View source for Chemistry:Decarbamoylsaxitoxin

{{Chembox
|IUPACName=(3aS,4R,10aS)-2,6-diamino-4-(hydroxymethyl)-3a,4,8,9-tetrahydro-3H-pyrrolo[1,2-c]purine-10,10-diol
|Section1={{Chembox Identifiers
| CASNo = 58911-04-9
| CASNo_Ref = {{cascite|correct|CAS}}
| UNII_Ref = {{fdacite|correct|FDA}}
| UNII = EC89AU638S
| PubChem = 24941628
| ChemSpiderID = 19975972
| KEGG = C20021
| SMILES = NC1=N[C@H]2[C@H](CO)N=C(N)N3CCC(O)(O)[C@]23N1
| InChI = 1S/C9H16N6O3/c10-6-13-5-4(3-16)12-7(11)15-2-1-8(17,18)9(5,15)14-6/h4-5,16-18H,1-3H2,(H2,11,12)(H3,10,13,14)/t4-,5-,9-/m0/s1
| InChIKey = VRRIYZJUSNMZMP-PJPYAQQDSA-N
 }}
|Section2={{Chembox Properties
| Formula = C<sub>9</sub>H<sub>16</sub>N<sub>6</sub>O<sub>3</sub>
| MolarMass = 256.26 g/mol }}
|ImageAlt=Skeletal structure
|ImageAltL1=Ball-and-stick model
|ImageAltR1=Space-filling model
|ImageFile=Decarbamoylsaxitoxin.svg
|ImageCaption=Structure of dcSTX
|ImageSize=250px
|ImageFileL1=DcSTX ball and stick.png
|ImageCaptionL1 =Ball and stick model of dcSTX
|ImageSizeL1 =150px
|ImageFileR1 =DcSTX space filling molecule.png
|ImageCaptionR1 =Space filling molecule of dcSTX
|ImageSizeR1 =150px
}}

'''Decarbamoylsaxitoxin''', abbreviated as dcSTX, is a [[Chemistry:Neurotoxin|neurotoxin]] which is naturally produced in [[Biology:Dinoflagellate|dinoflagellate]]. DcSTX is one of the many analogues of saxitoxin (STX).
[[File:STX_numbered.png|left|thumb|Figure 1: the structure of saxitoxin, with numbered carbons. Decarbamoylsaxitoxin is one of the derivatives of saxitoxin, which only has a CH<sub>2</sub>OH group on carbon 1. Also, a double bond between carbon 2 and 3 is added.]]

[[Chemistry:Saxitoxin|Saxitoxin]] is a tricyclic alkaloid compound, which has multiple structural related neurotoxins. One of those related neurotoxins is [[Chemistry:Neosaxitoxin|neosaxitoxin]] (NSTX) in which the nitrogen at position 2 is not bound to a hydrogen, but to a hydroxyl group. Another toxic analogue of saxitoxin is [[Chemistry:Gonyautoxin|gonyautoxin]] (GTX). The difference between GTX and STX is that on the carbon at position 11, a hydrogensulfate is bound.

Between dcSTX, NSTX and GTX, dcSTX is the one which varies most from saxitoxin. In dcSTX there is a double bond between carbons 2 and 3, while there is a single bond in STX. This also results in that the double-bonded N to carbon number 3 in STX, is a single bound NH<sub>2</sub> in dcSTX. Another difference between decarbamoylsaxitoxin and saxitoxin is that the amino-carbonyl-oxy-methyl group at position 1 in STX, is only a CH<sub>2</sub>OH group in dcSTX.

Even though there are slight differences between all saxitoxin-related compounds, all those saxitoxins are neurotoxins which affect the sodium channels. When in contact with one of the saxitoxins it can cause a severe illness, which is known as [[Medicine:Paralytic shellfish poisoning|paralytic shellfish poisoning]] (PSP).

