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    INTERNATIONAL PROGRAMME ON CHEMICAL SAFETY

    WORLD HEALTH ORGANIZATION





    SAFETY EVALUATION OF CERTAIN FOOD
    ADDITIVES AND CONTAMINANTS



    WHO FOOD ADDITIVES SERIES: 44





    Prepared by the Fifty-third meeting of the Joint FAO/WHO
    Expert Committee on Food Additives (JECFA)





    World Health Organization, Geneva, 2000
    IPCS - International Programme on Chemical Safety


    ZEARALENONE

    First draft prepared by G.S. Eriksen1, J. Pennington2 & J.
    Schlatter3 with contributions from J. Alexander4 & A. Thuvander5

    1 Swedish University of Agricultural Sciences, Uppsala, Sweden; 2
    National Institute of Health, Bethesda, United States; 3 Swiss
    Federal Office of Public Health, Zürich, Switzerland; 4 National
    Institute of Public Health, Oslo, Norway; and 5 National Food
    Administration, Uppsala, Sweden

    Explanation
    Biological data
         Biochemical aspects
              Absorption, distribution, and excretion
              Biotransformation
              Effects on enzymes and other biochemical parameters
         Toxicological studies
              Acute toxicity
              Short-term studies of toxicity
              Long-term studies of toxicity and carcinogenicity
              Genotoxicity
              Reproductive toxicity
              Developmental toxicity
              Special studies
                   Hormonal effects
                   Immune responses
                   Macromolecular binding
                   Genotoxicity of metabolites
         Observations in humans
    Occurrence and intake
         Incidence and concentration of contamination
         Variables that affect contamination
              Weather and climate
              Agricultural production methods
              Varieties and cultivars
              Storage conditions
              Gamma irradiation
              Grain preservatives and disinfectants
              Food processing, preparation, and cooking
              Residues in animal tissues
         Regulation, control, and monitoring
         Dietary intake
              Estimates for Canada, 1987
              Estimates for Canada, 1999
              Estimates for Denmark, Finland, Norway, and Sweden
              Estimates for the United States, 'eaters only'
              Estimates for the United States, all persons
              Limitations of estimates
              Models of dietary intake
    Comments
    Evaluation
    References

    1.  EXPLANATION

         Zearalenone is a non-steroidal estrogenic mycotoxin produced by
    several  Fusarium spp. It has been implicated in numerous
    mycotoxicoses in farm animals, especially in pigs. Zearalenone is
    heat-stable and is found worldwide in a number of cereal crops, such
    as maize, barley, oats, wheat, rice, and sorghum (Kuiper-Goodman et
    al., 1987; Tanaka et al., 1988a) and also in bread (Aziz et al.,
    1997). Zearalenone was shown to be produced on corn by  Fusarium
    isolates from Australia, Europe, and North America (Vesonder et al.,
    1991) and in New Zealand (diMenna et al., 1997), the Philippines,
    Thailand, and Indonesia (Yamashita et al., 1995). The occurrence of
    zearalenone in food and feed was also demonstrated in South America
    (Dalcero et al., 1997; Molto et al., 1997), Africa (Doko et al.,
    1996), China and the former USSR (Ueno et al., 1986).  Fusarium
    isolates from bananas can also produce zearalenone (Jiménez et al.,
    1997).

         Zearalenone has not been evaluated previously by the Committee,
    although a mammalian metabolite, alpha-zeralanol (zeranol), was
    considered by the Committee at its twenty-sixth, twenty-seventh, and
    thirty-second meetings (Annex 1, references  59,  62, and  80) for
    use as a veterinary drug. The Committee allocated an ADI of 0-5 µg/kg
    bw at the last meeting.

         The chemical structures of zearalenone and some of its
    metabolites are shown in Figure 1.

         The concentrations in food and feed vary over a wide range,
    depending on climatic conditions. Zearalenone was found in 11-80% of
    samples of wheat and 7-68% samples of barley for feed use collected
    randomly in south-west Germany in 1987 and 1989-93, with mean yearly
    contents of 3-180 µg/kg in wheat (highest value, 8000 µg/kg) and 3-36
    µg/kg in barley (highest value, 310 µg/kg) (Müller et al., 1997a,b).
    Wheat for human consumption was collected from all regions of Bulgaria
    (140 samples) after harvest in 1995, a year characterized by heavy
    rainfall in spring and summer. The frequency of contamination with
    zearalenone was 69%, with an average concentration in positive samples
    of 17 µg/kg and a maximum of 120 µg/kg (Vrabcheva et al., 1996).
    Zearalenone was found in 30% of 2271 maize samples collected in Buenos
    Aires and Santa Fe provinces of Argentina in 1983-94, at an average
    concentration of 165 µg/kg (yearly variation, 46-300 µg/kg) and a
    maximum of 2000 µg/kg (Resnik et al., 1996). The concentrations in rye
    and wheat produced by alternative or ecological methods were higher
    than those in crops grown conventionally. Zearalenone was found in 40
    out of 201 grain samples, with average concentrations of 24 µg/kg in
    wheat and 51 µg/kg in rye in alternatively produced crops and 6 µg/kg
    in wheat and 4 µg/kg in rye in conventionally produced samples. The
    highest concentration of zearalenone was 199 µg/kg, found in
    alternatively grown rye (Marx et al., 1995).

         Zearalenone can be excreted into milk after lactating cows are
    fed it in high doses. The maximum concentrations in the milk of one
    cow given an oral dose of 6000 mg zearalenone (equivalent to 12 mg/kg
    bw), 6.1 µg/L zearalenone, 4 µg/L alpha-zearalenol, and 6.6 µg/L
    beta-zearalenol were found. Neither zearalenone nor its metabolites
    were found in the milk (< 0.5 µg/L) of three lactating cows fed 50 or
    165 mg zearalenone (equivalent to 0.1 and 0.33 mg/kg bw) for 21 days
    (Prelusky et al., 1990). Zearalenone may be transmitted from
    contaminated grains into beer at various stages of the brewing
    process. Although high incidences (up to 58%) and high concentrations
    of zearalenone have been found in beers brewed locally in Africa
    (Nigeria, < 2 mg/L; Swaziland, < 53 mg/L; Zambia, < 4.6
    mg/L), zearalenone and alpha-or beta-zearalenol have not been found in
    Canadian, European, or Korean beers with the exception of one French
    beer, which contained 100 µg/L (Okoye, 1987; Scott, 1996; Shim et al.,
    1997).

         A detailed review of 339 publications on zearalenone, including
    physico-chemical data, isolation and purification, analytical methods,
    mycology, laboratory and natural production, occurrence and stability
    in foods and feeds, and toxicity is available (Kuiper-Goodman et al.,
    (1987). The present monograph therefore covers only literature
    published since 1986, with the inclusion of older publications when
    they were considered highly relevant for the evaluation or when no
    newer data were found.

    2.  BIOLOGICAL DATA

    2.1  Biochemical aspects

    2.1.1  Absorption, distribution, and excretion

         Most investigations of the distribution of zearalenone have
    focused on tissue residues and metabolism rather than on
    pharmacokinetics, and few data are available on kinetic parameters
    such as absorption and biological half-life.

         Both intestinal mucosa and gut microflora from pigs metabolize
    zearalenone to alpha-zearalenol and to the glucuronides of both
    compounds (Olsen et al., 1987; Kollarczik et al., 1994). Healthy human
    intestinal microflora cultured in a continous flow system were unable
    to degrade zearalenone (Akiyama et al., 1997).

         Zearalenone is rapidly absorbed after oral administration.
    Although the degree of absorption is difficult to measure owing to
    extensive biliary excretion, it appears to be extensively absorbed in
    rats, rabbits, and humans (reviewed by Kuiper-Goodman et al., 1987).
    The uptake in a pig after a single oral dose of 10 mg/kg bw was
    estimated to be 80-85% (Biehl et al., 1993).

         When zearalenone dissolved in an isotonic solution was perfused
    into the small intestine of rats, the concentration decreased rapidly,
    only 4.5% remaining in the small intestine 20 min after injection. The
    disappearance of zearalenone from the small intestine followed
    first-order kinetics, with an average absorption rate constant of 9.3
    per h (Ramos et al., 1996). Zearalenone and its metabolites were found
    in the plasma of a pig < 30 min after the beginning of feeding
    (Kuiper-Goodman et al., 1987; Olsen et al., 1991; Biehl et al., 1993).
    Studies with radiolabelled zearalenone in mice showed that it is
    distributed to estrogen target tissues such as the uterus,
    interstitial cells of the testes, and ovarian follicles. Some
    radiolabel was also found in adipose tissues, indicating that storage
    in fat may take place (Kuiper-Goodman et al., 1987).

         Zearalenone and its metabolites are excreted mainly in the bile
    in most animal species except rabbits, in which urine is the main
    route. Most of an administered dose is excreted within 72 h
    (Kuiper-Goodman et al., 1987). The biological half-life of total
    radiolabel in immature pigs given a single intravenous dose of 5 mg/kg
    bw or a single oral dose of 10 mg/kg bw of radiolabelled zearalenone
    was estimated to be 87 h. When the bile was removed through a cannula,
    the half-life was reduced to 3.3 h. The authors attributed this
    difference to enterohepatic cycling of zearalenone in intact pigs. In
    pigs from which bile had been removed, about 46% of the total
    radiolabel was recovered in the bile, which was a significantly higher
    percentage than that recovered in the faeces of intact pigs treated
    intravenously (6.6%) or orally (22%;  p < 0.05). The concentration
    of radiolabel in plasma declined in a multiphasic manner in intact
    animals. In pigs exposed intravenously or orally, an initial
    absorption and distribution phase was followed by a reduced plasma
    concentration, a second maximal concentration, and an extended
    elimination phase. No secondary peak or extended elimination phase was
    observed in animals from which bile had been removed. In the pigs
    dosed orally, 45% of the administered dose was recovered in the urine
    during the first 48 h, 22% was recovered in the faeces, and the total
    accumulated recovery in urine and faeces after 48 h was 67% (Biehl et
    al., 1993).

         No effect of dose was found on the routes of excretion of
    zearalenone in Sprague-Dawley rats after a single oral dose of 1 or
    100 mg/kg bw (Fitzpatrick et al., 1988).

         The concentrations of zearalenone, alpha-zearalenol, and
    beta-zearalenol in the urine of a male volunteer 6, 12, and 24 h after
    a single oral dose of 100 mg zearalenone were 3.7 and 3 µg/ml and not
    detected after 6 h; 6.9, 6, and 2.7 µg/ml after 12 h; and 2.7, 4 and 2
    µg/ml after 24 h. As the total recovery of zearalenone in faeces was
    not reported, the study gives no information on the relative
    importance of different routes of excretion in humans (Mirocha et al.,
    1981).

    FIGURE 8;V44je194.BMP

         In a study with the closely related compound alpha-zearalanol,
    the peak fraction of the dose appearing in human plasma was several
    times higher than in female rats, rabbits, dogs, and monkeys.
    alpha-Zearalanol disappeared much more slowly from the blood of humans
    and rabbits, the two species that excreted the compound mainly in
    urine, than from that of the other species studied (Midgalof et al.,
    1983).

    2.1.2  Biotransformation

         The main metabolites of zearalenone are alpha-and beta-zearalenol
    and the glucuronide conjugates of both the parent compound and its
    metabolites. In rat liver homogenate, rat microsomes, and rat
    hepatocytes  in vitro and in rats  in vivo after oral exposure, most
    of an administered dose of zearalenone is found as free zearalenone or
    its glucoronide conjugate, and only small amounts of the zearalenols
    and their conjugates are formed. Rat whole blood and erythrocytes can
    metabolize zearalenone to alpha-zearalenol (Kuiper-Goodman et al.,
    1987).

