Ciguatoxins are a class of toxic polycyclic found in fish that cause ciguatera.
There are several different chemicals in this class. "CTX" is often used as an abbreviation.
Some ciguatoxins lower the threshold for opening excitatory voltage-gated in the nervous system. Opening a sodium channel causes depolarization, which could sequentially cause paralysis, heart arrhythmia, and changing the senses of heat and cold. Such poisoning from ciguatoxins is known as ciguatera.
Ciguatoxins are lipophilic, able to cross the blood–brain barrier, and can cause both central and peripheral neurologic symptoms.
The major symptoms will develop within 1–3 hours of toxin ingestion: vomiting, diarrhea, numbness of extremities, mouth and lips, reversal of hot and cold sensation, muscle and joint aches. The symptoms may last from days to weeks or even months depending on each individual situation. There is no known antidote, though several therapeutic targets have been identified. The LD50 of ciguatoxin in mice is around 200 to 300 nanograms/kg.
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