Skip to main content
Log in

The significance of mycotoxins in the framework of assessing workplace related risks

  • Published:
Mycotoxin Research Aims and scope Submit manuscript

    We’re sorry, something doesn't seem to be working properly.

    Please try refreshing the page. If that doesn't work, please contact support so we can address the problem.

Abstract

Mycotoxins are fungal metabolite which may in some cases exhibit a high health hazard potential. Mycotoxins can show carcinogenic, mutagenic, toxic, teratogenic or immunotoxic effects. Mycotoxin exposure in the workplace may occur through inhalation and skin contact,e.g. during occupational handling of organic matter such as livestock feed, food products, or waste. Various studies suggest that both acute and chronic effects can occur, depending at least on the exposure level. The magnitude of the potential health risks associated with a respiratory or dermal intake of mycotoxins has largely remained unclear to date. However, according to the directive 2000/54/EC on biological agents and the corresponding German Biological Agents Ordinance, employers are also required to consider the potential hazards posed by toxic effects of biological agents when assessing workplace risks. The aim of this article, therefore, is to present some basis information that should facilitate an evaluation of the significance of mycotoxins in the context of assessing workplace risks. It also provides suggestions for occupational health and safety measures.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Weideubörner M (1999) Lebensmittel-Mykologie Behr’s Verlag, Hamburg

    Google Scholar 

  2. Rosner H, Rohrmann B, Peiker G (2000) Ochratoxin A im Serum Arch Lebensmittelhyg 51: 104–107

    CAS  Google Scholar 

  3. Bünger J, Möller A, Hallier E (2000) Tumorerkrankungsrisiken durch Mikroorganismen am Arbeitsplatz. Forschungsbericht Fb 900 der Bundesanstalt für Arbeitsschutz und Arbeitsmedizin (BAuA), Wirtschaftsverlag NW Verlag für neue Wissenschaft, Dortmund Bremerhaven

  4. Gareis M, Meussdoerffer F (2000) Dust of grains and malts as a source of ochratoxin A exposure. Mycotox Res 16: 127–130

    Article  Google Scholar 

  5. Krysińska-Traczyk I, Kiecana I, Perkowski J, Dutkiewicz J (2001) Levels of fungi and mycotoxins in samples of grain and gain dust collected on farms in eastern Poland. Ann Agric Environm Med 8: 269–274

    Google Scholar 

  6. Mayer S, Curtui V, Usleber E, Gareis M (2007) Airborne mycotoxins in dust of grain elevators. Mycotox Res 23 (2): 94–100

    Article  CAS  Google Scholar 

  7. Halstensen AS, Nordby KC, Elen O, Eduard W (2004) Ochratoxin A in grain dust-estimated exposure and relations to agricultural practices in grain production. Ann Agric Environm Med 11: 245–254

    CAS  Google Scholar 

  8. Pohland AE, Nesheim S, Friedman L (1992) Ochratoxin A: a review (technical report). Pure Appl Chem 64: 1029–1046. Quoted in (1).

    Article  CAS  Google Scholar 

  9. Studer-Rohr I, Dietrich DR, Schlatter J, Schlatter C (1995) The occurrence of ochratoxin A in coffee. Food Chem Toxicol 33: 341–355

    Article  PubMed  CAS  Google Scholar 

  10. Ergebnisse der amtlichen Lebensmittelüberwachung in Hessen. Hrsg.: Hessisches Ministerium für Umwelt, ländlichen Raum und Verbraucherschutz, Wiesbaden 2006

  11. Müller G (1997) Nüsse, Mandeln, Sonnenblumenkerne und daraus hergestellte Erzeugnisse In: Müller G, Holzapfel W, Weber H (eds) Mikrobiologie der Lebensmittel—Lebensmittel pflanzlicher Herkunft. Behr’s Verlag, Hamburg, 395–403

    Google Scholar 

  12. Mücke W (Hrsg./Verf.) et al. (1999) Keimemissionen aus Kompostierungs-und Vergärungsanlagen. Herbert Utz, Munich

  13. Fischer G, Thißen R, Müller T, Braun S, Dott W (2004) Mikrobielle Stoffwechselprodukte als Messparameter bei Emissionsbetrachtungen an Bioabfall-Behandlungsanlagen. Gefahrstoffe-Reinhalt Luft 64:229–238

