Heavy metal content and molecular species identification in canned tuna: Insights into human food safety

  • Authors:
    • Anna Maria Pappalardo
    • Chiara Copat
    • Venera Ferrito
    • Alfina Grasso
    • Margherita Ferrante
  • View Affiliations

  • Published online on: March 24, 2017     https://doi.org/10.3892/mmr.2017.6376
  • Pages: 3430-3437
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Abstract

Canned tuna in olive oil and in brine of the most popular brands sold in Italian markets were analyzed to verify the authentication of transformed products, with the aim to unveil commercial frauds due to the substitutions of high value species with species of low commercial value, and to assess the health risk of consumers related to cadmium (Cd), lead (Pb) and mercury (Hg) contents. Species authentication was evaluated with amplification of COI DNA barcode and confirmed the declared species. Among tested metals, Hg had the highest concentrations, followed by Cd and Pb. None of the tested samples surpassed the European regulatory limits no. 1881/2006 fixed for Hg and Pb, whereas one batch of canned tuna in olive oil exceeded standard for Cd. Risk for human health was evaluated by the metals daily intake and target hazard quotient (THQ). As a result, Cd and Pb did not exceed the toxicological reference values established by World Health Organization (WHO) and the Environmental Protection Agency (EPA). Conversely, Hg content suggests a consumption no more than once a week and a continuous surveillance of this fishery products for consumer protection.

Introduction

Bioaccumulation and biomagnification of pollutants are considered the major threats to human and ecosystem health (14). In particular, heavy metals can be readily assimilated and bioaccumulated in organisms inducing a potential risk to human health by consuming contaminated food (5).

Since 2002, food safety is a major concern of the European Union (EU) member states and protecting consumers' health with independent scientific advice on the food chain is the main objective of the EFSA strategy 2020 (6). For this reason, studies dealing with risks and benefits of seafood consumption related to the presence of toxic chemicals in fish, are growing (711).

Due to their place in the food chain, the large predatory fish, such as swordfish and tuna, are considered the main source of human exposure to metals. A large part of the scientific literature, dealing with health risk linked to the consumption of fish in the world, endorses this statement focusing, for example, on levels of toxic metals in fresh and canned tuna (1215). In Europe, limits for contaminants in foodstuffs are established by the Commission Regulation (EC) no. 1881/2006 of December 19, 2006, setting maximum levels for lead (Pb), cadmium (Cd), and mercury (Hg) (Pb in muscle meat of fish must not exceed 0.30 mg/kg wet weight (w.w.); Cd and Hg must not exceed 0.10 and 1.0 mg/kg w.w., respectively, in Thunnus species, Euthynnus species and Katsuwonus pelamis).

Interspecific differences in metal concentrations exist due to the trophic level occupied by the fish, the region it inhabits, the size and the age of the fish. For example Thunnus albacares (Yellowfin tuna) from Taiwan contains level of heavy metals in the muscle highest than those detected in the same species from New Jersey; T. albacares from Reunion island, in the Western Indian Ocean, contains level of heavy metals highest than those detected in Katsuwonis pelamis from the same region (16). For these reasons, the EFSA Scientific Committee recommended to each country to consider its own pattern of fish consumption, especially the species of fish consumed, and carefully assess the risk of exceeding the tolerable daily intake (TWI), in particular, of methylmercury (17). Because of the expansion of the fish global market and the citizen awareness of the risks, a high and growing interest in the origin of seafood products has been triggered in consumers, who demand for food quality and safety assurance. In this context and because of the alarming levels of seafood mislabeling worldwide detected (1824), the accurate identification of fish species in transformed products is essential to verify food quality.

