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Apú N, Rommes F, Alvarado-Arias M, Méndez-Rivera M, Lizano-Fallas V. Endocrine-disrupting pesticide exposure relevant to reproductive health: a case study from Costa Rica. ENVIRONMENTAL MONITORING AND ASSESSMENT 2025; 197:559. [PMID: 40237939 PMCID: PMC12003610 DOI: 10.1007/s10661-025-14011-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/26/2025] [Accepted: 04/10/2025] [Indexed: 04/18/2025]
Abstract
Global pesticide use has increased significantly over the past decade, leading to greater exposure to contaminants and associated health risks. Endocrine-disrupting pesticides have gained attention due to their strong association with human reproductive impairments and rising global infertility rates. In Costa Rica, studies have reported reduced fertility among agricultural workers and a higher prevalence of male infertility in regions with intensive pesticide use. However, the prioritization of pesticides detected in human fluids, based on their potential impact on reproductive health, has not been conducted. Here, analyzing human biomonitoring studies in the country over the last 25 years, 13 pesticides were identified and prioritized. Mancozeb ranked highest (14.8%), followed by dieldrin (12.1%) and chlorothalonil (12.0%). Eight criteria were used for prioritization, with non-carcinogenic risk, reported reproductive effects, and endocrine disruptor classification as key factors. This comprehensive approach highlights how multiple criteria collectively inform pesticide prioritization in relation to reproductive health risks. The findings indicated that while Costa Rica is a regional leader in pesticide biomonitoring, significant gaps remain, including limited data on unstudied pesticides and general population exposures. Establishing robust biomonitoring programs and public health surveillance systems to generate updated data and support evidence-based prevention policies is recommended. Additionally, the results of this study provide a valuable framework for guiding future research on the potential effects of pesticide mixtures.
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Affiliation(s)
- Navilla Apú
- Instituto de Investigaciones Farmacéuticas (INIFAR), Facultad de Farmacia, Universidad de Costa Rica, San José, 2060, Costa Rica
- Centro de Investigación en Contaminación Ambiental (CICA), Universidad de Costa Rica, San José, 2060, Costa Rica
| | - François Rommes
- Département Agronomique, Haute Ėcole Charlemagne Huy, Huy, 4500, Belgium
| | - Maricruz Alvarado-Arias
- Centro de Investigación en Contaminación Ambiental (CICA), Universidad de Costa Rica, San José, 2060, Costa Rica
| | - Michael Méndez-Rivera
- Centro de Investigación en Contaminación Ambiental (CICA), Universidad de Costa Rica, San José, 2060, Costa Rica
| | - Verónica Lizano-Fallas
- Centro de Investigación en Contaminación Ambiental (CICA), Universidad de Costa Rica, San José, 2060, Costa Rica.
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Bustamante CM, Bravo N, Ruiz P, Grimalt JO, Garí M. Method optimization for a simultaneous determination of neonicotinoid, carbamate/thiocarbamate, triazole, organophosphate and pyrethroid pesticides and their metabolites in urine using UPLC-MS/MS. J Chromatogr A 2024; 1730:465054. [PMID: 38901297 DOI: 10.1016/j.chroma.2024.465054] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2024] [Revised: 06/03/2024] [Accepted: 06/04/2024] [Indexed: 06/22/2024]
Abstract
An accurate and sensitive method for the determination of a total of 23 pesticides and their metabolites in human urine has been optimised. The methodology is based on a previously published method based on solid-phase extraction with methanol and acetone followed by ultra-performance liquid chromatography coupled to tandem mass spectrometry (UPLC-MS/MS) in the selected reaction mode (SRM) with both positive and negative electrospray ionization (ESI+/-). The detection settings of the previous method, which allowed to determine the metabolites from 6 organophosphate and 2 pyrethroid pesticides, were optimised in order to include further pesticide groups, such as 11 neonicotinoids, 3 carbamates/thiocarbamates and 2 triazoles. The 5-windows method enduring 22 min was optimized with acceptable results in relation to accuracy (recoveries >75 %), precision (coefficients of variation <26 %) and linearity (R2> 0.9915). The limits of detection ranged between 0.012 ng/mL and 0.058 ng/mL. Samples from the German External Quality Assessment Scheme (G-EQUAS) encompassing 2 pyrethroids, 2 organophosphate and one neonicotinoid (6-chloronicotinic acid, a common metabolite of imidacloprid and acetamiprid) were analysed, and the latter, included in this newest optimization, provided good reference results. The method is optimal as a human biomonitoring tool for health risk assessment in large population surveys.
