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Toxins, Volume 16, Issue 11 (November 2024) – 51 articles

Cover Story (view full-size image): The development of cyanobacterial harmful algal blooms (cHABs) in global water bodies leads to ecological and economic challenges. This study analyzes cyanotoxin production and cyanobiome dynamics across three key Great Lake regions using advanced molecular strategies. These include DNA sequencing and ELISA to identify site-specific variations in cyanobacterial taxa and cyanotoxin levels. The findings highlight the importance of regional cyanobacterial diversity in cHAB formation, which may help improve the development of targeted diagnostics and remediation strategies to preserve freshwater ecosystems. View this paper
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15 pages, 2039 KiB  
Article
Paralytic Shellfish Poisoning (PSP) Toxins in Bivalve Molluscs from Southern Italy Analysed by Liquid Chromatography Coupled with High-Resolution Mass Spectrometry (UHPLC-HRMS/MS)
by Pasquale Gallo, Sara Lambiase, Ida Duro, Mauro Esposito and Angela Pepe
Toxins 2024, 16(11), 502; https://doi.org/10.3390/toxins16110502 - 20 Nov 2024
Viewed by 856
Abstract
A new method for simultaneous determination by liquid chromatography coupled with high resolution mass spectrometry (UHPLC-HRMS/MS) of 14 paralytic shellfish poisoning toxins (PSP), that is, Saxitoxin, Neosaxitoxin, Gonyautoxins and their respective variants, in bivalve molluscs, is herein described. The samples were extracted by [...] Read more.
A new method for simultaneous determination by liquid chromatography coupled with high resolution mass spectrometry (UHPLC-HRMS/MS) of 14 paralytic shellfish poisoning toxins (PSP), that is, Saxitoxin, Neosaxitoxin, Gonyautoxins and their respective variants, in bivalve molluscs, is herein described. The samples were extracted by acetic acid solution, then analysed by UHPLC coupled with a Q-Exactive Orbitrap Plus high resolution mass spectrometer, by electrospray ionization mode (ESI) with no further clean up step. The analysis was carried out by monitoring both the exact mass of the molecular precursor ion of each compound (in mass scan mode, resolution at 70,000 FWHM) and its respective fragmentation patterns (two product ions) with mass accuracy greater than 5 ppm. The analytical performance of the method was evaluated calculating trueness, as mean recoveries of each biotoxin, between 77.8% and 111.9%, a within-laboratory reproducibility (RSDR) between 3.6% and 12.2%, the specificity, the linearity of detector response, and the ruggedness for slight changes The results of the validation study demonstrate this method fits for the purposes of the official control of PSP toxins in molluscs. The results of two years of monitoring in local mussel farms are also reported, showing that no significant concerns for food safety in the monitored productions. Full article
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<p>UHPLC-HRMS tSIM chromatograms, in negative and positive ion mode, of the 14 PSP toxins studied in a matrix-matched standard solution at 25–211 ng mL<sup>−1</sup>.</p>
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<p>The ddMS2 spectra of the 14 PSP toxins studied in a matrix-matched standard solution at 25–211 ng mL<sup>−1</sup>. The accurate mass of the product ions of each PSP toxin is shown in the circles.</p>
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<p>Flow diagram comparing the UHPLC-HRMS/MS method and the reference Lawrence method n. AOAC 2005.06. The SPE-COOH cleanup (3) is used only for extracts containing N-1-hydroxylated PSP toxins.</p>
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<p>The location of the 19 mussel farms along the coasts of Campania Region (map from our Food Safety Regional Observatory—ORSA data bank); they are numbered according to the identification numbers in our Observatory.</p>
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13 pages, 539 KiB  
Review
Bee Venom Acupuncture for Shoulder Pain: A Literature Review of Clinical Studies
by Hyein Jeong, Soobin Jang, Jang-Kyung Park, Kyeong Han Kim, Jong Hyun Park, Gihyun Lee and Soo-Hyun Sung
Toxins 2024, 16(11), 501; https://doi.org/10.3390/toxins16110501 - 20 Nov 2024
Viewed by 809
Abstract
Managing shoulder pain typically involves the use of acetaminophen or oral nonsteroidal anti-inflammatory drugs, but prolonged use of these medications can lead to dependence and various side effects. To overcome the dose dependency and side effects of these conventional drugs, animal venoms have [...] Read more.
Managing shoulder pain typically involves the use of acetaminophen or oral nonsteroidal anti-inflammatory drugs, but prolonged use of these medications can lead to dependence and various side effects. To overcome the dose dependency and side effects of these conventional drugs, animal venoms have begun to be utilized. Among them, bee venom stands out for its powerful anti-inflammatory properties, which help relieve pain and treat chronic inflammatory conditions. This review evaluates the efficacy and safety of bee venom acupuncture (BVA) for shoulder pain. In March 2024, we searched 11 databases: 5 international and 6 Korean databases. We identified 23 clinical studies on BVA for shoulder pain. The causes of shoulder pain were post-stroke pain (43.5%), rotator cuff syndrome (17.4%), and brachial plexus palsy (13.0%). The BVA concentration and dosage per session were 0.005–1.0 mg/mL and 0.01–2.0 mL, respectively. All included clinical studies reported positive effects on pain outcomes. This review suggests that BVA, which involves injecting bee venom into acupuncture points, may serve as a viable alternative for pain management. However, the level of evidence in the included studies was low and adverse effects were reported infrequently, indicating that further research is needed. Full article
(This article belongs to the Special Issue Clinical Evidence for Therapeutic Effects and Safety of Animal Venoms)
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<p>Flowchart of study selection process. BVA: bee venom acupuncture; RCTs: randomized controlled trials.</p>
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<p>Trend of clinical trials of bee venom acupuncture on shoulder pain by year.</p>
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23 pages, 1059 KiB  
Review
Botulinum Toxin Type A for Trigeminal Neuralgia: A Comprehensive Literature Review
by Yan Tereshko, Simone Dal Bello, Christian Lettieri, Enrico Belgrado, Gian Luigi Gigli, Giovanni Merlino and Mariarosaria Valente
Toxins 2024, 16(11), 500; https://doi.org/10.3390/toxins16110500 - 20 Nov 2024
Viewed by 854
Abstract
Trigeminal neuralgia is a neuropathic pain syndrome responsive to botulinum toxin type A therapy. This review had the goal of analyzing the different studies published from 2002 to January 2024 to better define the techniques and the types of botulinum toxin type A [...] Read more.
Trigeminal neuralgia is a neuropathic pain syndrome responsive to botulinum toxin type A therapy. This review had the goal of analyzing the different studies published from 2002 to January 2024 to better define the techniques and the types of botulinum toxin type A used, the doses, the injection routes, and the different populations of trigeminal neuralgia patients treated. We considered only articles in which the therapy was administered to humans to treat trigeminal neuralgia. Case reports, case series, open-label, retrospective, and RCT studies were considered. The research was conducted on MEDLINE and the keywords included (trigeminal neuralgia) and (botulinum). Thirty-five articles were considered suitable for this review. Botulinum toxin type A was shown to be an effective therapy for TN pain in all the articles analyzed, albeit there is a lack of standardization in methods and outcomes. The techniques, the doses, and the injection approaches were very heterogeneous among the studies. Only two botulinum toxin type A formulations have been used in this setting: onabotulinumtoxinA and lanbotulinumtoxinA. There were 300 patients treated with onabotulinumtoxinA and 760 treated with lanbotulinumtoxinA overall (in 42 patients, the formulation was not specified). The distinction between etiological and clinical types of TN has been made by only a small portion of the studies. The main adverse event was transient facial asymmetry. Botulinum toxin type A is indeed a promising therapy that is clearly effective for trigeminal neuralgia. OnabotulinumtoxinA is the most common formulation used in Western countries; however, the meager sample of TN patients treated, and the lack of standardization are not sufficient for this therapy to be approved by the FDA or EMA. Indeed, more studies with standardized methods and larger samples are needed for this purpose. Full article
(This article belongs to the Collection Botulinum Toxins on Human Pain)
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<p>(<b>A</b>) shows the percentage of the type of botulinum toxin used in the literature, while (<b>B</b>) shows the research design of the articles examined in this review. (<b>C</b>) describes the dilution, and (<b>D</b>) represents the distribution of injection approaches used in the articles examined. Legend: NA—not available; IM—intramuscular; SC—subcutaneous; ID—intradermal; IO—intraoral.</p>
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<p>Comprehensive literature review flowchart.</p>
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12 pages, 1883 KiB  
Article
Mycotoxin Prevalence and Microbiological Characteristics of Locally Produced Elected Freekeh Products
by Samer Mudalal
Toxins 2024, 16(11), 499; https://doi.org/10.3390/toxins16110499 - 20 Nov 2024
Viewed by 619
Abstract
Freekeh is produced from roasted, immature wheat grains. It is very popular in Middle Eastern and North African nations. This study aimed to evaluate the occurrence of different types of mycotoxins, physical impurities, and microbiological contamination in local freekeh products. Lateral flow competitive [...] Read more.
Freekeh is produced from roasted, immature wheat grains. It is very popular in Middle Eastern and North African nations. This study aimed to evaluate the occurrence of different types of mycotoxins, physical impurities, and microbiological contamination in local freekeh products. Lateral flow competitive immunochromatographic assay was used to evaluate the occurrence of mycotoxins. It was found that physical impurities for some tested products exceeded the permitted limit (>2% of straw and foreign grains). Moreover, our findings showed that total aerobic bacterial and fungal counts in Freekeh products varied from 1 to 4 logs and from 1.39 to 4.3 logs, respectively. The incidence ranges of aflatoxins and ochratoxin were 3.17–3.33 ppb and 4.63–8.17 ppb, respectively. The levels of deoxynivalenol (DON) and T2/HT2 (trichothecene T2 and deacetylated form HT2) were less than the limit of detection. More than 78% of Freekeh samples tested had aflatoxin and ochratoxin contents higher than the limit permitted by the European Commission (4 and 5 ppb). In conclusion, gaining knowledge about the quality, safety, and labeling of freekeh products can help increase their commercial potential. Further investigations are needed to evaluate the factors affecting contamination levels within the freekeh supply chain. Full article
(This article belongs to the Section Mycotoxins)
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<p>The occurrence of zearalenone (ppb) in freekeh products collected from different local commercial sources.</p>
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<p>The occurrence of Ochratoxin (ppb) in freekeh products collected from different local commercial sources. The horizontal line is the permitted level according to the EU.</p>
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<p>The occurrence of aflatoxins (ppb) in freekeh products collected from different local commercial sources. The horizontal line is the permitted level according to the EU.</p>
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<p>Flowchart procedure for the determination of physical impurities (stones, soils, insects, other grains, etc.).</p>
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15 pages, 2704 KiB  
Article
Comparative Assessment of the Allergenicity of Hyaluronidases from Polistes dominula (Pol d 2), Vespula vulgaris (Ves v 2), and Apis mellifera Venom (Api m 2)
by Johannes Grosch, Bernadette Eberlein, Sebastian Waldherr, Mariona Pascal, Britta Dorn, Clara San Bartolomé, Federico De La Roca Pinzón, Maximilian Schiener, Ulf Darsow, Tilo Biedermann, Jonas Lidholm, Maria Beatrice Bilò, Thilo Jakob, Carsten B. Schmidt-Weber and Simon Blank
Toxins 2024, 16(11), 498; https://doi.org/10.3390/toxins16110498 - 19 Nov 2024
Viewed by 841
Abstract
Sensitization to cross-reactive allergens complicates identifying the culprit insect in Hymenoptera venom allergy via diagnostic tests. This study evaluates sensitization to hyaluronidases (Api m 2 from honey bee (Apis mellifera) venom, HBV; Pol d 2 from European paper wasp (Polistes [...] Read more.
Sensitization to cross-reactive allergens complicates identifying the culprit insect in Hymenoptera venom allergy via diagnostic tests. This study evaluates sensitization to hyaluronidases (Api m 2 from honey bee (Apis mellifera) venom, HBV; Pol d 2 from European paper wasp (Polistes dominula) venom, PDV; and Ves v 2.0101 and Ves v 2.0201 from yellow jacket (Vespula vulgaris) venom, YJV) and their cross-reactivity in allergic patients from Italy, Spain, and Germany using ImmunoCAPs, ELISA, and basophil activation tests. Sensitization rates were 45% for Api m 2 in HBV-allergic subjects, 25% for Pol d 2 in PDV-allergic individuals, and 20% and 10% for Ves v 2.0201 and Ves v 2.0101 in YJV-allergic patients, respectively. Patients primarily sensitized to Api m 2 showed minimal cross-reactivity to vespid hyaluronidases, whereas those primarily sensitized to Pol d 2 or Ves v 2.0201 exhibited IgE reactivity to Api m 2. Neither Pol d 2 nor Ves v 2.0201 triggered basophil activation. Cross-reactivity of Api m 2, Pol d 2, and Ves v 2.0201 depends on the primary sensitizing venom. Sensitization to Pol d 2 and Ves v 2.0201 remains below 25%, yet these patients may exhibit cross-reactivity to Api m 2. Conversely, HBV-allergic patients sensitized to Api m 2 show minimal reactivity to Pol d 2 or Ves v 2.0201. Full article
(This article belongs to the Section Animal Venoms)
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<p>Structural features of venom hyaluronidases. Ribbon diagrams and the surface coulombic electrostatic potential (ESP) of Api m 2, Pol d 2, Ves v 2.0101, and Ves v 2.0201 are displayed. Positive ESP areas are colored blue, and negative ESP areas are red. The structures of Api m 2 (PDB: 1FCU) and Ves v 2.0101 (PDB: 2ATM) were solved by crystallography, and those of Pol d 2 and Ves v 2.0201 were generated by structural modeling.</p>
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<p>Sequence alignment and identity of venom hyaluronidases. (<b>a</b>) Alignment of the mature sequences of the investigated venom hyaluronidases. Turquoise and red boxes indicate the positions of β-strand and α-helices, respectively. Asterisks, colons, and periods indicate identical, conserved, and semi-conserved residues, respectively. (<b>b</b>) Percent identity between the different hyaluronidase allergens.</p>
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<p>sIgE sensitization to yellow jacket venom Ves v 2.0101. Prevalence of sensitization in HBV-, YJV-, and HBV/YJV-reactive patients to whole YJV and Ves v 2.0101 as measured by ImmunoCAP. A dotted line indicates the 0.35 kU<sub>A</sub>/L cut-off. HBV, honey bee venom; YJV, yellow jacket venom.</p>
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<p>Recombinant expression and characterization of venom hyaluronidases. SDS-PAGE and immunoblot of recombinant Api m 2, Pol d 2, and Ves v 2.0201 visualized by either (<b>a</b>) Coomassie blue staining or (<b>b</b>) anti-V5 epitope antibody and (<b>c</b>) <span class="html-italic">Galanthus nivalis</span> agglutinin (GNA).</p>
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<p>Comparison of sIgE reactivity to venom hyaluronidases. Cross-reactivity of Api m 2, Pol d 2, and Ves v 2.0201 was assessed in HBV (mono)-, PDV (mono)-, YJV (mono)-, PDV/YJV double-, and HBV/PDV/YJV triple-reactive patients. HBV, honey bee venom; mono, mono-reactive in skin test; PDV, <span class="html-italic">Polistes dominula</span> venom; YJV, yellow jacket venom.</p>
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<p>Basophil activation tests with recombinant venom hyaluronidases. Human basophils from Hymenoptera venom-allergic patients from Munich, Germany (MUC), and Barcelona, Spain (BCN), were exposed to different concentrations of recombinant Api m 2, Pol d 2, or Ves v 2.0201, and the increase in CD63 on the cell surface was measured. Activation is shown as a percentage increase of CD63<sup>+</sup> out of total basophilic cells. Cut-off (dotted line) is at 10% of CD63 increase.</p>
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11 pages, 2797 KiB  
Article
ScorpDb: A Novel Open-Access Database for Integrative Scorpion Toxinology
by Masoumeh Baradaran, Fatemeh Salabi, Masoud Mahdavinia, Elaheh Mohammadi, Babak Vazirianzadeh, Ignazio Avella, Seyed Mahdi Kazemi and Tim Lüddecke
Toxins 2024, 16(11), 497; https://doi.org/10.3390/toxins16110497 - 18 Nov 2024
Viewed by 927
Abstract
Scorpion stings are a significant public health concern globally, particularly in tropical and subtropical regions. Scorpion venoms contain a diverse array of bioactive peptides, and different scorpion species around the world typically exhibit varying venom profiles, resulting in a wide range of envenomation [...] Read more.