         In gilts given zearalenone in feed, the concentrations of
    alpha-zearalenol in plasma exceeded those of zearalenone in some
    studies, while the concentra-tions of the parent compound exceeded
    those of alpha-zearalenol in others (Bauer et al., 1987;
    Kuiper-Goodman et al., 1987). In some studies, all of the zearalenone
    detected in pigs was in the form of conjugated metabolites, while free
    zearalenone was also found in others. A significant fraction of the
    zearealenone in the urine of rabbits and pigs is in the form of
    alpha-zearalenol or its glucuronide conjugate (Kuiper-Goodman et al.,
    1987; Biehl et al., 1993).

         In a comparative study of the metabolism of zearalenone,
    significant differences between species were found in the metabolic
    profile in urine and faeces. A higher proportion of the administered
    zearalenone was metabolized to alpha-zearalenol in pigs than in rats
    or cows. In both humans and pigs, zearalenone was found mainly as
    glucoronide conjugates of zearalenone and alpha-zearalenol in urine.
    All of the metabolites found in humans during the 24 h of sampling
    were glucuronides (Mirocha et al., 1981).

         The metabolic profile of zearalenone in Sprague-Dawley rats was
    similar after a single oral dose of 1 or 100 mg/kg bw (Fitzpatrick et
    al., 1988).

         Further reduction of the C11-C12 double-bond leading to alpha-and
    ß-zearalanol was demonstrated in sheep in vivo in a study in which gas
    chromatography with mass spectrometry was used to determine
    zearalenone and its metabolites. The authors suggested that the
    failure to detect zearalanols in other species may be due to the use
    of high-performance liquid chromatography with fluorescence detection
    in those studies, as that method is much less sensitivity for
    zearalanols than for the fluorescent zearalenols, reduction of the
    C11-C12 double-bond leading to loss of fluorescence (Miles et al.,
    1996).

         Formation of alpha-zearalanol in bile  in vivo has been
    demonstrated by gas chromatography with mass spectrometry in cattle
    given 10 mg of either zearalenone or alpha-zearalenol by gavage
    (Kennedy et al., 1998).

    2.1.3  Effects on enzymes and other biochemical parameters

         Groups of 10 female Wistar rats and 20 controls received a single
    intraperitoneal injection of zearalenone dissolved in sterile olive
    oil at 0, 1.5, 3, or 5 mg/kg bw. The haematological parameters studied
    48 h later that differed in treated and control groups were a lower
    number of platelets and higher haematocrit and mean corpuscular volume
    in treated animals; the leukocyte and haemoglobin counts were higher
    in the groups given the two higher doses than in controls. The other
    parameters studied--erythrocyte count, mean erythrocyte haemoglobin
    concentration and mean haemoglobin--were not affected. The
    concentration of creatinine in serum decreased, whereas the total and
    conjugated bilirubin concentrations and alanine aminotransferase,
    aspartate aminotransferase, and alkaline phosphatase activities were
    all increased over control values. The authors concluded that the
    observed changes indicated hepatic toxicity and and probably
    impairment of blood coagulation processes (Maaroufi et al., 1996).

    2.2  Toxicological studies

    2.2.1  Acute toxicity

         The results of studies of acute toxicity with zearalenone are
    summarized in Table 1. When young female pigs were given single doses
    of zearalenone orally in gelatine capsules at 0, 3.5, 7.5, or 11.5
    mg/kg bw, vulva vaginitis and enlarged reproductive tracts were
    observed in all animals one week after dosing (Farnworth & Trenholm,
    1981).

    2.2.2  Short-term studies of toxicity

         Mice

         Groups of 10 B6C3F1 mice of each sex were fed diets containing
    zearalenone at 0, 30, 100, 300, 1000, or 3000 mg/kg of diet,
    equivalent to 0, 4.5, 15, 45, 150, or 450 mg/kg bw per day, for 13
    weeks. Two of the female mice fed 3000 mg/kg of diet died. The weight
    gain of male mice receiving doses of > 300 mg/kg of diet was
    depressed by 14% or more. Atrophy of the seminal vesicles and testes
    and cytoplasmic vacuolization of the adrenals were found in males fed
    1000 or 3000 mg/kg of diet, and squamous metaplasia of the prostate
    was observed in males fed 3000 mg/kg. Endometrial hyperplasia of the
    uterus was seen in all groups of treated females, but the incidence
    was not dose-related. Osteoporosis was observed in animals of each sex
    fed doses of > 100 mg/kg of diet, and myelofibrosis of the bone
    marrow was seen in mice fed > 300 mg/kg of diet (National
    Toxicology Program, 1982).

         Diets containing zearalenone at 0 or 10 mg/kg (equivalent to 0 or
    1.5 mg/kg bw per day) were fed to weanling female B6C3F1 mice (26
    control and 8 exposed animals) for eight weeks, resulting in a total
    intake of 2.2 mg/animal in the treated group. No differences between
    treated animals and controls were seen in body-weight gain or feed
    intake. Gross and histopathological evaluation of the thymus, spleen,
    liver, kidney, uterus, small intestine, colon, heart, brain, lungs,
    and bone marrow showed no alterations due to zearalenone, and the
    organ weights of treated and control animals were similar.
    Haematological examination revealed a statistically significant
    increase (p < 0.01) in the number of erythrocytes in treated animals,
    while other parameters were unchanged (Forsell et al., 1986).

         In a study of the detoxification of zearalenone with
    cholestyramine, groups of 12 female ICR mice, 15 days old and caged
    four by four, were given diets containing zearalenone at 0 or 6 mg/kg,
    equivalent to 0 or 0.9 mg/kg bw per day. After five days, the relative
    weight of the uterus was higher in treated mice (p < 0.01) than in
    controls (Underhill et al., 1995).

         Rats

         Groups of 9 or 10 Fischer 344/N rats of each sex were fed diets
    containing 0, 30, 100, 300, 1000, or 3000 mg/kg zearalenone,
    equivalent to 0, 3, 10, 30, 100, or 300 mg/kg bw per day, for 13
    weeks. No treatment-related deaths occurred. Weight gain was depressed
    by more than 17% in rats of each sex receiving doses > 100 mg/kg in
    the feed. Atrophy of the seminal vesicles and fibromuscular
    hyperplasia of the prostate were observed in rats fed 1000 or 3000
    mg/kg zearalenone, and ductular hyperplasia of the mammary gland was
    observed in animals of each sex at the highest dose. Endometrial
    hyperplasia of the uterus was seen in rats fed > 100 mg/kg of diet.
    Hyperplasia of the pituitary was seen in both males and females at the
    two higher doses and in 1/10 females fed 100 mg/kg of diet.
    Osteoporosis was observed in males at the two highest doses and in all
    treated females (National Toxicology Program, 1982).

         Rabbits

         Groups of six four-month-old rabbits were given zearalenone in
    the diet at concentrations of 0, 0.5, or 1 mg/kg of feed, equivalent
    to 0, 0.15, or 0.03 mg/kg bw per day, and groups of six
    eight-month-old animals were given 0, 1, or 4 mg/kg of feed,
    equivalent to 0, 0.03, or 0.12 mg/kg bw per day, for 18 days. Some of
    the treated animals died during the study. Histopathological
    alterations due to zearalenone were observed in the liver, kidney,
    lungs, heart, adrenal glands, spleen, and uterus of the
    eight-month-old but not the four-month-old animals. The
    histopathological alterations were not described quantitatively, and
    the number of rabbits surviving to the end of the study was not
    reported. The four-month-old rabbits showed a treatment-related
    increase in body-weight gain, food and water consumption, haemoglobin
    percentage, packed cell volume, and serum concentrations of calcium,

    phosphorus, and vitamin C, but the eight-month-old animals showed
    treatment-related decreases in these parameters. No explanation was
    given for the differences in observed effects (Abdelhamid et al.,
    1992).

        Table 1. Results of studies of the acute toxicity of zearalenone
                                                                           

    Species      Sex     Route             LD50         Reference
                                           (mg/kg bw)
                                                                           

    Mouse        M/F     Oral              > 2 000      National Toxicology
                                                        Program (1982)
    Mouse        F       Oral              > 20 000     Hidy et al. (1977)
    Mouse        F       Intraperitoneal   > 500        Hidy et al. (1977)
    Rat          M/F     Oral              > 4 000      National Toxicology
                                                        Program (1982)
    Rat          M/F     Oral              > 10 000     Hidy et al. (1977)
    Rat          M       Intraperitoneal     5 500      Hidy et al. (1977)
    Guinea-pig   F       Oral              > 5 000      Hidy et al. (1977)
    Guinea-pig   F       Intraperitoneal     2 500      Hidy et al. (1977)
                                                                           

    M, male; F, female
    
         Pigs

         Two female pigs were fed diets containing zearalenone at 0.25
    mg/kg of diet, equivalent to 10 µg/kg bw per day, for 11 days and then
    feed without zearalenone for 5 days, and two other female pigs were
    fed diets containing zearalenone at 0.05 mg/kg of diet, equivalent to
    2 µg/kg bw per day, for 21 days; one pig was used as a control.
    Treatment with 10 µg/kg bw per day resulted in redness and swelling of
    the vulva, swelling of the mammary glands, and numerous vesicular
    follicles and some cystic follicles on the ovaries. With the low dose,
    no external changes were seen at the end of the experimental period,
    but autopsy showed a greater number of vesicular follicles on the
    ovaries in treated than in control animals (Bauer et al., 1987). The
    Committee noted that the small number of animals used rendered this
    study unsuitable for evaluating the toxicity of zearalenone.

         Groups of 10 Yorkshire gilts of an average age of 70 days were
    given diets containing zearalenone at a concentration of 2 mg/kg of
    diet (equivalent to 0.08 mg/kg bw per day) for the first two weeks and
    then 1.5 mg/kg of diet (equivalent to 0.06 mg/kg bw per day) for the
    remainder of two identical studies for 0 (control), 45, or 90 days.

    The feed was naturally infected, and no information was provided on
    the presence of other mycotoxins. Vulvar swelling and reddening were
    seen within seven days of exposure, but no difference was seen between
    treated and control animals in body weight or depth of back fat
    (Rainey et al., 1990).

         Zearalenone mycotoxicosis in suckling piglets of each sex,
    characterized by oedematous swelling and reddening of the vulva and
    sometimes associated with reddening and/or necrosis of the tail, was
    described in a case report. No signs of hyperestrogenism were seen in
    sows given feed contaminated with zearalenone at 3-24 mg/kg,
    equivalent to 0.1-1 mg/kg bw per day. Clinical signs usually appeared
    in the prenatally exposed piglets two to three days after birth but
    were apparent at birth in a few animals. The authors noted the poor
    hygienic conditions of the breeding unit (Dacasto et al., 1995).

         Six-week-old female pigs given  Fusarium culmorum extracts
    containing 80 mg/kg of zearalenone (equivalent to 3.2 mg/kg bw per
    day) and 5 mg/kg of deoxynivalenol (experimental details not reported)
    showed pathological alterations in the reproductive tract (Palyusik et
    al., 1990), but the lack of details and multiple exposures made this
    study unsuitable for evaluating the toxicity of zearalenone.

         Ruminants

         Seventy-one dairy cows and 25 replacement heifers were
    accidentally given feed contaminated with 1.5 mg/kg of zearalenone and
    1 mg/kg of deoxy-nivalenol for approximately 90 days. The daily feed
    rations were 7-10 kg for the cows and 1-2 kg for the heifers. Episodes
    of estrus were seen in most of the animals, starting about one week
    after the onset of exposure. Mammary development occurred in the
    prepubertal heifers, which were subsequently culled from the herd
    because of sterility (Coppock et al., 1990). The Committee considered
    this study to be of little value as it was not controlled, the dose
    received per body weight is not clear, and there was exposure to
    multiple mycotoxins.

