Browsing by Author "Foerster, Claudia"

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    A preliminary study on aflatoxin exposure by urine biomonitoring in Chile
    (2022) Foerster, Claudia; Monsalve, Liliam; Maldonado, Carlos; Cortés Arancibia, Sandra; Ferreccio, Catterina; CEDEUS (Chile)
    We assessed the occurrence of aflatoxin M1 (AFM1) in urine in a sample of the MAUCO population-based cohort (n = 120) using an enzyme-linked immune sorbent assay (ELISA) kit specially designed for the analysis of AFM1 in urine. We found AFM1 in the urine of 59% of the participants (> limit of detection), with 12% of the samples being over the limit of quantification. The mean of the quantifiable samples was 0.66 (± 0.35) ng/mg adjusted creatinine, ranging from 0.31 to 1.39 ng/mg creatinine. The mean probable daily intake (PDI) of AFB1 was 0.23 (± 0.37) ng/kg bw according to the upper bound (UB), being significantly higher in women and 0.14 (± 0.23) ng/kg bw in the modified lower bound (mLB) approach, ranging from 0.01 to 1.98 ng/kg bw. The risk of AFB1 was assessed with the margin of exposure (MOE) approach estimated at 2800 in the mean mLB and 1733 in the mean UB. According to the MOE values obtained in this study, aflatoxin B1 exposure must be considered a public health concern and must be taken as a priority for food risk management.
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    Assessment of Mycotoxin Exposure in a Rural County of Chile by Urinary Biomarker Determination
    (2021) Foerster, Claudia; Ríos-Gajardo, Gisela; Gómez, Patricia; Muñoz, Katherine; Cortés Arancibia, Sandra Isabel; Maldonado, Carlos; Ferreccio Readi, Fresia Catterina
    Aflatoxin B1 (AFB1), ochratoxin A (OTA), zearalenone (ZEN), and deoxynivalenol (DON) are frequent mycotoxins that may cause carcinogenic, mutagenic, estrogenic, or gastrointestinal effects. The aim of this study was to assess the exposure to and risk from AFB1, OTA, ZEN, and DON in 172 participants of the Maule Cohort (MAUCO) by a biomarker analysis in urine and to associate their exposure with food consumption and occupation. Mycotoxins in the first morning urine were analyzed by solid-phase extraction and quantified by Ultra-High-Performance Liquid Chromatography with a mass–mass detector. Participants’ information regarding food consumption, occupation, and other characteristics was obtained from a baseline and 2-year follow-up survey of the cohort. The prevalence and mean levels of mycotoxins in the urine were as follows: DON 63%, 60.7 (±78.7) ng/mL; AFB1 8%, 0.3 (±0.3) ng/mL; α-zearalenol (α-ZEL) 4.1%, 41.8 (±115) ng/mL; β ZEL 3.5%, 17.4 (±16.1) ng/mL; AFM1 2%, 1.8 (±1.0) ng/mL; OTA 0.6% (1/172), 1.3 ng/mL; and ZEN 0.6%, 1.1 ng/mL. These results were translated into exposures of DON, ZEN, and aflatoxins of public health concern. Participants who consumed coffee and pepper the day before had a significantly greater presence of DON (OR: 2.3, CI95 1.17–4.96) and total ZEL (OR: 14.7, CI95 3.1–81.0), respectively, in their urine. Additionally, we observed associations between the habitual consumption of beer and DON (OR: 2.89, CI95 1.39– .42). Regarding the levels of mycotoxins and the amount of food consumed, we found correlations between DON and nuts (p = 0.003), total ZEL and cereals (p = 0.01), and aflatoxins with capsicum powder (p = 0.03) and walnuts (p = 0.03). Occupation did not show an association with the presence of mycotoxins in urine.
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    Association of Aflatoxin with Gallbladder Cancer in Chile
    (2015) Nogueira, Leticia; Foerster, Claudia; Groopman, John; Egner, Patricia; Koshiol, Jill; Ferreccio Readi Fresia Catterina
    In Chile, gallbladder cancer is a leading cause of cancer death in women. Other than gallstones, gallbladder cancer etiology remains largely unclear. Exposure to aflatoxin, a liver carcinogen, is associated with bile duct epithelium proliferation in both animals and humans, and with gallbladder cancer in primates. Aflatoxin contamination has been identified in Chile, including in ají rojo (red chili peppers). Ají rojo is associated with gallbladder cancer; however, the association of aflatoxin with gallbladder cancer in humans has not been directly evaluated.
