This study evaluated the occurrence of ochratoxin A (OTA) in Turkish coffee and its potential health implications under current consumption patterns by analyzing 65 ground and roasted Turkish coffee samples collected across Türkiye. OTA contamination was detected in 53 samples (82%). Based on the mean OTA concentration, the Estimated Daily Intake (EDI) was calculated as 0.1403 ng/kg body weight/day, and health risk characterization was performed using the Margin of Exposure (MOE) approach in accordance with the European Food Safety Authority (EFSA) recommendations for chronic exposure assessment. MOE calculations enabled a refined characterization of health risks under realistic (0.5 cup/day), average (1 cup/day), and high (3 cups/day) consumption scenarios. The MOE values for carcinogenic (neoplastic) effects ranged from 34,450 to 206,847, all exceeding the EFSA reference threshold of 10,000 and indicating a low level of concern for carcinogenic risk associated with Turkish coffee consumption. For non-carcinogenic (non-neoplastic) kidney effects, MOE values ranged from 11,238 to 67,475 across the different consumption scenarios, all exceeding the EFSA reference threshold of 200, indicating a low level of concern for the general population. In conclusion, the findings demonstrate that Turkish coffee consumption does not pose an OTA-related carcinogenic or non-neoplastic health risk for the general population under current consumption patterns. Nevertheless, considering the widespread consumption of Turkish coffee, continued monitoring and strict implementation of control measures throughout the production chain remain advisable to ensure long-term consumer safety.
{"title":"Investigation of Ochratoxin A Levels in Commercially Available Turkish Coffee and Risk Assessment.","authors":"Hayrettin Özer","doi":"10.3390/toxins18020084","DOIUrl":"10.3390/toxins18020084","url":null,"abstract":"<p><p>This study evaluated the occurrence of ochratoxin A (OTA) in Turkish coffee and its potential health implications under current consumption patterns by analyzing 65 ground and roasted Turkish coffee samples collected across Türkiye. OTA contamination was detected in 53 samples (82%). Based on the mean OTA concentration, the Estimated Daily Intake (EDI) was calculated as 0.1403 ng/kg body weight/day, and health risk characterization was performed using the Margin of Exposure (MOE) approach in accordance with the European Food Safety Authority (EFSA) recommendations for chronic exposure assessment. MOE calculations enabled a refined characterization of health risks under realistic (0.5 cup/day), average (1 cup/day), and high (3 cups/day) consumption scenarios. The MOE values for carcinogenic (neoplastic) effects ranged from 34,450 to 206,847, all exceeding the EFSA reference threshold of 10,000 and indicating a low level of concern for carcinogenic risk associated with Turkish coffee consumption. For non-carcinogenic (non-neoplastic) kidney effects, MOE values ranged from 11,238 to 67,475 across the different consumption scenarios, all exceeding the EFSA reference threshold of 200, indicating a low level of concern for the general population. In conclusion, the findings demonstrate that Turkish coffee consumption does not pose an OTA-related carcinogenic or non-neoplastic health risk for the general population under current consumption patterns. Nevertheless, considering the widespread consumption of Turkish coffee, continued monitoring and strict implementation of control measures throughout the production chain remain advisable to ensure long-term consumer safety.</p>","PeriodicalId":23119,"journal":{"name":"Toxins","volume":"18 2","pages":""},"PeriodicalIF":4.0,"publicationDate":"2026-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12944870/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147290940","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Alternative splicing of pre-mRNA is a crucial mechanism in gene expression regulation. As a core component of the spliceosome, the biological function of the Skip protein in Aspergillus flavus remains unknown. Quantitative real-time PCR (qPCR) analysis revealed the presence of two skip gene copies in A. flavus. Single-copy deletion of Skip resulted in slowed growth, reduced conidiation, abolished sclerotial formation, increased aflatoxin biosynthesis, and diminished crop colonization. Meanwhile, Skip was found to regulate the oxidative stress response by modulating the alternative splicing of yapA. Subsequently, immunoprecipitation and Western blot analyses identified lysine 325 (K325) as the benzoylated site on the Skip protein, which catalyzed by the acyltransferase EsaA. Mutation of benzoylated site K325 directly impaired fungal morphogenesis, pathogenicity, and stress adaptation. These findings established the crucial role of Skip and its benzoylation in A. flavus and suggested a potential target for controlling its infection in important crops.
