United States Environmental Protection Agency Environmental Monitoring Systems Laboratory Cincinnati, OH 45268 Research and Development EPA/600/SR-92/079 September 1992 EPA Project Summary A Status Report: on Planktonic Cyanobacteria (Blue-Green Algae) and their Toxins W.W. Carmichael While several groups of algae can cause dense waterblooms, blue-green algae are the most common offenders. Blue-green algae — also called cyanobacteria — are minute, single- celled microorganisms that lack a dis- tinct, membrane-bound nucleus but, be- cause they contain chlorophyll, can photosynthesize. Surface blooms or scums of cyanobacteria commonly occur during the warm, windless days of late sum- mer and fall when water can stagnate and when there are sufficient concen- trations of such nutrients as nitrogen and phosphorus. Nutrient levels that contribute to water-bloom formation can result from runoff of fertilizers or livestock or human wastes. While cyanobacterial blooms can af- fect the water's taste, odor, and ap- pearance, they also pose a more seri- ous problem. Most, if not all, of the common bloom-forming cyanobacteria can produce potent biotoxins. These toxins, formed at all stages of the or- ganisms' growth, generally remain in- side the cell until age or stress causes their release into the surrounding wa- ter. The main toxic genera include fila- mentous Anabaena, Aphanizomenon, Nodularia, Nostoc, Oscillatoria, and uni- cellular Microcystis. More than one species within these genera can be toxic, and all toxic species can form waterblooms. Toxic waterblooms can take place in many eutrophic (nutrient rich) to hypereutrophic lakes and ponds at tem- perate latitudes worldwide. They are responsible for sporadic but recurrent episodes of illness and death among wild and domestic animals. Algal tox- ins have also been implicated in hu- man poisonings from certain municipal and recreational -water supplies. This implication is important for public health officials and water management personnel who need to be aware of the significance of the threat to health from these water-based toxins. The full re- port provides a comprehensive assess- ment of toxins from cyanobacteria and a directory to the literature published on this subject. This Project Summary was developed by EPA's Environmental Monitoring Systems Laboratory, Cincinnati, OH, to announce key findings of the research project that is fully documented in a separate report of the same title (see Project Report ordering information at back). Introduction Toxic waterblooms of cyanobacteria can be found in many eutrophic to hypereutrophic lakes, ponds and rivers throughout the world (Table 1). The pri- mary toxicoses that result from ingesting toxic cyanobacteria or their toxins include acute liver toxicosis, rapid neurotoxicosis, and gastrointestinal disturbances. Most cases, known from wild and domestic ani- mal poisonings, involve the first two types. They result from ingesting lethal or suble- thal numbers of toxic cells from a toxic waterbloom. Most cyanobacterial poisonings result in hepatotoxicosis. The algal hepatotoxins are a related family of low-molecular-weight cyclic hepta- and pentapeptides called Printed on Recycled Paper ------- T«W» 1. Know Occurrences of Toxic Cyanobacteria in Frssh or Marine Water Argentina Austrialia Chite Bangladesh Bermuda Brail Canada Alberta British Columbia Manitoba Ontario Saskatchewan Europe Czechoslovakia Denmark Finland France Germany Greece Hungary Italy Netherlands Norway Poland Portugal Russia Sweden Ukraine United Kingdom India Israel Japan New Zealand Okinawa (marine only) Peoples Republic of China South Africa Thailand U.S.A. California Colorado Florida Hawaii (marine only) Idaho Illinois Indiana Iowa —-^—Michigan Minnesota Mississippi Montana Nebraska Nevada New Hampshire New Mexico New York North Dakota Ohio Oklahoma Oregon Pennsylvania South Dakota Texas Washington Wisconsin Wyoming microcystins and nodularins (Table 2). Of the peptide-toxin producing genera, Mkrocystls is the main offender world- wide. Animals affected by these hepatotoxins may display weakness, anorexia, and pallor of the extremities and mucous membranes. Since all animals in a herd or flock usually drink from the same water supply, most members will be af- fected within the same time. Death oc- curs after liver cell architecture loss, which leads to destruction of the parenchyma) cells and sinusoids of the liver. This causes lethal intrahepatic