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Mycotoxic and Aristolochic Acid Theories of the Development of Endemic Nephropathy

Maja Peraica ; Institute for Medical Research and Occupational Health, Zagreb, Croatia
Ana-Marija Domijan ; Institute for Medical Research and Occupational Health, Zagreb, Croatia
Marko Šarić ; Institute for Medical Research and Occupational Health, P. O. Box 291, HR-10001 Zagreb, Croatia

Puni tekst: engleski pdf 71 Kb

str. 59-65

preuzimanja: 992



Despite many efforts of scientists and epidemiologists, the aetiology of endemic nephropathy (EN) is still unknown. This disease occurs in the rural population of geographically limited areas of Bulgaria, Bosnia and Herzegovina, Croatia, Romania, and Serbia, and a number of theories have been proposed about its aetiology. The mycotoxin theory has prevailed until now, based on the studies of nephrotoxic mycotoxin ochratoxin A (OTA) that revealed higher frequency of OTA-positive food and blood samples in endemic than in non-endemic areas. However, a new aristolochic acid (AA) theory of EN origin has been proposed recently, due to the histological similarities in kidney lesions between patients suffering from EN and patients suffering from Chinese herbs nephropathy caused by AA. Until now it has not been unequivocally proved that the inhabitants of EN areas are exposed to higher concentration of AA than in other regions and the exposure pathways are rather uncertain. This paper presents most important studies supporting both theories, indicating also the inconsistencies of each.

Ključne riječi

Chinese herbs nephropathy, DNA adducts, kidney tumours, mycotoxins, ochratoxin A, p53

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Podaci na drugim jezicima: hrvatski

Posjeta: 1.958 *