Interactions between Dietary Practices, Mycotoxin Exposure, and Carcinogenesis Risk

Current Knowledge and Future Perspectives – A Review

Authors

  • Léa Kilô Adam YAI Laboratoire de Biologie Moléculaire et de Génétique (LABIOGENE)/ LaBESTA, Université Joseph KI-ZERBO
  • Philippe Augustin NIKIEMA
  • Bazoin Sylvain Raoul BAZIE
  • Florencia Wendkuuni DJIGMA
  • Jacques SIMPORE

DOI:

https://doi.org/10.64707/revstsna.v44i2.2133

Keywords:

food, exposure, mycotoxin, carcinogenesis risk

Abstract

Mycotoxins are toxic metabolites produced by certain mold species. These toxic compounds contaminate a wide range of food products, mainly cereals and legumes. Their presence in the food chain constitutes a major public health concern, particularly in tropical and subtropical regions such as Burkina Faso. This review examines the interactions between dietary practices, mycotoxin exposure, and cancer risk in humans. To do this, scientific databases such as ScienceDirect, Google Scholar and PubMed were used to search for published research articles on dietary practices, exposure to mycotoxins, risk of carcinogenesis and involved mechanisms. Notably, dietary habits significantly influence exposure levels. Poorly diversified diets rich in improperly stored foods increase toxic load, whereas a varied diet rich in antioxidant

micronutrients exerts a protective effect. Aflatoxin B₁ and ochratoxin A, for instance, are mycotoxins that induce DNA damage, oxidative stress, and disruptions in cellular signaling pathways through well-characterized mechanisms, ultimately promoting hepatic carcinogenesis. Numerous studies show a correlation between chronic exposure and an increased incidence of certain cancers, particularly in areas with high

food contamination. Prevention strategies rely on integrated approaches involving

improvements in agricultural and post-harvest practices, strengthened regulatory control, and the promotion of balanced and diversified nutrition. This underscores the need for an interdisciplinary approach combining toxicology, nutrition, and public health to reduce the carcinogenic impact of mycotoxins and protect exposed populations.

References

ADDITIVES, F.R. of the J.F.C. on F., 2002. Evaluation of Certain Mycotoxins in Food, No. 906: Technical Report Series, No 906. World Health Organization, Geneva.

ADEMOLA, O., SAHA TURNA, N., LIVERPOOL-TASIE, L.S.O., OBADINA, A., WU, F., 2021. Mycotoxin reduction through lactic acid fermentation: Evidence from commercial ogi processors in southwest Nigeria. Food Control 121, 107620. DOI: https://doi.org/10.1016/j.foodcont.2020.107620

AGRIOPOULOU, S., STAMATELOPOULOU, E., VARZAKAS, T., AGRIOPOULOU, S., STAMATELOPOULOU, E., VARZAKAS, T., 2020. Advances in Occurrence, Importance, and Mycotoxin Control Strategies: Prevention and Detoxification in Foods. Foods 9 (2). DOI: https://doi.org/10.3390/foods9020137

AGRIOPOULOU, S., TARAPOULOUZI, M., 2025. Food Toxicology and Safety: Food Manufacturing Related Effects. CRC Press. DOI: https://doi.org/10.1201/9781032712291

AZAM, M.S., AHMED, S., ISLAM, M.N., MAITRA, P., ISLAM, M.M., YU, D., 2021. Critical Assessment of Mycotoxins in Beverages and Their Control Measures. Toxins 13 (5), 323. DOI: https://doi.org/10.3390/toxins13050323

BACOU, E., WALK, C., RIDER, S., LITTA, G., PEREZ-CALVO, E., BACOU, E., WALK, C., RIDER, S., LITTA, G., PEREZ-CALVO, E., 2021. Dietary Oxidative Distress: A Review of Nutritional Challenges as Models for Poultry, Swine and Fish. Antioxidants 10 (4). DOI: https://doi.org/10.3390/antiox10040525

