2020
DOI: 10.3390/toxins12040267
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Liquid Chromatography Coupled to High-Resolution Mass Spectrometry for the Confirmation of Caribbean Ciguatoxin-1 as the Main Toxin Responsible for Ciguatera Poisoning Caused by Fish from European Atlantic Coasts

Abstract: Ciguatera poisoning (CP) is a common seafood intoxication mainly caused by the consumption of fish contaminated by ciguatoxins. Recent studies showed that Caribbean ciguatoxin-1 (C-CTX1) is the main toxin causing CP through fish caught in the Northeast Atlantic, e.g., Canary Islands (Spain) and Madeira (Portugal). The use of liquid chromatography coupled to tandem mass spectrometry (LC-MS/MS) combined with neuroblastoma cell assay (N2a) allowed the initial confirmation of the presence of C-CTX1 in contaminated… Show more

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Cited by 32 publications
(38 citation statements)
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“…These levels are among the highest determined in Macaronesia and exceeds the U.S. Food and Drugs Administration (FDA) guidance level of 0.1 µg C-CTX1 kg −1 . Such high levels have been of key importance to fully characterize and confirm fragmentation pathways of C-CTX1 by high resolution mass spectrometry [ 32 ].…”
Section: Discussionmentioning
confidence: 99%
“…These levels are among the highest determined in Macaronesia and exceeds the U.S. Food and Drugs Administration (FDA) guidance level of 0.1 µg C-CTX1 kg −1 . Such high levels have been of key importance to fully characterize and confirm fragmentation pathways of C-CTX1 by high resolution mass spectrometry [ 32 ].…”
Section: Discussionmentioning
confidence: 99%
“…G. excentricus displays the highest content of CTXs so far [23,24,50] and its CTX-like toxicity has been comparable to that of G. polynesiensis, the predominant CTX producer in the South Pacific, a ciguatera endemic region. In contrast to the consistent toxicity characteristics of G. excentricus, analyses of G. australes have yielded variable results depending on the strains and their origins [24,30,85,86]. The toxicity of the rest of Gambierdiscus species from the Canary Islands has been very scarcely studied; neuroblastoma cell-based assay (neuro-2a CBA) revealed lower CTX-like toxicity than the former ones (or even none for G. caribaeus), although high intraspecific variability has been also reported [24,30].…”
Section: Gambierdiscus Resultsmentioning
confidence: 99%
“…To achieve this goal, the development of an enzyme-linked immunoassay (ELISA) is attractive for its accuracy, sensitivity, routine and portable use, and recent progress is promising [ 18 , 19 , 20 , 21 ]. Laboratory methods such as cell-based assays and HPLC-MS(/MS) are useful to detect, quantify and/or identify CTXs after suitable extraction from fish meal remnants [ 8 , 17 , 22 , 23 , 24 , 25 , 26 , 27 ] and mammalian fluids or tissues following intoxication [ 28 , 29 , 30 ]. Chemical methods are also used in a few laboratories to purify CTXs.…”
Section: Ciguatera: An Underreported and Misdiagnosed Disease Lackmentioning
confidence: 99%