    CAS  Google Scholar 

  14. Thißen R (2007) Nachweis und Bewertung von Mykotoxinen, insbesondere Aflatoxin, in Bioaerosolen und deren Bedeutung für die pulmonale Exposition an Arbeitsplätzen in Kompostierungsanlagen. Thesis. Rheinisch-Westfälische Technische Hochschule (RWTH) Aachen

  15. Bünger J, Westphal G, Mönnich A, Hinnendahl B, Hallier E, Müller M (2004) Cytotoxicity of occupationally and environmentally relevant mycotoxins. Toxicology 202 (3): 199–211

    Article  PubMed  CAS  Google Scholar 

  16. Gareis M (2004) Bildung von Mykotoxinen in Guttationströpfchen. 26. Mykotoxin-Workshop, Conference Proceedings, 46

  17. Engelhart S, Loock A, Skutlarek D, Sagunski H, Lommel A, Färber H, Exner M (2002) Occurrence of toxigenic Aspergillus versicolor isolates and sterigmatocystin in carpet dust from damp indoor environments. Appl Environ. Microbiol 68: 3886–3890

    Article  PubMed  CAS  Google Scholar 

  18. Iavicoli I, Brera C, Carelli G, Caputi R, Marinaccio A, Miraglia M (2002) External and internal dose in subjects occupationally exposed to ochratoxin A. Int Arch Occup Environm Health 75: 381–386

    Article  CAS  Google Scholar 

  19. Autrup JL, Schmidt J, Autrup H (1993) Exposure to aflatoxin B1 in animal-feed production plant workers. Environm Health Perspect 99: 1995–1997

    Google Scholar 

  20. Alavanja MCR, Malker H, Hayes RB (1987) Occupational cancer risk associated with the storage and bulk handling of agricultural foodstuff. J Toxicol Environm Health 22: 247–254

    CAS  Google Scholar 

  21. Olsen JH, Dragsted L, Autrup H (1988) Cancer risk and occupational exposure to aflatoxins in Denmark. Br J Cancer 58: 392–396

    PubMed  CAS  Google Scholar 

  22. Hayes RB, van Niewenhuize JP, Raatgever JW, ten Kate FJW (1984) Aflatoxin exposure in the industrial setting: an epidemiological study of mortality Food Chem Toxicol 22: 39–43

    Article  PubMed  CAS  Google Scholar 

  23. Laakkonen A, Kauppinen T, Pukkala E (2006) Cancer risk among Finnish food industry workers. Int J. Cancer 118: 2567–2571

    Article  PubMed  CAS  Google Scholar 

  24. The MAK collection, for occupational health and safety (2006) Ochratoxin A. 37. Lieferung, H. Greim (ed) Wiley VCH, Weinheim

    Google Scholar 

  25. Gareis M, Rotheneder R (2003) Diagnostik von Nahrungs- und Futtermitteln sowie Umweltproben mit einem biologischen Indikatorsystem auf Zellkulturbasis (MTT-Test). Mitteilungsbl BAFF, 42: 1–6

    Google Scholar 

  26. Land CJ, Hult K, Fuchs R, Hagelberg S, Lundström H (1987) Tremorgenic mycotoxins from Aspergillus fumigatus as a possible occupational health problem in sawmills. Appl Environm Microbiol 53: 787–790

    CAS  Google Scholar 

  27. Hodge RP, Harris CM, Haris TM (1988) Verrucufortine, a major metabolite of Penicillium verrucosum var. cyclopium, the fungus that produce verrucosidin. J Nat Prod 51: 66–73

    Article  PubMed  CAS  Google Scholar 

  28. WHO Food Additives Series: 47. Safety evaluation of certain mycotoxins in food. World Health Organization (ed) Geneva 2001. www. inchem.org/documents/jecfa/jecmono/v47je01.h tm

  29. Singer R (2005) Clinical evaluation of suspected mold neurotoxicity. In: Johanning E (ed) Bioaerosols, fungi, bacteria, mycotoxins and human health: Patho-physiology, clinical effects, exposure assessment, prevention and control in indoor environment and work Fungal Research Group Foundation. Albany, New York