    2.2.3  Long-term studies of toxicity and carcinogenicity

         Mice

         Groups of 50 male and 50 female B6C3F1 mice, seven weeks old,
    were fed diets containing zearalenone (purity, > 99%) at a
    concentration of 0, 50, or 100 mg/kg of diet (maximum tolerated dose)
    for 103 weeks. The average daily feed consumption as a percentage of
    that of controls was 99% for males at the low dose, 97% for males at
    the high dose, and 97% for females at both doses. The daily intake of
    zearalenone was approximately 0, 8, and 17 mg/kg bw for males and 0,
    9, and 18 mg/kg bw for females. No significant difference in survival
    was seen between groups, and 64-88% of the mice survived to
    termination of the study. No dose-related changes in body-weight gain
    were seen. No treatment-related non-neoplastic lesions were found in
    male mice, but females had estrogen-related effects in several

    tissues, including fibrosis in the uterus and cystic ducts in mammary
    glands, and myelofibrosis in the bone marrow. Hepatocellular adenomas
    were found in 4/50 male controls, 3/50 at the low dose, and 7/49 at
    the high dose and in 0/50 female controls, 2/49 at the low dose, and
    7/49 at the high dose, the last of which was statistically
    significantly different ( p < 0.006) from the incidence in the
    control group. The incidence of hepatocellular adenomas in untreated,
    historical control female B6C3F1 mice was 14/498. Statistically
    significant trends in the incidence of pituitary adenomas were
    observed for both males (control, 0/40; low dose, 4/45; high dose
    6/44;  p < 0.022) and females (control, 3/46; low dose, 2/43; high
    dose, 13/42;  p < 0.001), and the increased incidence was
    statistically significant in males ( p < 0.032) and females
    ( p < 0.003) at the high dose. Pituitary carcinomas were found in
    one male at the low dose and in two females at the high dose, but the
    incidence of pituitary carcinomas was not statistically significantly
    different in treated and control animals. The incidence of pituitary
    adenomas and carcinomas in untreated historical controls at the
    institute that conducted the study was 21/428 in females and 0/399 in
    males (National Toxicology Program, 1982).

         Rats

         Groups of 90 FDRL Wistar rats of each sex and 140 rats of each
    sex in the control group were fed diets containing zearalenone at
    doses of 0, 0.1, 1, or 3 mg/kg bw per day from approximately 28 days
    of age for 104 weeks. In order to maintain the appropriate daily
    doses, the concentration of zearalenone in the diet was adjusted
    weekly according to the body weights and food consumption measured in
    the previous week. The rats were derived from F0 parents fed
    equivalent concentrations for five weeks before mating and throughout
    mating and gestation, but not during lactation. Zearalenone had no
    effect on reproductive parameters in the parent generation, but
    treated males of the F1 generation had a transient but significant
    decrease in body-weight gain when compared with controls, although
    this effect was not seen at the end of the study. No statistically
    significant differences were seen among groups with respect to
    haematological, clinical chemical, or urinary parameters measured in
    10 animals per group sampled at weeks 13, 26, 65, and 104 or in the
    remaining animals killed at weeks 108 (males) and 111 (females) after
    the initiation of treatment. At the end of the study, significantly
    increased liver weights were found in males and females exposed to 3
    mg/kg bw, and the uterine weights were increased in females at the two
    higher doses. Rats receiving the highest dose showed increased
    trabeculation of the femur, but no histopathological changes were seen
    and no treatment-related tumours were found (Becci et al., 1982a). The
    Committee noted that survival rates and tumour incidences were not
    reported.

         Groups of 50 male and 50 female Fischer 344 rats, five weeks old,
    were fed diets containing zearalenone (purity, > 99%) at 0, 25, or 50
    mg/kg of diet (maximum tolerated dose) for 103 weeks. The average

    daily feed consumption as a percentage of that of the controls was
    102% for males at the low dose, 91% for males at the high dose, 96%
    for females at the low dose, and 98% for females at the high dose. The
    intake was estimated to be 1 mg/kg bw per day at the low dose and
    about 2 mg/kg bw per day at the high dose. The mean body-weight gain
    of treated rats was lower than that of controls, and the decreases of
    19% in males and 11% in females at the high dose after 44 weeks of
    exposure were dose-related. No significant difference in survival was
    observed between groups, and 74-82% of the rats survived to
    termination of the study. The non-neoplastic lesions observed were
    inflammation of the prostate gland, testicular atrophy, cysts or
    cystic ducts in mammary glands of males, an increased incidence of
    hepatocellular cytoplasmic vacuolization in males, and an increased
    incidence of chronic progressive nephropathy in animals of each sex.
    Increased incidences of retinopathy and cataracts were observed in
    males at both doses and in females at the low dose. No
    treatment-related increase in tumour incidence was found. Male rats at
    the low dose showed a significant ( p < 0.05) increase in the
    incidence of pituitary adenomas but with no significant dose-related
    trend. The combined incidence of pituitary adenomas and carcinomas
    showed no indication of treatment-related change (National Toxicology
    Program, 1982).

         A working group convened by the International Agency for Research
    on Cancer (IARC) in 1993 concluded on the basis of the three studies
    described above that there was limited evidence for the
    carcinogenicity of zearalenone in experimental animals (IARC, 1993).

    2.2.4  Genotoxicity

         The results of studies of the genotoxicity of zearalenone are
    summarized in Table 2.

    2.2.5  Reproductive toxicity

         Mice

         Newborn female C57BL/Crgl mice were injected subcutaneously with
    1 µg of zearalenone daily for five days. Eight months after treatment,
    25 of 34 treated mice and 3 of 33 control mice had no corpora lutea.
    Treated mice also had dense collagen deposition in the uterine stroma,
    56% of animals had no uterine glands, and 59% had squamous metaplasia
    (Williams, B.A. et al., 1989).

         Intraperitonal injection of 10-30 µg zearalenone to groups of
    four to nine female ICR mice on days 1-3 or 1-5 after birth resulted
    in delayed vaginal opening, persistent estrus in 60-80% of animals,
    and sterility accompanied by thickening of the vaginal epithelium at
    eight weeks of age. Vaginal opening was accelerated in animals given a
    single dose of 30 µg on day 10 but was not affected in mice given the

    same dose on day 1, 3, 5, or 8. The incidence of persistent estrus was
    significantly increased in eight-week-old mice treated with
    zearalenone on day 1, 3, or 5 but not in those treated on day 8 or 10
    (Ito & Ohtsubo, 1994).

         Rats

         FDRL Wistar rats were given zearalenone at daily doses of 0, 0.1,
    1, or 10 mg/kg bw in the diet. After four weeks of exposure, the F0
    generation was bred to produce the F1a generation, and at sexual
    maturity the F1a generation was bred to give the F2a generation.
    The F0 and F1a generations were given zearalenone throughout
    mating and gestation but not during lactation. Zearalenone reduced the
    number of liveborn F1 pups per litter only at the highest dose while
    the doses of 1 and 10 mg/kg bw per day reduced the number of liveborn
    F2 pups per litter. Fertility was significantly decreased at the
    highest dose in both the F1 and F2 generations. Feeding
    zearalenone had no effect on the rate of survival of liveborn pups to
    4 or 21 days of age (Becci et al., 1982b).

         Guinea-pigs

         In three experiments, groups of three or four pregnant
    Murphy-Hartley guinea-pigs received diets containing zearalenone at 0,
    7, 14, or 21 mg/kg bw per day on days 1-8 after mating (experiment 1),
    0, 20, or 30 mg/kg bw per day on days 1-3, 4-5, or 6-8 after mating
    (experiment 2), and 0, 60, or 90 mg/kg bw per day on days 4-5 after
    mating (experiment 3). Blood samples were analysed for progesterone on
    days 8, 15, and 21 in experiment 1 and on days 15 and 21 in the other
    two experiments. All animals were killed with carbon monoxide on day
    22 after mating and the numbers of corpora lutea and fetuses and fetal
    length were determined. Histopathological examinations were made of
    the ovary, both uterine horns, placenta, and fetuses from all pregnant
    females. Only one of four animals receiving 21 mg/kg bw on days 1-8
    after mating became pregnant 21 days after mating, while other animals
    treated on those days became pregnant. No effect was seen on any
    maternal parameters or on fetal development after exposure to 7 or 14
    mg/kg bw per day on day 1-8 after mating. Three of five guinea-pigs
    treated with zearalenone at 20 mg/kg bw per day and one of four given
    30 mg/kg bw per day on days 1-3 after mating were found to be pregnant
    on day 22. Female guinea pigs given 20 or 30 mg/kg bw per day on days
    4-5 or 6-8 after mating and females treated with 60 or 90 mg/kg bw on
    days 4-5 had normal pregnancies, and all of the observed differences
    in progesterone concentrations between groups could be related to the
    pregnancy of the animals (Long & Diekman, 1989).

         Hamsters

         Groups of six litters of neonatal golden Syrian hamsters received
    zearale-none by subcutaneous injection at 0 (vehicle only) or 1 mg/pup
    at two days of age, and one group was untreated. Vaginal opening was
    accelerated in treated females, but administration of zearalenone did
    not affect the age at first estrus or cycling in the females or the
    mounting behaviour of males at 60-64 days of age. At 150 days of age,
    the females were ovariectomized and a 25-mg pellet of testosterone was
    implanted under the skin. At day 195, 67% of the exposed female
    hamsters and only one of 30 control females mounted a sexually
    receptive female. The mounting behaviour of the males was not affected
    by zearalenone on days 225 and 280. The authors concluded that the
    behaviour of females treated with zearalenone was masculinized but not
    defeminized (Gray et al., 1985).

         Pigs

         Groups of 10 Yorkshire gilts of an average age of 70 days were
    given diets containing zearalenone at a concentration of 2 mg/kg of
    diet (equivalent to 0.08 mg/kg bw per day) for the first two weeks and
    then 1.5 mg/kg (equivalent to 0.06 mg/kg bw per day) for the remainder
    of two identical studies for 0 (control), 45, or 90 days. The feed was
    naturally infected, and no information was provided on the presence of
    other mycotoxins. Gilts treated with zearalenone reached puberty at a
    younger age than controls, but the conception rates, ovulation rates,
    and embryonic survival were not affected (Rainey et al., 1990).