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Affiliation(s)
- Carolina M Bustamante
- Institute of Environmental Assessment and Water Research (IDAEA-CSIC), Barcelona, Catalonia, Spain; Faculty of Chemistry, Universitat de Barcelona (UB), Barcelona, Catalonia, Spain
| | - Natalia Bravo
- Institute of Environmental Assessment and Water Research (IDAEA-CSIC), Barcelona, Catalonia, Spain
| | - Paula Ruiz
- Institute of Environmental Assessment and Water Research (IDAEA-CSIC), Barcelona, Catalonia, Spain
| | - Joan O Grimalt
- Institute of Environmental Assessment and Water Research (IDAEA-CSIC), Barcelona, Catalonia, Spain
| | - Mercè Garí
- Institute of Environmental Assessment and Water Research (IDAEA-CSIC), Barcelona, Catalonia, Spain.
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Tamagno WA, Alves C, Pompermaier A, Veneral AL, Duarte Lampugnani JA, Reolon GK, Gil Barcellos LJ. Transfluthrin- and prallethrin-based insecticides elicit specific enzymatic antioxidant responses in different tissue of zebrafish. ENVIRONMENTAL POLLUTION (BARKING, ESSEX : 1987) 2023; 327:121530. [PMID: 37004863 DOI: 10.1016/j.envpol.2023.121530] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/16/2023] [Revised: 02/22/2023] [Accepted: 03/27/2023] [Indexed: 06/19/2023]
Abstract
Pyrethroids prallethrin (P-BI) and transfluthrin (T-BI) are among the most commonly used molecules with insecticide action. These molecules comprise different formulations of insecticides largely used in household, agricultural, and animal production fields. However, the increased use of these molecules has led to concerns regarding their safety in animals and humans. Oxidative stress (OS) is believed to be easily established by xenobiotic contacts, such as pyrethroids. We aimed to evaluate and understand the impact of two household insecticides and two doses applied to different tissues of the antioxidant system of zebrafish (Danio rerio). We observed that the effect on the antioxidant system differed between tissues. The muscle was the most affected tissue in the body, the antioxidant enzymes were activated, and a mechanism of non-enzymatic antioxidants was activated; however, it could still cause cellular damage. The observed effect on muscle may be related to the progression of neurodegenerative conditions. In addition, in the brain, these compounds can inactivate the first line of enzymatic antioxidant defense, which is compensated for by the second line, avoiding cellular damage. Ultimately, the gill tissue did not appear to suffer lipid damage, but heme group formation was largely affected by the compounds.
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Affiliation(s)
- Wagner Antonio Tamagno
- Graduate Program in Pharmacology, Universidade Federal de Santa Maria Roraima, 1000, Cidade Universitária, Camobi, Santa Maria, RS, 97105-900, Brazil; Biochemistry and Molecular Biology Laboratory, Rosilene Rodrigues Kaizer, Federal Institute of Education, Science and Technology of Rio Grande do Sul, Campus Sertão, ERS 135, km 25, Eng. English, RS, 99170-000, Brazil.
| | - Carla Alves
- Biochemistry and Molecular Biology Laboratory, Rosilene Rodrigues Kaizer, Federal Institute of Education, Science and Technology of Rio Grande do Sul, Campus Sertão, ERS 135, km 25, Eng. English, RS, 99170-000, Brazil.
| | - Aline Pompermaier
- Graduate Program in Bioexperimentation Universidade de Passo Fundo, BR 285, São José, Passo Fundo, RS, 99052-900, Brazil.
| | - André Luis Veneral
- Graduate Program in Bioexperimentation Universidade de Passo Fundo, BR 285, São José, Passo Fundo, RS, 99052-900, Brazil.
