“…It is an alimentary intoxication caused by a suite of DSP toxins produced by the dinoflagellates Dinophysis and Prorocentrum [5,8,9,10]. The expression levels of biotoxins in these dinoflagellates are strongly affected by nutritional and environmental factors [11,12,13,14,15,16,17,18,19,20,21,22,23,24]. People who consume shellfish containing bioaccumulated DSP toxins may present with non-fatal gastrointestinal symptoms, such as nausea, vomiting, abdominal pain, and most commonly, diarrhoea within 12 h of consumption [25], because of a water imbalance caused by the hyperphosphorylation of ion channels in the epithelial cells lining the intestine [26].…”