The reliability and sensitivity of species authentication through molecular biology techniques is widely acknowledged, especially when species lose the diagnostic morphological characters useful to recognize them, due to the industrial processing of food. The DNA barcoding methodology is currently used to identify species and a partial sequence of the mitochondrial gene cytochrome oxidase I (COI) referred to as a barcode sequence, has been widely used for fish species identification in transformed fishery products (2539). Of note, Lowenstein et al (40) used COI DNA barcode to identify tuna sushi samples analyzed for mercury to more accurately measure the health risk to consumers. Based on consideration above, the aims of the present work are: i) to authenticate tuna species via COI DNA barcode; ii) to evaluate the levels of heavy metals in samples of canned tuna of the most popular brands sold in Italy; iii) to assess which brands could pose a health risk to consumers.

Materials and methods

Sampling

A total of 5 brands of canned tuna in olive oil (coded from X1 to X5 in the tables) and 5 brands of canned tuna in brine (coded from X6 to X10 in the tables) packaged in metal cans, representing the most popular brands sold in Italy, were purchased from local markets during 2015 and 2016. Sampling was repeated three times to analyze three different batches of the same brand. A total of 30 canned tuna were processed, stored in laboratory at −80°C until analysis.

DNA analysis

For each brand three samples were chosen randomly and processed to investigate the presence of multiple species in the product. The canned tissue samples were washed, at least three times, in Milli-Q water (Q-Gard® 1, Merck Millipore, Darmstadt, Germany) and then preserved in 95% ethanol (J.T. Baker, Deventer, Netherlands). Total genomic DNA was extracted using DNeasy tissue extraction kit (Qiagen) following the manufacturer's protocol. All PCR amplifications were carried out using the primers FishF1 and FishR1 described in Ward et al (35) and following the methodology detailed in Pappalardo and Ferrito (33). Sequences were carefully checked and deposited in GenBank (http://www.ncbi.nlm.nih.gov/genbank/). The chromatograms obtained were edited using BioEdit v7.0.8 (Ibis Biosciences, Carlsbad, CA, USA) (41) to generate a consensus sequence for each specimen. The DNA sequences were aligned using the ClustalX (42) tool in the MEGA v5.0 software (Society for Molecular Biology and Evolution, Oxford, UK) (43). A COI reference library of six tuna species sequences from GenBank (Thunnus albacares, KT211348; Katsuwonus pelamis, KJ968132; Thunnus thynnus, KT352985; Thunnus obesus, KP975908; Thunnus alalunga, KC501691; Euthynnus alletteratus, KJ709729) and 27 sequences from processed samples were used to build a Maximum Likelihood tree in MEGA v 5.0 using Tamura Nei model. Evaluation of statistical confidence in nodes was based on 1,000 non-parametric bootstrap replicates (44). Ambiguous extremities of the sequences were trimmed after alignment.

Heavy metals analysis

Three aliquots of 0.5 g of each sample were weighted for metals extraction and quantification. As previously described in detail (10), the samples were acid digested in an Ethos TC microwave system (Milestone S.r.l, Bergamo, Italy). A digestion solution was prepared with 6 ml of 65% nitric acid (HNO3) (Carlo Erba, Milan, Italy) and 2 ml of 30% peroxide hydrogen (H2O2-Carlo Erba) over a 50 min, operation cycle at 200°C. After the cycle, at a temperature <25°C the vessels were opened and ultra-pure water (Merck Millipore, Bedford, MA, USA) was added to the samples up to 30 ml; an ICP-MS Elan-DRC-e (Perkin-Elmer, Norwalk, CT, USA) was used for metal quantification. Standards for the instrument calibration were prepared with mono element certified reference solution ICP Standard (Merck Millipore). Standard reference material Lake Superior fish 1946 NIST (NIST, Gaithersburg, MD, USA) was used to validate analysis. We obtained recoveries of 96.2, 94.1 and 89.4%, respectively, for Cd, Pb and Hg certified values. Pb reference value was not given in the certificate of analysis, thus we spiked 10 real samples in duplicate with 5 µg/l of each element to validate analysis, and the percentage of recovery ranged was of 110.6%. The method detection limits (MDL) estimated with 3σ of the procedure blanks were (mg/kg w.w.): Cd 0.003, Pb 0.001 and Hg 0.002.