| | - João Antônio Duarte Lampugnani
- Graduate Program in Bioexperimentation Universidade de Passo Fundo, BR 285, São José, Passo Fundo, RS, 99052-900, Brazil.
| | - Gustavo Kellermann Reolon
- Biochemistry and Molecular Biology Laboratory, Rosilene Rodrigues Kaizer, Federal Institute of Education, Science and Technology of Rio Grande do Sul, Campus Sertão, ERS 135, km 25, Eng. English, RS, 99170-000, Brazil.
| | - Leonardo José Gil Barcellos
- Graduate Program in Pharmacology, Universidade Federal de Santa Maria Roraima, 1000, Cidade Universitária, Camobi, Santa Maria, RS, 97105-900, Brazil; Graduate Program in Bioexperimentation Universidade de Passo Fundo, BR 285, São José, Passo Fundo, RS, 99052-900, Brazil.
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Rodriguez PM, Ondarza PM, Miglioranza KSB, Ramirez CL, Vera B, Muntaner C, Guiñazú NL. Pesticides exposure in pregnant Argentinian women: Potential relations with the residence areas and the anthropometric neonate parameters. CHEMOSPHERE 2023; 332:138790. [PMID: 37142107 DOI: 10.1016/j.chemosphere.2023.138790] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/19/2023] [Revised: 04/15/2023] [Accepted: 04/24/2023] [Indexed: 05/06/2023]
Abstract
Intrauterine environment is the first chemical exposure scenario in life, through transplacental transfer. In this study, the aim was to determine concentrations of organochlorine pesticides (OCPs) and selected current use pesticides in the placentas of pregnant women from Argentina. Socio-demographic information, the mother's lifestyle and neonatal characteristics were also analysed and related to pesticides residue concentrations. Thus, 85 placentas were collected at birth, from an area of intensive fruit production for the international market, in Patagonia Argentina. Concentrations of 23 pesticides including, trifluralin (herbicide), the fungicides chlorothalonil and HCB, and the insecticides chlorpyrifos, HCHs, endosulfans, DDTs, chlordanes, heptachlors, drins and metoxichlor, were determined by GC-ECD and GC-MS. Results were first analysed all together and then grouped by their residential settings, in urban and rural groups. Total mean pesticide concentration was 582.6 ± 1034.4 ng/g lw, where DDTs (325.9 ± 950.3 ng/g lw) and chlorpyrifos (188.4 ± 365.4 ng/g lw) showed a high contribution. Pesticide levels found exceeded those reported in low, middle and high income countries from Europe, Asia and Africa. In general, pesticides concentrations were not associated with neonatal anthropometric parameters. When the results were analysed by residence place, significantly higher concentrations of total pesticides and chlorpyrifos (Mann Whitney test p = 0.0003 and p = 0.032, respectively) were observed in placentas collected from mothers living in rural settings compared to urban areas. Rural pregnant women presented the highest pesticide burden (5.9 μg), where DDTs and chlorpyrifos were the major constituents. These results suggested that all pregnant women are highly exposed to complex pesticide mixtures, including banned OCPs and the widely used chlorpyrifos. Based on the pesticide concentrations found, our results warn of possible health impacts from prenatal exposure through transplacental transfer. This is one of the first reports of both chlorpyrifos and chlorothalonil concentrations in placental tissue, and contributes to the knowledge of current pesticide exposure in Argentina.
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Affiliation(s)
- Piuque M Rodriguez
- Centro de Investigaciones en Toxicología Ambiental y Agrobiotecnología Del Comahue (CITAAC), Consejo Nacional de Investigaciones Científicas y Tecnológicas (CONICET), Universidad Nacional Del Comahue, Buenos Aires 1400, Neuquén, 8300, Argentina
| | - Paola M Ondarza
- Laboratorio de Ecotoxicología y Contaminación Ambiental, Instituto de Investigaciones Marinas y Costeras (IIMyC), Facultad de Ciencias Exactas y Naturales, Universidad Nacional de Mar Del Plata-CONICET, Dean Funes 3350, Mar Del Plata, 7600, Argentina.
