Saxitoxin: A Comprehensive Review of Its History, Structure, Toxicology, Biosynthesis, Detection, and Preventive Implications

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Publicado en:Marine Drugs vol. 23, no. 7 (2025), p. 277-303
Autor principal: Deng Huiyun
Otros Autores: Shang Xinrui, Hu, Zhu, Huang, Ning, Wang Lianghua, Sun Mingjuan
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MDPI AG
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024 7 |a 10.3390/md23070277  |2 doi 
035 |a 3233229140 
045 2 |b d20250101  |b d20251231 
084 |a 231646  |2 nlm 
100 1 |a Deng Huiyun  |u Department of Student team, College of Basic Medical Sciences, Naval Medical University, Shanghai 200433, China; hydeng919@163.com (H.D.); xrshang0701@163.com (X.S.) 
245 1 |a Saxitoxin: A Comprehensive Review of Its History, Structure, Toxicology, Biosynthesis, Detection, and Preventive Implications 
260 |b MDPI AG  |c 2025 
513 |a Journal Article 
520 3 |a Saxitoxin (STX) is a potent toxin produced by marine dinoflagellates and freshwater or brackish water cyanobacteria, and is a member of the paralytic shellfish toxins (PSTs). As a highly specific blocker of voltage-gated sodium channels (NaVs), STX blocks sodium ion influx, thereby inhibiting nerve impulse transmission and leading to systemic physiological dysfunctions in the nervous, respiratory, cardiovascular, and digestive systems. Severe exposure can lead to paralysis, respiratory failure, and mortality. STX primarily enters the human body through the consumption of contaminated shellfish, posing a significant public health risk as the causative agent of paralytic shellfish poisoning (PSP). Beyond its acute toxicity, STX exerts cascading impacts on food safety, marine ecosystem integrity, and economic stability, particularly in regions affected by harmful algal blooms (HABs). Moreover, the complex molecular structure of STX—tricyclic skeleton and biguanide group—and its diverse analogs (more than 50 derivatives) have made it the focus of research on natural toxins. In this review, we traced the discovery history, chemical structure, molecular biosynthesis, biological enrichment mechanisms, and toxicological actions of STX. Moreover, we highlighted recent advancements in the potential for detection and treatment strategies of STX. By integrating multidisciplinary insights, this review aims to provide a holistic understanding of STX and to guide future research directions for its prevention, management, and potential applications. 
610 4 |a Environmental Protection Agency--EPA 
653 |a Paralytic shellfish poisoning 
653 |a Shellfish 
653 |a Algal blooms 
653 |a Food safety 
653 |a Biosynthesis 
653 |a Brackish water 
653 |a Inland water environment 
653 |a Acute toxicity 
653 |a Public health 
653 |a Sodium 
653 |a Ecosystem integrity 
653 |a Marine ecosystems 
653 |a Cyanobacteria 
653 |a Toxins 
653 |a Toxicology 
653 |a Paralysis 
653 |a Eutrophication 
653 |a Poisoning 
653 |a Algae 
653 |a Nerves 
653 |a Channel gating 
653 |a Saxitoxin 
653 |a Health risks 
653 |a Sodium channels (voltage-gated) 
653 |a Toxicity 
653 |a Nuclear magnetic resonance--NMR 
653 |a Molecular structure 
653 |a Drug dosages 
653 |a Oxidation 
653 |a Solvents 
653 |a Freshwater 
653 |a Dinoflagellates 
653 |a Environmental 
700 1 |a Shang Xinrui  |u Department of Student team, College of Basic Medical Sciences, Naval Medical University, Shanghai 200433, China; hydeng919@163.com (H.D.); xrshang0701@163.com (X.S.) 
700 1 |a Hu, Zhu  |u College of Chemistry and Materials Science, Fujian Normal University, Fuzhou 350007, China; zhuhu@fjnu.edu.cn 
700 1 |a Huang, Ning  |u Department of Biochemistry and Molecular Biology, College of Basic Medical Sciences, Naval Medical University, Shanghai 200433, China 
700 1 |a Wang Lianghua  |u Department of Biochemistry and Molecular Biology, College of Basic Medical Sciences, Naval Medical University, Shanghai 200433, China 
700 1 |a Sun Mingjuan  |u Department of Biochemistry and Molecular Biology, College of Basic Medical Sciences, Naval Medical University, Shanghai 200433, China 
773 0 |t Marine Drugs  |g vol. 23, no. 7 (2025), p. 277-303 
786 0 |d ProQuest  |t Health & Medical Collection 
856 4 1 |3 Citation/Abstract  |u https://www.proquest.com/docview/3233229140/abstract/embedded/7BTGNMKEMPT1V9Z2?source=fedsrch 
856 4 0 |3 Full Text + Graphics  |u https://www.proquest.com/docview/3233229140/fulltextwithgraphics/embedded/7BTGNMKEMPT1V9Z2?source=fedsrch 
856 4 0 |3 Full Text - PDF  |u https://www.proquest.com/docview/3233229140/fulltextPDF/embedded/7BTGNMKEMPT1V9Z2?source=fedsrch