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Tetrodotoxin:
essential data

Symptoms and Treatment, Toxicity, Chemistry, Site of Action,
Sources, Properties, Terrorist Interest, IDC Codes
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Symptoms, Treatment, Decontamination
Syndrome Name
  • Puffer fish poisoning
  • Fugu poisoning
  • Tetradon poisoning
Symptoms
  • Tingling,
  • numbness,
  • weakness, lightheadedness
  • limp paralysis leading to dyspnea, cyanosis, cardiac arrhythmia leading to death
Onset of Symptoms Within 20 minutes to three hours
Rapid diagnostic assay None available. Sensitive chemical assays for tetrodotoxin have been developed but not approved for use.
Antidote None available
Supportive Care Artificial respiration to support breathing
Inactivation
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Toxicity in Mice

RouteLD50(micrograms/kg)
Intravenous8.7
Intraperitoneal8-10
Subcutaneous11.5
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Chemical Properties

Structure Tetrodotoxin gif
CA Name 5,9:710a-Dimethano-10aH-[1,3]dioxocino[6,5-d]pyrimidine-
4,7,10,11,12-pentol, octahydro-12-(hydroxymethyl)-2-imino-,
Trivial Names
  • Anhydrotetrodotoxin
  • Araregai toxin
  • 4-Epitetrodotoxin
  • Maculotoxin
  • Spheroidine
  • Tarichatoxin
  • Tetrodonic acid
  • (-)-Tetrodotoxin
  • TTX
Registry Number 4368-28-9
RTECS Number IO1450000
Molecular
Formula
C11H17N3O8
Molecular
weight
319.3
Solubility Soluble in dilute acetic or sulfuric acid.
Limited solubility in ethanol and ether.
Insoluble in organic solvents
pKa in water No
Complete synthesis No.
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Site of Action

Tetrodotoxin binds to the sodium channel of the nerve preventing the passage of sodium ions through the cell membrane and therefore of the nerve impulse. Although its target is very similar to that of saxitoxin, the two appear to act independently.

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Source

Exposure to tetrodotoxin typically comes from eating tetrodotoxin-containing organs of the puffer of the genus Fugu along with a number other forms of sea and freshwater animals. There are several cases of deaths from fugu poisoning in Japan every year and deaths have occurred worldwide from eating improperly labeled puffer fish. The toxin is not made by the fish, but appears to be made by relatively common marine bacteria, specifically Pseudoalteromonas haloplanktis tetraodonis that associates with these animals. There is therefore a risk that the toxin could be manufactured on a significant scale by fermentation.

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Agent Properties

Relatively is little is known about tetrodotoxin as a possible toxin weapon although the Japanese did some work on its weaponization at Unit 731 during World War II. It is included on the Australia Group lists by reason of its toxicity. It is not known to be made in large quantities that could be used in weapons and little or nothing is known about its inhalation toxicity.

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Terrorist Acquisition and Attempted Use.

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International Disease Classification Codes for Saxitoxin Poisoning
Disease ICD-9-CM ICD-10
Toxic effect of fish & shellfish eaten as food 988.0 T61
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