    Google Scholar 

  30. Gordon WA, Cantor J, Charatz H, Ashmann T, Johanning E (2005) The chronicity of cognitive impainment associated with exposure to toxic mold. In: Johanning E (ed) Bioaerosols, fungi, bacteria, mycotoxins and human health: Pathophysiology, clinical effects, exposure assessment, prevention and control in indoor environment and work. Fungal Research Group Foundation, Albany, New York

    Google Scholar 

  31. Johanning E, Landsbergis P (2001) Clinica findings related to indoor fungal exposure — review of clinical data of a specialty clinic. In: Johanning E (ed) Bioaerosols, fungi and mycotoxins: Health effects, assessment, prevention and control Boyd Printing: Albany, New York

    Google Scholar 

  32. Knasmüller S, Parzefall W, Helma C, Kassie F, Ecker S, Schulte-Herrmann R (1997) Toxic effects of griseofulvin: disease models, mechanisms, and risk assessment. Crit Rev Toxicol 27: 495–537

    Article  PubMed  Google Scholar 

  33. Kristensen P, Irgens LM, Andersen A, Snellingen BA, Sundheim L (1997) Getational age, birth weight, and perinatal death among births to Norwegian farmers. Am J Epidemiol 146: 329–338

    PubMed  CAS  Google Scholar 

  34. Kristensen P, Andersen A, Irgens LM (2000) Hormone-dependent cancer and adverse reproducing outcomes in farmers’ families — effects of climatic conditions favouring fungal growth in grain. Scand J Work Environm Health 26: 331–337

    CAS  Google Scholar 

  35. Opinion of the Scientific Committee on Food on fusarium toxins, part 2: Zearalenone. European Commission 2000 (ed) http://ec.europe.eu/food/fs/sc/scf/out65_en.pdf

  36. Pier AC, McLoughlin ME (1985) Mycotoxin suppression of immunity. In: Lacey JC (ed) Trichothecenes and other mycotoxins. John Wiley and Sons. New York

    Google Scholar 

  37. Eichner RD, Al Salami M, Wood PR, Müllbacher A (1986) The effect of gliotoxin upon macrophage function. Int J Immunopharmac 8: 789–79

    Article  CAS  Google Scholar 

  38. Jakab GJ, Hmieleski RR, Zarba A, Hemenway DR, Groopman JD (1994) Respiratory aflatoxicosis: Suppression of pulmonary and systemic host defense in rats and mice. Toxicol Appl Pharmacol 125: 198–205

    Article  PubMed  CAS  Google Scholar 

  39. Wichmann G, Herbarth O (2002) The mycotoxins citrinin, gliotoxin, and patulin affect interferon-gamma rather than interleukin-4 production in human blood cells. Environm Toxicol 17: 211–218

    Article  CAS  Google Scholar 

  40. Amitani R, Taylor G, Elezis E-A, Llewellyn-Jones C, Mitchell J, Kuze F, Cole PJ, Wilson R (1995) Purification and characterization of factors produced by Aspergillus fumigatus which affect human ciliated respiratory epithelium. Infect Immun 63: 3266–3271

    PubMed  CAS  Google Scholar 

  41. Corrier DE (1991) Mycotoxicosis: mechanisms of immunosuppression. Vet Immunol Immunopathol 30: 73–87

    Article  PubMed  CAS  Google Scholar 

  42. Dvorackova I (1976) Aflatoxin and alveolar cell carcinoma. Br Med J 1, No. 6011: 691–694

    PubMed  CAS  Google Scholar 

  43. Di Paolo N, Guarnieri A, Loi A, Sacchi G, Mangiarotti AM, Di Paolo M (1993) Acute renal failure from inhalation of mycotoxins. Nephron 64: 621–625

    Article  PubMed  Google Scholar 

  44. Stange K, Pohlmeier H, Lübbesmeyer A, Gumbinger G, Schmitz W, Baumgart P (1998) Vaskulärer Ergotismus durch Getreidestaubinhalation. Dtsch Med Wschr 123: 1547–1550

    PubMed  CAS  Google Scholar 

  45. Kemppainen BW, Riley RT, Pace JG, Hoerr FJ (1986) Effects of skin storage conditions and concentration of applied dose on (3H)T-2 Toxin penetration through exised human and monkey skin. Food Chem Toxicol 24: 221–227

