Heterocyclic amines: occurrence and prevention in cooked food.

This article deals with the mutagenic heterocyclic amines, especially the aminoimidazoazaarenes family, isolated from cooked foods. The conditions which lead to their occurrence in foods are discussed. This formation primarily depends on the characteristics of the food, such as the type of the food and the presence of precursors, water, and lipids. Secondarily, it depends on the cooking modes where the temperature is considered to be the most important factor involved in their formation. As their formation during cooking represents a health risk, we present some ways and means to limit their formation by alternative cooking methods that tend to decrease heterocyclic amine concentrations in foods as they are implicated in cancer risks.

Food processing and other culinary preparations enable food products to be made edible, increase their appetizing appeal, and provide stability during storage. However, certain food processing procedures could have a negative impact on consumer health. This is the case for fried and grilled food. Ikeda et al. (1) have shown that populations that frequendy consume grilled fish, or even charred fish, have a high incidence of gastric cancers.
Since the 1960s, genetically toxic substances have been isolated from processed foods. Since then, many studies have identified these compounds and tested their genetic toxicity and carcinogenicity in animals in order to estimate the risks associated with these substances. The main compounds concerned are the nitrosamines, the polycyclic aromatic hydrocarbons (PAHs), the heterocyclic amines (HCAs), and certain products of the Maillard reaction.
The presence of heterocyclic amines has been shown by Sugimura and coworkers in 1977 (2). These authors determined that the mutagenic activity of grilled beef or fish as well as the activity found in smoke condensates is far greater than the activity attributed solely to the PAHs present in these food. The level of exposure to these HCAs seems to be about the same as that of the nitrosamines or benzo[a]pyrene (3).
Once metabolically activated, certain heterocyclic amines are among some of the most powerful mutagenic agents that have been detected up until now by the Ames test [Salmonella typhimurium TA 98,(4)]. They demonstrate mutagenic activity towards mammalian cells in culture and may cause chromosome aberrations in mouse cells (5,6). The first metabolic step in the hepatic activation is a microsomal oxidation of the exocyclic amino group, which is primarily catalyzed by cytochromes P450IA1 and especially P450IA2 (7). The N-hydroxyamino derivatives are further esterified to form more reactive species (8).
In humans, the initial activation step is thought to be N-oxidation by CYP1A2 (cytochrome P4501A2) (9). The Nhydroxy arylamine metabolite is O-acetylated in the liver or transported to the appropriate target organ where it is 0acetylated by the polymorphic N-acetyltransferase (NAT2) to form an arylamine-DNA adduct (10).
Heterocyclic amines have been shown capable of inducing organ tumors in mice, rats and monkeys (11)(12)(13)(14)(15)(16). In addition, their effects seem synergic (17,18). The sensitivity of the animal depends on the sex of the animal, females being more receptive than the males (19).
There are two major classes of genetically toxic heterocyclic amines present in foods: aminoimidazoazaarenes and carbolines.
This article discusses the conditions which lead to the formation of genetically toxic heterocyclic amines in food the ways in which their presence in food may be reduced, and why it is desirable to do so.

Genotoxic Heterocyclic Amines in Cooked Foods
Measuring the amount of HCAs in food is both difficult and delicate. Up until 1990, it was not possible to simultaneously quantify the different compounds present. This explains why most of the previous work studying the formation and the presence of these substances in foods has been conducted in an indirect manner, by measuring the amount of bacterial mutagenicity in socalled basic fractions (that is, fractions of samples containing HCAs). The species of bacteria used are relatively specific to HCAs, but the mutagenicity may be modified by other food constituents present within the test fractions (25). In an attempt to overcome this problem, some workers separate out the different components of the basic fractions using chromatography (high performance liquid chromatography, HPLC), before carrying out the test. In this way, comparable chromatographic profiles may be established. The respective roles played by the HCAs of the type IQ and those of the type non-IQ in the overall mutagenicity observed may be determined by treating the fractions with nitrites in an acid medium. This selective treatment inactivates the compounds of the type non-IQ (26).
