Abstract
In a long-term study (1990–1997) on ochratoxin A (OTA) in human blood serum, 102 serum samples from 36 persons of the Munich Institute for Hygiene and Technology of Food of Animal Origin were analysed by enzyme immunoassay (EIA), and by high performance liquid chromatography (HPLC) for control. Detection limits were at 50 pg/ml (EIA) and 50–70 pg/ml (HPLC), recoveries were 80–120% (EIA) and 30–60% (LC). OTA was detected in 98% (EIA, 368 ± 217 pg/ml) and 93% (HPLC, 271 ± 170 pg/ml) of samples (maximum 1,290 pg/ml). Using published conversion factors for serum/intake estimates (1.34 or 1.97), the mean daily OTA intake of these 36 persons was 493–725 pg/kg bw. Long-term individual mean OTA levels of nine persons ranged from 162 ± 80 pg/ml to 549 ± 172 pg/ml. Our data were compared with published OTA serum levels (1985–2008) for apparently healthy persons from a total of 30 countries. On a worldwide basis, the mean of means for OTA in human serum was estimated to be 700 pg/ml, corresponding to a mean daily OTA intake of 940–1380 pg/kg bw. This level, which was relatively stable over the last decades, is well below published tolerable daily intake values (14,000–18,000 pg/kg bw).
Similar content being viewed by others
References
Abid S, Hassen W, Achour A, Skhiri H, Maaroufi K, Ellouz F, Creppy E, Bacha H (2003) Ochratoxin A and chronic human nephropathy in Tunisia: is the situation endemic? Hum Exp Toxicol 22:77–84
Arlt VM, Stiborová M, vom Brocke J, Simoes ML, Lord GM, Nortier JL, Hollstein M, Phillips DH, Schmeiser HH (2007) Aristolochic acid mutagenesis: molecular clues to the aetiology of Balkan endemic nephropathy-associated urothelial cancer. Carcinogenesis 28:2253–2261
Aslam M, Beg AE, Blaszkewicz M, Degen GH, Golka K (2005) Ochratoxin A blood concentration in healthy subjects and bladder cancer cases from Pakistan. Mycotoxin Res 21:164–167
Assaf H, Betbeder AM, Creppy EE, Pallardy M, Azouri H (2004) Ochratoxin A levels in human plasma and foods in Lebanon. Hum Exp Toxicol 23:495–501
Bauer J, Gareis M (1987) Ochratoxin A in der Nahrungsmittelkette. J Vet Med B 34:613–627
Benford D, Boyle C, Dekant W, Fuchs R, Gaylor DW, Hard G, McGregor DB, Pitt JI, Plestina R, Shephard G, Solfrizzo M, Verger PJP, Walker R (2001) Ochratoxin A. In: Safety evaluation of certain mycotoxins in food, prepared by the 56th meeting of the Joint FAO/WHO Expert Committee on Food Additives (JECFA). WHO Food Additives Series 47, World Health Organisation, Geneva, pp 281–387. Available at: http://www.inchem.org/documents/jecfa/jecmono/v47je04.htm (Accessed 15 Jul 2009)
Breitholtz A, Olsen M, Dahlback A, Hult K (1991) Plasma ochratoxin A levels in three Swedish populations surveyed using an ion-pair HPLC technique. Food Addit Contam 8:183–192
Breitholtz-Emanuelsson A, Olsen M, Oskarsson A, Palminger I, Hult K (1993) Ochratoxin A in cow's milk and in human milk with corresponding human blood samples. J AOAC Int 76:842–846
Breitholtz-Emanuelsson A, Minervini F, Hult K, Visconti A (1994) Ochratoxin A in human serum samples collected in southern Italy from healthy individuals and individuals suffering from different kidney disorders. Nat Toxins 2:366–370
Bresch H, Urbanek M, Hell K (2000) Ochratoxin A in coffee, tea and beer. Arch Lebensmhyg 51:89–94
Burdaspal PA, Legarda TM (1998) Datos sobre la presencia de ocratoxina A en plasma humano en Espana. Alimentaria 292:103–109
Cholmakov-Bodechtel C, Wolff J, Gareis M, Bresch H, Engel G, Majerus P, Rosner H, Schneider R (2000) Ochratoxin A: representative food consumption survey and epidemiological analysis. Arch Lebensmhyg 51:111–115