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    Campylobacter jejuni isolated from human cases in Chile showed indistinguishable pulsed field gel electrophoresis profiles with strains isolated from poultry and bovine sources
    (2013) González Hein, Gisela; García Cañete, Patricia; Foerster, Claudia; Troncoso, Miriam; Figueroa Gronemeyer, Guilleromo
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    Exposure to pesticides in Chile and its relationship with carcinogenic potential: a review
    (Frontiers Media SA, 2025) Munoz-Quezada, María Teresa; Iglesias, Verónica; Zúñiga-Venegas, Liliana; Pancetti, Floria; Foerster, Claudia; Landeros, Natalia; Lucero, Boris; Schwantes, Daniel; Cortes Arancibia, Sandra Isabel
    Background: The widespread application of pesticides in agriculture and the consequent heightened human exposure to these potentially harmful substances present considerable environmental and health risks. The potential link to cancer is particularly concerning, underscoring the urgent need for more sustainable and health-conscious agricultural practices. Pesticides are pervasive global contaminants, with exposure occurring through various routes. Improper use is associated with genotoxicity, neurobehavioral problems, thyroid dysfunction, reproductive issues, and cancer, among other deleterious damages. While pesticide exposure is evident in Chile, a direct link to cancer remains uncertain. Objective: To examine the scientific evidence on pesticides exposure in the environment and human populations, and its relationship with cancer in Chilean territory. Methods: The search for original articles was performed in international peer-reviewed scientific databases, including Scopus, Web of Science (WoS), and PubMed Advanced Search Builder. Following the PRISMA extension for review guidelines, the search included studies on environmental pesticide exposure, human biomarker assessments, experimental investigations, and the potential pesticide-cancer associations in Chile. Foreign studies, systematic reviews, and meta-analyses were excluded. Results: Among the 83 qualifying studies conducted between 1996 and 2024, elevated pesticide exposure risks were documented, with 71% indicating high concentrations that may pose health risk. Additionally, 20% of studies reported significant chlorinated compounds, including organochlorines (OCs) and polychlorinated biphenyls (PCBs), while 79.5% identified carcinogenic to humans classified by the International Agency for Research on Cancer. The review emphasizes the urgent need to update pesticide-related regulations in Chile, including implementing bans or restrictions on carcinogenic pesticides and establishing stricter standards for allowable pesticide residue levels in food. Conclusion: Long-term epidemiological studies are essential to establishing concrete links between pesticide exposure and specific types of cancer. Additionally, investigating epigenetic markers associated with pesticide exposure, especially in occupational settings, is critical. Furthermore, allocating resources and prioritizing further research is fundamental, particularly in regions with substantial agricultural exposure.
