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Fig. 1

Structural formula of tetrodotoxin (3)
Structural formula of tetrodotoxin (3)

Fig. 2

The structures of natural tetrodotoxin (TTX) analogues (64)
The structures of natural tetrodotoxin (TTX) analogues (64)

Various LC–MS studies on the determination of TTX and its analogues

Mobile phase Column Linear range LOD and LOQ Recovery Matrix Reference
1% acetonitrile, 20 mM ammonium 10 mM ammonium heptafluorobutyrate, formate (pH 4.0) Reversed (250 × 4.6 phase mm) 0.05–1 nM LOD LOQ – – 0.7 NR pM NR Puffer fish (56)
20 mM ammonium acetate, methanol (75/25, v/v) Reversed phase (150 × 4.6 mm) 0.01–1 μg/mL LOD – 0.1 μg/g LOQ – NR 77.7– 80.7% Puffer fish (17)
30 mM heptafluorobutyric acid, 1 mM ammonium acetate (pH 5) Reversed phase (250 × 4.6 mm) NR NR NR Japanese fire belly newt (Cynops pyrrhogaster) (41)
A: 0.1% formic acid in water B: methanol HILIC (150 × 4.6 mm) 1–100 ng/mL LOD – 0.1 ng/mL LOQ – 1 ng/mL > 95% Human blood serum (30)
16 mM ammonium formate buffer (pH 5.5), acetonitrile (3/7, v/v) HILIC (5 μm, 150 × 2 mm) NR LOD – 0.5 nM/g LOQ – NR NR Puffer fish (27)
10 mM/L ammonium formate, formic acid (95/5, v/v), 5 mM heptafluorobutyric acid, 2% acetonitrile Reversed phase (5 μm, 2.1 × 15 mm) 0–500 ng/mL in urine samples 0–20 ng/mL for plasma samples LOD – 0.13 ng/mL LOQ – 2.5 ng/mL 75–81% Human urine and plasma (12)
A: 10 mM ammonium formate, 10 mM formic acid in water B: acetonitrile, water (95/5, v/v), 5 mM ammonium formate, 2 mM formic acid HILIC (3.5 μm, 150 × 2.1 mm) 62.5–2,000 ng/mL LOD – 16 ng/mL LOQ – 63 ng/mL NR Puffer fish (54)
A: 5% acetonitrile B: 95% acetonitrile, 1% acetic acid (pH 3.5) HILIC (1.7 μm, 100 × 2.1 mm) 5–500 ng/mL LOD – 0.074 ng/mL LOQ – 0.123 ng/mL 80–92% Gastropod (48)

Cases of TTX poisoning

Country Source of TTX Number of cases Reference
Japan Puffer fish 1 (49)
Japan Puffer fish 11 (13)
Thailand Eggs of horseshoe crab (Carcinoscorpius rotundicauda) 71 (31)
Japan Puffer fish 1 (64)
Bangladesh Puffer fish 8 (37)
China Gastropods 30 (59)
Australia Puffer fish 11 (25)
Taiwan Gastropods 4 (21)
Taiwan Puffer fish 6 (18)
Taiwan Gastropods 1 (23)
Australia Toadfish 7 (50)
Taiwan Gastropods 6 (22)
Bangladesh Puffer fish 36 (1)
Japan Puffer fish 7 (2)
Taiwan Puffer fish 5 (20)
Taiwan Gastropods 1 (29)
Taiwan Gastropods 3 (30)
Spain Trumpet shell(Charonia lampas) 1 (55)
Japan Puffer fish, Thread-sail filefish, Marine snail 3 (3)
Spain Trumpet shell(Charonia sauliae) 1 (11)
Taiwan Gastropods 5 (47)
South Korea Puffer fish 3 (6)
China Goby fish 22 (68)
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