{"title":"The Benzoylation of the Splicing Factor Skip Is Critical for Development, Oxidative Stress Response and Pathogenicity in <i>Aspergillus flavus</i>.","authors":"Xuan Chen, Yuqi Zhang, Wenxin Luo, Shihua Wang","doi":"10.3390/toxins18020083","DOIUrl":"10.3390/toxins18020083","url":null,"abstract":"<p><p>Alternative splicing of pre-mRNA is a crucial mechanism in gene expression regulation. As a core component of the spliceosome, the biological function of the Skip protein in <i>Aspergillus flavus</i> remains unknown. Quantitative real-time PCR (qPCR) analysis revealed the presence of two <i>skip</i> gene copies in <i>A. flavus</i>. Single-copy deletion of Skip resulted in slowed growth, reduced conidiation, abolished sclerotial formation, increased aflatoxin biosynthesis, and diminished crop colonization. Meanwhile, Skip was found to regulate the oxidative stress response by modulating the alternative splicing of <i>yapA</i>. Subsequently, immunoprecipitation and Western blot analyses identified lysine 325 (K325) as the benzoylated site on the Skip protein, which catalyzed by the acyltransferase EsaA. Mutation of benzoylated site K325 directly impaired fungal morphogenesis, pathogenicity, and stress adaptation. These findings established the crucial role of Skip and its benzoylation in <i>A. flavus</i> and suggested a potential target for controlling its infection in important crops.</p>","PeriodicalId":23119,"journal":{"name":"Toxins","volume":"18 2","pages":""},"PeriodicalIF":4.0,"publicationDate":"2026-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12945200/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147290906","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This study was aimed at producing nanocellulose from sugarcane bagasse and durian rind residues for applications to determine adsorption capacity against mycotoxin in poultry diets. Durian rind-derived nanocellulose exhibited finer fiber (12-21 nm diameter and 197-350 nm length) and higher yield (42.1%) than bagasse-derived nanocellulose (18-36 nm diameter and 82-169 nm length), with FTIR confirming purer cellulose I/II structures. The in vitro test adsorption capacity against ochratoxin (OTA) was determined at an incubation time of 180 min to establish working conditions. It was found that the working conditions of bagasse-derived nanocellulose and durian rind-derived nanocellulose were 33 mg/mL and 36.5 mg/mL, respectively. Subsequently, using these working conditions, adsorption capacity was determined via an in vitro digestibility test. Bagasse-derived nanocellulose exhibited an adsorption capacity against OTA of 35.59%, while durian rind-derived nanocellulose achieved an OTA adsorption rate of 39.53% at a contact time of 3 h. Naturally contaminated poultry feeds collected from nine farms in Chiang Mai, Thailand, indicated that both types of nanocelluloses achieved minimum-maximum OTA adsorption rates of 42-43%, aflatoxin B1 (AFB1) at 29-30%, and fumonisin B1 (FB1) at 21-23% across the nine farms' mean values. These findings suggest that nanocellulose derived from sugarcane bagasse and durian rind has potential as a sustainable biosorbent for improving mycotoxin management in poultry production.
{"title":"Potential Application of Nanocellulose Derived from Bagasse and Durian Rind for Mitigation of Mycotoxin Contamination in Poultry Diets.","authors":"Chaiwat Arjin, Kwancheewa Jaima, Apinya Satsook, Parichat Thipchai, Kanticha Pratinthong, Pornchai Rachtanapun, Korawan Sringarm","doi":"10.3390/toxins18020085","DOIUrl":"10.3390/toxins18020085","url":null,"abstract":"<p><p>This study was aimed at producing nanocellulose from sugarcane bagasse and durian rind residues for applications to determine adsorption capacity against mycotoxin in poultry diets. Durian rind-derived nanocellulose exhibited finer fiber (12-21 nm diameter and 197-350 nm length) and higher yield (42.1%) than bagasse-derived nanocellulose (18-36 