         Groups of six to eight prepubertal gilts of an average age of 178
    days and weighing 94 kg were fed diets containing zearalenone at 0 or
    10 mg/kg of diet, equal to 0.26 mg/kg bw per day, for two weeks in
    three replicate experiments. Two weeks after withdrawal of the
    zearalenone-containing diet, the gilts were exposed to boars for 15
    min/day for three weeks. Blood samples were collected every 20 min for
    4 h one week after the start of exposure and one week after withdrawal
    of zearalenone. Blood samples were also taken twice a week and
    analysed for progesterone to establish the age at puberty: no
    difference was found between control and exposed animals. The mean
    serum concentration of luteinizing hormone was reduced during exposure
    to zearalenone, but no significant difference in serum concentrations
    remained one week after the end of the exposure period. Zearalenone
    did not change the frequency or amplitude of spikes of luteinizing



        Table 2. Results of assays for genotoxicity with zearalenone
                                                                                                                                     

    Test system              Test object                          Concentration      Results               Reference
                                                                                                                                     

    Reverse mutation         S. typhimurium TA1535,               100 µg/platea      Negative              Kuczuk et al. (1978)
                             TA1537, TA1538

    Reverse mutation         S. typhimurium TA1535, TA1537,       400 µg/platea      Negative              Wehner et al. (1978)
                             TA98, TA100

    Reverse mutation         S. typhimurium TA1538, TA98,         50 µg/platea       Negativeb             Bartholomew & Ryan 
                             TA100                                                                         (1980)

    Reverse mutation         S. typhimurium TA98, TA100           Not reporteda      Negative              Stark (1980)

    Reverse mutation         S. typhimurium TA1535, TA1537,       50 µg/platea       Negativeb             Ingerowski et al. 
                             TA1538, TA98, TA100                                                           (1981)

    Reverse mutation         S. typhimurium (strains not          1000 µg/platea     Negative              Tennant et al. 
                             reported)                                                                     (1987)

    Reverse mutation         S. typhimurium TA1535, TA1537,       1000 µg/platea     Negative              Mortelmans et al. 
                             TA98, TA100 (preincubation)                                                   (1986)

    Gene mutation            S. typhimurium TA1535/pSK100          29.5 µg/L         Negative              Kasamaki & Urasawa 
                             umu mutation                                                                  (1993)

    SOS repair               E. coli C600                         478 mg/L           Positivec             Ghedira-Chekir et al. 
                                                                                                           (1998)

    SOS chromotest           E. coli PQ37                         30 mg/La           Negative              Krivobok et al. (1987)

    Unscheduled DNA          Rat hepatocytes                      32 mg/L            Negative              Williams, G.M. et al. 
    repair                                                                                                 (1989)

    Point mutations/         S. cerevisiae D3                     1000 µg/platea     Negative              Kuczuk et al. (1978)
    mitotic recombination

    Table 2. (continued)
                                                                                                                                     

    Test system              Test object                          Concentration      Results               Reference
                                                                                                                                     

    Forward mutation         Mouse lymphoma L5178Y                60 mg/La           Negative              McGregor et al. (1988)
                             Tk+/- cells

    Forward mutation         Mouse lymphoma L5178Y Tk+/- cells    65 mg/L            Negative              Tennant et al. (1987)

    Chromosomal aberration   Chinese hamster ovary cells          15 mg/L            Positived,e           Galloway et al. (1987)
                                                                  50 mg/L            Negativef

    Sister chromatid         Chinese hamster ovary cells          12.5 mg/L          Positived,e           Galloway et al. (1987)
    exchange                                                      40 mg/L            Positivef

    Chromosomal aberration   Human fibroblasts (HAIN55            9.5 µg/L           Weakly positive       Kasamaki & Urasawa 
                             and CPAE)                                                                     (1993)

    Chromosomal aberration   Chinese hamster ovary cells          15 mg/L            Positived, negativef  Tennant et al. (1987)

    Sister chromatid         Chinese hamster ovary cells          12.5 mg/L          Positived, negativef  Tennant et al. (1987)
    exchange

    Chromosomal aberration   Chinese hamster V79 cells            32 mg/L            Negativea             Thurst et al. (1983)

    Sister chromatid         Chinese hamster V79 cells            32 mg/L            Negativea             Thurst et al. (1983)
    exchange

    Cell cycle delay         Chinese hamster V79 cells            32 mg/L            Negativea             Thurst et al. (1983)

    Table 2. (continued)
                                                                                                                                     

    Test system              Test object                          Concentration      Results               Reference
                                                                                                                                     
    Sister chromatid         Human peripheral lymphocytes         3 mg/Lg            Weakly positivea      Kuiper-Goodman et al. 
    exchange                                                                                               (1987)

    Gene mutation            B. subtilis H17, M45 rec+/-          100 µg/disc        Positiveh             Ueno & Kubota (1976)
                                                                  20 µg/disc         Negative
                                                                                                                                     

    a  With and without metabolic activation
    b  Cytotoxic at next highest concentration
    c  1-h preincubation with 6 mmol/L vitamin E prevented the effect.
    d  Without metabolic activation
    e  Tetraploidy and delayed cell cycle
    f  With metabolic activation
    g  Complete inhibition of DNA synthesis at 30 mg/L
    h  M45rec-, 2-3 mm and H17rec+, 0-1 mm growth inhibition at pH 6, 7, or 8 
    

    hormone secretion during exposure, and did not affect the numbers of
    corpora lutea or live fetuses or the serum concentration of
    follicle-stimulating hormone. Fetal weights were statistically
    significant greater in gilts receiving zearalenone than in controls
    (180 ± 8.4 g in treated and 150 ± 10 g in control animals) (Green et
    al., 1990). The Committee noted a small difference in the age of
    fetuses at examination (65 ± 2.6 days of gestation for exposed animals
    and 63 ± 2.8 for controls) and that use of the usual conversion factor
    for estimating dose from feed concentrations results in substantially
    higher doses because of the assumption of a body weight of 60 kg. In
    most studies in which the body weights of pigs are given, they are
    approximately 100 kg. The dose used in this study would be 0.4 mg/kg
    bw per day if the Committee's conversion factor were used.

         Prepubertal gilts were fed a diet containing zearalenone at 0 or
    10 mg/kg of diet  ad libitum (equivalent to 0.4 mg/kg bw per day,
    delivered dose not recorded) for 30 days from day 145 to day 193 of
    age; they then received control diet and were exposed to a boar for 60
    days. Vulvar swelling and reddening were observed throughout exposure
    from day 3-5, but the symptoms disappeared slowly when zearalenone was
    withdrawn. Exposed gilts had their first estrus significantly later
    than controls, but there was no significant difference in the
    proportion of animals reaching estrus within 60 days after withdrawal
    of the zearalenone-containing feed. The length of the first estrus
    cycle was not affected. In a second trial, sows were fed zearalenone
    in the diet at 0 or 10 mg/kg of diet beginning 14 days before they
    weaned their offspring and were then fed control diet and checked
    daily for their first post-weaning estrus. The interval between
    weaning and estrus was extended in sows given zearalenone, but the
    incidence of pregnancy or farrowing and the numbers of liveborn and
    dead pups per litter were not affected. No sign of hyperestrogenism
    was observed in gilts or sows (Edwards et al., 1987b).

         In sexually mature gilts given 2 kg of feed containing
    zearalenone at 0, 1, 5, or 10 mg/kg of diet (equivalent to 0, 0.04,
    0.2, and 0.4 mg/kg bw per day) on days 5-20 of estrus, the
    inter-estrus interval increased significantly from 21 ± 0.3 days in
    the control group to 29 ± 2.9 and 33 ± 3.3 days in gilts fed 5 and 10
    mg/kg zearalenone in the diet. The inter-estrus interval was not
    affected in gilts given 1 mg/kg in the diet. Increased plasma
    concentrations of progesterone and prolonged maintenance of corpora
    lutea were observed in the gilts with prolonged cycles. The corpora
    lutea regressed when zearalenone was withdrawn from the diet (Edwards
    et al., 1987a).

         The frequency of pregnancy after mating was reduced in a pig
    given zearalenone at a dose of 108 mg/animal, equal to 1.1 mg/kg bw,
    in the diet daily on days 7-10 after mating, but not in a pig given
    the same dose on days 2-6 or 11-15 after mating (Long & Diekman,
    1986).

         Groups of 16 pubertal gilts given zearalenone at 0, 3, 6, or 9
    mg/kg of diet (equivalent to 0.12, 0.24, and 0.36 mg/kg bw per day)
    from immediately after the first estrus throughout gestation showed an
    increased incidence of pseudo-pregnancy, a decrease in breeding, and a
    decrease in the number of liveborn per litter at the two higher doses.
    Feeding of diets containing zearalenone to a limited (unspecified)
    number of boars from 32 days to one year of age at 0, 3, 6, or 9 mg/kg
    of diet (equivalent to 0.06, 0.12, and 0.18 mg/kg bw per day) had no
    effect on growth rate, puberty, or libido, but there was an indication
    of reduced sperm concentration and a small reduction in testicular and
    epididymal weights (Young & King, 1984). The Committee noted the lack
    of details.

         Groups of 14-16 lactating Yorkshire × Landrace cross-bred gilts
    were fed diets containing purified zearalenone at 0, 5, or 10 mg/kg of
    diet (equivalent to 0, 0.2, or 0.4 mg/kg bw per day) in two trials
    from day 7 of lactation until 40 days after the last breeding or until
    40 days after weaning if no estrus was observed. The only difference
    between the two trials was that the sows in trial 1 were first parity
    and those in trial 2 were second parity. The sows were inseminated 8
    and 30 h after observed estrus. Treatment with zearalenone did not
    alter the proportion of sows returning to estrus, but the time from
    weaning to estrus was significantly increased in trial 2, with a
    similar trend at the highest dose in trial 1. The average number of
    fetuses per pregnant sow decreased with increasing concentration of
    zearalenone in trial 2 but not in trial 1. Embryonic mortality,
    measured as the ratio of fetusus to corpora lutea in pregnant sows,
    increased in trial 2 but not in trial 1. A trend to a lower incidence
    of pregnancy was found at the end of trial 1, and there was great
    variation in feed consumption among all groups in this trial, which
    was attributed by the authors to the presence of 1.3-1.7 mg/kg
    deoxynivalenol in the diet (Young et al., 1990). The Committee noted
    that no information about Fusarium toxins other than zearalenone was
    given for trial 2.

         Groups of six mature cross-bred sows were fed diets containing
    zearalenone at 0 or 2.1 mg/kg of diet, equivalent to 0.085 mg/kg bw
    per day, from day 30 after mating throughout lactation. The piglets
    were weaned and weighed at 21 days of age, and three male and three
    female piglets from each group were kept for subsequent breeding and
    maintained on control diet. Zearalenone had no effect on breeding
    performance in the F0 generation, and no statistically significant
    differences were observed between treated and control animals with
    regard to parental body weight, litter size, number of livebirths per
    litter, piglet sex ratio, birth weight, or weaning weight.
    Furthermore, no significant differences were found in the ovarian or
    uterine weights of sows in the F0 generation, although a trend to
    ovarian atrophy and uterine enlargement was found. Sows in the control

    group had numerous large follicles on the ovaries, while the ovaries
    of the sows fed zearalenone contained only small, degenerated
    follicles. No treatment-related histopathological alterations were
    observed in the uterus or cervix of the sows. Examination of three
    female piglets on day 21 resulted in similar findings: although they
    had a slight, non-significant increase in age at first estrus, no
    difference was found in the ovarian or uterine weights of surviving
    female piglets. Male piglets had a small, non-significant reduction in
    testicular weight at 21 days of age, but with no consistent
    histopathological changes in the reproductive organs. The male
    offspring of sows given zearalenone were significantly older at first
    mount, but no differences were found in testicular weight at first
    mount, terminal body weight, or the number of successful inseminations
    of untreated sows (Yang et al., 1995).

    2.2.6  Developmental toxicity

         No teratogenic effect was found in CBA/Ca mice given single doses
    of 5-20 mg/kg bw zearalenone by gavage on day 9 of gestation (Arora et
    al., 1981, 1983). Zearalenone given at daily doses of 1-10 mg/kg bw by
    gavage to female Wistar rats on days 6-15 of gestation caused minor
    skeletal deformations, considered by the authors to be due to delayed
    ossification (Ruddick et al., 1976).

         In a two-generation study, FDRL Wistar rats were given
    zearalenone in the diet at doses of 0, 0.1, 1, or 10 mg/kg bw per day
    over both generations. After four weeks of exposure, the F0
    generation was bred to produce the F1a generations, and rats of both
    generations were given zearalenone throughout mating and gestation but
    not during lactation. One week after weaning of the F1a generation,
    the F0 generation was rebred. On day 20 of gestation, the F0
    animals were killed, and the numbers of implants, resorptions, corpora
    lutea, and viable fetuses were determined; fetuses were also examined
    for gross abnormalities, weight, and sex. In females fed 10 mg/kg bw
    per day, statistically significant reductions in the mean numbers of
    viable offspring per litter, corpora lutea per dam, and implantations
    per dam were found, with an increase in the number of resorptions per
    dam on day 20 of gestation. At the highest dose, soft-tissue
    abnormalities related to delayed fetal development were reported. At 1
    mg/kg bw, minor skeletal abnormalities were observed which were
    related to decreased growth. No unequivocal teratogenic effect was
    found (Becci et al., 1982b).

