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. 2017 Feb 25;9(3):76. doi: 10.3390/toxins9030076

Detection of Cyanotoxins in Algae Dietary Supplements

Audrey Roy-Lachapelle 1, Morgan Solliec 1, Maryse F Bouchard 2, Sébastien Sauvé 1,*
Editor: Amparo Alfonso
PMCID: PMC5371831  PMID: 28245621

Abstract

Algae dietary supplements are marketed worldwide as natural health products. Although their proprieties have been claimed as beneficial to improve overall health, there have been several previous reports of contamination by cyanotoxins. These products generally contain non-toxic cyanobacteria, but the methods of cultivation in natural waters without appropriate quality controls allow contamination by toxin producer species present in the natural environment. In this study, we investigated the presence of total microcystins, seven individual microcystins (RR, YR, LR, LA, LY, LW, LF), anatoxin-a, dihydroanatoxin-a, epoxyanatoxin-a, cylindrospermopsin, saxitoxin, and β-methylamino-l-alanine in 18 different commercially available products containing Spirulina or Aphanizomenon flos-aquae. Total microcystins analysis was accomplished using a Lemieux oxidation and a chemical derivatization using dansyl chloride was needed for the simultaneous analysis of cylindrospermopsin, saxitoxin, and β-methylamino-l-alanine. Moreover, the use of laser diode thermal desorption (LDTD) and ultra-high performance liquid chromatography (UHPLC) both coupled to high resolution mass spectrometry (HRMS) enabled high performance detection and quantitation. Out of the 18 products analyzed, 8 contained some cyanotoxins at levels exceeding the tolerable daily intake values. The presence of cyanotoxins in these algal dietary supplements reinforces the need for a better quality control as well as consumer’s awareness on the potential risks associated with the consumption of these supplements.

Keywords: cyanotoxins, cyanobacteria, dietary supplements, LC-HRMS, LDTD, microcystins, anatoxin-a, cylindrospermopsin, BMAA, saxitoxin

1. Introduction

Cyanobacteria (CB), formally called blue-green algae, are omnipresent in natural water sources and cause increased concern for public health [1]. Although they are mostly innocuous, a significant proportion of cyanobacterial species are harmful due to toxin production [2]. Cyanotoxins have several modes of action including: hepatotoxicity, affecting mainly the liver; neurotoxicity, acting on the nerve cells; cytotoxicity, affecting the cells and potentially carcinogenic; and dermatotoxicity, acting as irritant [3]. The production of massive cyanobacterial blooms can be caused by eutrophic conditions in the presence of heat, light, shallow waters, and nutrients [1,3]. Moreover, intense agriculture activities, and more recently, climate changes have been the principal triggers of massive cyanobacterial blooms [4,5]. The production of cyanobacteria, as well as their cyanotoxins, is almost impossible to predict precisely [6]. The nature of the producing cells and toxins, the localization of proliferation, and the duration of the bloom at a specific location are hard to characterize, which makes their management difficult.

CB have been commercialized as dietary supplements and recently gained popularity for their alleged beneficial effects on health for adults and children, including an increase in energy, better mood, antioxidant proprieties, and anti-cancer effects [7,8,9]. Our investigation included two types of CB supplements: Spirulina, which is now recognized by two species named Arthrospira platensis and Arthrospira maxima, the latter being found worldwide and are considered innocuous [10]; and non-toxic Aphanizomenon flos-aquae is also used from blooms to produce food supplements and has been primarily harvested from Upper Klamath Lake in Oregon, USA. However, toxic strains of A. flos-aquae may be found occasionally in some supplements, and they have been reported to produce paralytic shellfish poisons and anatoxin-a [11]. Moreover, despite some quality control as described by Carmichael et al. [10], other CB species can accidentally contaminate the products since the production is made in the natural environment. Indeed, the presence of microcystins and alkaloid cyanotoxins producers have been found in supplements [10,12,13,14]. Yet, most dietary supplements suffer from less strict quality controls since they are categorized as foodstuff products and not as pharmaceuticals [15]. Moreover, they are marketed internationally, sold over-the-counter, and easily accessible via the Internet without any guarantee of proper quality controls. Previous studies showed the presence of microcystins at concentration levels exceeding the proposed World Health Organization’s (WHO) tolerable daily intake (TDI) of 0.04 µg∙kg−1 body weight for an adult [16,17,18,19,20]. This TDI is an estimate of the amount of microcystins that can be ingested daily over a lifetime without appreciable health risk. Anatoxin-a and its congeners have been reported in different brands containing both Spirulina and A. flos-aquae [13,17]. Moreover, some strains of A. flos-aquae are known to produce saxitoxins and β-methylamino-l-alanine, the presence of the latter having been confirmed in CB dietary supplements [21,22,23,24,25,26].

In this paper, we aim to analyze different brands of CB dietary supplements to screen for the presence of different cyanotoxins: microcystins (MCs), anatoxin-a (ANA-a), cylindrospermopsin (CYN), saxitoxin (STX), and β-methylamino-l-alanine (BMAA). The use of different analytical strategies coupled with high resolution mass spectrometry (HRMS) detection allows us to confirm the presence of different cyanotoxins which could not be analysed in a single analytical run due to their structure specificity. The structural identification and compound profiles were obtained using the Q-Exactive orbital ion trap, which enabled selective detection for all targeted compounds, both with and without the use of certified standard materials. For this purpose, we used different analytical approaches previously developed in our laboratory including laser diode thermal desorption (LDTD) for a fast screening of total MCs and ANA-a (approximately 10 s per sample) while eliminating a chromatographic separation step [27,28,29]. More specifically, Lemieux oxidation using potassium permanganate and sodium periodate allowed the recovery of the 2-methyl-3-methoxy-4-phenylbutyric acid (MMPB) moiety common to all MCs which includes over 100 known congeners [30]. Samples were also submitted to ultra-high performance liquid chromatography-heated electrospray (UHPLC-HESI) coupled to HRMS, which were previously developed and ultimately adapted for this project [31]. The MC congeners present in the samples were then identified and quantified and results were compared with total MCs quantification results. Transformation products of ANA-a were qualitatively searched including dihydroanatoxin-a (DH-ANA-a) and epoxyanatoxin-a (E-ANA-a) and they were semi-quantified using ANA-a as a reference standard [32]. Finally, the analysis of CYN, STX, and BMAA was possible with a derivatization step using dansyl chloride (DNS) which was also previously developed [33].

Upon long term consumption, the presence of undesirable and harmful toxins in dietary supplements would lead to public health concerns as they are widely available, labeled as safe products, and even promoted as beneficial for health. By screening a large variety of cyanotoxins in these supplements, we aim to assess their toxic potential.

2. Results and Discussion

2.1. Multi-Toxins Analysis and Validation

Different analytical approaches have been used to determine the presence of several cyanotoxins in Spirulina and A. flos-aquae dietary supplements available worldwide in stores or via the Internet [11,12,13,17,34,35,36]. Analytical methods for the analysis of cyanotoxins, until now, cannot encompass the presence of a multitude of congeners and their diversity in terms of physicochemical properties. Using previously developed analytical methods for different cyanotoxin families, we were able to analyse total MCs via the MMPB moiety and compare results to multi MCs detection using seven standards. We were also able to compare results using ultra-fast detection of ANA-a using the LDTD-APCI-HRMS to UHPLC-HESI-HRMS method. The detection of CYN, STX, and BMAA was possible using DNS derivatization prior to UHPLC-HESI-HRMS analysis. Finally, transformation products of ANA-a were evaluated and confirmed using HRMS detection and were semi-quantified. To evaluate the validation parameters from the different analytical methods, Chlorella based dietary supplement products were used as relevant matrix material, thus as method blanks. Indeed, Chlorella is used and sold similarly as other CB dietary supplements, only, instead of being a cyanobacterium, this genus is a unicellular green algae. Nevertheless, matrix blanks were evaluated in every analysis to ensure the absence of false positives.

