Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2014 Feb 21;6(2):693-755.
doi: 10.3390/toxins6020693.

Tetrodotoxin: chemistry, toxicity, source, distribution and detection

Affiliations
Review

Tetrodotoxin: chemistry, toxicity, source, distribution and detection

Vaishali Bane et al. Toxins (Basel). .

Abstract

Tetrodotoxin (TTX) is a naturally occurring toxin that has been responsible for human intoxications and fatalities. Its usual route of toxicity is via the ingestion of contaminated puffer fish which are a culinary delicacy, especially in Japan. TTX was believed to be confined to regions of South East Asia, but recent studies have demonstrated that the toxin has spread to regions in the Pacific and the Mediterranean. There is no known antidote to TTX which is a powerful sodium channel inhibitor. This review aims to collect pertinent information available to date on TTX and its analogues with a special emphasis on the structure, aetiology, distribution, effects and the analytical methods employed for its detection.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Structures of TTX analogues.
Figure 2
Figure 2
Chemical synthesis of TTX from glucose [119] (R = MOM).
Figure 3
Figure 3
Proposed biosynthesis of tetrodotoxin from arginine [49,111].
Figure 4
Figure 4
Proposed mechanism of TTX accumulation in marine animals [14].
Figure 5
Figure 5
Structures of paralytic shellfish poisons (PSP) toxins.
Figure 6
Figure 6
Structure of voglibose (Internal standard for TTX).

References

    1. Kan S.K., Chan M.K., David P. Nine fatal cases of puffer fish poisoning in Sabah, Malaysia. Med. J. Malays. 1987;42:199–200. - PubMed
    1. U.S. Department of Health and Human Services . Tetrodotoxin Poisoning Associated with Eating Puffer Fish Transported from Japan—California, 1996. Volume 45. Centre For Disease Control and Prevention; Atlanta, GA, USA: 1996. pp. 389–412. Morbidity and Mortality Weekly Report.
    1. Mahmud Y., Tanu M.B., Noguchi T. First occurrence of a food poisoning incident due to ingestion of Takifugu oblongus, along with a toxicological report on three marine puffer species in Bangladesh. J. Food Hyg. Soc. Jpn. 1999;40:473–480. doi: 10.3358/shokueishi.40.6_473. - DOI
    1. Hwang D.F., Shiu Y.C., Hwang P.A., Lu Y.H. Tetrodotoxin in gastropods (snails) implicated in food poisoning in Northern Taiwan. J. Food Prot. 2002;65:1341–1344. - PubMed
    1. Sui L.M., Chen K., Hwang P.A., Hwang D.F. Identification of tetrodotoxin in marine gastropods implicated in food poisoning. J. Nat. Toxins. 2002;11:213–220. - PubMed

Publication types