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Review
. 2019 Jan 5;17(1):28.
doi: 10.3390/md17010028.

The Incidence of Tetrodotoxin and Its Analogs in the Indian Ocean and the Red Sea

Isidro José Tamele  1   2   3 , Marisa Silva  4   5 , Vitor Vasconcelos  6   7
Affiliations
Review

The Incidence of Tetrodotoxin and Its Analogs in the Indian Ocean and the Red Sea

Isidro José Tamele et al. Mar Drugs. .

Abstract

Tetrodotoxin (TTX) is a potent marine neurotoxin with bacterial origin. To date, around 28 analogs of TTX are known, but only 12 were detected in marine organisms, namely TTX, 11-oxoTTX, 11-deoxyTTX, 11-norTTX-6(R)-ol, 11-norTTX-6(S)-ol, 4-epiTTX, 4,9-anhydroTTX, 5,6,11-trideoxyTTX, 4-CysTTX, 5-deoxyTTX, 5,11-dideoxyTTX, and 6,11-dideoxyTTX. TTX and its derivatives are involved in many cases of seafood poisoning in many parts of the world due to their occurrence in different marine species of human consumption such as fish, gastropods, and bivalves. Currently, this neurotoxin group is not monitored in many parts of the world including in the Indian Ocean area, even with reported outbreaks of seafood poisoning involving puffer fish, which is one of the principal TTX vectors know since Egyptian times. Thus, the main objective of this review was to assess the incidence of TTXs in seafood and associated seafood poisonings in the Indian Ocean and the Red Sea. Most reported data in this geographical area are associated with seafood poisoning caused by different species of puffer fish through the recognition of TTX poisoning symptoms and not by TTX detection techniques. This scenario shows the need of data regarding TTX prevalence, geographical distribution, and its vectors in this area to better assess human health risk and build effective monitoring programs to protect the health of consumers in Indian Ocean area.

Keywords: Indian Ocean; Red Sea; pufferfish poisoning; tetrodotoxin.

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Conflict of interest statement

The authors declare no conflicts of interest.

Figures

Figure 1
Figure 1
Tetrodotoxin (TTX) and analogs modified from European Food Safety Authority (EFSA) 2017 [45] and Yotsu-Yamasshita et al. (2007) [15,53,54]. (*) indicates TTX analogs that occur in marine organisms with known relative toxicity. (A) 4-cysTTX(*), (B) tetrodonic acid, (C) 4,9-anhydroTTX(*), (D) 1-hydroxy-5,11-dideoxyTTX, (E) TTX and 12 analogs, (F) 5-deoxyTTX(*) and three analogs, (G) trideoxyTTX and two analogs, (H) 4-epi-5,6,11-trideoxyTTX and another analog, and (I) 4,4a-anhydro-5,6,11-trideoxyTTX and 1-hydroy-4,4a-anhydro-8-epi-5,5,11-trideooxyTTX (see radicals of the analogs in the Table 1).
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References

    1. Hallegraeff G.M. A review of harmful algal blooms and their apparent global increase. Phycologia. 1993;32:79–99. doi: 10.2216/i0031-8884-32-2-79.1. - DOI
    1. Onuma Y., Satake M., Ukena T., Roux J., Chanteau S., Rasolofonirina N., Ratsimaloto M., Naoki H., Yasumoto T. Identification of putative palytoxin as the cause of clupeotoxism. Toxicon. 1999;37:55–65. doi: 10.1016/S0041-0101(98)00133-0. - DOI - PubMed
    1. Mbaé S.B.A., Mlindassé M., Mihidjaé S., Seyler T. Food-poisoning outbreak and fatality following ingestion of sea turtle meat in the rural community of Ndrondroni, Mohéli Island, Comoros, December 2012. Toxicon. 2016;120:38–41. doi: 10.1016/j.toxicon.2016.07.015. - DOI - PubMed
    1. Ranaivoson G., de Ribes Champetier G., Mamy E.R., Jeannerod G., Razafinjato P., Chanteau S. Mass food poisoning after eating sea turtle in the Antalaha district. Arch. Inst. Pasteur Madagascar. 1994;61:84–86. - PubMed
    1. Boisier P., Ranaivoson G., Rasolofonirina N., Roux J., Chanteau S., Takeshi Y. Fatal mass poisoning in Madagascar following ingestion of a shark (Carcharhinus leucas): Clinical and epidemiological aspects and isolation of toxins. Toxicon. 1995;33:1359–1364. doi: 10.1016/0041-0101(95)00051-M. - DOI - PubMed