2.1.1. Evaluation of Extraction Methods

Different extraction methods were employed depending on the targeted cyanotoxins and the analytical methods. The extraction recoveries (Table 1) and matrix effects (Table S1) were evaluated at two concentration levels for all target cyanotoxins in triplicate at two levels of concentrations. The extraction recovery of total MCs was evaluated using a Lemieux oxidation protocol previously developed and validated in our laboratory and other research groups [28,29,37,38]. The extraction recoveries, including oxidation reaction and SPE extraction, were 79% and 85% and signal recoveries from matrix effects were 85% and 87%. The analysis of ANA-a using the LDTD-APCI-HRMS method resulted in extraction recoveries of 95% and 92% and signal recoveries from matrix effects of 90% and 92%. For the analysis of the different MCs and ANA-a, results showed extraction recoveries between 85% and 96% and signal recovery from matrix effects between 91% and 112%, respectively. Finally, for the derivatization and SPE extraction steps combined of CYN, STX, and BMAA, extraction recoveries ranged from 83% to 97% and signal recoveries from matrix effect ranged from 94% to 109%. Globally, the different extraction steps showed acceptable recoveries while eliminating substantial background signals which could otherwise contribute to enhance matrix effects. It was acceptable with no significant signal enhancement or loss. The only exceptions came from the analysis of total MCs via the MMPB moiety. Lower extraction recoveries were obtained due to the complexity of the extraction steps necessary for obtaining the MMPB moiety, but compared to previous studies, these values are deemed acceptable [37,38]. Also, slight signal suppression was observed, which can be due to the presence of residual salts from the oxidation reagents, which can interfere with the LDTD desorption [28].

Table 1.

Method validation parameters including accuracy and precision determined at two different concentrations levels and recovery with standard deviation (STD, n = 3).

Compounds a Accuracy (RE %) Intraday (RSD %) Interday (RSD %) Recovery (%) R2 Linearity Range (µg∙g−1) MDL (µg∙g−1) MQL (µg∙g−1)
L H L H L H L H
1 MMPB b,c 8 6 7 9 12 12 79 (9) 85 (10) 0.9988 0.6–20 0.2 0.6
ANA-a b 6 5 6 7 11 13 95 (7) 92 (8) 0.9987 0.8–20 0.3 0.8
2 ANA-a 9 7 5 5 8 9 89 (7) 90 (8) 0.9995 0.1–20 0.04 0.1
MC-RR 7 8 7 3 11 8 86 (9) 89 (8) 0.9993 0.03–20 0.01 0.03
MC-YR 8 4 5 2 12 9 85 (7) 90 (6) 0.9992 0.07–20 0.02 0.07
MC-LR 6 3 7 6 9 7 91 (10) 95 (10) 0.9995 0.06–20 0.02 0.06
MC-LA 6 4 5 1 9 11 92 (7) 91 (9) 0.9990 0.03–20 0.01 0.03
MC-LY 7 6 8 5 7 9 87 (8) 92 (8) 0.9995 0.1–20 0.03 0.1
MC-LW 10 7 9 4 9 10 96 (7) 94 (9) 0.9993 0.05–20 0.02 0.05
MC-LF 8 5 10 2 11 8 93 (9) 90 (7) 0.9992 0.1–20 0.03 0.1
3 CYN 11 10 11 9 15 12 88 (10) 85 (7) 0.9990 0.1–20 0.04 0.1
STX 12 10 12 8 13 13 83 (11) 86 (9) 0.9989 0.3–20 0.1 0.3
BMAA 8 7 8 8 10 12 97 (6) 94 (5) 0.9993 0.08–20 0.02 0.08

a Validation results are divided between the three methods. L (low concentration) and H (high concentrations) are respectively set as the follow: 1 and 10 µg∙g−1 (1), 0.1 and 10 µg∙g−1 (2), and 0.5 and 10 µg∙g−1 (3). b Analysis using LDTD-APCI-HRMS detection. c Results reported as total MCs equivalent.

2.1.2. Methods Validation

Method validation was done by evaluating linearity, precision (intraday and interday), accuracy, method detection (MDLs) and quantification limits (MQLs) in Chlorella samples used as matrix blanks (Table 1). The calibration curves of the spiked cyanotoxins showed good linearity with R2 ≥ 0.9985 using the corresponding internal standards. The precision and accuracy (% bias) of the methods were determined at two concentration levels by analysing replicates of spiked blank matrix samples in triplicate. The precision and the accuracy for all analytes were deemed suitable, ranging from 1% to 15% and between 2 and 12, respectively. The MDLs and MQLs values ranged from 0.01 to 0.3 μg∙g−1 and 0.03 to 0.8 μg∙g−1, respectively. The evaluated MDLs and MQLs of the present developed method were comparable to previous developed methods for the analysis of cyanotoxins in freeze-dried cyanobacterial cells [39,40]. In comparison, UHPLC-HESI-HRMS methods offered better results in terms of MDLs and MQLs, which was expected. However, the results obtained for total MCs via MMPB and ANA-a were substantially lower than provisional TDI guidelines being approximately 2.4 µg of MC-LReq and 6 µg daily for an adult weighing 60 kg compared to the MDL being 0.2 and 0.3 µg∙g−1, respectively [20,41]. Considering this, the LDTD-APCI-HRMS analytical apparatus given by previous methods and this paper can be a great tool for faster screening of the target cyanotoxins as demonstrated.

2.2. Toxins Quantification in CB Dietary Supplements

From the 18 CB dietary products tested, fourteen contained Spirulina and four contained A. flos-aquae. They were analysed on a mass basis (as µg of cyanotoxins per g of dry weighed CB) and results are presented in Table S2. Three brands out of the 14 Spirulina products contained amounts of total MCs varying between 0.25 and 0.84 µg∙g−1. In comparison, the concentrations obtained using the sum of individual MC standards varied between 0.01 and 0.63 µg∙g−1. As for the A. flos-aquae-based brands, amounts of total MCs were substantially higher with results varying between 0.8 and 8.2 µg∙g−1 using the Adda oxidation method. In comparison, by using the sums of MCs standards, the concentrations varied between 0.52 and 5.8 µg∙g−1. As seen in previous studies, there is a possibility of underestimation when total MC is not taken into account since only a limited number of MC variants are available as standards (approximately 10%). In our case, the presence of unseen variants and congener isomers is probable considering the results obtained. Two methods were used to quantify ANA-a, the first using the LDTD-APCI-HRMS for faster screening and the second using UHPLC-HESI-HRMS to include the toxin in a multi-toxins analytical method. Results showed the presence of ANA-a in two A. flos-aquae CB dietary supplements. In one of these samples, similar amounts were detected using the two analytical methods, i.e., 0.44 µg∙g−1 of ANA-a using the LDTD-APCI-HRMS and 0.40 µg∙g−1 using the UHPLC-HESI-HRMS. In the other sample, only the second analytical method detected ANA-a, with an obtained amount of 0.15 µg∙g−1, which is explained by the MDL of the two different methods. An example to illustrate the LDTD peak shape of MMPB and ANA-a is presented in Figure 1 from brand #17. Figure 2 illustrates the chromatographic separation of ANA-a and the individual MCs from brand #15. Finally, CYN and STX were not detected in any samples, but two samples of A. flos-aquae contained BMAA with amounts of 0.04 and 0.55 µg∙g−1. An example of the chromatographic separation is shown in Figure 3 from brand #15 including a clear separation of BMAA and its isobaric isomer 2,3-diaminobutyric acid (DAB). Globally, Spirulina-based brands contained less cyanotoxins than A. flos-aquae based brands and this phenomenon was previously observed [42]. Normally, Spirulina does not have the capacity to produce cyanotoxins [10]. Moreover, their harvest requires specific conditions (pH 9–10) which are not suitable for the efflorescence of a large number of CB [11]. However, it was previously found that Arthospira, a potential ANA-a producer, can appear in the harvest of Spirulina and can be missed during quality controls, due to their similar morphology [14,43]. The presence of other toxic CB such as Microcystis has also been documented [44]. As for A. flos-aquae, all our selected brands showed the presence of cyanotoxins, which is in concordance with many studies [12,13,19]. Such samples mostly contain MCs, but previous analysis showed that alkaloid cyanotoxins can also be found in A. flos-aquae culture, therefore in CB dietary supplements. BMAA was found in two samples containing A. flos-aquae. BMAA can cause neurodegeneration in animal models, and is suspected to be linked to neurodegenerative diseases [45,46]. Thus, its mere presence in a food supplement represents a potential concern for public health.

Figure 1.

