Environmental Exposure to Cyanobacteria Hepatotoxins in a Pacific Island Community: A Cross-Sectional Assessment

(1) Background: Cyanobacteria produce a wide range of secondary metabolites, including tumor-promoting hepatotoxins. We recently reported evidence of an independent association between oral cyanobacteria and hepatocellular carcinoma in a U.S. population. We sought to characterize the nature, sources...

Full description

Bibliographic Details
Main Authors: Brenda Y. Hernandez, Jason Biggs, Xuemei Zhu, Patrick Sotto, Michelle Nagata, Ana Joy Pacilan Mendez, Yvette Paulino
Format: Article
Language:English
Published: MDPI AG 2022-08-01
Series:Microorganisms
Subjects:
Online Access:https://www.mdpi.com/2076-2607/10/8/1607
_version_ 1797431911987019776
author Brenda Y. Hernandez
Jason Biggs
Xuemei Zhu
Patrick Sotto
Michelle Nagata
Ana Joy Pacilan Mendez
Yvette Paulino
author_facet Brenda Y. Hernandez
Jason Biggs
Xuemei Zhu
Patrick Sotto
Michelle Nagata
Ana Joy Pacilan Mendez
Yvette Paulino
author_sort Brenda Y. Hernandez
collection DOAJ
description (1) Background: Cyanobacteria produce a wide range of secondary metabolites, including tumor-promoting hepatotoxins. We recently reported evidence of an independent association between oral cyanobacteria and hepatocellular carcinoma in a U.S. population. We sought to characterize the nature, sources, and health correlates of cyanotoxin exposure in the U.S. Pacific Island territory of Guam, which has a high incidence of liver cancer. (2) Methods: Seventy-four adult males and females were enrolled in a cross-sectional study to quantify cyanotoxins in saliva, urine, and blood and their correlation with health behaviors, medical history, and environmental exposures. Plant samples were collected from locations throughout the island. Microcystin/nodularin (MC/NOD), cylindrospermopsin (CYN), and anabaenopeptin (AB) were measured in biospecimens and in plant extracts by ELISA. (3) Results: Overall, among study participants MC/NOD were detected in 53.9% of saliva, 7.5% of urine, and 100% of serum.; CYN in 40.0% of saliva, 100.0% of urine, and 70.4% of serum; AB in 30.8% of saliva, 85% of urine, and 92.6% of serum. Salivary MC/NOD levels were significantly higher in individuals using municipal tap water as their primary source of drinking water; both salivary and urinary MC/NOD levels were higher in those not using store-bought/commercial water. Urine MC/NOD levels were highest among individuals consuming fruits and vegetables exclusively from local sources. Urine MC/NOD levels were elevated in individuals with hypertension and hyperlipidemia and salivary MC/NOD in those with recent alcohol consumption. Cyanotoxins were prevalent in plant samples including MC/NOD (46.6%), CYN (35.1%), and AB (51.7%). (4) Conclusions: Our study provides evidence that exposure to cyanobacterial hepatotoxins, including tumor promoters, may be prevalent in Guam and may originate from environmental sources. Population-based epidemiologic studies are needed to investigate the role of cyanotoxins in liver cancer development.
first_indexed 2024-03-09T09:52:09Z
format Article
id doaj.art-b372f29914b54230a38d70f455b95732
institution Directory Open Access Journal
issn 2076-2607
language English
last_indexed 2024-03-09T09:52:09Z
publishDate 2022-08-01
publisher MDPI AG
record_format Article
series Microorganisms
spelling doaj.art-b372f29914b54230a38d70f455b957322023-12-02T00:02:40ZengMDPI AGMicroorganisms2076-26072022-08-01108160710.3390/microorganisms10081607Environmental Exposure to Cyanobacteria Hepatotoxins in a Pacific Island Community: A Cross-Sectional AssessmentBrenda Y. Hernandez0Jason Biggs1Xuemei Zhu2Patrick Sotto3Michelle Nagata4Ana Joy Pacilan Mendez5Yvette Paulino6University of Hawaii Cancer Center, 701 Ilalo Street, Honolulu, HI 96813, USAUniversity of Guam Cancer Research Center, Mangilao, GU 96913, USAUniversity of Hawaii Cancer Center, 701 Ilalo Street, Honolulu, HI 96813, USAUniversity of Guam Cancer Research Center, Mangilao, GU 96913, USAUniversity of Hawaii Cancer Center, 701 Ilalo Street, Honolulu, HI 96813, USAUniversity of Guam Cancer Research Center, Mangilao, GU 96913, USAUniversity of Guam Cancer Research