Chapter 12
Detection, Metabolism, and Pathophysiology of Brevetoxins Mark A. Poli, Charles B. Templeton, Judith G. Pace, and Harry B. Hines
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Pathophysiology Division, U.S. Army Medical Research Institute of Infectious Diseases, Fort Detrick, Frederick, MD 21701-5011
M e t h o d s o f detection, metabolism, and pathophysiology o f the brevetoxins, PbTx-2 and PbTx-3, are summarized. Infrared spectroscopy and innovative chromatographic techniques were examined as methods for detection and structural analysis. Toxicokinetic and metabolic studies for i n vivo and i n vitro systems demonstrated hepatic metabolism and biliary excretion. A n i n vivo model o f brevetoxin intoxication was developed i n conscious tethered rats. Intravenous administration o f toxin resulted i n a precipitous decrease i n body temperature and respiratory rate, as well as signs suggesting central nervous system involvement. A polyclonal antiserum against the brevetoxin polyether backbone was prepared; a radioimmunoassay was developed with a sub-nanogram detection limit. This antiserum, when administered prophylactically, protected rats against the toxic effects o f brevetoxin.
R e d tides resulting from blooms o f the dinoflagellate Ptychodiscus brevis i n the G u l f o f M e x i c o have elicited a great deal o f scientific interest since the first documented event over 100 years ago (7). H u m a n intoxications from the ingestion o f contaminated shellfish and the impact o f massive fish kills o n the tourist industry along the G u l f coast o f the U n i t e d States have resulted i n a concerted research effort to understand the genesis o f red tides and to isolate and characterize the toxins o f P. brevis. Research i n this area advanced i n the 1970's as several groups reported the isolation o f potent toxins from P. brevis cell cultures ( 2 - 7 ) . T o date, the structures o f at least eight active neurotoxins have been elucidated (PbTx-1 through PbTx-8) (8). E a r l y studies o f toxic fractions indicated diverse pathophysiological effects i n vivo as well as i n a number o f nerve and muscle tissue preparations (reviewed i n 9 - 1 1 ) . T h e site o f action o f two major brevetoxins, PbTx-2 and PbTx-3, has been shown to be the voltage-sensitive sodium channel (8,12). These compounds b i n d to a specific receptor site o n the channel complex where they cause persistent activation, increased N a flux, and subsequent depolarization o f excitable cells at resting +
This chapter not subject to U.S. copyright Published 1990 American Chemical Society
Hall and Strichartz; Marine Toxins ACS Symposium Series; American Chemical Society: Washington, DC, 1990.
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Detection,Metabdism,andPathophyswhgyofBrevetoxim
membrane potentials. A t present, the brevetoxins are the only ligands unequivocally demonstrated to act at this site (neurotoxin receptor site 5), although mounting evidence (13) suggests the toxins involved i n ciguatera intoxication also may bind there. W e are investigating low-molecular-weight toxins o f animal, plant, and microbial origin. O u r goals are to develop methods to detect these compounds i n both environmental and biological samples and to develop prophylaxis and treatment regimens. This chapter summarizes the results o f o u r current investigations o f the brevetoxins. S o m e o f these studies will be published elsewhere i n greater detail.
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Chemical Detection and Stability A variety o f chromatographic and spectrographic techniques have been applied to the study o f the brevetoxins. H i g h performance liquid chromatography ( H P L C ) and thin-layer chromatography ( T L C ) were instrumental i n the initial isolation and purification processes. Mass spectrometry ( M S ) , infrared spectroscopy ( I R ) , circular dichroism ( C D ) , nuclear magnetic resonance spectroscopy ( N M R ) , and X - r a y crystallography all played important roles i n structure determinations. A s research efforts expand to include metabolic studies, these techniques become increasingly important for detection and quantification o f exposure as well as structural elucidation o f metabolites.