The results obtained so far by studying mutagenicity may not be considered as definitive, especially as the most abundant amines found in terms of mass such as PhIP and 4'-OH PhIP in fried beef (27), show weak mutagenic activity in bacteria (4). The studies conducted using the Ames test are resumed here when no other equivalent study with identification of amines is available. However, quantitative assays on specific amines, and more recently on the totality of these genetically toxic substances found within specific foodstuffs have not, up until now, shown to be contradictory to previous results obtained by the observation of mutagenicity. HCAs are generated during heat treatment. The characteristics of the food and the type of heat treatment used determine their formation (28).
Review* Heterocyclic amines in cooked food Characteristics of the Food

Type of Food
The basic fractions obtained from protein rich foods show a higher level of mutagenicity than those fractions obtained from carbohydrate rich foods that have been submitted to the same heat treatments (22,29). Among protein rich foods, the formation of basic mutagenic compounds during heating varies greatly. The greatest mutagenic activity is seen in meat (beef, pork, lamb, and chicken), fish (30)(31)(32)(33)(34), beef extracts and the residues obtained after cooking meat (35,36), and beef flavors (3). Meat juices formed during cooking meat may contain an equivalent amount of mutagenic activity to that found in fried meat (36,38). A significant level of mutagenic activity is also found in commercial sauces and meat stocks. The mutagenic behavior seen here is probably due to the beef extract used for their preparation.
Milk, cheese, eggs, beans, some types of peas, and offal are only susceptible after severe treatment. The appearance of mutagenic activity is accompanied by a change of color or charring (56). For instance, in standard heat treatments of milk (pasteurization, sterilization, ultra high temperature, and spray dehydration) there is no mutagenic agent formation in the basic fractions (57). Only certain types of egg preparations exhibit mutagenic activity. For example, fried eggs with signs of charring or egg yolk oil that has been slightly charred, as in the preparation of ranyu, a Japanese dietetic food, show a high level of mutagenic activity (58,59).
The research conducted on carbohydrate-rich foods seems contradictory.
According to Taylor and coworkers (60), deep fry chips do not show mutagenic activity unless they become burned and are no longer edible. On the other hand, Spingarn et al. (29) have shown that potatoes fried in a frying pan under domestic conditions, toast, or oven cooked biscuits showed a significant level of mutagenic activity, albeit, very inferior to the activity observed in meat (61). However these mutagenic agents have not been clearly identified and their specificity towards the species of bacteria used is not as great as the specificity of mutagenic agents produced in meat. Hageman et al. (62), suggest that the mutagenic activity of deep fry chips is not due to the HCAs known, but due to other compounds. This has also been suggested recently by Knize and coworkers (23,24) concerning the mutagenic activity of foods derived from grain products, especially those with high gluten content. Gluten has been found to be quite mutagenic when heated (22). Preliminary data suggest that the mutagens may be HCAs, but they appear distinct in structure from the 18 previously described mutagens derived from cooked muscle meat products.

The Precursors ofALAs
The main precursors of the AIAs found in meat and fish are creatine/creatinine, free amino acids and sugars (63)(64)(65). The discovery that reducing sugars, amino acids, and creatine are AIA precursors led to speculation that the Maillard reaction plays an important role in the formation of these mutagens. Jagerstad et al. (63,65) have suggested that the amino-imidazo part of ALA compounds arises from creatine by cyclization to creatinine with water elimination. Strecker degradation products, such as pyridines or pyrazines formed in the Maillard reaction between hexose and amino acids, are believed to form the remainder of the molecule. Aldol condensation is thought to link the two parts "Temperatures are reported only when they were indicated by the authors.
together by means of a Strecker aldehyde. Another possible origin of AIA compounds is an initial aldol condensation of creatinine with formaldehyde or acetaldehyde, followed by the conjugation of pyridine or pyrazine (67). Lee et al. (68) have reported evidence for AIA formation in a model system of 2-methylpyridine, acetylformaldehyde, and creatinine. Creatine. It is well understood that the basis for the mutagenic activity of muscle meats is the presence of creatine stored in high concentration in these tissues (69). During heating, creatine is transformed into creatinine from which the imidazole part of AIA is formed (70,71). Higher processing temperatures lead to a more rapid decrease in creatine and increase in creatinine. Most of this conversion seems to occur in the first 40 min of processing (72). No correlation has been found between creatine or creatinine concentrations in different meats and formation of mutagenic activity (73).
