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Clinical and Diagnostic Laboratory Immunology, January 2002, p. 149-155, Vol. 9, No. 1
1071-412X/01/$04.00+0 DOI: 10.1128/CDLI.9.1.149-155.2002
Copyright © 2002, American Society for Microbiology. All Rights Reserved.
Micología, Departamento de Bioquímica Clínica, Facultad de Ciencias Químicas, Universidad Nacional de Córdoba, Ciudad Universitaria, Córdoba,1 Instituto de Ciencia y Tecnología de los Alimentos, ICTA, Facultad de Ciencias Exactas Físicas y Naturales, Universidad Nacional de Córdoba, Córdoba,2 Departamento de Microbiología e Inmunología, Facultad de Ciencias Exactas Físico-Químicas y Naturales, Universidad Nacional de Río Cuarto, Ria Cuarto, Argentina3
Received 20 March 2001/ Returned for modification 8 June 2001/ Accepted 13 September 2001
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Diseases induced by mycotoxins cause acute, chronic, and subchronic toxicities, which depend on different factors such as the animal species, age, sex, strain, dosage, and administration route (18, 41). Fumonisins have been associated with different kinds of mycotoxicoses in domestic animals, such as leukoencephalomalacia in equines (34), pulmonary edema in pigs (10), and hepatocellular carcinoma in rats (15). Animals, as well as humans, are exposed to mycotoxins through consumption of contaminated food in the diet, which can be considered the gateway to cases of natural intoxication by these compounds (17, 19). Contamination with mycotoxins has been detected in different countries in most agricultural products, such as cereals and corn-based food products (16, 25). Of the fumonisins known, only FB1, FB2, and FB3 produce high levels of contamination in naturally contaminated products (16).
During the last few years, different researchers have reported infection levels produced by toxicogenic stocks of Fusarium, Aspergillus, and Penicillium in cereals and in food based on grains produced in Argentina. In these studies Fusarium was found in a high percentage of the analyzed samples. The fumonisin producers F. nygamai (G. fujikuroi mating population G) and F. verticillioides were the main species found (9, 14), with FB1 being the toxin present in the highest concentration (16).
Among the toxins produced by Fusarium, fumonisins, synthesized mainly by F. verticillioides and F. proliferatum (G. fujikuroi mating population D), are the most important because of epidemiological evidence that links them to a high increase of esophageal cancer in humans (33). Marasas et al. have demonstrated a high prevalence of cereals infected by F. verticillioides in African areas where there is a higher incidence of esophageal cancer compared to those with a low incidence of the disease (26).
Dietary exposure to various mycotoxins results in decreases of antibody production, T-lymphocyte proliferative response, cytotoxic action of T lymphocytes, and production of oxygen derivatives by peritoneal cells (8, 31, 44). There is some recent evidence suggesting that FB1 or other structurally related fumonisins are able to modulate the in vivo immune function in broiler chicks. A decrease of viability of lymphocytes in chickens fed an FB1- and FB2-contaminated diet has been reported (12). On the other hand, FB1 and FB2 in vitro are able to induce NO2 production by rat splenic macrophages and to stimulate T-cell proliferation (11).
Other mycotoxins produced by Fusarium, such as vomitoxin (deoxynavaleriol), are able to overinduce interleukin secretion in CD4+ cell cultures, at the same time and in addition to the cell proliferation inhibition (1). Vomitoxin in an experimental macrophage model in vitro also appears to interfere with the associated functions of activated macrophages regulating H2O2 production, depending on the dosage used (20).
Furthermore, a series of microscopic alterations in target organs, such as liver and kidney, has been described. It has been observed that F344 female and male rats that consumed between 0 and 484 ppm of FB1 for 28 days showed apoptosis in liver hyperplasia of the bile ducts and apoptosis of tubular epithelial cells of the kidney (38). According to Bondy et al. (4), the kidney was one of the organs most affected by fumonisin toxicity in male Sprague-Dawley rats, in which they were able to observe necrosis of tubular epithelial cells of the inner cortex, cytoplasmatic basophilia, and atrophy of tubular epithelial cells.
