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Clausing RJ, Ben Gharbia H, Sdiri K, Sibat M, Rañada-Mestizo ML, Lavenu L, Hess P, Chinain M, Bottein MYD. Tissue Distribution and Metabolization of Ciguatoxins in an Herbivorous Fish following Experimental Dietary Exposure to Gambierdiscus polynesiensis. Mar Drugs 2023; 22:14. [PMID: 38248639 PMCID: PMC10817614 DOI: 10.3390/md22010014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2023] [Revised: 12/19/2023] [Accepted: 12/22/2023] [Indexed: 01/23/2024] Open
Abstract
Ciguatoxins (CTXs), potent neurotoxins produced by dinoflagellates of the genera Gambierdiscus and Fukuyoa, accumulate in commonly consumed fish species, causing human ciguatera poisoning. Field collections of Pacific reef fish reveal that consumed CTXs undergo oxidative biotransformations, resulting in numerous, often toxified analogs. Following our study showing rapid CTX accumulation in flesh of an herbivorous fish, we used the same laboratory model to examine the tissue distribution and metabolization of Pacific CTXs following long-term dietary exposure. Naso brevirostris consumed cells of Gambierdiscus polynesiensis in a gel food matrix over 16 weeks at a constant dose rate of 0.36 ng CTX3C equiv g-1 fish d-1. CTX toxicity determination of fish tissues showed CTX activity in all tissues of exposed fish (eight tissues plus the carcass), with the highest concentrations in the spleen. Muscle tissue retained the largest proportion of CTXs, with 44% of the total tissue burden. Moreover, relative to our previous study, we found that larger fish with slower growth rates assimilated a higher proportion of ingested toxin in their flesh (13% vs. 2%). Analysis of muscle extracts revealed the presence of CTX3C and CTX3B as well as a biotransformed product showing the m/z transitions of 2,3-dihydroxyCTX3C. This is the first experimental evidence of oxidative transformation of an algal CTX in a model consumer and known vector of CTX into the fish food web. These findings that the flesh intended for human consumption carries the majority of the toxin load, and that growth rates can influence the relationship between exposure and accumulation, have significant implications in risk assessment and the development of regulatory measures aimed at ensuring seafood safety.
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Affiliation(s)
- Rachel J. Clausing
- Dipartimento di Scienze della Terra dell’Ambiente e della Vita, Università degli Studi di Genova, 16132 Genova, Italy
- Department of Ecology and Evolutionary Biology, University of California, Los Angeles, CA 90095, USA
| | - Hela Ben Gharbia
- IAEA Marine Environment Laboratories, International Atomic Energy Agency, 98000 Monaco, Monaco; (H.B.G.); (K.S.); (L.L.)
| | - Khalil Sdiri
- IAEA Marine Environment Laboratories, International Atomic Energy Agency, 98000 Monaco, Monaco; (H.B.G.); (K.S.); (L.L.)
| | - Manoëlla Sibat
- Ifremer, ODE/PHYTOX/METALG, Rue de l’île d’Yeu, F-44300 Nantes, France; (M.S.); (P.H.)
| | - Ma. Llorina Rañada-Mestizo
- IAEA Collaborating Center on Harmful Algal Bloom (HAB) Studies, Chemistry Research Section, Department of Science and Technology, Philippine Nuclear Research Institute (DOST-PNRI), Diliman, Quezon City 1101, Philippines;
| | - Laura Lavenu
- IAEA Marine Environment Laboratories, International Atomic Energy Agency, 98000 Monaco, Monaco; (H.B.G.); (K.S.); (L.L.)
| | - Philipp Hess
- Ifremer, ODE/PHYTOX/METALG, Rue de l’île d’Yeu, F-44300 Nantes, France; (M.S.); (P.H.)
| | - Mireille Chinain
- Laboratoire des Biotoxines Marines, UMR 241 EIO, Institut Louis Malardé, BP 30, Papeete-Tahiti 98713, French Polynesia;
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Chinain M, Gatti Howell C, Roué M, Ung A, Henry K, Revel T, Cruchet P, Viallon J, Darius HT. Ciguatera poisoning in French Polynesia: A review of the distribution and toxicity of Gambierdiscus spp., and related impacts on food web components and human health. HARMFUL ALGAE 2023; 129:102525. [PMID: 37951623 DOI: 10.1016/j.hal.2023.102525] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/26/2023] [Revised: 09/26/2023] [Accepted: 10/07/2023] [Indexed: 11/14/2023]
Abstract
Ciguatera Poisoning (CP) is a seafood poisoning highly prevalent in French Polynesia. This illness results from the consumption of seafood contaminated with ciguatoxins (CTXs) produced by Gambierdiscus, a benthic dinoflagellate. Ciguatera significantly degrades the health and economic well-being of local communities largely dependent on reef fisheries for their subsistence. French Polynesia has been the site of rich and active CP research since the 1960's. The environmental, toxicological, and epidemiological data obtained in the frame of large-scale field surveys and a country-wide CP case reporting program conducted over the past three decades in the five island groups of French Polynesia are reviewed. Results show toxin production in Gambierdiscus in the natural environment may vary considerably at a temporal and spatial scale, and that several locales clearly represent Gambierdiscus spp. "biodiversity hotspots". Current data also suggest the "hot" species G. polynesiensis could be the primary source of CTXs in local ciguateric biotopes, pending formal confirmation. The prevalence of ciguatoxic fish and the CTX levels observed in several locales were remarkably high, with herbivores and omnivores often as toxic as carnivores. Results also confirm the strong local influence of Gambierdiscus spp. on the CTX toxin profiles characterized across multiple food web components including in CP-prone marine invertebrates. The statistics, obtained in the frame of a long-term epidemiological surveillance program established in 2007, point towards an apparent decline in the number of CP cases in French Polynesia as a whole; however, incidence rates remain dangerously high in some islands. Several of the challenges and opportunities, most notably those linked to the strong cultural ramifications of CP among local communities, that need to be considered to define effective risk management strategies are addressed.
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Affiliation(s)
- M Chinain
- Institut Louis Malardé (ILM), Laboratory of Marine Biotoxins, UMR 241-EIO (IFREMER, ILM, IRD, UPF), P.O. Box 30, Papeete, Tahiti 98713, French Polynesia.
