Cyanobacterial toxins: risk management for health protection

Sporadic amyotrophic lateral sclerosis as an infectious disease: A possible role of cyanobacteria?

The available epidemiological data for amyotrophic lateral sclerosis (ALS) support an infectious etiology and lead us to propose a new hypothesis. We examined older epidemiological data concerning categories of the population with increased incidence (aged people, people living in rural areas, farmers, breeders), more recent epidemiological reports regarding Italian soccer players, AIDS patients, people living in highly polluted areas, and reports of cases of conjugal and pregnancy-associated ALS. The toxic and infectious hypotheses lead us to suggest a role for cyanobacteria in the production of endogenous beta-N-methylamino-L-alanine. Infection from a cyanobacterium, or another ubiquitous bacterium having similar characteristics, may be the missing clue to the etiology of ALS. We speculate that ubiquitous bacteria secreting toxic amino acids and "colonizing" tissues and organs in the human body might be the common element linking motor neuron diseases in Guam to sporadic ALS in the rest of the world.

Cyanobacterial toxins - occurrence, biosynthesis and impact on human affairs

Mass developments of cyanobacteria ("blue-green algae") in lakes and brackish waters have repeatedly led to serious concerns due to their frequent association with toxins. Among these are the widespread hepatotoxins microcystin (MC) and nodularin (NOD). Here, we give an overview about the ecostrategies of the diverse toxin-producing species and about the genes and enzymes that are involved in the biosynthesis of the cyclic peptides. We further summarize current knowledge about toxicological mechanisms of MC and NOD, including protein phosphatase inhibition, oxidative stress and their tumor-promoting capabilities. One biotransformation pathway for MC is described. Mechanisms of cyanobacterial neurotoxins (anatoxin-a, homanatoxin-a, and anatoxin-a(s)) are briefly explained. We highlight selected cases of human fatalities related to the toxins. A special focus is given to evident cases of contamination of food supplements with cyanobacterial toxins, and to the necessary precautions.

Hepatotoxic cyanobacterial blooms in the lakes of northern Poland

The lakes of northern Poland are among the recreational sites most valued by Polish and German holiday makers. Given the socioeconomic importance of these lakes, water quality should be maintained at high levels for such intensive recreational purposes. In 2002 studies of species composition, biomass, and toxin production by phytoplankton and the attendant physicochemical variables were performed in order to assess the risk of cyanobacterial blooms in selected northern lakes: Lakes Jeziorak, Jagodne, Szymoneckie, Szymon, Taltowisko, Siecino, and Trzesiecko. The research showed that total phosphorus (0.1 mg P/L) and total nitrogen (1.5 mg N/L) in the studied lakes almost exceeded the permissible limits for eutrophication of water bodies. Most phytoplankton samples were taken in late summer, when cyanobacteria were expected to reach their highest biomass. At the time of sampling most of the lakes were dominated by oscillatorialean and nostocalean species. Average chlorophyll-a concentration was higher than 10 microg/L in almost all the lakes studied, which corresponded with an average microcystin concentration in the range of 4-5 microg/L. The main microcystins in the analyzed samples were dmMC-RR, MC-RR, MC-YR, and MC-LR. The results demonstrated a potential for intensive cyanobacterial blooms to appear during the summer in northern Polish lakes. The levels of cyanobacteria found in the lakes investigated indicated that toxicity had reached the first-alert level according to World Health Organization recommendations. If microcystin-producing cyanobacteria dominate, with a microcystin concentration of 2-4 microg/L, symptoms of toxicity can appear in the swimmers most sensitive to exposure. Analysis of cyanobacterial assemblages in northern Polish lakes also indicated a significant presence of Aphanizomenon species including a Scandinavian species, A. skujae (Skuja) Kom.-Legn. & Cronb. Future investigations of Polish lakes also should assess neurotoxins and study the biology of their producers. This study was the first attempt to evaluate the potential danger of toxic cyanobacterial blooms in the lakes of northern Poland.

Return of the cycad hypothesis - does the amyotrophic lateral sclerosis/parkinsonism dementia complex (ALS/PDC) of Guam have new implications for global health?

Recently published work provides evidence in support of the cycad hypothesis for Lytico--Bodig, the Guamanian amyotrophic lateral sclerosis/parkinsonism dementia complex (ALS/PDC), based on a new understanding of Chamorro food practices, a cyanobacterial origin of beta-methylaminoalanine (BMAA) in cycad tissue, and a possible mechanism of biomagnification of this neurotoxic amino acid in the food chain. BMAA is one of two cycad chemicals with known neurotoxic properties (the other is cycasin, a proven developmental neurotoxin) among the many substances that exist in these highly poisonous plants, the seeds of which are used by Chamorros for food and medicine. The traditional diet includes the fruit bat, a species that feeds on cycad seed components and reportedly bioaccumulates BMAA. Plant and animal proteins provide a previously unrecognized reservoir for the slow release of this toxin. BMAA is reported in the brain tissue of Guam patients and early data suggest that some Northern American patients dying of Alzheimer's disease (AD) have detectable brain levels of BMAA. The possible role of cyanobacterial toxicity in sporadic neurodegenerative disease is therefore worthy of consideration. Recent neuropathology studies of ALS/PDC confirm understanding of this disorder as a 'tangle' disease, based on variable anatomical burden, and showing biochemical characteristics of 'AD-like' combined 3R and 4R tau species. This model mirrors the emerging view that other neurodegenerative disease spectra comprise clusters of related syndromes, owing to common molecular pathology, with variable anatomical distribution in the nervous system giving rise to different clinical phenotypes. Evidence for 'ubiquitin-only' inclusions in ALS/PDC is weak. Similarly, although there is evidence for alpha-synucleinopathy in ALS/PDC, the parkinsonian component of the disease is not caused by Lewy body disease. The spectrum of sporadic AD includes involvement of the substantia nigra and a high prevalence of 'incidental'alpha-synucleinopathy in sporadic AD is reported. Therefore the pathogenesis of Lytico-Bodig appears still to have most pertinence to the ongoing investigation of the pathogenesis of AD and other tauopathies.