Occurrence and toxigenic potential of Aspergillus section Flavi on wheat and sorghum silages in Uruguay

Species belonging to Aspergillus section Flavi occur naturally in crops and can cause food spoilage and/or toxin production. The aim of this study was to determine the occurrence and diversity of the species of Aspergillus section Flavi found in wheat and sorghum at harvest time and during silage storage, and to evaluate the toxigenic potential of the isolates to determine the contamination risk of mycotoxins in grains. Strains from Aspergillus flavus and Aspergillus parasiticus were found based on multi-gene phylogenetic analyses. This is the first report on the presence of A. parasiticus in wheat from Uruguay. Of the 80 isolates Aspergillus section Flavi, 30% produced aflatoxins (AFs), mainly type B1, and 25% produced cyclopiazonic acid (CPA). Within the isolates from wheat samples, 35% were AFs producers and 27.5% were CPA producers. Among the Aspergillus section Flavi isolates from sorghum, 25% were AFs producers while 22.5% were CPA producers. This work contributes to the knowledge of the species in crops and helps define appropriate strategies for the prevention and control of contamination with AFs and CPA by Aspergillus section Flavi fungi

In vitro evaluation of sequestering agents for aflatoxins

La presencia de micotoxinas en alimentos es un problema de gran importancia a nivel mundial que provoca serios perjuicios sanitarios y económicos. Para limitar los efectos de las micotoxinas a los animales uno de los métodos más utilizados es la aplicación de secuestrantes. Estos son polímeros inorgánicos u orgánicos que al añadirse a los alimentos forman complejos con las micotoxinas en la luz intestinal disminuyendo así su absorción. Por este motivo se evaluó la eficacia de cuatro secuestrantes, dos alumino silicatos hidratados de calcio y sodio, uno de glucomananos esterificados y otro del tipo multi modular para aflatoxina B1 (AFB1). La capacidad de adsorción fue evaluada in vitro y bajo condiciones de pH similares a las del tracto gastrointestinal de los animales. La concentración de AFB1 fue determinada mediante cromatografía líquida de alta resolución (HPLC). Con la excepción del producto de glucomananos esterificados, el porcentaje de unión de aflatoxina B1 obtenido para los secuestrantes estudiados fue alto (> 76%). Estos resultados sugieren que la mayoría de los secuestrantes utilizados en este estudio son potenciales agentes químicos-biológicos que podrían ser utilizados para disminuir los efectos de las aflatoxinas en animales.The contamination of animal feed with mycotoxins represents a worldwide problem that causes serious diseases in animals and economic losses. One of the most used methods for protecting animals against mycotoxins is the utilization of adsorbents. These are inorganic or organic components that added to foods form complexes with mycotoxins in the gastrointestinal tract thus decreasing its absorption. Four mycotoxin binder products including two hydrated sodium calcium aluminosilicates, one esterified glucomannan and one multi modular were used to determine their efficacity to bind aflatoxin B1. The binding ability for AFB1 was conducted by an in vitro assay, which simulated the pH condition of the gastrointestinal tract of animals. AFB1 contents was determinated by high performance liquid chromatographic (HPLC). With the exception of the esterified glucomannan product, the binding percent of AFB1 was high (> 76%) by the sequestering agents used in the current study. These results suggest that most commercial adsorbent products used in this study are potential chemical - biological agents that might be used to decrease the effects of aflatoxins in animals

The relationship between maternal education and mortality among women giving birth in health care institutions: Analysis of the cross sectional WHO Global Survey on Maternal and Perinatal Health

Background: Approximately one-third of a million women die each year from pregnancy-related conditions. Three-quarters of these deaths are considered avoidable. Millennium Development Goal five calls for a reduction in maternal mortality and the establishment of universal access to high quality reproductive health care. There is evidence of a relationship between lower levels of maternal education and higher maternal mortality. This study examines the relationship between maternal education and maternal mortality among women giving birth in health care institutions and investigates the association of maternal age, marital status, parity, institutional capacity and state-level investment in health care with these relationships.Methods: Cross-sectional information was collected on 287,035 inpatients giving birth in 373 health care institutions in 24 countries in Africa, Asia and Latin America, between 2004-2005 (in Africa and Latin America) and 2007-2008 (in Asia) as part of the WHO Global Survey on Maternal and Perinatal Health. Analyses investigated associations between indicators measured at the individual, institutional and country level and maternal mortality during the intrapartum period: from admission to, until discharge from, the institution where women gave birth. There were 363 maternal deaths.Results: In the adjusted models, women with no education had 2.7 times and those with between one and six years of education had twice the risk of maternal mortality of women with more than 12 years of education. Institutional capacity was not associated with maternal mortality in the adjusted model. Those not married or cohabiting had almost twice the risk of death of those who were. There was a significantly higher risk of death among those aged over 35 (compared with those aged between 20 and 25 years), those with higher numbers of previous births and lower levels of state investment in health care. There were also additional effects relating to country of residence which were not explained in the model.Conclusions: Lower levels of maternal education were associated with higher maternal mortality even amongst women able to access facilities providing intrapartum care. More attention should be given to the wider social determinants of health when devising strategies to reduce maternal mortality and to achieve the increasingly elusive MDG for maternal mortality

