Evidence map›Paper›PMID 42116241›Full record

ArticleJournal of the science of food and agriculture2026

Evaluating the combined toxicity of Penicillium mycotoxins in absorption, metabolism, and excretion systems.

Carolina Sousa Monteiro, Eugénia Pinto, Miguel A Faria, Sara C Cunha

Abstract read
In one paragraph

Article in Journal of the science of food and agriculture, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Carolina Sousa MonteiroLAQV-REQUIMTE, Laboratory of Bromatology and Hydrology, Faculty of Pharmacy, University of Porto, Porto, Portugal.
Eugénia PintoLaboratory of Microbiology, Biological Sciences Department, Faculty of Pharmacy of University of Porto, Porto, Portugal.
Miguel A FariaLAQV-REQUIMTE, Laboratory of Bromatology and Hydrology, Faculty of Pharmacy, University of Porto, Porto, Portugal.ORCID https://orcid.org/0000-0001-9366-0443
Sara C CunhaLAQV-REQUIMTE, Laboratory of Bromatology and Hydrology, Faculty of Pharmacy, University of Porto, Porto, Portugal.ORCID https://orcid.org/0000-0003-4320-2318

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPenicillium mycotoxins, including ochratoxin A (OTA), citrinin (CIT), and cyclopiazonic acid (CPZ), frequently co-occur in food commodities, contributing to chronic low-level dietary exposure. However, current risk assessments often consider these toxins individually, overlooking potential interaction effects. This study evaluated the individual and combined cytotoxicity of OTA, CIT, and CPZ using human cell models representing key barriers of absorption (gastric and intestinal), metabolism (hepatic) and excretion (renal). The combination index-isobologram method was applied to characterize interaction dynamics.

resultsOchratoxin A exhibited the highest toxicity across all cell types, followed by CPZ and CIT. Binary mixtures revealed strong synergistic interactions, particularly OTA:CPZ in liver cells and OTA:CIT in liver and kidney cells. Ternary mixtures primarily affected kidneys. High dose reduction index (DRI) values were observed at low inhibition levels, reaching 21.82-fold, indicating enhanced toxicity potential at dietary-relevant concentrations. Synergism was most pronounced at low inhibition levels (IC

conclusionThese results demonstrate that low-dose synergic interactions among Penicillium mycotoxins may enhance toxic risk under realistic exposure scenarios. Incorporating mixture effects into food safety risk assessment frameworks is therefore essential to better reflect chronic human exposure conditions. © 2026 The Author(s). Journal of the Science of Food and Agriculture published by John Wiley & Sons Ltd on behalf of Society of Chemical Industry.

Indexed as

IndolesMycotoxinsPenicilliumCitrininFood ContaminationHumansKidneyLiverOchratoxinsCitrinincyclopiazonic acidIndolesMycotoxinsochratoxin AOchratoxinsCaco‐2 cellsHEK‐293 cellsHepG2 cellsmycotoxins cytotoxicityNCI‐N87 cellstoxicological interactions

Identifiers

PMID42116241
PMCPMC13341046

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Registered trials

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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.