| | - C Gatti Howell
- Institut Louis Malardé (ILM), Laboratory of Marine Biotoxins, UMR 241-EIO (IFREMER, ILM, IRD, UPF), P.O. Box 30, Papeete, Tahiti 98713, French Polynesia
| | - M Roué
- Institut de Recherche pour le Développement (IRD), UMR 241-EIO (IFREMER, ILM, IRD, UPF), P.O. Box 6570, Faa'a, Tahiti 98702, French Polynesia
| | - A Ung
- Institut Louis Malardé (ILM), Laboratory of Marine Biotoxins, UMR 241-EIO (IFREMER, ILM, IRD, UPF), P.O. Box 30, Papeete, Tahiti 98713, French Polynesia
| | - K Henry
- Institut Louis Malardé (ILM), Laboratory of Marine Biotoxins, UMR 241-EIO (IFREMER, ILM, IRD, UPF), P.O. Box 30, Papeete, Tahiti 98713, French Polynesia
| | - T Revel
- Institut Louis Malardé (ILM), Laboratory of Marine Biotoxins, UMR 241-EIO (IFREMER, ILM, IRD, UPF), P.O. Box 30, Papeete, Tahiti 98713, French Polynesia
| | - P Cruchet
- Institut Louis Malardé (ILM), Laboratory of Marine Biotoxins, UMR 241-EIO (IFREMER, ILM, IRD, UPF), P.O. Box 30, Papeete, Tahiti 98713, French Polynesia
| | - J Viallon
- Institut Louis Malardé (ILM), Laboratory of Marine Biotoxins, UMR 241-EIO (IFREMER, ILM, IRD, UPF), P.O. Box 30, Papeete, Tahiti 98713, French Polynesia
| | - H T Darius
- Institut Louis Malardé (ILM), Laboratory of Marine Biotoxins, UMR 241-EIO (IFREMER, ILM, IRD, UPF), P.O. Box 30, Papeete, Tahiti 98713, French Polynesia
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Local and Traditional Ecological Knowledge of Fish Poisoning in Fiji. Toxins (Basel) 2023; 15:toxins15030223. [PMID: 36977114 PMCID: PMC10051453 DOI: 10.3390/toxins15030223] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2023] [Revised: 02/21/2023] [Accepted: 03/06/2023] [Indexed: 03/19/2023] Open
Abstract
Fish poisoning (FP) affects human health, trade and livelihood in Fiji, where management has depended mainly on traditional ecological knowledge (TEK). This paper investigated and documented this TEK through a 2-day stakeholder workshop, group consultation, in-depth interviews, field observations, and analyses of survey data from the Ministry of Fisheries, Fiji. Six TEK topics were identified and classified as preventative and treatment options. The preventive approach involves identifying toxic reef fishes, the spawning season of edible seaworms, hotspot areas of toxic fishes, folk tests, and locating and removing toxic organs. For example, 34 reef fish species were identified as toxic. The FP season was associated with the spawning of balolo (edible seaworm) and the warmer months of October to April (cyclone seasons). Two well-known toxic hotspots associated with an abundance of bulewa (soft coral) were identified. Folk tests and locating and removing toxic fish organs are also practised for moray eels and pufferfish. At the same time, various locally available herbal plants are used to treat FP as the second line of defence. The TEK collated in this work can help local authorities better identify the sources of toxicity, and applying TEK preventive measures could stem the tide of fish poisoning in Fiji.
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Darius HT, Revel T, Viallon J, Sibat M, Cruchet P, Longo S, Hardison DR, Holland WC, Tester PA, Litaker RW, McCall JR, Hess P, Chinain M. Comparative Study on the Performance of Three Detection Methods for the Quantification of Pacific Ciguatoxins in French Polynesian Strains of Gambierdiscus polynesiensis. Mar Drugs 2022; 20:md20060348. [PMID: 35736151 PMCID: PMC9229625 DOI: 10.3390/md20060348] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2022] [Revised: 05/14/2022] [Accepted: 05/19/2022] [Indexed: 02/04/2023] Open
Abstract
Gambierdiscus and Fukuyoa dinoflagellates produce a suite of secondary metabolites, including ciguatoxins (CTXs), which bioaccumulate and are further biotransformed in fish and marine invertebrates, causing ciguatera poisoning when consumed by humans. This study is the first to compare the performance of the fluorescent receptor binding assay (fRBA), neuroblastoma cell-based assay (CBA-N2a), and liquid chromatography tandem mass spectrometry (LC-MS/MS) for the quantitative estimation of CTX contents in 30 samples, obtained from four French Polynesian strains of Gambierdiscus polynesiensis. fRBA was applied to Gambierdiscus matrix for the first time, and several parameters of the fRBA protocol were refined. Following liquid/liquid partitioning to separate CTXs from other algal compounds, the variability of CTX contents was estimated using these three methods in three independent experiments. All three assays were significantly correlated with each other, with the highest correlation coefficient (r2 = 0.841) found between fRBA and LC-MS/MS. The CBA-N2a was more sensitive than LC-MS/MS and fRBA, with all assays showing good repeatability. The combined use of fRBA and/or CBA-N2a for screening purposes and LC-MS/MS for confirmation purposes allows for efficient CTX evaluation in Gambierdiscus. These findings, which support future collaborative studies for the inter-laboratory validation of CTX detection methods, will help improve ciguatera risk assessment and management.
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Affiliation(s)
- Hélène Taiana Darius
- Institut Louis Malardé (ILM), Laboratory of Marine Biotoxins, UMR 241-EIO (IFREMER, ILM, IRD, Université de Polynésie Française), P.O. Box 30, Papeete 98713, French Polynesia; (T.R.); (J.V.); (P.C.); (S.L.); (M.C.)
- Correspondence: ; Tel.: +689-40-416-484
| | - Taina Revel
- Institut Louis Malardé (ILM), Laboratory of Marine Biotoxins, UMR 241-EIO (IFREMER, ILM, IRD, Université de Polynésie Française), P.O. Box 30, Papeete 98713, French Polynesia; (T.R.); (J.V.); (P.C.); (S.L.); (M.C.)
| | - Jérôme Viallon
- Institut Louis Malardé (ILM), Laboratory of Marine Biotoxins, UMR 241-EIO (IFREMER, ILM, IRD, Université de Polynésie Française), P.O. Box 30, Papeete 98713, French Polynesia; (T.R.); (J.V.); (P.C.); (S.L.); (M.C.)
| | - Manoëlla Sibat
- IFREMER, PHYTOX, Laboratoire METALG, F-44000 Nantes, France; (M.S.); (P.H.)
| | - Philippe Cruchet
- Institut Louis Malardé (ILM), Laboratory of Marine Biotoxins, UMR 241-EIO (IFREMER, ILM, IRD, Université de Polynésie Française), P.O. Box 30, Papeete 98713, French Polynesia; (T.R.); (J.V.); (P.C.); (S.L.); (M.C.)
| | - Sébastien Longo
- Institut Louis Malardé (ILM), Laboratory of Marine Biotoxins, UMR 241-EIO (IFREMER, ILM, IRD, Université de Polynésie Française), P.O. Box 30, Papeete 98713, French Polynesia; (T.R.); (J.V.); (P.C.); (S.L.); (M.C.)
| | - Donnie Ransom Hardison
- National Oceanic and Atmospheric Administration, Center for Coastal Fisheries and Habitat Research, Beaufort, NC 28516, USA; (D.R.H.); (W.C.H.)
| | - William C. Holland
- National Oceanic and Atmospheric Administration, Center for Coastal Fisheries and Habitat Research, Beaufort, NC 28516, USA; (D.R.H.); (W.C.H.)
| | | | - R. Wayne Litaker
- CSS, Inc. Under Contract to National Oceanic and Atmospheric Administration, National Centers for Coastal Ocean Science, National Ocean Service, Beaufort, NC 28516, USA;
| | - Jennifer R. McCall
- Center for Marine Science, University of North Carolina Wilmington, 601 South College Road, Wilmington, NC 28403, USA;
| | - Philipp Hess
- IFREMER, PHYTOX, Laboratoire METALG, F-44000 Nantes, France; (M.S.); (P.H.)
| | - Mireille Chinain
- Institut Louis Malardé (ILM), Laboratory of Marine Biotoxins, UMR 241-EIO (IFREMER, ILM, IRD, Université de Polynésie Française), P.O. Box 30, Papeete 98713, French Polynesia; (T.R.); (J.V.); (P.C.); (S.L.); (M.C.)
