Skip to Content
You are currently on the new version of our website. Access the old version .
  • 4.0
    Impact Factor
  • 8.3
    CiteScore
  • 18 days
    Submission to First Decision
  • 4 days
    Acceptance to Publication

Toxins

Toxins is an international, peer-reviewed, open access journal related to toxinology and all kinds of toxins (biotoxins) from animals, microbes and plants, and published monthly online by MDPI. The French Society of Toxinology (SFET), International Society for Mycotoxicology (ISM), Japanese Society of Mycotoxicology (JSMYCO) and European Uremic Toxins (EUTox) Work Group are affiliated with Toxins and their members receive a discount on the article processing charges.

Get Alerted

Add your email address to receive forthcoming issues of this journal.

All Articles (8,085)

  • Feature Paper
  • Article
  • Open Access

Clinical Characteristics and Outcomes of Sea Snake Bites in Thailand: A Retrospective Study

  • Panee Rittilert,
  • Satariya Trakulsrichai and
  • Phantakan Tansuwannarat
  • + 2 authors

Sea snake bites are uncommon but may cause severe myotoxic and neurotoxic envenoming. Contemporary clinical data from Thailand remain limited. Using a 15-year retrospective dataset from the Ramathibodi Poison Center, we described the clinical characteristics, treatment, and outcomes of sea snake bites reported between January 2011 and June 2026. Cases were classified as definite when the causative snake was identified from a specimen, photograph, or video, and as possible when identification was based on the patient’s or a witness’s account. Eight patients were included, with a median age of 42 years (range 6–65 years); seven were male, and seven were fishermen. Four cases were classified as definite and four as possible. Five bites occurred while handling fishing nets. Local manifestations were generally mild, with swelling absent in seven patients. Three patients developed rhabdomyolysis with myoglobinuria, with the highest recorded serum creatine kinase concentrations ranging from 39,189 to 239,287 U/L. Two patients developed severe neurotoxic envenoming characterised by ptosis and generalised limb weakness requiring invasive mechanical ventilation. Thai Neuro Polyvalent Antivenom was administered to one patient; however, its clinical effectiveness cannot be determined from this study. In another patient, ophthalmoplegia was first documented on day 6, with intermittent visual symptoms persisting to day 18. Despite marked rhabdomyolysis, no patient developed acute kidney injury. All patients survived. Sea snake bites in Thailand showed a broad clinical spectrum, ranging from mild local effects to severe myotoxic and neurotoxic envenoming. These findings highlight that minimal local manifestations do not exclude severe systemic toxicity and support close neurological assessment and serial monitoring for muscle injury following suspected sea snake bites.

Toxins

12 November 2026

Flow diagram of case selection. Fourteen consultations recorded in the Ramathibodi Poison Center Toxic Exposure Surveillance System (RPCTESS) between January 2011 and June 2026 met the search criteria for a suspected sea snake bite. Six consultations were excluded after review; reasons for exclusion are detailed in Supplementary Table S1.
  • Feature Paper
  • Article
  • Open Access

Perinatal Screening of Crotalus durissus terrificus Venom and Antivenom in Rats

  • Iasmyn Costa da Silva,
  • Maria Eliza Ferreira do Val de Paulo and
  • Ana Leonor Abrahao Nencioni
  • + 1 author

Crotalid envenomation carries the highest snakebite mortality rate in Brazil, yet its impact on the fetus during pregnancy remains unclear. In this study, we examined the effects of a moderate, nonlethal dose of Crotalus durissus terrificus venom (vCdt) on pregnant rats on gestational days 5 (V5, embryogenesis phase) and 10 (V10, organogenesis phase). We also evaluated whether antivenom could neutralize these effects. Exposure at V5 tended to increase the average weight of male and female fetuses, as well as the weight of their kidneys and livers. Some fetuses exhibited incomplete cranial ossification and supernumerary rib fragments. All of these effects were fully reversed by antivenom. Exposure at V10 reduced overall fetal weight and tended to increase placental weight while reducing the weights of the kidneys, liver, and heart in male and female fetuses. Antivenom only partially reversed these effects. Thus, vCdt is embryotoxic during embryogenesis and organogenesis, though antivenom therapy is more effective in the early stages of gestation.

