PMID- 28686224 OWN - NLM STAT- MEDLINE DCOM- 20180322 LR - 20231112 IS - 2072-6643 (Electronic) IS - 2072-6643 (Linking) VI - 9 IP - 7 DP - 2017 Jul 7 TI - A Balanced Risk-Benefit Analysis to Determine Human Risks Associated with Pyrrolizidine Alkaloids (PA)-The Case of Tea and Herbal Infusions. LID - 10.3390/nu9070717 [doi] LID - 717 AB - Humans are exposed to pyrrolizidine alkaloids (PA) through different sources, mainly from contaminated foodstuff. Teas and herbal infusions (T&HI) can be contaminated by PA producing weed. PA can possess toxic, mutagenic, genotoxic, and carcinogenic properties. Thus, possible health risks for the general population are under debate. There is a strong safety record for T&HI and additionally epidemiological evidence for the preventive effects of regular tea consumption on cardiovascular events and certain types of cancer. There is no epidemiological evidence, however, for human risks of regular low dose PA exposure. Recommended regulatory PA-threshold values are based on experimental data only, accepting big uncertainties. If a general risk exists through PA contaminated T&HI, it must be small compared to other frequently accepted risks of daily living and the proven health effects of T&HI. Decision making should be based on a balanced riskbenefit analysis. Based on analyses of the scientific data currently available, it is concluded that the benefits of drinking T&HI clearly outweigh the negligible health risk of possible PA contamination. At the same time, manufacturers must continue their efforts to secure good product quality and to be transparent on their measures of quality control and risk communication. FAU - Habs, Michael AU - Habs M AD - Faculty of Medicine, LMU-University of Munich, 80333 Munich, Germany. info@michael-habs.de. FAU - Binder, Karin AU - Binder K AD - Didactics of Mathematics, University of Regensburg, 93053 Regensburg, Germany. Karin.Binder@mathematik.uni-regensburg.de. FAU - Krauss, Stefan AU - Krauss S AD - Didactics of Mathematics, University of Regensburg, 93053 Regensburg, Germany. stefan1.krauss@mathematik.uni-regensburg.de. FAU - Muller, Karolina AU - Muller K AD - Centre for Clinical Studies, University Hospital Regensburg, 93042 Regensburg, Germany. Karolina.Mueller@ukr.de. FAU - Ernst, Brigitte AU - Ernst B AD - General Medicine Unit, University Hospital Regensburg, 93053 Regensburg, Germany. dr.b.ernst@t-online.de. FAU - Valentini, Luzia AU - Valentini L AD - Institute of Evidence-based Dietetics, University of Applied Sciences Neubrandenburg, 17033 Neubrandenburg, Germany. valentini@hs-nb.de. FAU - Koller, Michael AU - Koller M AD - Centre for Clinical Studies, University Hospital Regensburg, 93042 Regensburg, Germany. michael.koller@ukr.de. LA - eng PT - Journal Article PT - Review DEP - 20170707 PL - Switzerland TA - Nutrients JT - Nutrients JID - 101521595 RN - 0 (Pyrrolizidine Alkaloids) RN - 0 (Tea) RN - 0 (Teas, Herbal) SB - IM MH - Cardiovascular Diseases/prevention & control MH - Food Contamination/*analysis MH - Health Promotion MH - Humans MH - Neoplasms/prevention & control MH - Pyrrolizidine Alkaloids/*adverse effects/*analysis/toxicity MH - *Risk Assessment MH - Risk Factors MH - Tea/*chemistry MH - Teas, Herbal/*analysis PMC - PMC5537832 OTO - NOTNLM OT - pyrrolizidine alkaloids (PA) OT - risk-benefit analysis OT - tea and herbal infusions COIS- The authors declare no conflict of interest. EDAT- 2017/07/08 06:00 MHDA- 2018/03/23 06:00 PMCR- 2017/07/01 CRDT- 2017/07/08 06:00 PHST- 2017/05/29 00:00 [received] PHST- 2017/06/28 00:00 [revised] PHST- 2017/07/03 00:00 [accepted] PHST- 2017/07/08 06:00 [entrez] PHST- 2017/07/08 06:00 [pubmed] PHST- 2018/03/23 06:00 [medline] PHST- 2017/07/01 00:00 [pmc-release] AID - nu9070717 [pii] AID - nutrients-09-00717 [pii] AID - 10.3390/nu9070717 [doi] PST - epublish SO - Nutrients. 2017 Jul 7;9(7):717. doi: 10.3390/nu9070717.