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    Health Effects of Pesticide Exposure in Latin American and the Caribbean Populations: A Scoping Review
    (Public Health Services, US Dept of Health and Human Services, 2022) Zúñiga-Venegas, Liliana A.; Jara, Juan P. Gutiérrez; Hyland, Carly; Cardenas, Andrés; Smith, Anna; Mora, Ana M.; Muñoz-Quezada, María Teresa; Lucero, Boris; Quirós-Alcalá, Lesliam; Butinof, Mariana; Buralli, Rafael; Fernandez, Ricardo A.; Foerster, Claudia; Gouveia, Nelson; Muñoz, María Pía; Ramírez-Santana, Muriel; Tirado, Noemi; Joode, Berna van Wendel; Calaf, Gloria M.; Handal, Alexis J.; Silva, Agnes Soares; Cortés Arancibia, Sandra Isabel; CEDEUS (Chile)
    © 2022, Public Health Services, US Dept of Health and Human Services. All rights reserved.BACKGROUND: Multiple epidemiological studies have shown that exposure to pesticides is associated with adverse health outcomes. However, the literature on pesticide-related health effects in the Latin American and the Caribbean (LAC) region, an area of intensive agricultural and residential pesticide use, is sparse. We conducted a scoping review to describe the current state of research on the health effects of pesticide exposure in LAC populations with the goal of identifying knowledge gaps and research capacity building needs. METHODS: We searched PubMed and SciELO for epidemiological studies on pesticide exposure and human health in LAC populations published between January 2007 and December 2021. We identified 233 publications from 16 countries that met our inclusion criteria and grouped them by health outcome (genotoxicity, neurobehavioral outcomes, placental outcomes and teratogenicity, cancer, thyroid function, reproductive outcomes, birth outcomes and child growth, and others). RESULTS: Most published studies were conducted in Brazil (37%, n = 88) and Mexico (20%, n = 46), were cross-sectional in design (72%, n = 167), and focused on farmworkers (45%, n = 105) or children (21%, n = 48). The most frequently studied health effects included genotoxicity (24%, n = 62) and neurobehavioral outcomes (21%, n = 54), and organophosphate (OP) pesticides were the most frequently examined (26%, n = 81). Forty-seven percent (n = 112) of the studies relied only on indirect pesticide exposure assessment methods. Exposure to OP pesticides, carbamates, or to multiple pesticide classes was consistently associated with markers of genotoxicity and adverse neurobehavioral outcomes, particularly among children and farmworkers. DISCUSSION: Our scoping review provides some evidence that exposure to pesticides may adversely impact the health of LAC populations, but methodological limitations and inconsistencies undermine the strength of the conclusions. It is critical to increase capacity building, integrate research initiatives, and conduct more rigorous epidemiological studies in the region to address these limitations, better inform public health surveillance systems, and maximize the impact of research on public policies.
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    Levels of Polychlorinated Dibenzo-p-Dioxins/Furans (PCDD/Fs) and Dioxin-Like Polychlorinated Biphenyls (DL-PCBs) in Human Breast Milk in Chile: A Pilot Study
    (2021) Foerster, Claudia; Zúñiga-Venegas, Liliana; Enríquez, Pedro; Rojas, Jacqueline; Zamora, Claudia; Muñoz, Ximena; Pancetti, Floria; Muñoz-Quezada, María Teresa; Lucero, Boris; Saracini, Chiara; Salas, Claudio; Cortés Arancibia, Sandra Isabel
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    Pesticide exposure in Chile and population health: urgency for decision making [Exposición a plaguicidas en Chile y salud poblacional: urgencia para la toma de decisiones]
    (2020) Zúñiga-Venegas, Liliana; Pancetti, Floria; Muñoz-Quezada, María Teresa; Lucero, Boris; Foerster, Claudia; Cortés Arancibia, Sandra Isabel; Saracini, Chiara; CEDEUS (Chile)
    In the last 25 years, Chile has had an expanding role as an agro-export country in the global economy, with efficient rates of productivity in the region, based on the technological development of agriculture, with of large monocultures whose productivity depends on the intensive application of agrochemicals. This form of agriculture has also lacked efficient regulations and surveillance, so it is difficult to estimate the real magnitude of the exposed population and its effects on health in the short or long term. This systema-tic review compiles the epidemiological evidence generated from studies conducted in several regions of Chile regarding pesticide exposure and health effects. Of the total number of articles, 50% included agricultural workers, 25% children, and 25% women of childbearing age, with the greatest effects being the neurotoxic (54%), genotoxic (31%) and reproductive (15%). The evidence collected shows that in Chile the levels of exposure to pesticides in the general and occupational population are higher than interna-tional studies levels. It is urgent to protect the health of both the occupational and general population and especially children through a stricter control of the sale and use of pesticides, with comprehensive surveillance systems in environmental health and educational actions in the social and cultural context of rural communities. It is a priority to strengthen research with national relevance on health effects, and strictly restrict the use of pesticides already prohibited in developed countries due to their high level of risk to human and environmental health. (c) 2020 SESPAS. Published by Elsevier Espana, S.L.U. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
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    The case for aflatoxins in the causal chain of gallbladder cancer
    (2016) Foerster, Claudia; Koshiol, Jill; Guerrero, Ariel R.; Kogan, Marcelo J.; Ferreccio Readi, Catterina