Aflatoxin is a major fungal toxin with enormous effect on animal and human health, agriculture, and trade, particularly in African countries with poor storage facilities and improper postharvest handling methods. The serious health effects associated with eating food contaminated with aflatoxins include liver cancer, impaired immune system and cognitive development in children, stunted growth, and injuries to the intestinal wall among others. Most farmers do not know the dangers of aflatoxins, let alone their existence, and therefore are not concerned about their mitigation. Quantitative analysis of aflatoxins is optional for locally consumed foods, but mandatory for crops designated for export in order to meet international regulatory standards. Community members who might otherwise be interested in analyzing their food for aflatoxin contamination before consumption may fail to do so to the high cost of analysis (more than $30 per test per sample), and laborious analytical techniques. These techniques include high performance liquid chromatography (HPLC), enzyme linked immunosorbent assay (ELISA), and fluorescence spectrophotometer, which are only available in the major food laboratories in the main cities, which are located hundred kilometers away from most farm lands. The aim of this thesis was to develop interventions to monitor aflatoxin concentration at the point of need, and to reduce levels and bioavailability in foods and the gut, respectively, in order to lower the public health risks of aflatoxins and promote aflatoxin-free trade. To achieve this aim, we developed an electrochemical cysteine based immunosensor, and analyzed its feasibility for on-site detection of aflatoxins. We also studied fermentation as a means to decontaminate aflatoxins. Last but not least we assessed the aflatoxin binding ability of Lactobacillus species isolated from the gut of Ugandan children.
In this thesis, a novel on-site detection device was developed through an electroless deposition of silver (plating) onto a glass slide, immobilization of cysteine amino acid on the deposited silver, followed by conjugation of aflatoxin B1 to cysteine groups, and blocking of free cysteine groups with horseradish peroxidase. The performance of the immunosensor was monitored using the indirect competitive immunoassay format, whereby free and immobilized aflatoxin B1 on the sensor competed for the binding site of free anti-aflatoxin B1 antibody. The sensor generated a differential staircase voltammogram peak that was inversely proportional to the concentration of aflatoxin B1. The immunosensor was validated with a range of aflatoxin concentrations from 0 to 15 μg kg-1, and produced a lower limit of detection of 0.7 μg kg-1 maize flour. The results obtained by the novel immunosensor positively correlated with the established laboratory-based HPLC
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and ELISA-detection of aflatoxin B1, with correlation coefficients of 0.94 and 0.98, respectively. Unlike HPLC, ELISA, and many other laboratory-based quantitative methods for detection of aflatoxins, the developed novel immunosensor is portable, weighing approximately 0.5 kg. Therefore, a trader or regulatory agent can move with it to places where people buy and/or sell produce. On-site detection of aflatoxin may enhance awareness, and therefore lead to a healthier population, low incidence of rejected exports due to aflatoxin contamination, and higher earnings in foreign exchange.
In this thesis we also tested the performance of the novel on-site method in real time by determining the concentration of aflatoxins in maize flour samples on the market and households in Kampala, Uganda. The novel immunosensor revealed that aflatoxin contamination in maize flour at household levels is 2.5-fold the concentration of aflatoxin found in maize flour from the markets. This indicates that the risk of acute and chronic aflatoxicosis increases down the crop distribution chain. Therefore, practices such as proper drying of grains, frequent testing for aflatoxin contamination, and proper storage conditions should become everyday practices in order to minimize exposure to aflatoxin. The immunosensor also revealed that hulled maize samples are more frequently contaminated, with concentration levels of approximately 4.3 times greater than dehulled maize.
The probiotic kwete was successfully produced using starter culture with the probiotic Lactobacillus rhamnosus yoba 2012 and Streptococcus thermophilus C106. Probiotic kwete was acceptable to the consumers, with a score of ≥ 6 on a 9-point hedonic scale. The products were stable over a month’s study period, with a mean pH of 3.9, titratable acidity of 0.6% (w/v), and L. rhamnosus counts >108 cfu g−1. The yoba bacteria in the probiotic kwete decontaminated aflatoxins B1, B2, G1, and G2 to over a 1000-fold reduction. However, the toxicity on the final product still needs to be elucidated. In vitro fluorescence spectroscopy confirmed binding of aflatoxin B1 to L. rhamnosus yoba 2012 with an efficiency of more than 80% for a one microgram per ml of aflatoxin concentration. Daily consumption of probiotic kwete should lower the risk of aflatoxicosis and aflatoxin-induced ill health such as liver cancer. Moreover, this innovative fermentation system is affordable and transferable to many contexts, and to other nations. The fermentation can improve nutrition security, particularly for children, thus improving their growth and development. It can easily be taken up as a business model by the youth and women, thereby reducing poverty and enhancing economic growth.
The exposure of 10 children aged 55–60 months from a cohort of 512 to aflatoxin B1 was confirmed, with mean urine aflatoxin M1 levels ranging from 15–
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170 pg mg-1 creatinine. The children were frequently fed on hulled and dehulled maize flour and peanut, which contained 9 ± 9 μg kg-1, 5 ± 8 μg kg-1, and 13 ± 8 μg kg-1 levels of aflatoxin B1, respectively. The strains of Lactobacillus species isolated from the children’s fecal samples removed aflatoxin B1 at varying levels. The abundance of Lactobacillus in the gut microbiota of 140 children from the same cohort at 24 and 36 months positively correlated with stunting. The correlation could be attributed to change in the diet of the children from breastfeeding to plant-based solid foods, which could be heavily contaminated with aflatoxins. These solid foods also promote intake of Lactobacillus species.
The current thesis demonstrates the feasibility of using the newly developed on-site immunosensor device for the analysis of aflatoxins, and reveals the prevalence and abundance of aflatoxin contamination in Uganda. The thesis further demonstrates that Lactobacillus species isolated from fecal samples of Ugandan children bind aflatoxins. Results in this thesis indicate that bacterial fermentation is not only a way to enrich and preserve foods, but can also serve to reduce widely occurring aflatoxin contamination. As a follow-up, a double-blind, placebo controlled trial is recommended with fermented maize porridge to substantiate reduction of the bio-availability of aflatoxin in consumed foods.