nm diameter and 82-169 nm length), with FTIR confirming purer cellulose I/II structures. The in vitro test adsorption capacity against ochratoxin (OTA) was determined at an incubation time of 180 min to establish working conditions. It was found that the working conditions of bagasse-derived nanocellulose and durian rind-derived nanocellulose were 33 mg/mL and 36.5 mg/mL, respectively. Subsequently, using these working conditions, adsorption capacity was determined via an in vitro digestibility test. Bagasse-derived nanocellulose exhibited an adsorption capacity against OTA of 35.59%, while durian rind-derived nanocellulose achieved an OTA adsorption rate of 39.53% at a contact time of 3 h. Naturally contaminated poultry feeds collected from nine farms in Chiang Mai, Thailand, indicated that both types of nanocelluloses achieved minimum-maximum OTA adsorption rates of 42-43%, aflatoxin B1 (AFB1) at 29-30%, and fumonisin B1 (FB1) at 21-23% across the nine farms' mean values. These findings suggest that nanocellulose derived from sugarcane bagasse and durian rind has potential as a sustainable biosorbent for improving mycotoxin management in poultry production.</p>","PeriodicalId":23119,"journal":{"name":"Toxins","volume":"18 2","pages":""},"PeriodicalIF":4.0,"publicationDate":"2026-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12945275/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147290858","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Wannasit Wathanavasin, Solos Jaturapisanukul, Preeyaporn Janwetchasil, Charat Thongprayoon, Wisit Cheungpasitporn, Tibor Fülöp
Hemodiafiltration (HDF) is increasingly used because of its enhanced theoretical clearance of diverse uremic toxins, particularly middle molecules and inflammatory cytokines, relative to conventional hemodialysis (HD), yet evidence on its biochemical benefits remains conflicting. Therefore, this meta-analysis was performed to evaluate the effects of HDF versus HD on uremic toxins, inflammation, anemia, and nutritional parameters. A systematic literature search was conducted using PubMed, Scopus, and the Cochrane Central Register of Controlled Trials to identify relevant studies. Only randomized controlled trials (RCTs) were included. Random-effects meta-analyses were performed to evaluate changes in the prespecified outcomes. Twenty-four RCTs involving 6072 dialysis patients were included. Compared with conventional HD, HDF was associated with significant reductions in serum phosphorus (weighted mean difference [WMD] -0.28 mg/dL; 95% CI -0.44 to -0.12) and β2-microglobulin (WMD -4.84 mg/dL; 95% CI -6.13 to -3.54). HDF also significantly reduced serum urea and C-reactive protein (CRP) levels, along with weekly erythropoietin requirements. Serum albumin levels were slightly but significantly lower in the HDF group than in the conventional HD group (WMD -0.06 g/dL; 95% CI -0.10 to -0.01); however, the clinical significance of such a difference remains uncertain. Higher convective volumes were identified as a key determinant of greater reductions in β2-microglobulin and CRP. Compared with conventional HD, HDF demonstrated superior reductions in several surrogate endpoints, including serum phosphorus, urea, β2-microglobulin, CRP, and weekly erythropoietin requirements. Reduced need for phosphate binders and anemia management may lower treatment-related costs.
与传统血液透析(HD)相比,血液滤过(HDF)由于其理论上增强了对多种尿毒症毒素(特别是中间分子和炎症细胞因子)的清除能力而越来越多地被使用,但其生化益处的证据仍然存在争议。因此,本荟萃分析旨在评估HDF与HD对尿毒症毒素、炎症、贫血和营养参数的影响。使用PubMed、Scopus和Cochrane Central Register of Controlled Trials进行系统文献检索,以确定相关研究。仅纳入随机对照试验(rct)。进行随机效应荟萃分析以评估预先指定结果的变化。纳入24项随机对照试验,涉及6072例透析患者。与传统HD相比,HDF与血清磷(加权平均差[WMD] -0.28 mg/dL; 95% CI -0.44至-0.12)和β2微球蛋白(WMD -4.84 mg/dL; 95% CI -6.13至-3.54)的显著降低相关。HDF还显著降低血清尿素和c反应蛋白(CRP)水平,以及每周促红细胞生成素需求。HDF组血清白蛋白水平略低于常规HD组(WMD为-0.06 g/dL, 95% CI为-0.10 ~ -0.01);然而,这种差异的临床意义仍然不确定。较高的对流体积被确定为β2-微球蛋白和CRP减少的关键决定因素。与传统HD相比,HDF在几个替代终点,包括血清磷、尿素、β2-微球蛋白、CRP和每周促红细胞生成素需求方面表现出优越的降低。减少对磷酸盐结合剂和贫血管理的需求可能降低与治疗相关的费用。