Scorpion stings are a significant public health concern globally, particularly in tropical and subtropical regions. Scorpion venoms contain a diverse array of bioactive peptides, and different scorpion species around the world typically exhibit varying venom profiles, resulting in a wide range of envenomation symptoms. Despite their harmful effects, scorpion venom peptides hold immense potential for drug development due to their unique characteristics. Therefore, the establishment of a comprehensive database that catalogs scorpions along with their known venom peptides and proteins is imperative in furthering research efforts in this research area. We hereby present ScorpDb, a novel database that offers convenient access to data related to different scorpion species, the peptides and proteins found in their venoms, and the symptoms they can cause. To this end, the ScorpDb database has been primarily advanced to accommodate data on the Iranian scorpion fauna. From there, we propose future community efforts to include a larger diversity of scorpions and scorpion venom components. ScorpDb holds the promise to become a valuable resource for different professionals from a variety of research fields, like toxinologists, arachnologists, and pharmacologists. The database is available at https://www.scorpdb.com/. Full article
(This article belongs to the Section Animal Venoms)
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<p>Main window of ScorpDb. The home page was considered as the initial page. It features seven tabs at the top of the page. Information about scorpion species and scorpion venom peptides is accessible by clicking on the two main tabs: “Scorpion Search” and “Scorpion Peptide Search”.</p>
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<p>The overall architecture of ScorpDb. The main page of the site contains seven major tabs, which are connected to the central circle (ScorpDb) with dark gray lines in the image. The two main sections of the site, which contain information on the taxonomy of scorpions and scorpion peptides, are shown in green and yellow colors, respectively.</p>
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<p>An overview of the user interface of the scorpion species search module of ScorpDb. (<b>A</b>) Searching output according to scorpion family. The entry <span class="html-italic">Hemiscorpiidae</span> is taken as an example. All genus and species of <span class="html-italic">Hemiscorpiidae</span> are shown in a table below the searching box. (<b>B</b>) Searches can be restricted by entering the name of the genus in the second box (Genus <span class="html-italic">Hemiscorpius</span> used as an example). (<b>C</b>) Alternatively, species can be selected from the third box (Species) or the list below (in the example, <span class="html-italic">Hemiscorpius lepturus</span>). By clicking on the tick mark next to the name of each scorpion species listed in the appearing table, additional information will be displayed in a separate box.</p>
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14 pages, 2094 KiB  
Review
65 Years on—Aflatoxin Biomarkers Blossoming: Whither Next?
by Thomas W. Kensler and David L. Eaton
Toxins 2024, 16(11), 496; https://doi.org/10.3390/toxins16110496 - 18 Nov 2024
Viewed by 793
Abstract
Aflatoxins are mycotoxins produced by Aspergillus flavus and several other related organisms and are common contaminants of numerous grains and nuts, especially maize (corn) and peanuts. Although, undoubtedly, aflatoxins have been present in the food of humans for millennia, their toxic effects were [...] Read more.
Aflatoxins are mycotoxins produced by Aspergillus flavus and several other related organisms and are common contaminants of numerous grains and nuts, especially maize (corn) and peanuts. Although, undoubtedly, aflatoxins have been present in the food of humans for millennia, their toxic effects were not discovered until 1960, first becoming evident as a non-infectious outbreak of poisoning of turkeys (Turkey X disease) arising from contaminated groundnut meal. The elucidation of specific chemical structures in 1963 led to the rapid characterization of aflatoxins as among the most potent chemical carcinogens of natural origin ever discovered. As a frontispiece to the Special Issue “65 Years on from Aflatoxin Discovery—A Themed Issue in Honor of Professor John D. Groopman”, we highlight many of Professor Groopman’s important contributions utilizing urinary (aflatoxin–N7–guanine) and, especially, serum (aflatoxin–albumin adducts) biomarkers; this work focused on over 40+ years of the development of analytical methods to measure biomarkers of aflatoxin exposure and their application in experimental and clinical studies. Collectively, this work serves as a template for using chemical-specific biomarkers as key tools to probe ‘exposure–disease relationships’—in this instance, dietary aflatoxins and liver cancer. New approaches to measuring carcinogen biomarkers will build upon this ‘aflatoxin paradigm’ to inform the public health implications of diverse exposures around the world. Full article
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<p>Dose–response relationship between AFB<sub>1</sub> dose and malignant liver tumors in male rats. The numbers of animals with tumors out of the total number of animals is shown for each dose point. Also shown are the first ‘time to tumor’ data for each dose point. See Wogan et al., 1974 for details [<a href="#B17-toxins-16-00496" class="html-bibr">17</a>].</p>
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<p>AFB<sub>1</sub> metabolites used as biomarkers from biofluids. Various cytochromes, P450, form oxidative metabolites, of varying toxicity. AFB-8,9-oxide is highly toxic and responsible for most, if not all, of the toxic and carcinogenic effects of AFB<sub>1</sub>. However, it can be detoxified by conjugation with glutathione, via specific glutathione <span class="html-italic">S</span>-transferases. Formation of DNA and protein adducts provide stable urinary and serum biomarkers of exposure with biological half-lives of ~8 h and ~30 days, respectively. Yellow: urine; red: serum or plasma.</p>
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<p>Pioneers of AFB<sub>1</sub> discovery and biomarker development. (<b>A</b>) Proposed structures of AFB<sub>1</sub> and AFG<sub>1</sub> by George Büchi on 22 March 1963 and reported later that year by Büchi, Wogan and colleagues [<a href="#B6-toxins-16-00496" class="html-bibr">6</a>]. Professor Gerald Wogan was the doctoral mentor for Prof. Groopman. Courtesy of Prof John Essigmann, MIT. (<b>B</b>) Initial chromatography of aflatoxin–N<sup>7</sup>–guanine by HPLC and photodiode array detection in human urine in 1987 by Groopman. (<b>C</b>) Dr Groopman with his first HPLC (1981). Courtesy of Prof. John Groopman. (<b>D</b>) Mass spectrometry of aflatoxin–lysine adduct standard and in rat serum. * Indicates position of stable isotope labels for internal standard. (<b>E</b>) John Groopman with his first mass spectrometer for biomarker quantification, a Thermo LCQ (2000). Photo courtesy of Thomas Kensler. (<b>F</b>) John Groopman measuring volumes of urine in samples collected during molecular epidemiology studies and chemoprevention clinical trials in Qidong, China, an endemic area for aflatoxin exposure, with a high incidence of liver cancer (2016). Photo courtesy of Thomas Kensler.</p>
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<p>Timeline for key events in the discovery, biomarker development and molecular epidemiology, and regulation of aflatoxins. FDA, Food and Drug Administration; IARC, International Agency for Research on Cancer; IAC, immunoaffinity chromatography; CHL, chlorophyllin. Red boxes highlight seminal contributions of Professor John Groopman over the last 4 decades. Photo credits: original “Rosetta” groundnut meal used in initial characterization of aflatoxin toxicities, courtesy of John Groopman; and broccoli sprouts grown in the Qidong Liver Cancer Institute, China for the first clinical trials, courtesy of Thomas Kensler.</p>
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23 pages, 1396 KiB  
Review
Gut Dysbiosis and Its Role in the Anemia of Chronic Kidney Disease
by Elisabet Coll, Secundino Cigarran, Jose Portolés and Aleix Cases
Toxins 2024, 16(11), 495; https://doi.org/10.3390/toxins16110495 - 17 Nov 2024
Viewed by 1024
Abstract
The gut dysbiosis present in chronic kidney disease (CKD) has been associated with anemia. Factors such as the accumulation of gut-derived uremic toxins, increased gut barrier permeability-induced inflammation, and a reduced intestinal production of short-chain fatty acids (SCFAs), all associated with changes in [...] Read more.
The gut dysbiosis present in chronic kidney disease (CKD) has been associated with anemia. Factors such as the accumulation of gut-derived uremic toxins, increased gut barrier permeability-induced inflammation, and a reduced intestinal production of short-chain fatty acids (SCFAs), all associated with changes in the intestinal microbiota composition in CKD, may lead to the development or worsening of anemia in renal patients. Understanding and addressing these mechanisms related to gut dysbiosis in CKD patients can help to delay the development of anemia and improve its control in this population. One approach is to avoid or reduce the use of drugs linked to gut dysbiosis in CKD, such as phosphate binders, oral iron supplementation, antibiotics, and others, unless they are indispensable. Another approach involves introducing dietary changes that promote a healthier microbiota and/or using prebiotics, probiotics, or symbiotics to improve gut dysbiosis in this setting. These measures can increase the presence of SCFA-producing saccharolytic bacteria and reduce proteolytic bacteria, thereby lowering the production of gut-derived uremic toxins and inflammation. By ameliorating CKD-related gut dysbiosis, these strategies can also improve the control of renal anemia and enhance the response to erythropoiesis-stimulating agents (ESAs) in ESA-resistant patients. In this review, we have explored the relationship between gut dysbiosis in CKD and renal anemia and propose feasible solutions, both those already known and potential future treatments. Full article
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<p>Causes and consequences of gut dysbiosis in CKD patients and its role in anemia.</p>
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<p>Therapeutic approaches to prevent/correct renal anemia related to gut dysbiosis.</p>
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21 pages, 5193 KiB  
Article
Proteomic Profiling of Venoms from Bungarus suzhenae and B. bungaroides: Enzymatic Activities and Toxicity Assessment
by Chenying Yang, Li Ding, Qiyi He, Xiya Chen, Haiting Zhu, Feng Chen, Wanzhou Yang, Yuexin Pan, Zhiyuan Tai, Wenhao Zhang, Zeyuan Yu, Zening Chen and Xiaodong Yu
Toxins 2024, 16(11), 494; https://doi.org/10.3390/toxins16110494 - 16 Nov 2024
Viewed by 1199
Abstract
Kraits are venomous snakes of the genus Bungarus from the family Elapidae. Their venom typically demonstrates neurotoxicity; however, the toxicity is significantly influenced by the snake’s species and geographical origin. Among the Bungarus species, Bungarus suzhenae and B. bungaroides have been poorly [...] Read more.
Kraits are venomous snakes of the genus Bungarus from the family Elapidae. Their venom typically demonstrates neurotoxicity; however, the toxicity is significantly influenced by the snake’s species and geographical origin. Among the Bungarus species, Bungarus suzhenae and B. bungaroides have been poorly studied, with little to no information available regarding their venom composition. In this study, a proteomic approach was employed using LC-MS/MS to identify proteins from trypsin-digested peptides. The analysis revealed 102 venom-related proteins from 18 distinct functional protein families in the venom of B. suzhenae, with the primary components being three-finger toxins (3-FTx, 25.84%), phospholipase A2 (PLA2, 40.29%), L-amino acid oxidase (LAAO, 10.33%), Kunitz-type serine protease inhibitors (KUN, 9.48%), and snake venom metalloproteinases (SVMPs, 6.13%). In the venom of B. bungaroides, 99 proteins from 17 families were identified, with primary components being 3-FTx (33.87%), PLA2 (37.91%), LAAO (4.21%), and KUN (16.60%). Enzymatic activity assays confirmed the presence of key venom enzymes. Additionally, the LD50 values for B. suzhenae and B. bungaroides were 0.0133 μg/g and 0.752 μg/g, respectively, providing a reference for toxicity studies of these two species. This research elucidates the proteomic differences in the venoms of these two species, offering a foundation for developing antivenoms and clinical treatments for envenomation. Full article
(This article belongs to the Special Issue Transcriptomic and Proteomic Study on Animal Venom: Looking Forward)
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<p>Distribution ranges of <span class="html-italic">B. suzhenae</span> and <span class="html-italic">B. bungaroides</span>. The brown area represents the distribution of <span class="html-italic">B. suzhenae</span>, which is primarily found in Yingjiang County, Dehong Prefecture, Yunnan Province, China, and Kachin State, Myanmar. The yellow area indicates the distribution of <span class="html-italic">B. bungaroides</span>, which is mainly located in Sikkim and Meghalaya in India, Nujiang Lisu Autonomous Prefecture, Yunnan Province, and Medog County in Tibet, China. Blue star and green triangle on the map denote sampling points for <span class="html-italic">B. suzhenae</span> and <span class="html-italic">B. bungaroides</span>, respectively.</p>
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<p>Relative abundance of toxin protein families in the venoms of <span class="html-italic">B. suzhenae</span> and <span class="html-italic">B. bungaroides</span> as determined by LC-MS/MS. (<b>A</b>) Shows the relative abundance of various protein families in <span class="html-italic">B. suzhenae</span> venom; (<b>B</b>) shows the same for <span class="html-italic">B. bungaroides</span> venom. Abbreviations include 3-FTx (three-finger toxin), PLA<sub>2</sub> (phospholipase A<sub>2</sub>), PLB (phospholipase B), CRISP (cysteine-rich secretory protein), SVMP (snake venom metalloproteinase), SVSP (snake venom serine protease), LAAO (L-amino acid oxidase), CTL (C-type lectin), KUN (Kunitz-type serine protease inhibitor), NP (natriuretic peptide), CYS (cystatin), NGF (nerve growth factor), AChE (acetylcholinesterase), PI (PLA<sub>2</sub> inhibitor), PDE (phosphodiesterase), 5′-NT (5′-nucleotidase), VESP (vespryn), and HAase (hyaluronidase).</p>
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<p>Comparison of the content of 3-FTx protein subfamilies in the venoms of nine Bungarus species. * the ones studied in this research: <span class="html-italic">B. suzhenae</span> and <span class="html-italic">B. bungaroides</span>. Other species include <span class="html-italic">B. multicinctus-a</span> (Guangdong, China) [<a href="#B24-toxins-16-00494" class="html-bibr">24</a>], <span class="html-italic">B. multicinctus-b</span> (Taiwan, China) [<a href="#B24-toxins-16-00494" class="html-bibr">24</a>], <span class="html-italic">B. multicinctus-c</span> (Guangxi, China) [<a href="#B25-toxins-16-00494" class="html-bibr">25</a>], <span class="html-italic">B. multicinctus-d</span> (Vietnam) [<a href="#B26-toxins-16-00494" class="html-bibr">26</a>], <span class="html-italic">B. caeruleus</span> (India) [<a href="#B27-toxins-16-00494" class="html-bibr">27</a>], <span class="html-italic">B. sindanus</span> (Pakistan) [<a href="#B28-toxins-16-00494" class="html-bibr">28</a>], and <span class="html-italic">B. flaviceps</span> (Malaysia) [<a href="#B29-toxins-16-00494" class="html-bibr">29</a>]. Subfamilies include LNX (long neurotoxin), SNX (short neurotoxin), WNX (weak neurotoxin), and MTLP (Muscarinic toxin-like proteins).</p>
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<p>Comparison of the content of PLA<sub>2</sub> protein subfamilies in the venoms of nine Bungarus species. * the ones studied in this research: <span class="html-italic">B. suzhenae</span> and <span class="html-italic">B. bungaroides</span>. Other species include <span class="html-italic">B. multicinctus-a</span> (Guangdong, China) [<a href="#B24-toxins-16-00494" class="html-bibr">24</a>], <span class="html-italic">B. multicinctus-b</span> (Taiwan, China) [<a href="#B24-toxins-16-00494" class="html-bibr">24</a>], <span class="html-italic">B. multicinctus-c</span> (Guangxi, China) [<a href="#B25-toxins-16-00494" class="html-bibr">25</a>], <span class="html-italic">B. multicinctus-d</span> (Vietnam) [<a href="#B26-toxins-16-00494" class="html-bibr">26</a>], <span class="html-italic">B. sindanus</span> (Pakistan) [<a href="#B28-toxins-16-00494" class="html-bibr">28</a>], <span class="html-italic">B. fasciatus-a</span> (Vietnam) [<a href="#B26-toxins-16-00494" class="html-bibr">26</a>], and <span class="html-italic">B. flaviceps</span> (Malaysia) [<a href="#B29-toxins-16-00494" class="html-bibr">29</a>]. Subfamilies include β-BGT (beta-bungarotoxin), Acidic PLA<sub>2</sub> (acidic phospholipase A<sub>2</sub>), and Basic PLA<sub>2</sub> (basic phospholipase A<sub>2</sub>).</p>
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<p>Comparison of minor toxin-related protein families in the venoms of various Bungarus species. Abbreviations include Kunitz-type serine protease inhibitors (KUNs), L-amino acid oxidase (LAAO), snake venom metalloproteinases (SVMPs) and acetylcholinesterase (AChE). * the ones studied in this research: <span class="html-italic">B. suzhenae</span> and <span class="html-italic">B. bungaroides</span>. Other species include <span class="html-italic">B. multicinctus-a</span> (Guangdong, China) [<a href="#B24-toxins-16-00494" class="html-bibr">24</a>], <span class="html-italic">B. multicinctus-b</span> (Taiwan, China) [<a href="#B24-toxins-16-00494" class="html-bibr">24</a>], <span class="html-italic">B. multicinctus-c</span> (Guangxi, China) [<a href="#B25-toxins-16-00494" class="html-bibr">25</a>], <span class="html-italic">B. multicinctus-d</span> (Vietnam) [<a href="#B26-toxins-16-00494" class="html-bibr">26</a>], <span class="html-italic">B. candidus</span> (Malaysia) [<a href="#B9-toxins-16-00494" class="html-bibr">9</a>], <span class="html-italic">B. caeruleus</span> (India) [<a href="#B27-toxins-16-00494" class="html-bibr">27</a>], <span class="html-italic">B. sindanus</span> (Pakistan) [<a href="#B28-toxins-16-00494" class="html-bibr">28</a>], <span class="html-italic">B. fasciatus-a</span> (Vietnam) [<a href="#B26-toxins-16-00494" class="html-bibr">26</a>], <span class="html-italic">B. fasciatus-b</span> (Malaysia) [<a href="#B9-toxins-16-00494" class="html-bibr">9</a>], and <span class="html-italic">B. flaviceps</span> (Malaysia) [<a href="#B29-toxins-16-00494" class="html-bibr">29</a>].</p>
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<p>Biochemical activities of venoms from <span class="html-italic">B. suzhenae</span> and <span class="html-italic">B. bungaroides</span>. This figure depicts the (<b>A</b>) PLA<sub>2</sub>, (<b>B</b>) LAAO, (<b>C</b>) SVMP, and (<b>D</b>) Fibrinogen-degrading activities of the venoms. Panel (<b>D</b>) shows the fibrinogen electrophoresis patterns: Lane Fib represents untreated fibrinogen, Lane a and b show fibrinogen hydrolysis by <span class="html-italic">B. suzhenae</span> venom and by <span class="html-italic">B. suzhenae</span> venom with EDTA as an inhibitor, respectively, while Lane c and d show the same for <span class="html-italic">B. bungaroides</span> venom. All experiments were performed in triplicate, with error bars representing standard deviation. Statistical significance was assessed with multiple comparison tests: <span class="html-italic">p</span> &gt; 0.05 (ns), <span class="html-italic">p</span> &lt; 0.0002 (***), <span class="html-italic">p</span> &lt; 0.0001 (****).</p>
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<p>Hemolytic activities of venoms from <span class="html-italic">B. suzhenae</span> and <span class="html-italic">B. bungaroides</span>. (<b>A</b>) Illustrates the direct hemolytic activity of PLA2 on red blood cells, expressed as a percentage in relation to the positive control (1% Triton X). (<b>B</b>) Shows the hemolytic effect of phospholipids generated by PLA<sub>2</sub> hydrolysis on red blood cells. All tests were carried out in triplicate, with error bars denoting standard deviation. Statistical significance was assessed with multiple comparison tests: <span class="html-italic">p</span> &lt; 0.05 (*), <span class="html-italic">p</span> &lt; 0.002 (**), <span class="html-italic">p</span> &lt; 0.0001 (****).</p>
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13 pages, 1612 KiB  
Article
The Effects of Kernel Type (Inshell, Shelled and Split Almonds) on the Growth and Aflatoxin Production of A. flavus Under Different Combinations of Water Activity and Temperature
by Barbara Szonyi, Guangwei Huang, Tim Birmingham and Dawit Gizachew
Toxins 2024, 16(11), 493; https://doi.org/10.3390/toxins16110493 - 16 Nov 2024
Viewed by 586
Abstract
Almonds are susceptible to infestation by Aspergillus flavus, an aflatoxin-producing fungus. The objective of this study was to investigate the effects of kernel type (inshell, shelled and split almonds) on the ability of A. flavus to grow and produce aflatoxins at different [...] Read more.