Statistical analysis

Statistical analysis was performed with IBM SPSS 20.0 software (IBM SPSS, Armonk, NY, USA). Mann-Whitney U test for medians comparison between groups, canned tuna in olive oil and in brine, and between declared species, was applied.

Risk assessment for consumers

The daily intake and the risk assessment were calculated according to the equation reported in previous studies (4547).

EDI = MS×C/BW

THQ = (EF×ED×MS×C) / (RfDo×BW×AT)

Where EDI is the estimated daily intake and THQ is the target hazard quotient estimated per meal size (MS=120 g), corresponding to a whole packaged canned tuna. When THQ risk is above 1, systemic effects may occur, and it means that THQ is higher than the maximum permitted reference dose. The Environmental Protection Agency (EPA) for consumption limits calculation in adult population provides most of the variables as default values of the equations. In particular they are the following: BW is the body weight (adults, 70 kg); EF is the exposure frequency, or number of exposure events per year of exposure (365 days/year for people who eat fish seven times a week; 208 days/year for people who eat fish four times a week; 52 days/year for people who eat fish once a week); ED is the exposure duration (adults, 70 years); RfDo is the oral reference dose (µg/g/day); AT is the averaging time (it is equal to EF х ED), C is the metal concentration found in this study (expressed as µg/kg w.w. in EDI and as µg/g in THQ).

Values of the RfDo are provided by EPA's Integrated Risk Information System online database. If it was not available, we used the respective metal provisional tolerable daily intake (PTDI) provided by World Health Organization (WHO) for THQ calculation.

Results

COI DNA barcode

Unambiguously aligned sequences were obtained for 655–659 bp of the COI gene from 30 samples of tuna canned products. The three samples randomly chosen for each brand, yielded sequences belonging to the same species. No insertions, deletions or stop codons were observed. The lack of stop codons is consistent with all amplified sequences being functional mitochondrial COI sequences, along with the fact that all amplified sequences were of the same length. This suggests that NUMTs (nuclear DNA sequences originating from mitochondrial DNA sequences) were not sequenced [vertebrate NUMTS are generally smaller than 600 bp (48)].

The ML tree built using the 6 reference sequences and 27 COI sequences of tuna canned samples (Fig. 1), revealed that all sequences from brands labeled as yellowfin tuna clustered with the Thunnus albacares reference sequence; only four COI sequences out of five products labeled as skipjack tuna clustered with the Katsuwonis pelamis reference sequence. One sample out of ten products labeled as tuna yielded no amplification (Table I).

Table I.

Samples of canned tuna from Italian supermarkets included in this study.

Table I.

Samples of canned tuna from Italian supermarkets included in this study.

CodeCanned productDeclared speciesIdentified speciesGenBank acc. no.
X1Tuna in olive oilKatsuwonus pelamisKatsuwonus pelamisKY652762
X2Tuna in olive oilKatsuwonus pelamisKatsuwonus pelamisKY652763
X3Tuna in olive oilKatsuwonus pelamisKatsuwonus pelamisKY652764
X4Tuna in olive oilThunnus albacaresThunnus albacaresKY652765
X5Tuna in olive oilThunnus albacaresThunnus albacaresKY652766
X6Tuna in brineKatsuwonus pelamisKatsuwonus pelamisKY652767
X7Tuna in brineThunnus albacaresThunnus albacaresKY652768
X8Tuna in brineThunnus albacaresThunnus albacaresKY652769
X9Tuna in brineTuna spp.Not identified
X10Tuna in brineThunnus albacaresThunnus albacaresKY652770
Heavy metals