BAYALA-YAI, L.K.A., NIKIEMA, P.A., BAZIE, B.S.R., NIKIEMA, F., SIMPORE, J., 2025a. Assessment of mycotoxins in infant flour and their decontamination in raw material during production processes in Ouagadougou. Mycotoxin Res. 41 (1), 191–198. DOI: https://doi.org/10.1007/s12550-024-00578-7

BURGON, V.H., DA SILVA, A.R.P., MILANI, R.F., TANIWAKI, M.H., IAMANAKA, B.T., MORGANO, M.A., 2024. Occurrence of ochratoxin A in cocoa beans and bean-to-bar chocolates. Braz. J. Microbiol. Publ. Braz. Soc. Microbiol. 55 (4), 3487–3494. DOI: https://doi.org/10.1007/s42770-024-01451-6

CAI, H., SHEN, D., HU, X., YIN, H., YAN, Z., 2025. The Potential Mechanisms of Ochratoxin A in Prostate Cancer Development: An Integrated Study Combining Network Toxicology, Machine Learning, and Molecular Docking. Toxins 17, 388. DOI: https://doi.org/10.3390/toxins17080388

CARBALLO, D., TOLOSA, J., FERRER, E., BERRADA, H., 2019. Dietary exposure assessment to mycotoxins through total diet studies. A review. Food Chem. Toxicol. Int. J. Publ. Br. Ind. Biol. Res. Assoc. 128, 8–20. DOI: https://doi.org/10.1016/j.fct.2019.03.033

CHEN, J., YANG, S., LI, P., WU, A., NEPOVIMOVA, E., LONG, M., WU, W., KUCA, K., 2022. MicroRNA regulates the toxicological mechanism of four mycotoxins in vivo and in vitro. J. Anim. Sci. Biotechnol. 13, 37. DOI: https://doi.org/10.1186/s40104-021-00653-4

CHEN, X., ABDALLAH, M.F., GROOTAERT, C., RAJKOVIC, A., 2022. Bioenergetic Status of the Intestinal and Hepatic Cells after Short Term Exposure to Fumonisin B1 and Aflatoxin B1. Int. J. Mol. Sci. 23 (13), 6945. DOI: https://doi.org/10.3390/ijms23136945

CHILENGA, C., KASAPILA, W., MASAMBA, K., NDHLOVU, B., MUNKHUWA, V., CHIBWANA, G., MACHIRA, K., 2025. Mycotoxin contamination in Malawi: A systematic review of progress and trends in contamination, knowledge, attitude, and practices. Toxicol. Rep. 15, 102105. DOI: https://doi.org/10.1016/j.toxrep.2025.102105

DAI, C., TIAN, E., HAO, Z., TANG, S., WANG, Z., SHARMA, G., JIANG, H., SHEN, J., 2022. Aflatoxin B1 Toxicity and Protective Effects of Curcumin: Molecular Mechanisms and Clinical Implications. Antioxid. Basel Switz. 11 (10), 2031. DOI: https://doi.org/10.3390/antiox11102031

DANESH, Y.R., MULET, J.M., PORCEL, R., DANESH, Y.R., MULET, J.M., PORCEL, R., 2025. Bridging Microbial Biocontrol and Phytochemical Biopesticides: Synergistic Approaches for Sustainable Crop Protection. Plants 14 (22). DOI: https://doi.org/10.3390/plants14223453

DASÍ-NAVARRO, N., LOZANO, M., LLOP, S., VIOQUE, J., PEIRÓ, J., ESPLUGUES, A., MANYES, L., VILA-DONAT, P., 2024. Associated factors with mycotoxin exposure in Spanish population. Environ. Res. 242, 117618. DOI: https://doi.org/10.1016/j.envres.2023.117618

DOBRZYŃSKI, J., JAKUBOWSKA, Z., 2025. Pseudomonas protegens as a biocontrol agent against phytopathogenic fungi - mini review. World J. Microbiol. Biotechnol. 41 (11), 428. DOI: https://doi.org/10.1007/s11274-025-04643-w