It is therefore an essential precursor. There are many arguments to back up this hypothesis: adding creatine or creatinine to meat or fish during heat treatment leads to a net increase in the formation of mutagenic agents of the IQ type (64,74,75); protein-rich foods containing little or no creatine (cheese, tofu, beans, liver, kidney, shrimp, and plants) produce very few mutagenic agents (33,76); models systems containing creatine or creatinine generate AlAs (71,77); creatine has been demonstrated to form a part of the PhIP molecule by using radiolabeled creatine (74); and beef flavors with high creatine (1.5 mg/g) or creatinine (2 mg/g) levels exhibited higher mutagenic activities than did flavor with low levels of these compounds (37).
However, the amount of mutagenic agents formed during heat treatment are not always strictly related to the amount of creatine/creatinine present. This is why bonito or cooked tuna fish that have equivalent amounts of creatine/creatinine to certain other fish show higher levels of mutagenic agents of the IQ type. Other precursors probably exist (e.g., guanidine) (78). Amino acids. Studies carried out on model systems show that amino acids or short chain peptides are absolutely necessary for the formation ofAlAs (75). On the contrary to the addition of creatine/creatinine, the mutagenic profiles may change depending on the type of amino acid added. Also, the same mutagenic molecule may be produced by different amino acids: threonine, glycine, lysine, alanine and serine all lead to the formation, often simultaneously, of MeIQx and DiMeIQx (77). amino acid: threonine, glycine, lysine, and serine are among the precursors that result in the greatest amounts of mutagenic agents obtained in model systems (amino acid + sugar + creatine) (75).
When amino acids are added to meat extracts or minced meat before cooking, the results obtained are contradictory. Some studies have shown that certain amino acids lead to an increased yield of mutagenic agents (79,80) whereas Ashoor et al. (81) only obtained an increased mutagenicity with proline, that is, one out of 17 amino acids tested. There again, Jones and Weisburger (82) have shown that the addition of tryptophan or proline before cooking leads to an inhibition in the formation of mutagenic agents. According to these authors, this inhibition could be due to the aldehydes precursors of mutagenic agents that react preferentially with the nitrogen of the pyrrole group of these two amino acids rather than with the creatinine. Differences in the experimental conditions (type of meat, time and temperature, and cooking time) may be the reason for these observed differences.
The amino acids, indispensable precursors, seem to act in a qualitative manner on the formation of ALAs, but, on the quantitative side other factors seem to be more important. No AIAs are formed from amino acids incorporated in proteins (75).
Sugars. The presence of sugars is not strictly necessary for the formation of mutagenic agents (21). ALAs have been obtained in the absence of sugars or aldehydes in model systems using dry heat treatments. However, in liquid model systems their presence at particular concentrations is necessary. The maximum production of mutagenic agents is obtained using a level which is equivalent to half that of creatine or amino acids (20,83). On the other hand, when the quantity of sugar present is equal to or greater than that of these two reactants, the formation of mutagenic agents is greatly reduced: this has been shown for glucose (83), fructose, sucrose, and lactose (20). These data from liquid model systems confirm the work carried out on meat (75).
In addition, the amount of mutagenic agents produced depends on the sugar or the aldehyde used in these model systems. Thus, an optimal production of PhIP has been obtained using erthyrose and glyceraldehyde (84). Glucose has been shown to be incorporated in different HCAs (85). Fructose and ribose are more efficient than glucose (86). Sucrose and lactose also generate ALAs (20). Free sugars are probably not the only possible precursors. Under certain conditions, nucleic acids may induce the formation of PhIP (87).

Role ofWater and Lipids
As we have already seen, under certain conditions the HCAs may form in the total absence of water (79,88,89). During cooking, water soluble mutagenic agent precursors, migrate with the water towards the surface of the food where they are then exposed to the temperature required for the reactions leading to the formation of HCAs (79,90). The external surfaces of grilled meat show greater levels of mutagenic activity than the inner part where normally the center temperature is lower (91). The mutagenicity of foods may be greatly reduced by preventing the evaporation of water during cooking (33). Above an initial optimal level of water in the food, such as 40% for beef (92), mutagenic activity is also reduced, probably because of a dilution effect on the precursors.