hemorrhage within minutes to hours or hepatic insuffi- ciency within several hours to a few days. Cyanobacterial neurotoxicosis results from ingestion of toxic Anabaena, Aphanizomanon or Oscillatoria. While these genera can produce peptide hepatotoxins as well as neurotoxins, the neurotoxins act more rapidly and domi- nate the field and clinical syndrome. The neurotoxins comprise two groups: ana- toxins and saxttoxins (Table 2). There are two known anatoxins: anatoxin-a and ana- toxin-a(s). Anatoxin-a is a bicyclic sec- ondary amine that blocks the postsynaptic transmission of nerve impulses by depo- larizing (stimulating) the neurons that re- ceive the signal. The mechanism is simi- lar to what the natural chemical transmit- ter, acetylcholine, does in stimulating muscle contraction. However, unlike ace- tylcholine, anatoxin-a is not physiologically regulated and causes continuous depolar- ization that leads to muscle fatigue and paralysis. Anatoxin-a(s), is an organo- phosphate (OP) cholinesterase inhibitor that acts like an OP pesticide overdose. Here, the toxin inhibits the natural en- zyme, acetylcholinesterase, from recycling the transmitter, acetylcholine. Both toxins produce symptoms that include muscle twitching and contraction, reduced move- ment, gasping respiration, cyanosis (blu- ish color from poorly oxygenated blood), convulsions, and death. Neuromuscular blockage of the muscles used in breath- ing is the most likely cause of death. Although both toxins are respiratory neu- rotoxins, anatoxin-a produces a rigid neck contracture in birds as a result of its depo- larizing activity, while anatoxin-a(s) causes intense salivation and mucous nasal dis- charge as a result of its anticholinest- erase activity. Investigators can use these two very different signs of poisoning in avian species to differentiate the two tox- ins, either in field poisonings or in labora- tory assays. Aphanizomenon has been shown in some cases to produce the potent sodium channel neuromuscular blocking agents, saxitoxin and neosaxitoxin. These two neurotoxins are better known from being produced by marine dinoflagellate algae responsible for the red tide poisoning phe- •• nomenon, paralytic shellfish poisoning (PSP). Potential for Human Poisoning All cyanotoxins could cause death or illnesses in humans as well as in wild and domestic animals. Yet many officials re- main unconvinced of the need to monitor or regulate these toxins in municipal or recreational water supplies. The skepti- cism seems to arise from the fact that, despite the presence of cyanobacteria in many bodies of water there are no con- firmed cases of human death or illness from their toxins. Several factors, which probably act in combination, may explain the lack of re- ported human toxicity: • Mollusks that concentrate toxins the way shellfish concentrate marine PSP toxins are uncommon in freshwater. Where they do exist, as in Europe, people tend not to eat freshwater shellfish, except locally. • Cyanotoxins induce lethal toxicity at a very low concentration, but they have_a_jsteep .dose-response curye. In other words, animals must swallow a lethal or nearly lethal dose before signs of poisoning are observable. Such high concentrations of toxin oc- cur only when waterblooms accumu- late on the water's surface, especially on the downwind shore. While this is certainly the most dangerous for wa- tering animals, humans often find the waterblooms' sight and smell repul- sive. • Most water supplies in North America and Europe don't support high con- centrations of toxic cyanobacteria year round, largely because of better wa- ter quality management and colder winters. While toxic waterblooms do occur in some drinking water sup- plies, filtration and dilution reduce lev- ------- Table 2. Comparison of Toxicities of Some Biological Toxins Toxin Botulinum Toxin Tetanus Toxin Ricin Diphtheria Toxin Kokoi Toxin Tetrodotoxin Saxitoxin Cobra Toxin Anatoxin-a(s) Nodularin Microcystin Source Clostridium botulinum Clostridium tetani Ricinus communis Corynebacterium diphtheriae Phyllobates bicolor Arothron meleagris Aphanizomenon flos-aquae Naja na]a Anabaena flos-aquae Nodularia spumigena Microcystis, Anabaena, Common Name (Bacterium) (Bacterium) (Castor Bean Plant) (Bacterium) (Poison Arrow Frog) (Puffer fish) (Cyariobacteria) •*-- - fDirtrtflanallatAV * ^u/u t\ft ici^Qiiciioy (Cobra Snake) (Cyariobacteria) (Cyariobacteria) (Cyariobacteria) Lethal Dose* 0-Dso) 0.00003 