EL-SAADONY, M.T., SAAD, A.M., SOLIMAN, S.M., SALEM, H.M., AHMED, A.I., MAHMOOD, M., EL-TAHAN, A.M., EBRAHIM, A.A.M., ABD EL-MAGEED, T.A., NEGM, S.H., SELIM, S., BABALGHITH, A.O., ELRYS, A.S., EL-TARABILY, K.A., ABUQAMAR, S.F., 2022. Plant growth-promoting microorganisms as biocontrol agents of plant diseases: Mechanisms, challenges and future perspectives. Front. Plant Sci. 13, 923880. DOI: https://doi.org/10.3389/fpls.2022.923880

ESKOLA, M., KOS, G., ELLIOTT, C.T., HAJŠLOVÁ, J., MAYAR, S., KRSKA, R., 2020. Worldwide contamination of food-crops with mycotoxins: Validity of the widely cited ‘FAO estimate’ of 25%. Crit. Rev. Food Sci. Nutr. 60 (16), 2773–2789. DOI: https://doi.org/10.1080/10408398.2019.1658570

GOESSENS, T., MOUCHTARIS-MICHAILIDIS, T., TESFAMARIAM, K., TRUONG, N.N., VERTRIEST, F., BADER, Y., DE SAEGER, S., LACHAT, C., DE BOEVRE, M., 2024. Dietary mycotoxin exposure and human health risks: A protocol for a systematic review. Environ. Int. 184, 108456. DOI: https://doi.org/10.1016/j.envint.2024.108456

GONG, Y.Y., WATSON, S., ROUTLEDGE, M.N., 2016. Aflatoxin Exposure and Associated Human Health Effects, a Review of Epidemiological Studies. Food Saf. Tokyo Jpn. 4 (1), 14–27. DOI: https://doi.org/10.14252/foodsafetyfscj.2015026

GUERRE, P., 2020. Mycotoxin and Gut Microbiota Interactions. Toxins 12 (12), 769. DOI: https://doi.org/10.3390/toxins12120769

HABSCHIED, K., KRSTANOVIĆ, V., ZDUNIĆ, Z., BABIĆ, J., MASTANJEVIĆ, K., ŠARIĆ, G.K., 2021. Mycotoxins Biocontrol Methods for Healthier Crops and Stored Products. J. Fungi Basel Switz. 7 (5), 348. DOI: https://doi.org/10.3390/jof7050348

IJABADENIYI, O.A., AJAYEOBA, T.A., OLAGUNJU, O.F., 2021. Food Processing and Decontamination Approaches to Control Mycotoxins, in: Mycotoxins in Food and Beverages. CRC Press. DOI: https://doi.org/10.1201/9781003176046-2

ILBOUDO, I., COMPAORÉ, H., COMPAORÉ, I., TRAORÉ, S.M., DEMBÉLÉ, L.E., NIKIÈMA, F., DÉBORAH, L., SAWADOGO-LINGANI, H., KABRÉ, E., 2025. Biocontrol of Aflatoxigenic Maize Molds Using Lactobacillus spp.-Based Formulations. Food Sci. Nutr. 13 (10), e71039. DOI: https://doi.org/10.1002/fsn3.71039

JACOBSEN, B.J., 2014. Good Agricultural and Harvest Practices to Reduce Mycotoxin Contamination in Wheat in Temperate Countries, in: Mycotoxin Reduction in Grain Chains. John Wiley & Sons, Ltd, pp. 209–219. DOI: https://doi.org/10.1002/9781118832790.ch14

JAHROMI, A.S., JOKAR, M., ABDOUS, A., RABIEE, M.H., BIGLO, F.H.B., RAHMANIAN, V., 2025. Prevalence and concentration of aflatoxin M1 in milk and dairy products: an umbrella review of meta-analyses. Int. Health 17 (4), 403–415. DOI: https://doi.org/10.1093/inthealth/ihaf002

KAMLE, M., MAHATO, D.K., GUPTA, A., PANDHI, S., SHARMA, N., SHARMA, B., MISHRA, S., ARORA, S., SELVAKUMAR, R., SAURABH, V., DHAKANE-LAD, J., KUMAR, M., BARUA, S., KUMAR, A., GAMLATH, S., KUMAR, P., 2022. Citrinin Mycotoxin Contamination in Food and Feed: Impact on Agriculture, Human Health, and Detection and Management Strategies. Toxins 14 (2), 85. DOI: https://doi.org/10.3390/toxins14020085

