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This study assessed mycotoxin exposure of preschoolers (3-6 years, n = 26), schoolers (7-10 years, n = 29), and adolescents (11-17 years, n = 49) from São Paulo, Brazil, by analyzing mycotoxin biomarkers in urine samples. Analyses were performed using ultra-performance liquid chromatography coupled to tandem mass spectrometry (UPLC-MS/MS), for determination of aflatoxin M1 (AFM1), ochratoxin A (OTA), fumonisins B1 (FB1) and B2 (FB2), deoxynivalenol (DON), T-2 and HT-2 toxins, zearalenone (ZEN) and its metabolites α- and β-zearalenol (ZEL). Urinary ZEN and its metabolites (α- and β-ZEL) were the most frequently detected biomarkers, followed by FBs (FB1+FB2), DON, and OTA. Co-exposure to 2-6 mycotoxins was observed in 63% of samples, most prominently among schoolers (69%), followed by adolescents (63%) and preschoolers (61%). Estimated daily intake (EDI) values were calculated under lower (LB), middle (MB), and upper bound (UB) scenarios. Several 95th percentile UB-EDI values exceeded maximum level (ML) or tolerable daily intake (TDI) limits, particularly for preschoolers regarding exposure to AFM1 (EDI: 0.786 μg/kg body weight (bw)/day), FBs (EDI: 5.22 μg/kg bw/day), OTA (EDI: 0.683 μg/kg bw/day) and the sum of ZEN, α- and β-ZEL (ZENeq) (0.92 μg/kg bw/day). Under the UB scenario, hazard quotient (HQ) values > 1 were found for OTA in 100% of preschoolers (median: 1.71) and schoolers (1.4), and ZENeq in about 77% of preschoolers (median: 1.14). Margin of exposure (MoE) values for AFM1 were < 10,000 across all age groups, indicating potential carcinogenic concern. These results underscore substantial real-life co-exposure to multiple mycotoxins in children in Brazil, reinforcing the need for age-specific surveillance and risk management strategies. The detection of multiple toxins above safety thresholds highlights the vulnerability of this population and the importance of strengthened food safety policies.
TL;DRThe detection of multiple toxins above safety thresholds highlights the vulnerability of this population and the importance of strengthened food safety policies. (Semantic Scholar)