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Darius HT, Paillon C, Mou-Tham G, Ung A, Cruchet P, Revel T, Viallon J, Vigliola L, Ponton D, Chinain M. Evaluating Age and Growth Relationship to Ciguatoxicity in Five Coral Reef Fish Species from French Polynesia. Mar Drugs 2022; 20:md20040251. [PMID: 35447924 PMCID: PMC9027493 DOI: 10.3390/md20040251] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2022] [Revised: 03/24/2022] [Accepted: 03/28/2022] [Indexed: 12/03/2022] Open
Abstract
Ciguatera poisoning (CP) results from the consumption of coral reef fish or marine invertebrates contaminated with potent marine polyether compounds, namely ciguatoxins. In French Polynesia, 220 fish specimens belonging to parrotfish (Chlorurus microrhinos, Scarus forsteni, and Scarus ghobban), surgeonfish (Naso lituratus), and groupers (Epinephelus polyphekadion) were collected from two sites with contrasted risk of CP, i.e., Kaukura Atoll versus Mangareva Island. Fish age and growth were assessed from otoliths’ yearly increments and their ciguatoxic status (negative, suspect, or positive) was evaluated by neuroblastoma cell-based assay. Using permutational multivariate analyses of variance, no significant differences in size and weight were found between negative and suspect specimens while positive specimens showed significantly greater size and weight particularly for E. polyphekadion and S. ghobban. However, eating small or low-weight specimens remains risky due to the high variability in size and weight of positive fish. Overall, no relationship could be evidenced between fish ciguatoxicity and age and growth characteristics. In conclusion, size, weight, age, and growth are not reliable determinants of fish ciguatoxicity which appears to be rather species and/or site-specific, although larger fish pose an increased risk of poisoning. Such findings have important implications in current CP risk management programs.
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Affiliation(s)
- Hélène Taiana Darius
- Institut Louis Malardé (ILM), Laboratory of Marine Biotoxins, UMR 241-EIO (IFREMER, ILM, IRD, Université de Polynésie Française), P.O. Box 30, Papeete 98713, Tahiti, French Polynesia; (A.U.); (P.C.); (T.R.); (J.V.); (M.C.)
- Correspondence: ; Tel.: +689-40-416-484
| | - Christelle Paillon
- ENTROPIE, IRD-Université de la Réunion-CNRS-Université de la Nouvelle-Calédonie-IFREMER, Labex Corail, 98848 Nouméa, New Caledonia, France; (C.P.); (G.M.-T.); (L.V.)
| | - Gérard Mou-Tham
- ENTROPIE, IRD-Université de la Réunion-CNRS-Université de la Nouvelle-Calédonie-IFREMER, Labex Corail, 98848 Nouméa, New Caledonia, France; (C.P.); (G.M.-T.); (L.V.)
| | - André Ung
- Institut Louis Malardé (ILM), Laboratory of Marine Biotoxins, UMR 241-EIO (IFREMER, ILM, IRD, Université de Polynésie Française), P.O. Box 30, Papeete 98713, Tahiti, French Polynesia; (A.U.); (P.C.); (T.R.); (J.V.); (M.C.)
| | - Philippe Cruchet
- Institut Louis Malardé (ILM), Laboratory of Marine Biotoxins, UMR 241-EIO (IFREMER, ILM, IRD, Université de Polynésie Française), P.O. Box 30, Papeete 98713, Tahiti, French Polynesia; (A.U.); (P.C.); (T.R.); (J.V.); (M.C.)
| | - Taina Revel
- Institut Louis Malardé (ILM), Laboratory of Marine Biotoxins, UMR 241-EIO (IFREMER, ILM, IRD, Université de Polynésie Française), P.O. Box 30, Papeete 98713, Tahiti, French Polynesia; (A.U.); (P.C.); (T.R.); (J.V.); (M.C.)
| | - Jérôme Viallon
- Institut Louis Malardé (ILM), Laboratory of Marine Biotoxins, UMR 241-EIO (IFREMER, ILM, IRD, Université de Polynésie Française), P.O. Box 30, Papeete 98713, Tahiti, French Polynesia; (A.U.); (P.C.); (T.R.); (J.V.); (M.C.)
| | - Laurent Vigliola
- ENTROPIE, IRD-Université de la Réunion-CNRS-Université de la Nouvelle-Calédonie-IFREMER, Labex Corail, 98848 Nouméa, New Caledonia, France; (C.P.); (G.M.-T.); (L.V.)
| | - Dominique Ponton
- ENTROPIE, IRD-Université de la Réunion-CNRS-Université de la Nouvelle-Calédonie-IFREMER, c/o Institut Halieutique et des Sciences Marines (IH.SM), Université de Toliara, Rue Dr. Rabesandratana, P.O. Box 141, Toliara 601, Madagascar;
| | - Mireille Chinain
- Institut Louis Malardé (ILM), Laboratory of Marine Biotoxins, UMR 241-EIO (IFREMER, ILM, IRD, Université de Polynésie Française), P.O. Box 30, Papeete 98713, Tahiti, French Polynesia; (A.U.); (P.C.); (T.R.); (J.V.); (M.C.)
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Darius HT, Revel T, Cruchet P, Viallon J, Gatti CMI, Sibat M, Hess P, Chinain M. Deep-Water Fish Are Potential Vectors of Ciguatera Poisoning in the Gambier Islands, French Polynesia. Mar Drugs 2021; 19:md19110644. [PMID: 34822515 PMCID: PMC8621427 DOI: 10.3390/md19110644] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2021] [Revised: 11/10/2021] [Accepted: 11/12/2021] [Indexed: 11/16/2022] Open
Abstract
Ciguatera poisoning (CP) cases linked to the consumption of deep-water fish occurred in 2003 in the Gambier Islands (French Polynesia). In 2004, on the request of two local fishermen, the presence of ciguatoxins (CTXs) was examined in part of their fish catches, i.e., 22 specimens representing five deep-water fish species. Using the radioactive receptor binding assay (rRBA) and mouse bioassay (MBA), significant CTX levels were detected in seven deep-water specimens in Lutjanidae, Serranidae, and Bramidae families. Following additional purification steps on the remaining liposoluble fractions for 13 of these samples (kept at -20 °C), these latter were reanalyzed in 2018 with improved protocols of the neuroblastoma cell-based assay (CBA-N2a) and liquid chromatography tandem mass spectrometry (LC-MS/MS). Using the CBA-N2a, the highest CTX-like content found in a specimen of Eumegistus illustris (Bramidae) was 2.94 ± 0.27 µg CTX1B eq. kg-1. Its toxin profile consisted of 52-epi-54-deoxyCTX1B, CTX1B, and 54-deoxyCTX1B, as assessed by LC-MS/MS. This is the first study demonstrating that deep-water fish are potential ciguatera vectors and highlighting the importance of a systematic monitoring of CTXs in all exploited fish species, especially in ciguatera hotspots, including deep-water fish, which constitute a significant portion of the commercial deep-sea fisheries in many Asian-Pacific countries.
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Affiliation(s)
- Hélène Taiana Darius
- Institut Louis Malardé (ILM), Laboratory of Marine Biotoxins, UMR 241-EIO (IFREMER, ILM, IRD, University of French Polynesia), P.O. Box 30, 98713 Papeete, Tahiti, French Polynesia; (T.R.); (P.C.); (J.V.); (C.M.i.G.); (M.C.)