Center, Mangilao, GU 96913, USA(1) Background: Cyanobacteria produce a wide range of secondary metabolites, including tumor-promoting hepatotoxins. We recently reported evidence of an independent association between oral cyanobacteria and hepatocellular carcinoma in a U.S. population. We sought to characterize the nature, sources, and health correlates of cyanotoxin exposure in the U.S. Pacific Island territory of Guam, which has a high incidence of liver cancer. (2) Methods: Seventy-four adult males and females were enrolled in a cross-sectional study to quantify cyanotoxins in saliva, urine, and blood and their correlation with health behaviors, medical history, and environmental exposures. Plant samples were collected from locations throughout the island. Microcystin/nodularin (MC/NOD), cylindrospermopsin (CYN), and anabaenopeptin (AB) were measured in biospecimens and in plant extracts by ELISA. (3) Results: Overall, among study participants MC/NOD were detected in 53.9% of saliva, 7.5% of urine, and 100% of serum.; CYN in 40.0% of saliva, 100.0% of urine, and 70.4% of serum; AB in 30.8% of saliva, 85% of urine, and 92.6% of serum. Salivary MC/NOD levels were significantly higher in individuals using municipal tap water as their primary source of drinking water; both salivary and urinary MC/NOD levels were higher in those not using store-bought/commercial water. Urine MC/NOD levels were highest among individuals consuming fruits and vegetables exclusively from local sources. Urine MC/NOD levels were elevated in individuals with hypertension and hyperlipidemia and salivary MC/NOD in those with recent alcohol consumption. Cyanotoxins were prevalent in plant samples including MC/NOD (46.6%), CYN (35.1%), and AB (51.7%). (4) Conclusions: Our study provides evidence that exposure to cyanobacterial hepatotoxins, including tumor promoters, may be prevalent in Guam and may originate from environmental sources. Population-based epidemiologic studies are needed to investigate the role of cyanotoxins in liver cancer development.https://www.mdpi.com/2076-2607/10/8/1607cyanobacteriacyanotoxinshepatotoxinsmicrocystinnodularincylindrospermopsin
spellingShingle Brenda Y. Hernandez
Jason Biggs
Xuemei Zhu
Patrick Sotto
Michelle Nagata
Ana Joy Pacilan Mendez
Yvette Paulino
Environmental Exposure to Cyanobacteria Hepatotoxins in a Pacific Island Community: A Cross-Sectional Assessment
Microorganisms
cyanobacteria
cyanotoxins
hepatotoxins
microcystin
nodularin
cylindrospermopsin
title Environmental Exposure to Cyanobacteria Hepatotoxins in a Pacific Island Community: A Cross-Sectional Assessment
title_full Environmental Exposure to Cyanobacteria Hepatotoxins in a Pacific Island Community: A Cross-Sectional Assessment
title_fullStr Environmental Exposure to Cyanobacteria Hepatotoxins in a Pacific Island Community: A Cross-Sectional Assessment
title_full_unstemmed Environmental Exposure to Cyanobacteria Hepatotoxins in a Pacific Island Community: A Cross-Sectional Assessment
title_short Environmental Exposure to Cyanobacteria Hepatotoxins in a Pacific Island Community: A Cross-Sectional Assessment
title_sort environmental exposure to cyanobacteria hepatotoxins in a pacific island community a cross sectional assessment
topic cyanobacteria
cyanotoxins
hepatotoxins
microcystin
nodularin
cylindrospermopsin
url https://www.mdpi.com/2076-2607/10/8/1607
work_keys_str_mv AT brendayhernandez environmentalexposuretocyanobacteriahepatotoxinsinapacificislandcommunityacrosssectionalassessment
AT jasonbiggs environmentalexposuretocyanobacteriahepatotoxinsinapacificislandcommunityacrosssectionalassessment
AT xuemeizhu environmentalexposuretocyanobacteriahepatotoxinsinapacificislandcommunityacrosssectionalassessment
AT patricksotto environmentalexposuretocyanobacteriahepatotoxinsinapacificislandcommunityacrosssectionalassessment
AT michellenagata environmentalexposuretocyanobacteriahepatotoxinsinapacificislandcommunityacrosssectionalassessment
AT anajoypacilanmendez environmentalexposuretocyanobacteriahepatotoxinsinapacificislandcommunityacrosssectionalassessment
AT yvettepaulino environmentalexposuretocyanobacteriahepatotoxinsinapacificislandcommunityacrosssectionalassessment