Figure 1

Example of peak shape from the analysis of brand #17 using LDTD-APCI-HRMS detecting (a) MMPB for total microcystins analysis, and (b) anatoxin-a (ANA-a). The analytes are represented by the integrated peaks with corresponding retention times (RT) and area (AA).

Figure 2.

Figure 2

Example of chromatogram from the analysis of brand #15 using DNS derivatization and UHPLC-HESI-HRMS analysis for anatoxin-a (ANA-a), dihydroanatoxin-a (DH-ANA-a), epoxyanatoxin-a (E-ANA-a), and seven microcystins (RR, YR, LR, LA, LY, LY, LW, and LF). The analytes are represented by the integrated peaks with corresponding retention times (RT) and area (AA).

Figure 3.

Figure 3

Example of chromatogram from the analysis of brand #15 using DNS derivatization and UHPLC-HESI-HRMS analysis for cylindrospermopsin (CYN), saxitoxin (STX), β-methylamino-l-alanine (BMAA), and diaminobutyric acid-D3 (DAB-D3). The analytes are represented by the integrated peaks with corresponding retention times (RT) and area (AA).

2.3. Transformation Products ANA-a

ANA-a is a labile compound which is easily transformed under natural conditions, including alkaline pH and UV light. However, it can be transformed into less toxic and more stable compounds, which includes DH-ANA-a and E-ANA-a. Their presence was monitored to assess the possibility of ANA-a production in a CB harvest, which can add a possible presence of toxic CB in the cultures that would not be detectable in the products. Due to the lack of certified standards, these compounds were searched and confirmed using HRMS detection and they were semi-quantified using the ANA-a standard for calibration. DH-ANA-a was found in three samples at concentrations varying between 0.34 and 7.2 µg∙g−1 and E-ANA-a was found in four samples at concentrations between 0.07 and 2.7 µg∙g−1. These concentrations, even if approximate, were substantially higher than concentrations obtained for ANA-a. Similarly to our results, Draisci et al. [17], found transformation products of ANA-a without finding the parent molecule. This suggested a potential health hazard associated with CB dietary supplement consumption. To ensure the identification of the compounds, comparisons of fragmentation patterns, which are shown in Figure 4, were done using the Mass FrontierTM software. The obtained results confirmed their structure identification, therefore supporting their presence in samples. For DH-ANA-a, the targeted product ions for identification were m/z 168.1381 > 96.0396, 133.1010, and 150.1275. For E-ANA-a, the product ions were m/z 182.1178 > 98.0966, 122.0964, and 164.1068. These masses are in accordance with the results presented in previous studies which were obtained using reference standards and LC-MS/MS detection [16,47]. Moreover, to ensure proper identification, the structures were searched via the Mass FrontierTM software using their exact mass and are illustrated in Figure 4. Indeed, we found plausible structures for each of the masses used for identification with mass errors equal or below 3 ppm, thus confirming the presence of DH-ANA-a and E-ANA-a in the samples.

Figure 4.

Figure 4

Fragmentation mass spectra of dihydroanatoxin-a (DH-ANA-a) with targeted product ions m/z 168 > 93, 133, and 150 and epoxyanatoxin-a (E-ANA-a) with targeted product ions m/z 182 > 98, 122, and 164.

2.4. Risk Assessment

Various TDI guidelines have been proposed by many institutions for the intake of cyanotoxins in order to prevent toxic effects. The most recognized value was established by the WHO in the form of a TDI guideline of 0.04 µg∙kg−1 body weight for MCs. This value corresponds to an intake of 2.4 µg of MCs per day for an adult weighing 60 kg [20]. So far, the WHO has not established guidelines for cyanotoxins other than MCs. The Oregon Health Authority (OHA) Public Health Division have established guidelines for additional toxins as part of the implementation of a monitoring program for the presence of cyanotoxins [41]. They developed TDI values for ANA-a (6 µg), CYN (1.8 µg), MCs (3 µg), and STX (3 µg). Our results indicate that the consumption of these ‘health products’ might be associated with health risks because of the presence of cyanotoxins in several CB products. Table 2 presents the results on the quantity of cyanotoxins ingested according to TDI, when applicable, for each brand. Out of the 18 brands, 4 contained cyanotoxins at levels exceeding TDI values. According to our results, these brands showed amounts of MCs exceeding the recommended TDI for adults (exceeding TDI by up to 683 % for total MCs).

Table 2.

Cyanotoxins daily intake from CB dietary supplements samples (µg), and comparison with guidelines. Values in brackets represent the detected cyanotoxins as percentages of the WHO adult TDI guideline for MCs and the OHA Public Health Division for ANA-a, assuming the consumption of the maximum dosage and a body weight of 60 kg.

No. MCs tot a,b ANA-a a ANA-a DH-ANA-a c E-ANA-a c MC-RR MC-YR MC-LR MC-LA MC-LY MC-LW MC-LF CYN STX BMAA
1 ND ND ND ND ND ND ND ND ND ND ND ND ND ND ND
2 ND ND ND ND ND ND ND ND ND ND ND ND ND ND ND
3 ND ND ND ND ND ND ND ND ND ND ND ND ND ND ND
4 ND ND ND ND ND ND ND ND ND ND ND ND ND ND ND
5 ND ND ND ND 7.2 ND ND ND ND ND ND ND ND ND ND
6 ND ND ND ND ND ND ND ND ND ND ND ND ND ND ND
7 ND ND ND ND ND ND ND ND ND ND ND ND ND ND ND
8 0.25 (10) ND ND 0.41 ND ND ND ND 0.3 (13) ND ND ND ND ND ND
9 ND ND ND ND ND ND ND ND ND ND ND ND ND ND ND
10 ND ND ND ND ND ND ND ND ND ND ND ND ND ND ND
11 2.5 (104) ND ND ND 8.1 ND 1.6 (67) 0.06 (3) 0.08 (3) ND ND ND ND ND ND
12 ND ND ND ND ND ND ND ND ND ND ND ND ND ND ND
13 0.6 (25) ND ND ND ND ND ND 0.03 (1) ND ND ND ND ND ND ND
14 ND ND ND ND ND ND ND ND ND ND ND ND ND ND ND
15 16.4 (683) ND 0.30 (5) 2.2 1.8 0.8 (33) ND 8.6 (358) 2.2 (92) 0.04 (17) ND ND ND ND 0.08
16 4.5 (188) ND ND ND 0.28 ND ND 3.6 (150) 1.2 (50) ND ND ND ND ND ND
17 3.3 (138) 0.35 (6) 0.32 (5) 5.8 ND ND 0.18 (8) 0.04 (17) 2.6 (108) ND ND ND ND ND 0.44
18 0.8 (33) ND ND ND ND ND ND 0.52 (22) ND ND ND ND ND ND ND

ND—Not detected. a Analysis using LDTD-APCI-HRMS detection. b Total microcystins determined via MMPB reported as total MCs equivalent. c Concentrations are expressed as ANA-a equivalents. d Total microcystins determined via the summation of individual microcystins measured.

The TDI values are for adults weighing 60 kg and therefore should be reduced for children. For example, the intake for a child weighing 30 kg (average for a 10-year-old) should not exceed half of the TDI values established for an adult. In addition to the four brands exceeding the TDI for total MCs for adults, another brand had a total MCs value of 0.8 µg, which is equivalent to the TDI for child weighing 20 kg (this product that did not warn against use for children). In our study, a third of the products analyzed had warnings against consumption by children (Table 3). Yet, CB supplementation has been suggested as an alternative (natural) therapy for children with attention deficit/hyperactivity disorder (ADHD) [48]. Some of these products have also been presented as providing health benefits to pregnant women [49].

Table 3.

Information and specifics from cyanobacterial (CB) dietary supplements.