         Disruption of the development of growing blastocysts was observed
     in vitro when zearalenone was added to a medium containing growing
    mouse blastocysts or ovine oocytes (Long & Turek, 1989; Wallace &
    Rajamahendran, 1993).

         Three of four pigs given zearalenone in the diet at a dose of 110
    mg/animal per day (equivalent to 1.1 mg/kg bw per day) on days 7-10
    after mating did not become pregnant and had regressing corpora lutea,
    while all animals dosed on days 2-6 or 11-15 became pregnant (Long &
    Diekman, 1986). In mated pigs fed zearalenone at 1 mg/kg bw per day on

    days 7-10 after mating, initial degeneration of blastocysts was
    observed on day 11 and further degeneration and death on day 13
    (Diekman & Long, 1989; Long et al., 1992). Changes in the intrauterine
    environment, such as changes in the concentrations of Ca2+ or amino
    acids, were observed in pigs exposed to zearalenone at 1 mg/kg bw per
    day on days 7-10 after mating (Long et al., 1988).

         In nine New Zealand white rabbits weighing 3-4 kg which were
    given zearalenone orally at a dose of 12 mg/kg bw per day for 10 days,
    the compound was detected in uterine tubal fluid from day 1.
    Zearalenone caused an increase in the amount of intrauterine fluid,
    reduced its pH, and changed the concentrations of various amino acids
    and trace minerals. After the rabbits had been mated with untreated
    males on the last day of exposure, no gross abnormalities were found
    in fetuses examined 28-30 days after mating (Osborn et al., 1988).

         In three experiments, groups of three or four pregnant
    Murphy-Hartley guinea-pigs were given zearalenone orally at a dose of
    0, 7, or 21 mg/kg bw per day on days 1-8 after mating (experiment 1),
    0, 20, or 30 mg/kg bw per day on days 1-3, 4-5, or 6-8 after mating
    (experiment 2), and 0, 60, or 90 mg/kg bw per day on days 4-5 after
    mating (experiment 3). The incidence of pregnancy was reduced at the
    highest dose in experiment 1 and in guinea-pigs treated on days 1-3
    after mating in experiment 2, but no teratogenic effect was found
    (Long & Diekman, 1989).

         Studies of the reproductive and developmental effects of
    zearalenone after oral treatment are summarized in Table 3.

    2.2.7  Special studies

    2.2.7.1  Hormonal effects

         Several estrogenic effects of zearalenone have been observed in
    short-term and long-term studies of toxicity and in studies of
    reproductive toxicity in a number of mammalian species (see above).

          Estrogen receptor subtypes and estrogen response elements:
    Recent studies have shown that two subtypes of estrogen receptor (ER)
    exist in rats, mice, and humans, ER-alpha and ER-beta, which differ in
    the C-terminal ligand binding domain and the N-terminal
     trans-activation domain (Kuiper et al., 1998). It has also been
    shown that there are other subtypes of ER, namely the main form
    ER-beta1 and a major variant called ER-beta2 (Lu et al., 1998;
    Petersen et al., 1998). Analysis of competition for ligand binding
    revealed that ER-beta2 has an eightfold lower affinity for
    17beta-estradiol than ER-beta1 (Hanstein et al., 1999). ER-alpha and
    ER-beta are differently distributed in the body and also in cells
    within tissues such as the prostate and central nervous system
    (Shughrue et al., 1996; Brandenberger et al., 1997; Kuiper et al.,
    1997; Shughrue et al., 1997; Hrabovszky et al., 1998; Prins et al.,
    1998). In some cells, the expression of ER-beta mRNA is regulated by
    17beta-estradiol (Vladusic et al., 1998).  In vitro the two receptors

    can form heterodimeric complexes. Thus, the estrogenic signal could
    bind to an ER-alpha homodimer, an ER-beta homodimer, or a heterodimer
    complex, depending on whether the cell expresses only one or both
    receptors (Pettersson et al., 1997). ER-beta2 may also form
    heterodimers (Hanstein et al., 1999). Furthermore, some variation in
    the estrogen response element has been found in different
    estrogen-responsive genes, and the receptor subtypes vary in
    activating ability (Pennie et al., 1998).

         Studies on the estrogenicity of zearalenone and its derivatives
    up to 1987 were reviewed by Kuiper-Goodman et al. (1987), but only a
    few recent studies discriminate between the receptor subtypes.

          Binding: The binding of zearalenone to ER in target tissues and
    cells was < 1-10% that of 17beta-estradiol, whereas alpha-zearalanol
    showed somewhat stronger binding and beta-zearalanol much less binding
    (Kuiper-Goodman et al., 1987). The relative binding affinities of
    zearalenone and its derivatives to the rat uterine cytoplasmic
    receptor were in the order alpha-zearalanol > alpha-zearalenol >
    beta-zearalanol > zearalenone > beta-zearalenol (Tashiro et al.,
    1980).

          Binding and activation of ER in cells: In an immortalized
    pituitary cell line, zearalenone bound to the ER with an affinity of
    0.01 relative to 17beta-estradiol and induced prolactin excretion
    (Stahl et al., 1998).

         In a comparison of the potency of zearalenone and
    17beta-estradiol in two cell lines, MCF-7 which responds to
    physiological concentrations of 17beta-estradiol with cell division
    and protein synthesis and Le42 which are transfected with an
    estrogen-responsive element coupled to a reporter gene, the relative
    response was 2.5-5% (Mayr et al., 1992).

         The binding and activation of ER-alpha and ER-beta by zearalenone
    have been examined in cells transfected with human recombinant ERa and
    ERb complementary DNA in the presence of an estrogen-dependent
    reporter plasmid. In this model, 17beta-estradiol bound with high
    affinity, with a  Kd of 0.05-0.1 nmol/L. Zearalenone stimulated the
    transcriptional activity of both receptors at concentrations of 1-10
    nmol/L. In these experiments, zearalenone was found to be a full
    antagonist for ER-alpha and a mixed agonist-antagonist for ER-beta
    (Kuiper et al., 1998).

          Activation in animals: Several studies have shown that
    zearalenone and its derivatives initiate translocation of the receptor
    complex to the nucleus, beta-zearalanol being more effective than
    zearalenone; the latter was associated with a longer duration of
    nuclear retention of the receptor complex than the former or of
    17beta-estradiol. The studies also clearly demonstrated transcription
    and synthesis of estrogen-induced protein in the uterus of rats after
    zearalenone treatment, with a potency relative to that of

    17 beta-estradiol of 0.07 for alpha-zearala-nol, 0.02 for
    beta-zearalanol, and 0.001 for zearalenone (Katzenellebogen et al.,
    1979). The relative potency of zearalenone with respect to 17
    beta-estradiol and diethylstilbestrol in the uterotropic assay after
    subcutaneous or oral administration was about 0.001, whereas the
    potency relative to that of 17 beta-estradiol in the vaginal
    cornification assay was 0.001 after subcutaneous injection and 0.01
    after topical administration. alpha-Zearalanol had about the same
    potency in this assay but is usually several times more active in the
    uterotropic assay (Kuiper-Goodman et al., 1987).

         Male 70-day-old rats treated orally with zearalenone at 20 mg/kg
    bw per day for five weeks had increased serum prolactin values, but
    other parameters such as body and testis weights, serum luteinizing
    hormone and follicle stimulating hormone concentrations and volume
    fractions of Sertoli cells, spermatogonia, early and late primary
    spermatocytes, and long and round spermatids were not affected (Milano
    et al., 1995).

         Neonatal Charles River CD rats received 100 and 1000 µg of
    zearalenone by subcutaneous injection on days 1-10 of life, were
    castrated on day 21, and received gonadotropin-releasing hormone on
    day 42, when luteinizing hormone was determined. Males and females
    exposed to either dose of zearalenone had decreased pituitary
    responsiveness to gonadotropin-releasing hormone. The highest dose of
    zearalenone increased the volume of the sexually dimorphic nucleus of
    the preoptic area in females, whereas no changes were seen in males
    (Faber & Hughes, 1991).

         In ovariectomized Charles River CD rats, subcutaneous injection
    of zearalenone at 8 mg/kg bw or zearalenol at 0.8 or 8 mg/kg bw did
    not inhibit tonic luteinizing hormone secretion and did not provide
    estrogenic priming for progesterone-induced luteinizing hormone
    secretion, but it did block gonadotro-pin-releasing hormone-induced
    luteinizing hormone secretion (Hughes et al., 1991).

         Daily injection of pregnant mice with 20 ng of 17 beta-estradiol
    or 2 µg of zearalenone (equivalent to 10 µg/kg bw) on days 15-20 of
    gestation increased the density of terminal end buds in the mammary
    glands. Zearalenone also increased epithelial differentiation and
    density (Hilakivi-Clarke et al., 1998).

         Kuiper-Goodman et al. (1987) based a risk assessment on a study
    on a 'no hormonal effect level' (NHEL) for alpha-zearalanol in
    ovariectomized monkeys in which vaginal cornification was used as the
    end-point. In rhesus monkeys treated orally for 10 days, the NHEL was
    225 µg/kg bw per day (Parekh & Coulston, 1983), whereas a NHEL of
    < 50 µg/ kg bw per day was found in a 90-day study with cynomolgus
    monkeys (Griffin et al., 1984). Kuiper-Goodman et al. (1987) suggested
    that zearalenone is less estrogenic than alpha-zearalanol and that the
    NHEL for zearalenone is probably higher. In support of that
    suggestion, effects were seen in pregnant mice at a dose of 80 µg/kg
    bw per day (Hilakivi-Clarke et al., 1998).


        Table 3. Reproductive and developmental effects observed after oral exposure of various species to zearalenone
                                                                                                                                               

    Species   Age         No.      Route       Dose                   Duration            NOEL       Effects                     Reference
    (strain)                                                                              (mg/kg 
                                               mg/kg       mg/kg                          bw per 
                                               bw daya     feed                           day)
                                                                                                                                               

    Mouse     Adult       9,       Gavage      20                     1 day (day          < 20       No malformation,            Arora et al. 
    (CBA/Ca)  (pregnant   10-20                                       8 or 9 of                      increased late              (1981, 1983)
              female)                                                 gestation)                     fetal deaths

    Rat       Adult (6-8  50       Diet        0.1, 1,                Two-generation      0.1        Number of F2a2                 Becci et al. 
    (Wistar)  weeks)                           10                     study                          liveborn pups/litter        (1982b)
                                                                                                     decreased, increased 
                                                                                                     resorptions; increased 
                                                                                                     absolute and relative 
                                                                                                     adrenal, thyroid, and 
                                                                                                     pituitary weights in 
                                                                                                     Fo; skeletal 
                                                                                                     abnormalities related 
                                                                                                     to decreased growth
                                                                                          1          Maternal toxicity, 
                                                                                                     decreased fertility, 
                                                                                                     number of F1a1 live-born 
                                                                                                     pups/litter decreased, 
                                                                                                     increased resorptions; 
                                                                                                     soft-tissue 
                                                                                                     abnormalities (lack of 
                                                                                                     eyelids) related to 
                                                                                                     delay in fetal
                                                                                                     development
                                                                                          10         Medullary trabeculation 
                                                                                                     increased

    Table 3. (continued)
                                                                                                                                               

    Species   Age         No.      Route       Dose                   Duration            NOEL       Effects                     Reference
    (strain)                                                                              (mg/kg 
                                               mg/kg       mg/kg                          bw per 
                                               bw daya     feed                           day)
                                                                                                                                               

    Rat       Adult       10       Gavage      1, 5,                  Days 6-15           < 1        Delayed                     Ruddick et al. 
    (Wistar)  (pregnant                        10                     of gestation        (0.3       ossification                (1976)
              female)                                                                     according
                                                                                          to 
                                                                                          un-
                                                                                          published
                                                                                          data)