- Correspondence: ; Tel.: +689-40-416-484
| | - Taina Revel
- Institut Louis Malardé (ILM), Laboratory of Marine Biotoxins, UMR 241-EIO (IFREMER, ILM, IRD, University of French Polynesia), P.O. Box 30, 98713 Papeete, Tahiti, French Polynesia; (T.R.); (P.C.); (J.V.); (C.M.i.G.); (M.C.)
| | - Philippe Cruchet
- Institut Louis Malardé (ILM), Laboratory of Marine Biotoxins, UMR 241-EIO (IFREMER, ILM, IRD, University of French Polynesia), P.O. Box 30, 98713 Papeete, Tahiti, French Polynesia; (T.R.); (P.C.); (J.V.); (C.M.i.G.); (M.C.)
| | - Jérôme Viallon
- Institut Louis Malardé (ILM), Laboratory of Marine Biotoxins, UMR 241-EIO (IFREMER, ILM, IRD, University of French Polynesia), P.O. Box 30, 98713 Papeete, Tahiti, French Polynesia; (T.R.); (P.C.); (J.V.); (C.M.i.G.); (M.C.)
| | - Clémence Mahana iti Gatti
- Institut Louis Malardé (ILM), Laboratory of Marine Biotoxins, UMR 241-EIO (IFREMER, ILM, IRD, University of French Polynesia), P.O. Box 30, 98713 Papeete, Tahiti, French Polynesia; (T.R.); (P.C.); (J.V.); (C.M.i.G.); (M.C.)
| | - Manoëlla Sibat
- Ifremer, DYNECO, Laboratoire Phycotoxines, F-44000 Nantes, France; (M.S.); (P.H.)
| | - Philipp Hess
- Ifremer, DYNECO, Laboratoire Phycotoxines, F-44000 Nantes, France; (M.S.); (P.H.)
| | - Mireille Chinain
- Institut Louis Malardé (ILM), Laboratory of Marine Biotoxins, UMR 241-EIO (IFREMER, ILM, IRD, University of French Polynesia), P.O. Box 30, 98713 Papeete, Tahiti, French Polynesia; (T.R.); (P.C.); (J.V.); (C.M.i.G.); (M.C.)
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Loeffler CR, Tartaglione L, Friedemann M, Spielmeyer A, Kappenstein O, Bodi D. Ciguatera Mini Review: 21st Century Environmental Challenges and the Interdisciplinary Research Efforts Rising to Meet Them. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:3027. [PMID: 33804281 PMCID: PMC7999458 DOI: 10.3390/ijerph18063027] [Citation(s) in RCA: 15] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/15/2021] [Revised: 03/12/2021] [Accepted: 03/12/2021] [Indexed: 12/19/2022]
Abstract
Globally, the livelihoods of over a billion people are affected by changes to marine ecosystems, both structurally and systematically. Resources and ecosystem services, provided by the marine environment, contribute nutrition, income, and health benefits for communities. One threat to these securities is ciguatera poisoning; worldwide, the most commonly reported non-bacterial seafood-related illness. Ciguatera is caused by the consumption of (primarily) finfish contaminated with ciguatoxins, potent neurotoxins produced by benthic single-cell microalgae. When consumed, ciguatoxins are biotransformed and can bioaccumulate throughout the food-web via complex pathways. Ciguatera-derived food insecurity is particularly extreme for small island-nations, where fear of intoxication can lead to fishing restrictions by region, species, or size. Exacerbating these complexities are anthropogenic or natural changes occurring in global marine habitats, e.g., climate change, greenhouse-gas induced physical oceanic changes, overfishing, invasive species, and even the international seafood trade. Here we provide an overview of the challenges and opportunities of the 21st century regarding the many facets of ciguatera, including the complex nature of this illness, the biological/environmental factors affecting the causative organisms, their toxins, vectors, detection methods, human-health oriented responses, and ultimately an outlook towards the future. Ciguatera research efforts face many social and environmental challenges this century. However, several future-oriented goals are within reach, including digital solutions for seafood supply chains, identifying novel compounds and methods with the potential for advanced diagnostics, treatments, and prediction capabilities. The advances described herein provide confidence that the tools are now available to answer many of the remaining questions surrounding ciguatera and therefore protection measures can become more accurate and routine.
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Affiliation(s)
- Christopher R. Loeffler
- National Reference Laboratory of Marine Biotoxins, Department Safety in the Food Chain, German Federal Institute for Risk Assessment, Max-Dohrn-Str. 8-10, 10589 Berlin, Germany; (A.S.); (O.K.); (D.B.)
- Department of Pharmacy, School of Medicine and Surgery, University of Napoli Federico II, Via D. Montesano 49, 80131 Napoli, Italy;
| | - Luciana Tartaglione
- Department of Pharmacy, School of Medicine and Surgery, University of Napoli Federico II, Via D. Montesano 49, 80131 Napoli, Italy;
- CoNISMa—National Inter-University Consortium for Marine Sciences, Piazzale Flaminio 9, 00196 Rome, Italy
| | - Miriam Friedemann
- Department Exposure, German Federal Institute for Risk Assessment, Max-Dohrn-Str. 8-10, 10589 Berlin, Germany;
| | - Astrid Spielmeyer
- National Reference Laboratory of Marine Biotoxins, Department Safety in the Food Chain, German Federal Institute for Risk Assessment, Max-Dohrn-Str. 8-10, 10589 Berlin, Germany; (A.S.); (O.K.); (D.B.)
| | - Oliver Kappenstein
- National Reference Laboratory of Marine Biotoxins, Department Safety in the Food Chain, German Federal Institute for Risk Assessment, Max-Dohrn-Str. 8-10, 10589 Berlin, Germany; (A.S.); (O.K.); (D.B.)
| | - Dorina Bodi
- National Reference Laboratory of Marine Biotoxins, Department Safety in the Food Chain, German Federal Institute for Risk Assessment, Max-Dohrn-Str. 8-10, 10589 Berlin, Germany; (A.S.); (O.K.); (D.B.)
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Chinain M, Gatti CMI, Darius HT, Quod JP, Tester PA. Ciguatera poisonings: A global review of occurrences and trends. HARMFUL ALGAE 2021; 102:101873. [PMID: 33875186 DOI: 10.1016/j.hal.2020.101873] [Citation(s) in RCA: 52] [Impact Index Per Article: 17.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/20/2020] [Revised: 07/17/2020] [Accepted: 07/22/2020] [Indexed: 06/12/2023]
Abstract
Ciguatera Poisoning (CP) is the most prevalent, phycotoxin related seafood poisoning across the globe, affecting between 10,000 and 50,000 people annually. This illness results from the consumption of seafood contaminated with lipid soluble toxins known as ciguatoxins (CTXs) that are produced by benthic dinoflagellates in the genera Gambierdiscus and Fukuyoa. The present work reviews the global occurrence of CP events and outbreaks, based on both scientific and gray literature. Ciguatera prevalence is significantly underestimated due to a lack of recognition of ciguatera symptoms, limited collection of epidemiological data on a global level, and reticence to report ciguatera in CP-endemic regions. Analysis of the time-series data available for a limited number of countries indicates the highest incidence rates are consistently reported from two historical CP-endemic areas i.e., the Pacific and Caribbean regions, a situation due in part to the strong reliance of local communities on marine resources. Ciguatera-related fatalities are rare (<0.1% of reported cases). The vast majority of outbreaks involve carnivorous fish including snappers, groupers, wrasses, and barracudas. Since 2000, an expansion of the geographical range of CP has been observed in several areas like Macaronesia and east and southeast Asia. In some of these locales, random surveys confirmed the presence of CTXs in locally sourced fish, consistent with the concurrent report of novel CP incidents (e.g., Canary Islands, Madeira, Selvagens Islands, New South Wales). One characteristic of outbreaks occurring in Asia is that they often present as large disease clusters due to group consumption of a single contaminated fish. Similar observations are reported from the Indian Ocean in the form of shark poisoning outbreaks which often lead to singular types of CP characterized by a high fatality rate. Other atypical forms of CP linked to the consumption of marine invertebrates also have been documented recently. Owing to the significant health, socioeconomic and socio-cultural impacts of ciguatera, there is an urgent need for increased, standardized, coordinated efforts in ciguatera education, monitoring and research programs. Several regional and international initiatives have emerged recently, that may help improve patients' care, data collection at a global scale, and risk monitoring and management capabilities in countries most vulnerable to CP's toxic threat.