| | - Karina S B Miglioranza
- Laboratorio de Ecotoxicología y Contaminación Ambiental, Instituto de Investigaciones Marinas y Costeras (IIMyC), Facultad de Ciencias Exactas y Naturales, Universidad Nacional de Mar Del Plata-CONICET, Dean Funes 3350, Mar Del Plata, 7600, Argentina
| | - Critina L Ramirez
- Departamento de Química y Bioquímica, Facultad de Ciencias Exactas y Naturales, Universidad Nacional de Mar Del Plata-CONICET, Dean Funes 3350, Mar Del Plata, 7600, Argentina
| | - Berta Vera
- Centro de Investigaciones en Toxicología Ambiental y Agrobiotecnología Del Comahue (CITAAC), Consejo Nacional de Investigaciones Científicas y Tecnológicas (CONICET), Universidad Nacional Del Comahue, Buenos Aires 1400, Neuquén, 8300, Argentina; Facultad de Medicina, Universidad Nacional Del Comahue, Los Arrayanes y Av. Toschi, Cipolletti, 8324, Río Negro, Argentina
| | - Celeste Muntaner
- Facultad de Medicina, Universidad Nacional Del Comahue, Los Arrayanes y Av. Toschi, Cipolletti, 8324, Río Negro, Argentina
| | - Natalia L Guiñazú
- Centro de Investigaciones en Toxicología Ambiental y Agrobiotecnología Del Comahue (CITAAC), Consejo Nacional de Investigaciones Científicas y Tecnológicas (CONICET), Universidad Nacional Del Comahue, Buenos Aires 1400, Neuquén, 8300, Argentina; Departamento de Ciencias Del Ambiente, Facultad de Ciencias Del Ambiente y la Salud, Universidad Nacional Del Comahue, Buenos Aires 1400, Neuquén, 8300, Argentina
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Bravo N, Garí M, Grimalt JO. Occupational and residential exposures to organophosphate and pyrethroid pesticides in a rural setting. ENVIRONMENTAL RESEARCH 2022; 214:114186. [PMID: 36030920 DOI: 10.1016/j.envres.2022.114186] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/25/2022] [Revised: 08/01/2022] [Accepted: 08/19/2022] [Indexed: 06/15/2023]
Abstract
Organophosphate (OP) and pyrethroid pesticides (PYR) are extensively used in agriculture, resulting in higher exposures among farmworkers. The present study reports the occurrence of 8 urinary OP and PYR metabolites in a sample of farmworkers and residents from Sucs (n = 87), a rural township in North West Catalonia (Spain). The aim of the present study was to examine differences in urinary pesticide metabolite concentrations between occupationally-exposed (farmworkers; n = 45) and environmentally-exposed subjects (n = 42) and to assess the relationship between pesticide's exposures and occupational activities in a real-case scenario. Six OP and two PYR metabolites have been investigated, urine samples were extracted using SPE extraction and analyzed by UPLC-MS/MS. Three OP metabolites were commonly detectable in urine, namely TCPY (metabolite of chlorpyrifos), PNP (parathion) and DEAMPY (pirimiphos). Regarding pyrethroids, the two analyzed metabolites, 3-PBA and 4F-3-PBA, were detected in a high proportion of urine samples. Differences in concentrations between both groups were statistically significant for TCPY and 4F-3-PBA (Mann-Whitney U Test for independent groups, p < 0.05). In the case of TCPY, the concentrations were higher among the farmworkers, which is consistent with their occupational activity. The small differences found in DEAMPY, PNP, 3-PBA or even the significant higher concentrations of 4F-3-PBA among rural population suggest a general exposure to these compounds, even in those who do not carry an occupational activity. Specific personal protective equipment (PPE) among farmworkers, such as the use of gloves and mask during mixing, showed a decrease in the exposure levels, although the differences were not statistically significant. However, a positive association was found between the use of a cap during mixing (for PNP and 3-PBA) and during application (only for 3-PBA). However, this piece of cloth is mainly used for sun protection, and when not cleaned after the handling of pesticides, it might represent a continuous source of exposure through dermal contact. Farmworkers using tractors with cabin had statistically significant lower concentrations of DEAMPY than those using a tractor without cabin. The previous results suggest that occupational protections should be encouraged among farmworkers and other potential workers handling with pesticides.