    Article  PubMed  CAS  Google Scholar 

  46. Creasia DA, Thurman JD, Jones LJ, Nealley CG, York CG, Wannemacher RW, Bunner DL (1987) Acute inhalation toxicity of T2-mycotoxin in mice. Fundam Appl Toxicol 8: 230–235

    Article  PubMed  CAS  Google Scholar 

  47. Creasia DA, Thurman JD, Wannemacher RW, Bunner DL et al. (1990): Acute inhalation toxicity of T2-mycotoxin in the rat and guinea pig. Fundam Appl Toxicol 14: 54–59

    Article  PubMed  CAS  Google Scholar 

  48. Mayura K, Parker R, Berndt WO, Phillips TD (1984) Effect of simultaneous prenatal exposure to ochratoxin A und citrinin in the rat. J Toxicol Environm Health 13: 553–561

    CAS  Google Scholar 

  49. IARC Monographs on the Evaluation of Carcinogenic Risks to Humans: Some traditional herbal medicines, medicines, some mycotoxins, Naphthalene and Styrene (2002) Summary of data reported and evaluation. World Health Organization, International Agency for Research on Cancer (ed), Lyon, 82: 9–13 http://monographs.iarc.fr/ENG/Monographs/vol 82/volume 82.pdf

  50. Coulombe RA, Huie JM et al. (1991) Pharmacokinetics of intratrache ally administered aflatoxin B1. Toxicol Appl Pharmacol 109: 196–206

    Article  PubMed  CAS  Google Scholar 

  51. Sumi Y, Hamasaki T, Nagura H, Takeuchi M, Miyakawa M (1994) Granulomatous lesions in the lung induced by inhalation of mold spores. Virchows Arch 424: 661–668

    Article  PubMed  CAS  Google Scholar 

  52. Cusumano V, Rossano F, Merendino RA, Arena A, Costa GB, Mancuso G, Baroni A, Losi E (1996) Immunobiological activities of mould products: Functional impairment of human monocytes exposed to aflatoxin B1. Res Microbiol 147: 385–391

    Article  PubMed  CAS  Google Scholar 

  53. Degen GH, Blaszkewicz M, Lektarau Y, Grüner C (2003) Ochratoxin A Analysen in Blut von Arbeitnehmern in der Abfallwirtschaft. Mycotox Res 19: 3–7

    Article  CAS  Google Scholar 

  54. Degen GH, Mayer S, Blaszkewicz M (2007) Biomonitoring of Ochratoxin A in grain workers. Mycotox Res 23 (2): 88–93

    Article  CAS  Google Scholar 

  55. Kelman BJ, Robbins CA, Swenson LJ, Hardin BD (2004) Risk from inhaled mycotoxins in indoor office and residential environments. Int J Toxicol 23: 3–10

    Article  PubMed  CAS  Google Scholar 

  56. Dott W, Fischer G, Müller T, Thißen R, Wiesmüller GA (2004) Belastung der Arbeitnehmer bei Schimmelpilzbelastung in Innenräumen. Literature study commissioned by the Association of Statutory Accident Insurers for the Civil Engineering Industry-Tiefbau-Berufsgenossenschaft (A.Z. 612.17TB12 AK Gebäudesanierung), Munich

  57. Fung F, Clark RF (2004) Health effects of mycotoxins: a toxicological overview. J Toxicol Clin Toxicol 42: 217–234

    PubMed  CAS  Google Scholar 

  58. Gosh SK, Desai MR, Pandya GL, Venkaiah K (1997) Airborne aflatoxin in grain processing industries in India. Am Industr Hyg Assoc J 58: 583–586

    Google Scholar 

  59. Dill I, Trautmann C, Szewzyk R (1997) Massenentwicklung von Stachybotrys chartarum auf impostierbaren pflanztöfen aus Altpapier. Mycoses 40: 110–114

    Article  PubMed  Google Scholar 

  60. Niewenhuize van JP, Herber RFM, De Bruin A, Meyer PB, Duba WC (1973) Epidemiologisch onderzoek naar carcinogeniteit bij langdurige low level expositie van een fabriekspopulatie. T Soc Geneesk 51: 754–760

    Google Scholar 

  61. Sorenson WG, Jones W et al (1984) Aflatoxin in respirable airborne peanut dust. J Toxicol Environm Health 14: 525–533

