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        <dc:title>Assessment of Aflatoxin Exposure among Indian Population</dc:title>
        <dc:creator>Anitha, S</dc:creator>
        <dc:subject>Plant Pathology</dc:subject>
        <dc:subject>Plant Virology</dc:subject>
        <dc:subject>Agriculture-Farming, Production, Technology, Economics</dc:subject>
        <dc:description>What impact does dietary exposure to aflatoxins has on hepatocellular carcinoma&#13;
in India? Assessing the connection between aflatoxin contamination in the diets,&#13;
Hepatitis B virus infection and liver cirrhosis through Hospital based study in&#13;
Andhra Pradesh, India&#13;
Chronic exposure to aflatoxins was shown to cause impaired growth in children,&#13;
immune suppression and liver cirrhosis, interference in micronutrient metabolism and&#13;
reduced human and animal productivity. Acute severe intoxication can result in death.&#13;
Most importantly, aflatoxin was shown to interact synergistically with Hepatitis B&#13;
virus (HBV) / Hepatitis C virus infection. It increases the risk of hepatocellular&#13;
carcinoma (HCC), one of the most common cancers in the developing countries with&#13;
&gt;400,000 new cases per annum. A joint FAO and WHO committee concluded that&#13;
reduced intake of aflatoxins in HBV endemic places will have a greater impact on&#13;
reducing the incidence of HCC. This requires knowledge on the level of aflatoxin&#13;
exposure in populations, dietary sources of contamination and household dietary&#13;
practices leading to frequent food contamination in order to identify high risk groups&#13;
and to develop preventive interventions to mitigate human exposure to aflatoxins.&#13;
Aflatoxins in human body are metabolized by the liver enzymes and produces&#13;
aflatoxin 8,9-epoxide, which reacts with albumin in the liver to form AFB1-albumin&#13;
adducts that are major biomarkers found in peripheral blood. In order to protect human&#13;
health it is important to be able to estimate aflatoxin-albumin adduct in human blood.&#13;
Among many methods available for estimation immunochemical methods are simple,&#13;
cost effective and adaptable to situations in developing countries. Hence this study is&#13;
proposed to assess the aflatoxin exposure in Indian populations using ELISA which&#13;
will lead to the development of preventive interventions to minimize the risk of liver&#13;
disorders and HCC.&#13;
This thesis is divided into 9 chapters containing subsections. Chapter 1 and chapter 2&#13;
contains the introduction and review of literature. Chapter 3 contains materials and&#13;
methods for the development of antibodies to detect aflatoxin-albumin adduct in&#13;
human blood samples. Chapter 4 contains Results. Chapter 5 and 6 contains&#13;
discussion, summary and conclusion. Chapter 7 contains references, Chapter 8&#13;
contains appendix and Chapter 9 contains Annexure I, II and Master charts.</dc:description>
        <dc:date>2011</dc:date>
        <dc:type>Thesis</dc:type>
        <dc:type>NonPeerReviewed</dc:type>
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        <dc:language>en</dc:language>
        <dc:identifier>http://oar.icrisat.org/5268/1/MsAnithaThesis_AssessmentaflatoxinExposure.pdf</dc:identifier>
        <dc:identifier>  Anitha, S  (2011) Assessment of Aflatoxin Exposure among Indian Population.  PHD thesis, Nizam’s Institute of Medical Sciences.   </dc:identifier></oai_dc:dc>
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