Evidence map›Paper›PMID 33796971›Full record

ArticleEnvironmental geochemistry and health2021

Aristolochic acid I: an investigation into the role of food crops contamination, as a potential natural exposure pathway.

Lavinia Paula Drăghia, Alexandra Teodora Lukinich-Gruia, Camelia Oprean, Nikola M Pavlović, Virgil Păunescu, Călin Adrian Tatu

Abstract read
PubMed Publisher
In one paragraph

Article in Environmental geochemistry and health, 2021. 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
2.2field-weighted citation impact, top 12% 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, 24 citations in OpenAlex.

  1. The global burden of kidney cancer: trends in mortality and incidence with predictions to 2025.European journal of cancer prevention : the official journal of the European Cancer Prevention Organisation (ECP) · 2026
    Article
  2. Review
  3. Article
  4. Article
  5. Environmental risk factors for liver cancer.Hepatology (Baltimore, Md.) · 2025
    Article
  6. Article
  7. Review
  8. Review
  9. Article
  10. Article
  11. Aristolochic acid I exposure decreases oocyte quality.Frontiers in cell and developmental biology · 2022
    Article
  12. Article
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

6 authors at 3 institutions in 2 countries.

Lavinia Paula Drăghia *Department of Functional Sciences, University of Medicine and Pharmacy 'Victor Babes', Eftimie Murgu Sq. 2, 300041, Timisoara, Romania. draghia.lavinia@gmail.com.ORCID http://orcid.org/0000-0001-9129-8196
Alexandra Teodora Lukinich-Gruia *Department of Chemistry and Toxicology, OncoGen Centre, County Hospital 'Pius Branzeu', Blvd. Liviu Rebreanu 156, 300736, Timisoara, Romania. gruia_alexandra@yahoo.com.
Camelia OpreanDepartment of Chemistry and Toxicology, OncoGen Centre, County Hospital 'Pius Branzeu', Blvd. Liviu Rebreanu 156, 300736, Timisoara, Romania.
Nikola M PavlovićSerbian Medical Society, Branch Niš, 18000, Niš, Serbia.
Virgil PăunescuDepartment of Functional Sciences, University of Medicine and Pharmacy 'Victor Babes', Eftimie Murgu Sq. 2, 300041, Timisoara, Romania.
Călin Adrian TatuDepartment of Functional Sciences, University of Medicine and Pharmacy 'Victor Babes', Eftimie Murgu Sq. 2, 300041, Timisoara, Romania.
Spitalul Clinic Judeţean de Urgenţă "Pius Brînzeu" Timişoara · ROClinical Emergency Hospital Bucharest · ROUniversity of Nis · RS

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aristolochic acid I (AAI) is a potent nephrotoxic and carcinogenic compound produced by plants of the Aristolochiaceae family and thoroughly investigated as a main culprit in the etiology of Balkan endemic nephropathy (BEN). So far, the AAI exposure was demonstrated to occur through the consumption of Aristolochia clematitis plants as traditional remedies, and through the contamination of the surrounding environment in endemic areas: soil, food and water contamination. Our study investigated for the first time the level of AAI contamination in 141 soil and vegetable samples from two cultivated gardens in non-endemic areas, A. clematitis being present in only one of the gardens. We developed and validated a simple and sensitive ultra-high-performance liquid chromatography-ion trap mass spectrometry method for qualitative and quantitative AAI analysis. The results confirmed the presence of AAI at nanogram levels in soil and vegetable samples collected from the non-endemic garden, where A. clematitis grows. These findings provide additional evidence that the presence of A. clematitis can cause food crops and soil contamination and unveil the pathway through which AAI could move from A. clematitis to other plant species via a common matrix: the soil. Another issue regarding the presence of AAI, in a non-endemic BEN area from Romania, could underlie a more widespread environmental exposure to AAI and explain certain BEN-like cases in areas where BEN has not been initially described.

Indexed as

AristolochiaAristolochic AcidsBalkan NephropathyCrops, Agriculturalaristolochic acid IAristolochic AcidsAristolochic acid IEnvironmental contaminationIon trap mass spectrometryPlant toxinsSoil

Identifiers

PMID33796971
OpenAlexW3149577533

What OpenQuestion holds

Textmetadata
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.