== Source in nature ==
From eating shellfish, under which mussels, clams, whelks and scallops, multiple illnesses can result. One of them is sensory and motor paralysis, known as [[Medicine:Paralytic shellfish poisoning|paralytic shellfish poisoning]] (PSP), which results from ingestion of saxitoxin and its derivatives, such as decarbamoylsaxitoxin.<ref name=":0">{{Cite journal|last=Acres|first=J|year=1978|title=Paralytic Shellfish Poisoning|journal=CMAJ|volume=119|issue=10|pages=1195–1197|pmid=570450|pmc=1818532}}</ref> Shellfish can concentrate a dinoflagellate known as ''Gonyaulax tamarensis'', which elaborates saxitoxin.<ref name=":0" /> Mussels are known to filter up to 20 litres of water a day, which is why they are very likely to carry the toxin when the surrounding water is contaminated.<ref name=":1">Alaska Division of Public Health: Prevention Promotion Protection. "Paralytic Shellfish Poisoning Fact Sheet." Accessed on March 12, 2017</ref> This dinoflagellate does not affect the shellfish, but when an organism eats the scallop shuckings, it risks getting poisoned.<ref name=":0" />  Some species, such as the littleneck clam, possess an [[Biology:Enzyme|enzyme]] that converts saxitoxin into decarbamoylsaxitoxin,<ref>{{cite journal|title = Enzymatic transformation of PSP toxins in the littleneck clam (''Protothaca staminea'')|first1 = John J.|last1 = Sullivan|first2 = Wayne T.|last2 = Iwaoka|first3 = John|last3 = Liston|journal = [[Biology:Biochemical and Biophysical Research Communications|Biochemical and Biophysical Research Communications]]|volume = 114|issue = 2|year = 1983|pages = 465–472|doi = 10.1016/0006-291X(83)90803-3|pmid = 6882435}}</ref>  which reportedly decreases the toxicity to humans of the saxitoxins present.<ref>{{cite journal|title = Non-Traditional Vectors for Paralytic Shellfish Poisoning|first1 = Jonathan R.|last1 = Deeds|first2 = Jan H.|last2 = Landsberg|first3 = Stacey M.|last3 = Etheridge|first4 = Grant C.|last4 = Pitcher|first5 = Sara Watt|last5 = Longan|journal = Marine Drugs|year = 2008|volume = 6|issue = 2|pages = 308–348|doi = 10.3390/md6020308|pmc = 2525492|pmid = 18728730| doi-access=free }}</ref>

== Structure and synthesis ==

=== Structure and properties ===
Synonyms of decarbamoylsaxitoxin are; dcSTX-saxitoxin, decarbamoylsaxitoxin, decarbamylsaxitoxin

=== Synthesis ===
Decarbamoylsaxitocin is like saxitoxin a very [[Biology:Hygroscopy|hygroscopic]] solid. Since saxitoxins and their derivatives are mainly produced by the ''Gonyaulax tamarensis'' dinoflagellate, for a long time the exact synthesis pathway was unknown. Saxitoxin was the first paralytic shellfish toxin for which a total synthesis was described. This was done by Kishi and his research group in 1977.<ref>{{Cite journal|last1=Iwamoto|first1=O|last2=Akimoto|first2=T|last3=Nagasawa|first3=K|year=2012|title=Synthesis of saxitoxins|journal=Pure and Applied Chemistry|volume=84 |issue=6|pages=1445–1453|doi=10.1351/pac-con-11-09-10|s2cid=98176615|doi-access=free}}</ref><ref>{{Cite journal|last1=Tanino|first1=H|last2=Nakata|first2=T|last3=Kaneko|first3=T|year=1977|title=A stereospecific total synthesis of dl-saxitoxin|doi=10.1021/ja00450a079 |journal=Journal of the American Chemical Society|volume=99 |issue=8|pages=2818–2819|pmid=850038}}</ref> In 1991 they managed to describe the synthesis of decarbamoylsaxitoxin as well.<ref>{{Cite journal|last1=Yong Hong|first1=C|last2=Kishi|first2=Y|year=1992|title=Enantioselective total synthesis of (-)-Decarbamoylsaxitoxin|journal=Journal of the American Chemical Society|volume=114 |issue=18|pages=7001–7006|doi=10.1021/ja00044a008}}</ref>

== Metabolism ==
Decarbamoylsaxitoxin enters the body via the mouth. There it can be absorbed through the mucosa, and later on it can be absorbed through the small intestine.<ref name=":2">{{Cite journal|last1=Halstead|first1=B.W.|last2=Schantz|first2=E.J.|year=1984|title=Paralytic Shellfish Poisoning|journal=Switzerland: World Health Organization Geneva|issue=79|pages=1–59|pmid=6610258}}</ref> After absorption, the toxin is distributed through the body water.<ref name=":2" /> It gets removed by the kidneys and is excreted via urine.<ref name=":3">{{Cite journal|last1=Garcia|first1=C.|last2=Barriga|first2=A.|last3=Diaz|first3=J.C.|year=2010|title=Route of metabolization and detoxification of paralytic shellfish toxins in humans|journal=Toxicon|volume=55 |issue=1|pages=135–144|doi=10.1016/j.toxicon.2009.07.018|pmid=19632259|hdl=10533/141436|hdl-access=free}}</ref>

An exact biotransformation of decarbamoylsaxitoxin is not known yet. In 2004, a study<ref name=":4">{{Cite journal|last1=Garcia|first1=C.|last2=Bravo|first2=M.C.|last3=Lagos|first3=M.|year=2004|title=Paralytic shellfish poisonging: post-mortem analysis of tissue and body fluid samples from human victims in the Patagonia fjords|journal=Toxicon|volume=43 |issue=2|pages=149–158|doi=10.1016/j.toxicon.2003.11.018|pmid=15019474|hdl=10533/175125|hdl-access=free}}</ref> on people who died from paralytic shellfish poisoning reported detected oxidation of saxitoxin into neosaxitoxin.

