Biomarkers are a tool to measure dietary exposure of human and animals to mycotoxins. In contrast, the industry looks at it from another perspective: as a cheaper, faster and a more reliable test of the effectiveness of an anti-mycotoxin additive.
Currently, there is a growing interest in mycotoxin biomarkers in the farming community based on the increasing number of farmers enquiring about this topic. The term ‘mycotoxin biomarker’ in that context is being associated with co-called exposure-related indicators (mycotoxins and their metabolites in body fluids, faeces or organs).
Many authors define 2 types of biomarkers:
Direct or exposure-based biomarkers are specific, while indirect or biomarkers of effect are generally nonspecific and represent structural or functional alterations produced in the body under exposure to certain drugs or toxins. However, these alterations in some cases may serve as biomarkers of exposure when both processes are directly linked (Groopman and Kensler, 1999; Perera and Weinstein, 2000; Silins and Högberg, 2011).
Figure 1 – Suggested classification of mycotoxin biomarkers.
However, the suggestions would be to use 3 subtypes for mycotoxin biomarkers (Figure 1):
- exposure-based (direct),
- mechanism-based (indirect)
- effect-based (indirect) biomarkers.
Exposure-based biomarkers characterise the presence of mycotoxins or their metabolites (e.g. glutathione or glucuronide conjugates). These compounds can be detected in easily-accessed biological fluids or tissues (Baldwin et al., 2011).
In contrast, mechanism-based biomarkers assess changes specific to the mycotoxin in specific proteins, cellular metabolites, or gene expression.
Effect-based biomarkers express the typical consequence of the mycotoxin on the performance and other health parameters such as gut integrity, antibody titre, typical lesions, level of serum liver enzymes or even weight gain and feed conversion. However, they are less specific to the mycotoxin when compared to mechanism-based biomarkers and more so when compared to exposure-based biomarkers.
Physiological substrate of biomarker
Specific biomarkers (exposure- and mechanism-based) are measured in body fluids or tissues, as the molecule itself, a metabolite(s), or a product of a reaction with a biological molecule. The most common parameters in quantifying exposure to mycotoxins are measured in urine, serum and milk. However, there are other biological matrixes that can provide important information, like faeces or hair.
Several mycotoxins (aflatoxins, ochratoxin A, DON, zearalenone) are rapidly absorbed in the upper gut showing a sharp peak in blood within two hours of oral ingestion (Figure 2) in most animal species. In contrast, fumonisins have limited availability and their levels in blood are insignificant. Consequently, exposure-based biomarkers of mycotoxins with high bioavailability can only be detected in serum and plasma in high concentrations shortly after oral ingestion. They are also rapidly cleared from the bloodstream. This is crucial as the time of blood collection is key during in vivo study of blood biomarkers of exposure. The mechanism-based biomarkers such as protein adducts have longer half-lives in blood. Among all biomarkers they provide more information on their cumulative effects despite the fact that they could be less specific to a mycotoxin.
Figure 2 – Plasma concentration – time profile of DON after oral administration of DON to six piglets (Nutriad research based on method of Devreese et al., 2012).
The portal vein conveys blood with mycotoxins absorbed in the stomach, pancreas, and intestines to the liver. Billiary excretion is a major route of elimination of mycotoxins with high or low absorption rates. In fact, in some cases, in which mycotoxins are fed at low concentrations, the mycotoxin can only be detected in bile (Armorini et al., 2015). As sampling bile requires animal euthanasia, bile biomarker substrates are unfortunately, only practical in field studies in poultry.
The main fraction of the rapidly absorbed mycotoxins passes through the liver and briefly circulates through the blood before it is excreted as its metabolites are unchanged in the urine. However, correlation between ingested mycotoxin and the level of mycotoxin in urine is lower when compared to blood due to food-related variations of urine amount. Several authors recommend using creatinine as an indicator of the amount of urine produced (Kraft and Dürr, 2005) as the excretion of creatinine is not food-related. This physiological substrate is not a suitable matrix for field studies in poultry.
Metabolites of aflatoxins, DON, zearalenone and ochratoxin A can be detected in various concentrations in the milk of non-ruminant mammals. In ruminants milk is an easy and widely used matrix for estimation of aflatoxin exposure only. There is currently no correlation between levels of toxins in milk compared to serum, suggesting that the transfer from blood to milk is not yet a fully understood process (Biasucci et al., 2010).
The gastric absorption rate of some mycotoxins (e.g. fumonisins) is very low and a large part is eliminated in faeces. Mycotoxins with high bioavailability are excreted in faeces at a very low rate (Turner et al., 2010). Quantification of biomarkers in faeces as an estimation of the mycotoxin binder has potential; however, this approach has many limits including the possible metabolisation of bound mycotoxin by microflora in the large intestine. Another worrying observation is that faecal concentrations of mycotoxins can decrease with increasing doses of adsorbent in the diet and it is suggested that bound toxins may be undetectable in faeces when using analytical procedures standard for other physiological substrates or for feed (Sulzberger et al., 2017).