Chu FS (1971) Interaction of ochratoxin A with bovine serum albumin. Arch Biochem Biophys 147:359–366
Cosyns JP (2003) Aristolochic acid and “Chinese herbs nephropathy” - A review of the evidence to date. Drug Saf 26:33–48
Cosyns JP, Jadoul M, Squifflet JP, De Plaen JF, Ferluga D, van Ypersele de Strihou C (1994) Chinese herbs nephropathy: a clue to Balkan endemic nephropathy? Kidney Int 45:1680–1688
Creppy EE, Castegnaro M, Grosse Y, Mériaux J, Manier C, Moncharmont P, Waller C (1993) Étude de l'ochratoxicose humaine dans trois régions de France: Alsace, Aquitaine, et région Rhóne-Alpes. In: Creppy EE, Castegnaro M, Dirheimer G (eds) Human ochratoxicosis and its pathologies. INSERM/John Libbey Eurotext, Montrouge, France, pp 147–158
Debelle FD, Vanherweghem JL, Nortier JL (2008) Aristolochic acid nephropathy: a worldwide problem. Kidney Int 74:158–169
Degen GH, Blaszkewicz M, Lektarau Y, Grüner C (2003) Ochratoxin A Analysen im Blut von Arbeitnehmern in der Abfallwirtschaft. Mycotoxin Res 19:3–7
Degen GH, Mayer S, Blaszkewicz M (2007) Biomonitoring of ochratoxin A in grain workers. Mycotoxin Res 23:88–93
Domijan AM, Peraica M, Fuchs R, Lucic A, Radic B, Balija M, Bosanac I, Grgicevic D (1999) Ochratoxin A in blood of healthy population in Zagreb. Arh Hig Rada Toksikol 50:263–271
EFSA (2004) European Food Safety Authority, Opinion of the scientific panel on contaminants in food chain on a request from the commission related to ochratoxin A (OTA) as undesirable substance in animal feed. EFSA J 101:1-36. Available at: http://www.efsa.europa.eu/EFSA/efsa_locale-1178620753812_1178620762948.htm (Accessed 15 July 2009)
EFSA (2006) European Food Safety Authority, Opinion of the scientific panel on contaminants in the food chain on request from the commission related to ochratoxin A in food. EFSA J 365:1-56. Available at: http://www.efsa.europa.eu/EFSA/efsa_locale-1178620753812_1178620762138.htm (Accessed 15 July 2009)
Engel G (2000) Ochratoxin A in sweets, oil seeds and dairy products. Arch Lebensmittelhyg 51:98–101
European Union (1997) Commission of the European Union, Scientific Cooperation (SCOOP) Task 3.2.2, Assessment of dietary intake of ochratoxin A by the populations of EU Member States (EUR 17523), revised version
European Union (1998) Scientific Committee for Food (1996). Opinion on aflatoxin, ochratoxin A and patulin, expressed on 23rd September 1994. Reports of the Scientific Committee for Food. 35th series. Luxembourg. Avalable at: http://ec.europa.eu/food/fs/sc/scf/out14_en.print.html (Accessed 15 July 2009)
European Union (2002) Assessment of dietary intake of ochratoxin A by the population of EU member states. Report of experts participating in Task 3.2.7 Reports on Tasks for Scientific Cooperation. Available at: http://ec.europa.eu/food/fs/scoop/index_en.html (Accessed 15 July 2009)
European Union (2006a) Commission recommendation of 17 August 2006 on the presence of deoxynivalenol, zearalenone, ochratoxin A, T-2 and HT-2 and fumonisins in products intended for animal feeding (2006/576/EC). Off J Eur Comm L229:7-9. Available at: http://eur-lex.europa.eu/en/index.htm (Accessed 15 July 2009)
European Union (2006b) Commission regulation (EC) No 1881/2006 of 19 December 2006 setting maximum levels for certain contaminants in foodstuffs. Off J Eur Comm L364:5-24. Available at: http://eur-lex.europa.eu/en/index.htm (Accessed 15 July 2009)