Diets in animals and humans can be contaminated with low levels of fumonisins, producing chronic mycotoxicoses that can alter immunologic mechanisms. The experimental models used to date to study mycotoxin effects on laboratory animals are based mainly on the production of acute mycotoxicoses; however, the alterations at the immunologic level have been studied in only a few cases.
The main objective of this study was to evaluate the immunologic effects caused in rats by an FB1 administration similar to that occurring in nature.
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Preparation of fumonisin extracts. FB1 was produced using maize as a substratum layer. Wheat (300 g) was placed in 1,000-ml Erlenmeyer flasks at 35% humidity and sterilized for two consecutive days in an autoclave at 121°C for 15 min. A culture of F. verticillioides M 7075 obtained from agar-carnation leaves by monosporic isolation was used as an inoculum. Incubation was for 28 days in the dark at 25°C, with manual stirring during the first 5 days. Separation and purification of the toxin were performed with the fermented wheat, according to a modification of the methodology of Voss et al. (42).
FB1 quantification. Samples (100 µl) obtained from the extracts were diluted with acetonitrile (100 µl). Before the quantification assays, the samples were diluted 1/50 with acetonitrile-water (1:1). The quantification of the diluted extracts was performed by the methodology proposed by Shephard et al. (36). Briefly, an aliquot (50 µl) of this solution was derivatized with 200 µl of o-phthaldialdehyde. This solution was obtained by adding 5 ml of 0.1 M sodium tetraborate and 50 µl of 2-mercaptoethanol to 1 ml of methanol containing 40 mg of o-phthaldialdehyde. The derivatized samples were analyzed with a high-pressure liquid chromatograph (Hewlett-Packard) equipped with a fluorescence detector. The wavelengths used for excitation and emission were 335 and 440 nm, respectively. An analytical reverse-phase C18 column (150 by 4.6 mm [internal diameter]; 5-µm particle size) connected to a C18 precolumn (20 by 4.6 mm; 5-µm particle size) was used. The mobile phase was methanol-0.1 M NaH2PO4 (75:25), the pH was set at 3.35 ± 0.2 with ortho-phosphoric acid, and a flow rate of 1.5 ml/min was used. The quantification of FB1 was carried out by comparing the peak areas obtained for rats fed FB1 with those corresponding to standards of 10.5, 5.25, and 2.625 µg of FB1 per ml (Programme on Mycotoxins and Experimental Carcinogenesis, Tygerberg, Republic of South Africa).
Diets. (i) Control diet. The control diet was prepared by adding 435 ml of aqueous extract of maize without inoculation of F. verticillioides to a solution of agar (Difco) (15 g) in 435 ml of distilled water. This mixture was warmed until the agar dilution was completed and then cooled to 50°C. Next, 1,000 g of balanced rat-mouse food (Cargill S.A. C.I., Saladillo, Buenos Aires, Argentina), finely ground and free of mycotoxins, was continuously shaken until a homogeneous mixture was obtained. Pieces of approximately 20 g each were molded, and after solidification they were stored at -18°C until they were used. The final concentration of FB1 in the food was <0.3 ppm.
(ii) Diet with FB1. The diet with FB1 was prepared as the control diet was, using fumonisin extract as described above. The final FB1 concentration in the food was 100 ppm.
Experimental model. Two groups of rats were used. One (control) (n = 6) was fed a control diet, and the other (n = 6) was fed a diet with FB1. Animals were housed in pairs in different cages and fed for 90 days. The food ration was replaced daily, and the weights of food portions given and left uneaten after 24 h were determined. Animals were weighed on the 30th, 60th, and 90th days of being fed. After this period, blood samples were obtained by intracardiac puncture and the animals were killed by cervical dislocation.
