Long Term Memory Outcome of Repetitive, Low-Level Dietary Exposure to Domoic Acid in Native Americans

The health risks of marine biotoxins associated with high seafood consumption: Looking beyond the single dose, single outcome paradigm with a view towards addressing the needs of coastal Indigenous populations in British Columbia

People who consume high quantities of seafood are at a heightened risk for marine biotoxin exposure. Coastal Indigenous peoples may experience higher levels of risk than the general population due to their reliance on traditional marine foods. Most evidence on the health risks associated with biotoxins focus on a single exposure at one point in time. There is limited research on other types of exposures that may occur among those who regularly consume large quantities of seafood. The objective of this review is to assess what is known about the unique biotoxin exposure risks associated with the consumption patterns of many coastal Indigenous populations. These risks include [1]: repeated exposure to low doses of a single or multiple biotoxins [2]; repeated exposures to high doses of a single or multiple biotoxins; and [3] exposure to multiple biotoxins at a single point in time. We performed a literature search and collected 23 recent review articles on the human health effects of different biotoxins. Using a narrative framework synthesis approach, we collated what is known about the health effects of the exposure risks associated with the putative consumption patterns of coastal Indigenous populations. We found that the health effects of repeated low- or high-dose exposures and the chronic health effects of marine biotoxins are rarely studied or documented. There are gaps in our understanding of how risks differ by seafood species and preparation, cooking, and consumption practices. Together, these gaps contribute to a relatively poor understanding of how biotoxins impact the health of those who regularly consume large quantities of seafood. In the context of this uncertainty, we explore how known and potential risks associated with biotoxins can be mitigated, with special attention to coastal Indigenous populations routinely consuming seafood. Overall, we conclude that there is a need to move beyond the single-dose single-outcome model of exposure to better serve Indigenous communities and others who consume high quantities of seafood.

Economic impacts of harmful algal blooms on fishery-dependent communities

The recreational razor clam fishery is the largest recreational bivalve fishery in the Pacific Northwest and a major source of tourism-related income to small communities in the region. Delays and closures of recreational shellfisheries due to the increasing frequency of harmful algal blooms (HABs) threaten to have significant negative impacts on fishery dependent communities. Coupling previous recreational shellfishing expenditure estimates from the literature with a novel dataset of daily visits to local businesses, we estimate a range of economic impacts resulting from the cancellation of razor clam digs at Long Beach, WA, the most popular beach in the State for recreational clam diggers. Our results indicate that a full season closure can lead to lost sales revenues of $16,875 for gas stations, $117,600 for food stores, $217,800 for accommodations and $491,400 for food service places for a total lower bound economic impact of $843,675. We discuss the opportunity for early warning systems, like the Pacific Northwest HAB Bulletin, to guide policy and facilitate business decisions that hedge the risk of revenue losses associated with dig cancellations.

Socioeconomic disruptions of harmful algal blooms in indigenous communities: The case of Quinault Indian nation

Harmful algal blooms (HABs) have been a pervasive challenge across coastal communities of the U.S. West Coast in recent years negatively affecting local economies and livelihoods. We focus on the effects of HABs to the Quinault Indian Nation (QIN) triggered by Pseudo-nitzschia that produce the toxin domoic acid (DA). This toxin accumulates in filter feeders and poses threats to human health via shellfish consumption. Consumption of razor clams with high levels of DA and Dungeness crab that prey on them can cause amnesic shellfish poisoning in humans and therefore requires closure of commercial, recreational and subsistence fisheries, postponing or limiting harvesting seasons. These disruptions result in significant losses in revenues along with negative effects to sociocultural dimensions of key importance to coastal communities. Livelihoods and wellbeing of tribal communities are affected disproportionately due to higher vulnerability and reliance on these marine resources for subsistence. We assess these effects at multiple levels for the QIN and discuss and reflect, through a tribal lens, upon advances and opportunities for impact mitigation and adaptation in the face of HABs, along with persisting challenges.

Prolonged, Low-Level Exposure to the Marine Toxin, Domoic Acid, and Measures of Neurotoxicity in Nonhuman Primates

BACKGROUND

The excitotoxic molecule, domoic acid (DA), is a marine algal toxin known to induce overt hippocampal neurotoxicity. Recent experimental and epidemiological studies suggest adverse neurological effects at exposure levels near the current regulatory limit (20 ppm, ∼0.075-0.1mg/kg). At these levels, cognitive effects occur in the absence of acute symptoms or evidence of neuronal death.

OBJECTIVES

This study aimed to identify adverse effects on the nervous system from prolonged, dietary DA exposure in adult, female Macaca fascicularis monkeys.

METHODS

Monkeys were orally exposed to 0, 0.075, and 0.15mg/kg per day for an average of 14 months. Clinical blood counts, chemistry, and cytokine levels were analyzed in the blood. In-life magnetic resonance (MR) imaging assessed volumetric and tractography differences in and between the hippocampus and thalamus. Histology of neurons and glia in the fornix, fimbria, internal capsule, thalamus, and hippocampus was evaluated. Hippocampal RNA sequencing was used to identify differentially expressed genes. Enrichment of gene networks for neuronal health, excitotoxicity, inflammation/glia, and myelin were assessed with Gene Set Enrichment Analysis.

RESULTS

Clinical blood counts, chemistry, and cytokine levels were not altered with DA exposure in nonhuman primates. Transcriptome analysis of the hippocampus yielded 748 differentially expressed genes (fold change≥1.5; p≤0.05), reflecting differences in a broad molecular profile of intermediate early genes (e.g., FOS, EGR) and genes related to myelin networks in DA animals. Between exposed and control animals, MR imaging showed comparable connectivity of the hippocampus and thalamus and histology showed no evidence of hypomyelination. Histological examination of the thalamus showed a larger microglia soma size and an extension of cell processes, but suggestions of a GFAP+astrocyte response showed no indication of astrocyte hypertrophy.

DISCUSSION

In the absence of overt hippocampal excitotoxicity, chronic exposure of Macaca fascicularis monkeys to environmentally relevant levels of DA suggested a subtle shift in the molecular profile of the hippocampus and the microglia phenotype in the thalamus that was possibly reflective of an adaptive response due to prolonged DA exposure. https://doi.org/10.1289/EHP10923.