Filali A, Betbeder AM, Baudrimont I, Benayada A, Soulaymani R, Creppy EE (2002) Ochratoxin A in human plasma in Morocco: a preliminary survey. Hum Exp Toxicol 21:241–245
Frohlich AA, Marquardt RR, Ominski KH (1991) Ochratoxin A as a contaminant in the human food chain: A Canadian perspective. In: Castegnaro M, Plestina R, Dirheimer G, Chernozemsky IN, Bartsch H (eds) Mycotoxins, endemic nephropathy and urinary tract tumours. IARC Press, Lyon, pp 139–143
Fuchs R, Radic B, Ceovic S, Sostaric B, Hult K (1991) Human exposure to ochratoxin A. In: Castegnaro M, Plestina R, Dirheimer G, Chernozemsky IN, Bartsch H (eds) Mycotoxins, endemic nephropathy and urinary tract tumours. IARC Press, Lyon, pp 131–135
Fukal L, Reisnerova H (1990) Monitoring of aflatoxins and ochratoxin A in Czechoslovak human sera by immunoassay. Bull Environ Contam Toxicol 44:345–349
Galtier P, Alvinerie M, Charpenteau JL (1981) The pharmacokinetic profiles of ochratoxin A in pigs, rabbits and chickens. Food Cosmet Toxicol 19:735–738
Gareis M, Scheuer R (2000) Ochratoxin A in meat and meat products. Arch Lebensmittelhyg 51:102–104
Gareis M, Märtlbauer E, Bauer J, Gedek B (1988) Bestimmung von Ochratoxin A in Muttermilch. Zeitschr Lebensm UntersForsch 186:114–117
Gareis M, Rosner H, Ehrhardt S (2000) Blood serum levels of ochratoxin A and nutrition habits. Arch Lebensmittelhyg 51:108–110
Gilbert J, Brereton P, MacDonald S (2001) Assessment of dietary exposure to ochratoxin A in the UK using a duplicate diet approach and analysis of urine and plasma samples. Food Addit Contam 18:1088–1093
Golinski P, Grabarkiewicz-Szczesna J, Chelkowski J, Hult K, Kostecki M (1991) Possible sources of ochratoxin A in human blood in Poland. In: Castegnaro M, Plestina R, Dirheimer G, Chernozemsky IN, Bartsch H (eds) Mycotoxins, endemic nephropathy and urinary tract tumours. IARC Press, Lyon, pp 153–158
Grajewski J, Jarzemski P, Twaruzek M, Kuzminska K, Trepala M (2007) The level of ochratoxin A in patients after nephrectomy. Mycotoxin Res 23:22–26
Grollman AP, Jelakovic B (2007) Role of environmental toxins in endemic (Balkan) nephropathy. J Am Soc Nephrol 18:2817–2823
Grollman AP, Shibutani S, Moriya M, Miller F, Wu L, Moll U, Suzuki N, Fernandes A, Rosenquist T, Medverec Z, Jakovina K, Brdar B, Slade N, Turesky RJ, Goodenough AK, Rieger R, Vukelić M, Jelaković B (2007) Aristolochic acid and the etiology of endemic (Balkan) nephropathy. Proc Natl Acad Sci USA 104:12129–12134
Grosso F, Said S, Mabrouk I, Fremy JM, Castegnaro M, Jemmali M, Dragacci S (2003) New data on the occurrence of ochratoxin A in human sera from patients affected or not affected by renal diseases in Tunisia. Food Chem Toxicol 41:1133–1140
Guzmán EMQ, Guerrero FA, Chaves JA (2007) Determinación de ocratoxina A en plasma humano y en café de Costa Rica por un método de ELISA. Arch Latinoam Nutr 57:168–172
Hadlok RM, Wagner G (1993) Vorkommen von Ochratoxin A beim Menschen in Deutschland. Fleischwirtsch 73:1079–1080
Hagelberg S, Hult K, Fuchs R (1989) Toxicokinetics of ochratoxin A in several species and its plasma-binding properties. J Appl Toxicol 9:91–96
Hald B (1991) Ochratoxin A in human blood in European countries. In: Castegnaro M, Plestina R, Dirheimer G, Chernozemsky IN, Bartsch H (eds) Mycotoxins, endemic nephropathy and urinary tract tumours. IARC Press, Lyon, pp 159–164
Hassen W, Abid S, Achour A, Creppy EE, Bacha H (2002) Ochratoxin A and ß2-microglobulinuria in healthy individuals and in chronic interstitial nephropathy patients in the Centre of Tunisia: A hot spot of Ochratoxin A exposure. Toxicology 199:185–193