0.0001 0.02 0.3 2.7 8 9 20 20 50 50-500 Anatoxin-a Amatoxin Curare Strychnine Muscarin Phallotoxin Oscillatoria, Nostoc Anabaena flos-aquae Amanita sp. Chrondodendron tomentosum Strychnos nox-vomica Amanita muscaria Amanita sp. (Cyariobacteria) (Fungus) (Brazilian Poison Arrow Plant) (Plant) (Fungus) (Fungus) 200 200-500 500 500 1100 1500-2000 Sodium Cyanide 10000 *The acute LD in u.g per kg bodyweight: intra-peritoneal injection; some with mice, some with rats. els in the finished water below those that cause acute toxicosis. Further, without sensitive detection methods it's difficult to determine how much is in the finished drinking water, and without a clear understanding of the toxins' mechanisms of action it's diffi- cult to determine whether they are causing subacute or chronic toxicosis in humans. Effects of Low-Level Exposure The most likely threat to human health from cyanobacterial toxins is subacute and chronic toxicity. We know from research over the past 20 years what the most likely mode of death will be from a lethal dose. What we don't know is the mecha- nism of action for a nonlethal dose, whether from a single exposure or from chronic exposure to a drinking water sup- ply containing a persistent toxic waterbloom. There is indirect evidence that low-level concentrations of peptide hepatotoxins in drinking water affect the liver and intestine. Recent research shows that the peptide toxins are potent inhibi- tors of protein phosphatases type 1 and 2A. This means that they are tumor pro- moters similar in action to okadaic acid, the causative agent of diarrhetic shellfish 'U.S. Government Printing Office: 1992— 648-080/60109 ------- poisoning. Research currently underway C. at the National Cancer Research Institute In Tokyo shows these peptide toxins can produce liver tumors in laboratory rodents. rj Thus, the continuous low-dose exposure that would occur during a summertime waterbloom could possibly promote liver tumor formation in humans. Recommendations for E. Research and Development A. Continue efforts to develop predic- tive models to quantify the forma- tion of cyanobacterial blooms. F. These models should be developed with thought toward their use for devising management plans for vari- ous water bodies. B. Further research to develop mea- sures to control eutrophication and minimize development of cyanc— bacteria waterblooms and scums. Support development of sensitive, rapid and accurate methods for the detection of cyanotoxins. Support efforts to adopt standard procedures for characterization of the cyanotoxins that would in turn support efforts to make toxin stan- dards available for research. Support research leading to an un- derstanding of the transport, fate, and ecological role of cyanotoxins in aquatic environments. Support studies of the physiologi- cal and genetic mechanisms in- volved in toxin production. Cyanobacteria can be genetically manipulated and studied with many of the, same, techniques^-ayailable. to study molecular and cellular ge- netics of other prokaryotes. G. Support studies on the taxonomy and classification of cyanobacteria. This information is critical to effec- tive communication about toxic cyanobacteria and their toxins. H. Develop USEPA support to carry out several aspects of the work on cyanobacterial toxins. These in- clude: 1. Educate and advise Federal, State and local public health workers and the general public on toxic cyano- bacteria. 2. Link work on cyanotoxins with ap- propriate authorities in other parts of the world so that information can be exchanged and collaborative re- se_arcb_project.s. can _be, developed, and supported. Wayne W. Carmtchael is with the Wright State University, Dayton, OH 45435. Roberts. Safferman is the EPA Project Officer (see below). The complete report, entitled "A Status Report on Planktonic Cyanobacteria (Blue- Green Algae) and Their Toxins," (Order No. PB92- 206 259/AS; Cost: $25.00; subject to change) will be available only from: National Technical Information Service 5285 Port Royal Road Springfield, VA 22161 Telephone: 703-487-4650 The EPA Project Officer can be contacted at: Environmental Monitoring Systems Laboratory U.S. Environmental Protection Agency Cincinnati, OH 45268 United States Environmental Protection Agency Center for Environmental Research Information Cincinnati, OH 45268 Official Business Penalty fqr Private Use $300 BULK RATE POSTAGE & FEES PAID EPA PERMIT No. G-35 EPA/600/SR-92/079 ------- |