounts in foodstuffs is focussing attention on minimising human intake. Conservative risk assessment based on porcine renal disease data has set tolerable intake values rather similar to actual average human intake. However, translating experimental rat tumour data to possible human risk is proving difficult partly because, in the author's view, the finding of a low incidence of DNA adducts could arise from an artificial surge in serum concentration following rapid uptake from aqueous intragastric administration, and this probably exaggerates what would occur during more natural slow uptake from food. The need for experimental data that can assist meaningful evaluation of risk of natural intake of ochratoxin A is emphasised, but prospective legislation should be balanced against socio-economic consequences of setting over-strict limits on contamination of relevant agricultural commodities, particularly in vulnerable specialist sectors such as coffee. (C) 2002 Elsevier Science Ltd. All rights reserved.