Evidence map›Paper›PMID 32923372›Full record

ArticleToxicology reports2020

Carcinogenic, ethanol, acetaldehyde and noncarcinogenic higher alcohols, esters, and methanol compounds found in traditional alcoholic beverages. A risk assessment approach.

Manolis Kokkinakis, Ioannis Tsakiris, Manolis Tzatzarakis, Elena Vakonaki, Athanasios Alegakis, Stella Papachristou, Vasiliki Karzi, Aikaterini Kokkinaki, Marina Goumenou, Manolis Kallionakis and 1 more

Open access · goldAbstract read
In one paragraph

Article in Toxicology reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.9field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 33 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 2 institutions in 1 country.

Manolis KokkinakisLaboratory of Toxicology, Medical School, University of Crete, Heraklion, Crete, Greece.
Ioannis TsakirisLaboratory of Quality Control, Faculty of Agricultural Sciences, School of Agriculture, University of Western Macedonia, Florina Branch, Greece.
Manolis TzatzarakisLaboratory of Toxicology, Medical School, University of Crete, Heraklion, Crete, Greece.
Elena VakonakiLaboratory of Toxicology, Medical School, University of Crete, Heraklion, Crete, Greece.
Athanasios AlegakisLaboratory of Toxicology, Medical School, University of Crete, Heraklion, Crete, Greece.
Stella PapachristouLaboratory of Toxicology, Medical School, University of Crete, Heraklion, Crete, Greece.
Vasiliki KarziLaboratory of Toxicology, Medical School, University of Crete, Heraklion, Crete, Greece.
Aikaterini KokkinakiLaboratory of Toxicology, Medical School, University of Crete, Heraklion, Crete, Greece.
Marina GoumenouLaboratory of Toxicology, Medical School, University of Crete, Heraklion, Crete, Greece.
Manolis KallionakisLaboratory of Toxicology, Medical School, University of Crete, Heraklion, Crete, Greece.
Alexandra KalogerakiLaboratory of Toxicology, Medical School, University of Crete, Heraklion, Crete, Greece.
University of Crete · GRUniversity of Western Macedonia · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Greek fermentation and distillation industries produce traditional spirit beverages, such as tsipouro and tsikoudia, consumed both in bottles and bulk quantities by the general population or tourists. The same spirits are also produced by individuals at home since previous centuries, as a part of the local culture but mainly due to the Greek agricultural sector unique characteristics (small cultivation areas with great number of farmers). In this study, the concentrations of carcinogenic compounds: ethanol and acetaldehyde; and noncarcinogenic: higher alcohols (1-propanol, isobutanol, and isoamyl alcohol), esters (ethyl acetate), and methanol were measured to estimate the potential cancer risk and daily intake of these compounds. The margin of exposure (MOE) of carcinogenic compounds was found to be less than 500 (mean value), well below the toxic threshold of 10,000, above which there is not public concern, as suggested by the European Food Safety Authority. Additionally, through risk assessment of noncarcinogenic compounds, we identified two specific compounds in-bulk spirits (produced by individuals), namely ethyl acetate and isobutanol, with health risk index (HRI) greater than 1 (indicating a possibility to induce side effects by consumption of high amounts). Our results indicate that bottled spirits, which are produced in a controlled environment (alcohol industries), showed higher human safety level in terms of both carcinogenic and noncarcinogenic risk assessment studies, comparing to bulk beverages produced by individuals (with out strict regulations).

Indexed as

AcetaldehydeAlcoholic beveragesBMDL, benchmark dose (lower confidence limit)DI, daily intakeEDI, estimated daily intakeEFSA, European Food Safety AuthorityEstersEthanolGC-FID, gas chromatography coupled with flame ionization detectorHigher alcoholsHRI, health risk indexIARC, International Agency for Research on CancerIRIS, Integrated Risk Information SystemMDEQ, Michigan Department of Environmental QualityMethanolMOE, margin of exposureMOET, combined margin of exposureNOAEL, no-observed-adverse-effect-levelOAC, odor-active compoundsRfD, oral reference doseRisk assessmentSD, standard deviationSEAOP, Greek Federation of Spirits ProducersUS EPA, United States Environmental Protection Agency

Identifiers

PMID32923372
PMCPMC7475172
OpenAlexW3081450190

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.