Hult K, Plestina R, Habazin-Novak V, Radic B, Ceovic S (1982) Ochratoxin A in human blood and Balkan endemic nephropathy. Arch Toxicol 51:313–321
IARC (1993) Ochratoxin A. In: IARC (International Agency for Research on Cancer) monographs on the evaluation of carcinogenic risks to humans, Vol. 56. Some naturally occurring substances: food items and constituents, heterocyclic aromatic amines and mycotoxins. IARC Publications, Lyon, p 489
Iavicoli I, Brera C, Carelli G, Caputi R, Marinaccio A, Miraglia M (2002) External and internal dose in subjects occupationally exposed to ochratoxin A. Int Arch Occup Environ Health 75:381–386
Il'ichev YV, Perry JL, Simon JD (2002) Interaction of ochratoxin A with human serum albumin. Preferential binding of the dianion and pH effects. J Phys Chem B 106:452–459
Jimenez AM, de Cerain AL, Gonzalez-Penas E, Bello J, Betbeder AM, Creppy EE (1998) Exposure to ochratoxin A in Europe: Comparison with a region of northern Spain. J Toxicol, Toxin Rev 17:479–491
Jonsyn FE (1999) Intake of aflatoxins and ochratoxins by infants in Sierra Leone: Possible effects on the general health of these children. J Nutr Environ Med 9:15–22
Khalef A, Zidane C, Charef A, Gharbi A, Tadjerouna M, Betbeder AM, Creppy EE (1993) Human ochratoxicosis in Algeria. In: Creppy EE, Castegnaro M, Dirheimer G (eds) Human Ochratoxicosis and its pathologies. INSERM/John Libbey Eurotext, Montrouge, pp 123–127
Khlifa KH, Ghali R, Mezigh C, Aouni Z, Ghorbel H, Harrzallah K, Machgoul S, Hedhili A (2008) Serum levels of ochratoxin A in healthy subjects and in nephropathic patients in Tunisia. Ann Biol Clin (Paris) 66:631–636
Kovács F, Sándor G, Ványi A, Domány S, Zomborszky-Kovács M (1995) Detection of ochratoxin A in human blood and colostrum. Acta Vet Hung 43:393–400
Krogh P (1992) Role of ochratoxin in disease causation. Food Chem Toxicol 30:213–224
Kuiper-Goodman T, Ominski K, Marquardt RR, Malcom S, McMullen E, Lombaert GA, Morton T (1993) Estimating human exposure to ochratoxin A in Canada. In: Creppy EE, Castegnaro M, Dirheimer G (eds) Human ochratoxicosis and its pathologies. INSERM/John Libbey Eurotext, Montrouge, France, pp 167–174
Kumagai S (1988) Effects of plasma ochratoxin A and luminal pH on the jejunal absorption of ochratoxin A in rats. Food Chem Toxicol 26:735–758
Lino CM, Baeta ML, Henri M, Dinis AMP, Pena AS, Silveira MIN (2008) Levels of ochratoxin A in serum from urban and rural Portuguese populations and estimation of exposure degree. Food Chem Toxicol 46:879–85
Maaroufi K, Achour A, Hammami M, El May M, Betbeder AM, Ellouz F, Creppy EE, Bacha H (1995a) Ochratoxin A in human blood in relation to nephropathy in Tunisia. Hum Exp Toxicol 14:609–615
Maaroufi K, Achour A, Betbeder AM, Hamammi M, Ellouz F, Creppy EE, Bacha H (1995b) Foodstuffs and human blood contamination by the mycotoxin ochratoxin A: correlation with chronic interstitial nephropathy in Tunisia. Arch Toxicol 69:552–558
MacDonald SJ, Langton S, Brereton PA (2001) Assessment of human exposure to ochratoxin in the UK - Relationship between dietary intake and plasma and urine. In: de Koe WJ, Samson RA, van Egmond HP, Gilbert J, Sabino M (eds) Mycotoxins and phycotoxins in perspective at the turn of the millennium. WJ de Koe, Wageningen, pp 181–188
Majerus P, Bresch H, Otteneder H (2000) Ochratoxin A in wines, fruit juices and seasonings. Arch Lebensmittelhyg 51:95–97
Mally A, Dekant W (2005) DNA adduct formation by ochratoxin A: Review of the available evidence. Food Addit Contam 22(Suppl 1):65–64