Almonds are susceptible to infestation by Aspergillus flavus, an aflatoxin-producing fungus. The objective of this study was to investigate the effects of kernel type (inshell, shelled and split almonds) on the ability of A. flavus to grow and produce aflatoxins at different combinations of temperature (20, 27 and 35 °C), water activity (0.85, 0.92, 0.95 and 0.98 aw) and incubation period (10, 20 and 30 days). There was no fungal growth at 0.85 aw on any of the kernel types. At 0.92 aw, only the split kernels supported growth and aflatoxin synthesis. The fungus was able to grow and produce aflatoxins on all three kernels at 0.95–0.98 aw and 20–35 °C. At 0.98 aw, high total aflatoxin concentrations (>300 µg/kg) were found on the shelled and split kernels at all temperatures. On the inshell nuts, the fungus produced up to 372 µg/kg of total aflatoxins at 0.98 aw and 27 °C. Regression analysis showed that significantly higher levels of aflatoxins were produced at 27 °C (as compared to at 20 and 35 °C) on shelled and split almonds. Incubation time was also a significant predictor of aflatoxin accumulation. The results of this study indicated that shipping almonds below 0.85 aw and reducing storage time would significantly decrease the risk of infestation and aflatoxin production by A. flavus. Full article
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<p>Growth of <span class="html-italic">A. flavus</span> on inshell almond kernels at each combination of temperature and water activity. Error bars show standard deviations (SDs).</p>
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<p>Growth of <span class="html-italic">A. flavus</span> on shelled almond kernels at each combination of temperature and water activity. Error bars show standard deviations (SDs).</p>
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<p>Growth of <span class="html-italic">A. flavus</span> on split almond kernels at each combination of temperature and water activity. Error bars show standard deviations (SDs).</p>
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<p>Total aflatoxin (AFB<sub>1</sub> + AFB<sub>2</sub>) production of <span class="html-italic">A. flavus</span> on inshell, shelled and split almond kernels at each combination of temperature and water activity (averaged over 10, 20 and 30 days of incubation). Error bars show standard deviations. Asterisks denote significantly different values within the dataset based on Tukey’s multiple comparison test.</p>
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11 pages, 485 KiB  
Article
Co-Occurrence of Mycotoxins in the Diet and in the Milk of Dairy Cows from the Southeast Region of Brazil
by Aline Moreira Borowsky, Roice Eliana Rosim, Fernando Gustavo Tonin, Carlos Augusto Fernandes de Oliveira and Carlos Humberto Corassin
Toxins 2024, 16(11), 492; https://doi.org/10.3390/toxins16110492 - 15 Nov 2024
Viewed by 873
Abstract
Mycotoxins are toxic fungi secondary metabolites that develop on feedstuffs and can be transferred into milk, thus representing a public health risk. The objective of this study was to assess the co-occurrence of mycotoxins in the diet and in the milk of dairy [...] Read more.
Mycotoxins are toxic fungi secondary metabolites that develop on feedstuffs and can be transferred into milk, thus representing a public health risk. The objective of this study was to assess the co-occurrence of mycotoxins in the diet and in the milk of dairy cows from the southeast region of Brazil. Samples of total mixed ration (TMR, n = 70) and milk (n = 70) were collected in dairy farms and subjected to multi-mycotoxin analysis using liquid chromatography coupled to tandem mass spectrometry. The aflatoxins (AFs), ochratoxin A (OTA), and T-2 and HT-2 toxins were not detected in TMR samples. In contrast, fumonisins (FBs), zearalenone (ZEN), and deoxynivalenol (DON) were detected in 100, 93, and 24% of TMR samples at mean levels of 336.7 ± 36.98, 80.32 ± 16.06 µg/kg and 292.1 ± 85.68 µg/kg, respectively. Ninety-two percent of TMR samples exhibited co-occurring mycotoxins. In milk, 54% of samples (n = 38) had detectable levels of mycotoxin, while 43% (n = 30) contained two or more types of mycotoxins. DON, FB, and ZEN metabolites (α-zearalenol and β-zearalenol) were the most frequent mycotoxins detected in the milk samples analyzed, at mean concentrations of 0.562 ± 0.112, 2.135 ± 0.296 µg/kg, 2.472 ± 0.436 µg/kg, and 0.343 ± 0.062 µg/kg, respectively. However, none of the analyzed milk samples had levels higher than the maximum permitted limit for AFM1 in Brazil (0.5 µg/L). The results of this trial highlight the concern about the co-occurrence of multiple mycotoxins in TMR and in milk, due to the possible additive or synergistic effects of these compounds. The presence of co-occurring mycotoxins in milk underscores the need for stringent preventive practices to avoid mycotoxin contamination in the diet of dairy cows in Brazil. Full article
(This article belongs to the Special Issue Co-Occurrence of Mycotoxins and Their Combined Toxicity)
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<p>Percentage of samples of total mixed ration for dairy cows from the southeast region of Brazil containing one, two, or three mycotoxins.</p>
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13 pages, 1264 KiB  
Article
Revealing the Bioactivities of Physalia physalis Venom Using Drosophila as a Model
by Zuzanna Tomkielska, Jorge Frias, Nelson Simões, Bernardo P. de Bastos, Javier Fidalgo, Ana Casas, Hugo Almeida and Duarte Toubarro
Toxins 2024, 16(11), 491; https://doi.org/10.3390/toxins16110491 - 15 Nov 2024
Viewed by 941
Abstract
Physalia physalis, commonly known as the Portuguese Man o’ War, is one of the most venomous members of the Cnidaria yet is poorly understood. This article investigates the toxicity of P. physalis venom by assessing its behavioral and toxicological effects on Drosophila [...] Read more.
Physalia physalis, commonly known as the Portuguese Man o’ War, is one of the most venomous members of the Cnidaria yet is poorly understood. This article investigates the toxicity of P. physalis venom by assessing its behavioral and toxicological effects on Drosophila melanogaster. The venom administered orally revealed dose- and time-dependent mortality, with an LD50 of 67.4 μg per fly. At sublethal doses, the treated flies displayed uncoordinated movement and fell when attempting to climb. Real-time analysis of flies exposed to the venom revealed hyperexcitability followed by paralysis, with phenotypes similar to those observed in vertebrate models. The venom was shown to be non-thermolabile, as no significant differences in behavior and locomotion were observed between flies exposed to untreated or thermally treated venom. The circadian rhythm alterations, the enhanced light attraction, and the reduction in heat avoidance suggest altered neuronal function. This abnormal behavior indicates that the venom contains bioactive molecules, opening avenues for discovering new compounds with potential for pharmacological applications. Full article
(This article belongs to the Special Issue Clinical Evidence for Therapeutic Effects and Safety of Animal Venoms)
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Graphical abstract

Graphical abstract
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<p>(<b>a</b>) Survival of flies treated with different doses of venom. (<b>b</b>) Dose-dependent responses at 60 h. Doses are presented in μg/fly/day, and values correspond to the mean ± SEM. (<b>c</b>) Negative geotaxis assay comparing venom-treated flies to control flies. *** Highly significant difference (<span class="html-italic">p</span> &lt; 0.001, Student’s <span class="html-italic">t</span>-test).</p>
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<p>(<b>a</b>) Heat map representing the detailed activity of each fly over 48 h, comparing treated and non-treated flies. The x-axis represents time in hours (0 to 48 h), and the y-axis lists the experimental replicates, where 1–7 are venom-treated flies, and 8–14 are controls. The color gradient indicates the level of activity, with darker shades representing less movement and lighter shades (blue) indicating higher activity levels. (<b>b</b>) Box plot representing the fraction of time the <span class="html-italic">Drosophila</span> spent moving for each group, <span class="html-italic">n</span> = 84. ** Indicate highly significant difference (<span class="html-italic">p</span> &lt; 0.01, ANOVA).</p>
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<p>(<b>a</b>) Percentage of locomotor activity (<span class="html-italic">Y</span>-axis) over time (hours, <span class="html-italic">X</span>-axis), with the blue line indicating non-treated flies and the red line representing treated flies. Shaded areas denote standard error. (<b>b</b>) Food intake between treated and non-treated flies, represented in µL per fly. * Indicate significant differences (<span class="html-italic">p</span> &lt; 0.05) and ** highly significant differences (<span class="html-italic">p</span> &lt; 0.01), as determined by ANOVA.</p>
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<p>(<b>a</b>) The heat map represents the activity of each fly over a 1 h period. Each bar represents the time each fly spent on the light side of the tube. Individuals treated with venom are enclosed in a red frame. (<b>b</b>) Box plot represents the light-side preference for treated and non-treated flies. (<b>c</b>) Heat avoidance across various temperatures during 3 min incubations. The <span class="html-italic">Y</span>-axis represents the relative number of incapacitated flies compared with the control, with 1.0 corresponding to 100 percent. (<b>d</b>) Comparison of heat avoidance behavior at 44 °C between treated and non-treated flies over 3 min (<span class="html-italic">n</span> = 323). The <span class="html-italic">Y</span>-axis represents the relative level as a fraction of control, where 1.0 is equal to 100 percent. ** Highly significant difference <span class="html-italic">p</span> &lt; 0.01, *** highly significant difference <span class="html-italic">p</span> &lt; 0.001 (Student’s <span class="html-italic">t</span>-test, ANOVA).</p>
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22 pages, 1624 KiB  
Article
Mycotoxin Challenge in Dairy Cows: Assessment of the Efficacy of an Anti-Mycotoxin Agent by Adopting an In Vitro Rumen Simulation Method
by Erica Fiorbelli, Marco Lapris, Michela Errico, Antonella Della Badia, Insaf Riahi, Gabriele Rocchetti and Antonio Gallo
Toxins 2024, 16(11), 490; https://doi.org/10.3390/toxins16110490 - 13 Nov 2024
Viewed by 1245
Abstract
To protect ruminants from the harmful effects of mycotoxins, anti-mycotoxin agents can be added to the dietary ration, thus guaranteeing animal health and production. Therefore, the objective of this study was to evaluate the in vitro ruminal initial sequestration (weak binding) and subsequent [...] Read more.
To protect ruminants from the harmful effects of mycotoxins, anti-mycotoxin agents can be added to the dietary ration, thus guaranteeing animal health and production. Therefore, the objective of this study was to evaluate the in vitro ruminal initial sequestration (weak binding) and subsequent desorption (strong binding) of an anti-mycotoxin agent based on a mixture of adsorbing material, turmeric and milk thistle extracts and yeast-based components to adsorb or bio-convert aflatoxins (AF), fumonisins B1 and B2 (FB), trichothecene deoxynivalenol (DON), T-2 and HT-2 toxins, and zearalenone (ZEN). Two doses were tested: Dose 1 simulated 30 mg/cow/d, while Dose 2 simulated 90 mg/cow/d of the anti-mycotoxin agent. Each treatment involved three analytical replicates at each of three incubation times (1, 4, and 24 h post-incubation), with two independent experimental runs providing experimental replicates. Analytical methods, including UHPLC-HRMS and multivariate analyses, were used to both quantify mycotoxin concentrations and reveal dose-dependent reductions, with statistical validations indicating significant changes in mycotoxin levels across both dose and time. The results indicated that the anti-mycotoxin agent was able to highly bind AFB1, T2, and HT-2 toxins since its concentration was always under the limit of detection (<1 ppb). Regarding ZEN (weak binding mean: 94.6%; strong binding mean: 62.4%) and FBs (weak binding mean: 58.7%; strong binding mean: 32.3%), orthogonal contrasts indicated that the anti-mycotoxin agent was able to effectively bind these toxins using Dose 1 (p < 0.05). This finding suggests that Dose 1 may be sufficient to achieve the targeted effect and that a further increase does not significantly improve the outcome. Regarding DON, a strong linear relationship was observed between dose and adsorption. However, the complex interactions between the mycotoxin, the ruminal environment, and the anti-mycotoxin agent made it difficult to establish a clear dose–effect relationship (p > 0.10). UHPLC-HRMS analysis identified over 1500 mass features in rumen samples, which were further analyzed to assess the effects of the anti-mycotoxin agent. Hierarchical clustering analysis (HCA) revealed significant changes in the untargeted metabolomic profiles of samples treated with mycotoxins compared to control samples, particularly after 24 h with the anti-mycotoxin treatments. Clear differences were noted between strong binding and weak binding samples. Further analysis using orthogonal partial least squares discriminant analysis (OPLS-DA) highlighted distinct metabolomic profiles, with stronger predictive ability in the strong binding group (Q2 cumulative value of 0.57) compared to the weak binding group (0.30). The analysis identified 44 discriminant compounds in the strong binding model and 16 in the weak binding model. Seven compounds were common to both groups, while silibinin, known for its antioxidant and anti-inflammatory properties, was found among the unique compounds in the weak binding group. Overall, the findings suggest that both doses of the anti-mycotoxin agent significantly influenced the chemical profiles in the rumen, particularly enhancing the binding of mycotoxins, thereby supporting the role of phytogenic extracts in mitigating mycotoxin effects. Full article
(This article belongs to the Special Issue Mitigation and Detoxification Strategies of Mycotoxins)
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<p>Gas production of the standard sample (STR) in run 1 and run 2.</p>
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<p>Gas production of the blank sample in run 1 and run 2.</p>
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<p>OPLS-DA score plots considering the untargeted chemical profile of rumen samples after 24 h of incubation for both strong (<b>A</b>) and weak (<b>B</b>) binding experiments.</p>
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40 pages, 7015 KiB  
Review
Antibacterial Activity and Antifungal Activity of Monomeric Alkaloids
by Amin Mahmood Thawabteh, Aseel Wasel Ghanem, Sara AbuMadi, Dania Thaher, Weam Jaghama, Rafik Karaman, Laura Scrano and Sabino A. Bufo
Toxins 2024, 16(11), 489; https://doi.org/10.3390/toxins16110489 - 12 Nov 2024
Viewed by 1660
Abstract
Scientists are becoming alarmed by the rise in drug-resistant bacterial and fungal strains, which makes it more costly, time-consuming, and difficult to create new antimicrobials from unique chemical entities. Chemicals with pharmacological qualities, such as antibacterial and antifungal elements, can be found in [...] Read more.