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Affiliation(s)
- M Chinain
- Laboratory of Marine Biotoxins, Institut Louis Malardé - UMR 241 EIO, BP 30, 98713 Papeete, Tahiti, French Polynesia.
| | - C M I Gatti
- Laboratory of Marine Biotoxins, Institut Louis Malardé - UMR 241 EIO, BP 30, 98713 Papeete, Tahiti, French Polynesia
| | - H T Darius
- Laboratory of Marine Biotoxins, Institut Louis Malardé - UMR 241 EIO, BP 30, 98713 Papeete, Tahiti, French Polynesia
| | - J-P Quod
- ARVAM-Pareto, Technopole de la Réunion, 14 rue Henri Cornu, 97490 Sainte-Clotilde, La Réunion, France
| | - P A Tester
- Ocean Tester, LLC, 295 Dills Point Road, Beaufort, NC 28516, USA
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Advances in Detecting Ciguatoxins in Fish. Toxins (Basel) 2020; 12:toxins12080494. [PMID: 32752046 PMCID: PMC7472146 DOI: 10.3390/toxins12080494] [Citation(s) in RCA: 18] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2020] [Revised: 07/26/2020] [Accepted: 07/26/2020] [Indexed: 01/28/2023] Open
Abstract
Ciguatera fish poisoning (CFP) is currently the most common marine biotoxin food poisoning worldwide, associated with human consumption of circumtropical fish and marine invertebrates that are contaminated with ciguatoxins. Ciguatoxins are very potent sodium-channel activator neurotoxins, that pose risks to human health at very low concentrations (>0.01 ng per g of fish flesh in the case of the most potent Pacific ciguatoxin). Symptoms of CFP are nonspecific and intoxication in humans is often misdiagnosed. Presently, there is no medically approved treatment of ciguatera. Therefore, to mitigate the risks of CFP, reliable detection of ciguatoxins prior to consumption of fish tissue is acutely needed, which requires application of highly sensitive and quantitative analytical tests. During the last century a number of methods have been developed to identify and quantify the concentration of ciguatoxins, including in vivo animal assays, cell-based assays, receptor binding assays, antibody-based immunoassays, electrochemical methods, and analytical techniques based on coupling of liquid chromatography with mass spectrometry. Development of these methods, their various advantages and limitations, as well as future challenges are discussed in this review.
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Soliño L, Costa PR. Global impact of ciguatoxins and ciguatera fish poisoning on fish, fisheries and consumers. ENVIRONMENTAL RESEARCH 2020; 182:109111. [PMID: 31927300 DOI: 10.1016/j.envres.2020.109111] [Citation(s) in RCA: 37] [Impact Index Per Article: 9.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/01/2019] [Revised: 12/31/2019] [Accepted: 01/01/2020] [Indexed: 06/10/2023]
Abstract
Ciguatera fish poisoning (CFP) is one of the most devastating food-borne illnesses caused by fish consumption. Ciguatoxins (CTXs) are potent neurotoxins synthesized by the benthic microalgae Gambierdiscus spp. and Fukuyoa spp. that are transmitted to fish by grazing and predation. Despite the high incidence of CFP, affecting an estimated number of 50,000 persons per year in tropical and subtropical latitudes, the factors underlying CTXs occurrence are still not well understood. Toxin transfer and dynamics in fish and food-webs are complex. Feeding habits and metabolic pathways determine the toxin profile and toxicity of fish, and migratory species may transport and spread the hazard. Furthermore, CTX effect on fish may be a limiting factor for fish recruitment and toxin prevalence. Recently, new occurrences of Gambierdiscus spp. in temperate areas have been concomitant with the detection of toxic fish and CFP incidents in non-endemic areas. CFP cases in Europe have led to implementation of monitoring programs and fisheries restrictions with considerable impact on local economies. More than 400 species of fish can be vectors of CTXs, and most of them are high-valued commercial species. Thus, the risk uncertainty and the spread of Gambierdiscus have serious consequences for fisheries and food safety. Here, we present a critical review of CTXs impacts on fish, fisheries, and humans, based on the current knowledge on CFP incidence and CTXs prevalence in microalgae and fish.
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Affiliation(s)
- Lucía Soliño
- IPMA - Instituto Português do Mar da Atmosfera, Rua Alfredo Magalhães Ramalho, 6, 1495-006, Lisbon, Portugal; CCMAR - Centre of Marine Sciences, University of Algarve, Campus of Gambelas, 8005-139, Faro, Portugal.
| | - Pedro Reis Costa
- IPMA - Instituto Português do Mar da Atmosfera, Rua Alfredo Magalhães Ramalho, 6, 1495-006, Lisbon, Portugal; CCMAR - Centre of Marine Sciences, University of Algarve, Campus of Gambelas, 8005-139, Faro, Portugal
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Gray MJ, Gates MC. A descriptive study of ciguatera fish poisoning in Cook Islands dogs and cats: Exposure history, clinical signs, and formulation of a case definition. Vet World 2020; 13:372-385. [PMID: 32255982 PMCID: PMC7096299 DOI: 10.14202/vetworld.2020.372-385] [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: 10/22/2019] [Accepted: 01/13/2020] [Indexed: 11/16/2022] Open
Abstract
BACKGROUND AND AIM Ciguatera fish poisoning (CFP) is a multisystem toxicosis caused by the ingestion of warm water marine species. Dogs and cats are susceptible to CFP, but there is little published and much unknown about the condition in these species. This study aims to describe the syndrome of CFP in dogs and cats and to develop a case definition. MATERIALS AND METHODS Six years (March 2011-February 2017) of medical records from the Esther Honey Foundation Animal Clinic (the only veterinary clinic in the Cook Islands during the study period) were reviewed to identify cases of CFP. Data relating to exposure history and clinical signs were collected. RESULTS Two hundred forty-six cases of CFP were identified, comprising 165 dogs and 81 cats. Fish ingestion was documented in 29% of cases. Reef/lagoon fish and moray eels were most commonly implicated. The toxicosis was characterized by motor dysfunction with a high frequency of ataxia and paresis/paralysis/recumbency. Respiratory and gastrointestinal systems were also affected, especially in canine CFP cases. A multi-tiered case definition and a diagnostic algorithm for CFP in dogs and cats were developed based upon the findings of this study and a review of the existing literature. CONCLUSION This case series is the largest study of canine and feline CFP to date. It documents the exposure history of cases and describes in detail clinical signs of the toxicosis. It also proposes a system of case classification that has the potential to both assist the diagnosis of CFP and facilitate future surveillance and research activities.