The role played by intrinsic lipids in the development of mutagenic activity is not clear. However, they do seem to play an important role in the formation of HCAs. Most authors agree that there exists an optimum level of intrinsic lipids necessary for a maximum formation of mutagenic agents for Spingarn et al. (93). In the case of minced meat, this level is 10%. Not long after this, Barnes and Weisburger (94) found that in beef patties containing 11% or 25% of lipids after cooking, the amount of IQ produced is 4 times greater for the higher level of lipids. In the case of grilled beef, at 1800 or 240°C, a maximum mutagenicity was seen when the level of lipids reached 15% (95,96). The differences found for the optimum level of lipids is probably related to the differences in the experimental procedures used. Most studies investigating the influence of lipids on the formation of mutagens in meat systems have used the Ames test. The effects of fats might have been underestimated, since the Ames test is inhibited by long-chain fatty acids (94).
A number of hypotheses have been put forward in order to explain the role of lipids: some researchers believe that increasing the level of lipids up to the optimal value may favor the transfer of heat (97). Above this value, the reduction in the formation of mutagenic agents could be due either to a reduction in cooking time (98), or a dilution effect on the precursors (96,97). The addition of lipids to model systems increases the mutagenic activity and the yield of HCAs (99)(100)(101). For example, corn oil or olive oil added to model system containing creatine, glycine, and glucose dissolved in water, heated at 180°C for 30 min, almost doubled the yield of MeIQx compared to the yield without fat (101).

Modifying Factors of Mutagenic Activity and HCA Formation
A number of other food constituents are involved in the formation of HCAs.
Antioxidants, ascorbic acid (102,103), butylhydroxyanisol (BHA) (104), and certain concentrations of mixtures of tocopherols (76) show an inhibitory action, likewise for the inhibitors of nonenzymic browning. Sodium bisulfite for example, totally inhibits the formation of HCAs in canned foods when added at the level of 0.5% (102). Butylhydroxytoluene (BHT), on the other hand, promotes the formation of HCAs of the quinoxaline type (105).
In beef grilled in the presence of soya protein, chlorogenic acid, or cotton grain flour, a reduced mutagenic activity is seen (104,106). The inhibitory effect of the soya proteins might be related to the presence of phenolic compounds (107), or to its water binding capacity, leading to a higher water content in the cooked product with less transport of the precursors to the surface (28). Certain phenolic compounds more or less complex (tannic acid, quercetol, rutin, catechin, and propyl gallate) seem to reduce the amount of AaC formed during albumine pyrolysis (108). Recently, Weisburger and coworkers (109) showed that tea polyphenols may represent another approach to lower HCA formation.
In addition, flavones reduce the formation of mutagenic agents. This property may be explained by the reduced formation of certain products of the Maillard reaction that are precursors of HA formation (106). Flavones or flavonols that contain C5, C7 and C4' hydroxyl groups are potent inhibitors of P-450 enzyme activities induced by Aroclor 1254 (P450IA1 and P450IA2), and may potentially be useful as chemopreventive agents against HCA-induced mutagenesis or carcinogenesis (110). Other products of the Maillard reaction are inhibitors of HCA formation (111). The possible mechanisms of the antimutagenic effect of Maillard reaction products prepared from xylose and lysine to IQ has been suggested to be due to the interaction of this Maillard product with proximate metabolites of IQ to form inactive adducts and not to inhibit the activity of hepatic microsomal enzymes, direct reaction with intact IQ or interaction with DNA (112). The presence of iron increases the formation of mutagenic agents, and this increase is opposed by the addition of a chelating agent, EDTA The reactions leading to the formation of AIAs follow the classic laws of chemistry; that is, the formation of the mutagenic agents increases with the temperature and cooking time (31,32,113,114). Temperature is the most important of the two factors involved in formation of mutagenic agents. Most of the mutagenic activity measured by Ames test, can be accounted for by the known HCAs present in fried beef meat (43).
The onset of mutagenicity in meat and meat extracts was found at temperature of 1000C (41,91). The authors did not identify the mutagenic compounds. The mutagenic compounds began to form in meats and model systems at temperatures of 150°C or higher (20,70,72,115) and the concentrations of the AIAs increased with processing temperature (20,43,72,113).
At all processing temperatures, there was a time lag before AlAs could be detected (31,72,116). This lag could be related to the time required for the mixture or meat surface to reach 100-1 500C.