Determination of food consumption, body weight, body weight gain, and fumonisin consumption. The food consumption per day was calculated from the difference between the weights of the portions given and uneaten. The body weight was determined on a scale (Ohaus, Florham Park, N.J.) with a precision of 0.05 g. The body weight gain of each animal was determined on the 30th, 60th, and 90th days of feeding as the weight difference in comparison to the weight in the previous month. The total fumonisin consumption on days 30, 60, and 90 for the group given FB1 was calculated by taking into account the food consumption and the toxin concentration in the food. The results are expressed in relation to body weight.
Examination of tissues. Specimens of lungs, spleen, liver, kidney, and small intestine were obtained on the 90th day of feeding. For examination by light microscopy, tissues were fixed in 10% neutral buffered formalin (pH 7.2). Paraffin sections (4 µm) of tissues were stained with hematoxylin and eosin. Photomicrographs were taken with a Zeiss Axiophot instrument using Kodak Plus-X pan (PX 135 to 24) film. In the small intestine 10 crypts were examined as representatives of each sample, and the numbers of mitotic cells found in the crypt bases of control animals and those fed with FB1 were obtained.
Serum biochemical measurements. The levels of total cholesterol (Chol), triglycerides (TGs), and calcium (Ca) and the enzymatic activities of aspartate aminotransferase (AST), alanine aminotransferase (ALT), gamma glutamyltransferase (GGT), and alkaline phosphatase (ALP) in serum obtained from intracardiac puncture were determined by using a Technicon RA-1000 autoanalyzer.
SMCs. Spleen mononuclear cell (SMC) suspensions were prepared by the method described by Kisaki et al. (22). Briefly, spleens were removed aseptically from animals, minced, and passed through stainless-steel mesh to obtain single-cell suspensions. The cells were washed with RPMI 1640 medium (Sigma) and resuspended in sterile RPMI 1640 medium supplemented with 10% heat-inactivated fetal calf serum (Gibco), gentamicin (50 µg/ml), and ß-mercaptoethanol (5 x 10-5 M). Suspensions of spleen cells were prepared aseptically and adjusted to 6 x 106 cells/ml.
Peritoneal cells. Peritoneal cells were obtained by sterile washing with Krebs Ringer phosphate dextrose buffer (pH 7.0) containing gentamicin (50 mg/liter) and heparin (20 U/ml). Cells were washed twice, resuspended in culture medium, counted, and diluted. Resident cells were collected from rats fed with control diet and from rats fed the FB1 diet.
Mitogenic responses of SMCs. Cell suspensions (50 µl; 6 x 106 cells/ml; 3 x 105 cells) were dispensed into each well of 96-well culture plates containing 100 µl of culture medium (RPMI 1640). Concanavalin A (ConA) (type IV; Sigma) and lipopolysaccharide (LPS) (055:B5; Sigma) were added at optimal final concentrations of 10 and 40 µg/ml, respectively. The viability of cells was assessed by the trypan blue (0.1%) exclusion test. For in vitro assays, FB1 was added at an optimal final concentration of 10 µM. The cultures were incubated with the mitogens at 37°C in an atmosphere containing 5% CO2 and were labeled during the last 18 h of 96-h cultures with 1 µCi of [3H]thymidine (Comisión Nacional de Energía Atómica). These cells were harvested 18 h thereafter on a glass fiber filter using an automated cell harvester (Skatron; Molecular Devices, Sunnyvale, Calif.). Incorporation of tritiated thymidine into cell DNA was measured in triplicate using a beta liquid scintillation counter.