In a more recent study<ref name=":3" /> on human liver samples, a metabolic pathway was proposed for saxitoxin which is shown in figure 2.{{Update inline|date=July 2018}} They found that saxitoxin can be converted into neosaxitoxin in the human body, which harmonizes the earlier research. The neosaxitoxin will however be converted further into either a sugar-binding state or into GTX4/GTX1, a pair of gonyautotoxin [[Chemistry:Epimer|epimers.]]<ref name=":3" /> These epimers can be converted to a sugar-binding state as well. Also, the sugar-bound state of saxitoxin can be formed. As this study shows, the phase II conjugation reaction is a very common glucoronidation reaction. Due to this, the substance gets more hydrophilic which makes it more easily excretable.

Even though this study was done on saxitoxin exclusively, it is very likely that the metabolic pathway of decarbamoylsaxitoxin will be the same, since the major structural difference between them is the shown OONH<sub>2</sub> substituent, indicated with a yellow circle in the figure{{Update inline|date=June 2019}}, which is a hydroxyl substituent in decarbamoylsaxitoxin. This group is not affected in the proposed metabolism and will most likely not interrupt the shown mechanism.

== Mechanisms of action ==
Decarbamoylsaxitoxin is a known neurotoxin, which mechanism is based on that of saxitoxin. Both namely bind to sodium channels, as shown in figure 3<ref>{{Cite journal|year=2010|title=Saxitoxin|url=http://equatox.eu/science_of_toxins/saxitoxin/index.html|journal=Equatox|access-date=March 15, 2017}}</ref>{{Update inline|date=July 2018}} Sodium channels contain negative residues at the top of their pore.<ref>{{Cite journal|last1=Marban|first1=E.|last2=Yamagishi|first2=T.|last3=Tomaselli|first3=G.F.|year=1998|title=Structure and function of voltage-gated sodium channels|journal=The Journal of Physiology|volume=508 |issue=3|pages=647–657|pmc=2230911|doi=10.1111/j.1469-7793.1998.647bp.x|pmid=9518722}}</ref> These negatively charged residues are part of the filter for sodium. Decarbamoylsaxitoxin contains two [[Chemistry:Guanidine|guanidine]] substructures which can be protonated easily. Protonation of the guanidine substructures leads to a positive charge on the decarbamoylsaxitoxin and because of this positive charge the decarbamoylsaxitoxin can bind to the sodium channels. This binding to sodium channels prevents sodium passing through the channel. Because sodium passage is blocked, the channel cannot fulfil its function and it will be impossible to generate an action potential in the cell with the blocked sodium channels.
There has been a study performed on which sodium channels are mainly targeted by the neurotoxin.<ref name=":2" /> This study showed that the neuromuscular transmission in the motor axon and the muscular membrane is targeted whereas the end-plate is left unaffected. It also showed that the atrioventicular node is the main target inside the heart. The consequences of decarbamoylsaxitoxin are paralysis and death. In vitro tests declared decarbamoylsaxitoxin more toxic than saxitoxin.<ref>{{Cite journal|last1=Perez|first1=S.|last2=Vale|first2=C.|last3=Botana|first3=A.M.|year=2011|title=Determination of toxicity equivalent factors for paralytic shellfish toxins by electrophysiological measurements in cultured neurons|journal=Chemical Research in Toxicology|volume=24 |issue=7|pages=1153–1157|doi=10.1021/tx200173d|pmid=21619049}}</ref> It is not clear why this is the case; it can be speculated that it is caused by the alcohol group that is present on decarbamoylsaxitoxin instead of the amide group on saxitoxin. However, what can be concluded for sure is that decarbamoylsaxitoxin is converted into other compounds in the body or has trouble reaching the sodium channels. In vivo tests declared decarbamoylsaxitoxin half as toxic as saxitoxin.<ref>{{Cite journal|last1=Suzuki|first1=H.|last2=Machii|first2=K.|year=2014|title=Comparison of Toxicity between Saxitoxin and Decarbamoylsaxitoxin in the Mouse Bioassay for Paralytic Shellfish Poisoning Toxins|journal=Journal of Veterinary Medical Science|volume=76 |issue=11|pages=1523–1525|doi=10.1292/jvms.14-0211 |pmid=25213205 |pmc=4272987 |doi-access=free}}</ref>