Ten brands of canned tuna were analyzed to detect concentrations of metals regulated by the EC no. 1881/2006 (Table II). We found mean concentration of Cd of all brands below the law limit of 0.10 mg/kg w.w., although one batch of the brand 1 in olive oil was over (0.13 mg/kg w.w.). Mean concentration of Pb was always found below the law limit (0.30 mg/kg w.w.), moreover, in 5 brands (X1, X2, X5, X6 and X9) Pb was found below the method detection limit. Regarding Hg, all the analyzed brands had Hg concentrations below the law limit (1.0 mg/kg w.w.), with a large range of concentrations, from 0.02 to 0.71 mg/kg w.w.), and highest values in canned tuna in brine X6 and X9 (Table II).

Table II.

Mean concentrations and standard deviations (SD) of Cd, Pb and Hg (mg/Kg wet weight) in canned tuna of different brands.

Table II.

Mean concentrations and standard deviations (SD) of Cd, Pb and Hg (mg/Kg wet weight) in canned tuna of different brands.

Cd (EU limit: 0.10 mg/Kg w.w.)Pb (EU limit: 0.30 mg/Kg w.w.)Hg (EU limit: 1 mg/Kg w.w.)



Canned tunaMeanSDMeanSDMeanSD
Olive oil
  X10.0600.062<0.001/0.2400.320
  X20.0200.006<0.001/0.0500.050
  X30.0300.0100.0100.0060.0500.053
  X40.0100.0150.0100.0060.1700.170
  X50.0100.006<0.001/0.2600.263
Brine
  X60.0300.029<0.001/0.2900.290
  X70.0100.0060.0100.0060.0600.060
  X8<0.0030.0060.0100.0060.0600.057
  X90.0100.0020.0200.0100.4800.480
  X10<0.0030.006<0.001/0.1500.150

Mann-Whitney U test did not highlight any significant differences in metal concentrations between canned tuna in olive oil and canned tuna in brine. Conversely, the comparison between species revealed significantly higher concentrations of Cd (p=0.001) in Katsuwonus pelamis than in Thunnus albacares (Fig. 2). The brand X9 to which belongs an undeclared species as well as an unidentified one was not included in this statistical test, but, as it can be seen in Table II, it has the highest value of Hg.

Exposure to daily intake, calculated supposing a meal size corresponding to a full package of canned tuna (120 g) revealed intake values for Pb and Cd significantly below the levels of risk for human consumption (Table III). The consumption of most of the brands analyzed, revealed high levels of Hg daily intake if compared with the RfD suggested by EPA for CH3Hg, conversely, Hg-EDI are very close to the threshold suggested by WHO for tHg.

Table III.

Exposure daily intake (EDI).

Table III.

Exposure daily intake (EDI).

Canned tunaPb EDICd EDIHg EDI
Olive oil
  X10.1030.411
  X20.0340.086
  X30.0020.0510.086
  X40.0020.0170.291
  X50.0050.446
Brine
  X60.0510.497
  X70.0020.0170.103
  X80.0020.0050.103
  X90.0170.0170.823
  X100.0050.257
EPA-RDo µg/kg-day/10.1a
WHO-PTDI3.570.8330.571

a EPA RDo for total mercury is not given, thus we considered that for methylmercury. Italicized text, THQ values above PTDI suggested by WHO.

Target Hazard Quotient (THQ) was calculated to evaluate the risk of chronic systemic effects due to the consumption of the chosen brands of canned tuna. Furthermore, we evaluated this health risk factor supposing a different exposure scenario. For each brand, we have calculated the THQ with three levels of exposure frequency. In detail, for seven, four and one meals per week (Table IV).

Table IV.

Target hazard quotient (THQ) calculated for Cd, Pb and Hg with different levels of exposure frequency (EF) of sampled brands.

Table IV.

Target hazard quotient (THQ) calculated for Cd, Pb and Hg with different levels of exposure frequency (EF) of sampled brands.

