The health hazard from cyanotoxins in drinking-water

Cyanobacteria have often been observed to be toxic: numerous fatalities of wild and domestic animals after ingestion of cyanobacteria from drinking scum-contaminated water are documented. A number of case studies of human illness after exposure through drinking-water or recreation implicate cyanobacteria to be the cause of symptoms such as dermal, gastrointestinal, respiratory, eye or ear irritation and inflammation as well as nausea, diarrhoeae, vomiting, muscular pains, and allergic reactions. Two epidemiological studies demonstrated an elevated rate of symptom occurrence after exposure to cyanobacterial cells.

Some of the substances causing these effects are known: Cyanobacteria contain a large variety of oligopeptides, alkaloids, lipopolysaccharides and potentially other substance groups. Depending on the substance, their effects include hepatotoxicity, neurotoxicity, inflammations and dermal irritation, and for some, there is limited evidence of tumour promotion and/or genotoxicity (for an overview, see http://www.who.int/water_sanitation_health/dwq/chemicals/en/index.html and www.cyanonet.org). Among these, neurotoxic cyanobacterial blooms may cause high toxin levels that have been implicated in some cases of acute animal poisoning, though these appear to occur only occasionally. The cytotoxic alkaloid cylindrospermopsin, particularly causing liver damage but also affecting kidneys and other organs, has been found in high concentrations in some localities, particularly in warmer climates. In freshwaters of temperate as well as tropical climates, the currently available data indicate that the hepatotoxic peptides – i.e. microcystins – are the most frequently occurring cyanotoxins, although detection of cylindrospermopsin is also increasingly being reported. The related peptide hepatotoxin – nodularin – is common in some brackish waters worldwide.

For most of the neurotoxins, microcystins, nodularin and for cylindrospermopsin, results of toxicological experiments characterise mechanisms of toxicity and quantify at least their acute toxicity (i.p. mouse LD50). Experiments with microcystins showed substantial, dose-related liver tissue damage, at chronic exposure also at low concentrations. Microcystins occur in the majority of the field populations investigated so far, particularly of the genera Microcystis and Planktothrix. They are largely cell-bound, although cell death and lysis in water-bodies or in drinking-water treatment may lead to release and thus to high concentrations of dissolved microcystins. The World Health Organisation gives a provisional Guideline-value for one of the structural variants of microcystin, i.e. microcystin-LR, of 1 µg/L.

In water-bodies with major cyanobacterial population development, microcystin concentrations in the range of 10-100 µg/L may readily be found, particularly in surface scums. If Planktothrix rubescens dominates, such concentrations may also occur in deeper layers. In heavy blooms (“pea soup”), concentrations reach the range of >1000 or even >10000 µg/L.

Microcystin concentrations in water depend on the cell density or biomass per water volume of the microcystin-containing cyanobacterial species. This in turn depends on the “carrying capacity” for biomass in a given water-body as determined by nutrient concentrations, in most cases phosphorus. Further environmental factors, particularly water-body mixing and light conditions in the water, also influence cyanobacterial proliferation. They determine the extend to which cyanobacteria will be able make use of the carrying capacity and to dominate, or whether other phytoplankton taxa have a better chance to win this competition.

However, results of a variety of bioassays indicate that cyanobacterial crude extracts often show more toxicity than their content of known cyanotoxins accounts for. Vice versa, a large range of metabolites is found in cyanobacteria, many of which show some enzyme inhibition or other effects if tested in vitro, but whose effect on entire cells, tissues or organisms has not yet been investigated. Current research, e.g. in the EU-Project PEPCY (PEPtides in CYanobacteria; see www.PEPCY.de), is endeavouring to reduce this knowledge gap. While possibly the known cyanotoxins (see cyanotoxin overview) comprise those most important to human health, hazard assessment should include consideration of further effects of cyanobacteria – i.e. beyond those caused by the known cyanotoxins. 

For hazard analysis and risk management, microcystins and other known cyanotoxins may serve as indicators of cyanotoxin hazard occurrence and of system performance in controlling the cyanotoxin hazard (somewhat in analogy to E. coli for pathogen contamination of water). I.e. systems optimised towards minimising cyanobacterial proliferation and/or eliminating known cyanotoxins – e.g. through sufficiently stringent protection of the water-body and its catchment, or through drinking-water treatment – are likely to be protective of unknown cyanotoxins as well. However, just as some pathogens behave differently from E. coli in the natural environment, some cyanobacterial metabolites will show transport and attenuation patterns which differ from those fairly well-studied for microcystins. Validation of assumptions based on microcystin monitoring may therefore be critical to ensure safety of water for human use.

 

For more information about health hazard analysis for cyanotoxins č cyanotoxin literature

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