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        <dc:title>Evaluating human exposure to aflatoxins: A case study on aflatoxinalbumin adduct levels in end stage liver disease patients in India</dc:title>
        <dc:creator>Anitha, S</dc:creator>
        <dc:creator>Waliyar, F</dc:creator>
        <dc:creator>Sudini, H</dc:creator>
        <dc:creator>Digumarti, R S</dc:creator>
        <dc:subject>Groundnut</dc:subject>
        <dc:description>Aflatoxin B1, a secondary metabolite of Aspergillus flavus and A. parasiticus,&#13;
is a frequent contaminant of several food crops. The main objective of this&#13;
study was to know the effect of post exposure of aflatoxin in humans through&#13;
consumption of contaminated foods. The aflatoxin-albumin level of selected&#13;
human populations in India were analysed. A total of 673 blood samples were&#13;
further analyzed by Indirect competitive Enzyme linked immunosorbent assay&#13;
(IC-ELISA) method. The samples were collected along with clinical profile,&#13;
demographic and food consumption data from the individuals with different&#13;
stages of liver disease. The severity of the liver disease was calculated based&#13;
on the “Model for End stage Liver Disesae” (MELD) score. The results&#13;
indicated 86 of 673 samples have concentration of aflatoxin-albumin adduct&#13;
ranged between 2.5 to 677 pg mg-1 of albumin with mean adduct level 181.9&#13;
±5 and SD 1.49 ± 7. At 5% level of significance pb value 0.039 (&lt;0.05)&#13;
indicates presence of aflatoxin B1-lysine adducts and hepatitis B has&#13;
synergistic effect on liver damage especially in end stage liver disease based&#13;
on model for end stage liver disease (MELD). This shows that there is&#13;
considerable intake of aflatoxin through contaminated food. Interestingly the&#13;
concentration of aflatoxin-albumin was high and this along with the HBV&#13;
positivity was found to be contributing to the severity of liver disease and lead&#13;
to decompensated liver disease.</dc:description>
        <dc:date>2013</dc:date>
        <dc:type>Conference or Workshop Item</dc:type>
        <dc:type>PeerReviewed</dc:type>
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        <dc:language>en</dc:language>
        <dc:identifier>http://oar.icrisat.org/7483/1/PhytoPath_103_suppl_S2_129_2013.pdf</dc:identifier>
        <dc:identifier>  Anitha, S and Waliyar, F and Sudini, H and Digumarti, R S  (2013) Evaluating human exposure to aflatoxins: A case study on aflatoxinalbumin adduct levels in end stage liver disease patients in India.  In: 2013 APS-MSA Joint Meeting, 10-14 August 2013, Austin, Texas USA.     </dc:identifier></oai_dc:dc>
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