Scientists are becoming alarmed by the rise in drug-resistant bacterial and fungal strains, which makes it more costly, time-consuming, and difficult to create new antimicrobials from unique chemical entities. Chemicals with pharmacological qualities, such as antibacterial and antifungal elements, can be found in plants. Alkaloids are a class of chemical compounds found in nature that mostly consist of basic nitrogen atoms. Biomedical science relies heavily on alkaloid compounds. Based on 241 papers published in peer-reviewed scientific publications within the last ten years (2014–2024), we examined 248 natural or synthesized monomeric alkaloids that have antifungal and antibacterial activity against Gram-positive and Gram-negative microorganisms. Based on their chemical structure, the chosen alkaloids were divided into four groups: polyamine alkaloids, alkaloids with nitrogen in the side chain, alkaloids with nitrogen heterocycles, and pseudoalkaloids. With MIC values of less than 1 µg/mL, compounds 91, 124, 125, 136138, 163, 164, 191, 193, 195, 205 and 206 shown strong antibacterial activity. However, with MIC values of below 1 µg/mL, compounds 124, 125, 163, 164, 207, and 224 demonstrated strong antifungal activity. Given the rise in antibiotic resistance, these alkaloids are highly significant in regard to their potential to create novel antimicrobial drugs. Full article
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<p>Amino acid-derived alkaloids, as well as true and proto alkaloids. Reproduced with permission from Casciaro, B.; Mangiardi, L.; Cappiello, F.; Romeo, I.; Loffredo, M. R.; Iazzetti, A.; Calcaterra, A.; Goggiamani, A.; Ghirga, F.; Mangoni, M. L.; Botta, B.; Quaglio, D., <span class="html-italic">Molecules</span>; published by MDPI, 2020 [<a href="#B20-toxins-16-00489" class="html-bibr">20</a>].</p>
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<p>Non-amino acid-derived alkaloids, as well as true and proto alkaloids. Reproduced with permission from Casciaro, B.; Mangiardi, L.; Cappiello, F.; Romeo, I.; Loffredo, M. R.; Iazzetti, A.; Calcaterra, A.; Goggiamani, A.; Ghirga, F.; Mangoni, M. L.; Botta, B.; Quaglio, D., <span class="html-italic">Molecules</span>; published by MDPI, 2020 [<a href="#B20-toxins-16-00489" class="html-bibr">20</a>].</p>
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<p>Chemical structures of alkaloids <b>1</b>–<b>20</b>.</p>
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<p>Chemical structures of alkaloids <b>21</b>–<b>40</b>.</p>
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<p>Chemical structures of alkaloids <b>41</b>–<b>62</b>.</p>
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<p>Chemical structures of alkaloids <b>63</b>–<b>86</b>.</p>
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<p>Chemical structures of alkaloids <b>87</b>–<b>113</b>.</p>
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<p>Chemical structures of alkaloids <b>114</b>–<b>138</b>.</p>
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<p>Chemical structures of alkaloids <b>139</b>–<b>165</b>.</p>
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<p>Chemical structures of alkaloids <b>166</b>–<b>190</b>.</p>
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<p>Chemical structures of alkaloids <b>191</b>–<b>221</b>.</p>
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<p>Chemical structures of alkaloids <b>222</b>–<b>248</b>.</p>
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8 pages, 919 KiB  
Case Report
Complete Improvement of Severe Forearm Complex Regional Pain Syndrome with Six High-Dose Incobotulinumtoxin A Injections: Clinical Implications with Respect to the Literature
by Harald Hefter, Marek Moll and Sara Samadzadeh
Toxins 2024, 16(11), 488; https://doi.org/10.3390/toxins16110488 - 10 Nov 2024
Viewed by 883
Abstract
There is some evidence that injections of botulinum neurotoxin effectively reduce pain in complex regional pain syndromes (CRPSs). But no or little experience appears to exist for the application of incobotulinum neurotoxin type A (incoBoNT/A) in complex pain disorders. Here, a case of [...] Read more.
There is some evidence that injections of botulinum neurotoxin effectively reduce pain in complex regional pain syndromes (CRPSs). But no or little experience appears to exist for the application of incobotulinum neurotoxin type A (incoBoNT/A) in complex pain disorders. Here, a case of CRPS type I, characterized by severe symptoms in the left forearm is presented, showed significant continuous improvement following a series of six repetitive (painful) injections into the finger, hand, and forearm muscles of incoBoNT/A every 3 months, administered at declining doses varying between 500 and 100 U. Remarkably, this treatment regimen led to the complete resolution of pain, vaso- and sudomotor symptoms, and hand dystonia. This highlights the possible efficacy of incoBoNT/A in the treatment of CRPS and encourages the further exploration of incoBoNT/A’s role in the successful management of complex pain disorders. Full article
(This article belongs to the Section Bacterial Toxins)
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<p>Photos were taken at the baseline visit: (<b>A</b>) Comparison of both hands; (<b>B</b>) livid skin color of the impaired left forearm; (<b>C</b>) edema and dystonia of the left forearm; (<b>D</b>) self-assessment of the severity of CRPS in % of the severity at the baseline visit (using a 21-point Lickert scale). The arrows indicate the application of injections 2 to 6.</p>
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<p>(<b>A</b>) Oedema and dystonia of the left hand and forearm before the 1st injection. (<b>B</b>) Improvement of oedema and dystonia of the left hand two weeks after 1st injection. Attempts to open the left hand voluntarily: (<b>C</b>) after the 1st injection, (<b>D</b>) after the 2nd injection, (<b>E</b>) after the 3rd injection, (<b>F</b>) after the 4th injection, and (<b>G</b>) after the 5th injection.</p>
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17 pages, 1467 KiB  
Review
Ochratoxin A in Poultry Supply Chain: Overview of Feed Occurrence, Carry-Over, and Pathognomonic Lesions in Target Organs to Promote Food Safety
by Elisabetta Bonerba, Alessio Manfredi, Michela Maria Dimuccio, Patrizio Lorusso, Annamaria Pandiscia, Valentina Terio, Angela Di Pinto, Sara Panseri, Edmondo Ceci and Giancarlo Bozzo
Toxins 2024, 16(11), 487; https://doi.org/10.3390/toxins16110487 - 10 Nov 2024
Viewed by 1103
Abstract
Ochratoxin A (OTA) is a mycotoxin produced by fungi species belonging to the genera Aspergillus spp. and Penicillium spp. The proliferation of OTA-producing fungal species may occur due to inadequate practices during both the pre-harvest and post-harvest stages of feed. Consequently, poultry species [...] Read more.
Ochratoxin A (OTA) is a mycotoxin produced by fungi species belonging to the genera Aspergillus spp. and Penicillium spp. The proliferation of OTA-producing fungal species may occur due to inadequate practices during both the pre-harvest and post-harvest stages of feed. Consequently, poultry species may be exposed to high concentrations of this mycotoxin that can be transferred to animal tissues due to its carry-over, reaching dangerous concentrations in meat and meat products. Therefore, this review aims to propose a comprehensive overview of the effects of OTA on human health, along with data from global studies on the prevalence and concentrations of this mycotoxin in avian feeds, as well as in poultry meat, edible offal, and eggs. Moreover, the review examines significant gross and histopathological lesions in the kidneys and livers of poultry linked to OTA exposure. Finally, the key methods for OTA prevention and decontamination of feed are described. Full article
(This article belongs to the Special Issue Toxins: 15th Anniversary)
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<p>Pathognomonic lesions induced by OTA in poultry kidney and liver.</p>
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<p>Prevention and decontamination methods from OTA in poultry feed.</p>
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28 pages, 13740 KiB  
Article
A Novel P-III Metalloproteinase from Bothrops barnetti Venom Degrades Extracellular Matrix Proteins, Inhibits Platelet Aggregation, and Disrupts Endothelial Cell Adhesion via α5β1 Integrin Receptors to Arginine–Glycine–Aspartic Acid (RGD)-Containing Molecules
by Pedro Henrique de Caires Schluga, Debora Larangote, Ana Maria de Melo, Guilherme Kamienski Lobermayer, Daniel Torrejón, Luciana Souza de Oliveira, Valeria Gonçalves Alvarenga, Dan Erick Vivas-Ruiz, Silvio Sanches Veiga, Eladio Flores Sanchez and Luiza Helena Gremski
Toxins 2024, 16(11), 486; https://doi.org/10.3390/toxins16110486 - 9 Nov 2024
Viewed by 1126
Abstract
Viperid snake venoms are notably abundant in metalloproteinases (proteins) (SVMPs), which are primarily responsible for inducing hemorrhage and disrupting the hemostatic process and tissue integrity in envenomed victims. In this study, barnettlysin-III (Bar-III), a hemorrhagic P-III SVMP, was purified from the venom of [...] Read more.
Viperid snake venoms are notably abundant in metalloproteinases (proteins) (SVMPs), which are primarily responsible for inducing hemorrhage and disrupting the hemostatic process and tissue integrity in envenomed victims. In this study, barnettlysin-III (Bar-III), a hemorrhagic P-III SVMP, was purified from the venom of the Peruvian snake Bothrops barnetti. Bar-III has a molecular mass of approximately 50 kDa and is a glycosylation-dependent functional metalloproteinase. Some biochemical properties of Bar-III, including the full amino acid sequence deduced from its cDNA, are reported. Its enzymatic activity is increased by Ca2+ ions and inhibited by an excess of Zn2+. Synthetic metalloproteinase inhibitors and EDTA also inhibit its proteolytic action. Bar-III degrades several plasma and ECM proteins, including fibrin(ogen), fibronectin, laminin, and nidogen. Platelets play a key role in hemostasis and thrombosis and in other biological process, such as inflammation and immunity, and platelet activation is driven by the platelet signaling receptors, glycoprotein (GP)Ib-IX-V, which binds vWF, and GPVI, which binds collagen. Moreover, Bar-III inhibits vWF- and convulxin-induced platelet aggregation in human washed platelets by cleaving the recombinant A1 domain of vWF and GPVI into a soluble ectodomain fraction of ~55 kDa (sGPVI). Bar-III does not reduce the viability of cultured endothelial cells; however, it interferes with the adhesion of these cells to fibronectin, vitronectin, and RGD peptides, as well as their migration profile. Bar-III binds specifically to the surface of these cells, and part of this interaction involves α5β1 integrin receptors. These results contribute to a better comprehension of the pathophysiology of snakebite accidents/incidents and could be used as a tool to explore novel and safer anti-venom therapeutics. Full article
(This article belongs to the Section Animal Venoms)
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<p>Purification of Bar-III. Active fraction from the second step (peaks D, E and F—<a href="#app1-toxins-16-00486" class="html-app">Figure S2</a>) was submitted to a Sephacryl S-200 column and equilibrated and eluted with HEPES buffer at pH 7.5, with 1 mM CaCl<sub>2</sub> and 5 mM NaCl at a flow rate of 3.5 mL/h. The labels B-1, B-2 and B-3 denote the resulting peaks of this purification step. Inset indicates the purified Bar-III analyzed using SDS-PAGE (12% gel) under reduced conditions (5 µg). A band of ~55-kDa below the isolated proteinase may represent an autocatalytic fragment.</p>
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<p>Some biochemical properties of Bar-III. (<b>A</b>) Effect of ions and (<b>B</b>) enzyme inhibitors on DMC proteolysis. Purified Bar-III (1.5 µg) was incubated with each compound in 250 μL of HEPES buffer (pH 7.5) for 15 min at 37 °C. Next, 250 µL of 2% DMC was added, and the activity was measured after a 30 min incubation at 37 °C. In addition, proteinase activity was challenged with various enzyme inhibitors: batimastat (BAT), marimastat (MAR), collagenase I inhibitor (i-Coll-I), MMP-III inhibitor (i-MMP-III), ethylenediamine tetra-acetic acid (EDTA), phenylmethylsulfonyl fluoride (PMSF), dithiothreitol (DTT), and chymostatin (Chy). (<b>C</b>) SDS-PAGE (12%) of native and deglycosylated enzymes (5 μg). Untreated Bar-III (control) or after incubation with PNGAse F: a band at approximately 34 kDa (right lane) is an excess of PNGAse F, and a band at approx. 30 kDa may correspond to P-II class SVMP. Marker proteins are indicated on the left. (<b>D</b>) Proteinase activity of Bar-III (5 µg) in the mixture was measured with DMC without (-●-) or after incubation with PNGAse F (-■-). Data are representative of SD (N = 3). Note that removal of N-deglycosylation drastically reduced enzyme activity.</p>
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<p>Full cDNA sequence of Bar-III precursor and its translated amino acid sequence. The signal peptide is underlined with a continuous line, and the consensus sequence in the propeptide (which controls the maturation of SVMPs) is underlined with a dotted line. The first residue of the mature protein Glu1 is highlighted in black. Mature protein sequence is highlighted in gray, and the typical zinc-chelating motif is marked with black box. The integrin-interacting motifs (ECDs) are highlighted in dark gray. The methionine-turn motif, CIM, is in bold. ORF termination by TAG codon is indicated by (-). The sequence of cDNA and the corresponding sequence of amino acids of Bar-III have been deposited in GenBank under accession number PQ268089.</p>
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<p>Multiple alignments of Bar III with other SVMPs from several <span class="html-italic">Bothrops</span> species. The red-colored residues represent the conserved regions throughout. The residues are numbered according to the alignment to Bothropasin (3DSL) and its secondary structural elements. The sequence of Bar-III is aligned with the following venom proteins: Atroxlysin III from Peruvian <span class="html-italic">B. atrox</span> (AQS99160), Bothropasin from <span class="html-italic">B. jararaca</span> (AAC61986), Batroxrhagin from Brazilian <span class="html-italic">B. atrox</span> (ALB00542), Jararhagin from <span class="html-italic">B. jararaca</span> (P30431), <span class="html-italic">B. insularis</span> P-III from <span class="html-italic">B. insularis</span> (AAM09693), and Bar-I, a P-I SVMP from the same <span class="html-italic">B. barnetti</span> venom (P86976). The zinc-binding motif (HEGNHLGIHHD) is in black box, and the invariant methionine 168 of the Met-turn region is shown with (★★★). Disintegrin-like (ECD) sequences are in gray boxes. Cys–Cys bonds are shown with green numbers. Surface accessibility is shown for modeled regions, with white, cyan, blue, and red representing buried, intermediated, accessible, and incomputable residues, respectively. The domains are indicated by lines and descriptions below the aligned sequences. Alignments and figures were generated by Clustal W 8.0. program and ESPript server, respectively.</p>
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<p>Theoretical 3D model of mature Bar-III. Bar-III architecture comprises three domains: metalloproteinase (M) (green), disintegrin (D) (orange), and cysteine-rich (C) (cyan). (<b>A</b>) Secondary structure elements (α-helices and β-sheets) are shown. Disulfide bonds are represented by yellow sticks. (<b>B</b>) The primary regions of Bar-III are depicted and include the M domain (green), and Ds (magenta), Da (orange), Cw (olive), and Ch (cyan) segments, along with the hypervariable region (HVR) (blue). Zinc and calcium ions bound to the structure are represented by gray and beige spheres, respectively. Sites for N-glycosylation are indicated by red spheres.</p>
