a b s t r a c tParalytic shellfish poisoning (PSP) is the foodborne illness associated with the consumption of seafood products contaminated with the neurotoxins known collectively as saxitoxins (STXs). This family of neurotoxins binds to voltage-gated sodium channels, thereby attenuating action potentials by preventing the passage of sodium ions across the membrane. Symptoms include tingling, numbness, headaches, weakness and difficulty breathing. Medical treatment is to provide respiratory support, without which the prognosis can be fatal. To protect human health, seafood harvesting bans are in effect when toxins exceed a safe action level (typically 80 mg STX eq 100 g À1 tissue). Though worldwide fatalities have occurred, successful management and monitoring programs have minimized PSP cases and associated deaths. Much is known about the toxin sources, primarily certain dinoflagellate species, and there is extensive information on toxin transfer to traditional vectors -filter-feeding molluscan bivalves. Non-traditional vectors, such as puffer fish and lobster, may also pose a risk. Rapid and reliable detection methods are critical for toxin monitoring in a wide range of matrices, and these methods must be appropriately validated for regulatory purposes. This paper highlights PSP seafood safety concerns, documented human cases, applied detection methods as well as monitoring and management strategies for preventing PSP-contaminated seafood products from entering the food supply.Published by Elsevier Ltd.
Paralytic shellfish poisoning toxins and sourcesParalytic shellfish poisoning (PSP) is a common seafood toxicity problem with worldwide distribution, and typically this illness is due to the consumption of contaminated molluscan bivalves and other shellfish. A similar seafood-related syndrome involves puffer fish contaminated with the same family of toxins. To distinguish these puffer fish poisonings from those caused by tetrodotoxin, this food poisoning syndrome is becoming known in the literature as saxitoxin puffer fish poisoning (SPFP; Landsberg et al., 2006;Deeds et al., 2008a). The toxins responsible for both of these seafood-borne illnesses are the neurotoxins known collectively as the saxitoxins (STXs), also referred to as PSP toxins (or PSTs). At least 24 saxitoxin-like congeners have been identified (Fig. 1), with a range of hydroxyl, carbamyl, and sulfate moieties at four sites on the backbone structure. These substitutions result in congeners varying more than three orders of magnitude in potency (Oshima et al., 1993). The carbamate toxins are the most potent, and they include saxitoxin (STX), neosaxitoxin (NEO), and the gonyautoxins (GTX1-4). The decarbamoyl toxins (dcSTX, dcNEO, dcGTX1-4) have intermediate toxicity and are reported in certain bivalves, but are not commonly found in toxic dinoflagellates. The N-sulfocarbamoyl toxins (B1 [GTX5], B2 [GTX6] and C1-4) are less potent. There is a fourth group known as the deoxydecarbamoyl toxins, but their potency has not yet *