KARLOVSKY, P., SUMAN, M., BERTHILLER, F., DE MEESTER, J., EISENBRAND, G., PERRIN, I., OSWALD, I.P., SPEIJERS, G., CHIODINI, A., RECKER, T., DUSSORT, P., 2016. Impact of food processing and detoxification treatments on mycotoxin contamination. Mycotoxin Res. 32 (4), 179–205. DOI: https://doi.org/10.1007/s12550-016-0257-7

KHAIRY, N., ABD EL-MALEK, A., DARWISH, W.S., EL-HAWARY, S.F., ABDELMOTILIB, N.M., ALI, M.A., DANDRAWY, M.K., 2025. Evaluating Probiotic Efficacy Against Mycotoxins Threat in Semi-Dry Fermented Beef Sausage. Egypt. J. Vet. Sci. 56 (13), 78–87. DOI: https://doi.org/10.21608/ejvs.2025.365862.2678

KOWALSKA, A., WALKIEWICZ, K., KOZIEŁ, P., MUC-WIERZGOŃ, M., 2017. Aflatoxins: characteristics and impact on human health. Postepy Hig. Med. Doswiadczalnej Online 71 (0), 315–327. DOI: https://doi.org/10.5604/01.3001.0010.3816

LEE, H.J., KIM, H.D., RYU, D., 2024. Practical Strategies to Reduce Ochratoxin A in Foods. Toxins 16 (1), 58. DOI: https://doi.org/10.3390/toxins16010058

LI, L., HE, Z., SHI, Y., SUN, H., YUAN, B., CAI, J., CHEN, J., LONG, M., 2023. Role of epigenetics in mycotoxin toxicity: A review. Environ. Toxicol. Pharmacol. 100, 104154. DOI: https://doi.org/10.1016/j.etap.2023.104154

LIMAYE, A., YU, R.-C., CHOU, C.-C., LIU, J.-R., CHENG, K.-C., 2018. Protective and Detoxifying Effects Conferred by Dietary Selenium and Curcumin against AFB1-Mediated Toxicity in Livestock: A Review. Toxins 10 (1), 25. DOI: https://doi.org/10.3390/toxins10010025

MAFE, A.N., BÜSSELBERG, D., MAFE, A.N., BÜSSELBERG, D., 2024. Mycotoxins in Food: Cancer Risks and Strategies for Control. Foods 13 (21). DOI: https://doi.org/10.3390/foods13213502

MANNAA, M., KIM, K.D., 2017. Influence of Temperature and Water Activity on Deleterious Fungi and Mycotoxin Production during Grain Storage. Mycobiology 45 (4), 240–254. DOI: https://doi.org/10.5941/MYCO.2017.45.4.240

MARIS, E., NDLANGAMANDLA, P., ADELUSI, O.A., AKINMOLADUN, O.F., ODUKOYA, J.O., FAGBOHUN, R.T., OYEYINKA, S.A., SEKHEJANE, P., PERO-GASCON, R., DE BOEVRE, M., CROUBELS, S., NJOBEH, P.B., DE SAEGER, S., 2025. Nixtamalization of Maize to Reduce Mycotoxin Exposure: A Human Biomonitoring Intervention Study in Soweto, South Africa. Toxins 17 (11), 527. DOI: https://doi.org/10.3390/toxins17110527

MESTERHAZY, A., 2024. Food Safety Aspects of Breeding Maize to Multi-Resistance against the Major (Fusarium graminearum, F. verticillioides, Aspergillus flavus) and Minor Toxigenic Fungi (Fusarium spp.) as Well as to Toxin Accumulation, Trends, and Solutions—A Review. J. Fungi 10 (1), 40. DOI: https://doi.org/10.3390/jof10010040

MÉZES, M., KOVÁCS, M., SZABÓ, A., 2021. Chapter 20 - Mycotoxin exposure, oxidative stress, and lipid peroxidation, in: Patel, V.B., Preedy, V.R. (Eds.), Toxicology. Academic Press, pp. 191–200. DOI: https://doi.org/10.1016/B978-0-12-819092-0.00020-0