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<p>Analysis of fibrinogen, fibrin, fibronectin (FN), vitronectin (VN), type IV collagen, type I collagen, and Matrigel after treatment with Bar-III. Digestion reactions were performed at molar ratios of 1:100 (enzyme/substrate) of Fg (<b>A</b>), fibrin (<b>B</b>), and VN (<b>D</b>) and 1:50 for FN (<b>C</b>), coll-I (<b>E</b>), and coll-IV (<b>F</b>) for the indicated intervals at 37 °C. Aliquots of the incubation mixtures were analyzed by SDS-PAGE under reducing conditions on 10% gels to detect Fg and fibrin, 12.5% for VN, 7.5% for FN and coll-IV, and 5% for coll-I. The positions of the three polypeptide chains of Fg (Aα, Bβ, and γ) (<b>A</b>), along with the fibrin control γ-γ dimer and α- and β-chains (<b>B</b>), are indicated on the right and left, respectively. Typical coll-I chains (cross-linked α1α1- and α1α2-chain dimers, as well as monomeric α1 and α2) are indicated on the right (<b>E</b>). The position of the α1 and α2 domains of coll-IV are shown (<b>F</b>). Arrows at the right of (<b>A</b>–<b>D</b>) panels point to digestion products of ECM proteins. In panel H, 50 µg of Matrigel was incubated with 1.5 µg of Bar-III for 6 h at 37 °C. Reactions were terminated by addition of 10 mM of EDTA and analyzed using reduced SDS-PAGE (5–15% gradient gel). Control Matrigel (<b>C</b>), incubated with Bar-III, and EDTA-treated Bar-III are shown. The arrow at (<b>G</b>) panel points to a digestion product of Matrigel. Data are representative of three similar experiments.</p>
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<p>Effect of Bar-III on (<b>A</b>) convulxin (CVX)- and (<b>B</b>) von Willebrand factor (vWF)-induced platelet aggregation. Washed human platelets (WPs) (225 µL, 2.5 × 10<sup>5</sup>/µL) were pre-treated with various concentrations of Bar-III (ranging from 2 to 32 µg/mL for 3 min, with stirring at 600 rpm) at 37 °C, and then, different platelet agonists were introduced (CVX (6 µg/mL) and vWF (5 µg/mL) + marimastat (0.5 µg/mL)). Data shown are the mean ± SD of three independent experiments. ** <span class="html-italic">p</span> ≤ 0.005, *** <span class="html-italic">p</span> ≤ 0.001, **** <span class="html-italic">p</span> ≤ 0.0001.</p>
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<p>(<b>A</b>) Western blot analysis of Bar-III on recombinant vWF-A1 domain (rvWF-A1). vWF-A1 (5 µg) was treated with Bar-III (4 µg) for 60 min at 37 °C, as described in methodology section. The proteolysis of vWF-A1 (indicated by an arrow) was analyzed using SDS-PAGE (7–15% gradient gel) and blotted with mice anti-vWF IgG. (<b>B</b>) Bar-III does not cleave the vWF receptor partner GPIbα on platelets. Washed platelets were incubated with Bar-III (4 µg) at 37 °C at the indicated intervals, and the reactions were terminated by addition of SDS loading sample buffer. The platelet lysate was probed in WB with anti-CD42/GPIb. Note the intact ~130-kDa GPIbα expression on platelets. (<b>C</b>) Platelet pellets or supernatants of WPs treated with Bar-III (4 µg) for 60 min at 37 °C. The positions of GPVI (~62-kDa) and the soluble GPVI fragment (~55-kDa) are indicated. C, platelet control. These results are representative of at least three similar experiments for each item.</p>
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<p>RAEC viability and morphology after exposure to Bar-III. (<b>A</b>) Cell viability accessed using trypan blue method. The toxin was incubated with adhered cells (5 μg/mL, 20 μg/mL, and 50 μg/mL) for 2 and 24 h and subjected to a cell viability test using the trypan blue method. Control used PBS instead of venom or Bar-III. No statistically significant difference was found between controls and treated groups (<b>B</b>) Cell viability was accessed using ATP quantification method. The toxin was incubated with adhered cells (20 μg/mL, 50 μg/mL, and 100 μg/mL) and subjected to a cell viability test using CellTiter-Glo Kit<sup>®</sup>. Control used PBS instead of Bar-III. No statistically significant difference was found between controls and treated groups. (<b>C</b>,<b>D</b>) Cells were incubated with increasing amounts of Bar-III (20 μg/mL, 50 μg/mL, and 100 μg/mL) for 2 h (<b>C</b>) or 24 h (<b>D</b>). Images of cells were acquired by Microscope Leica MPS30 (Leica Microscopy System Ltd., Heerbrugg, Switzerland).</p>
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<p>Cell adhesion of RAECs exposed to Bar-III on different extracellular matrix (ECM) molecules. Panel (<b>A</b>) shows cell adhesion to fibronectin (FN), panel (<b>B</b>) to vitronectin, and panel (<b>C</b>) to RGD peptide. Cells were incubated with Bar-III toxin at concentrations of 10, 50, and 100 μg/mL. The control condition used PBS instead of venom or Bar-III. Statistical significance was defined as follows: ** <span class="html-italic">p</span> &lt; 0.01; *** <span class="html-italic">p</span> &lt; 0.001; **** <span class="html-italic">p</span> &lt; 0.0001.</p>
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<p>Assessment of cell migration by the scratch method in the presence of Bar-III in different amounts. The cell-free area was photographed at 0, 24, and 48 h. Analyses were carried out using Image J software v.1.8.0. **** <span class="html-italic">p</span> &lt; 0.0001.</p>
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<p>Bar-III interaction with RAEC surface and overlap of binding sites with α5 integrins. (Panel 1) RAECs were marked with polyclonal anti-Bar-III antibody and then incubated with anti-rabbit IgG Alexa 488-conjugated antibody. (<b>A</b>) Gray histogram indicates basal fluorescence (control) with secondary antibody; white histogram represents cells treated with Bar-III and marked with antibody, in which 95% of the cells were considered positive. (<b>B</b>) Gray histogram indicates basal fluorescence control with secondary antibody; white histogram is an antigen competition assay (pre-incubation of anti-Bar-III antibody with Bar-III solution incubated with RAECs exposed to Bar-III, showing 42% of marked cells, as shown in graph B (significance of **** <span class="html-italic">p</span> &lt;0.0001). (Panel 2) Binding of anti-α5 antibodies to RAECs. RAECs were incubated with anti-α5 monoclonal antibody, which was recognized by mouse anti-IgG antibody conjugated with Alexa 488. (<b>A</b>) Gray histogram indicates basal fluorescence control with secondary antibody; white histogram represents cells marked with anti-α5 antibody; 35.1% of cells were positive. (<b>B</b>) Gray histogram indicates basal fluorescence control with secondary antibody; white histogram represents RAECs exposed to Bar-III, followed by incubation with anti-α5 antibody recognized by secondary antibody against IgG of mouse, showing 19.7% positive cells, as shown in graph C (significance of *** <span class="html-italic">p</span> &lt;0.001). (Panel 3) Labeling of RAECs (nucleus stained with DAPI, Bar-III stained with Alexa 594, α-5 integrin Alexa-488), Arrows indicate regions of colocalization between Bar-III and integrins. 20× and 40× magnification.</p>
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19 pages, 1790 KiB  
Article
International Proficiency Test Targeting a Large Panel of Botulinum Neurotoxin Sero- and Subtypes in Different Matrices
by Christine Rasetti-Escargueil, Michel Robert Popoff, Bettina Kampa, Sylvia Worbs, Maud Marechal, Daniel Guerin, Eléa Paillares, Werner Luginbühl and Emmanuel Lemichez
Toxins 2024, 16(11), 485; https://doi.org/10.3390/toxins16110485 - 8 Nov 2024
Viewed by 830
Abstract
Detection of botulinum neurotoxins (BoNTs) involves a combination of technical challenges that call for the execution of inter-laboratory proficiency tests (PTs) to define the performance and ease of implementation of existing diagnostic methods regarding representative BoNT toxin-types spiked in clinical, food, or environmental [...] Read more.
Detection of botulinum neurotoxins (BoNTs) involves a combination of technical challenges that call for the execution of inter-laboratory proficiency tests (PTs) to define the performance and ease of implementation of existing diagnostic methods regarding representative BoNT toxin-types spiked in clinical, food, or environmental matrices. In the framework of the EU project EuroBioTox, we organized an international proficiency test for the detection and quantification of the clinically relevant BoNT/A, B, E, and F sero- and subtypes including concentrations as low as 0.5 ng/mL. BoNTs were spiked in serum, milk, and soil matrices. Here, we evaluate the results of 18 laboratories participating in this PT. Participants have implemented a wide array of detection methods based on functional, immunological, and mass spectrometric principles. Methods implemented in this proficiency test notably included endopeptidase assays either coupled to mass spectrometry (Endopep-MS) or enzyme-linked immunosorbent assays (Endopep-ELISA). This interlaboratory exercise pinpoints the most effective and complementary methods shared by the greatest number of participants, also highlighting the importance of combining the training of selected methods and of distributing toxin reference material to reduce the variability of quantitative data. Full article
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<p>Results reported by the participants after anonymization (lines) for each BoNT and by sample described in <a href="#toxins-16-00485-t001" class="html-table">Table 1</a> (columns). Green indicates that the participant reached a correct conclusion based on the results of one or more methods implemented. Red indicates a wrong conclusion. The absence of reported data is indicated as (-). For some reported data, more details are provided according to the figure legend: partially false (yellow) and no final conclusion (grey). The samples spiked with the indicated BoNT serotype are indicated with a blue arrowhead and blank samples with a grey arrowhead.</p>
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<p>Normal probability plots of selected samples. The normal probability plots show z’-scores without extremes (z’ &gt; 10), and without responses “&lt;LoD” or “&lt;LoQ” for samples with x<sub>pt</sub> &gt; 0.</p>
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<p>Overall z’-scores means for BoNT/A or BoNT/B quantification. The plots show the z’-score means (points) and their standard deviations (error bars span mean ± sd) as computed from the individual scores (results &lt; LoD or &lt;LoQ for BoNT-containing samples excluded).</p>
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17 pages, 3982 KiB  
Systematic Review
Evaluating the Efficacy and Safety of Botulinum Toxin in Treating Overactive Bladder in the Elderly: A Meta-Analysis with Trial Sequential Analysis of Randomized Controlled Trials
by Yu-Hsuan Chen, Jen-Hao Kuo, Yen-Ta Huang, Pei-Chun Lai, Yin-Chien Ou and Yu-Ching Lin
Toxins 2024, 16(11), 484; https://doi.org/10.3390/toxins16110484 - 8 Nov 2024
Viewed by 1107
Abstract
Overactive bladder (OAB) significantly impairs quality of life in the elderly. Although the intradetrusor injection of botulinum toxin type A (BoNT-A) is a treatment option, its effects on older adults remain uncertain. This study aimed to evaluate the efficacy and safety of BoNT-A [...] Read more.
Overactive bladder (OAB) significantly impairs quality of life in the elderly. Although the intradetrusor injection of botulinum toxin type A (BoNT-A) is a treatment option, its effects on older adults remain uncertain. This study aimed to evaluate the efficacy and safety of BoNT-A intradetrusor injections in elderly OAB patients through a systematic review and meta-analysis. A comprehensive literature search was conducted using the PubMed, Embase, Cochrane Library, Scopus, and CINAHL databases from inception to 30 May 2024. The primary outcomes were improvements in daily urinary incontinence (UI) episodes and patient-reported outcomes, while the secondary outcomes focused on potential adverse events. Four randomized controlled trials with 803 participants were included. BoNT-A injections significantly reduced daily UI episodes at 4–6 weeks (mean difference [MD]: −3.82; 95% confidence interval [CI]: −6.29 to −1.35) and at 12 weeks (MD: −2.17; 95% CI: −3.22 to −1.12). However, BoNT-A was associated with an increased risk of elevated post-void residual (Risk Difference [RD]: 0.154; 95% CI: 0.058 to 0.251) and urinary tract infection (RD: 0.111; 95% CI: 0.005 to 0.217), with no significant difference observed in the initiation of catheterization or hematuria. Trial sequential analysis confirmed a sufficient sample size and statistical power. In conclusion, while BoNT-A effectively manages OAB in the elderly, careful post-injection monitoring is warranted due to its potential risks. Full article
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<p>The PRISMA flow chart. PRISMA, Preferred Reporting Items for Systematic Reviews and Meta-Analysis; RCT, randomized controlled trials; CINAHL, Cumulative Index to Nursing and Allied Health Literature; Embase, Excerpta Medica Database. * Individuals who were not specifically patients with overactive bladder; ** studies where botulinum toxin was not administered via direct injection into the detrusor muscle, but rather, through alternative methods, such as instillation.</p>
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<p>Change in daily urinary incontinence episodes in BoNT-A group and placebo group. (<b>a</b>) Forest plot for weeks 4–6. (<b>b</b>) Forest plot for week 12. (<b>c</b>) Trial sequential analysis plot. UI, urinary incontinence; BoNT-A, botulinum toxin type A; TSA, trial sequential analysis; CI, confidence interval.</p>
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<p>Change in patient-reported outcomes in BoNT-A group and placebo group. Forest plot of (<b>a</b>) symptom improvement, (<b>b</b>) quality of life, and (<b>c</b>) treatment-based response. QoL, quality of life; BoNT-A, botulinum toxin type A; CI, confidence interval.</p>
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<p>Incidence of urinary tract infection in BoNT-A group and placebo group. (<b>a</b>) Forest plot. (<b>b</b>) Subgroup analysis of 100 U and 200 U doses. (<b>c</b>) Trial sequential analysis plot. UTI, urinary tract infection; BoNT-A, botulinum toxin type A; TSA, trial sequential analysis; CI, confidence interval.</p>
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<p>Incidence of post-voiding residual ≥ 200 mL in BoNT-A group and placebo group. (<b>a</b>) Forest plot. (<b>b</b>) Subgroup analysis of 100 U and 200 U doses. (<b>c</b>) Trial sequential analysis plot. PVR, post-voiding residual; BoNT-A, botulinum toxin type A; TSA, trial sequential analysis; CI, confidence interval.</p>
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<p>Incidence of clean intermittent catheterization in BoNT-A group and placebo group. (<b>a</b>) Forest plot. (<b>b</b>) Subgroup analysis. (<b>c</b>) Trial sequential analysis plot. CIC: clean intermittent catheterization; BoNT-A: botulinum toxin type A; TSA: trial sequential analysis; CI, confidence interval.</p>
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<p>Incidence of hematuria in BoNT-A group and placebo group. (<b>a</b>) Forest plot. (<b>b</b>) Trial sequential analysis plot. BoNT-A, botulinum toxin type A; TSA, trial sequential analysis; CI, confidence interval.</p>
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31 pages, 1729 KiB  
Review
Dietary Mycotoxins: An Overview on Toxicokinetics, Toxicodynamics, Toxicity, Epidemiology, Detection, and Their Mitigation with Special Emphasis on Aflatoxicosis in Humans and Animals
by James Kibugu, Leonard Munga, David Mburu, Fredrick Maloba, Joanna E. Auma, Delia Grace and Johanna F. Lindahl
Toxins 2024, 16(11), 483; https://doi.org/10.3390/toxins16110483 - 8 Nov 2024
Viewed by 1283
Abstract
Mycotoxins are secondary metabolites of filamentous fungi and ubiquitous dietary contaminants. Aflatoxins, a group of mycotoxins with high prevalence and toxicity, have raised a high level of public health concern, the most prevalent and toxic being aflatoxin B1 (AFB1). Many aspects appertaining to [...] Read more.