    Article  CAS  Google Scholar 

  62. Tangni EK, Pussemier L (2006) Ochratoxin A und citrinin loads in stored wheat grains: Impact of grain dust and possible prediction using ergosterol measurement. Food Add Contam 23: 181–189

    Article  CAS  Google Scholar 

  63. Nordby KC, Halstensen AS et al. (2004) Trichothecene mycotoxins and their determinants in settled dust related to grain production. Ann Agric Environm Med 11: 75–83

    CAS  Google Scholar 

  64. Burg WA, Shotwell OL et al (1981) Measurements of airborne aflatoxins during the handling of contaminated corn Am Ind Hyg Assoc J 42: 1–11

    PubMed  CAS  Google Scholar 

  65. Selim MI, Juchems AM et al. (1988) Assessing airborne aflatoxin B1 during on-farm grain handling activities. Am Ind Hyg Assoc J 59: 252–256

    Google Scholar 

  66. Skaug MA, Eduard W, Stormer FC (2000) Ochratoxin A in airborne dust and fungal conidia. Mycopathologica 151: 93–98

    Article  Google Scholar 

  67. Gerbl-Rieger S, Hoppenheidt K, Mücke W, Wallnöfer P (1999): Keimemmissionen aus Kompostierungs- und Vergärungsanlagen. In: Mücke W (ed) Research projects E32 and E33 commissioned by the Bavarian State Ministry of Regional Development and Environmental Affairs

  68. Smoragiewicz W, Cossette B, Boutard A, Krzystyniak K (1993) Trichothecene mycotoxins in the dust of ventilation systems in office buildings. Int Arch Occup Environm Health 65: 113–117

    Article  CAS  Google Scholar 

  69. IARC Monographs on the Evaluation of Carcinogenic Risks to Humans: Some thyrotropic agents (2001) Summary of data reported and evaluation. World Health Organization, International Agency for Research on Cancer (ed) Lyon, 79: 17–18. http://monographs.iarc.fr/ ENG/Monographs/vol79/volume 79.pdf

  70. IARC Monographs on the Evaluation of Carcinogenic Risks to Humans: Some naturally occurring substances (1976) Summary of data reported and evaluation, World Health Organization, International Agency for Research on Cancer (ed), Lyon, 10: 22 http://monographs. iarc.fr/ENG/Monographs/vol 10/volume 10.pdf

  71. Franck B, Gehrken HP (1980) Citreoviridins from Aspergillus terreus. Angew Chem 92: 484–486

    Article  CAS  Google Scholar 

  72. IARC Monographs on the Evaluation of Carcinogenic Risks to Humans (1993) Some Naturally Occurring Substances: Food Items and Constituents, Heterocyclic Aromatic Amines and Mycotoxins. World Health Organization, International Agency for Research on Cancer (ed), Lyon, 56 http://monographs.iarc.fr/ENG/Monographs/vol 56/volume 56.pdf

  73. Tangni EK, Pussemier L (2007) Argosterol and mycotoxins in grain dusts from fourteen Belgian cereal storages: A preliminary screening survey. J Sci Food Agr 87: 1263–1270

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to S. Mayer.

Additional information

The present publication is based on a report of the Advisory Committee on Biological Agents (Ausschuss für Biologische Arbeitstoffe, ABAS), Working Group “Workplace Assessment” of its Sub comittee I. Fundamental and Application Issues. The publication was prepared with co-operation from the Working Group members: Dr. And reas Albrecht, Dr. Gerhard Danneberg, Dr. Suresh Duggal, Dr. Christian Felten, Prof. Dr. Jörg Hartung, Hanne Herrmann, Prof. Dr. Dr. Peter Kämpfer, Dr. Katja Kiel, Dr. Gunter Linsel, Dipl.-Biol. Thomas Rabente, Dr. Frank Riege, Prof. Dr. Klaus P. Schaal, Dr Bernhard Schicht

Rights and permissions

Reprints and permissions

About this article

Cite this article

Mayer, S., Engelhart, S., Kolk, A. et al. The significance of mycotoxins in the framework of assessing workplace related risks. Mycotox Res 24, 151–164 (2008). https://doi.org/10.1007/BF03032342

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF03032342

Keywords

Navigation