{"title":"Effects of Hemodiafiltration Versus Hemodialysis on Uremic Toxins, Inflammatory Markers, Anemia, and Nutritional Parameters: A Systematic Review and Meta-Analysis.","authors":"Wannasit Wathanavasin, Solos Jaturapisanukul, Preeyaporn Janwetchasil, Charat Thongprayoon, Wisit Cheungpasitporn, Tibor Fülöp","doi":"10.3390/toxins18020086","DOIUrl":"10.3390/toxins18020086","url":null,"abstract":"<p><p>Hemodiafiltration (HDF) is increasingly used because of its enhanced theoretical clearance of diverse uremic toxins, particularly middle molecules and inflammatory cytokines, relative to conventional hemodialysis (HD), yet evidence on its biochemical benefits remains conflicting. Therefore, this meta-analysis was performed to evaluate the effects of HDF versus HD on uremic toxins, inflammation, anemia, and nutritional parameters. A systematic literature search was conducted using PubMed, Scopus, and the Cochrane Central Register of Controlled Trials to identify relevant studies. Only randomized controlled trials (RCTs) were included. Random-effects meta-analyses were performed to evaluate changes in the prespecified outcomes. Twenty-four RCTs involving 6072 dialysis patients were included. Compared with conventional HD, HDF was associated with significant reductions in serum phosphorus (weighted mean difference [WMD] -0.28 mg/dL; 95% CI -0.44 to -0.12) and β2-microglobulin (WMD -4.84 mg/dL; 95% CI -6.13 to -3.54). HDF also significantly reduced serum urea and C-reactive protein (CRP) levels, along with weekly erythropoietin requirements. Serum albumin levels were slightly but significantly lower in the HDF group than in the conventional HD group (WMD -0.06 g/dL; 95% CI -0.10 to -0.01); however, the clinical significance of such a difference remains uncertain. Higher convective volumes were identified as a key determinant of greater reductions in β2-microglobulin and CRP. Compared with conventional HD, HDF demonstrated superior reductions in several surrogate endpoints, including serum phosphorus, urea, β2-microglobulin, CRP, and weekly erythropoietin requirements. Reduced need for phosphate binders and anemia management may lower treatment-related costs.</p>","PeriodicalId":23119,"journal":{"name":"Toxins","volume":"18 2","pages":""},"PeriodicalIF":4.0,"publicationDate":"2026-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12944842/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147290572","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Beatrice Gedion, Victor Limay-Rios, J David Miller, David C Hooker, Arthur W Schaafsma
Commercial immunoassay-based test kits are widely used for rapid screening of deoxynivalenol (DON) in maize; however, inconsistent results are frequently observed under commercial testing conditions. This study evaluated two distinct contributors to such variability: analytical cross-reactivity of commercial DON immunoassays and between-site variability arising from routine grain elevator testing practices. Under controlled laboratory conditions, all kits accurately measured DON but responded differently to co-occurring DON derivatives. In naturally contaminated maize, immunoassay results reflected the combined presence of DON and co-occurring derivatives, consistent with differences in antibody specificity. An interlaboratory comparison involving multiple grain elevators analyzing identical blinded samples demonstrated substantial between-site variability in reported DON concentrations, with about 16% of results deviating by more than ±20% from the LC-MS/MS reference value. Collectively, these findings show that inconsistent DON test outcomes arise from the combined effects of antibody cross-reactivity and site-specific testing variability, rather than from any unreliability of the analytical methods themselves. This finding highlights the importance of interpreting rapid DON measurements considering these factors.