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Affiliation(s)
- Natalia Bravo
- Institute of Environmental Assessment and Water Research (IDAEA-CSIC), Department of Environmental Chemistry, Jordi Girona, 18, 08034, Barcelona, Catalonia, Spain
| | - Mercè Garí
- Institute of Environmental Assessment and Water Research (IDAEA-CSIC), Department of Environmental Chemistry, Jordi Girona, 18, 08034, Barcelona, Catalonia, Spain.
| | - Joan O Grimalt
- Institute of Environmental Assessment and Water Research (IDAEA-CSIC), Department of Environmental Chemistry, Jordi Girona, 18, 08034, Barcelona, Catalonia, Spain
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Fu H, Tan P, Wang R, Li S, Liu H, Yang Y, Wu Z. Advances in organophosphorus pesticides pollution: Current status and challenges in ecotoxicological, sustainable agriculture, and degradation strategies. JOURNAL OF HAZARDOUS MATERIALS 2022; 424:127494. [PMID: 34687999 DOI: 10.1016/j.jhazmat.2021.127494] [Citation(s) in RCA: 145] [Impact Index Per Article: 48.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/26/2021] [Revised: 10/05/2021] [Accepted: 10/09/2021] [Indexed: 06/13/2023]
Abstract
Organophosphorus pesticides (OPPs) are one of the most widely used types of pesticide that play an important role in the production process due to their effects on preventing pathogen infection and increasing yield. However, in the early development and application of OPPs, their toxicological effects and the issue of environmental pollution were not considered. With the long-term overuse of OPPs, their hazards to the ecological environment (including soil and water) and animal health have attracted increasing attention. Therefore, this review first clarified the classification, characteristics, applications of various OPPs, and the government's restriction requirements on various OPPs. Second, the toxicological effects and metabolic mechanisms of OPPs and their metabolites were introduced in organisms. Finally, the existing methods of degrading OPPs were summarized, and the challenges and further addressing strategy of OPPs in the sustainable development of agriculture, the environment, and ecology were prospected. However, methods to solve the environmental and ecological problems caused by OPPs from the three aspects of use source, use process, and degradation methods were proposed, which provided a theoretical basis for addressing the stability of the ecological environment and improving the structure of the pesticide industry in the future.
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Affiliation(s)
- Huiyang Fu
- State Key Laboratory of Animal Nutrition, Department of Animal Nutrition and Feed Science, China Agricultural University, Beijing 100193, China
| | - Peng Tan
- State Key Laboratory of Animal Nutrition, Department of Animal Nutrition and Feed Science, China Agricultural University, Beijing 100193, China
| | - Renjie Wang
- State Key Laboratory of Animal Nutrition, Department of Animal Nutrition and Feed Science, China Agricultural University, Beijing 100193, China
| | - Senlin Li
- State Key Laboratory of Animal Nutrition, Department of Animal Nutrition and Feed Science, China Agricultural University, Beijing 100193, China
| | - Haozhen Liu
- State Key Laboratory of Animal Nutrition, Department of Animal Nutrition and Feed Science, China Agricultural University, Beijing 100193, China
| | - Ying Yang
- State Key Laboratory of Animal Nutrition, Department of Animal Nutrition and Feed Science, China Agricultural University, Beijing 100193, China.
| | - Zhenlong Wu
- State Key Laboratory of Animal Nutrition, Department of Animal Nutrition and Feed Science, China Agricultural University, Beijing 100193, China; Beijing Advanced Innovation Center for Food Nutrition and Human Health, China Agricultural University, Beijing 100193, China.