No. Content Place of Harvest/Purchased From Exp. Date Recommended Maximum Dosage/Day Specifics
1 Spirulina Pacific/Store 01/2006 4000 mg
2 Spirulina NA/Store 02/2006 3000 mg
3 Spirulina Hawaii/Store 06/2006 2000 mg
4 Spirulina NA/Store 02/2007 2000 mg
5 Spirulina NA/Store 08/2007 4500 mg Not recommended for children
6 Spirulina NA/Store 12/2007 1440 mg
7 Spirulina NA/Store 01/2008 3000 mg Not recommended for children
8 Spirulina Hawaii/Store 06/2008 1200 mg
9 Spirulina Hawaii/Store 05/2009 1200 mg
10 Spirulina NA/Store 06/2009 3040 mg Not recommended for children
11 Spirulina NA/Store 07/2015 3000 mg
12 Spirulina NA/Internet 05/2015 3000 mg
13 Spirulina NA/Internet 06/2015 3000 mg
14 Spirulina Hawaii/Internet 06/2015 3000 mg
15 A. flos-aquae NA/Store 07/2015 2000 mg Not recommended for children
16 A. flos-aquae Klamath Lake/Internet 05/2015 3000 mg Not recommended for children
17 A. flos-aquae Klamath Lake/Internet 06/2015 800 mg
18 A. flos-aquae Klamath Lake/Internet 06/2015 1000 mg

NA—Not available.

In addition, BMAA was found in two brands, although at low concentrations. The lack of toxicological data and guidelines does not allow the determination of the risk associated to chronic exposure of this compound. However, BMAA has been associated with neurodegenerative diseases [45,46], and it would seem appropriate to establish a preventive monitoring of this toxin including in CB dietary supplements. Furthermore, Andersson, M. et al. [50] have recently shown the possibility that mothers’ milk could be a source of exposure for BMAA in human infants. This would be due to a low metabolic (or even non-metabolic) elimination of BMAA in addition to its transportation as a free amino acid to rat milk and suckling pups. Breastfed infants are therefore put at risk, considering that not a majority of brands contraindicate their products for breastfeeding women. Finally, ANA-a or its transformation compounds, DH-ANA-a and E-ANA-a, were found in six different samples. This suggests the presence of alkaloid cyanotoxins producers in the CB cultures, both in Spirulina and A. flos-aquae harvests. The level of risk appears low in our study since the estimated intake in the two samples where it was detected was much lower than the TDI. However, our sample size was limited, thus other products available commercially might contain larger levels of these cyanotoxins.

Published reports raise concerns for risks of intoxication and liver injuries caused by a chronic consumption of CB dietary supplements [51,52]. Although subchronic cyanotoxin poisoning can lead to acute symptoms, the ingested doses must be at least 10-fold higher than the TDI guidelines [53]. Similarly, some cases of acute poisoning from MCs were previously documented, as well as exposition causing mild intoxication cases [54,55]. Although acute poisoning can lead to symptoms ranging from temporary gastrointestinal disorders to immediate liver failure, long term intoxication is known to increase the risk of liver cancer [56]. Indeed, some cyanotoxins have the propriety to bioaccumulate, especially MCs. These are known to covalently bind in liver tissues through protein phosphatase inhibition, inducing hepatic failure and tumor promotion [56,57]. This suggests the potential risk of a chronic consumption of CB dietary supplements contaminated by cyanotoxins.

In this study, we were able to screen many cyanotoxins to assess their toxic potential. Our results showed that some dietary products could be harmful upon long term consumption due to the undesirable presence of cyanotoxins. They are widely available, and labeled as safe products, and even beneficial for health. The presence of unwanted and harmful toxins shows the need for a more thorough monitoring of such products to evaluate the risks assessments and public health implications associated with the sale of such uncontrolled natural products. Finally, most guidelines for maximum intake of CB are established for a lifetime-based consumption. However, the United States Environmental Protection Agency recently proposed a 10-day health advisory for bottle-fed infants (0.3 µg∙L−1) and children of pre-school age (1.6 µg∙L−1) on the presence of MCs in drinking water [58]. This new advisory indicates the increasing concern of public health authorities for the risks associated with exposure to these toxins.

3. Conclusions

CB dietary supplements are marketed internationally, easily available, and advertised as beneficial for health. However, these products are sold with limited quality control, which could lead to potential toxic risks related to the contamination by cyanotoxins. We investigated the presence of several cyanotoxins in 18 brands of CB dietary supplements containing Spirulina and Aphanizomenon flos-aquae to assess the potential risks of chronic consumption from these products. We targeted total microcystins via the MMPB moiety, seven individual MCs, ANA-a, two of its transformation products, DH-ANA-a and E-ANA-a, cylindrospermopsin, saxitoxin and BMAA. These cyanotoxins were monitored using different analytical approaches including LDTD-APCI-HRMS, UHPLC-HESI-HRMS, and chemical derivatization in order to obtain a broad assessment of the presence of cyanotoxins. Results showed that 8 brands out of 18 contained some levels of cyanotoxins both in Spirulina and A. flos-aquae supplements. From these brands, four were contaminated with microcystins at levels exceeding the TDI values established by the WHO and the Oregon Health Division. Moreover, ANA-a and its transformation products were found in six brands which suggests the presence of alkaloid cyanotoxins producers species in CB cultures. Finally, low amounts of BMAA were found in two A. flos-aquae samples, supporting earlier reports that this toxin can appear in such dietary supplements [21,26]. This should be of concern for public health since dietary exposure to BMAA is suspected to be a potent neurotoxin. Finally, we do not want to emphasize the health risks associated with the specific supplement brands that we have analyzed. We rather pointed out that our data show the importance of better monitoring by the appropriate authorities of all algal-based food supplements and eventually prompt the adoption of health-based guidelines on the maximum intake to ensure the safety of these products.

4. Materials and Methods

4.1. Chemicals, Reagents, and Stock Solutions

Detailed information on chemical standards, reagents, and solutions used in sample treatment, sample derivation and instrumental analysis are provided in the Supplementary Material (SI1).

4.2. Algal Dietary Supplement Samples

The samples of CB food supplements containing Spirulina and A. flos-aquae were obtained from several brands and different sources at different periods of time (Table 3). Some were purchased from commercial suppliers at different locations and others were purchased via the Internet. The cyanobacteria composition varied among samples and they included tablets, capsules, and powder. The CB dietary supplements were ground individually with a coffee grinder and 0.3 g was weighed from each powdered sample for subsequent extraction steps.

4.3. Sample Treatment Steps

4.3.1. MMPB via LDTD-APCI-HRMS

For the analysis of total MCs via the MMPB moiety, the weighed samples were mixed in amber glass vials with 5 mL of the oxidation solution which consisted of KMnO4 (50 mM), NaIO4 (50 mM), and K2CO3 for a pH adjustment to 9 [28,29]. The oxidation duration was 2 h at room temperature and the reaction was quenched using a saturated solution of sodium bisulfite until the purple color in solution became colorless. The samples were acidified at pH ~ 2 using a solution of 10% sulfuric acid. Afterwards, these were filtered with 0.22 µm nylon membrane filters (Sterlitech Corporation, Kent, WA, USA). A solid phase extraction (SPE) step was employed for sample clean-up [28]. A styrene-divinylbenzene sorbent (Strata SDB-L) was used as the SPE cartridge from Phenomenex (Torrance, CA, USA) with 500 mg bed mass and a volume of 6 mL. A 12-position manifold from Phenomenex (Torrance, CA, USA) was used for the procedure. The SPE cartridges were conditioned with 5 mL of methanol (MeOH) followed by 5 mL of acidified water with 0.1% formic acid. The samples were loaded on the cartridge columns by gravity. The cartridges were then washed twice by adding 5 mL of water with 0.1% formic acid and containing 10% MeOH (v/v). The elution was performed using 5 mL of MeOH and the solvent was recovered into glass conical-bottom centrifuge tubes. The eluates were completely dried under a gentle stream of nitrogen at room temperature using a nine-port Reacti-Vap Pierce unit (Rockford, IL, USA). The dried fractions were then reconstituted in 500 µL of acetonitrile (ACN) and finally submitted to the LDTD-APCI-HRMS detection.

4.3.2. ANA-a via LDTD-HRMS and MCs-ANA-a via UHPLC-HESI-HRMS

For the analysis of ANA-a via the LDTD-APCI-HRMS method and of MCs and ANA-a via the UHPLC-HESI-HRMS system, the weighed samples were mixed with 5 mL of acidified MeOH (formic acid, pH 2) in polyethylene conical-bottom centrifuge tubes [27,31]. The samples were homogenized for 10 min using ultrasonication and then they were submitted to centrifugation at 3500 rpm for 10 min. The supernatant was filtered using 0.22 µm nylon membrane filters and was transferred to a 15 mL conical-bottom glass centrifuge tube. Another 3 mL of acidified MeOH was added to the sample residues which were vortexed, centrifuged, and the supernatant was filtered and combined with the first suspension. The solvent was dried under a gentle stream of nitrogen at room temperature. For the analysis of ANA-a using the LDTD-APCI-HRMS, according to previous study, samples were reconstituted with 500 µL of a solution of H2O:MeOH (50:50 v/v) acidified with formic acid at pH ~ 2 and then they were directly submitted to analysis. For the analysis of MCs and ANA-a using the UHPLC-HESI-HRMS method, samples were reconstituted with 500 µL of acidified water with 0.1% formic acid and submitted for analysis.