{"title":"Variation Among Grain Elevator Testing Sites and Analytical Cross-Reactivity of Commercial Immunoassay Kits for Deoxynivalenol Detection in Maize.","authors":"Beatrice Gedion, Victor Limay-Rios, J David Miller, David C Hooker, Arthur W Schaafsma","doi":"10.3390/toxins18020081","DOIUrl":"10.3390/toxins18020081","url":null,"abstract":"<p><p>Commercial immunoassay-based test kits are widely used for rapid screening of deoxynivalenol (DON) in maize; however, inconsistent results are frequently observed under commercial testing conditions. This study evaluated two distinct contributors to such variability: analytical cross-reactivity of commercial DON immunoassays and between-site variability arising from routine grain elevator testing practices. Under controlled laboratory conditions, all kits accurately measured DON but responded differently to co-occurring DON derivatives. In naturally contaminated maize, immunoassay results reflected the combined presence of DON and co-occurring derivatives, consistent with differences in antibody specificity. An interlaboratory comparison involving multiple grain elevators analyzing identical blinded samples demonstrated substantial between-site variability in reported DON concentrations, with about 16% of results deviating by more than ±20% from the LC-MS/MS reference value. Collectively, these findings show that inconsistent DON test outcomes arise from the combined effects of antibody cross-reactivity and site-specific testing variability, rather than from any unreliability of the analytical methods themselves. This finding highlights the importance of interpreting rapid DON measurements considering these factors.</p>","PeriodicalId":23119,"journal":{"name":"Toxins","volume":"18 2","pages":""},"PeriodicalIF":4.0,"publicationDate":"2026-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12944916/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147291032","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dongying Tian, Yunduo Zheng, Yandong Li, Qianwen Xing, Gang Lin, Ronghua Zhu, Quigang Ma, Peilong Wang, Ruiguo Wang
A novel, sensitive, and robust LC-MS/MS method was developed and fully validated for the simultaneous determination of fumonisins (FB1, FB2, FB3) and their hydrolyzed metabolites (HFB1, HFB2, HFB3) in donkey plasma, urine, and feces-three critical matrices for toxicokinetic studies. Sample preparation was optimized for each matrix: salting-out assisted liquid-liquid extraction (SALLE) with perchloric acidification for urine and feces, and a dilute-evaporate-shoot (DES) approach for plasma. Chromatographic separation was achieved on a BEH C18 column with water-ACN containing 0.5% formic acid. The method demonstrated excellent linearity (R2 ≥ 0.99), acceptable accuracy (mean recoveries: 73.3-111.5%), and good precision (intra- and inter-day RSDs < 20%). The limits of quantification (LOQ) for FBs and HFBs were 0.1-0.15 μg/L in plasma, 1.0 μg/L in urine, and 60 μg/kg in feces. To our knowledge, this is the first reported method capable of quantifying this comprehensive panel of analytes across multiple biological matrices in donkeys, providing an essential tool for future exposure assessments and pharmacokinetic research in this species.
{"title":"Simultaneous Quantification of Fumonisins and Their Hydrolyzed Metabolites in Donkey Matrices: A Tool for Exposure Assessment and Toxicokinetic Studies.","authors":"Dongying Tian, Yunduo Zheng, Yandong Li, Qianwen Xing, Gang Lin, Ronghua Zhu, Quigang Ma, Peilong Wang, Ruiguo Wang","doi":"10.3390/toxins18020080","DOIUrl":"10.3390/toxins18020080","url":null,"abstract":"<p><p>A novel, sensitive, and robust LC-MS/MS method was developed and fully validated for the simultaneous determination of fumonisins (FB<sub>1</sub>, FB<sub>2</sub>, FB<sub>3</sub>) and their hydrolyzed metabolites (HFB<sub>1</sub>, HFB<sub>2</sub>, HFB<sub>3</sub>) in donkey plasma, urine, and feces-three critical matrices for toxicokinetic studies. Sample preparation was optimized for each matrix: salting-out assisted liquid-liquid extraction (SALLE) with perchloric acidification for urine and feces, and a dilute-evaporate-shoot (DES) approach for plasma. Chromatographic separation was achieved on a BEH C<sub>18</sub> column with water-ACN containing 0.5% formic acid. The method demonstrated excellent linearity (R<sup>2</sup> ≥ 0.99), acceptable accuracy (mean recoveries: 73.3-111.5%), and good precision (intra- and inter-day RSDs < 20%). The limits of quantification (LOQ) for FBs and HFBs were 0.1-0.15 μg/L in plasma, 1.0 μg/L in urine, and 60 μg/kg in feces. To our knowledge, this is the first reported method capable of quantifying this comprehensive panel of analytes across multiple biological matrices in donkeys, providing an essential tool for future exposure assessments and pharmacokinetic research in this species.</p>","PeriodicalId":23119,"journal":{"name":"Toxins","volume":"18 2","pages":""},"PeriodicalIF":4.0,"publicationDate":"2026-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12944729/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147290877","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Domenico Antonio Restivo, Mario Stampanoni Bassi, Angelo Alito, Simona Portaro, Adriana Tisano, Salvatore Greco, Rosario Marchese-Ragona, Angelo Quartarone
Drooling and dysphagia are frequent and disabling complications in Parkinson's disease (PD) and often coexist, with drooling mainly resulting from impaired saliva clearance due to reduced oral motor control and potentially worsening swallowing function. This study aimed to evaluate whether botulinum toxin type A (BoNT/A) injections into the major salivary glands, beyond controlling drooling, could also improve swallowing performance using clinical and neurophysiological measures. Twenty PD patients with severe drooling and dysphagia underwent bilateral ultrasound-guided BoNT/A injections into the parotid and submandibular glands. Assessments were performed at baseline and at 1, 8, and 12 weeks post-injection. Dysphagia severity was evaluated using the Penetration-Aspiration Scale and the Dysphagia Severity Rating Scale. Neurophysiological assessment included electromyographic recordings from suprahyoid/submental and cricopharyngeal muscles, together with mechanomyography analysis of laryngeal movement during swallowing. Following BoNT/A treatment, a consistent reduction in drooling was observed, accompanied by significant improvements in clinical dysphagia scores and neurophysiological swallowing parameters across all follow-up time points. These findings suggest that incobotulinumtoxinA injections into salivary glands not only reduce drooling but also enhance swallowing function in PD patients, possibly by facilitating oral floor and oropharyngeal motor coordination secondary to improved saliva management.
