Cyanobacteria, Microcystin & Harmful Algal Blooms: Research

29 papers · Curated by Lauren Lowenstein, The Biotoxin Lady

Not every biotoxin comes from a water-damaged building. Some come from the lake.

Cyanobacteria, often called blue-green algae, can form harmful algal blooms (HABs) in warm, nutrient-rich fresh water. Some blooms make cyanotoxins, including microcystin, cylindrospermopsin and others, which can affect the liver, nervous system and immune system. People can be exposed through water, recreation, spray and aerosols near blooms.

Why does this belong in a CIRS library? Because the biotoxin story started on the water. Dr. Ritchie Shoemaker's early work grew out of illness tied to toxic estuary organisms on Maryland's Eastern Shore, long before "mold illness" was a common phrase. And cyanobacteria still appear among the biotoxin sources linked to the multisusceptible HLA-DR haplotypes.

This hub currently holds 29 research papers on cyanobacteria and cyanotoxin health effects. It's a smaller, growing collection covering bloom monitoring, toxin chemistry and human exposure.

There isn't a dedicated Biotoxin Lady page on algae yet. In the meantime, my Where do I start? guide is the best first step if you think you've had a biotoxin exposure.

Educational only, not medical advice.

— Lauren Lowenstein, The Biotoxin Lady · Last reviewed October 19, 2026

Key facts

  • Cyanobacteria (blue-green algae) can form harmful algal blooms in fresh and brackish water.
  • Cyanotoxins include microcystins, cylindrospermopsin, anatoxins and saxitoxins.
  • Cyanobacteria are among the biotoxin sources linked to multisusceptible HLA-DR haplotypes in the Shoemaker framework.

Key research papers

  1. Cyanobacterial Algal Bloom Monitoring: Molecular Methods and Technologies for Freshwater Ecosystems

    Faizan Saleem et al. · Microorganisms · 2023

  2. Cyanobacteria Harmful Algae Blooms: Causes, Impacts, and Risk Management

    Aboi Igwaran et al. · Water Air & Soil Pollution · 2024

  3. A review on aquatic toxins - Do we really know it all regarding the environmental risk posed by phytoplankton neurotoxins?

    Albano Pinto et al. · Journal of Environmental Management · 2023

  4. Integrated Histopathological and Urinary Metabonomic Investigation of the Pathogenesis of Microcystin-LR Toxicosis

    Cantor G et al. · Veterinary Pathology · 2012

  5. “Algal-dromes”: a novel conceptual approach to illness in humans exposed to harmful algal bloom toxins

    Brett M. Johnson et al. · Frontiers in Toxicology · 2026

  6. Review of Harmful Algal Blooms (HABs) Causing Marine Fish Kills: Toxicity and Mitigation

    Jae‐Wook Oh et al. · Plants · 2023

  7. A Model System for Studying the Bioavailability of Intestinally Administered Microcystin‐LR, A Hepatotoxic Peptide from the Cyanobacterium Microcystis aeruginosa

    Dahlem AM et al. · Pharmacology & Toxicology · 1989

  8. Microtubule effects of welwistatin, a cyanobacterial indolinone that circumvents multiple drug resistance

    Xinqun Zhang et al. · Molecular Pharmacology · 1996

  9. Characterization of chronic human illness associated with exposure to cyanobacterial harmful algal blooms predominated by Microcystis. 2009 Cyanobacterial harmful algal blooms pg 653

    Shoemaker R et al. · 2009

  10. Marine Neurotoxins’ Effects on Environmental and Human Health: An OMICS Overview

    Sophie Guillotin et al. · Marine Drugs · 2021

  11. Freshwater Cyanobacterial Toxins, Cyanopeptides and Neurodegenerative Diseases

    Galina Nugumanova et al. · Toxins · 2023

  12. Toxins and stress in fish: proteomic analyses and response network

    Karim M et al. · Toxicon · 2011

  13. A proteomic analysis of MCLR-induced neurotoxicity: implications for Alzheimer’s disease

    Li G et al. · Toxicological Sciences · 2012

  14. Surface binding of toxins and heavy metals by probiotics

    Zoghi A et al. · Mini-Reviews in Medicinal Chemistry · 2014

  15. Cyanobacteria, Cyanotoxins, and Neurodegenerative Diseases: Dangerous Liaisons

    Paola Sini et al. · International Journal of Molecular Sciences · 2021

  16. Stimulation of hepatocytic AMP-activated protein kinase by okadaic acid and other autophagy-suppressive toxins

    Samari H et al. · Biochemical Journal · 2005

  17. Microcystin-LR and Kinetics of cytoskeletal reorganization in hepatocytes, kidney cells, and fibroblasts

    Khan SA et al. · Nat Toxins · 1996

  18. Phytoplankton Toxins and Their Potential Therapeutic Applications: A Journey toward the Quest for Potent Pharmaceuticals

    Biswajita Pradhan et al. · Marine Drugs · 2022

  19. Biomagnification of cyanobacterial neurotoxins and neurodegenerative disease among the Chamorro people of Guam

    Cox P et al. · Proceedings of the National Academy of Sciences · 2003

  20. Biomagnification of cycad neurotoxins in flying foxes

    Banack S et al. · Neurology · 2003

  21. A mechanism for slow release of biomagnified cyanobacterial neurotoxins and neurodegenerative disease in Guam

    Murch S et al. · Proceedings of the National Academy of Sciences · 2004

  22. Neonatal exposure to the cyanobacterial toxin BMAA induces changes in protein expression and neurodegeneration in adult hippocampus

    Karisson O et al. · Toxicological Sciences · 2012

  23. Algae in Recreational Waters: An Overview within a One Health Perspective

    Federica Valeriani et al. · Water · 2024

  24. Review of the occurrence, treatment technologies, and detection methods for saxitoxins in freshwaters

    Shardula Gawankar et al. · Journal of Water and Health · 2024

  25. Apparent relationships between toxins elaborated by the cyanobacterium Trichodesmium erythraeum and those present in the flesh of the narrow-barred Spanish mackerel Scomberomorus commersoni

    Endean R et al. · Toxicon · 1993

  26. Occurrence of copper resistant mutants in the toxic cyanobacteria Microcystis aeruginosa: characterisation and future implications in the use of copper sulphate as algaecide

    García-Villada L et al. · Water Research · 2004

  27. Animal models of BMAA neurotoxicity: a critical review

    Karamyan VT et al. · Life Sciences · 2008

  28. Cyanobacteria (Nostoc commune) used as a dietary item in the Peruvian highlands produce the neurotoxic amino acid BMAA

    Johnson HE et al. · Journal of Ethnopharmacology · 2008

  29. Analysis of Structural and Physiological Profiles To Assess the Effects of Cu on Biofilm Microbial Communities

    Massieux B et al. · Applied and Environmental Microbiology · 2004

Explore all 29 papers in the interactive explorer →

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