Mutagenic activity or AIA formation in muscle products or in model systems increased with processing time at 150°-175°C. However, at higher temperature (1900-2500C), the concentrations of HCAs increased during an initial time of processing and then decreased or plateaued (7,20,43,53).
The presence of carbolines in food is mainly observed after heat treatment involving high temperatures. Carbolines were not commonly found in the Western diet (21). But recently, Layton and coworkers (117) reported the dietary intake of a carboline (AaC) in commonly consumed foods as greater than MeIQx, DiMeIQx, and IQ. On the other hand, in this work, we address only the genotoxic compounds, but nongenotoxic compound production (harman, non-harman) is possible as well (118) and these substances can act as co-mutagens (119).

Types of Cooking and the Preparation of the Food
Generally speaking, the types of cooking that involve temperatures of around 100°C (boiling in water, steaming, stewing without previous browning, poaching, or braising) lead to a production of mutagenic agents that is too low to be quantifiable (92). Microwave ovens (not using a grill that may be added) do not lead to the formation of these mutagenic agents (41,(120)(121)(122)(123). No significant nutritional differences exist between foods prepared by conventional and microwave methods (124).
Microwave pretreatment has been proposed as a practical way to reduce fat and HCA content of fried ground beef (125). However, additional studies determining HCA reduction in other meat products and possible changes in taste and texture of the meat, need to be explored. In a recent work, Jonker and Til (126) reported that rodent diets cooked by microwave compared with those cooked conventionally resulted in no toxicity.
Cooking methods such as roasting and baking, which heat food by indirect convection, produce low or intermediate levels of mutagenic activity in most protein-rich foods (34,56,92,117). Cooking procedures that heat foods by radiative and conductive processes (grilling, frying) lead to an increased mutagenic activity (92). Reheating or keeping food warm does not alter the amount of mutagenic agents present (122). On the other hand, pretreatments such as freezing or steaming in preserved foods may lead to an increased formation during further preparations. These preliminary treatments 'bring about the destruction of cell walls, which could lead to the liberation of precursors (127).
The use of thickeners for sauces has little effect on the mutagenicity produced (36). High levels of mutagenic agents formed are found in the crust, cooking juices, residues left in the frying pan and the vapors given offin cooking (36,79).
Using fats (butter, margarine, or oils) in cooking greatly increases in the amounts of mutagenic agents formed when the temperatures are high (more than 200°C) (41,128,129).
The type of surface used for cooking (steel, aluminum, cast iron, teflon, enamel or ceramic) does not lead to any difference in the amount of mutagenic agents formed when the meat is subjected to the same length of cooking time (130).

Discussion
The concentrations of HCAs in cooked foods reported on Table 1 show that HCA formation during the cooking of food may represent a health risk. However, in our opinion, a real average of each HCA is difficult to determine because of incomplete information of their food concentrations. Generally, measurements concern only some of the HCAs and cooking conditions are not always clearly defined. Moreover, HCA studies had been done in specific countries and would probably not reflect worldwide cooking modes. In France, such studies are lacking.
To determine the human risk related to daily intake of HCAs, the same study should be conducted at the same time in several laboratories and in different countries, especially since food and drink is not the only source of exposure. Air, rain water, fire smoke, exhaust fumes, and cigarette smoke (131) as well as indoor pollution related to cooking and other preparation processes contain HCAs (132)(133)(134).
The western diet is considered to contain the highest levels ofAlAs (135). This is probably due to the abundance of meat in the diet that is cooked at temperatures above 200°C. However, the problem is worldwide: many studies carried out in a number of countries show that industrial or traditional (household) cooking lead to the generation of HCAs (37,54,123,(136)(137)(138).
Today, the relationship between diet and cancer is well established. Certain epidemiological studies have shown a high fecal mutagenicity in populations with a high risk of colorectal cancers (139,140).
The ingestion of fried foods (even with little or no fat added) has also been associated with other cancers such as pancreatic cancer (141) or urothelial cancer (142). The authors suggest that this association could be due the high level of formation of mutagenic agents during cooking. A close relationship between colorectal cancer and eating red meat as main food has been found (143) and the incidence of cancer could be dosely related to cooking modes (144,145). Eating well-done meat leads to a risk 3.5 times greater that seen on consuming rare meat (146). Also, a high level of risk is associated with the consumption of cooking juices from meat (141).
