Assessment of Aflatoxin M1 in human breast milk in Rafsanjan, Iran

Somayeh Pourtalebi1,2, Seyyed Amin Ayatollahi Mousavi3, Zahra Assadollahi4,5

  • 1Immunology of Infectious Diseases Research Center, Research Institute of Basic Medical Sciences, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.

Current Medical Mycology
|September 23, 2021
PubMed
Abstract

Insights

Aflatoxin M1 (AFM1) was detected in 65% of breast milk samples from Iranian mothers, indicating a risk to infants. Further studies are needed to assess seasonal and regional variations in AFM1 exposure.

Area of Science:

  • Food Science
  • Toxicology
  • Public Health

Background:

  • Aflatoxins (AFs) are toxic mycotoxins found in the environment and food.
  • Infant nutrition requires protection from environmental pollutants like breast milk mycotoxins.
  • Human milk contamination by mycotoxins poses a risk to infant health.

Purpose of the Study:

  • To quantify Aflatoxin M1 (AFM1) levels in human milk from lactating mothers in Rafsanjan, Iran.
  • To assess infant exposure risk to AFM1 through breast milk.
  • To compare detected AFM1 concentrations with international safety limits.

Main Methods:

  • Cross-sectional study involving 150 lactating mothers in Rafsanjan, Iran (September 2015 - April 2016).
  • Breast milk samples collected and analyzed for AFM1 using enzyme-linked immunosorbent assay (ELISA) kits.
  • Data analyzed using SPSS software (version 16).

Main Results:

  • AFM1 detected in 98 mothers (65%), with a mean concentration of 14.69±8.15 ng/kg.
  • Concentrations ranged from 5.02 to 41.25 ng/kg.
  • 59 samples exceeded the 10 ng/kg limit (Australia/Switzerland), and 10 exceeded the 25 ng/kg limit (EU/USA).

Conclusions:

  • Lactating mothers and infants in southern Iran face a risk of AFM1 exposure.
  • Maternal AFM1 levels serve as a critical indicator of infant exposure to this carcinogen.
  • Further research is recommended across different seasons and regions in Iran.