Ochratoxin A: A mycotoxin toxic to the kidneys and liver

Ochratoxin A (OTA)

What is ochratoxin A?

Ochratoxin A (OTA) is a common mycotoxin produced primarily by molds of the genera Aspergillus (particularly Aspergillus ochraceus) and Penicillium (especially Penicillium verrucosum).

Chemically, ochratoxin A is a chlorinated isocoumarin derivative linked to the amino acid L-phenylalanine. This structural feature allows OTA to interact with proteins in biological systems and interfere with their function.


Where is ochratoxin A found?

OTA can be detected in a wide variety of foods:

  • Grains and grain products (wheat, barley, rye, oats)
  • Coffee (green coffee and roasted coffee)
  • Wine and grape juice
  • Beer
  • Spices (e.g., paprika)
  • Nuts and dried fruits
  • Cocoa and chocolate
  • Pork (due to contaminated feed)

Penicillium verrucosum is a significant contaminant in grain storage, particularly in cooler, temperate climates.


Health Risks Associated with Ochratoxin A

Ochratoxin A is a potent nephrotoxin (kidney-damaging) and exhibits other toxicological properties:

Main Effects

  • Kidney damage (chronic nephropathy)
  • Liver toxicity
  • Immunosuppression
  • Neurotoxic effects
  • Teratogenic effects (harm to the unborn child)

Chronic exposure

  • Balkan Endemic Nephropathy (BEN) – a chronic kidney disease in Southeast Europe associated with OTA
  • Urothelial carcinomas (cancer of the urinary tract)
  • Impaired kidney function

The IARC classifies ochratoxin A as Group 2B (possibly carcinogenic to humans).


Special factors in coffee and wine

Coffee

OTA forms mainly during post-harvest processing:

  • Problem: Wet processing with insufficient drying
  • Critical phase: Storage of green coffee at high humidity
  • Roasting can reduce OTA by 10–30%

Wine

OTA can form during various stages of production:

  • Vineyard: Infection of the grapes (especially with Botrytis)
  • Storage: Contaminated barrels or inadequate hygiene
  • Fermentation: Can partially break down OTA (depending on yeast strains)