Analysis of mycotoxin biomarkers in organs requires an invasive procedure such as biopsy or post-mortem study. The accumulation of several mycotoxins in tissues happens primarily in the liver and kidneys. Using organs as a biological matrix has several benefits such as the accumulation effect of the mycotoxin, and the lower variation linked to the feeding time and sample collection. Some mycotoxins even when fed at low concentrations are retained in the liver and kidneys in unmetabolised (reviewed in Voss et al., 2007) or metabolised form. Mycotoxins persist in kidneys much longer than in plasma or the liver, and the levels can be 10 times the amount in the liver (Martinez-Larranaga et al., 1999; Riley and Voss, 2006).
This is the easiest biological sample to collect in the biomarker assay. Sewram et al. (2003) showed for the first time that fumonisins can accumulate in hair of humans and primates. Unfortunately, there is no reliable information about accumulation of fumonisin or other mycotoxins in hairs of domestic animals.
Some mycotoxins are rapidly cleared from the bloodstream, so time of blood collection is key during in vivo study of blood biomarkers of exposure. Photo: Ruben Keestra
Differences between pigs, poultry and ruminants
Mycotoxins have diverse metabolic pathways in vivo that can be very specific to animal species. This is partly due to the setup of the digestive system (absence or presence of pre-stomachs) and the different intestinal cell metabolism in the gut epithelium or the species-specific gut microbiota may significantly influence the formation of biomarkers of different types. It is therefore important to choose the right representative substrate (biomarker) in each animal species. For example, the analysis of exposure-based biomarkers of DON, fumonisins and T-2 toxins in poultry blood has a lower practical value in field evaluation because of the low absorption levels of these mycotoxins. On the other hand, the rapid and moderate-to-high absorption of DON, aflatoxins and ochratoxin A in pigs makes the field study of exposure-based biomarkers in blood very dependent on the sampling time since they peak in blood within 15–30 min of ingestion (Prelusky et al., 1988). In ruminants, the only way to evaluate mycotoxin biomarkers in the field is the use of low- or non-invasive sampling methods. Milk is the substrate most preferred by dairy producers in monitoring [exposure-based] biomarker, aflatoxin M1.
Field versus scientific evaluation
Mycotoxin sequestrating agents (alternative names: deactivator, detoxifier, binder) are feed additives which aim to reduce mycotoxin toxicity by means of binding the toxin (mycotoxin binders), alterating the chemical structure of the mycotoxin in the gastro-intestinal tract to non-toxic metabolites (mycotoxin transforming agents) or diminishing the negative secondary effects of the mycotoxin exposure to animals (mycotoxin deactivators). While farmers seem excited about using exposure-based biomarkers as a practical tool to check the performance of mycotoxin sequestrants, is crucial to consider the several important limitations:
Bioavailability of mycotoxins. Some of the mycotoxins like fumonisins are poorly absorbed, therefore, can hardly be detected in blood or urine. Others, such as DON, have species specific kinetics and are well absorbed in pigs but poorly absorbed in poultry and adult ruminants. Therefore, the choice of a physiological substrate is specific to each mycotoxin and to each animal species.
Kinetics of absorbed mycotoxins. Most mycotoxins peak in blood within one to two hours of ingestion. Choosing blood as the substrate of exposure-based biomarker for field test requires a very controlled feeding and blood collection schedule. Additionally, parent mycotoxins can be rapidly metabolised in the liver to another toxic or non-toxic compound. Consequently, it is important to be able to detect several mycotoxin metabolites that can also be species specific.
Biological effect of each mycotoxin. For instance, the main negative effects of fumonisins and trichothecenes are related to the adverse effect on the gastrointestinal tract. The use of certain binders can result in a reduction of DON levels in blood and urine and this can lead to a wrong conclusion being drawn regarding ‘a positive’ effect of an additive. According to some researchers, such binders can give rise to higher levels of DON in the distal parts of the gut that can negatively affect gut integrity (Osselaere et al., 2013). This can increase the incidence and severity of bacterial and coccidial outbreaks.
High variations between individual animals is important to consider when measuring biomarkers’ levels.
Analytical procedure. Blood, urine, faeces and organs are very complex matrices and only a few laboratories in the world have validated methods for the quantitative evaluation of exposure-based biomarkers of concern. It is especially a greater problem for metabolites, because they require other, very specific, expensive and hardly available standards.
The primary mode of action of the product. The assay of mycotoxin levels and their metabolites in body fluids and tissues can only represent either the adsorption mode of action of the product or its biotransforming action. Measuring exposure-based biomarkers can not demonstrate the effect of mycotoxin deactivators with other modes of action against mycotoxins or their negative consequences. The most representative example is fumonisins, where the mode of action other than binding or biotransforming is responsible for the positive effects of complex mycotoxin deactivators including yeast or their derivatives on control of Sa/So levels.
Control group is needed to draw the correct conclusion about the binding ability of the product in vivo.
It could seem easier to evaluate efficacy of a product by measuring the level of mycotoxin or its metabolite in physiological fluids than to rely on animal performance data obtained in the long term. However, this approach depends a lot on several factors, including the specific toxin being measured, the availability of certain tissues or liquids, the specific purpose of the study and mode of action of the product. Currently, combining information about clinical indicators (indirect effect-based biomarkers), suspected or confirmed exposure (analysis of feed) and in vivo research data of the producer of the anti-mycotoxin additive is the best and the most economical solution for the evaluation of the product.