{"title":"Botulinum Toxin Injections for Drooling Improve Dysphagia in Patients with Parkinson's Disease.","authors":"Domenico Antonio Restivo, Mario Stampanoni Bassi, Angelo Alito, Simona Portaro, Adriana Tisano, Salvatore Greco, Rosario Marchese-Ragona, Angelo Quartarone","doi":"10.3390/toxins18020073","DOIUrl":"10.3390/toxins18020073","url":null,"abstract":"<p><p>Drooling and dysphagia are frequent and disabling complications in Parkinson's disease (PD) and often coexist, with drooling mainly resulting from impaired saliva clearance due to reduced oral motor control and potentially worsening swallowing function. This study aimed to evaluate whether botulinum toxin type A (BoNT/A) injections into the major salivary glands, beyond controlling drooling, could also improve swallowing performance using clinical and neurophysiological measures. Twenty PD patients with severe drooling and dysphagia underwent bilateral ultrasound-guided BoNT/A injections into the parotid and submandibular glands. Assessments were performed at baseline and at 1, 8, and 12 weeks post-injection. Dysphagia severity was evaluated using the Penetration-Aspiration Scale and the Dysphagia Severity Rating Scale. Neurophysiological assessment included electromyographic recordings from suprahyoid/submental and cricopharyngeal muscles, together with mechanomyography analysis of laryngeal movement during swallowing. Following BoNT/A treatment, a consistent reduction in drooling was observed, accompanied by significant improvements in clinical dysphagia scores and neurophysiological swallowing parameters across all follow-up time points. These findings suggest that incobotulinumtoxinA injections into salivary glands not only reduce drooling but also enhance swallowing function in PD patients, possibly by facilitating oral floor and oropharyngeal motor coordination secondary to improved saliva management.</p>","PeriodicalId":23119,"journal":{"name":"Toxins","volume":"18 2","pages":""},"PeriodicalIF":4.0,"publicationDate":"2026-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12945032/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147290883","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Almonds are a highly valued nut due to their rich protein and nutritional content. However, they are vulnerable to aflatoxin B1 (AFB1) contamination in warm and humid environments. Consumption of AFB1-contaminated almonds can pose serious health risks, including kidney damage, and may lead to significant economic losses. Consequently, a rapid and non-destructive detection method is essential to ensure food safety by identifying and removing contaminated almonds from the supply chain. Hyperspectral imaging (HSI) and 3D deep learning provide a non-destructive, efficient alternative to current AFB1 detection methods. This study presents an attention-guided Inception ResNet 3D Network (AGIR-3DNet) for fast and precise detection of AFB1 contamination in almonds utilizing HSI. The proposed model integrates multi-scale feature extraction, residual learning, and attention mechanisms to enhance spatial-spectral feature representation, enabling more precise classification. The proposed 3D model was rigorously tested, and its performance was compared against 3D Inception and various conventional machine learning models. Compared to conventional machine learning models and deep learning architectures, AGIR-3DNet outperformed and achieved superior validation accuracy of 93.30%, an F1-score (harmonic mean of precision and recall) of 0.94, and an area under the receiver operating characteristic curve (AUC) value of 0.98. Furthermore, the model enhances processing efficiency, making it faster and more suitable for real-time industrial applications.