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Affiliation(s)
- Michelle J. Gray
- Master of Veterinary Medicine Program, School of Veterinary Science, Massey University, Palmerston North, New Zealand
| | - M. Carolyn Gates
- EpiCentre, School of Veterinary Science, Massey University, Palmerston North, New Zealand
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12
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Hardison DR, Holland WC, Darius HT, Chinain M, Tester PA, Shea D, Bogdanoff AK, Morris JA, Flores Quintana HA, Loeffler CR, Buddo D, Litaker RW. Investigation of ciguatoxins in invasive lionfish from the greater caribbean region: Implications for fishery development. PLoS One 2018; 13:e0198358. [PMID: 29924826 PMCID: PMC6010213 DOI: 10.1371/journal.pone.0198358] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2017] [Accepted: 05/17/2018] [Indexed: 11/30/2022] Open
Abstract
Lionfish, native to reef ecosystems of the tropical and sub-tropical Indo-Pacific, were introduced to Florida waters in the 1980s, and have spread rapidly throughout the northwestern Atlantic, Caribbean Sea and the Gulf of Mexico. These invasive, carnivorous fish significantly reduce other fish and benthic invertebrate biomass, fish recruitment, and species richness in reef ecosystems. Fisheries resource managers have proposed the establishment of a commercial fishery to reduce lionfish populations and mitigate adverse effects on reef communities. The potential for a commercial fishery for lionfish is the primary reason to identify locations where lionfish accumulate sufficient amounts of ciguatoxin (CTX) to cause ciguatera fish poisoning (CFP), the leading cause of non-bacterial seafood poisoning associated with fish consumption. To address this issue, an initial geographic assessment of CTX toxicity in lionfish from the Caribbean and Gulf of Mexico was conducted. Lionfish samples (n = 293) were collected by spearfishing from 13 locations (74 sampling sites) around the Caribbean and Gulf of Mexico between 2012 and 2015. The highest frequencies of lionfish containing measurable CTX occurred in areas known to be high-risk regions for CFP in the central to eastern Caribbean (e.g., 53% British Virgin Islands and 5% Florida Keys). Though measurable CTX was found in some locations, the majority of the samples (99.3%) contained CTX concentrations below the United States Food and Drug Administration guidance level of 0.1 ppb Caribbean ciguatoxin-1 (C-CTX-1) equivalents (eq.). Only 0.7% of lionfish tested contained more than 0.1 ppb C-CTX-1 eq. As of 2018, there has been one suspected case of CFP from eating lionfish. Given this finding, current risk reduction techniques used to manage CTX accumulating fish are discussed.
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Affiliation(s)
- D. Ransom Hardison
- National Oceanic and Atmospheric Administration, Center for Coastal Fisheries and Habitat Research, Beaufort, North Carolina, United States of America
- * E-mail:
| | - William C. Holland
- National Oceanic and Atmospheric Administration, Center for Coastal Fisheries and Habitat Research, Beaufort, North Carolina, United States of America
| | - H. Taiana Darius
- Institut Louis Malardé (ILM)-UMR 241 EIO, Laboratory of Toxic-Microalgae, Papeete, Tahiti, French Polynesia
| | - Mireille Chinain
- Institut Louis Malardé (ILM)-UMR 241 EIO, Laboratory of Toxic-Microalgae, Papeete, Tahiti, French Polynesia
| | | | - Damian Shea
- North Carolina State University, Environmental Chemistry and Toxicology Laboratory, Raleigh, North Carolina, United States of America
| | - Alex K. Bogdanoff
- National Oceanic and Atmospheric Administration, Center for Coastal Fisheries and Habitat Research, Beaufort, North Carolina, United States of America
| | - James A. Morris
- National Oceanic and Atmospheric Administration, Center for Coastal Fisheries and Habitat Research, Beaufort, North Carolina, United States of America
| | - Harold A. Flores Quintana
- U.S. Food and Drug Administration, Division of Seafood Science and Technology, Gulf Coast Seafood Laboratory, Dauphin Island, Alabama, United States of America
| | - Christopher R. Loeffler
- U.S. Food and Drug Administration, Division of Seafood Science and Technology, Gulf Coast Seafood Laboratory, Dauphin Island, Alabama, United States of America
| | - Dayne Buddo
- University of the West Indies, Discovery Bay Marine Laboratory and Field Station, Discovery Bay, St. Ann, Jamaica WI
| | - R. Wayne Litaker
- National Oceanic and Atmospheric Administration, Center for Coastal Fisheries and Habitat Research, Beaufort, North Carolina, United States of America
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Darius HT, Roué M, Sibat M, Viallon J, Gatti CMII, Vandersea MW, Tester PA, Litaker RW, Amzil Z, Hess P, Chinain M. Toxicological Investigations on the Sea Urchin Tripneustes gratilla (Toxopneustidae, Echinoid) from Anaho Bay (Nuku Hiva, French Polynesia): Evidence for the Presence of Pacific Ciguatoxins. Mar Drugs 2018; 16:E122. [PMID: 29642418 PMCID: PMC5923409 DOI: 10.3390/md16040122] [Citation(s) in RCA: 34] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2018] [Revised: 03/27/2018] [Accepted: 04/04/2018] [Indexed: 01/17/2023] Open
Abstract
The sea urchin Tripneustes gratilla (Toxopneustidae, Echinoids) is a source of protein for many islanders in the Indo-West Pacific. It was previously reported to occasionally cause ciguatera-like poisoning; however, the exact nature of the causative agent was not confirmed. In April and July 2015, ciguatera poisonings were reported following the consumption of T.gratilla in Anaho Bay (Nuku Hiva Island, Marquesas archipelago, French Polynesia). Patient symptomatology was recorded and sea urchin samples were collected from Anaho Bay in July 2015 and November 2016. Toxicity analysis using the neuroblastoma cell-based assay (CBA-N2a) detected the presence of ciguatoxins (CTXs) in T.gratilla samples. Gambierdiscus species were predominant in the benthic assemblages of Anaho Bay, and G.polynesiensis was highly prevalent in in vitro cultures according to qPCR results. Liquid chromatography-tandem mass spectrometry (LC-MS/MS) analyses revealed that P-CTX-3B was the major ciguatoxin congener in toxic sea urchin samples, followed by 51-OH-P-CTX-3C, P-CTX-3C, P-CTX-4A, and P-CTX-4B. Between July 2015 and November 2016, the toxin content in T.gratilla decreased, but was consistently above the safety limit allowed for human consumption. This study provides evidence of CTX bioaccumulation in T.gratilla as a cause of ciguatera-like poisoning associated with a documented symptomatology.
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Affiliation(s)
- Hélène Taiana Darius
- Institut Louis Malardé (ILM), Laboratory of Toxic Microalgae-UMR 241-EIO, PO Box 30, 98713 Papeete, Tahiti, French Polynesia.
| | - Mélanie Roué
- Institut de Recherche pour le Développement (IRD)-UMR 241-EIO, PO Box 53267, 98716 Pirae, Tahiti, French Polynesia.
| | - Manoella Sibat
- IFREMER, Phycotoxins Laboratory, F-44311 Nantes, France.
| | - Jérôme Viallon
- Institut Louis Malardé (ILM), Laboratory of Toxic Microalgae-UMR 241-EIO, PO Box 30, 98713 Papeete, Tahiti, French Polynesia.
| | - Clémence Mahana Iti Iti Gatti
- Institut Louis Malardé (ILM), Laboratory of Toxic Microalgae-UMR 241-EIO, PO Box 30, 98713 Papeete, Tahiti, French Polynesia.
| | - Mark W Vandersea
- National Oceanic and Atmospheric Administration, National Ocean Service, Centers for Coastal Ocean Science, Beaufort Laboratory, Beaufort, NC 28516, USA.
| | | | - R Wayne Litaker
- National Oceanic and Atmospheric Administration, National Ocean Service, Centers for Coastal Ocean Science, Beaufort Laboratory, Beaufort, NC 28516, USA.
| | - Zouher Amzil
- IFREMER, Phycotoxins Laboratory, F-44311 Nantes, France.
| | - Philipp Hess
- IFREMER, Phycotoxins Laboratory, F-44311 Nantes, France.
| | - Mireille Chinain
- Institut Louis Malardé (ILM), Laboratory of Toxic Microalgae-UMR 241-EIO, PO Box 30, 98713 Papeete, Tahiti, French Polynesia.