Chromatography. A number o f H P L C and T L C methods have been developed for separation and isolation o f the brevetoxins. H P L C methods use both C 1 8 reversed-phase and normal-phase silica gel columns (8, 14, 15). Gradient or isocratic elutions are employed and detection usually relies u p o n ultraviolet ( U V ) absorption i n the 208-215-nm range. B o t h brevetoxin backbone structures possess a U V absorption maximum at 208 nm, corresponding to the enal moeity (16,17). In addition, the PbTx-1 backbone has an absorption shoulder at 215 n m corresponding to the 7-lactone structure. W h i l e U V detection is generally sufficient for isolation and purification, it is not sensitive (>1 ppm) enough to detect trace levels o f toxins or metabolites. Excellent separations are achieved by silica gel T L C (14, 15, 18-20). Sensitivity (>1 ppm) remains a problem, but flexibility and ease o f use continue to make T L C a popular technique. Mass Spectrometry. Mass spectrometry holds great promise for low-level toxin detection. Previous studies employed electron impact (EI), desorption chemical i o n ization ( D C I ) , fast atom bombardment ( F A B ) , and cesium i o n liquid secondary i o n mass spectrometry ( L S I M S ) to generate positive o r negative i o n mass spectra (2517, 21-23). F i r m detection limits have yet to be reported for the brevetoxins. Preliminary results from o u r laboratory demonstrated that levels as low as 500 ng PbTx-2 or PbTx-3 were detected by using ammonia D C I and scans o f 500-1000 amu (unpublished data). W e expect significant improvement by manipulation o f the D C I conditions and selected monitoring o f the molecular i o n or the ammonia adduction. T h e success o f the soft ionization techniques ( D C I , F A B , and L S I M S ) presents several possibilities for detection o f brevetoxins i n complex matrices. Positive-ion D C I was used for the analysis o f PbTx-3 metabolites generated i n vitro by isolated rat hepatocytes (see below). U n m e t a b o l i z e d parent was conclusively identified and metabolites were tentatively identified, pending confirmation by alternate methods (see below).
Chemical Stability and Decontamination. T h e stability o f the brevetoxins is o f great interest from the standpoints o f detection, metabolism, and safety. PbTx-2 and PbTx-3 have been investigated i n o u r laboratories i n order to design rational safety
Hall and Strichartz; Marine Toxins ACS Symposium Series; American Chemical Society: Washington, DC, 1990.
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protocols for toxin handling and disposal o f contaminated waste (24; R . W . W a n namacher, unpublished data). These compounds were stable for months when stored i n the refrigerator either dry o r i n organic solvents such as ethanol, methanol, acetone, o r chloroform. However, toxins w i t h the PbTx-1 backbone have been reported to be unstable i n alcohol (75). PbTx-2 and PbTx-3 were unstable at p H values less than 2 and greater than 10, i n the presence o f 50 p p m chlorine, and at temperatures greater than 300 * C . F o r decontamination o f laboratory glassware and surfaces, greater than 9 9 % o f the detectable brevetoxin was destroyed by a 10-min exposure to 0.1 N N a O H . Disposable waste can be incinerated i f the combustion chamber temperature reaches at least 300 * C . A u t o c l a v i n g was shown to be ineffective for decontamination (24).