{"title":"Squeeze-Excitation Attention-Guided 3D Inception ResNet for Aflatoxin B1 Classification in Almonds Using Hyperspectral Imaging.","authors":"Md Ahasan Kabir, Ivan Lee, Sang-Heon Lee","doi":"10.3390/toxins18020076","DOIUrl":"10.3390/toxins18020076","url":null,"abstract":"<p><p>Almonds are a highly valued nut due to their rich protein and nutritional content. However, they are vulnerable to aflatoxin B1 (AFB1) contamination in warm and humid environments. Consumption of AFB1-contaminated almonds can pose serious health risks, including kidney damage, and may lead to significant economic losses. Consequently, a rapid and non-destructive detection method is essential to ensure food safety by identifying and removing contaminated almonds from the supply chain. Hyperspectral imaging (HSI) and 3D deep learning provide a non-destructive, efficient alternative to current AFB1 detection methods. This study presents an attention-guided Inception ResNet 3D Network (AGIR-3DNet) for fast and precise detection of AFB1 contamination in almonds utilizing HSI. The proposed model integrates multi-scale feature extraction, residual learning, and attention mechanisms to enhance spatial-spectral feature representation, enabling more precise classification. The proposed 3D model was rigorously tested, and its performance was compared against 3D Inception and various conventional machine learning models. Compared to conventional machine learning models and deep learning architectures, AGIR-3DNet outperformed and achieved superior validation accuracy of 93.30%, an F1-score (harmonic mean of precision and recall) of 0.94, and an area under the receiver operating characteristic curve (AUC) value of 0.98. Furthermore, the model enhances processing efficiency, making it faster and more suitable for real-time industrial applications.</p>","PeriodicalId":23119,"journal":{"name":"Toxins","volume":"18 2","pages":""},"PeriodicalIF":4.0,"publicationDate":"2026-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12944700/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147290889","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kevin Arbuckle, Yowasi Byaruhanga, Hazel J Nichols, Cris M Kaseke, Francis Mwanguhya, Jessica Mitchell
Snakebite envenoming is classified as a Neglected Tropical Disease and causes mortality, morbidity, and economic impacts for hundreds of thousands of people per year, particularly in tropical, low- and middle-income countries. Most research on snakebite interventions focuses on improving clinical management rather than bite prevention. However, prevention may provide a better mechanism to minimise snakebite impacts, particularly in rural areas where access to effective medical treatment is limited. This study reports on the preliminary testing phase of a participatory workshop intervention run in rural Uganda in 2022-23, which used a community engagement approach designed to reduce snakebites through discussing snake behaviour and biology. A mixed methods survey and semi-structured interviews were conducted, both with workshop attendees and non-attendees, after the delivery of the workshops. We found that a fearful attitude toward snakes often led to human-snake conflict, with snake killings occurring commonly, and some bites occurring during attempted killings. Workshops appeared to challenge negative attitudes, as understanding snake behaviour seemed to build compassion toward snakes and therefore has the potential to reduce human-snake conflict. Those who attended workshops were more likely to suggest 'giving snakes space,' rather than attempting to kill them, and were more likely to suggest hospital treatment if bitten. We also found that many effective methods for snakebite prevention are already known to the community, but those who attended the workshop were aware of a wider range of prevention methods and were more likely to implement less ecologically damaging and more effective strategies. This emphasises that appropriate knowledge resides within the community to prevent snakebites, and so community engagement approaches can improve prevention practices while recognising that the ownership and knowledge for such changes is generated by the local people themselves.