    Rat       Adult       approx.  Diet        (approx.    17         56 days             < 0.85     Decreased                   Ruzsas et al.
              (male       10       (un-        0.85)                                                 fertility of                (1978, 1979) 
              and                  purified                                                          males and 
              female)              in maize)                                                         females, 
                                                                                                     disturbed and 
                                                                                                     spermatogenesis, 
                                                                                                     disturbed 
                                                                                                     cycling, 
                                                                                                     decreased
                                                                                                     fertility of 
                                                                                                     offspring

    Rat       Adult       5-7      Oral        20                     5 weeks             < 20       Increased serum             Milano et al.
    (Wistar)  (70-day-                                                                                prolactin concentration     (1995)
              old, male)                                                                  > 20       No effect on
                                                                                                     body or testis
                                                                                                     weight, serum LH
                                                                                                     or FSH, volume
                                                                                                     fraction of Sertoli
                                                                                                     cells, early and 
                                                                                                     late spermatocytes, 
                                                                                                     or long and round
                                                                                                     spermatids

    Table 3. (continued)
                                                                                                                                               

    Species   Age         No.      Route       Dose                   Duration            NOEL       Effects                     Reference
    (strain)                                                                              (mg/kg 
                                               mg/kg       mg/kg                          bw per 
                                               bw daya     feed                           day)
                                                                                                                                               

    Guinea-   Adult,      3-4      Diet        7, 14, 21              1-8 (days 1-8       < 7        Reduced incidence of        Long & 
    pig       female                                                  after mating)                  pregnancy (21 mg/kg bw),    Diekman 
                                                                                                     altered levels of           (1989) 
                                                                                                     progesterone, no effect
                                                                                                     on litter size,
                                                                                                     fetal size

    Chicken   Female      4        Diet        (approx.    10-800     56 days             > 59       No effect on egg            Allen (1980);  
              (210 days)                       0.7-59)                                               production or egg size      Allen et 
                                                                                                                                 al. (1981)

    Turkey    Female      10       Diet        (approx.    100        56 days             < 4        Decreased egg               Allen et 
              (225 days)                       4)                                                    production (20%)            al. (1983)

    Mink      Female      4        Diet                    10, 20     21 days                        Increased weight of         Cameron et 
                                                                                                     uterus, vulva size          al. (1989)

    Mink      Female      8        Diet                    10, 20     4 weeks                        Increased gestation         Cameron et 
                                                                      before breeding                period, increased           al. (1989)
                                                                      to 3 weeks                     mortality, reduced 
                                                                      after whelping                 litter size

    Mink      Female      12       Diet                    20         2 months before                Reduced whelping, no        Yamini et 
                                                                      mating to 3 weeks              effect on mating,           al. (1997)
                                                                      after whelping                 histopathological 
                                                                                                     changes in uterus and 
                                                                                                     ovarian follicles

    Table 3. (continued)
                                                                                                                                               

    Species   Age         No.      Route       Dose                   Duration            NOEL       Effects                     Reference
    (strain)                                                                              (mg/kg 
                                               mg/kg       mg/kg                          bw per 
                                               bw daya     feed                           day)
                                                                                                                                               

    Mink      Female      12       Diet                    15.7       74-124 days                    Reduced whelping,           Yang et 
                                                                      (mated day 48,                 increased gestation         al. (1995)
                                                                      49, 56)                        length, reduced no. 
                                                                                                     of live kits, ovarian 
                                                                                                     follicular atrophy, 
                                                                                                     endometrial hyperplasia, 
                                                                                                     endometrial glandular 
                                                                                                     and myometrial atrophy, 
                                                                                                     endometritis

    Pigb      Pregnant    7        Diet        (approx.    2.2        Day 2 to            < 0.09     Reduced relative            Shreeve et 
              sow                  (mouldy     0.09)                  farrowing                      pituitary, thyroid,         al. (1978)
                                   wheat)                                                            and kidney weights, 
                                                                                                     increased relative 
                                                                                                     spleen and spinal 
                                                                                                     cord weights in 
                                                                                                     piglets. No maternal 
                                                                                                     toxicity, no increased
                                                                                                     resorption, no bone 
                                                                                                     abnormalities, no
                                                                                                     lesions

    Table 3. (continued)
                                                                                                                                               

    Species   Age         No.      Route       Dose                   Duration            NOEL       Effects                     Reference
    (strain)                                                                              (mg/kg 
                                               mg/kg       mg/kg                          bw per 
                                               bw daya     feed                           day)
                                                                                                                                               

    Pigb      Sow         4        Diet        0.28, 1.5,  7, 38, 64  Days 3-34 of        < 0.28     Increased serum             Long et 
                                   (culture    2.6                    gestation                      progesterone                al. (1982)
                                   of F.                                                  0.28       Decreased serum
                                   deoxy-                                                            roseum with
                                   nivalenol)                                                        progesterone and
                                                                                                     serum estradiol,
                                                                                                     decreased no. of sows 
                                                                                                     with fetuses, decreased 
                                                                                                     average fetal weight
                                                                                          1.5        Signs of
                                                                                                     hyperestrogenism,
                                                                                          > 2.6      endometrial morphology
                                                                                                     No effect on number 
                                                                                                     of pigs with corpora 
                                                                                                     lutea

    Pig       Sow         3-4      Diet        (approx.    25, 50,    Various             < 1        Infertility,                Chang et al. 
                                               1, 2, 4)    100                                       pseudogestation,            (1979)
                                                                                                     nymphomania, constant       
                                                                                                     estrus, decreased 
                                                                                                     offspring weight, 
                                                                                                     juvenile 
                                                                                                     hyperestrogenism

    Pigc      Pubertal    16       Diet        (approx.    3, 6, 9    Throughout          0.12       Decreased breeding          Young & King 
              gilt                             0.12,                  gestation                      and live litters,           (1984)
                                               0.24,                                                 increased 
                                               0.36)                                                 pseudo-gestation,
                                                                                                     no swollen vulvas
                                                                                                     or abortions

    Table 3. (continued)
                                                                                                                                               

    Species   Age         No.      Route       Dose                   Duration            NOEL       Effects                     Reference
    (strain)                                                                              (mg/kg 
                                               mg/kg       mg/kg                          bw per 
                                               bw daya     feed                           day)
                                                                                                                                               

              Boar,       ?        Diet        (approx.    3, 6, 9    330 days            > 0.36     No effect on growth         Young & King
              30 days                          0.12,                                                 rate, libido, puberty,      (1984)
                                               0.24,                                                 or indications of 
                                               0.36)                                                 reduction in sperm 
                                                                                                     concentration, 
                                                                                                     testicular weight, 
                                                                                                     or epididymal weight

    Pig       Boar        4        Diet        (approx.               56 days             > 2        No effect on copulatory     Ruhr et al.
                                               0.02,                                                 behaviour or male           (1983)
                                               0.2, 2)                                               reproduction

    Pig       Young       3        Gelatin     5, 10,                 1 day               > 5        Swollen and inflamed        Farnworth &
              male and             capsules    15                                                    vulvas, decreased           Trenholm 
              female                                                                                 adrenal weights             (1983)

    Pig       Young       9        Diet        (1.2)       30         Various             < 1.2      Precocious                  Vanyi & Szeky 
              male                                                                                   spermatogenesis,            (1980)
                                                                                                     damage to germinal 
                                                                                                     epithelium,
                                                                                                     interstitial-cell
                                                                                                     hyperplasia

    Pig       Pre-        24       Diet        (approx.    10         14 days             < 0.26     Reversible reduction        Green et al.
              pubertal                         0.26)                  (exposure ended                in serum                    (1990)
              female                                                  14 days before                 concentration of LH
                                                                      breeding)
                                                                      14 days before                 No effect on age
                                                                      breeding                       at puberty, number of
                                                                                                     corpora lutea or live
                                                                                                     fetuses, fetus weight,
                                                                                                     or fetus length

    Table 3. (continued)
                                                                                                                                               

    Species   Age         No.      Route       Dose                   Duration            NOEL       Effects                     Reference
    (strain)                                                                              (mg/kg 
                                               mg/kg       mg/kg                          bw per 
                                               bw daya     feed                           day)
                                                                                                                                               

    Pigc      Gilt        10       Diet        (0.01,      0.36,      122-144             0.02       Swollen and inflamed        Friend et al. 
                                               0.02,       0.47,      days                           vulvas                      (1990)
                                               0.05)       1.28

    Pig       Gilt        4        Diet        0.09        2.12       Day 30 of           > 0.09     No statistical              Yang et al. 
                                                                      gestation                      difference in weight        (1995)
                                                                      through                        at birth or weaning 
                                                                      weaning                        or ovarian, uterine, 
                                                                                                     or testicular weight
                                                                                                     in offspring. Increased
                                                                                                     age of F boars at first
                                                                                                     mount but no effect on
                                                                                                     precopulatory or
                                                                                                     copulatory behaviour

    Pig       Gilt        4        Diet        (approx.    108 mg/    4-5 days (2-6,      < approx.  Reduced incidence of        Long & 
                                               1.1)        animal     7-10, 11-15         1.1        gestaion and regressed      Diekman (1986)
                                                                      days t after                   corpora lutea after 
                                                                      mating)                        exposure on days 7-10,
                                                                                                     decreased LH on day 15
                                                                                                     and in prolactin on days
                                                                                                     10 and 15 after mating

    Pig       Sow         4        Diet        1                      4 days (days        < 1        Reduced frequency of        Diekman & 
                                                                      7-10 after                     spikes in LH secretion,     Long (1989)
                                                                      mating)                        reduced mean serum LH 
                                                                                                     and FSH, death of 
                                                                                                     blastocysts on days
                                                                                                     10-14

    Table 3. (continued)
                                                                                                                                               

    Species   Age         No.      Route       Dose                   Duration            NOEL       Effects                     Reference
    (strain)                                                                              (mg/kg 
                                               mg/kg       mg/kg                          bw per 
                                               bw daya     feed                           day)
                                                                                                                                               

    Pig       Sow         15       Diet        1                      4 days              < 1        Signs of degeneration       Long et al. 
                                                                      (days 7-10                     of blastocysts at day 11,   (1992)
                                                                      after                          advanced degeneration of
                                                                      mating)                        blastocysts at day 13. No
                                                                                                     changes in endometrium

    Pig       Gilt        10-15    Diet        (approx.    1, 5,      15 days             0.04       Reversible increase in      Edwards et al. 
                                               0.04,       10         (days 5-20                     length of estrous cycle     (1987a)
                                               0.2,                   of estrous                     and prolonged luteal
                                               0.4)                   cycle)                         maintenance

    Pig       Gilt        13-15    Diet        (approx.    10         30 days             < 0.4      Increased age at            Edwards et al. 
              (pre-                            0.4 ?)                                                first estrus                (1987b)
              pubertal)

    Pig       Sow         15-17    Diet        (approx.    10         14 days             < 0.4      Extended weaning to         Edwards et al. 
                                               0.4 ?)                 (before                        estrus interval, no         (1987b)
                                                                      weaning)                       effect on fertility, no
                                                                                                     sign of hyperestrogenism

    Pigb      Gilt (pre-  10       Diet        0.06        2 for 2    45 or 90            0.06       Vulvar swelling, younger    Rainey et al. 
              pubertal)            (added to               weeks,     days                           age at puberty, reduced     (1990)
                                   naturally               1.5                                       response to estradiol.
                                   infected                there-                                     No effect on body weight, 
                                   feed)                   after                                     conception rate, 
                                                                                                     ovulation rate, number
                                                                                                     of fetuses, or embryo 
                                                                                                     survival

    Table 3. (continued)
                                                                                                                                               

    Species   Age         No.      Route       Dose                   Duration            NOEL       Effects                     Reference
    (strain)                                                                              (mg/kg 
                                               mg/kg       mg/kg                          bw per 
                                               bw daya     feed                           day)
                                                                                                                                               