In parallel to epidemiological studies, experimental studies on animals have shown that even at small doses, the HCAs can induce the formation of adducts in the DNA within different organs such as the liver, the kidneys, the colon, and the stomach (146). Recently, Snyderwine et al. (147) showed a wide PhIP-DNA adduct distribution with an accumulation in certain monkey tissues.
The authors concluded that the presence of such adducts in nontarget organ (heart, aorta) might have toxicological consequences.
In rodents and monkeys, the HCAs have been shown to be carcinogenic (12, .148,149). In rats and mice, there are multiple target organs of HCAs. All compounds, except for PhIP (148,150) proved to be carcinogenic to the liver. PhIP, which is mostly excreted via the feces (151), induces a high incidence of.cancers of the colon and of the mammary glands in the rat (14,148).
In the case of MeIQx, the earlier in life that it is administered, the greater the DNA adduct formation (152). When MeIQx or PhIP were administrated to neonatal mice, they induced tumors with doses lower by 5000-10000 times than those that are effective in adults (153). Recently, a transplacental transfer of PhIP in pregnant rodents and from lactating animals to suckling pups (154,155) was reported. Furthermore, presence of DNA adducts in the tissues of pups suggest that this route of exposure may have a carcinogenic consequence to the newborn. PhIP from breast milk lactating rats undergoes metabolic activation in 5-day-old rat pups (156). These findings may have carcinogenic and toxicological implications for the offspring who breast-feed and consume a diet rich in cooked meat. According to Felton (157), it appears appropriate to examine human breast milk for HCAs and their metabolites.
It seems likely that human populations that consume large quantities of meat also ingest appreciable quantities of carcinogens of the HA type produced during the cooking. It is possible that the correlation between meat consumption and the incidence of colorectal cancers, mosdy related to fats and animal proteins (158), could at least partially be due to the ingestion of HCAs.
Modern knowledge in this field seems to culminate in the same line of arguments, but, no definite proof is available. Also, the metabolic capacities of HCAs differ from subject to subject and certain populations could cause groups to be at risk (159).
It is certain that the carcinogenic effect of these substances is modified (positively or negatively) by other substances present in food, but, more detailed studies need to be conducted. It therefore seems reasonable to limit the formation of these HCAs to which we are all exposed by frying, grilling, meat juices, residues, and cooking fumes. It is important to evacuate these cooking fumes, especially from restaurant and canteen kitchens in order to avoid the continuous exposure of the staff. The total elimination of exposure to HCAs from food sources is not realistic, but a reduction is possible. The easiest way to do this is to reduce the cooking temperature (100°-130°C). Ways to do this could be by consistently using cooking techniques such as water baths, cooking in water, steam cooking, loosely covering, or using microwave ovens.
Protein-rich foods of a muscular origin present high risks due to their composition and the typical ways in which they are prepared (grilling, frying, and roasting at high temperatures which leads to a high water loss). For these products, the modes of cooking previously cited are not always appreciated as they do not allow the same aromas to develop. In this case it would be preferential to adapt the traditional ways of cooking in order to limit the formation of HCAs. Although the mutagenic activity may be markedly decreased by frying at lower temperatures, there is obviously no pan temperature at which mutagenic activity is not formed (28).
For oven cooking, using a fan-heated oven or an oven with a covered heating element help avoid the formation of carcinogens related to grease spilling from the utensil onto the heat source. It is also possible to cover food in grease-proof paper. Precooking beef meat in a microwave has been suggested (90,123), draining away any meat juices formed (rich in precursors) before frying or traditional cooking. However, additional studies determining HA reduction in other meat products and possible changes in taste, texture, and nutritional content of the meat still need to be explored. When using a grill or barbecue, the food must be placed far enough from the heat source to avoid any contact with the flames. Using grills where the heat source is vertical is a good idea in order to avoid drops of fat dripping onto the wood or charcoal. These droplets, when exposed to high temperatures, are at the origin of fumes rich in carcinogens that eventually fall back onto the food. Generally speaking, eating charred food as well as using meat juices or residues for preparing sauces should be avoided. Cooking utensils should be covered to avoid water evaporation. Also, for industrial preparations of beef extracts or products based on meat, the different stages of concentration by evaporation must be closely controlled or eventually reconsidered.