Mycotoxins are secondary metabolites of filamentous fungi and ubiquitous dietary contaminants. Aflatoxins, a group of mycotoxins with high prevalence and toxicity, have raised a high level of public health concern, the most prevalent and toxic being aflatoxin B1 (AFB1). Many aspects appertaining to AFB1 poisoning are not well understood. Yet this information is necessary to devise appropriate surveillance and mitigation strategies against human and animal aflatoxicosis. This review provides an in-depth update of work carried out on mycotoxin poisoning, particularly aflatoxicosis in humans and animals, to identify gaps in knowledge. Hypotheses explaining the functional significance of mycotoxins in fungal biology and their dietary epidemiological data are presented and briefly discussed. The toxicology of aflatoxins and the challenges of their mitigation are discussed in depth. It was concluded that the identification of potential mycotoxin-hazard-prone food items and quantification of the associated risk of cancer ailments in humans is a prime priority. There is a dearth of reliable sampling methodologies for estimating AFB1 in animal feed. Data update on AFB1 in animal feed and its implication in animal production, mitigation strategies, and elucidation of risk factors to this hazard is required. To reduce the burden of aflatoxins, surveillance employing predictive technology, and biocontrol strategies seem promising approaches. Full article
(This article belongs to the Special Issue Occurrence, Toxicity, Metabolism, Analysis and Control of Mycotoxins)
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<p>Basic structures of primary aflatoxins. (<b>A</b>) Difurocoumarocyclopentenones: B-aflatoxins; (<b>B</b>) difurocoumarolactones: G-aflatoxins. The bifuran moiety (highlighted in blue) associated with AFB1, G1, and other aflatoxins have an unsaturated C8=C9 double bond, which is prone to enzymatic insult (bio-activation), conferring the molecule’s high toxicity and carcinogenicity. The backbone of the molecule is the coumarin nucleus (shown in green). Highlighted in red are cyclo-pentene ring (for difurocoumarocyclopentenones) and lactone ring (for difurocoumarolactones). (Source: Benkerroum [<a href="#B5-toxins-16-00483" class="html-bibr">5</a>]).</p>
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<p>Schematic illustration of toxicokinetic events of AFB1 in animals and humans after exposure via oral and respiratory routes. The toxin is absorbed through mucosal cells, distributed to various body compartments, and undergoes phase I and II reactions. The hallmark of this pathway is the bio-activation of AFB1 into highly reactive electrophile AFBO.</p>
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<p>Illustration of toxicodynamic events of AFB1 poisoning and its outcomes in animals and humans. Bio-activation to highly reactive metabolites and oxidative stress are the twin modes of action responsible for AFB1-mediated insults on macromolecules, leading to genotoxicity, acute toxicity, and immunotoxicity.</p>
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20 pages, 6584 KiB  
Article
Persistence of Microcystin in Three Agricultural Ponds in Georgia, USA
by Jaclyn E. Smith, James A. Widmer, Jennifer L. Wolny, Laurel L. Dunn, Matthew D. Stocker, Robert L. Hill, Oliva Pisani, Alisa W. Coffin and Yakov Pachepsky
Toxins 2024, 16(11), 482; https://doi.org/10.3390/toxins16110482 - 7 Nov 2024
Viewed by 728
Abstract
Cyanobacteria and their toxins can have multiple effects on agricultural productivity and water bodies. Cyanotoxins can be transported to nearby crops and fields during irrigation and may pose a risk to animal health through water sources. Spatial and temporal variations in cyanotoxin concentrations [...] Read more.
Cyanobacteria and their toxins can have multiple effects on agricultural productivity and water bodies. Cyanotoxins can be transported to nearby crops and fields during irrigation and may pose a risk to animal health through water sources. Spatial and temporal variations in cyanotoxin concentrations have been reported for large freshwater sources such as lakes and reservoirs, but there are fewer studies on smaller agricultural surface water bodies. To determine whether spatiotemporal patterns of the cyanotoxin microcystin occurred in agricultural waters used for crop irrigation and livestock watering, three agricultural ponds on working farms in Georgia, USA, were sampled monthly within a fixed spatial grid over a 17-month period. Microcystin concentrations, which ranged between 0.04 and 743.75 ppb, were determined using microcystin–ADDA ELISA kits. Temporal stability was assessed using mean relative differences between microcystin concentrations at each location and averaged concentrations across ponds on each sampling date. There were locations or zones in all three ponds that were consistently higher or lower than the average daily microcystin concentrations throughout the year, with the highest microcystin concentrations occurring in winter. Additionally, microcystin patterns were strongly correlated with the patterns of chlorophyll, phycocyanin, and turbidity. The results of this work showed that consistent spatiotemporal patterns in cyanotoxins can occur in produce irrigation and livestock watering ponds, and this should be accounted for when developing agricultural water monitoring programs. Full article
(This article belongs to the Special Issue Advances in Cyanotoxins: Latest Developments in Risk Assessment)
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<p>Box plots of microcystin concentrations in Pond 1 over the 17-month study period. Medians are displayed with solid lines. The upper and lower sides of the box represent the 1st and 3rd quartiles, with the distance between the quartiles being the interquartile range of microcystin concentration distributions for each sampling day. The whiskers show the minimum and maximum values that are not considered outliers. The upper and lower dots represent outliers, which are calculated as values &gt; 3rd quartile + 1.5 × interquartile range or &lt;1st quartile − 1.5 × interquartile range, respectively.</p>
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<p>Box plots of microcystin concentrations in Pond 2 over the 17-month study period. Medians are displayed with solid lines. The upper and lower sides of the box represent the 1st and 3rd quartiles, with the distance between the quartiles being the interquartile range of microcystin concentration distributions for each sampling day. The whiskers show the minimum and maximum values, that are not considered outliers. The upper and lower dots represent outliers, which are calculated as values &gt; 3rd quartile + 1.5 × interquartile range or &lt;1st quartile − 1.5 × interquartile range, respectively.</p>
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<p>Box plots of microcystin concentrations in Pond 3 over the 17-month study period. Medians are displayed with solid lines. The upper and lower sides of the box represent the 1st and 3rd quartiles, with the distance between the quartiles being the interquartile range of microcystin concentration distributions for each sampling day. The whiskers show the minimum and maximum values that are not considered outliers.</p>
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<p>(<b>A</b>). The MRD of MC over the 17-month study period for Pond 1. The number inside each circle indicates the sampling location’s name, and the number above indicates the MRD value. Locations with MRD values below the 25th percentile are displayed in green, locations above the 75th percentile are displayed in red, and locations between the 25th and 75th percentile are displayed in yellow. (<b>B</b>). Wind speed and direction frequencies for Pond 1 are displayed in the insert. Wind speed is reported in km/h, and the direction corresponds to the direction the wind is blowing to.</p>
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<p>(<b>A</b>). The MRD of MC over the 17-month study period for Pond 2. The number inside each circle indicates the sampling location’s name, and the number above indicates the MRD value. Locations with MRD values below the 25th percentile are displayed in green, locations above the 75th percentile are displayed in red, and locations between the 25th and 75th percentiles are displayed in yellow. (<b>B</b>). Wind speed and direction frequencies for Pond 2 and Pond 3 are displayed in the insert. Wind speed is reported in km/h, and the direction corresponds to the direction the wind is blowing to.</p>
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<p>(<b>A</b>). The MRD of MC over the 17-month study period for Pond 3. The number inside each circle indicates the sampling location’s name, and the number above indicates the MRD value. Locations with MRD values below the 25th percentile are displayed in green, locations above the 75th percentile are displayed in red, and the locations between the 25th and 75th percentiles are displayed in yellow. (<b>B</b>). Wind speed and direction frequencies for Pond 2 and Pond 3 are displayed in the insert. Wind speed is reported in km/h, and the direction corresponds to the direction the wind is blowing to.</p>
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<p>Spatial patterns of water quality parameters for Pond 1. Locations with MRD values below the 25th percentile are displayed in blue, locations above the 75th percentile are displayed in red, and locations between the 25th and 75th percentiles are displayed in yellow.</p>
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<p>Spatial patterns of water quality parameters for Pond 2. Locations with MRD values below the 25th percentile are displayed in blue, locations above the 75th percentile are displayed in red, and the locations between the 25th and 75th percentiles are displayed in yellow.</p>
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<p>Spatial patterns of water quality parameters for Pond 3. Locations with MRD values below the 25th percentile are displayed in blue, locations above the 75th percentile are displayed in red, and locations between the 25th and 75th percentiles are displayed in yellow.</p>
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<p>Sampling locations for Pond 1 (<b>A</b>), Pond 2 (<b>B</b>), and Pond 3 (<b>C</b>).</p>
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10 pages, 1862 KiB  
Article
Characterization of a Diaporthe toxica Strain: Growth, Spore Formation, Phomopsin-A, and Alkaloids Production on Lupins
by Francesco Buccioni, Chiara Rossi, Annalisa Serio, Federico Fanti and Antonello Paparella
Toxins 2024, 16(11), 481; https://doi.org/10.3390/toxins16110481 - 7 Nov 2024
Viewed by 823
Abstract
The growing interest in vegetable proteins, namely those derived from lupins, has raised concerns over potential safety risks associated with these food products. Lupin serves as the main host for the mycotoxin-producing fungus called Diaporthe toxica. This species, which is associated with [...] Read more.
The growing interest in vegetable proteins, namely those derived from lupins, has raised concerns over potential safety risks associated with these food products. Lupin serves as the main host for the mycotoxin-producing fungus called Diaporthe toxica. This species, which is associated with animal diseases, has been scarcely characterized. Recently, phomopsin-A (PHO-A), the main mycotoxin produced by D. toxica, was found to be harmful to humans. Therefore, this study aimed at characterizing D. toxica growth and spore formation both in vitro and on lupin samples. In addition, the production of PHO-A and alkaloids was investigated on lupin beans by using three different inoculation methods. Particularly, growth and spore production were evaluated on different media, while PHO-A and alkaloid production were determined by means of µSPE extraction followed by UHPLC-MS/MS and HPLC-MS/MS, respectively. The results have demonstrated differences in growth on different media, with potato and oat-flakes-based media being the best options. Conversely, D. toxica was not able to produce spores on agar media, but only on lupin beans. Moreover, a thorough analysis of PHO-A production revealed an increase over time, reaching values up to 1082.17 ppm after 21 days on artificially rehydrated samples. On the other side, the analysis of alkaloids revealed impressive results, as this species produced great quantities of the quinolizidine alkaloids (QA) that are normally present in lupin seeds such as lupanine, sparteine, multiflorine, and hydroxylupanine. On balance, considering these results, different metabolic pathways were demonstrated in D. toxica, which are not adequately described in the existing literature. These data are of paramount importance to deepen the knowledge about a fungal species that is important to ensure the safety of lupin and lupin-based products. Full article
(This article belongs to the Special Issue Toxins: 15th Anniversary)
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<p>Mycelium growth of <span class="html-italic">D. toxica</span> DSM 1894 on different agar media, after 0, 3, 7, 10, 14, and 21 days of incubation at 25.0 ± 0.1 °C. WA: Water Agar; PDA: Potato Dextrose Agar; YPD: Yeast, Peptone, Dextrose Agar; MEA: Malt Extract Agar; OFM: Oat Flake Medium. Values in the figure represent the mean of three replicates ± standard deviation.</p>
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<p>Observation of <span class="html-italic">D. toxica</span> DSM 1894 growth over time. From top to bottom: Water Agar (WA), Potato Dextrose Agar (PDA), Yeast, Peptone, Dextrose Agar (YPD), Malt Extract Agar (MEA), Oat Flake Medium (OFM), WA with lupins. From left to right: 0, 3, 7, 10, 14, and 21 days of incubation at 25.0 ± 0.1 °C.</p>
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<p>PHO-A production on (<b>a</b>) RHC (Rehydrated, central inoculum), (<b>b</b>) AHC (Commercial, central inoculum), (<b>c</b>) AHL (Commercial, inoculum on the seed) lupin samples inoculated with <span class="html-italic">D. toxica</span> DSM 1894. Values in the figures represent the mean of three replicates ± standard deviation. Different lowercase letters above samples represent significant differences (<span class="html-italic">p</span> &lt; 0.05) among samples.</p>
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<p>Evolution of (<b>a</b>) lupanine, (<b>b</b>) hydroxylupanine, (<b>c</b>) multiflorine, and (<b>d</b>) sparteine production over time. Values in the figures represent the mean of three replicates ± standard deviation. Different lowercase letters above samples represent significant differences (<span class="html-italic">p</span> &lt; 0.05) among samples.</p>
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<p>Graphic representation of inoculum techniques for lupin model system.</p>
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6 pages, 241 KiB  
Opinion
Does the Diffusion Profile Differ Between Botulinum Toxin Type a Formulations? Implications for the Management of Post-Stroke Spasticity
by Alessandro Picelli, Stefano Tamburin, Rita Di Censo, Nicola Smania and Mirko Filippetti
Toxins 2024, 16(11), 480; https://doi.org/10.3390/toxins16110480 - 7 Nov 2024
Viewed by 1359
Abstract
Botulinum toxin type A is a first-line treatment for post-stroke spasticity, with selective action at nerve endings and minimal effects beyond the injection site. However, concerns about potential adverse reactions due to toxin diffusion and spread can significantly influence physicians’ therapeutic decisions in [...] Read more.
Botulinum toxin type A is a first-line treatment for post-stroke spasticity, with selective action at nerve endings and minimal effects beyond the injection site. However, concerns about potential adverse reactions due to toxin diffusion and spread can significantly influence physicians’ therapeutic decisions in managing post-stroke spasticity. Current evidence shows that while the main formulations of botulinum toxin type A have different molecular weights and sizes, they do not exhibit differing diffusion profiles. Instead, the key factors determining botulinum toxin type A diffusion and spread in post-stroke spasticity management are the dose (i.e., the actual amount of 150 kDa neurotoxin protein injected), dilution, and injection volume. Other injection-related factors, such as the needle gauge and injection speed, have also been suggested to have a secondary influence on botulinum toxin type A diffusion and spread. The needs of patients with post-stroke spasticity may vary, and depending on treatment goals, botulinum toxin type A diffusion and spread can be something to avoid or may offer therapeutic benefits by reaching a greater number of nerve terminals in the target muscle, enhancing the toxin’s effect. These factors should be carefully evaluated in spasticity clinics. Full article
32 pages, 4197 KiB  
Article
Chlorophyll-Amended Organoclays for the Detoxification of Ochratoxin A
by Johnson O. Oladele, Meichen Wang, Xenophon Xenophontos, Kendall Lilly, Phanourios Tamamis and Timothy D. Phillips
Toxins 2024, 16(11), 479; https://doi.org/10.3390/toxins16110479 - 6 Nov 2024
Viewed by 771
Abstract
Climate change has been associated with outbreaks of mycotoxicosis following periods of drought, enhanced fungal growth, and increased exposure to mycotoxins. For detoxification, the inclusion of clay-based materials in food and drinking water has resulted in a very promising strategy to reduce mycotoxin [...] Read more.