    Pigc      Gilt        6        Diet        (approx.    2.2, 22    9 (day 1            < 0.09     Small decrease in number    Kordic et al. 
                                               0.09,                  after mating                   of corpora lutea, number    (1992)
                                               0.88)                  to farrowing,                  of live  embryos, small 
                                                                      3 gilts in                     increase in stillborn 
                                                                      each group                     piglets, increased weight 
                                                                      killed at day                  of uterus; only the latter 
                                                                      26-27)                         effect at low dose (no
                                                                                                     statistical analysis)

    Sheep     Ewe         33       Oral        (0.03,      1.5, 3,    10 days (from       0.03       Reduced relative            Smith et al. 
                                               0.06,       6, 12,     day 7 in estrus                ovulation rate              (1990)
                                               0.11,       or 24      before mating)                 (pretreatment vs 
                                               0.23,       mg/animal                                 post-treatment), 
                                               0.45)                                                 considered irrelevant 
                                                                                                     by Committee
                                                                                          0.06       Increased duration of
                                                                                                     estrus, increased
                                                                                                     uterine weight 
                                                                                          0.11       Increased liver weight, 
                                                                                                     increased ovarian weight
                                                                                          0.23       Reduced incidence 
                                                                                                     of ovulation, reduced
                                                                                                     fertilization
                                                                                          0.45       No effect on live weight, 
                                                                                                     number of ovulating ewes 
                                                                                                     yielding ova, number of 
                                                                                                     ewes with ova yielding 
                                                                                                     fertilized ova

    Table 3. (continued)
                                                                                                                                               

    Species   Age         No.      Route       Dose                   Duration            NOEL       Effects                     Reference
    (strain)                                                                              (mg/kg 
                                               mg/kg       mg/kg                          bw per 
                                               bw daya     feed                           day)
                                                                                                                                               

    Sheep     Ewe         50       Oral        (0.03,      1.5, 3,    10 days (from       0.45       No effect on number of      Smith et al.
                                               0.06,       6, 12,     day 5 after                    ovulations, ovulation       (1990)
                                               0.11,       or 24      mating)                        rate, conception rate, 
                                               0.23,       mg/animal                                 incidence of gestation, 
                                               0.45)                                                 number of lambs born, 
                                                                                                     embryo or ova wastage

    Sheep     Ram         6        Diet                    12                                        No effect on volume of      Milano et al. 
                                                                                                     ejaculate or semen          (1991)
                                                                                                     concentration, motility, 
                                                                                                     or abnormalities

    Cattle    Bull        2        Diet (not               20         72 days                        Degeneration of germinal    Vanyi et al.
                                   purified)                                                         epithelium, 75% incidence   (1980)
                                                                                                     of sperm degeneration
                                                                                                                                               

    Updated from Kuiper-Goodman et al. (1987); LH, luteinizing hormone; FSH, follicle-stimulating hormone
    a In parentheses, estimated by the Committee on the basis of 1 mg/kg feed equivalent to 0.04 mg/kg bw per day
    b The feed was naturally infected and no information was given on possible occurrence of other mycotoxins.
    c The Committee noted the lack of details on the protocol, poor reporting, or poor experimental design.
    

         In blood, zearalenone and zearalanol bind to human sex
    hormone-binding globulin to some extent (Martin et al., 1978).

    2.2.7.2  Immune responses

          In vivo: Nine female B6C3F1 mice weighing 15-18 g were fed a
    diet supplemented with zearalenone at 10 mg/kg of diet (equivalent to
    1.5 mg/kg bw per day) for two weeks. After intravenous infection with
     Listeria monocytogenes, the splenic bacterial count showed an
    increasing trend on days 1 and 4 when compared with that in 11 control
    animals. No adverse effects were seen after eight weeks of feeding.
    The exposure did not affect the splenic plaque-forming response to
    sheep red blood cells or the delayed hypersensitivity response to
    keyhole haemocyanin after two or eight weeks (Pestka et al., 1987).

         Female B6C3F1 mice received zearalenone subcutaneously at a
    dose of 45 mg/kg bw, and 27 mice were then infected with 5 × 104
     L. monocytogenes cells. No difference in survival rate was seen in
    comparison with a group of 82 controls. When bacteria in the spleen
    were counted after intravenous infection with 104 cells (number of
    animals tested not given), no treatment-related differences were
    reported (Pung et al., 1984).

         When eight weanling female B6C3F1 mice were fed a diet
    supplemented with zearalenone at 10 mg/kg of diet (equivalent to 1.5
    mg/kg bw per day) for six weeks, no differences from 26 control
    animals were seen in the serum concentrations of immunoglobulins G, M,
    or A. Dietary administration of zearalenone had no effect on the
    leukocyte count or on differential lymphocyte, polymorphonuclear
    neutrophil, monocyte, or eosinophil counts (Forsell et al., 1986).

          In vitro: Zearalenone at a concentration of 13 µg/ml inhibited
    phytohaema-gglutinin-induced lymphocyte blastogenesis in human and PVG
    rat peripheral blood lymphocytes, as measured by the incorporation of
    [3H]thymidine into human lymphocytes, by 50%. To produce a similar
    reduction in rat cell cultures, a concentration of 2.5 µg/ml was
    required (Atkinson & Miller, 1984).

         Incorporation of [3H]thymidine into the DNA of human peripheral
    blood lymphocytes stimulated by phytohaemagglutinin was completely
    inhibited by exposure of the cells to zearalenone at 30 µg/ml.
    Exposure to 14 µg/ml inhibited DNA synthesis in mitogen-stimulated
    lymphocytes by 50%. No alteration in toxicity was observed when rat
    liver cells were present in the lymphocyte cultures (Cooray, 1984).

         The concentrations of zearalenone and four metabolites required
    to reduce [3H]thymidine uptake in mitogen-stimulated human
    lymphocytes by 50% were 3.5 µg/ml for zearalenone, 6.3 µg/ml for
    alpha-zearalenol, 36 µg/ml for beta-zearalenol, 3.8 µg/ml for
    alpha-zearalanol, and 33 µg/ml for beta-zearalanol. The results
    indicate that a keto group or an alpha-hydroxyl at position C-6
    contributes to the lymphotoxicity. The concentration of each analogue

    that caused a 50% reduction in [3H]thymidine uptake was similar for
    all mitogens tested (leukoagglutinin, concanavalin A, and pokeweed
    mitogen), suggesting that zearalenone and its metabolites can inhibit
    mitogen-induced proliferation by both B and T lymphocytes (Forsell &
    Pestka, 1985).

         In order to study the effect of zearalenone on interleukin (IL)
    production, T cells of the EL-4 murine thymoma cell line were
    stimulated with phorbol-2-myristate-13-acetate and exposed for five
    days to zearalenone or alpha-zearalenol at concentrations of 50, 500,
    1000, 5000, or 10 000 ng/ml. Control cells were exposed to the vehicle
    (ethanol) only. The production of IL-2 and IL-5 was significantly
    increased in the presence of zearalenone or alpha-zearalenol at 5000
    and 10 000 ng/ml. The two toxins did not affect cell proliferation or
    viability, as shown in the 3-(4,5-dimethylthiazol-2-yl)
    2,5-diphenyltetrazolium bromide cytotoxicity assay (Marin et al.,
    1996).

    2.2.5.3  Macromolecular binding

         Several DNA adducts were detected by 32P-postlabelling in
    female BALB/c mice treated intraperitoneally with a single dose of
    zearalenone at 2 mg/kg bw in olive oil. A total of 1340 adducts/109
    nucleotides were found in liver and 111 adducts/109 nucleotides in
    kidney. Co-administration of 4 mg/kg bw alpha-toco-pherol significantly
    decreased DNA adduct formation in liver and in kidney to 713 and 45
    adducts/109 nucleotides, respectively (Grosse et al., 1997).

         In weanling female Sprague-Dawley rats fed a diet containing
    zearalenone at 0.05 mg/kg (equivalent to 5 µg/kg bw) for three weeks,
    no DNA adducts were found by 32P-postlabelling in liver, kidney, or
    uterus DNA (Li et al., 1992). The Committee noted the very low dose of
    zearalenol used.

         When six-week-old female BALB/c mice were treated
    intraperitoneally or orally with zearalenone, 12-15 DNA adducts were
    found by 32P-postlabelling in the kidney and liver, at levels of 114
    ± 37 adducts/109 nucleotides in kidney and 1393 ± 324 adducts/109
    nucleotides in liver after intraperitoneal treatment and 548 ± 50
    adducts/109 nucleotides in liver, after oral treatment with a single
    dose of 2 mg/kg bw. Six DNA adducts were found in the ovary but only
    after repeated doses of 1 mg/kg bw on days 1, 5, 7, 9, and 10, with a
    total number of DNA adducts after 10 days of 17 ± 5 adducts/109
    nucleotides. Some adducts were common to all organs, while others were
    specific to one organ. In contrast, no DNA adducts were detected in
    the organs of male and female Sprague-Dawley rats after
    intraperitoneal treatment (no details given). The authors concluded
    that these results confirm the genotoxicity of zearalenone and its
    ability to induce hepatocellular adenomas rather than tumours of the
    genital organs in mice (Pfohl-Leszkowicz et al., 1995). The Committee
    disagreed, since the 32P-postlabelling method does not measure
    direct covalent DNA binding, and other (indirect) mechanisms of action
    may be involved.

    2.2.7.4  Genotoxicity of metabolites

         The results of studies of the genotoxicity of metabolites of
    zearalenone are summarized in Table 4.

    2.3  Observations in humans

         Zearalenone was measured in endometrial tissue from 49 women and
    found at a concentration of 48 ± 6.5 ng/ml in tissue from 27 women
    with endometrial adenocarcinoma, at 170 ± 18 ng/ml in tissue from 11
    women with endometrial hyperplasia, and at a concentration below the
    limit of detection in tissue from 11 women with normal proliferative
    endometrium. None was detected in eight samples of hyperplastic and
    five samples of neoplastic endometrial tissue (Tomaszewski et al.,
    1998).

         Zearalenone or zearalanol was suspected to be the causative agent
    in an epidemic of premature thelarche in girls aged six months to
    eight years which occurred in Puerto Rico between 1978 and 1981 (Sàenz
    de Rodriguez, 1984; Sàenz de Rodriguez et al., 1985), as these
    compounds were detected in blood plasma. The authors reported that
    homogenates of locally produced meat gave strong responses in a
    cytosol receptor assay with rat uterus, indicating the presence of
    substances that bind to estrogen receptors, although the United States
    Food and Drug Administration later failed to detect any of the
    estrogen growth promoters used in food (Anon., 1986). The involvement
    of natural sources of estrogenic compounds, such as some plant
    metabolites and mycotoxins, has not been ruled out. A statistically
    significant correlation was found between the pubertal changes and
    consumption of meat products and soya-based formula, but the
    associations explained only 50% of the investigated cases, and the
    authors suggested that better diagnosis and reporting or some
    unsuspected factor accounted for the reported increase in precocious
    pubertal changes (Freni-Titulaer et al., 1986).

         An increased incidence of early thelarche was also reported from
    southeastern Hungary, and zearalenone was found at concentrations of
    19-100 µg/ml in serum and in samples of foods that had been consumed
    by the patients (Szuetz et al., 1997); however, the report lacked
    detailed information.

    3.  OCCURRENCE AND INTAKE

         Few estimates of human exposure to zearalenone have been
    published. This section provides information on the concentrations in
    plant-based foods and animal tissues, estimates of human intake of
    zearalenone, and guidelines for modelling dietary exposure to this
    substance. Previous comprehensive reviews of publications on
    zearalenone include those of Sundlof & Strickland (1986),
    Kuiper-Goodman et al. (1987), and Krska (1999). Zearalenone is
    determined in foods by high-performance liquid chromatography,
    thin-layer chromatography, or gas chromatography with mass
    spectrometry.

