Toxicokinetic processes of cyanotoxins: From uptake to excretion. A review

Cyanobacteria are a significant source of both valuable biological resources and public health threats due to their ability to produce cyanotoxins in water. These toxins can be classified based on their chemical structures and mechanisms of action, with microcystins (MCs), nodularins (NODs), anatoxi...

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Detalles Bibliográficos
Autores: Cascajosa Lira, Antonio, Guzmán Guillén, Remedios, Pichardo Sánchez, Silvia, Cameán Fernández, Ana María, Prieto Ortega, Ana Isabel
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2026
País:España
Institución:Universidad de Sevilla (US)
Repositorio:idUS. Depósito de Investigación de la Universidad de Sevilla
OAI Identifier:oai:dnet:idus________::617600c0083a377533c63e65efe75ae0
Acceso en línea:https://hdl.handle.net/11441/186943
https://doi.org/10.1016/j.hazadv.2026.101273
Access Level:acceso abierto
Palabra clave:Uptake
Distribution
Metabolism
Excretion
Toxicokinetic
Cyanotoxins
Descripción
Sumario:Cyanobacteria are a significant source of both valuable biological resources and public health threats due to their ability to produce cyanotoxins in water. These toxins can be classified based on their chemical structures and mechanisms of action, with microcystins (MCs), nodularins (NODs), anatoxins (ATXs), cylindrospermopsin (CYN), and saxitoxins (STXs) being the most prominent. This study aimed to conduct a critical review to identify and analyze the toxicokinetic processes of cyanotoxins, specifically focusing on absorption, distribution, metabolism, and excretion (ADME). The review was performed in accordance with PRISMA guidelines, using electronic databases such as ScienceDirect and PubMed. Overall, the available evidence indicates that the absorption of cyanotoxins is generally limited and strongly influenced by active transport processes rather than passive diffusion. Once absorbed, distribution tends to be preferentially directed toward specific target organs, mainly the liver and, for neurotoxic compounds, the nervous system. Metabolic data suggests that cyanotoxin biotransformation is dominated by phase II conjugation pathways, although their efficiency varies widely and quantitative kinetic information remains scarce. Excretion occurs primarily via fecal and urinary routes, reflecting biliary and renal clearance mechanisms. Despite these insights, the identification and validation of reliable toxicokinetic biomarkers remain limited, with most studies relying on tissue accumulation or indirect endpoints rather than standardized internal dose markers. Significant gaps in the research were identified regarding detailed kinetic parameters for each toxin, which should be addressed through international guidelines to enable accurate risk assessments and to adequately protect public and environmental health.