Cytokine measurement. SMC suspensions were cultured in RPMI 1640 medium supplemented with 10% heat-inactivated fetal calf serum (Gibco), gentamicin (50 µg/ml), ß-mercaptoethanol (5 x 10-5 M), and ConA (type IV; Sigma), at an optimal final concentration of 10 µg/ml. Supernatants from cultures were collected after 24 h for determination of interleukin-2 (IL-2) and after 72 h for determination of IL-4 and IL-10 and were frozen at -70°C until analyzed. Interleukins were measured using an sandwich enzyme-linked immunosorbent assay protocol (35). Briefly, a purified fraction of anti-IL-2, anti-IL-4, and anti-IL-10 antiserum (PharMingen) was used as capture antibody in conjunction with the biotinylated anti-rat IL-2, IL-4, and IL-10 monoclonal antibody. Dilutions of recombinant rat IL-2, IL-4, and IL-10 were used as standards. After being washed four times with phosphate-buffered saline-Tween 20, the plates were reacted with horseradish peroxidase-streptavidin (Sigma) and o-phenylenediamine was added. After 5 to 20 min, the reaction was stopped with 25 µl of sulfuric acid (1:9, vol/vol). The reactions were read in a microplate reader (Bio-Rad), and results are expressed as nanograms per milliliter.
Detection of H2O2 released by adherent cells. The phenol red oxidation microassay was used. Briefly, cells (8 x 106/ml) were placed in 96-well plates and left to stand for 2 h at 37°C in 5% CO2. The medium was then replaced with 250 µl of PRS buffer (NaCl [140 mM], dextrose [5.5 mM], phenol red [280 µM], and peroxidase [Sigma] [EC 1.11.1.7] [8.5 U/ml] in phosphate-buffered saline, pH 7.0). For the in vitro assays, FB1 was added at an optimal final concentration of 10 µM (7.21 µg/ml). Wells were treated with phorbol 12-myristate 13-acetate (PMA) (100 ng/ml) and incubated for 45 min at 37°C in 5% CO2. The reaction was stopped with 10 µl of 1 N NaOH, and the reactive wells were read in a microplate reader (Bio-Rad) with a 595-nm filter. Results are expressed as nanomoles of H2O2 released by 106 cells in 30 min.
Detection of O2- released by resident peritoneal cells. Superoxide anion was quantitatively determined by nitroblue tetrazolium reduction. Peritoneal cells (4 x 106) were incubated in the dark for 30 min at 37°C with 5% CO2 in the presence of nitroblue tetrazolium (0.1%) with or without PMA at an optimal final concentration of 100 ng/ml. The reaction was stopped with 0.4 ml of 0.1 N HCl. Cells were centrifuged, and insoluble formazan was extracted twice with 1 ml of 1,4-dioxane. Optical densities in supernatants were determined at 560 nm, and results are expressed as the percentage of optical densities developed in control tubes.
Statistical evaluation.
Data from these studies were analyzed by one-way analysis of variance. Results giving P values of
0.05 were considered significantly different.
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0.05), in weight (P
0.001), and in weight gain (P
0.001) were detected in the group fed FB1 with respect to the control group. The total average FB1 consumptions on days 30, 60, and 90 were 319, 544, and 810 mg of FB1/kg of body weight, respectively. Examination of tissues. In the histopathologic examination the tissues of organs showed little modification in the cell structures of lungs and esophagus in FB1-fed animals compared with controls. On the other hand, in liver samples of FB1-fed rats, a perivascular histiocytic infiltrate (Fig. 1a) and an increased number of Kupffer cells and changes in the normal structure (Fig. 1c) in comparison with control animals (Fig. 1b and d, respectively) were detected. In the kidneys of rats fed FB1, apoptotic bodies and necrotic alterations in tubular epithelial cells (Fig. 1e), an increase in the capsular space (Fig. 1f), and the presence of proteinogenous material in the tubular lumen (lights) were observed. These kidney alterations were not detected in control rats. In addition, the microscopic examination showed an increase in the average number of mitotic cells in the base of the crypt (Fig. 2a) and a major lymphocytic infiltrate (Fig. 2b) in the small intestine in rats fed FB1.
