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      Lupin poisoning: a review

      systematic-review

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          Abstract

          Introduction

          Lupin beans are the seeds of plants from the Fabaceae family. These beans are rich in protein and used for human consumption for several millennia. Their popularity is still increasing. Some species produce beans with high alkaloid contents, specifically of spartaine and lupanine. Without proper processing, consuming these beans can result in lupin poisoning that causes anticholinergic syndrome. We systematically analyzed all case reports describing lupin poisoning in humans in order to define most observed clinical findings, treatment options and outcome.

          Methods

          We screened Pubmed and Google scholar for human case reports on lupin poisoning. Obtained full-text papers in any language were screened for eligibility. Demographics, time-to-symptoms, treatment and outcome were analyzed. Symptoms were categorized using the ICD11 classification.

          Results

          Twenty-seven case reports describing 33 patients were obtained. Poisoning occurred in all age groups and sexes equally. Most frequent symptoms were bilateral mydriasis (n = 25), xerostomia (n = 25), blurred vision (n = 17), lightheadedness (n = 14), weakness (n = 11). Onset of symptoms was typically within 60 min. In most cases no treatment was required, and symptoms resolved within 24 h after which patients were discharged. Two of four children in the cohort required ICU admission and one died.

          Discussion

          Lupin poisoning is rare and requires most often a conservative clinical approach. However, in children the effects are more severe than in adults. Frequency of lupin poisoning may rise due to increased popularity of the beans as an alternative protein source.

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          Most cited references41

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          The future of lupin as a protein crop in Europe

          Europe has become heavily dependent on soya bean imports, entailing trade agreements and quality standards that do not satisfy the European citizen’s expectations. White, yellow, and narrow-leafed lupins are native European legumes that can become true alternatives to soya bean, given their elevated and high-quality protein content, potential health benefits, suitability for sustainable production, and acceptability to consumers. Nevertheless, lupin cultivation in Europe remains largely insufficient to guarantee a steady supply to the food industry, which in turn must innovate to produce attractive lupin-based protein-rich foods. Here, we address different aspects of the food supply chain that should be considered for lupin exploitation as a high-value protein source. Advanced breeding techniques are needed to provide new lupin varieties for socio-economically and environmentally sustainable cultivation. Novel processes should be optimized to obtain high-quality, safe lupin protein ingredients, and marketable foods need to be developed and offered to consumers. With such an integrated strategy, lupins can be established as an alternative protein crop, capable of promoting socio-economic growth and environmental benefits in Europe.
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            White lupin (Lupinus albus L.)

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              Lupinus mutabilis: Composition, Uses, Toxicology, and Debittering

              Lupinus mutabilis has protein (32.0-52.6 g/100 g dry weight) and lipid (13.0-24.6 g/100 g dry weight) contents similar to soya bean (Glycine max). The Ω3, Ω6, and Ω9 contents are 1.9-3.0, 26.5-39.6, and 41.2-56.2 g/100 g lipid, respectively. Lupins can be used to fortify the protein content of pasta, bread, biscuits, salads, hamburgers, sausages, and can substitute milk and soya bean. Specific lupin protein concentrates or isolates display protein solubility (>90%), water-absorption capacity (4.5 g/g dry weight), oil-absorption capacity (3.98 g/g), emulsifying capacity (2000 mL of oil/g), emulsifying stability (100%, 60 hours), foaming capacity (2083%), foaming stability (78.8%, 36 hours), and least gelation concentration (6%), which are of industrial interest. Lupins contain bitter alkaloids. Preliminary studies on their toxicity suggest as lethal acute dose for infants and children 10 mg/kg bw and for adults 25 mg/kg bw. However, alkaloids can also have medical use for their hypocholesterolemic, antiarrhythmic, and immunosuppressive activity. Bitter lupins can be detoxified by biological, chemical, or aqueous processes. The shortest debittering process requires one hour. This review presents the nutritional composition of lupins, their uses (as food, medicine, and functional protein isolates), toxicology, and debittering process scenarios. It critically evaluates the data, infers conclusions, and makes suggestions for future research.

                Author and article information

                Contributors
                URI : https://loop.frontiersin.org/people/2632834/overviewRole: Role: Role: Role: Role: Role:
                Role: Role: Role: Role: Role:
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                URI : https://loop.frontiersin.org/people/10059/overviewRole: Role: Role: Role: Role:
                Journal
                Front Toxicol
                Front Toxicol
                Front. Toxicol.
                Frontiers in Toxicology
                Frontiers Media S.A.
                2673-3080
                09 April 2025
                2025
                : 7
                : 1547535
                Affiliations
                [1] 1 Department of Medical Physiology , Division of Heart and Lungs , University Medical Center Utrecht , Utrecht, Netherlands
                [2] 2 Honours Program CRU+ Bachelor , University Medical Center Utrecht , Utrecht, Netherlands
                Author notes

                Edited by: Sascha Rohn, Technical University of Berlin, Germany

                Reviewed by: Claude Lambre, Institut National de la Santé et de la Recherche Médicale (INSERM), France

                Biljana Arsic, University of Nis, Serbia

                *Correspondence: Marcel A. G. Van Der Heyden, m.a.g.vanderheyden@ 123456umcutrecht.nl
                [ † ]

                ORCID: Marcel A. G. Van Der Heyden, orcid.org/0000-0002-4225-7942

                [ ‡ ]

                These authors have contributed equally to this work

                Article
                1547535
                10.3389/ftox.2025.1547535
                12014556
                40270768
                b73f2a03-f0ea-4dca-b91e-7cd7ad0f86b8
                Copyright © 2025 Bloothooft, Cremers, Güven, Stoutjesdijk, Jiron, Wessel and Van Der Heyden.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 18 December 2024
                : 24 March 2025
                Funding
                The author(s) declare that no financial support was received for the research and/or publication of this article.
                Categories
                Toxicology
                Systematic Review
                Custom metadata
                Clinical Toxicology

                lupin,alkaloid,l. albus,l. mutabilis,anticholinergic syndrome,acs,poisoning,intoxication

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