Märtlbauer E (1993) Computerprogramm zur Auswertung kompetitiver Enzymimmuntests. In: Enzymimmuntests für antimikrobiell wirksame Stoffe. Ferdinand Enke Verlag, Stuttgart, pp 206–222
Märtlbauer E, Terplan G (1988) Ein enzymimmunologisches Verfahren zum Nachweis von Ochratoxin A in Schweineserum. Arch Lebensmittelhyg 39:143–147
Miraglia M, Brera C, Colatosti M (1996) Application of biomarkers to assessment of risk to human health from exposure to mycotoxins. Microchem J 54:472–477
Munoz K, Vega M, Rios G, Munoz S, Madariaga R (2006) Preliminary study of ochratoxin A in human plasma in agricultural zones of Chile and its relation to food consumption. Food Chem Toxicol 44:1884–1889
Ostry V, Malir F, Roubal T, Skarkova J, Ruprich J, Cerna M, Creppy EE (2005) Monitoring of mycotoxin biomarkers in the Czech republic. Mycotoxin Res 21:49–52
Özcelik N, Kosar A, Sosal D (2001) Ochratoxin A in human serum samples collected in Isparta-Turkey from healthy individuals and individuals suffering from different urinary disorders. Toxicol Lett 121:9–13
Pacin AM, Bovier EVC, Motta E, Resnik SL, Villa D, Olsen M (2008) Survey of Argentinian human plasma for ochratoxin A. Food Addit Contam 25:635–641
Palli D, Miraglia M, Saieva C, Masala G, Cava E, Colatosti M, Corsi AM, Russo A, Brera C (1999) Serum levels of ochratoxin A in healthy adults in Tuscany: correlation with individual characteristics and between repeat measurements. Cancer Epidemiol Biomarkers Prev 8:265–269
Peraica M, Domijan AM, Fuchs R, Lucic A, Radic B (1999) The occurrence of ochratoxin A in blood in general population of Croatia. Toxicol Lett 110:105–112
Peraica M, Domijan AM, Matasin M, Lucic A, Radic B, Delas F, Horvat M, Bosanac I, Balija M, Grgicevic D (2001) Variations of ochratoxin A concentration in the blood of healthy populations in some Croatian cities. Arch Toxicol 75:410–414
Peraica M, Domijan AM, Saric M (2008) Mycotoxic and aristolochic acid theories of the development of endemic nephropathy. Arh Hig Rada Toksikol 59:59–65
Pérez de Obanos A, López de Cerain A, Jiménez AM, González-Peñas E, Bello J (2001) Ochratoxin A in human plasma: new data of exposition in Spain. Rev Toxicol 18:19–23
Perry JL, Goldsmith MR, Peterson MA, Beratan DN, Wozniak G, Rüker F, Simon JD (2004) Structure of the ochratoxin A binding site within human serum albumin. J Phys Chem B 108:16960–16964
Petkova-Bocharova T, Castegnaro M (1991) Ochratoxin A in human blood in relation to endemic nephropathy and urinary tract tumours in Bulgaria. In: Castegnaro M, Plestina R, Dirheimer G, Chernozemsky IN, Bartsch H (eds) Mycotoxins, endemic nephropathy and urinary tract tumours. IARC Scientific Publications 115, Lyon, pp 159–164
Petkova-Bocharova T, Chernozemsky IN, Castegnaro M (1988) Ochratoxin A in human blood in relation to Balkan endemic nephropathy and urinary system tumours in Bulgaria. Food Addit Contam 5:299–301
Petkova-Bocharova T, Castegnaro M, Pfohl-Leszkowicz A, Garren L, Grosso F, Nikolov I, Vrabcheva T, Dragacci S, Chernozemsky IN (2003) Analysis of ochratoxin A in serum and urine of inhabitants from an area with Balkan endemic nephropathy: a one-month follow-up study. Facta Univ (Ser Med Biol) 10:62–68
Petzinger E, Ziegler K (2000) Ochratoxin A from a toxicological perspective. J Vet Pharmacol Ther 23:91–98
Pfohl-Leszkowicz A, Manderville RA (2007) Ochratoxin A: an overview on toxicity and carcinogenicity in animals and humans. Mol Nutr Food Res 51:61–99