These preventive methods concerning the formation of HCAs should also allow the limitation of the appearance of other newly formed, unwanted substances, (such as polycyclic aromatic hydrocarbons; (PAHs). However, the formation of HCAs often goes hand in hand with the formation of organoleptic qualities that are sought after. Strict prevention is possible if the consumer modifies not only his habits but also his tastes. But this does not correspond to contemporary tendencies, as shown by a recent American survey (160).
The use of inhibitors has been studied. For example, the incorporation of tryptophan or proline in a sauce for minced beef has been described by Jones and Weisburger (82). In our opinion, if this method allows AIA reduction, it would not prevent carboline formation (e.g., Trp-P1, Trp-P2) during overheating that may occur during house cooking because tryptophan is carboline precursor. In addition, AaC, MeIQx could be generated in high amounts.
The addition of glucose to meat before cooking is another possibility to limit mutagen formation. Adding small amounts of glucose favors the production of mutagenic agents, but in excess it plays a role of inhibitor (161). The fact that sugars in excess are able to limit the formation of mutagens could be exploited by the industrial field in certain meat products where carbohydrates are added to the recipe. However, studies are still needed to evaluate mutagen formation in meat products containing ingredients rich in starch and carbohydrates.
Using soya proteins and antioxidants (104,105) and the addition of flavones (162) are possible mutagen formation limiters. Cooking vegetables or fruits rich in flavones in conjunction with the meat allows a reduction in the mutagenicity. In vitro, the presence of an antimutagenic activities against HCAs in many fruits and vegetables has been demonstrated (163).
The intake of dietary fiber seems to be protective of colon cancer (164). A fiber supplementation in the form of whole wheat and oat fiber has been shown to decrease the mutagenicity in the feces of healthy volunteers (165). A binding capacity for some type of dietary fibers to mutagenic pyrolysates both in vitro and in vivo, has been observed (166)(167)(168)(169). Recently, wheat bran has been shown to bind to hydrophobic mutagen (MeIQx) in the diet and this binding can be enhanced after fermentation under colonic conditions (170).
Individuals who consume a typical diet with high meat and fat content have an elevated risk of colon cancer. There is however, epidemiological evidence that the consumption of cereals, fiber, and vegetables, especially cruciferous vegetables, has a protective effect against this cancer (171). A peroxidase activity, in vitro, has been found to be present in broccoli, cauliflower, green beans, and tomatoes which may contribute to the antimutagenic activities in these vegetables (163). These considerations, however, are speculative and should be regarded with great caution since knowledge about the identity of antimutagenic factors and reaction mechanisms is limited and there is a real need for in vivo investigations.
Another dietary factor that has been implicated in vitro and in vivo as having an effect of mutagenesis and carcinogenesis is the intake of milk products, in particular Review* Heterocyclic amines in cooked food fermented milk products. An antimutagenic effect of Lactobacillus acidophilus has been observed in the total fecal and urinary mutagen excretion of healthy subjects who consumed fried beef patties supplemented with L. acidophilus fermented milk (172). Recently, it has been shown that IQ compounds can be bound to bacteria from the normal intestinal microflora in vitro (173). These results can give rise to speculations regarding the value and the possibility of increasing the number of bacterial cells in the intestinal tracts of humans consuming fried food, by administration of bacterial cells. According to the authors, the intake of lactic acid producing strains appears to be the most appropriate.
In addition, another path to explore is the production of grilled or fried flavoring that would not contain AlAs. These may then be added to food that has been cooked at reduced temperatures.
To conclude, the contemporary risks linked to the ingestion of heterocyclic amines are not clearly defined, but all the authors agree that it is important to reduce the amounts of mutagenic agents and carcinogens formed during cooking by modifying the conditions used for heating. We do not think for our own sake, that it is reasonable to wait until the proof is available, as this could take a long time. The ideas provided in this article are easy to carry out, but, the ideas have to be implemented by consumers. This implies the collaboration of the medical core (doctors, nutritionists, and dieticians) in order to inform the consumers. At the time of submission of this manuscript, a paper has been published (174) which reports HCA formation in chicken using particular cooking methods, especially for PhIP at substantially higher levels than has been reported previously in red meat. Although the link between consumption of HCAs and excess cancer risk in humans has yet to be demonstrated, this paper reinforces our conclusions concerning necessary HCA prevention.