4.3.3. BMAA, CYN, and STX via UHPLC-HESI-HRMS

For the analysis of CYN, STX, and BMAA, the weighed samples were mixed in polypropylene conical-bottom centrifuge tubes with 5 mL of acidified water with citric acid (pH ~ 4) and were submitted to centrifugation at 3500 rpm for 10 min [33]. Thereafter, the supernatants were filtered using 0.22 µm nitrocellulose membrane filters (Millipore, Billerica, MA, USA) and then transferred into 15 mL polypropylene conical-bottom centrifuge tubes. Another 5 mL of acidified water was added to the sample residues to then be vortexed and centrifuged. The supernatant was filtered and combined with the first suspension. The combined solutions were submitted to a SPE clean-up step using a strong cation-exchange polymeric sorbent Strata-X-C cartridge (Phenomenex, Torrance, CA, USA) with 200 mg bed mass and a volume of 6 mL. The conditioning step was done with 5 mL of methanol (MeOH) followed by 5 mL of acidified water with citric acid (pH ~ 4). The acidified samples were then loaded on the cartridge columns by gravity. The cartridges were washed with 5 mL of acidified water (pH 4) containing 15% MeOH (v/v). Elution was performed with 5 mL of MeOH containing 3% NH4OH into conical-bottom polypropylene centrifuge tubes. The eluates were completely dried under a gentle stream of nitrogen at room temperature. The dried fractions were then reconstituted with the DNS reactive solution consisting of 250 µL of a Borax buffer (0.2 M, pH 9.5) and 250 µL of DNS in acetone (1 mg∙mL−1). The tubes were vortexed and placed in an Innova 4230 incubator shaker from New Brunswick Scientific (Edison, NJ, USA) at 60 °C for 10 min with agitation at 150 rpm. The samples were finally cooled at room temperature and were directly submitted to the UHPLC-HESI-HRMS analysis.

4.4. Analytical Detection

4.4.1. LDTD Conditions

The analyte desorption was achieved with a T-960 LDTD-APCI ionization interface model and the instrument was controlled by LazSoft 4.0 software (Phytronix Technologies, Québec, QC, Canada) integrated with the Xcalibur 2.3 Software (Thermo Fisher Scientific, Waltham, MA, USA). Details of the LDTD apparatus were described in previous work [29,59,60,61,62,63,64]. An aliquot of 2 µL of the MMPB extract and an aliquot of 4 µL of the ANA-a extract were individually spotted into a LazWell 96-well sample metal plate. After complete solvent drying at 40 °C for 5 min, the back of the sample well was heated by an infrared laser (980 nm, 20 W, continuous) in the LDTD instrument. The sample was desorbed and thereafter, a carrier gas flow of 2 L∙min−1 was set at a temperature of 50 °C to avoid temperature variation and to transfer the gas phase molecules to APCI ionization followed by the HRMS detection. Finally, the optimal laser power was set at 40% and laser pattern was optimized to the following settings for both analytical methods: 2 s at 0%, 2 s ramping from 0% to 40%, 1 s hold at 40%, 0.1 s from 40% to 0% and 2 s hold at 0%, with a total desorption time of 7 s per sample. The APCI ionization was set in negative mode for MCs and in positive mode for ANA-a and was set with these parameters: ion sweep gas 0.3, sheath gas, auxiliary gas, and skimmer offset are set to 0 (all arbitrary values), vaporizer temperature 0 °C, and capillary temperature 350 °C.

4.4.2. UHPLC Conditions

The chromatographic separation was performed with a Thermo Scientific Dionex Ultimate 3000 Series RS pump coupled with a Thermo Scientific Dionex Ultimate 3000 Series TCC-3000RS column compartments and a Thermo Fisher Scientific Ultimate 3000 Series WPS-3000RS autosampler controlled by Chromeleon 7.2 Software (Thermo Fisher Scientific, Waltham, MA, USA and Dionex Softron GMbH Part of Thermo Fisher Scientific, Germering, Germany). The chromatographic column was a Hypersil GOLDTM C18 column (100 mm, 2.1 mm, 1.9 µm particles) preceded by a guard column (5 mm, 2.1 mm, 3 µm particles) (Thermo Fisher Scientific, Waltham, MA, USA). Chromatographic settings are presented in Table 4 for both analytical methods and are based on published optimization parameters [31,33]. For the analysis of MCs and ANA-a, the injection volume was 25 µL and flow rate was set at 525 µL∙min−1 with a constant temperature of 55 °C. Concerning the ionization, the final HESI parameters used to maximize signal intensity were as follows: capillary temperature, 350 °C; vaporizer temperature, 450 °C; sheath gas pressure, 35 arbitrary units; aux gas pressure (10 arbitrary units), ion sweep gas pressure, 0 arbitrary units; and spray voltage, +3200 V. For the analysis of CYN, STX and BMAA, the injection volume was 25 µL and flow rate was set at 500 µL∙min−1 with a constant temperature of 40 °C. The HESI parameters were as follows: capillary temperature, 400 °C; vaporizer temperature, 350 °C; sheath gas pressure, 30 arbitrary units; aux gas pressure, 10 arbitrary units, ion sweep gas pressure, 0 arbitrary units; and spray voltage, +3000 V. For the analysis of BMAA, as demonstrated in the publication which describes this methodology [33], BMAA is independently detected from two important isobaric isomers, 2,3-diaminobutyric acid and N-(2-aminoethyl)-glycine through chromatographic separation and high resolution detection so that the results are not confounded.

Table 4.

Gradient parameters used for the analysis of cyanotoxins using UHPLC-HESI-HRMS, where A is HPLC water with 0.1% formic acid, B is acetonitrile with 0.1% formic acid, and C is methanol with 0.1% formic acid.

MCs and ANA-a CYN, STX and BMAA
Time (min) A (%) B (%) C (%) Time (min) A (%) B (%)
0.00 75 25 0 0.00 70 30
0.35 45 55 0 2.00 10 90
1.15 45 55 0 4.00 0 100
1.16 55 0 45 6.00 0 100
2.95 55 0 45 6.01 70 30
4.51 5 0 95 10.00 70 30
4.66 75 25 0
7.00 75 25 0

4.4.3. HRMS Conditions

The detection was performed using a Q-Exactive mass spectrometer controlled by the Xcalibur 2.3 Software (Thermo Fisher Scientific, Waltham, MA, USA). Instrument calibration in positive and negative modes was done every five days to avoid mass shifts in detection with a direct infusion of a LTQ Velos ESI positive and negative ion calibration solutions (Pierce Biotechnology Inc., Rockford, IL, USA). Targeted ion fragmentation (t-MS2) mode was used for quantification and the normalized collision energy (NCE) is presented in Table S3 along with the precursor and product masses of target analytes. The precursor ions are filtered by the quadrupole which operates at an isolation width of 0.4 amu. A resolving power of 17,500 FWHM at m/z 200 was used with an automatic gain control (AGC) target set at 1 × 105 ions for a maximum injection time of 50 ms. For more technical details, please refer to these previous studies [27,65,66,67].