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14
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Roué M, Darius HT, Viallon J, Ung A, Gatti C, Harwood DT, Chinain M. Application of solid phase adsorption toxin tracking (SPATT) devices for the field detection of Gambierdiscus toxins. HARMFUL ALGAE 2018; 71:40-49. [PMID: 29306395 DOI: 10.1016/j.hal.2017.11.006] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/08/2017] [Revised: 11/26/2017] [Accepted: 11/26/2017] [Indexed: 06/07/2023]
Abstract
Ciguatera fish poisoning is a food-borne illness caused by the consumption of seafood contaminated with ciguatoxins (CTXs) produced by dinoflagellates in the Gambierdiscus genus. Since most surveillance programs currently rely on the survey of Gambierdiscus cell densities and species composition, supplementary toxin-based methods allowing the time- and spatially integrated sampling of toxins in ciguateric environments are needed for a more reliable assessment and management of the risks associated with Gambierdiscus proliferation. Solid Phase Adsorption Toxin Tracking (SPATT) filters use porous synthetic resins capable of adsorbing toxins directly from the water column. To assess the ability of these passive monitoring devices to retain Gambierdiscus toxins, SPATT bags filled with 10g of HP20 resin were deployed for 48h in two French Polynesian locations at high (Nuku Hiva Island) vs. low to moderate (Kaukura Atoll) risk of ciguatera. CTXs could be detected in SPATT bags extracts from Nuku Hiva Island, as assessed by the mouse neuroblastoma cell-based assay (CBA-N2a) and liquid chromatography - tandem mass spectrometry (LC-MS/MS) analyses. Results of in vitro experiments suggest that the saturation limit of CTXs on HP20 resin, for a deployment time of 48h, is ≃ 55ng P-CTX-3C equiv. g-1 resin. Despite the non detection of maitotoxin (MTX), LC-MS/MS analyses showed that two other compounds also produced by Gambierdiscus species were retained on SPATT bags, i.e. iso-P-CTX-3B/C and a putative MTX analogue, known as MTX-3. This study, the first to demonstrate the suitability of SPATT technology for the in situ monitoring of Gambierdiscus toxins, highlights the potential application of this tool for routine ciguatera risk assessment and management programs.
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Affiliation(s)
- Mélanie Roué
- Institut de Recherche pour le Développement (IRD) - UMR 241 EIO, PO Box 5 29, 98713 Papeete, Tahiti, French Polynesia.
| | - Hélène Taiana Darius
- Institut Louis Malardé (ILM), Laboratory of Toxic Microalgae - UMR 241 EIO, PO Box 30, 98713 Papeete, Tahiti, French Polynesia
| | - Jérôme Viallon
- Institut Louis Malardé (ILM), Laboratory of Toxic Microalgae - UMR 241 EIO, PO Box 30, 98713 Papeete, Tahiti, French Polynesia
| | - André Ung
- Institut Louis Malardé (ILM), Laboratory of Toxic Microalgae - UMR 241 EIO, PO Box 30, 98713 Papeete, Tahiti, French Polynesia
| | - Clémence Gatti
- Institut Louis Malardé (ILM), Laboratory of Toxic Microalgae - UMR 241 EIO, PO Box 30, 98713 Papeete, Tahiti, French Polynesia
| | - D Tim Harwood
- Cawthron Institute, Private Bag 2, Nelson, 7010, New Zealand
| | - Mireille Chinain
- Institut Louis Malardé (ILM), Laboratory of Toxic Microalgae - UMR 241 EIO, PO Box 30, 98713 Papeete, Tahiti, French Polynesia
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15
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An Updated Review of Ciguatera Fish Poisoning: Clinical, Epidemiological, Environmental, and Public Health Management. Mar Drugs 2017; 15:md15030072. [PMID: 28335428 PMCID: PMC5367029 DOI: 10.3390/md15030072] [Citation(s) in RCA: 172] [Impact Index Per Article: 24.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2016] [Revised: 02/13/2017] [Accepted: 02/13/2017] [Indexed: 01/07/2023] Open
Abstract
Ciguatera Fish Poisoning (CFP) is the most frequently reported seafood-toxin illness in the world. It causes substantial human health, social, and economic impacts. The illness produces a complex array of gastrointestinal, neurological and neuropsychological, and cardiovascular symptoms, which may last days, weeks, or months. This paper is a general review of CFP including the human health effects of exposure to ciguatoxins (CTXs), diagnosis, human pathophysiology of CFP, treatment, detection of CTXs in fish, epidemiology of the illness, global dimensions, prevention, future directions, and recommendations for clinicians and patients. It updates and expands upon the previous review of CFP published by Friedman et al. (2008) and addresses new insights and relevant emerging global themes such as climate and environmental change, international market issues, and socioeconomic impacts of CFP. It also provides a proposed universal case definition for CFP designed to account for the variability in symptom presentation across different geographic regions. Information that is important but unchanged since the previous review has been reiterated. This article is intended for a broad audience, including resource and fishery managers, commercial and recreational fishers, public health officials, medical professionals, and other interested parties.
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16
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A man with worsening gastrointestinal and neurologic symptoms. JAAPA 2016; 29:1-3. [DOI: 10.1097/01.jaa.0000488697.81047.ba] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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18
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Ryan JC, Wu Q, Shoemaker RC. Transcriptomic signatures in whole blood of patients who acquire a chronic inflammatory response syndrome (CIRS) following an exposure to the marine toxin ciguatoxin. BMC Med Genomics 2015; 8:15. [PMID: 25889530 PMCID: PMC4392619 DOI: 10.1186/s12920-015-0089-x] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2014] [Accepted: 03/18/2015] [Indexed: 12/31/2022] Open
Abstract
Background Ciguatoxins (CTXs) are polyether marine neurotoxins found in multiple reef-fish species and are potent activators of voltage-gated sodium channels. It is estimated that up to 500,000 people annually experience acute ciguatera poisoning from consuming toxic fish and a small percentage of these victims will develop a chronic, multisymptom, multisystem illness, which can last years, termed a Chronic Inflammatory Response Syndrome (CIRS). Symptoms of ciguatera CIRS include fatigue, cognitive deficits, neurologic deficits, pain and sensitivity to light. There are few treatment options for ciguatera CIRS since little is known about its pathophysiology. Methods This study characterizes the transcriptional profile in whole blood of 11 patients with ciguatera-induced CIRS and 11 normal controls run in duplicate using Agilent one color whole genome microarrays. Differential expression was determined by using a combination of moderated t-test p-value and fold change (FC). Significant genes were subjected to gene ontology, principal component analysis and SVM classification. Seven significant genes found by microarray were validated by PCR. Results Using a low stringency (p < 0.05 and FC > 1.4) and a high stringency (p < 0.01 and FC > 1.5) filter, the resulting gene sets of 185 and 55, respectively, showed clear separation of cases and controls by PCA as well as 100% classification accuracy by SVM, indicating that the gene profiles can separate patients from controls. PCR results of 7 genes showed a 95% correlation to microarray data. Several genes identified by microarray are important in wound healing (CD9, CD36, vWF and Factor XIII), adaptive immunity (HLA-DQB1, DQB2, IL18R1 and IL5RA) and innate immunity (GZMK, TOLLIP, SIGIRR and VIPR2), overlapping several areas shown to be disrupted in a mouse model of acute exposure to ciguatoxin. Another area of interest was differential expression of long, non-coding sequences, or lncRNA. Conclusions Disruptions of innate and adaptive immune mechanisms were recorded at both the genomic and proteomic level. A disruption in the HLA-T cell receptor axis could indicate HLA haplotype sensitivity for this chronic syndrome, as noted in many autoimmune conditions. Taken together, these indicators of illness provide additional insights into pathophysiology and potential therapies. Electronic supplementary material The online version of this article (doi:10.1186/s12920-015-0089-x) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- James C Ryan
- ProteoGenomics, LLC, Vero Beach, FL, 32963, Florida. .,NOAA Center of Excellence for Oceans and Human Health at Hollings Marine Laboratory, Charleston, SC, USA.