== Illness and poisoning ==

=== Toxicology ===
In coastal waters, mostly in temperate and subtropical regions, dinoflagellate blooms can occur when the conditions for growth and aggregation are optimal.<ref name=":1" /> They cause so called ‘red tides’ or ‘red waters’ and the concentration of toxic can be of great risk for both marine life and humans.<ref name=":1" /> However, also when the water is clear shellfish can contain toxins, which are not destroyed by heating or freezing.<ref>{{Cite journal|last1=Shin|first1=C.|last2=Jang|first2=H.|last3=Jo|first3=H.|year=2017|title=Development and validation of an accurate and sensitive LC-ESI-MS/MS method for the simultaneous determination of paralytic shellfish poisoning toxins in shellfish and tunicate|journal=Food Control|volume=77|pages=171–178|doi=10.1016/j.foodcont.2017.02.034}}</ref> In case of a red tide, a mussel can contain as much as 180 g of toxin.<ref name=":1" /> To human, a dose of only 1&nbsp;mg saxitoxin can be fatal.<ref name=":3" /> Worldwide the limits for toxins in shellfish which cause paralytic shellfish poisoning is set at 80 μg per 100 g of meat.<ref name=":4" />

=== Illness in humans ===
Usually, within minutes of ingestion of the poisoned shellfish, paranesthesia of the oral region and fingertips are noticed.<ref name=":0" /><ref name=":5">{{Cite journal|last1=Popkiss|first1=M.E.E|last2=Horstman|first2=D.A.|last3=Harpur|first3=D.|year=1979|title=Paralytic Shellfish Poisoning|journal=SA Medical Journal|volume=55 |issue=25|pages=1017–1023}}</ref> This gradually proceeds to the neck, arms, legs and toes, together with general muscular incoordination.<ref name=":0" /> Patients can start feeling numb, due to which it is hard to make voluntary movements.<ref name=":5" /> Also symptoms as dizziness, weakness and incoherence can occur. In the final stage of the poisoning, respiratory distress and full muscular paralysis occur, usually between 2 and 12 hours after ingestion.<ref name=":0" />

The symptoms are sometimes difficult to interpret, since they are also associated with drunkenness.<ref name=":1" /> Alcohol can increase the severity of symptoms.<ref name=":0" />

=== Treatment ===
There is no antidote to paralytic shellfish poisoning. However, with proper medical care, most patients will survive. The most important in treatment is assistance of the patient with ventilation.<ref name=":0" /> Also alkaline and sodium-containing fluids can be used to block the effect of paralytic shellfish toxins on nerve conduction.<ref name=":0" />

== DEREK prediction ==
[[File:STX_DEREK.png|thumb|Figure 4: The structure of decarbamoylsaxitoxin as inserted in Derek Nexus. Highlighted is the reactive group to which the Derek alert responds. This group is specified in the figure next to the structure.]]
A way to predict toxicity from structure, is with the help of a software programme like Derek Nexus v3.0.1.<ref>Derek Nexus (version v.3.0.1) [software that gives toxicity predictions]. Leeds: Lhasa Unlimited</ref> It comes up with alerts that match your structure. In the case of decarbamoylsaxitoxin, for mammals the alert “Rapid prototype060: Methylene glycol or derivate” comes up, with a sureness “equivocal”, see figure 4.

This rapid prototype alert describes the nephrotoxicity of methylene glycol and its derivatives.

For this alert 731 chemicals were classified on basis of the causation of histopathologic lesions in the kidney in oral rat repeat dose studies, mostly with a duration of 28 days. It turns out that four compounds were really nephrotoxic. Because decarbamoylsaxitoxin is a [[Chemistry:Geminal diol|geminal diol]], it may be toxic for the kidneys.

== See also ==
* [[Chemistry:Saxitoxin|Saxitoxin]]
* [[Chemistry:Gonyautoxin|Gonyautoxin]]
* [[Chemistry:Neosaxitoxin|Neosaxitoxin]]
* [[Medicine:Paralytic shellfish poisoning|Paralytic Shellfish Poisoning]] (PSP)
* [[Biology:Sodium channel|Sodium channel]]s
* DEREK Nexus

== References ==
<references />

[[Category:Marine neurotoxins]]
[[Category:Guanidine alkaloids]]
[[Category:Voltage-gated sodium channel blockers]]
[[Category:Geminal diols]]

{{Sourceattribution|Decarbamoylsaxitoxin}}