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Ginkgotoxin

Ginkgotoxin, chemically known as 4'-O-methylpyridoxine (MPN), is a potent primarily found in the seeds of the tree, where it occurs at concentrations of 170–404 μg/g, along with its less toxic glucoside derivative, MPN-5'-O-glucoside. This compound, structurally analogous to (pyridoxine) but featuring a at the 4' position, functions as an antivitamin by competitively inhibiting pyridoxal , thereby reducing the levels of the active form, pyridoxal-5'-phosphate (), and disrupting γ-aminobutyric acid () synthesis in the brain. Ingestion of ginkgo seeds containing ginkgotoxin can lead to acute poisoning, particularly in children and with consumption exceeding 10–20 seeds, manifesting as tonic-clonic seizures, vomiting, loss of consciousness, and in severe cases, coma or death. Ginkgotoxin was first identified as the primary toxic agent in G. biloba seeds in 1985, though reports of ginkgo seed poisoning date back to 1881 in , with over 170 cases documented there historically, including a 13% mortality rate before widespread recognition of treatment. While G. biloba leaves contain trace amounts (<9 μg/g), the seeds remain the main source of exposure, especially in traditional Asian cuisines where they are consumed as "ginnan" after cooking—a process that reduces ginkgotoxin levels to about 1% of raw values due to its water solubility, though risks persist with overconsumption. The toxin's mechanism mimics vitamin B6 deficiency, elevating glutamate excitability and suppressing inhibitory neurotransmission, with serum MPN levels in poisoned individuals ranging from 37–1280 ng/mL. Treatment for ginkgotoxin poisoning involves prompt intravenous administration of pyridoxine (vitamin B6), which effectively reverses symptoms in most cases without long-term sequelae, as evidenced by recoveries in pediatric and adult incidents reported in Japan, Korea, and Switzerland. Safety guidelines for G. biloba products, including standardized leaf extracts used in supplements, limit ginkgotoxin-related contaminants like ginkgolic acids to below 5 ppm to minimize neurotoxic risks, though seed-derived foods require strict portion control. Despite its dangers, G. biloba remains valued in traditional medicine, but awareness of ginkgotoxin's presence underscores the need for processed, low-toxin preparations.

Chemical Properties

Structure and Nomenclature

Ginkgotoxin, also known as 4'-O-methylpyridoxine, is a pyridine derivative with the molecular formula C₉H₁₃NO₃ and a molar mass of 183.207 g/mol. Its preferred IUPAC name is 5-(hydroxymethyl)-4-(methoxymethyl)-2-methylpyridin-3-ol, reflecting the substituted core central to its chemical identity. The molecular structure features a , a six-membered heterocyclic ring containing nitrogen at position 1. Substituents are positioned as follows: a methyl group (-CH₃) at carbon 2, a hydroxy group (-OH) at carbon 3, a methoxymethyl group (-CH₂OCH₃) at carbon 4, and a hydroxymethyl group (-CH₂OH) at carbon 5. This arrangement positions the methoxymethyl at the 4-position, distinguishing it from related compounds. Ginkgotoxin bears a close structural resemblance to vitamin B6 (pyridoxine), differing primarily by the 4'-O-methylation on the hydroxymethyl group at the 4-position of the pyridine ring. In pyridoxine, this group is a free hydroxymethyl (-CH₂OH), whereas in ginkgotoxin, it is modified to -CH₂OCH₃, altering the substituent without changing the overall ring framework.

