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诺瓦西尔黏土(钙蒙脱石)对加纳埃朱拉-塞凯杜马塞区接触黄曲霉毒素儿童的安全性和有效性研究

Safety and Efficacy of Novasil Clay (Calcium Montmorillonite) in Children Exposed to Aflatoxin in Ejura-Sekyedumase District in Ghana.

作者信息

Kumi Justice, Appiah-Opong Regina, Rein Dietrich, Egbi Godfred, Aninagyei Enoch, Boye Alex, Omane-Acheampong Desmond

机构信息

University of Ghana, Noguchi Memorial Institute for Medical Research, Legon, Accra, Ghana.

University of Cape Coast, Department of Biomedical Science, Cape Coast, Ghana.

出版信息

Glob Pediatr Health. 2022 Sep 16;9:2333794X221121243. doi: 10.1177/2333794X221121243. eCollection 2022.

DOI:10.1177/2333794X221121243
PMID:36133399
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9483956/
Abstract

. Aflatoxin levels are very high in animals and humans in places where cereals are poorly stored. In this study, Novasil was evaluated for safety and efficacy in children. Children (200) aged between 2 and 9 years were put into Novasil and placebo group. Participants received either 1.5 g of Novasil or calcium carbonate in their food. Urine samples were analyzed for AFM1 by HPLC, blood samples were assayed for complete blood count and chemistries. Aflatoxin M1 levels in the Novasil treated group, significantly reduced to 60% compared to an increase of urine AFM1 in the placebo group. Hematological parameters did not change except for an increase in hemoglobin level in the Novasil group. Biochemical parameters remained unchanged except calcium ions. Glutathione levels in the Novasil increased, compared group to the placebo group. Novasil is safe, reduce aflatoxin bioavailability in humans while improving GSH antioxidant capacity as well. The trial has been registered with Pan African Clinical Trial Registry (www.pactr.org). A WHO registry for clinical trials with a unique identification number PACTR202202797930675.

摘要

在谷物储存条件差的地区,动物和人类体内的黄曲霉毒素水平非常高。在本研究中,对Novasil在儿童中的安全性和有效性进行了评估。200名年龄在2至9岁之间的儿童被分为Novasil组和安慰剂组。参与者在食物中分别摄入1.5克Novasil或碳酸钙。通过高效液相色谱法分析尿液样本中的AFM1,对血液样本进行全血细胞计数和化学分析。与安慰剂组尿液中AFM1增加相比,Novasil治疗组的黄曲霉毒素M1水平显著降低至60%。除Novasil组血红蛋白水平升高外,血液学参数没有变化。除钙离子外,生化参数保持不变。与安慰剂组相比,Novasil组的谷胱甘肽水平升高。Novasil是安全的,可降低人体内黄曲霉毒素的生物利用度,同时提高谷胱甘肽抗氧化能力。该试验已在泛非临床试验注册中心(www.pactr.org)注册。世界卫生组织临床试验注册中心赋予其唯一识别号PACTR202202797930675。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f15/9483956/b8237dad9204/10.1177_2333794X221121243-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f15/9483956/0641938773c0/10.1177_2333794X221121243-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f15/9483956/96729c885cb5/10.1177_2333794X221121243-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f15/9483956/b8237dad9204/10.1177_2333794X221121243-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f15/9483956/0641938773c0/10.1177_2333794X221121243-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f15/9483956/96729c885cb5/10.1177_2333794X221121243-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f15/9483956/b8237dad9204/10.1177_2333794X221121243-fig3.jpg

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本文引用的文献

1
NovaSil clay for the protection of humans and animals from aflatoxins and other contaminants.诺娃西尔黏土可保护人类和动物免受黄曲霉毒素及其他污染物的侵害。
Clays Clay Miner. 2019 Feb;67(1):99-110. doi: 10.1007/s42860-019-0008-x. Epub 2019 Apr 5.
2
Chronic and Acute Toxicities of Aflatoxins: Mechanisms of Action.黄曲霉毒素的慢性和急性毒性:作用机制。
Int J Environ Res Public Health. 2020 Jan 8;17(2):423. doi: 10.3390/ijerph17020423.
3
Aflatoxins: Implications on Health.黄曲霉毒素:对健康的影响。
Indian J Clin Biochem. 2017 Jun;32(2):124-133. doi: 10.1007/s12291-017-0649-2. Epub 2017 Mar 28.
4
Evaluation of the efficacy, acceptability and palatability of calcium montmorillonite clay used to reduce aflatoxin B1 dietary exposure in a crossover study in Kenya.在肯尼亚进行的一项交叉研究中,评估用于减少膳食黄曲霉毒素B1暴露量的钙蒙脱石粘土的功效、可接受性和适口性。
Food Addit Contam Part A Chem Anal Control Expo Risk Assess. 2017 Jan;34(1):93-102. doi: 10.1080/19440049.2016.1224933.
5
Aflatoxins and fumonisins contamination of home-made food (weanimix) from cereal-legume blends for children.儿童谷物 - 豆类混合自制食品(断奶食品)中的黄曲霉毒素和伏马菌素污染情况
Ghana Med J. 2014 Sep;48(3):121-6. doi: 10.4314/gmj.v48i3.1.
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Short-term safety and efficacy of calcium montmorillonite clay (UPSN) in children.钙基蒙脱石黏土(UPSN)在儿童中的短期安全性和疗效。
Am J Trop Med Hyg. 2014 Oct;91(4):777-85. doi: 10.4269/ajtmh.14-0093. Epub 2014 Aug 18.
7
Reduction in the urinary aflatoxin M1 biomarker as an early indicator of the efficacy of dietary interventions to reduce exposure to aflatoxins.作为降低摄入黄曲霉毒素暴露的膳食干预措施有效性的早期指标,尿中黄曲霉毒素 M1 生物标志物的减少。
Biomarkers. 2013 Aug;18(5):391-8. doi: 10.3109/1354750X.2013.798031. Epub 2013 May 22.
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Human skin penetration of selected model mycotoxins.人体皮肤对选定的模型真菌毒素的渗透。
Toxicology. 2012 Nov 15;301(1-3):21-32. doi: 10.1016/j.tox.2012.06.012. Epub 2012 Jun 27.
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Characterization of diatomite and its application for the retention of radiocobalt: role of environmental parameters.硅藻土的特性及其在放射性钴保留中的应用:环境参数的作用。
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