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Filippi I, Lucero P, Bonansea RI, Lerda D, Butinof M, Fernandez RA, Wunderlin DA, Amé MV, Muñoz SE. Validation of exposure indexes to pesticides through the analysis of exposure and effect biomarkers in ground pesticide applicators from Argentina. Heliyon 2021; 7:e07921. [PMID: 34522813 PMCID: PMC8427256 DOI: 10.1016/j.heliyon.2021.e07921] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2021] [Revised: 08/18/2021] [Accepted: 08/31/2021] [Indexed: 11/01/2022] Open
Abstract
The characterization of the population exposed to pesticides and the use of effective biomarkers to evaluate potential health effects are determinant to identify vulnerable groups, understanding the causality of diverse pathologies and propose prevention policies. This is particularly important in countries where intensive agricultural practices had an explosive expansion in last decades. The aim of this study was assessing the usefulness of two exposure indexes questionnaire-based: Intensity Level of the pesticide Exposure (ILE) and Cumulative Exposure Index (CEI) and their scales, in terrestrial applicators of pesticide from the Province of Córdoba (Argentina). The analysis was performed contrasting ILE and CEI results with perceived symptomatology, in addition to effect and exposure biomarkers. A cross-sectional study was designed to compare pesticides body burdens and effect biomarkers between subjects occupationally (OE) and non-occupationally exposed (NOE) to pesticides. Prevalence of perceived symptomatology and genotoxicity damage was higher in the OE group. The exposure condition was the only variable explaining these differences. Significant associations were found between CEI and neurologic symptomatology (p < 0.05) and between ILE and plasmatic cholinesterase (p < 0.1). However, residues of HCB, β-HCH, α-endosulfan, pp'DDE, endrin, β-endosulfan, pp'DDT, endosulfan sulfate and mirex were found in blood samples from both groups. To our knowledge, this is the first report on pesticides body burdens in occupational exposure settings in Argentina. So far, our current results indicate that the occupational condition affects the health of the workers. Significant associations found between symptomatology and biomarkers with scales of CEI and ILE suggest their usefulness to verify different levels of exposure. Further research is necessary to propose these indexes as an affordable tool for occupational health surveillance in areas with difficult access to health care centres.
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Affiliation(s)
- Iohanna Filippi
- CIBICI: Centro de Investigaciones en Bioquímica Clínica e Inmunología, CONICET and Universidad Nacional de Córdoba, Facultad de Ciencias Químicas, Dpto. Bioquímica Clínica, Ciudad Universitaria, Medina Allende esq. Haya de La Torre, 5000, Córdoba, Argentina
| | - Patricia Lucero
- Centro de Excelencia en Productos y Procesos de Córdoba (CEPROCOR), X5164, Córdoba, Argentina
| | - Rocio I. Bonansea
- ICYTAC: Instituto de Ciencia y Tecnología de Alimentos Córdoba, CONICET and Universidad Nacional de Córdoba, Facultad de Ciencias Químicas, Dpto. Química Orgánica, Ciudad Universitaria, 5000, Córdoba, Argentina
| | - Daniel Lerda
- Facultad de Ciencias de la Salud, Universidad Católica de Córdoba, 5000, Córdoba, Argentina
| | - Mariana Butinof
- Escuela de Nutrición, Facultad de Ciencias Médicas, Universidad Nacional de Córdoba, 5000, Córdoba, Argentina
| | - Ricardo A. Fernandez
- Facultad de Ciencias de la Salud, Universidad Católica de Córdoba, 5000, Córdoba, Argentina
| | - Daniel A. Wunderlin
- ICYTAC: Instituto de Ciencia y Tecnología de Alimentos Córdoba, CONICET and Universidad Nacional de Córdoba, Facultad de Ciencias Químicas, Dpto. Química Orgánica, Ciudad Universitaria, 5000, Córdoba, Argentina
| | - María V. Amé
- CIBICI: Centro de Investigaciones en Bioquímica Clínica e Inmunología, CONICET and Universidad Nacional de Córdoba, Facultad de Ciencias Químicas, Dpto. Bioquímica Clínica, Ciudad Universitaria, Medina Allende esq. Haya de La Torre, 5000, Córdoba, Argentina
| | - Sonia E. Muñoz
- INICSA: Instituto de Investigaciones en Ciencias de la Salud, CONICET and Universidad Nacional de Córdoba, Facultad de Ciencias Médicas, Ciudad Universitaria, 5000, Córdoba, Argentina
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