Population Structure of Candida parapsilosis: No Genetic Difference Between French and Uruguayan Isolates Using Microsatellite Length Polymorphism

International audienceCandida parapsilosis is a human commensal yeast, frequently involved in infection worldwide and especially in neonates. It is the second species responsible for bloodstream infections in Uruguay and the third species in France. We were interested in knowing whether the population structure of isolates responsible for candidemia in France and in Uruguay was different. Genotyping methods based on microsatellite length polymorphism (MLP) have been described and are especially used for investigation of local outbreaks. We therefore determined the genotypes of 159 C. parapsilosis isolates recovered from 122 patients (84 French patients from 43 hospitals and 38 Uruguayan patients from 10 hospitals) using three microsatellites markers previously described. Our results confirmed that C. parapsilosis population has a high genetic diversity, clonal inheritance and that majority of patients were infected by a single isolate. But we described recurrent infections due to related or unrelated genotypes resulting from isolates harboring loss or gain of heterozygosity. We also described three cases of coinfections due to unrelated genotypes. We did not uncover geographic specificity but observed two linked genotypes that seem to be associated with voriconazole resistance. Finally, among eight isolates involved in grouped cases, the genotypes were similar in six cases supporting the hypothesis of inter-patient transmission. These results confirmed the usefulness of performing MLP genotyping analysis for grouped cases of C. parapsilosis isolates in order to reinforce preventive hygiene measures

<i>Fusarium</i> Species and Mycotoxins Associated with Sorghum Grains in Uruguay

Grain mold and stalk rot are among the fungal diseases that cause significant losses in sorghum worldwide and are caused by different Fusarium spp. The presence of Fusarium species in sorghum grains causes yield losses and mycotoxin contamination, which represents a risk to consumers. In this study, Fusarium graminearum species complex (FGSC) had a high incidence, followed by Fusarium fujikuroi species complex (FFSC) and F. incarnatum-equiseti species complex. Within FFSC, F. proliferatum, F. andiyazi, F. fujikuroi, F. thapsinum, F. verticillioides and F. subglutinans were identified, and this was the first report of F. fujikuroi in sorghum. The most frequent toxins found in sorghum samples were deoxynivalenol (DON) and zearalenone (ZEN). The presence of fumonisins and nivalenol (NIV) was detected at low levels. This study adds new knowledge about the occurrence of Fusarium species and mycotoxins in sorghum grains. Furthermore, this is the first report in Uruguay on fungicide sensitivity for Fusarium isolates from sorghum, which constitutes an important starting point for defining management practices to minimize fungal infection and mycotoxin contamination

Fusarium graminearum species complex: A bibliographic analysis and web-accessible database for global mapping of species and trichothecene toxin chemotype

Fusarium graminearum is ranked among the five most destructive fungal pathogens that affect agroecosystems. It causes floral diseases in small grain cereals including wheat, barley and oats, as well as summer crops such as maize and rice. We conducted a systematic review of peer-reviewed studies reporting species within the Fusarium graminearum species complex (FGSC) by creating two main data tables. The first contained data at the article level including bibliographic, geographic, methodological (ID methods), host of origin and species, while the second data table contained information at the strain level such as publication, isolate code(s), host/substrate, year of isolation, geographical coordinates, species and trichothecene genotype. Analyses of the bibliographic data obtained from 123 publications from 2000 to 2021 by 498 unique authors and published in 40 journals are summarized. We describe the frequency of species and chemotypes for 16,274 strains for which geographical information was available, either provided as raw data or extracted from the publications, and sampled across six continents and 32 countries. The database and interactive interface are publicly available allowing for searches, summarization and mapping of strains according to several criteria including article, country, host, species and trichothecene genotype. The database will be updated continuously and should be useful for guiding future surveys and exploring factors associated with species distribution such as climate and land use. Authors are encouraged to submit data at the strain level to the database, which is accessible at https://fgsc.netlify.app/