| | - Qingzhong Wu
- NOAA Center of Excellence for Oceans and Human Health at Hollings Marine Laboratory, Charleston, SC, USA.
| | - Ritchie C Shoemaker
- ProteoGenomics, LLC, Vero Beach, FL, 32963, Florida. .,Center for Research on Biotoxin-Associated Illnesses, Pocomoke, MD, USA.
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Gaboriau M, Ponton D, Darius HT, Chinain M. Ciguatera fish toxicity in French Polynesia: size does not always matter. Toxicon 2014; 84:41-50. [PMID: 24699216 DOI: 10.1016/j.toxicon.2014.03.006] [Citation(s) in RCA: 32] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2013] [Revised: 03/02/2014] [Accepted: 03/18/2014] [Indexed: 12/27/2022]
Abstract
Accumulation of ciguatoxins (CTXs) in tropical reef fish tissues during their life is responsible of the most prevalent human seafood intoxication in the South Pacific called Ciguatera Fish Poisoning (CFP). It has been assumed for a long time that CTXs are transferred and accumulated along the trophic food chain, and consequently that smaller individuals within a given fish species are safer to eat than larger ones. However, the relationship between toxicity and fish size has been studied for a limited number of species only and the conclusions are often contradictory. The toxicity of 856 fishes from 59 different species sampled in six islands in French Polynesia between 2003 and 2011 was assessed by Receptor Binding Assay. Among them, 45 species × island and 32 families × island for which the number of individuals was ≥6 allowed testing the relationship between toxicity and size. Except for six specimens of Lutjanus bohar caught in Fakarava (P < 0.01; R(2) = 0.854), the 44 remaining species × island showed no significant increase of CTXs concentration with fish total length (TL). Moreover, the proportion of toxic individuals decreased significantly for Epinephelus polyphekadion from Fakarava (n = 24; P < 0.05) and Kyphosus cinerascens from Raivavae (n = 29; P < 0.05), while no significant variation was detected for the other 43 species × island. At the family level, only three positive and three negative relationships between size and CTXs concentration were observed among the 32 family × island analyzed. No relationship between the proportion of toxic fish within a family and the relative total length of individuals were observed. The lack of relationship between toxicity and size observed for most of the species and families from the six islands suggests that fish size cannot be used as an efficient predictor of fish toxicity in French Polynesia. These results highlight the need for improving our knowledge about metabolic processes which may play a role in CTXs bio-accumulation and depuration among the different trophic levels of fishes.
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Affiliation(s)
- Matthias Gaboriau
- IRD, UR 227, Laboratoire d'excellence «CORAIL», Observatoire Océanologique de Banyuls, Av. de Fontaulé, BP44, 66650 Banyuls-sur-Mer, France.
| | - Dominique Ponton
- IRD, UR 227, Laboratoire d'excellence «CORAIL», Observatoire Océanologique de Banyuls, Av. de Fontaulé, BP44, 66650 Banyuls-sur-Mer, France; IRD, UR 227, Laboratoire d'excellence «CORAIL», Parc Technologique Universitaire, 2 rue Joseph Wetzell, CS 41095, 97495 Ste Clotilde cedex, La Réunion, France.
| | - H Taiana Darius
- UMR 241, EIO, Laboratoire de recherche sur les Microalgues Toxiques, Institut Louis Malardé, BP 30, 98713 Papeete, Tahiti, French Polynesia.
| | - Mireille Chinain
- UMR 241, EIO, Laboratoire de recherche sur les Microalgues Toxiques, Institut Louis Malardé, BP 30, 98713 Papeete, Tahiti, French Polynesia.
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Pawlowiez R, Darius HT, Cruchet P, Rossi F, Caillaud A, Laurent D, Chinain M. Evaluation of seafood toxicity in the Australes archipelago (French Polynesia) using the neuroblastoma cell-based assay. Food Addit Contam Part A Chem Anal Control Expo Risk Assess 2013; 30:567-86. [PMID: 23286347 DOI: 10.1080/19440049.2012.755644] [Citation(s) in RCA: 40] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
Ciguatera fish poisoning (CFP), a disease caused by consuming fish that have accumulated ciguatoxins (CTXs) in their tissue, is regarded as the most prevalent form of intoxication in French Polynesia. Recently, the Australes, one of the least affected archipelago until the early 1980s, has shown a dramatic increase in its incidence rates in 2009 with unusual CFP cases. In the present work, potential health hazards associated with the proliferation of various marine phytoplankton species and the consumption of fish and marine invertebrates highly popular among local population were assessed in three Australes islands: Raivavae, Rurutu and Rapa. Extracts from the marine dinoflagellates Gambierdiscus, Ostreospis and mat-forming cyanobacteria as well as fish, giant clams and sea urchin samples were examined for the presence of CTXs and palytoxin (PLTX) by using the neuroblastoma cell-based assay (CBA-N2a). Cytotoxic responses observed with both standards (Pacific CTX-3C and PLTX) and targeted marine products indicate that CBA-N2a is a robust screening tool, with high sensitivity and good repeatability and reproducibility. In Rurutu and Raivavae islands, our main findings concern the presence of CTX-like compounds in giant clams and sea urchins, suggesting a second bio-accumulation route for CFP toxins in the ciguatera food chain. In Rapa, the potential CFP risk from Gambierdiscus bloom and fish was confirmed for the first time, with levels of CTXs found above the consumer advisory level of 0.01 ng Pacific CTX-1B g(-1) of flesh in three fish samples. However, despite the presence of trace level of PLTX in Ostreopsis natural assemblages of Rapa, no sign of PLTX accumulation is yet observed in tested fish samples. Because this multi-toxinic context is likely to emerge in most French Polynesian islands, CBA-N2a shows great potential for future applications in the algal- and toxin-based field monitoring programmes currently on hand locally.
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Affiliation(s)
- Ralph Pawlowiez
- Ecosystèmes Insulaires Océaniens, UMR241, Laboratoire des Microalgues Toxiques, Institut Louis Malardé, Papeete, French Polynesia
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