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FIG. 1. Hematoxylin-and-eosin-stained sections of rat organs exposed to a diet containing 100 ppm of FB1 or a diet without FB1 (control) for 90 days. In the livers of animals fed FB1, a perivascular histiocytic infiltrate (a) with respect to control rats (b) and an increased number of Kupffer cells (c) compared to those of control rats (d) were the main alterations found. Histological findings in the kidney included apoptosis (arrows) and necrosis (arrowheads) of tubular epithelial cells (e), and increased capsular space (f) was also found. Magnifications, x200 (a and b), x100 (c, d, and f), and x400 (e).
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FIG. 2. Hematoxylin-and-eosin-stained sections of rat organs exposed to a diet containing 100 ppm of FB1 for 90 days. In the small intestine, an increased number of mitotic cells (arrows) (a) and lymphocytic infiltrate (b) were present. Magnification, x400 (a) and x100 (b).
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0.001) and a decrease of TG levels (P
0.05) in comparison with control rats were observed No significant changes in Chol or Ca levels or in ALT, AST, and GGT activities were observed. |
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TABLE 1. Serum parameters for rats (n = 6) on day 90
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Cytokine measurement.
After 72 h of culture, supernatants of SMCs from animals fed FB1 had significantly higher concentrations of IL-4 (P
0.01) and lower concentrations of IL-10 (P
0.01) than controls (Fig. 3). There were no alterations in IL-2 levels produced by cells from FB1-fed rats in comparison with controls (data not shown). In in vitro assays, there were no changes in the levels of IL-2, IL-4, and IL-10 produced by SMCs of normal rats in the presence of FB1 (10 µM) with respect to controls.
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FIG. 3. Interleukins released by SMCs obtained from rats fed a control diet or a diet with FB1 (Problem). Cytokine levels in supernatants of cells cultured for 72 h after recovery from spleens were determined by enzyme-linked immunosorbent assay. Error bars indicate standard errors. *, P 0.01.
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0.01) than controls stimulated with PMA, while there were no differences in H2O2 levels produced in the basal state (Fig. 4A). In in vitro assays, adherent peritoneal cells from normal animals produced significantly lower concentrations of H2O2 (P
0.01) in the presence of FB1 (10 µM) and when stimulated by PMA than controls (Fig. 4B). There were no changes in anion superoxide production in the basal state or in the presence of PMA (data not shown).
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FIG. 4. H2O2 released by adherent peritoneal cells. Macrophages were incubated with or without PMA as a stimulant. Results are expressed as mean (standard error) nanomoles of H2O2 released by 106 cells in 30 min. (A) In vivo exposure to FB1 (n = 6 rats). Control, rats fed control diet for 90 days; Problem, rats fed diet with FB1 for 90 days. (B) In vitro exposure to FB1. For in vitro assays a pool of peritoneal cells from four normal rats was used. Cells were incubated with (Problem) or without (Control) 10 µM FB1. *, P 0.05; **, P 0.01.
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In histopathologic examination alterations similar to those described by other authors were found, indicating that the liver and kidney are the principal target organs for FB1 action in rats. Furthermore, the lymphocytic infiltrate and increased average number of mitotic cells found by the crypt base in the intestine were present in all samples of animals fed FB1. Despite the fact that the small intestine is not one of the organs most affected by this mycotoxin, it is exposed to the same FB1 concentrations via oral administration. FB1 is able to have toxic activity on the intestinal cell by interference in the lipid metabolism (13), causing alteration of the cellular cycle (29) and increasing the cell number in different phases of mitosis (Fig. 2a). These findings would be related to a major susceptibility to infections by pathogens that enter via the oral route (39).
The level of serum TGs is influenced by fats introduced in the diet and endogenous synthesis in the liver and intestine (2). In this work, a decrease in the TG concentration in animals fed FB1 was observed (Table 1). Bondy et al. (4) have reported a similar finding in a study of acute toxicity in rats in which the food consumption and therefore the fats in the diet were diminished for only a short time. On the other hand, Enongene et al. (13) have reported alterations in lipid metabolism in the epithelial cells of the small intestine and hepatocytes. These results indicate that FB1 could be a cause of the decreased levels of TGs in serum in our model, interfering in the biosynthesis of endogenous TGs.