Climate change has been associated with outbreaks of mycotoxicosis following periods of drought, enhanced fungal growth, and increased exposure to mycotoxins. For detoxification, the inclusion of clay-based materials in food and drinking water has resulted in a very promising strategy to reduce mycotoxin exposure. In this strategy, mycotoxins are tightly sorbed to high-affinity clay particles in the gastrointestinal tract, thus decreasing bioavailability, uptake to blood, and potential toxicity. This study investigated the ability of chlorophyll and chlorophyllin-amended montmorillonite clays to decrease the toxicity of ochratoxin A (OTA). The sorption mechanisms of OTA binding to surfaces of sorbents, as well as binding parameters such as capacity, affinity, enthalpy, and free energy, were examined. Chlorophyll-amended organoclay (CMCH) demonstrated the highest binding (72%) and was better than the chlorophyllin-amended hydrophilic clay (59%), possibly due to the hydrophobicity of OTA (LogP 4.7). In silico studies using molecular dynamics simulations showed that CMCH improves OTA binding in comparison to parent clay in line with experiments. Simulations depicted that chlorophyll amendments on clay facilitated OTA molecules binding both directly, through enhancing OTA binding on the clay, or predominantly indirectly, through OTA molecules interacting with bound chlorophyll amendments. Simulations uncovered the key role of calcium ions in OTA binding, particularly in neutral conditions, and demonstrated that CMCH binding to OTA is enhanced under both neutral and acidic conditions. Furthermore, the protection of various sorbents against OTA-induced toxicity was carried out using two living organisms (Hydra vulgaris and Caenorhabditis elegans) which are susceptible to OTA toxicity. This study showed the significant detoxification of OTA (33% to 100%) by inclusion of sorbents. Organoclay (CMCH) at 0.5% offered complete protection. These findings suggest that the chlorophyll-amended organoclays described in this study could be included in food and feed as OTA binders and as potential filter materials for water and beverages to protect against OTA contaminants during outbreaks and emergencies. Full article
(This article belongs to the Special Issue Toxins: 15th Anniversary)
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<p>Sorbent screening with reduction percentage of ochratoxin by the sorbents. * <span class="html-italic">p</span> &lt; 0.01 when compared to CM or SM. CM: calcium montmorillonite; CMCH: chlorophyll-amended calcium montmorillonite; CMCHin: chlorophyllin-amended calcium montmorillonite; SM: sodium montmorillonite; SMCH: chlorophyll-amended sodium montmorillonite; SMCHin: chlorophyllin-amended sodium montmorillonite.</p>
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<p>Adsorption isotherms of OTA onto binding surfaces of (<b>A</b>) CM-amended clays and (<b>B</b>) SM-amended clays at pH 2. CM: calcium montmorillonite; CMCH: chlorophyll-amended calcium montmorillonite; CMCHin: chlorophyllin-amended calcium montmorillonite; SM: sodium montmorillonite; SMCH: chlorophyll-amended sodium montmorillonite; SMCHin: chlorophyllin-amended sodium montmorillonite.</p>
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<p>Desorption isotherms of OTA onto binding surfaces of (<b>A</b>) CM-amended clays and (<b>B</b>) SM-amended clays at pH 6. CM: calcium montmorillonite; CMCH: chlorophyll-amended calcium montmorillonite; CMCHin: chlorophyllin-amended calcium montmorillonite; SM: sodium montmorillonite; SMCH: chlorophyll-amended sodium montmorillonite; SMCHin: chlorophyllin-amended sodium montmorillonite.</p>
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<p>Effect of contact time on the adsorption of OTA. CM: calcium montmorillonite; CMCH: chlorophyll-amended calcium montmorillonite; CMCHin: chlorophyllin-amended calcium montmorillonite; SMCH: chlorophyll-amended sodium montmorillonite.</p>
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<p>Toxicity effects of OTA exposure to hydra (<b>A</b>), protection with SM-derived sorbents (<b>B</b>), and CM-derived sorbents (<b>C</b>). CM: calcium montmorillonite; CMCH: chlorophyll-amended calcium montmorillonite; CMCHin: chlorophyllin-amended calcium montmorillonite; SM: sodium montmorillonite; SMCH: chlorophyll-amended sodium montmorillonite; SMCHin: chlorophyllin-amended sodium montmorillonite.</p>
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<p>Toxicity effects of OTA exposure to hydra (<b>A</b>), protection with SM-derived sorbents (<b>B</b>), and CM-derived sorbents (<b>C</b>). CM: calcium montmorillonite; CMCH: chlorophyll-amended calcium montmorillonite; CMCHin: chlorophyllin-amended calcium montmorillonite; SM: sodium montmorillonite; SMCH: chlorophyll-amended sodium montmorillonite; SMCHin: chlorophyllin-amended sodium montmorillonite.</p>
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<p>Effect of toxicity of OTA on the body length (<b>A</b>), nose touch response (<b>B</b>), and survival rate of <span class="html-italic">Caenorhabditis elegans</span> after 24 h and 48 h of exposure (<b>C</b>). Data represent the average value from triplicate analysis  ±  the standard deviation. * indicates a significant difference (<span class="html-italic">p</span>  ≤  0.05) compared to the vehicle control group.</p>
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<p>Protective effect of parent clays and amended clays against OTA toxicity on the body length (<b>A</b>,<b>D</b>), nose touch response (<b>B</b>,<b>E</b>), and survival rate of <span class="html-italic">Caenorhabditis elegans</span> (<b>C</b>,<b>F</b>). Data represent the average value from triplicate analysis  ±  the standard deviation. * indicates a significant difference (<span class="html-italic">p</span>  ≤  0.05) compared to the vehicle control group. # indicates a significant difference (<span class="html-italic">p</span>  ≤  0.05) compared to the OTA-alone group. 1: 0.2% and 2: 0.5% clay inclusions; CM: calcium montmorillonite; CMCH: chlorophyll-amended calcium montmorillonite; CMCHin: chlorophyllin-amended calcium montmorillonite; SM: sodium montmorillonite; SMCH: chlorophyll-amended sodium montmorillonite; SMCHin: chlorophyllin-amended sodium montmorillonite.</p>
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<p>Protective effect of parent clays and amended clays against OTA toxicity on the body length (<b>A</b>,<b>D</b>), nose touch response (<b>B</b>,<b>E</b>), and survival rate of <span class="html-italic">Caenorhabditis elegans</span> (<b>C</b>,<b>F</b>). Data represent the average value from triplicate analysis  ±  the standard deviation. * indicates a significant difference (<span class="html-italic">p</span>  ≤  0.05) compared to the vehicle control group. # indicates a significant difference (<span class="html-italic">p</span>  ≤  0.05) compared to the OTA-alone group. 1: 0.2% and 2: 0.5% clay inclusions; CM: calcium montmorillonite; CMCH: chlorophyll-amended calcium montmorillonite; CMCHin: chlorophyllin-amended calcium montmorillonite; SM: sodium montmorillonite; SMCH: chlorophyll-amended sodium montmorillonite; SMCHin: chlorophyllin-amended sodium montmorillonite.</p>
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<p>Average (%) probability of interaction between OTA molecules in the presence of CMCH, CMPHO, and CM. Blue corresponds to acidic conditions; red and yellow correspond to neutral conditions, simulating monoanionic and dianionic OTA, respectively. Average values are calculated from triplicate runs. Error bars denote standard deviation values calculated from the triplicate runs.</p>
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<p>Average (%) probability of OTA molecules interacting with CMCH, CMPHO, and CM in acidic condition (<b>A</b>) and neutral condition (<b>B</b>,<b>C</b>), simulating monoanionic and dianionic OTA, respectively. Direct, direct-assisted, and indirect-assisted interactions are shown in blue, red, and yellow, respectively. Average values are calculated from triplicate runs. Error bars denote standard deviation values calculated from the triplicate runs.</p>
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<p>Average (%) probability of OTA molecules interacting with CMCH, CMPHO, and CM in acidic condition (<b>A</b>) and neutral condition (<b>B</b>,<b>C</b>), simulating monoanionic and dianionic OTA, respectively. Direct, direct-assisted, and indirect-assisted interactions are shown in blue, red, and yellow, respectively. Average values are calculated from triplicate runs. Error bars denote standard deviation values calculated from the triplicate runs.</p>
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<p>Average (%) probability of CM participating in interactions with different OTA groups (defined in <a href="#app1-toxins-16-00479" class="html-app">Figure S2</a>). Group 1 corresponds to blue, group 2 corresponds to red, group 3 corresponds to yellow, group 4 corresponds to green, and group 5 corresponds to orange. Additionally, the average (%) probability of CM-bound OTA molecules interacting with calcium is shown in cyan. The results were normalized, i.e., they were calculated given an interaction between OTA and CM. Values correspond to parent (CM) and amended clays (CMCH and CMPHO) in acidic conditions (left), as well as neutral conditions (middle) and (right), of simulations including monoanionic and dianionic OTA, respectively. Average values are calculated from triplicate runs. Error bars denote standard deviation values calculated from the triplicate runs.</p>
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<p>Average (%) probability of CMCH (<b>A</b>) and CMPHO (<b>B</b>), respectively, participating in interactions with different OTA groups (defined in <a href="#app1-toxins-16-00479" class="html-app">Figure S2</a>). Group 1 corresponds to blue, group 2 corresponds to red, group 3 corresponds to yellow, group 4 corresponds to green, and group 5 corresponds to orange. Additionally, the average (%) probability of CMCH-bound (<b>A</b>) or CMPHO-bound (<b>B</b>) OTA molecules interacting with calcium is shown in cyan. The results were normalized, i.e., they were calculated given an interaction between OTA and CMCH and CMPHO. Values correspond to systems in acidic conditions (left), as well as neutral conditions (middle) and (right), of simulations including monoanionic and dianionic OTA, respectively. Average values are calculated from triplicate runs. Error bars denote standard deviation values calculated from the triplicate runs. All values shown above are normalized over the total number of interactions per system.</p>
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<p>Simulation snapshots of CMCH in complex with OTA in (<b>A</b>) acidic conditions, as well as (<b>B</b>,<b>C</b>) neutral conditions, investigating OTA in monoanionic and dianionic states, respectively. Panels (<b>D</b>–<b>F</b>) show zoomed-in representation of particular interactions, marked as (i) and (ii), that occur within panels (<b>A</b>–<b>C</b>), respectively. CM, chlorophyll, and calcium are shown in vdW representation, while OTA is shown in licorice representation. Atoms are colored by atom type, except for carbon atoms of chlorophyll in green and calcium in tan. Calcium ions that are at a greater distance than 3.5 Å from all OTA molecules were omitted. Hydrogen atoms are also omitted for clarity.</p>
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24 pages, 3424 KiB  
Review
Mycotoxin Biodegradation by Bacillus Bacteria—A Review
by Thanh Nguyen, Xiaojing Chen, Linlin Ma and Yunjiang Feng
Toxins 2024, 16(11), 478; https://doi.org/10.3390/toxins16110478 - 4 Nov 2024
Viewed by 1553
Abstract
Mycotoxins are toxic secondary metabolites produced by various types of fungi that are known to contaminate various food products; their presence in the food chain poses significant risks to human and animal health and leads to enormous economic losses in the food and [...] Read more.
Mycotoxins are toxic secondary metabolites produced by various types of fungi that are known to contaminate various food products; their presence in the food chain poses significant risks to human and animal health and leads to enormous economic losses in the food and feed industry worldwide. Ensuring food safety and quality by detoxifying mycotoxin is therefore of paramount importance. Several procedures to control fungal toxins have been extensively investigated, such as preventive measures, physical and chemical methods, and biological strategies. In recent years, microbial degradation of mycotoxins has attracted much attention due to its reliability, efficiency, and cost-effectiveness. Notably, bacterial species from the Bacillus genus have emerged as promising candidates for mycotoxin decontamination owing to their diverse metabolic capabilities and resilience in harsh environmental conditions. This review manuscript aims to provide a summary of recent studies on the biodegradation of fungal toxins by Bacillus bacteria, thereby illustrating their potential applications in the development of mycotoxin-degrading products. Full article
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<p>Chemical structures of important representative mycotoxins.</p>
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<p>Commonly used methodologies in mycotoxin studies. (<b>A</b>). Common detection methods. (<b>B</b>). Mitigation strategies for mycotoxins.</p>
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<p>Summary of <span class="html-italic">Bacillus</span> spp. and the ability to degrade mycotoxins. Data were compiled from relevant publications on mycotoxin biodegradation by Bacillus bacteria from 2014 to 2024.</p>
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<p>Confirmed and proposed chemical structures of biotransformation products of mycotoxins by <span class="html-italic">Bacillus</span> spp.</p>
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13 pages, 4807 KiB  
Article
The High-Efficiency Degradation of Multiple Mycotoxins by Lac-W Laccase in the Presence of Mediators
by Mengshuang Jia, Xiaohu Yu, Kun Xu, Xiaodan Gu, Nicholas J. Harmer, Youbao Zhao, Yuqiang Xiang, Xia Sheng, Chenglong Li, Xiang-Dang Du, Jiajia Pan and Wenbo Hao
Toxins 2024, 16(11), 477; https://doi.org/10.3390/toxins16110477 - 4 Nov 2024
Viewed by 849
Abstract
Mycotoxin cocontamination is a severe threat to health and economic security worldwide. The mycotoxins aflatoxin B1 (AFB1), zearalenone (ZEN), deoxynivalenol, T-2 toxin, fumonisin B1, and ochratoxin A are of particular concern due to their substantial toxicity. Lac-W is [...] Read more.
Mycotoxin cocontamination is a severe threat to health and economic security worldwide. The mycotoxins aflatoxin B1 (AFB1), zearalenone (ZEN), deoxynivalenol, T-2 toxin, fumonisin B1, and ochratoxin A are of particular concern due to their substantial toxicity. Lac-W is a laccase with the unique property of degrading these six mycotoxins in the absence of redox mediators. Nevertheless, their degradation rates are low. This work aims to improve the ability of Lac-W to degrade these six mycotoxins and to elucidate its detoxification mechanism. Including redox mediators increased the Lac-W degradation efficiency drastically, and completely degraded AFB1 and ZEN within one hour. Additionally, Lac-W-AS has good temperature, pH, and ions adaptability in ZEN degradation. Lac-W-AS reduced the ZEN toxicity because ZEN degradation products significantly restored the bioluminescence intensity of Vibrio fischeri. A Lac-W-AS-mediated oxidation product of ZEN was structurally characterized as 15-OH-ZEN by UHPLC-MS/MS. Linear sweep voltammetry showed that AS affected the potential of Lac-W and accelerated the oxidation of ZEN. Finally, the combination of mediators (acetosyringone and 2,2′-azino-bis (3-ethylbenzothiazoline-6-sulfonate)) improved the degradation rate of mycotoxins. This work highlights that the combination of Lac-W with mediators serves as a good candidate for degrading multi-mycotoxin contaminants in food and feedstuff. Full article
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<p>Mycotoxin degradations by LMSs. (<b>A</b>) AFB<sub>1</sub> degradation by LMSs. (<b>B</b>) ZEN, DON, T-2 toxin, and FB<sub>1</sub> degradation by LMSs. (<b>C</b>) OTA degradation by LMSs. Reaction condition: room temperature, initial mycotoxins 1 µg/mL, 1 U Lac-W and 1 mM or 10 mM mediator in 1 mL of Tris-HCl buffer (100 mM, pH 8.0) for 1 h at static condition. CON: controlled test, no mediator was added to the reaction system. Each reaction was repeated three times.</p>
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<p>Effects of culture conditions on Lac-W-AS-mediated ZEN degradation. (<b>A</b>) Effect of pH on ZEN degradation. (<b>B</b>) Effect of temperature on ZEN degradation. (<b>C</b>) Effect of concentration of Lac-W and AS on ZEN degradation. (<b>D</b>) Effect of ions on ZEN degradation. The Lac-W was incubated with different ions at room temperature for 10 min, followed by ZEN. Reaction conditions: initial ZEN 1 µg/mL, culture conditions in static condition, pH 2.0–9.0, 20–80 °C, concentration of Lac-W or AS were 0.1–1 U/mL or 0.1–10 mM, and incubation time 1 h. The temperature, Lac-W/AS concentration, and metal ion assays were performed under optimal conditions derived from the pH, temperature, and Lac-W/AS reactions, respectively. Three independent replicates were performed for each assay. Each reaction was repeated three times.</p>
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<p>The inhibition rate of ZEN, Lac-W, AS, and ZEN’s degradation products against <span class="html-italic">Vibrio fischeri</span>. Each reaction was repeated six times.</p>
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<p>Mass spectra analysis of the ZEN degradation by Lac-W-AS. (<b>A</b>) Total ion chromatogram of ZEN (retention time of 5.16 min). (<b>B</b>) Total ion chromatogram of the ZEN degradation product (retention time of 3.62 min). (<b>C</b>) The mass spectra analysis of ZEN (C<sub>18</sub>H<sub>22</sub>O<sub>5</sub>; [M-H]<sup>−</sup> with <span class="html-italic">m</span>/<span class="html-italic">z</span> 317.2715). (<b>D</b>) The mass spectra analysis of the ZEN degradation product by Lac-W (C<sub>18</sub>H<sub>22</sub>O<sub>6</sub>; [M-H]<sup>−</sup> with <span class="html-italic">m</span>/<span class="html-italic">z</span> 333.1376). Mass spectrum parameters: ESI ion source, negative ion mode, and full scanning range 100–1500 <span class="html-italic">m</span>/<span class="html-italic">z</span>. The ion transfer tube temperature was set to 325 °C, and the vaporizer temperature was 350 °C. Orbitrap had a resolution of 120,000. The metabolite analysis software was Compound Discovery 3.0.</p>
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<p>Determination of the redox potential of Lav-W and Lav-W-AS using linear sweep voltammetry.</p>
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<p>Mycotoxin degradation by Lac-W-AS-ABTS. Dark blue indicated individual mycotoxin degradation by Lac-W-AS-ABTS. Reaction conditions: room temperature, 1 µg/mL initial mycotoxins, 0.5 U Lac-W, 0.5 mM AS, and 0.5 mM ABTS in 1 mL of citrate–phosphate buffer (100 mM, pH 7.0) for 1 h at static condition. Medium blue indicated simultaneous mycotoxin degradation by Lac-W-AS-ABTS. Reaction conditions: 1 µg/mL each of initial mycotoxins, 3 U Lac-W, 3 mM AS, and 3 mM ABTS in 6 mL of buffer. Light blue indicated mycotoxin degradation in corn husk by Lac-W-AS-ABTS. Reaction conditions: 2 g corn husk, 2 U Lac-W, 2 mM AS, and 2 mM ABTS in 50 mL of buffer. Each reaction was repeated three times.</p>
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10 pages, 2813 KiB  
Article
Design of a Duplex-to-Complex Structure-Switching Approach for the Homogeneous Determination of Marine Biotoxins in Water
by Awatef Al-Tabban, Amina Rhouati, Amjad Fataftah, Dana Cialla-May, Jürgen Popp and Mohammed Zourob
Toxins 2024, 16(11), 476; https://doi.org/10.3390/toxins16110476 - 4 Nov 2024
Viewed by 882
Abstract
In this report, we describe a fluorescent assay for the detection of six marine toxins in water. The mechanism of detection is based on a duplex-to-complex structure-switching approach. The six aptamers specific to the targeted cyanotoxins were conjugated to a fluorescent dye, carboxyfluorescein [...] Read more.