BrandsEF day/weekTHQ CdTHQ PbTHQ HgTHQ Hg
Olive oil
  X170.102/4.1140.721
40.058/2.3440.411
10.014/0.5860.103
  X270.034/0.8570.150
40.019/0.4880.086
10.004/0.1220.021
  X370.0510.00040.8570.150
40.0290.00020.4880.086
10.0070.00010.1220.021
  X470.0170.00042.9140.510
40.0090.00021.6600.291
10.0020.00010.4150.073
  X570.005/4.4570.781
40.002/2.5390.445
10.001/0.6340.111
Brine
  X670.051/4.9710.871
40.029/2.8330.496
10.007/0.7080.124
  X770.0170.00041.0280.180
40.0090.00020.5860.103
10.0020.00010.1460.026
  X870.0050.00041.0280.180
40.0020.00020.5860.103
10.0010.00010.1460.026
  X970.0170.00438.2281.441
40.0090.00244.6890.821
10.0020.00060.1720.205
  X1070.005/2.5710.450
40.002/1.4650.257
10.007/0.3660.064
RfD or PTDIRfD for CdPTDI for Pb and compoundsRfD for CH3HgPTDI for tHg
µg/kg-day13.570.10.571

We found the THQ always below the level of risk (THQ <1) both for Cd and Pb in all analyzed brands. The oral exposure to Hg derived by the ingestion of canned tuna is high for most of the selected brands, even if, as said before, the concentrations found are not over the law limit. Supposing that Hg found is 100% CH3Hg, a level of exposure of one meal per week could be protective against the toxic effect of CH3Hg for all the brands. Higher exposure than one meal per week could be at risk with the consumptions of brands X1, X4, X5, X6, X9 and X10. Only the brands X2 and X3 have Hg concentrations so low that they could be consumed even 7 times a week. Conversely, performing the THQ calculation by using the PTDI given by WHO for tHg, we found value higher than 1 in the brand X9 for a level of exposure of seven meals per week. The other brands, with the exception of the X2, X3, X7 and X8, for the same level of exposure, have values close to 1.

Discussion

The results obtained in this work deal with two main issues of food safety: the species authentication in transformed products, to unveil commercial frauds due to the substitutions of high value species with species of low commercial value, and the assessment of health risk to consumers related to the level of heavy metal contents in canned tuna in olive oil or in brine. The COI DNA barcode analysis revealed that nine out of ten of most popular commercial brands of tuna sold in Italy contain the species declared in the label, Thunnus albacares and Katsuwonis pelamis. Although appropriate species traceability and labeling is nowadays requested by laws, mislabeling is often difficult to demonstrate because more than one species is marketed under the same name.

The current list of trade names of fish species of commercial interest marketed in Italy (Italian Ministerial Decree - MD - of January 31, 2008 as further supplemented and amended by MD August 12, 2011 and December 23, 2010) includes ten tuna species. Three species (Euthynnus affinis, Euthynnus lineatus and Thunnus tonggol) are marketed as Indopacific tuna, while each of the remaining seven species are marketed under specific names and in particular these were yellowfin tuna for T. albacares and skipjack tuna for K. pelamis. These two species are the more common varieties used for preparation of canned tuna and the products studied by us were properly labeled. However, the canned tuna has high potential to be the target of intentional or unintentional mislabeling: for example striped bonito (Sarda orientalis) was found in products labeled as tongol tuna (Thunnus tonggol), a case of evident economic fraud (49). Studies by Lowenstein et al (50) uncovered pieces of tuna sushi to contain endangered species (protected under the Convention on International Trade in Endangered Species of Wild Fauna and Flora - CITES) such as the northern bluefin tuna (T. thynnus) and the southern bluefin tuna (T. maccoyii); they also found the escolar (Lepidocybium flavorunneum), banned for sale in Italy and Japan because it contains gempylotoxin causing digestive symptoms, sold as white tuna (T. albacore). The authentication of tuna species by DNA barcoding was also of paramount importance to relate the health risk to consumers to the content of heavy metals in tuna species (40).

