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
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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-

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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

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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

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