Among the parameters studied in the biochemical profile, an increase of ALP activity was found. Although the liver is the major source of this enzyme, in some cases in which the intestinal metabolism is stimulated, the intestinal isoenzyme could represent an important factor (21). A similar effect is obtained due to cellular alterations in the proximal convoluted tubules of the kidney, which may contribute to the total serum ALP activity (21). These results are related to the histopathologic findings in the kidney (Fig. 1e).
The failure to observe changes in SMC proliferation in animals fed FB1 (in the basal state or stimulated), as well as in the proliferation of normal SMCs exposed in vitro to FB1, is due to the mycotoxin concentration used. These results are related to the observations of Tryphonas et al. (39) that the daily ingestion of 25 mg of FB1/kg of body weight/day for 14 days did not produce changes in the proliferative response of rat lymphocytes. Charoenpornsook et al. (6), using bovine peripheral blood mononuclear cells, have observed a 50% decrease of proliferation in the presence of ConA when the cells were exposed to 35 µg of FB1 per ml. Taking into account the pharmacokinetic data reported by Martinez-Larranaga et al. (27), in our experimental model the major FB1 concentrations that could arise in blood would be 5 to 10 µg/ml. Even if there are differences among species, higher FB1 concentrations in rats than the one used in this work (7.21 µg/ml) would be needed to produce alterations in the normal blostomytogenic response of lymphocytes.
Little is known about the function of interleukins in a mycotoxicosis produced by fumonisins. In our work, higher concentrations of IL-4 and lower concentrations of IL-10 in supernatants of SMCs in rats fed with FB1 were found with respect to controls (Fig. 3). This increase of IL-4 could be stimulated by the presence of FB1 and/or the accumulation of sphingoid bases (sphingosine) in the intracellular space by means of an unknown mechanism (28). Therefore, the ingestion of FB1 during a subchronic period could produce a break in the balance of Th1 and Th2 subsets. In models of chronic FB1 intoxication, the main expression of some interleukins could be related to the evasion of tumor cells from immunologic surveillance (24). Furthermore, it was determined that among the functions of IL-10, this cytokine could act as a costimulator for the growth of mature thymocytes. It also functions as a cytotoxic-T-cell differentiation factor, promoting a higher number of IL-2-activated cytotoxic-T-lymphocyte precursors to proliferate and differentiate into cytotoxic effector cells (7). It has also been suggested that IL-10 is an essential immunoregulator of the intestinal tract and that the generalized bowel inflammation in IL-10-deficient animals is due to uncontrolled immune responses stimulated by enteric antigens (23). The decrease of IL-10 found in animals fed FB1 could contribute to the alterations observed in the small intestine. On the other hand, the absence of modifications in the IL-2 levels in these animals in comparison with controls would be related to the results obtained on the proliferation of SMCs in the presence of ConA.
The presence of some Th2 profile cytokines could have also been modulating the macrophage function (32). The hydrogen peroxide and anion superoxide produced by these cells have an important role in the host defense against tumors and microorganisms. In our experimental model, peritoneal macrophages exposed in vivo and in vitro to FB1 produced less hydrogen peroxide (Fig. 4); however, alterations in the production of anion superoxide were not found. These results suggest that FB1 can have immunosuppressive effects on some of the macrophage immunologic mechanisms, diminishing their cytotoxic capacity, which would be related to a lower antitumor activity.
The results obtained in this work indicated that FB1 has the liver and kidney as principal target organs for subchronic toxicity in rats. Further, in this model the small intestine is clearly affected. With the doses used, FB1 is able to produce a modification of the excretion of interleukins, acting on macrophage function. A more extensive study on the accumulation of sphingoid bases in the immune cell system and its functionality would be able to clarify the mechanisms acting in the pathogenesis of this intoxication.
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