A systematic investigation was conducted in Lake Taihu in autumn of 2013 and 2014, in order to understand the environmental fate of microcystins (MCs) and evaluate the health risk from MCs. Samples of water, algal cells, macrophytes, shrimps and fish were taken to detect MCs by HPLC-MS/MS after solid phase extraction. Widespread MC contamination in water, algal cells, macrophytes, shrimps and fish was found in Lake Taihu. The ubiquitous presence of MCs in water, algal cells and biota was found in 100% of samples. MC accumulation was in the order of primary producer > tertiary consumer > secondary consumer > primary consumer. The highest levels of MCs in macrophytes, shrimps and fish tissue were found in Potamogeton
maackianus, Exopalaemon
modestus, and Hyporhamphus
intermedius, respectively. The MCs level in shrimps and the tissues of three fish species, Neosalanx
tangkahkeii
taihuensis, Coilia
ectenes and silver carp, was closely linked to their dietary exposure. Ceratophyllum
demersum L. was an ideal plant for introduction into lakes to protect against Microcystis blooms and MCs, due to its ability to absorb nutrients, accumulate large amounts of MCs and tolerate these toxins compared to other macrophytes. The average daily intakes (ADIs) of MCs for Exopalaemon
modestus and three fish species, Coilia
ectenes, Hyporhamphus
intermedius and Carassius
carassius, were all above the tolerable daily intakes (TDI) set by the World Health Organization (WHO), implying there existed potential threats to human health.