         Sundlof & Strickland (1986) reviewed the literature on the
    presence of zearalenone and alpha-zearalanol in animal tissues to
    determine whether consumption of these products poses a threat to
    human health. They summarized studies on the concentrations of
    zearalenone in milk after exposure of cows to this compound, the
    concentrations of zearalenone in tissue from cattle implanted with
    alpha-zearalanol, and the concentrations of zearalenone in muscle and
    liver from chickens exposed to [14C]zearalenone. They concluded that
    milk is not a likely source of residues of zearalenone and that
    because chicken muscle contained few binding sites for this substance,
    the likelihood of human exposure to zearalenone residues due to
    consumption of chicken was minimal. Because eggs accumulate a
    zearalenone metabolite in yolks, the authors suggested that they might
    be a source of exposure.

         Kuiper-Goodman et al. (1987) reviewed the toxicology, chemistry,
    mycology, natural occurrence, and stability of zearalenone in plant
    and animal products and reported its occurrence in foods from 23
    countries, including Australia, China, Mexico, South Africa, and the
    United States and countries in northern Europe. The greatest
    contamination was found in corn and corn products. The dietary intake
    of young Canadian males was estimated on the basis of consumption of
    corn breakfast cereals and popcorn, and that of children aged 1-4
    years of age was estimated on the basis of consumption of corn
    breakfast cereals, popcorn, and milk.

         The most recent overview (Krska, 1999) covers the occurrence of
    zearalenone in foods, the dietary intake estimates of Kuiper-Goodman
    et al. (1987) in Canada, residues in animal products, the effects of
    contamination on trade, and efforts to control contamination. The
    highest prevalences of zearalenone are reported in Canada, central and
    northern Europe, and the United States, although its occurrence was
    also reported in foods in Egypt, Italy, New Zealand, South Africa, and
    South America. Zearalenone occurs in many agricultural products,
    including cereals, mixed feeds, rice, and corn silage. The reported
    prevalences and concentrations in cereals and mixed feed vary
    considerably. Zearalenone can occur concomitantly with the
    trichothecenes nivalenol and deoxynivalenol, since the three compounds
    are produced by the same  Fusarium spp.

         A considerable increase in the concentration of zearalenone was
    found after treatment of three cereal samples and one barley sample
    with ß-glucosidase, indicating the presence of glucosides (Gareis et
    al., 1990), and zearalenone sulfate was isolated from cultures of
     Fusarium spp. grown on rice (Plasencia & Mirocha, 1991). The
    significance of such conjugates of zearalenone in plants, which are
    not detected by routine analysis, is not known.

    3.1  Incidence and levels of contamination

         Table 5 gives published values for concentrations of zearalenone
    in grains, grain products, legumes, nuts and seeds, fruits and
    vegetables, spices and herbs, muscle and organ meats, milk, and
    miscellaneous products. Because the purpose of this section is to
    evaluate human dietary intake of zearalenone, Table 5 does not include
    concentrations in animal feed. The data in Table 5 have a number of
    limitations for estimating intake: Information on incidence is of
    little value when it is based on few samples and when the samples were
    not collected in a random fashion. If the samples were chosen
    specifically because the food was of inferior quality (i.e. mouldy,
    damaged, or off-colour), the incidence rates and concentrations of
    zearalenone are likely to be high, and if those concentrations are
    used to estimate dietary intake, it will be exaggerated. Another
    limitation is that the information on zearalenone is derived from
    studies in which different analytical methods were used
    (high-performance liquid chromatography, thin-layer chromatography, or
    gas chromatography with mass spectrometry), which have different
    limits of detection. The incidence of positive samples is related to
    the sensitivity of the method, since the more sensitive the method the
    lower the detection limit and the greater the probability of a
    positive reponse.

         The reported incidence rates and concentrations of zearalenone in
    grains and grain products vary according to type of grain and to
    climatic, harvest, and storage conditions. Corn and wheat appear to be
    the commodities of greatest concern with respect to zearalenone
    contamination; other cereal grains appear to be less contaminated and
    are less widely consumed. Of the 13 grains represented in Table 5, six
    (acha, amaranth, buckwheat, millet, semolina, and tritical) were
    mentioned in only one reference, whereas the data for oats, rice, rye,
    and sorghum come from 4-11 countries in 4-12 references, and barley
    (18 countries, 30 references), corn (26 countries, 43 references), and
    wheat (25 countries, 43 references) were the best covered. In general,
    the mean values for barley were quite low, those for wheat were
    generally low, and those for corn were variable.

         In most of the studies, it was not possible to determine if the
    grain crops were intended for human consumption or for animal feed.
    Thus, although the aim was to summarize information on human foods,
    some of the crops listed in Table 5 may not have been grown for that
    purpose. Since the authors of the papers did not distinguish between
    corn and maize, the two products are listed together under 'corn',
    although the term used in the references is given when it is of
    interest. The term 'sweet corn', yellow or white corn used as a
    vegetable in the USA, was used in one reference (Stoloff & Francis,
    1980). Another paper (Abbas et al., 1988) referred to 'dent' corn. The
    corn analysed in different countries may represent different
    cultivars, subspecies, or commercial classifications.


        Table 4. Results of assays for genotoxicity with metabolites of zearalenone
                                                                                                                           

    Metabolite            Test system         Test object              Concentration  Results         Reference
                                                                                                                           

    Zearalanola           Reverse mutation    S. typhimurium TA1538,   250 µg/plateb  Negativec       Bartholomew & Ryan
                                              TA98, TA100                                             (1980)

    Zearalanone           Reverse mutation    S. typhimurium TA1535,   50 µg/plateb   Negativec       Ingerowski et al.
                                              TA1537, TA1538, TA98,                                   (1981)
                                              TA100 

    Zearalanol            Reverse mutation    S. typhimurium TA1535,   250 µg/plateb  Negativec       Ingerowski et al.,
                                              TA1537, TA1538, TA98,                                   (1981)
                                              TA100

    Zearalanol            SOS chromotest      E. coli PQ37             106 mg/Lb      Negative        Scheutwinkel et al.
                                                                                                      (1986)

    Zearalanol            Gene mutation       B. subtilis H17, M45     Not reported   Positived       Scheutwinkel et al. 
                                              rec+/-                                                  (1986)

    Zearalanol            Sister chromatid    Chinese hamster          32 mg/Lb       Negative        Scheutwinkel et al.
                          exchange            V79 cells                                               (1986)

    alpha- and            SOS chromotest      E. coli PQ37             60 mg/Lb       Negative        Krivobok et al. 
    beta-Zearalenol                                                                                   (1987) 
    (1:1)

    Zearalenol-alphae     Gene mutation       B. subtilis H17, M45     100 µg/disc    Negative        Ueno & Kubota 
    Zearalenol-betae                          rec+/-                   100 µg/disc    Positive        (1976)
                                                                                                                           

    a  Specified as 'low and high melting point zearalanol'
    b  With and without metabolic activation
    c  Cytotoxic at 500 µg/plate
    d  M45rec- 3 mm, H17rec+ 0 mm growth inhibition
    e  According to Kuiper-Goodman et al. (1987), zearalenol-beta is alpha-zearalenol and zearalenol-alpha
       is beta-zearalenol

    Table 5. Concentrations of zearalenone in foods
                                                                                                                 

    Food               Geographical     Incidencea          Concentration           Reference
                       location                             (µg/kg or µg/L)b
                                        D/T       %         Mean       Range
                                                                                                                 

    Grains
    Acha (by season)   Nigeria                                                      Gbodi et al. (1986a)
      Dry, cold                         4/9       44        248        200-309      
      Dry, hot                          3/7       43        348        241-600      
      Humid, hot                        1/8       13        18                      
    Amaranth           Argentina                                                    Bresler et al. (1998)
    (by water
    activity)
      0.902                                                 0                       
      0.925                                                 1500                    
      0.950                                                 11 100                  
    Barley             Sweden           23/329    7         18                      Eriksen & Alexander (1998)
                       and Norway
    Barley, six        Southwest                  7-68      3-36       max, 311     Müller et al. (1997b)
    years              Germany
    Barley             Canada           3/210     1         13         4-21         Scott (1997) 
    Barley and         Uruguay          116/137   85        <100                    Pineiro et al. (1996a)
    malt
    Barley and         Uruguay          12/137    9                    100-200      Pineiro et al. (1996a)
    malt
    Barley and         Uruguay          8/137     6         > 200                   Pineiro et al. (1996a)
    malt
    Barley             Republic         0/30      0         0                       Ryu et al. (1996) 
                       of Korea
    Barley             Manitoba,        5/7       71        166        24-45        Usleber et al. (1996)
                       Canada
    Barley             Japan            7/17      41        4158       105-15 300   Yoshizawa & Jin (1995)
    Barley             Russian          0/NA      0         0                       Zakharova et al. (1995)
                       Federation
    Barley             Papua            0/3       0         0                       Yuwai et al. (1994)
                       New Guinea

    Table 5. (continued)
                                                                                                                 

    Food               Geographical     Incidencea          Concentration           Reference
                       location                             (µg/kg or µg/L)b        
                                        D/T       %         Mean       Range
                                                                                                                 
    Barley             Republic         20/39     51        287        40-1416      Kim et al. (1993)
                       of Korea
    Barley             Canada           41/180    26        Most                    Stratton et al. (1993) 
                                                            <  0.3 
    Barley             Japan            13/18     72        24         2-97         Tanaka et al. (1993)
    Barley
      Undergrade       Republic         10/37     27                                Park et al. (1992)
                       of Korea
      Husked           Republic                                        183-1416     Park et al. (1992)
                       of Korea
      Naked            Republic                                        40-1081      Park et al. (1992)
                       of Korea

    Barley             Finland          2/30      7         26         21-30        Hietaniemi & Kumpulainen 
      Importedc                         0/3       0         0                       (1991)
    Barley             New Zealand      15/85     18                   max, 170     Lauren et al. (1991)
    Barley             Germany          0/14      0         0                       Ranfft et al. (1990)
    Barley             Netherlands      6/6       100       7          4-9          Tanaka et al. (1990)
    Barley,            Netherlands      0/1       0         0                       Tanaka et al. (1990)
    pearled
    Barley             Bavaria,         24/46     52        24         max, 320     Gleissenthal et al. (1989)
                       Germany
    Barley             USA              1/1       100       < 19                    Bagneris et al. (1986)
    Barley             Japan                                                        Lee et al. (1986)
      Husked                            3/6       50                   1-2          
      Unhusked                          29/31     94        24         1-388        
    Barley malt        Japan            5/5       100       23         3-48         Lee at al. (1986)
    Barley             Taiwan,          2/4       50        19         16-22        Ueno et al. (1986)
                       China
    Barley             Republic                                                     Lee et al. (1985)
                       of Korea
      Polished                          0/6       0         0                       
      Unpolished                        21/28     75        110        0-1281       

    Table 5. (continued)
                                                                                                                 

    Food               Geographical     Incidencea          Concentration           Reference
                       location                             (µg/kg or µg/L)b        
                                        D/T       %         Mean       Range
                                                                                                                 
    Barley malt        Republic         4/4       100       19         2-36         Lee et al. (1985)
                       of Korea
    Barley             Japan                                                        Tanaka et al. (1985)
      Flour                             6/6       100       2          1-4          
      Pearled                           1/1       100       4                       
      Polished                          1/3       33        6                       
      Barley           Czechoslovakia             58                   61-261       Bartos & Matyas (1981)
    Barley             Western Canada   0/NA      0         0                       Prior (1976)
    Barley,            Scotland                                                     Gross & Robb (1975)
    stored
     <10 weeks                          0/NA      0         0                       
     12-51 weeks                        NA                             2100-26,500  
    Buckwheat          Beijing, C