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Distribution and Metabolic Fate—In Vivo and In Vitro Studies O f particular interest i n brevetoxin research are the diagnosis o f intoxication and identification o f brevetoxins and their metabolites i n biological fluids. W e are investigating the distribution and fate o f radiolabeled PbTx-3 i n rats. Three model systems were used to study the toxicokinetics and metabolism o f PbTx-3: 1) rats injected intravenously with a bolus dose o f toxin, 2) isolated rat livers perfused with toxin, and 3) isolated rat hepatocytes exposed to the toxin i n vitro. In the first study, male Sprague-Dawley rats (300-350 g) were given an intravenous bolus o f [ % ] P b T x - 3 (9.4 C i / m m o l , 6 /ig/kg body weight) via the penile vein (25). T h e plasma concentration curve (Figure 1) was bi-exponential w i t h a rapid distribution phase (half-life approx. 30 sec) and a slower e l i m i n a t i o n phase (half-life = 112 m i n ) . T o x i n clearance (dose administered/area under the plasma concentration curve) i n the w h o l e animal was 0.23 ml/min/g liver. In a 325-g rat, hepatic b l o o d flow ( Q ) is 13.2 m l / m i n (26), and, assuming hepatic clearance was equal to mean total clearance (CI), the calculated i n vivo extraction ratio ( C l / Q ) was 0.55. W i t h i n 1 m i n , 94% o f the administered toxin had distributed to the tissues. A f t e r 30 m i n , the liver contained 16%, skeletal muscle 70%, and the gastrointestinal tract 8% o f the administered radioactivity. T h e heart, kidneys, testes, brain, lungs, and spleen each contained less than 1.5%. B y 24 hr, radioactivity i n skeletal muscle decreased to 2 0 % o f the total administered dose. Over the same period, radioactivity remained constant i n the liver and increased i n the stomach, intestines, and feces, suggesting biliary excretion was an important route o f toxin e l i m i n a t i o n . B y day 6, 8 9 % o f the total radioactivity had been excreted i n the urine and feces i n a ratio o f 1:5. T L C analysis o f urine (Figure 2) and feces indicated that the parent toxin had been metabolized to several m o r e polar compounds. T o further investigate the role o f the liver i n brevetoxin metabolism, PbTx-3 was studied i n the isolated perfused rat liver model (27, 28). Radiolabeled PbTx-3 was added to the reservoir o f a recirculating system and allowed to mix thoroughly w i t h the perfusate. Steady-state conditions were reached w i t h i n 20 m i n . A t steady-state, 5 5 - 6 5 % o f the delivered PbTx-3 was metabolized and/or extracted by the liver; 2 6 % remained i n the effluent perfusate. U n d e r a constant liver perfusion rate o f 4 m l / m i n , the measured clearance rate was 0.11 ml/min/g liver. T h e calculated extraction ratio o f 0.55 was i n excellent agreement w i t h the i n vivo data. Radioactivity i n the bile accounted for 7% o f the total radiolabel perfused through the liver. PbTx-3 was metabolized and eliminated into bile as parent toxin plus four more-polar metabolites (Figure 3). Preliminary results o f samples stained with 4-(p-nitrobenzyl)-pyridine (29) indicated the most polar metabolite was an epoxide. 3
In vitro metabolism o f [ H ] P b T x - 3 was studied i n isolated rat hepatocytes (25). Hepatocyte monolayers cultured i n 6-well plates containing 1 m l modified W i l l i a m s E m e d i u m were incubated with 0.1 fig radiolabeled toxin at 37 ° C for 24 hr. T h e
Hall and Strichartz; Marine Toxins ACS Symposium Series; American Chemical Society: Washington, DC, 1990.
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Detection, Metabolism, and Pathophysiology of Brevetoxins
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100.0 r 30.0
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Minutes Figure 1. Semilogarithmic plot o f brevetoxin (/iCi) i n plasma over time after an intravenous injection o f tritium-labeled PbTx-3. T 1/2 alpha = 30 sec; T 1/2 beta = 112 m i n .
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MIGRATION (cm) Figure 2. Thin-layer radiochromatogram o f urine (100 u\) from rats injected w i t h labeled PbTx-3. T L C plates were developed i n two sequential solvent systems: chloroform:ethyl acetate:ethanol (50:25:25; 80:10:10). Radioactive zones were scraped and counted i n a l i q u i d scintillation counter. Native PbTx-3 runs at 13 c m .
Hall and Strichartz; Marine Toxins ACS Symposium Series; American Chemical Society: Washington, DC, 1990.
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