Toxins

12 November 2026

Skeletal Alterations in offspring from the V5 group. (A) Arrow indicates an area of incomplete cranial ossification; (B) arrow indicates supernumerary rib fragments.
  • Article
  • Open Access

The analytical characteristics of Lyngbya wollei toxin 4 (LWTX4), a rare derivative of saxitoxin (STX), remain insufficiently documented due to its limited availability. In the present study, therefore, LWTX4 was synthesized using the previously reported synthetic route developed by Looper to elucidate its fundamental chromatographic behavior. Additionally, three other paralytic shellfish toxin analogues, STX, decarbamoyl saxitoxin (dcSTX), and 12-epi-LWTX4, were prepared from a common intermediate. Analysis of synthetic LWTX4 using the AOAC OMA 2011.02 HPLC–PCOX–FLD method yielded a retention time of 19.8 min, which overlapped with that of STX, and revealed that its FLD response was one-fourteenth that of STX. Meanwhile, under the AOAC 2021 HILIC–MS/MS conditions, LWTX4 eluted at 7.29 min, producing major product ions at m/z 205.1204, 182.0926, 164.0822, and 110.0720. These chromatographic and mass spectrometric characteristics provide useful reference data for assessing the possible presence of LWTX4 during PST profiling of biological samples. The synthetic STX and dcSTX exhibited chromatographic behavior consistent with that of their corresponding certified reference materials (CRMs) under the standard HPLC–PCOX conditions, supporting the potential use of synthesis as a complementary approach to the isolation of PSTs from dinoflagellates for the preparation of CRMs.

Toxins

11 November 2026

Common 18 PSTs frequently found in nature.
  • Article
  • Open Access

Tomato is among the most widely cultivated vegetable crops worldwide. However, its high susceptibility to Alternaria is particularly concerning due to the ability of fungi of this genus to produce mycotoxins that pose potential health risks. Contamination of processed tomato products has been repeatedly reported in the literature, but little is known about the factors influencing contamination in field-grown processing tomatoes. In this study, we assessed the composition of the epidermal microbiota of processing tomato fruits in relation to Alternaria and mycotoxin contamination levels. Tomato crops exhibiting varying levels of contamination (based on symptom assessment, qPCR and LC-MS/MS analysis) were selected, and both healthy and diseased fruits were sampled. Our results revealed that processing tomatoes can be heavily contaminated with Alternaria mycotoxins at harvest. Visual symptoms were not reliable predictors of toxicological risk: the observed association between Stemphylium abundance and disease severity raises the hypothesis that Stemphylium may contribute to symptoms commonly attributed to Alternaria black spot. Conversely, fruits displaying atypical symptom profiles often contained high levels of Alternaria mycotoxins. Analysis of the tomato skin microbiota using 16S and ITS metabarcoding showed that fruit health status was associated with distinct microbial communities and identified several microbial modules associated with reduced disease severity and/or lower Alternaria relative abundance. Taxa belonging to the genera Wickerhamomyces, Gibellulopsis, Ectophoma, Bacillus, Liquorilactobacillus, and Enterococcus were predominantly associated with reduced disease symptoms and/or Alternaria relative abundance. These microbial groups represent promising targets for future isolation and experimental evaluation as biocontrol agents.

Toxins

10 November 2026

(A) Alternaria disease scores for processing tomato fruits. Tomatoes were frozen immediately after sampling to stop fungal development and toxinogenesis. White bars represent 1 cm scale bars. (B) Relationship between Alt copy number per gram of tomato peel and disease score. Each point represents an individual fruit. Data below quantification limit was set to zero on the graph. Different letters indicate significant differences according to post-hoc Dunn’s test (p < 0.05) operated after Kruskal–Wallis comparison (p < 0.001). (C) Spearman correlation matrix showing relationships among several contamination markers: log 10 of concentrations of individual mycotoxins in tomato fruits (log10 of the concentration in µg/kg; “TeA”, “AOH”, “AME”, “TEN”, “ALT”, and “ATXI”), their sum (log10 of the sum of the concentrations of the various toxins in µg/kg; “total_mycotoxins_log10”), the number of different mycotoxins detected per sample (“n_mycotoxins_detected”), and disease severity assessed either visually (“disease_score”) or by qPCR quantification of Alternaria DNA in the fruit epidermis (log10 of the number of copies of the Alt marker per gram of tomato skin; “qPCR_log10”). Spearman’s correlation coefficients are shown in each cell. The colour scale ranges from blue (negative correlation) to red (positive correlation). Asterisks indicate statistical significance after Benjamini–Hochberg correction for multiple testing to control the false discovery rate: *** adjusted p < 0.001; ** adjusted p < 0.01; * adjusted p < 0.05. (D) Tomato mycotoxin contamination levels as a function of disease score. Each point represents an individual fruit. Grey points represent contamination levels below the indicative reference values established by Commission Recommendation (EU) 2022/553, whereas orange points represent contamination levels exceeding this recommendation. The indicative reference values are indicated by the red dashed line. Different letters indicate significant differences according to post-hoc Dunn’s test (p < 0.05) operated after Kruskal–Wallis comparison (p < 0.01).

Highly Accessed Articles

News & Conferences

Latest Issues

Open for Submission

Journal Sections

XFacebookLinkedIn
Toxins - ISSN 2072-6651