MILIĆEVIĆ, D., PETRONIJEVIĆ, R., PETROVIĆ, Z., ĐJINOVIĆ-STOJANOVIĆ, J., JOVANOVIĆ, J., BALTIĆ, T., JANKOVIĆ, S., 2019. Impact of climate change on aflatoxin M1 contamination of raw milk with special focus on climate conditions in Serbia. J. Sci. Food Agric. 99 (11), 5202–5210. DOI: https://doi.org/10.1002/jsfa.9768

MORETTI, A., LOGRIECO, A.F., SUSCA, A., 2017. Mycotoxins: An Underhand Food Problem, in: Moretti, A., Susca, A. (Eds.), Mycotoxigenic Fungi: Methods and Protocols. Springer, New York, NY, pp. 3–12. DOI: https://doi.org/10.1007/978-1-4939-6707-0_1

MUSAWA, G., BUMBANGI, F.N., MUMBA, C., MBUNGA, B.K., PHIRI, G., BENHARD, V., KAINGA, H., BANDA, M., NDAKI, E., MKANDAWIRE, E., MUMA, J.B., 2024. Assessing the Risk of Exposure to Aflatoxin B1 through the Consumption of Peanuts among Children Aged 6-59 Months in the Lusaka District, Zambia. Toxins 16 (1), 50. DOI: https://doi.org/10.3390/toxins16010050

NIAZ, K., SHAH, S.Z.A., KHAN, F., BULE, M., 2020. Ochratoxin A–induced genotoxic and epigenetic mechanisms lead to Alzheimer disease: its modulation with strategies. Environ. Sci. Pollut. Res. 27 (36), 44673–44700. DOI: https://doi.org/10.1007/s11356-020-08991-y

NJI, Q.N., BABALOLA, O.O., EKWOMADU, T.I., NLEYA, N., MWANZA, M., 2022. Six Main Contributing Factors to High Levels of Mycotoxin Contamination in African Foods. Toxins 2022, 14, 318. DOI: https://doi.org/10.3390/toxins14050318

NUGRAHA, A., KHOTIMAH, K., RIETJENS, I.M.C.M., 2018. Risk assessment of aflatoxin B1 exposure from maize and peanut consumption in Indonesia using the margin of exposure and liver cancer risk estimation approaches. Food Chem. Toxicol. Int. J. Publ. Br. Ind. Biol. Res. Assoc. 113, 134–144. DOI: https://doi.org/10.1016/j.fct.2018.01.036

OSTRY, V., MALIR, F., TOMAN, J., GROSSE, Y., 2017. Mycotoxins as human carcinogens—the IARC Monographs classification. Mycotoxin Res. 33 (1), 65–73. DOI: https://doi.org/10.1007/s12550-016-0265-7

PATERSON, R.R.M., Lima, N., 2010. Toxicology of mycotoxins, in: Luch, A. (Ed.), Molecular, Clinical and Environmental Toxicology: Volume 2: Clinical Toxicology. Birkhäuser, Basel, pp. 31–63. DOI: https://doi.org/10.1007/978-3-7643-8338-1_2

PLEADIN, J., FRECE, J., MARKOV, K., 2019. Mycotoxins in food and feed. Adv. Food Nutr. Res. 89, 297–345. DOI: https://doi.org/10.1016/bs.afnr.2019.02.007

POVEDA, J., GONZÁLEZ-ANDRÉS, F., 2021. Bacillus as a source of phytohormones for use in agriculture. Appl. Microbiol. Biotechnol. 105 (23), 8629–8645. DOI: https://doi.org/10.1007/s00253-021-11492-8

PROGRAM, N.T., 2021. Aflatoxins, in: 15th Report on Carcinogens [Internet]. National Toxicology Program.