Fish that is almost of the higher trophic level, such as tuna, would be considered unsafe for human consumption because to the bioaccumulation of contaminants up to the food chain. Heavy metals are known for their toxicity and because they can cause health risks in consumers through ingestion of contaminated foods (51). Although the outcomes of more recent monitoring studies have been different in that they stressed that the maximum levels set by regulations of the respective countries had been frequently exceeded, a food that exceeds the maximum food standard is not necessarily unfit for human consumption. Conversely, a food that does not exceed the maximum food standard could be unfit for human consumption: these limits are conservatively set for regulatory purpose and assume a worst-case scenario. For this reason it is important to evaluate the metal daily intake and the health risk during the lifetime, building different scenarios of food habits.

In the brands analyzed in this study, we found concentrations of Cd, Pb and Hg, almost within the limits set by the European Regulation, with the exception of one batch belonging to the brand X3, identified as K. pelamis. Overall, we did not find any significant differences in concentrations of metals between canned tuna processed in olive oil or in brine. K. pelamis was identified as the species with the highest Cd bioaccumulation values (p<0.01), with a mean value of 0.035 if compared with T. albacore where a mean value of 0.007 mg/kg was found. From a literature review, the concentrations of Cd we found, have comparable values to that of canned tuna distributed in other national and international markets (5256).

Some markets in Iran, Nigeria and Kingdom of Saudi Arabia revealed Cd concentrations of canned tuna significantly higher than the regulation followed in the European countries (57,58). In literature it is known that Cd is a very dangerous toxicant with adverse health effects after long-term oral exposure including kidney dysfunction, bone damage via oxidative stress (osteomalacia, osteoporosis, fractures) and nephrotoxicity (59). Moreover, it was classified as a human carcinogen, group I, by the International Agency for Research on Cancer (IARC) (60). Observed alterations of DNA, as consequences of Cd applications in experimental models of mammalian cell cultures, higher plants, and intact animals include decreased fidelity of DNA synthesis and DNA repair, gene mutations, and chromosomal abnormalities. However, Cd does not appear to possess significant genotoxic potential via the oral route (61). The Environmental Protection Agency (EPA) and the World Health Organization (WHO) suggest similar value of maximum daily intake (RfD=0.1 and PTDI=0.833 µg/kg-day, respectively) unlikely to cause adverse health effects. Our results related to the Cd-EDI and Cd-THQ revealed daily intake values largely below the recommended doses for each brands as well as THQ below the level of risk, supposing a consumption of canned tuna from one to seven portions of 120 g per week.

Regarding to Pb, concentrations found are unexpectedly lower than literature finding related to canned tuna (52,5458). Pollution of Pb is an environmental and public health hazard for its persistence and toxicity. To date, the introduction of unleaded petrol has progressively reduced its spread. Children are more susceptible to Pb than adults due to higher gastrointestinal uptake and the permeable blood-brain barrier (62). This leads to behavioral disturbances, learning and concentration difficulties, and diminished intellectual capacity. The pathogenic effect of Pb is multifactorial because it directly interrupts the activity of enzymes, competitively inhibits absorption of important trace minerals, and deactivates antioxidant sulfhydryl pools (63). Besides its ability to induce brain disorders, Pb may also cause hypertension, kidney damage, anemia, and negative effects on fertility (64). Pb compounds also cause genetic damage by several indirect mechanisms, including inhibition of DNA synthesis and repair, oxidative damage, and interaction with DNA-binding proteins and tumor-suppressor proteins and increase in frequency of chromosomal aberrations (65). Inorganic Pb compounds are classified as probably carcinogenic to humans (group 2A) by IARC (66).