Pfohl-Leszkowicz A, Tozlovanu M, Manderville R, Peraica M, Castegnaro M, Stefanovic V (2007) New molecular and field evidences for the implication of mycotoxins but not aristolochic acid in human nephropathy and urinary tract tumor. Mol Nutr Food Res 51:1131–1146
Radic B, Fuchs R, Peraica M, Lucic A (1997) Ochratoxin A in human sera in the area with endemic nephropathy in Croatia. Toxicol Lett 91:105–109
Rosner H, Rohrmann B, Peiker G (2000) Ochratoxin A in human serum. Arch Lebensmittelhyg 51:104–107
Sangare-Tigori B, Moukha S, Kouadio JH, Dano DS, Betbeder AM, Achour A, Creppy EE (2006) Ochratoxin A in human blood in Abidjan, Cote d'Ivoire. Toxicon 47:894–900
Scott PM (2005) Biomarkers of human exposure to ochratoxin A. Food Addit Contam 22(Suppl 1):99–107
Scott PM, Kanhere SR, Lau BPY, Lewis DA, Hayward S, Ryan JJ, Kuiper-Goodman T (1998) Survey of Canadian human blood plasma for ochratoxin A. Food Addit Contam 15:555–562
Solti L, Salomon F, Barna-Vetro I, Gyongyosi A, Szabo E, Wolfling A (1997) Ochratoxin A content of human sera determined by a sensitive ELISA. J Anal Toxicol 21:44–48
Stefanovic V, Toncheva D, Atanasova S, Polenakovic M (2006) Etiology of Balkan endemic nephropathy and associated urothelial cancer. Am J Nephrol 26:1–11
Stoev SD (1998) The role of ochratoxin A as a possible cause of Balkan endemic nephropathy and its risk evaluation. Vet Hum Toxicol 40:352–360
Studer-Rohr I (1995) Ochratoxin A in humans: exposure, kinetics and risk assessment. Dissertation ETH Zurich. doi:10.3929/ethz-a-001455649. Available via ETH Institutional Repository. http://e-collection.ethbib.ethz.ch/view/eth:22417 (Accessed 15 Jul 2009)
Studer-Rohr I, Schlatter J, Dietrich DR (2000) Kinetic parameters and intraindividual fluctuations of ochratoxin A plasma levels in humans. Arch Toxicol 74:499–510
Tapai K, Teren J, Mesterhazy A (1997) Ochratoxin A in the sera of blood donors and ill persons. Cereal Res Commun 25:307–308
Thuvander A, Paulsen JE, Axberg K, Johansson N, Vidnes A, Enghardt-Barbieri H, Trygg K, Lund-Larsen K, Jahrl S, Widenfalk A, Bosnes V, Alexander J, Hult K, Olsen M (2001) Levels of ochratoxin A in blood from Norwegian and Swedish blood donors and their possible correlation with food consumption. Food Chem Toxicol 39:1145–1151
Ueno Y, Maki S, Lin J, Furuya M, Sugiura Y, Kawamura O (1998) A 4-year study of plasma ochratoxin A in a selected population in Tokyo by immunoassay and immunoaffinity column-linked HPLC. Food Chem Toxicol 36:445–449
Wafa EW, Yahya RS, Sobh MA, Eraky I, El-Baz M, El-Gayar HAM, Betbeder AM, Creppy EE (1998) Human ochratoxicosis and nephropathy in Egypt: a preliminary study. Hum Exp Toxicol 17:124–129
Wolff J (2000) Ochratoxin A in cereals and cereal products. Arch Lebensmittelhyg 51:85–88
Wolff J, Bresch H, Cholmakov-Bodechtel C, Engel G, Gareis M, Majerus P, Rosner H, Scheuer R (2000) Ochratoxin A: contamination of foods and consumer exposure. Final Evaluation. Arch Lebensmittelhyg 51:115–117
Zimmerli B, Dick R (1995) Determination of ochratoxin A at the ppt level in human blood, serum, milk and some foodstuffs by high-performance liquid chromatography with enhanced fluorescence detection and immunoaffinity column cleanup: methodology and Swiss data. J Chromatogr B 666:85–99
Acknowledgement
We thank all volunteers who participated in this study.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Märtlbauer, E., Usleber, E., Dietrich, R. et al. Ochratoxin A in human blood serum – retrospective long-term data. Mycotox Res 25, 175–186 (2009). https://doi.org/10.1007/s12550-009-0025-z
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12550-009-0025-z