RATERS, M., MATISSEK, R., 2008. Thermal stability of aflatoxin B1 and ochratoxin A. Mycotoxin Res. 24 (3), 130–134. DOI: https://doi.org/10.1007/BF03032339

RICHARD, J.L., 2007. Some major mycotoxins and their mycotoxicoses—An overview. Int. J. Food Microbiol., Mycotoxins from the Field to the Table 119 (1), 3–10. DOI: https://doi.org/10.1016/j.ijfoodmicro.2007.07.019

RICORDY, R., CACCI, E., AUGUSTI-TOCCO, G., 2005. Aflatoxin B 1 and Cell Cycle Perturbation, in: Reviews in Food and Nutrition Toxicity; 213–231. DOI: https://doi.org/10.1201/9781420037524.ch8

SANYANG, A., MAKUN, H.A., MUHAMMAD, H.L., BADMOS, F.O., 2025. Risk assessment of dietary exposure to aflatoxins and their levels in selected staple crops from The Gambia. Food Addit. Contam. Part Chem. Anal. Control Expo. Risk Assess. 42 (7), 940–957. DOI: https://doi.org/10.1080/19440049.2025.2511247

SHI, H., LI, J., ZHAO, Y., MAO, J., WANG, H., ZHU, J., 2023. Effect of Aspergillus flavus contamination on the fungal community succession, mycotoxin production and storage quality of maize kernels at various temperatures. Food Res. Int. 174, 113662. DOI: https://doi.org/10.1016/j.foodres.2023.113662

SKRZYDLEWSKI, P., KOSICKI, R., GRAJEWSKI, J., TWARUŻEK, M., 2025. Four-year surveillance of mycotoxins in feed and raw materials (2021–2024): Occurrence, co-contamination, and risk implications. Toxicon 268, 108618. DOI: https://doi.org/10.1016/j.toxicon.2025.108618

SUJAYASREE, O.J., PANDISELVAM, R., KUMAR, P.C., NAYAKA, V.S.K., POOJA, A., CHAITANYA, A.K., RANJITHA, K., 2025. The Role of Ozone in Detoxification and Degradation of Mycotoxins in Food Systems, in: Ozone Applications in the Food Industry. Apple Academic Press. DOI: https://doi.org/10.1201/9781003609827-3

SYRAJI, Y., JEYARAMRAJA, P.R., MADA, T., GOBIKANILA, K., 2025. Comprehensive review of aflatoxin contamination, its occurrence, effects, management, and future perspectives. Discov. Food 5 (1), 377. DOI: https://doi.org/10.1007/s44187-025-00680-4

VERNIA, F., LONGO, S., STEFANELLI, G., VISCIDO, A., LATELLA, G., 2021. Dietary Factors Modulating Colorectal Carcinogenesis. Nutrients 13 (1), 143. DOI: https://doi.org/10.3390/nu13010143

VINDEROLA, G., RITIENI, A., 2014. Role of Probiotics Against Mycotoxins and Their Deleterious Effects. J. Food Res. 4 (1), p10. DOI: https://doi.org/10.5539/jfr.v4n1p10

WANG, X., WU, Q., WAN, D., LIU, Q., CHEN, D., LIU, Z., MARTÍNEZ-LARRAÑAGA, M.R., MARTÍNEZ, M.A., ANADÓN, A., YUAN, Z., 2016. Fumonisins: oxidative stress-mediated toxicity and metabolism in vivo and in vitro. Arch. Toxicol. 90 (1), 81–101. DOI: https://doi.org/10.1007/s00204-015-1604-8

XU, F., BAKER, R.C., WHITAKER, T.B., LUO, H., ZHAO, Y., STEVENSON, A., BOESCH, C.J., ZHANG, G., 2022. Review of good agricultural practices for smallholder maize farmers to minimise aflatoxin contamination. World Mycotoxin J. 15 (2), 171–186. DOI: https://doi.org/10.3920/WMJ2021.2685

Published

2025-12-31

How to Cite

YAI, L. K. A. ., NIKIEMA, P. A. ., BAZIE, B. S. R. ., DJIGMA, F. W. ., & SIMPORE, J. . (2025). Interactions between Dietary Practices, Mycotoxin Exposure, and Carcinogenesis Risk: Current Knowledge and Future Perspectives – A Review. Sciences Naturelles Et Appliquées, 44(2), 89–110. https://doi.org/10.64707/revstsna.v44i2.2133