4.5. Method Validation

The data treatment was performed using the Xcalibur 2.3 Software (Thermo Fisher Scientific, Waltham, MA, USA). The mass window applied for the extraction of chromatograms was 5 ppm. The recovery values from the extraction methods and the matrix effects as well as the method validation parameters were evaluated using material consisting of Chlorella-based dietary supplement products. Chlorella is a unicellular plant which is not related to cyanobacteria, so it was chosen as matrix blank. Extraction recoveries were determined at two levels depending of the analytical method, see Table 1, using the mean peak area of target compounds spiked prior to extraction in Chlorella samples. The results were compared to spiked post-extraction samples and were reported as percentages of recovery. The matrix effects were evaluated with the mean peak area of target compounds in post extraction spiked Chlorella samples compared to post extraction spiked matrix-free (dd-H2O) samples. They were evaluated at two concentration levels, see Table 1, and were reported as percentages of signal recovery from matrix effects. All recovery values were evaluated using triplicate determinations. Five-point internal calibration curves were prepared in Chlorella samples submitted to extraction with concentration levels ranging from 0.03 to 20 µg∙g−1 depending on target compounds. For all analytical methods, the concentration of internal standards was selected at 2.5 µg∙g−1 for its capacity for signal correction (data not shown). The internal standards were added before extraction steps as follows: 4-phenylbutyric acid (4-PB) for the analysis of MMPB, phenylalanine-D5 (PHE-D5) for the analysis of ANA-a, nodularin (NOD) for the analysis of MCs and ANA-a and diaminobutyric acid-D3 (DAB-D3) for the analysis of CYN, STX, and BMAA. Method detection limit (MDL) and method quantification limit (MQL) were determined as 3.3 and 10 times, respectively, the standard deviation of the y-intercept divided by the slope of the calibration curve in Chlorella samples. MDL values were confirmed experimentally by analyzing each compound at the statistically calculated concentrations. Accuracy, expressed as relative error (%); and interday/intraday variations, expressed as the relative standard deviation (%), were determined with two different concentration levels on the linearity range (0.5 and 10 µg∙g−1, n = 3) in Chlorella samples. Interday repeatability was estimated over three weeks.

Acknowledgments

Genome Québec, Genome Canada, the Natural Sciences and Engineering Research Council of Canada (NSERC) and the Canadian Foundation for Innovation (equipment) are acknowledged for their financial support. We thank Thermo Fisher Scientific and Phytronix Technologies for their support. We also thank Sung Vo Duy for technical help and scientific support.

Supplementary Materials

The following are available online at www.mdpi.com/2072-6651/9/3/76/s1, SI1: Chemicals, reagents, and stock solutions, Table S1: Recoveries from matrix effects of targeted cyanotoxins evaluated at two different concentrations levels (µg∙g−1) with standard deviation (STD, n = 3)., Table S2: Cyanotoxins detection in CB dietary supplements (µg∙g−1) with relative standard deviation (RSD-%)., Table S3: Parameters of HRMS detection of target cyanotoxins and internal standards.

Author Contributions

A.R.-L. conceived, designed, and performed all experiments, analyzed the data and wrote the paper. M.S. contributed to the experiments and revised the paper critically. M.F.B. contributed to the paper and revised the paper critically. S.S. conceived and designed the experiments, contributed to the paper, and has given final approval of the version to be published.

Conflicts of Interest

The authors declare no conflict of interest.