In this report, we describe a fluorescent assay for the detection of six marine toxins in water. The mechanism of detection is based on a duplex-to-complex structure-switching approach. The six aptamers specific to the targeted cyanotoxins were conjugated to a fluorescent dye, carboxyfluorescein (FAM). In parallel, complementary DNA (cDNA) sequences specific to each aptamer were conjugated to a fluorescence quencher BHQ1. In the absence of the target, an aptamer–cDNA duplex structure is formed, and the fluorescence is quenched. By adding the toxin, the aptamer tends to bind to its target and releases the cDNA. The fluorescence intensity is consequently restored after the formation of the complex aptamer–toxin, where the fluorescence recovery is directly correlated with the analyte concentration. Based on this principle, a highly sensitive detection of the six marine toxins was achieved, with the limits of detection of 0.15, 0.06, 0.075, 0.027, 0.041, and 0.026 nM for microcystin-LR, anatoxin-α, saxitoxin, cylindrospermopsin, okadaic acid, and brevetoxin, respectively. Moreover, each aptameric assay showed a very good selectivity towards the other five marine toxins. Finally, the developed technique was applied for the detection of the six toxins in spiked water samples with excellent recoveries. Full article
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<p>Sensing principle of the fluorescence aptameric assay. (<b>A</b>) Fluorescence quenching induced by the BHQ1-labeled cDNA sequence after the formation of the aptamer–cDNA duplex. (<b>B</b>) Fluorescence recovery after formation of the aptamer–toxin complex.</p>
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<p>Fluorescence spectra of the FAM–aptamers, the aptamer–cDNA duplex, and the aptamer–target complex: microcystin-LR (<b>a</b>), anatoxin (<b>b</b>), saxitoxin (<b>c</b>), cylindrospermopsin (<b>d</b>), okadaic acid (<b>e</b>), and brevetoxin (<b>f</b>). Fluorescence measurements were performed at an emission wavelength of 518 nm.</p>
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<p>Fluorescence spectra of the six FAM–aptamers after incubation with increasing concentrations of their specific targets: microcystin-LR (<b>a</b>), anatoxin (<b>b</b>), saxitoxin (<b>c</b>), cylindrospermopsin (<b>d</b>), okadaic acid (<b>e</b>), and brevetoxin (<b>f</b>). Fluorescence measurements were performed at an emission wavelength of 518 nm.</p>
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<p>Calibration plots of the recorded fluorescence intensities as a function of the logarithm of cyanotoxins’ concentrations (nM): microcystin-LR (<b>a</b>), anatoxin (<b>b</b>), saxitoxin (<b>c</b>), cylindrospermopsin (<b>d</b>), okadaic acid (<b>e</b>), and brevetoxin (<b>f</b>).</p>
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<p>Cross-reactivity study of the aptameric assays for MC-LR (<b>a</b>), ANTX (<b>b</b>), STX (<b>c</b>), CYN (<b>d</b>) OA (<b>e</b>), and BTX (<b>f</b>) aptasensors towards the non-specific cyanotoxins (concentration of 5 nM).</p>
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15 pages, 2138 KiB  
Article
Machine Learning Framework for Conotoxin Class and Molecular Target Prediction
by Duc P. Truong, Lyman K. Monroe, Robert F. Williams and Hau B. Nguyen
Toxins 2024, 16(11), 475; https://doi.org/10.3390/toxins16110475 - 3 Nov 2024
Viewed by 929
Abstract
Conotoxins are small and highly potent neurotoxic peptides derived from the venom of marine cone snails which have captured the interest of the scientific community due to their pharmacological potential. These toxins display significant sequence and structure diversity, which results in a wide [...] Read more.
Conotoxins are small and highly potent neurotoxic peptides derived from the venom of marine cone snails which have captured the interest of the scientific community due to their pharmacological potential. These toxins display significant sequence and structure diversity, which results in a wide range of specificities for several different ion channels and receptors. Despite the recognized importance of these compounds, our ability to determine their binding targets and toxicities remains a significant challenge. Predicting the target receptors of conotoxins, based solely on their amino acid sequence, remains a challenge due to the intricate relationships between structure, function, target specificity, and the significant conformational heterogeneity observed in conotoxins with the same primary sequence. We have previously demonstrated that the inclusion of post-translational modifications, collisional cross sections values, and other structural features, when added to the standard primary sequence features, improves the prediction accuracy of conotoxins against non-toxic and other toxic peptides across varied datasets and several different commonly used machine learning classifiers. Here, we present the effects of these features on conotoxin class and molecular target predictions, in particular, predicting conotoxins that bind to nicotinic acetylcholine receptors (nAChRs). We also demonstrate the use of the Synthetic Minority Oversampling Technique (SMOTE)-Tomek in balancing the datasets while simultaneously making the different classes more distinct by reducing the number of ambiguous samples which nearly overlap between the classes. In predicting the alpha, mu, and omega conotoxin classes, the SMOTE-Tomek PCA PLR model, using the combination of the SS and P feature sets establishes the best performance with an overall accuracy (OA) of 95.95%, with an average accuracy (AA) of 93.04%, and an f1 score of 0.959. Using this model, we obtained sensitivities of 98.98%, 89.66%, and 90.48% when predicting alpha, mu, and omega conotoxin classes, respectively. Similarly, in predicting conotoxins that bind to nAChRs, the SMOTE-Tomek PCA SVM model, which used the collisional cross sections (CCSs) and the P feature sets, demonstrated the highest performance with 91.3% OA, 91.32% AA, and an f1 score of 0.9131. The sensitivity when predicting conotoxins that bind to nAChRs is 91.46% with a 91.18% sensitivity when predicting conotoxins that do not bind to nAChRs. Full article
(This article belongs to the Special Issue Conotoxins: Evolution, Classifications and Targets)
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Graphical abstract

Graphical abstract
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<p>Example structures of the alpha, mu, kappa, and omega classes (pharmacological families) of conotoxins. The backbone structures are shown in a pink cartoon representation. Disulfide bridges are shown in yellow. Class, toxin name, and mass are given below each structure. PDB references are 1MXN [<a href="#B7-toxins-16-00475" class="html-bibr">7</a>], 7SAV [<a href="#B16-toxins-16-00475" class="html-bibr">16</a>], 1DW4 [<a href="#B17-toxins-16-00475" class="html-bibr">17</a>], and 1AV3 [<a href="#B18-toxins-16-00475" class="html-bibr">18</a>] clockwise from top left.</p>
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<p>Samples of different conotoxin classes bound to their target receptors. (<b>a</b>) Alpha conotoxin PNIA (PDB: 2BR8 [<a href="#B19-toxins-16-00475" class="html-bibr">19</a>]) bound to the Acetylcholine binding protein (AChBP). To the left, a complex structure shows the toxin in pink, its disulfide bonds in yellow, and the AChBP in silver. To the right, circles are zoomed-in to show the same binding site, but the bottom circle shows a transparent receptor to more easily see the conotoxin conformation. (<b>b</b>) Mu conotoxin KIIIA (PDB: 6J8E [<a href="#B20-toxins-16-00475" class="html-bibr">20</a>]) bound to the voltage gated sodium channel Nav1.2-beta2, with the right showing similar zoomed in perspectives as (<b>a</b>). (<b>c</b>) Omega conotoxin MVIIA (PDB: 7MIX [<a href="#B21-toxins-16-00475" class="html-bibr">21</a>]), marketed as ziconotide, is shown in its complex with the voltage gated calcium channel Cav2.2. The center structure is the conotoxin/ion channel complex with a zoomed-in view of the bound toxin displayed in ribbon representation (<b>left</b>) and a zoomed-in view showing the receptor (transparent) and the conotoxin in a surface representation to illustrate the tight, key-like fit of the toxin binding site (<b>right</b>).</p>
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<p>Comparison plots of f1 scores obtained from different ML models for the different feature sets and feature set combinations in predicting alpha, mu, and omega conotoxin classes using different ML models.</p>
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<p>(<b>a</b>) A cartoon representation showing how SMOTE-Tomek works together to handle imbalanced datasets. Top left, a mixture of classes, orange squares, and blue circles. The orange squares are underrepresented relative to the circles. Top right, SMOTE produces additional square entries, shown in green, by interpolating between the existing data. Bottom left, Tomek determines pairs for square and circle data (red circle) that are at the boundary between the circle and square classes. Bottom right, entries belonging to the more represented class in the Tomek pairs are removed, and a more evenly balanced and clearly separated training set has been produced. (<b>b</b>) Overall ML pipeline describing the process of using a dataset to train and cross validate a classifier.</p>
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11 pages, 904 KiB  
Review
Botulinum Toxin Effects on Freezing of Gait in Parkinson’s Disease: A Systematic Review
by Nicola Tambasco, Pasquale Nigro, Alessandro Mechelli, Michele Duranti and Lucilla Parnetti
Toxins 2024, 16(11), 474; https://doi.org/10.3390/toxins16110474 - 3 Nov 2024
Viewed by 834
Abstract
Freezing of gait is a frequent phenomenon and can be one of the most debilitating motor impairments in Parkinson’s disease, especially in the advanced stages. It is currently defined as a brief episodic absence or any marked reduction in the forward progression of [...] Read more.
Freezing of gait is a frequent phenomenon and can be one of the most debilitating motor impairments in Parkinson’s disease, especially in the advanced stages. It is currently defined as a brief episodic absence or any marked reduction in the forward progression of the feet, despite the intention to walk. Greater severity of freezing of gait has been associated with more frequent falls, postural instability, and executive dysfunction. However, botulinum neurotoxin is one of the most widely administered therapies for motor and non-motor symptoms, including freezing of gait, in parkinsonism. To date, the literature has had conflicting results on the use of botulinum toxin in the treatment of freezing of gait in Parkinson’s disease patients. In light of this, we reviewed the findings of past studies that specifically investigated the effects of botulinum toxin on freezing of gait in Parkinson’s disease in order to better understand this issue. Full article
(This article belongs to the Special Issue Advances in the Treatment of Movement Disorders with Botulinum Toxins)
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<p>Ultrasound image of the gastrocnemius and soleus muscles.</p>
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<p>PRISMA flowchart.</p>
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17 pages, 2038 KiB  
Article
Integrated Approach to Cyclopiazonic Acid Cytotoxicity Using In Vitro (2D and 3D Models) and In Silico Methods
by Carmen Martínez-Alonso, Luana Izzo, Yelko Rodríguez-Carrasco and María-José Ruiz
Toxins 2024, 16(11), 473; https://doi.org/10.3390/toxins16110473 - 3 Nov 2024
Viewed by 914
Abstract
Cyclopiazonic acid (CPA) is an indole-tetramic acid neurotoxin produced by Aspergillus and Penicillium genera present mainly in fruit, cereals and nuts. This study compares the cytotoxicity produced by CPA after 24, 48 and 72 h of exposure using both monolayers and 3D spheroids [...] Read more.
Cyclopiazonic acid (CPA) is an indole-tetramic acid neurotoxin produced by Aspergillus and Penicillium genera present mainly in fruit, cereals and nuts. This study compares the cytotoxicity produced by CPA after 24, 48 and 72 h of exposure using both monolayers and 3D spheroids in human neuroblastoma SH-SY5Y cells. Furthermore, CPA toxicokinetics was evaluated using in silico models. Cytotoxicity increased dose- and time-dependently, as shown by the MTT assay. The lowest CPA IC50 values were found in the monolayer study compared to the 3D spheroids at all exposure times (24 h: 864.01 vs. 1132; 48 h: 437 vs. 1069; 72 h: 392 vs. 567 nM). The CPA exposure on SH-SY5Y spheroid organization and morphology was also studied. Morphological changes, including spheroid disaggregation, were observed after mycotoxin exposure. The in silico methods, SwissADME and admetSAR, were used for short and full ADMEt profiles of CPA. The ADMEt predictive profile shows high gastrointestinal absorption and ability to penetrate the blood–brain barrier. Including in silico studies emphasizes the comprehensive approach to understanding mycotoxin toxicity and risk assessment. By combining in vitro 3D spheroid models with computational simulations, this study aims to provide a holistic perspective on the effects of CPA, enhancing the accuracy and relevance of our findings. Full article
(This article belongs to the Special Issue Toxins: 15th Anniversary)
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<p>SH-SY5Y spheroids growth in ULA 96-well round-bottom plates. (<b>a</b>) Bright-field images of SH-SY5Y spheroids growth from 0 to 7 days. Images were obtained using the Light Microscope Zeiss Axio Observer (Zeiss Microscopy, Oberkochen, Germany) at 10× magnification. Scale bars: 100 μm; (<b>b</b>) Diameter of SH-SY5Y spheroids plotted over time (7 days). Values are expressed as means ± SD (<span class="html-italic">n</span> = 3 spheroids/timepoint). Diameters were calculated using Zen Lite version 3.8 software.</p>
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<p>Cytotoxic effects of CPA in SH-SY5Y monolayer cultures obtained by MTT assay after 24, 48 and 72 h of exposure. Data are expressed as mean ± SEM of three independent experiments (<span class="html-italic">n</span> = 3). (*) <span class="html-italic">p</span> ≤ 0.05 indicates a significant difference compared to the control.</p>
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<p>Cytotoxic effects of CPA in 3D SH-SY5Y spheroids by MTT (<b>a</b>) and ATP (<b>b</b>) assays. Data are expressed as mean ± SEM of three independent experiments (<span class="html-italic">n</span> = 3). (*) <span class="html-italic">p</span> ≤ 0.05 indicates a significant difference with respect to the control.</p>
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<p>Bright-field images of SH-SY5Y spheroids after 24, 48 and 72 h of exposure to increasing concentrations of CPA (500–1500 nM). Spheroids exposed to DMSO (≤1%) were used as control (CRL). Scale bar: 50 μm. Images were obtained using the Light Microscope Zeiss Axio Observer (Zeiss Microscopy, Germany).</p>
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<p>Diameter of SH-SY5Y spheroids after CPA (500–1500 nM) exposure for 24, 48 and 72 h. Quantitative analysis was performed using the software Zen Lite version 3.8 (Zeiss Microscopy, Germany). Results are expressed as the mean ± SEM of four independent spheroids for each concentration and time (<span class="html-italic">n</span> = 4). CRL: control. (*) <span class="html-italic">p</span> ≤ 0.05 indicates a significant difference compared to the control.</p>
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<p>BOILED-Egg predictive model constructed using the CPA SMILES. The ‘yolk’ area represents the physicochemical space where molecules are likely to penetrate the blood–brain barrier (BBB), while the white region denotes the physicochemical space where molecules are likely to be absorbed by the gastrointestinal tract (HIA). The grey area indicates low permeability and absorption. CPA is represented as a single point based on its specific lipophilicity and polarity values. The blue circle indicates that CPA is probably a substrate of P-glycoprotein.</p>
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