WHO suggests for Pb a maximum provisional daily intake of 3.57 µg/kg-day, conversely EPA is reviewing the information, and RfD was not yet estimated. On the basis of concentrations found in the brands chosen for this study, surely, both the Pb-EDI and the Pb-THQ estimated are widely lower the level of risk.

Concentrations of Hg detected in our samples are of concern for human consumption, although below the threshold set by European regulation, as well as most of literature data on processed canned tuna around the world (5254,6770). It is recognized as the most deleterious pollutant with regard to both its effects on marine organisms and its potential hazard to humans. The most toxic chemical species of mercury is methylmercury, formed by bacterial methylation of inorganic mercury in aquatic sediment; it may cause permanent harm to the central nervous system, such as affecting normal neuronal development, behavioral disorders, and deficiencies in the immune systems (71). Prenatal life is more sensitive than adult life to the toxic effects of methylmercury. In the case of prenatal exposure, the effects of methylmercury seem to be quite different and of a much more general nature. It affects normal neuronal development, with altered brain architecture and decreased brain size.

Methylmercury may also exert an effect on cell division during critical stages in the formation of the central nervous system. Exposure to Hg in utero during pregnancy or in early childhood, in fact, is related to neurodevelopmental disorders such as dyslexia, attention deficit hyperactivity disorder, intellectual retardation, and autism (72). In adults, methylmercury has the potential to induce delayed neurotoxicity years after cessation of exposure or as a result of low-level exposure over a large portion of the life span (73). Its neurotoxicity includes symptoms such as excessive tremor, insomnia, fatigue, and various psychological disorders (64). The average daily intake of Hg from food is in the range of 2–20 µg (73), and seafood is recognized as the main source of methylmercury in the general population (74,75). This is also an important point for the food chain, as mercury increases in the upper level, ending up in the diet of humans. Maximum provisional daily intake suggested by EPA and WHO and considered for this study are different because EPA provides only the reference dose for methylmercury (CH3Hg) (0.1 µg/kg-day), instead WHO provides also the PTDI of total mercury (0.571 µg/kg-day). Our results highlighted lower value of EDI if compared with PTDI, but higher values if compared with the RfD, assuming the total amount we found as methylmercury. THQ is also of great concern, and overall, we would suggest a consumption of canned tuna with no more than two meals per week.

Overall, in all tested samples commercial fraud related to the identification of declared species were not recognized. Furthermore, none of the products surpassed the European regulatory limits no. 1881/2006 fixed for Hg and Pb, whereas one batch of canned tuna in olive oil exceeded standard for Cd. However, the data obtained clearly indicated that mercury exposure to human could be minimized if the consumption of tuna is limited to one meal per week. In addition, risk reduction should include a better risk communication to allow the understanding of the relationship among Hg and fish size, fish species, and trophic levels, to reduce the consumption of the number of higher predatory meals.

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Spandidos Publications style
Pappalardo AM, Copat C, Ferrito V, Grasso A and Ferrante M: Heavy metal content and molecular species identification in canned tuna: Insights into human food safety. Mol Med Rep 15: 3430-3437, 2017
APA
Pappalardo, A.M., Copat, C., Ferrito, V., Grasso, A., & Ferrante, M. (2017). Heavy metal content and molecular species identification in canned tuna: Insights into human food safety. Molecular Medicine Reports, 15, 3430-3437. https://doi.org/10.3892/mmr.2017.6376
MLA
Pappalardo, A. M., Copat, C., Ferrito, V., Grasso, A., Ferrante, M."Heavy metal content and molecular species identification in canned tuna: Insights into human food safety". Molecular Medicine Reports 15.5 (2017): 3430-3437.
Chicago
Pappalardo, A. M., Copat, C., Ferrito, V., Grasso, A., Ferrante, M."Heavy metal content and molecular species identification in canned tuna: Insights into human food safety". Molecular Medicine Reports 15, no. 5 (2017): 3430-3437. https://doi.org/10.3892/mmr.2017.6376