References

  • 1.Merel S., Walker D., Chicana R., Snyder S., Baures E., Thomas O. State of knowledge and concerns on cyanobacterial blooms and cyanotoxins. Environ. Int. 2013;59:303–327. doi: 10.1016/j.envint.2013.06.013. [DOI] [PubMed] [Google Scholar]
  • 2.Paerl H.W., Otten T.G. Harmful cyanobacterial blooms: Causes, consequences, and controls. Microb. Ecol. 2013;65:995–1010. doi: 10.1007/s00248-012-0159-y. [DOI] [PubMed] [Google Scholar]
  • 3.Van Apeldoorn M.E., Van Egmond H.P., Speijers G.J., Bakker G.J. Toxins of cyanobacteria. Mol. Nutr. Food. Res. 2007;51:7–60. doi: 10.1002/mnfr.200600185. [DOI] [PubMed] [Google Scholar]
  • 4.Paerl H.W., Paul V.J. Climate change: Links to global expansion of harmful cyanobacteria. Water Res. 2012;46:1349–1363. doi: 10.1016/j.watres.2011.08.002. [DOI] [PubMed] [Google Scholar]
  • 5.O’neil J., Davis T.W., Burford M.A., Gobler C. The rise of harmful cyanobacteria blooms: The potential roles of eutrophication and climate change. Harmful Algae. 2012;14:313–334. doi: 10.1016/j.hal.2011.10.027. [DOI] [Google Scholar]
  • 6.Oliver R.L., Hamilton D.P., Brookes J.D., Ganf G.G. Physiology, blooms and prediction of planktonic cyanobacteria. In: Whitton B.A., editor. Ecology of Cyanobacteria II. Springer; Dordrecht, The Netherland: 2012. pp. 155–194. [Google Scholar]
  • 7.Persson P.B., Zakrisson A. Dietary supplements: Health from the ocean? Acta Physiol. 2015;215 doi: 10.1111/apha.12594. [DOI] [PubMed] [Google Scholar]
  • 8.Ku C.S., Yang Y., Park Y., Lee J. Health benefits of blue-green algae: Prevention of cardiovascular disease and nonalcoholic fatty liver disease. J. Med. Food. 2013;16:103–111. doi: 10.1089/jmf.2012.2468. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 9.Hoseini S., Khosravi-Darani K., Mozafari M. Nutritional and medical applications of Spirulina microalgae. Mini Rev. Med. Chem. 2013;13:1231–1237. doi: 10.2174/1389557511313080009. [DOI] [PubMed] [Google Scholar]
  • 10.Carmichael W.W., Drapeau C., Anderson D.M. Harvesting of Aphanizomenon flos-aquae ralfs ex born. & flah. Var. Flos-aquae (cyanobacteria) from Klamath lake for human dietary use. J. Appl. Phycol. 2000;12:585–595. [Google Scholar]
  • 11.Saker M.L., Welker M., Vasconcelos V.M. Multiplex pcr for the detection of toxigenic cyanobacteria in dietary supplements produced for human consumption. Appl. Microbiol. Biotechnol. 2007;73:1136–1142. doi: 10.1007/s00253-006-0565-5. [DOI] [PubMed] [Google Scholar]
  • 12.Vichi S., Lavorini P., Funari E., Scardala S., Testai E. Contamination by Microcystis and microcystins of blue–green algae food supplements (bgas) on the italian market and possible risk for the exposed population. Food Chem. Toxicol. 2012;50:4493–4499. doi: 10.1016/j.fct.2012.09.029. [DOI] [PubMed] [Google Scholar]
  • 13.Rellán S., Osswald J., Saker M., Gago-Martinez A., Vasconcelos V. First detection of anatoxin-a in human and animal dietary supplements containing cyanobacteria. Food Chem. Toxicol. 2009;47:2189–2195. doi: 10.1016/j.fct.2009.06.004. [DOI] [PubMed] [Google Scholar]
  • 14.Ballot A., Krienitz L., Kotut K., Wiegand C., Metcalf J.S., Codd G.A., Pflugmacher S. Cyanobacteria and cyanobacterial toxins in three alkaline rift valley lakes of Kenya-lakes Bogoria, Nakuru and Elmenteita. J. Plankton Res. 2004;26:925–935. doi: 10.1093/plankt/fbh084. [DOI] [Google Scholar]
  • 15.Petroczi A., Taylor G., Naughton D. Mission impossible? Regulatory and enforcement issues to ensure safety of dietary supplements. Food Chem. Toxicol. 2011;49:393–402. doi: 10.1016/j.fct.2010.11.014. [DOI] [PubMed] [Google Scholar]
  • 16.Dietrich D., Hoeger S. Guidance values for microcystins in water and cyanobacterial supplement products (blue-green algal supplements): A reasonable or misguided approach? Toxicol. Appl. Pharm. 2005;203:273–289. doi: 10.1016/j.taap.2004.09.005. [DOI] [PubMed] [Google Scholar]
  • 17.Draisci R., Ferretti E., Palleschi L., Marchiafava C. Identification of anatoxins in blue-green algae food supplements using liquid chromatography-tandem mass spectrometry. Food Addit. Contam. 2001;18:525–531. doi: 10.1080/02652030118558. [DOI] [PubMed] [Google Scholar]
  • 18.Lawrence J.F., Menard C. Determination of microcystins in blue-green algae, fish and water using liquid chromatography with ultraviolet detection after sample clean-up employing immunoaffinity chromatography. J. Chromatogr. A. 2001;922:111–117. doi: 10.1016/S0021-9673(01)00924-4. [DOI] [PubMed] [Google Scholar]
  • 19.Gilroy D.J., Kauffman K.W., Hall R.A., Huang X., Chu F.S. Assessing potential health risks from microcystin toxins in blue-green algae dietary supplements. Environ. Health Perspect. 2000;108:435–439. doi: 10.1289/ehp.00108435. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 20.World Health Organization . Guidelines for Drinking-Water Quality. 4th ed. World Health Organization; Geneva, Switzerland: 2011. p. 541. [Google Scholar]
  • 21.Cox P.A., Banack S.A., Murch S.J., Rasmussen U., Tien G., Bidigare R.R., Metcalf J.S., Morrison L.F., Codd G.A., Bergman B. Diverse taxa of cyanobacteria produce β-n-methylamino-l-alanine, a neurotoxic amino acid. Proc. Natl. Acad. Sci. USA. 2005;102:5074–5078. doi: 10.1073/pnas.0501526102. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 22.Rapala J., Sivonen K., Luukkainen R., Niemelä S.I. Anatoxin-a concentration in anabaena and aphanizomenon under different environmental conditions and comparison of growth by toxic and non-toxic anabaena-strains—A laboratory study. J. Appl. Phycol. 1993;5:581–591. doi: 10.1007/BF02184637. [DOI] [Google Scholar]
  • 23.Sivonen K., Niemelä S., Niemi R., Lepistö L., Luoma T., Räsänen L. Toxic cyanobacteria (blue-green algae) in finnish fresh and coastal waters. Hydrobiologia. 1990;190:267–275. doi: 10.1007/BF00008195. [DOI] [Google Scholar]
  • 24.Scott P.M., Niedzwiadek B., Rawn D.F.K., Lau B.P.Y. Liquid chromatographic determination of the cyanobacterial toxin β-N-methylamino-l-alanine in algae food supplements, freshwater fish, and bottled water. J. Food Prot. 2009;72:1769–1773. doi: 10.4315/0362-028X-72.8.1769. [DOI] [PubMed] [Google Scholar]
  • 25.Glover W., Baker T.C., Murch S.J. Determination of β-N-methylamino-l-alanine, N-(2-aminoethyl) glycine, and 2, 4-diaminobutyric acid in food products containing cyanobacteria by ultra-performance liquid chromatography and tandem mass spectrometry: Single-laboratory validation. J. Aoac. Int. 2015;98:1559–1565. doi: 10.5740/jaoacint.15-084. [DOI] [PubMed] [Google Scholar]
  • 26.Dietrich D.R., Fischer A., Michel C., Hoeger S.J. Toxin mixture in cyanobacterial blooms—A critical comparison of reality with current procedures employed in human health risk assessment. Adv. Exp. Med. Biol. 2008;619:885–912. doi: 10.1007/978-0-387-75865-7_39. [DOI] [PubMed] [Google Scholar]
  • 27.Roy-Lachapelle A., Solliec M., Sinotte M., Deblois C., Sauvé S. High resolution/accurate mass (HRMS) detection of anatoxin-a in lake water using LDTD-APCI coupled to a Q-Exactive mass spectrometer. Talanta. 2015;132:836–844. doi: 10.1016/j.talanta.2014.10.021. [DOI] [PubMed] [Google Scholar]
  • 28.Roy-Lachapelle A., Solliec M., Sinotte M., Deblois C., Sauve S. Total analysis of microcystins in fish tissue using laser thermal desorption-atmospheric pressure chemical ionization-high-resolution mass spectrometry (LDTD-APCI-HRMS) J. Agric. Food Chem. 2015;63:7440–7449. doi: 10.1021/acs.jafc.5b02318. [DOI] [PubMed] [Google Scholar]
  • 29.Roy-Lachapelle A., Fayad P.B., Sinotte M., Deblois C., Sauve S. Total microcystins analysis in water using laser diode thermal desorption-atmospheric pressure chemical ionization-tandem mass spectrometry. Anal. Chim. Acta. 2014;820:76–83. doi: 10.1016/j.aca.2014.02.021. [DOI] [PubMed] [Google Scholar]
  • 30.Rinehart K.L., Harada K., Namikoshi M., Chen C., Harvis C.A., Munro M.H.G., Blunt J.W., Mulligan P.E., Beasley V.R., Dahlem A.M., et al. Nodularin, microcystin, and the configuration of ADDA. J. Am. Chem. Soc. 1988;110:8557–8558. doi: 10.1021/ja00233a049. [DOI] [Google Scholar]
  • 31.Fayad P.B., Roy-Lachapelle A., Duy S.V., Prévost M., Sauvé S. On-line solid-phase extraction coupled to liquid chromatography tandem mass spectrometry for the analysis of cyanotoxins in algal blooms. Toxicon. 2015;108:167–175. doi: 10.1016/j.toxicon.2015.10.010. [DOI] [PubMed] [Google Scholar]
  • 32.James K.J., Furey A., Sherlock I.R., Stack M.A., Twohig M., Caudwell F.B., Skulberg O.M. Sensitive determination of anatoxin-a, homoanatoxin-a and their degradation products by liquid chromatography with fluorimetric detection. J. Chromatogr. A. 1998;798:147–157. doi: 10.1016/S0021-9673(97)01207-7. [DOI] [PubMed] [Google Scholar]
  • 33.Roy-Lachapelle A., Solliec M., Sauve S. Determination of BMAA and three alkaloid cyanotoxins in lake water using dansyl chloride derivatization and high-resolution mass spectrometry. Anal. Bioanal. Chem. 2015;407:5487–5501. doi: 10.1007/s00216-015-8722-2. [DOI] [PubMed] [Google Scholar]
  • 34.Diener M., Erler K., Hiller S., Christian B., Luckas B. Determination of paralytic shellfish poisoning (PSP) toxins in dietary supplements by application of a new HPLC/FD method. Eur. Food Res. Technol. 2006;224:147–151. doi: 10.1007/s00217-006-0302-4. [DOI] [Google Scholar]