{"title":"A Community Engagement Approach to Snakebite Prevention in Rural Uganda: Exploring Knowledge, Attitudes, and Practices.","authors":"Kevin Arbuckle, Yowasi Byaruhanga, Hazel J Nichols, Cris M Kaseke, Francis Mwanguhya, Jessica Mitchell","doi":"10.3390/toxins18020078","DOIUrl":"10.3390/toxins18020078","url":null,"abstract":"<p><p>Snakebite envenoming is classified as a Neglected Tropical Disease and causes mortality, morbidity, and economic impacts for hundreds of thousands of people per year, particularly in tropical, low- and middle-income countries. Most research on snakebite interventions focuses on improving clinical management rather than bite prevention. However, prevention may provide a better mechanism to minimise snakebite impacts, particularly in rural areas where access to effective medical treatment is limited. This study reports on the preliminary testing phase of a participatory workshop intervention run in rural Uganda in 2022-23, which used a community engagement approach designed to reduce snakebites through discussing snake behaviour and biology. A mixed methods survey and semi-structured interviews were conducted, both with workshop attendees and non-attendees, after the delivery of the workshops. We found that a fearful attitude toward snakes often led to human-snake conflict, with snake killings occurring commonly, and some bites occurring during attempted killings. Workshops appeared to challenge negative attitudes, as understanding snake behaviour seemed to build compassion toward snakes and therefore has the potential to reduce human-snake conflict. Those who attended workshops were more likely to suggest 'giving snakes space,' rather than attempting to kill them, and were more likely to suggest hospital treatment if bitten. We also found that many effective methods for snakebite prevention are already known to the community, but those who attended the workshop were aware of a wider range of prevention methods and were more likely to implement less ecologically damaging and more effective strategies. This emphasises that appropriate knowledge resides within the community to prevent snakebites, and so community engagement approaches can improve prevention practices while recognising that the ownership and knowledge for such changes is generated by the local people themselves.</p>","PeriodicalId":23119,"journal":{"name":"Toxins","volume":"18 2","pages":""},"PeriodicalIF":4.0,"publicationDate":"2026-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12944939/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147290805","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Roberto Eleopra, Marcello Esposito, Anna Rita Bentivoglio, Maria Concetta Altavista, Roberto Erro, Patrizia Maria Caglioni, Anna Castagna
Cervical dystonia (CD) is the most common adult-onset focal dystonia, with heterogeneous clinical presentation and significant functional impairment. Currently, no structured Italian good clinical practice documents specifically addressing CD have been published. Optimizing CD management requires expert-based recommendations to guide diagnosis, treatment, and follow-up. A two-round Delphi process was conducted, involving a scientific board of six neurologists with expertise in CD management and an external panel of 56 Italian experts (neurologists and physiatrists managing CD patients). Fifty-two statements were developed, discussed, and voted using a 5-point Likert scale, with consensus defined as ≥75% agreement ('strongly agree' or 'somewhat agree'). In Round 1, 48 of 52 statements (92.4%) reached consensus; the four remaining statements were revised, and two were re-voted in Round 2, both achieving consensus. Final recommendations emphasize comprehensive patient assessment in multiple postural conditions; individualized botulinum neurotoxin type A (BoNT-A) dosing taking into account tonic and phasic components, pain, and dysphagia; the use of instrumental guidance; standardized outcome measures; and integration of physiotherapy and psychological support. This article provides structured good clinical practice recommendations for CD management and offers clinicians, especially those with limited experience, a practical framework to standardize care, optimize treatment, and improve patient outcomes.
{"title":"Good Clinical Practices for the Management of Cervical Dystonia with BoNT-A: A Delphi-Based Approach from the Italian Expert Group.","authors":"Roberto Eleopra, Marcello Esposito, Anna Rita Bentivoglio, Maria Concetta Altavista, Roberto Erro, Patrizia Maria Caglioni, Anna Castagna","doi":"10.3390/toxins18020079","DOIUrl":"10.3390/toxins18020079","url":null,"abstract":"<p><p>Cervical dystonia (CD) is the most common adult-onset focal dystonia, with heterogeneous clinical presentation and significant functional impairment. Currently, no structured Italian good clinical practice documents specifically addressing CD have been published. Optimizing CD management requires expert-based recommendations to guide diagnosis, treatment, and follow-up. A two-round Delphi process was conducted, involving a scientific board of six neurologists with expertise in CD management and an external panel of 56 Italian experts (neurologists and physiatrists managing CD patients). Fifty-two statements were developed, discussed, and voted using a 5-point Likert scale, with consensus defined as ≥75% agreement ('strongly agree' or 'somewhat agree'). In Round 1, 48 of 52 statements (92.4%) reached consensus; the four remaining statements were revised, and two were re-voted in Round 2, both achieving consensus. Final recommendations emphasize comprehensive patient assessment in multiple postural conditions; individualized botulinum neurotoxin type A (BoNT-A) dosing taking into account tonic and phasic components, pain, and dysphagia; the use of instrumental guidance; standardized outcome measures; and integration of physiotherapy and psychological support. This article provides structured good clinical practice recommendations for CD management and offers clinicians, especially those with limited experience, a practical framework to standardize care, optimize treatment, and improve patient outcomes.</p>","PeriodicalId":23119,"journal":{"name":"Toxins","volume":"18 2","pages":""},"PeriodicalIF":4.0,"publicationDate":"2026-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12944977/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147290804","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}