  • 35.Liu H., Scott P. Determination of the cyanobacterial toxin cylindrospermopsin in algal food supplements. Food Addit. Contam. 2011;28:786–790. doi: 10.1080/19440049.2010.501824. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 36.McCarron P., Logan A.C., Giddings S.D., Quilliam M.A. Analysis of β-N-methylamino-l-alanine (BMAA) in Spirulina-containing supplements by liquid chromatography-tandem mass spectrometry. Aquat. Biosyst. 2014;10:1–7. doi: 10.1186/2046-9063-10-5. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 37.Suchy P., Berry J. Detection of total microcystin in fish tissues based on Lemieux oxidation and recovery of 2-methyl-3-methoxy-4-phenylbutanoic acid (MMPB) by solid-phase microextraction gas chromatography-mass spectrometry (SPME-GC/MS) Int. J. Environ. Anal. Chem. 2012;92:1443–1456. doi: 10.1080/03067319.2011.620703. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 38.Neffling M.R., Lance E., Meriluoto J. Detection of free and covalently bound microcystins in animal tissues by liquid chromatography-tandem mass spectrometry. Environ. Pollut. 2010;158:948–952. doi: 10.1016/j.envpol.2009.10.023. [DOI] [PubMed] [Google Scholar]
  • 39.Kaushik R., Balasubramanian R. Methods and approaches used for detection of cyanotoxins in environmental samples: A review. Crit. Rev. Environ. Sci. Technol. 2013;43:1349–1383. doi: 10.1080/10643389.2011.644224. [DOI] [Google Scholar]
  • 40.Moreira C., Ramos V., Azevedo J., Vasconcelos V. Methods to detect cyanobacteria and their toxins in the environment. Appl. Microbiol. Biot. 2014;98:8073–8082. doi: 10.1007/s00253-014-5951-9. [DOI] [PubMed] [Google Scholar]
  • 41.Farrer D., Counter M., Hillwig R., Cude C. Health-based cyanotoxin guideline values allow for cyanotoxin-based monitoring and efficient public health response to cyanobacterial blooms. Toxins. 2015;7:457–477. doi: 10.3390/toxins7020457. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 42.Heussner A.H., Mazija L., Fastner J., Dietrich D.R. Toxin content and cytotoxicity of algal dietary supplements. Toxicol. Appl. Pharmacol. 2012;265:263–271. doi: 10.1016/j.taap.2012.10.005. [DOI] [PubMed] [Google Scholar]
  • 43.Shimamatsu H. Asian Pacific Phycology in the 21st Century: Prospects and Challenges. Springer; Berlin, Germany: 2004. Mass production of spirulina, an edible microalga; pp. 39–44. [Google Scholar]
  • 44.Costa J.A.V., de Morais M.G., Dalcanton F., Reichert C.d.C., Durante A.J. Simultaneous cultivation of Spirulina platensis and the toxigenic cyanobacteria Microcystis aeruginosa. Z Naturforsch C. 2006;61:105–110. doi: 10.1515/znc-2006-1-219. [DOI] [PubMed] [Google Scholar]
  • 45.Cox P.A., Banack S.A., Murch S.J. Biomagnification of cyanobacterial neurotoxins and neurodegenerative disease among the chamorro people of Guam. Proc. Natl. Acad. Sci. USA. 2003;100:13380–13383. doi: 10.1073/pnas.2235808100. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 46.Cox P.A., Davis D.A., Mash D.C., Metcalf J.S., Banack S.A. Dietary exposure to an environmental toxin triggers neurofibrillary tangles and amyloid deposits in the brain. Proc. R. Soc. B. 2016;283 doi: 10.1098/rspb.2015.2397. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 47.Sanchez J.A., Otero P., Alfonso A., Ramos V., Vasconcelos V., Aráoz R., Molgó J., Vieytes M.R., Botana L.M. Detection of anatoxin-a and three analogs in Anabaena spp. Cultures: New fluorescence polarization assay and toxin profile by lc-ms/ms. Toxins. 2014;6:402–415. doi: 10.3390/toxins6020402. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 48.Chan E. The role of complementary and alternative medicine in attention-deficit hyperactivity disorder. J. Dev. Behav. Pediatr. 2002;23:S37–S45. doi: 10.1097/00004703-200202001-00007. [DOI] [PubMed] [Google Scholar]
  • 49.Kapoor R., Mehta U. Supplementary effect of spirulina on hematological status of rats during pregnancy and lactation. Plant Foods Hum. Nutr. 1998;52:315–324. doi: 10.1023/A:1008027408919. [DOI] [PubMed] [Google Scholar]
  • 50.Andersson M., Karlsson O., Banack S.A., Brandt I. Transfer of developmental neurotoxin β-N-methylamino-l-alanine (BMAA) via milk to nursed offspring: Studies by mass spectrometry and image analysis. Toxicol. Lett. 2016;258:108–114. doi: 10.1016/j.toxlet.2016.06.015. [DOI] [PubMed] [Google Scholar]
  • 51.Dietrich D., Ernst B., Day B. Human consumer death and algal supplement consumption: A post mortem assessment of potential microcystin-intoxication via microcystin immunoistochemical (mcich) analyses; Proceedings of the 7th International Conference on Toxic Cyanobacteria; Rio de Janeiro, Brazil. 5–10 August 2007; p. 132. [Google Scholar]
  • 52.Iwasa M., Yamamoto M., Tanaka Y., Kaito M., Adachi Y. Spirulina-associated hepatotoxicity. Am. J. Gastroenterol. 2002;97:3212–3213. doi: 10.1111/j.1572-0241.2002.07145.x. [DOI] [PubMed] [Google Scholar]
  • 53.Funari E., Testai E. Human health risk assessment related to cyanotoxins exposure. CRC Crit. Rev. Toxicol. 2008;38:97–125. doi: 10.1080/10408440701749454. [DOI] [PubMed] [Google Scholar]
  • 54.Carmichael W.W., Azevedo S.M., An J.S., Molica R.J., Jochimsen E.M., Lau S., Rinehart K.L., Shaw G.R., Eaglesham G.K. Human fatalities from cyanobacteria: Chemical and biological evidence for cyanotoxins. Environ. Health Perspect. 2001;109:663–668. doi: 10.1289/ehp.01109663. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 55.Giannuzzi L., Sedan D., Echenique R., Andrinolo D. An acute case of intoxication with cyanobacteria and cyanotoxins in recreational water in Salto Grande Dam, Argentina. Mar. Drugs. 2011;9:2164–2175. doi: 10.3390/md9112164. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 56.Svirčev Z., Baltić V., Gantar M., Juković M., Stojanović D., Baltić M. Molecular aspects of microcystin-induced hepatotoxicity and hepatocarcinogenesis. J. Environ. Sci. Health C. 2010;28:39–59. doi: 10.1080/10590500903585382. [DOI] [PubMed] [Google Scholar]
  • 57.Fujiki H., Suganuma M. Carcinogenic aspects of protein phosphatase 1 and 2a inhibitors. In: Fusetani N., Kem W., editors. Marine Toxins as Research Tools. Springer; Berlin/Heidelberg, Germany: 2009. [DOI] [PubMed] [Google Scholar]
  • 58.Lesley V., D’Anglada J.S. Drinking Water Health Advisory for the Cyanobacterial Microcystin Toxins. USEPA; Washington, DC, USA: 2015. [Google Scholar]
  • 59.Solliec M., Massé D., Sauvé S. Analysis of trimethoprim, lincomycin, sulfadoxin and tylosin in swine manure using laser diode thermal desorption-atmospheric pressure chemical ionization-tandem mass spectrometry. Talanta. 2014;128:23–30. doi: 10.1016/j.talanta.2014.04.023. [DOI] [PubMed] [Google Scholar]
  • 60.Lemoine P., Roy-Lachapelle A., Prévost M., Tremblay P., Solliec M., Sauvé S. Ultra-fast analysis of anatoxin-a using laser diode thermal desorption-atmospheric pressure chemical ionization-tandem mass spectrometry: Validation and resolution from phenylalanine. Toxicon. 2013;61:165–174. doi: 10.1016/j.toxicon.2012.10.021. [DOI] [PubMed] [Google Scholar]
  • 61.Boisvert M., Fayad P.B., Sauvé S. Development of a new multi-residue laser diode thermal desorption atmospheric pressure chemical ionization tandem mass spectrometry method for the detection and quantification of pesticides and pharmaceuticals in wastewater samples. Anal. Chim. Acta. 2012;754:75–82. doi: 10.1016/j.aca.2012.09.046. [DOI] [PubMed] [Google Scholar]
  • 62.Viglino L., Prévost M., Sauvé S. High throughput analysis of solid-bound endocrine disruptors by LDTD-APCI-MS/MS. J. Environ. Monit. 2011;13:583–590. doi: 10.1039/c0em00550a. [DOI] [PubMed] [Google Scholar]
  • 63.Segura P.A., Tremblay P., Picard P., Gagnon C., Sauvé S. High-throughput quantitation of seven sulfonamide residues in dairy milk using laser diode thermal desorption-negative mode atmospheric pressure chemical ionization tandem mass spectrometry. J. Agric. Food Chem. 2010;58:1442–1446. doi: 10.1021/jf903362v. [DOI] [PubMed] [Google Scholar]
  • 64.Fayad P.B., Prévost M., Sauvé S. Laser diode thermal desorption/atmospheric pressure chemical ionization tandem mass spectrometry analysis of selected steroid hormones in wastewater: Method optimization and application. Anal. Chem. 2010;82:639–645. doi: 10.1021/ac902074x. [DOI] [PubMed] [Google Scholar]
  • 65.Solliec M., Roy-Lachapelle A., Sauve S. Quantitative performance of liquid chromatography coupled to q-exactive high resolution mass spectrometry (HRMS) for the analysis of tetracyclines in a complex matrix. Anal. Chim. Acta. 2015;853:415–424. doi: 10.1016/j.aca.2014.10.037. [DOI] [PubMed] [Google Scholar]
  • 66.Fedorova G., Randak T., Lindberg R.H., Grabic R. Comparison of the quantitative performance of a q-exactive high-resolution mass spectrometer with that of a triple quadrupole tandem mass spectrometer for the analysis of illicit drugs in wastewater. Rapid. Commun. Mass Spectron. 2013;27:1751–1762. doi: 10.1002/rcm.6628. [DOI] [PubMed] [Google Scholar]
  • 67.Zhang Y., Hao Z., Kellmann M., Huhmer A. HR/AM targeted peptide quantitation on a Q Exactive MS: A unique combination of high selectivity, sensitivity, and throughput. Thermo Fish. Sci. Appl. Note. 2012;554:1–12. [Google Scholar]

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