Physical and Chemical Characteristics

Ginkgotoxin is typically isolated and observed as a white to off-white crystalline powder. Its molecular formula is , corresponding to a molecular weight of 183.20 g/mol. The compound has a reported melting point of 181 °C. Ginkgotoxin demonstrates moderate solubility in water, achieving up to 10 mg/mL in phosphate-buffered saline at pH 7.2, and is highly soluble in polar organic solvents such as (up to 100 mg/mL), (1 mg/mL), , , , and . The calculated logP value of -0.299 reflects its slightly hydrophilic character, facilitating solubility in aqueous environments while retaining affinity for polar solvents. Ginkgotoxin maintains stability for at least four years when stored as a solid under recommended conditions, such as protection from moisture and extreme temperatures. As a structural analog of (vitamin B6), it shares comparable chemical reactivity, including potential sensitivity to light, heat, and alkaline conditions that may lead to degradation. Spectroscopic characterization of ginkgotoxin commonly employs UV detection in analytical methods, leveraging absorption bands associated with its pyridine ring system, often monitored around 280–300 nm.

Natural Sources

Occurrence in Ginkgo biloba

Ginkgotoxin, also known as 4'-O-methylpyridoxine, is predominantly concentrated in the seeds (ginkgo nuts) of Ginkgo biloba, where it serves as the primary reservoir within the plant. Studies have reported concentrations ranging from 0.173 to 0.4 mg/g fresh weight in raw seeds collected from various locations, highlighting variability due to geographic and environmental factors. These levels underscore the seeds as the main site of accumulation, far exceeding those in other plant parts. In contrast, leaves contain significantly lower amounts, with maximum reported concentrations of up to 5 μg/g dry weight, often approaching detection limits in commercial extracts. The distribution of ginkgotoxin in seeds shows notable seasonal variation, with concentrations increasing during the growing period and reaching a peak in August before declining toward seed maturation. This temporal pattern aligns with the plant's reproductive cycle in temperate regions. Additionally, seed maturity influences toxin levels, as immature seeds exhibit higher ginkgotoxin content compared to fully mature ones, contributing to their greater overall toxicity. A key derivative, ginkgotoxin-5'-glucoside, occurs at lower baseline levels in raw seeds but becomes more prevalent during heating or processing, where it can accumulate to levels substantially exceeding the free ginkgotoxin form in processed samples. This glycosylated compound arises from enzymatic or thermal transformations, altering the toxin's solubility and bioavailability. Ginkgotoxin and its derivatives may function as natural defenses against herbivores and microbial threats in G. biloba.

Presence in Other Plants

Ginkgotoxin and structurally related antivitamin B<sub>6</sub> compounds occur in various species of the genus Albizia within the Fabaceae family. Notably, Albizia julibrissin (the silk tree) contains derivatives such as the glycosides julibrine I and II, which have been isolated from its seeds and leaves. Similarly, Albizia tanganyicensis produces ginkgotoxin itself along with 5'-O-acetylginkgotoxin in its pods. Levels of these compounds in Albizia species are substantially lower than those typically observed in Ginkgo biloba. For example, extraction from 26 kg of A. tanganyicensis pods yielded 980 mg of ginkgotoxin, equating to approximately 0.038 mg/g (or 38 mg/kg), which is substantially lower than levels in G. biloba seeds. Trace quantities of ginkgotoxin or analogous derivatives are documented in additional plants, supporting the view that such compounds function as widespread secondary metabolites across this family. In an ecological context, these toxins in species contribute to defense mechanisms against herbivores, as evidenced by neurotoxic syndromes in grazing on pod-bearing ; affected animals exhibit , tetanic spasms, and convulsions, which respond to vitamin B<sub>6</sub> supplementation.

Biosynthesis

Pathway Overview

The de novo biosynthesis of ginkgotoxin in commences with the intermediates ribulose 5-phosphate and as starting substrates. These precursors are condensed and cyclized through a series of reactions to form a intermediate, which undergoes specific modifications, including 4'-O-methylation, to yield ginkgotoxin. This pathway represents a specialized branch of primary adapted for the production of this antivitamin compound. The biosynthetic process is localized primarily in the seeds and leaves of G. biloba, where it is catalyzed by plastidial enzymes within the chloroplasts. This compartmentalization aligns with the organelle's role in integrating and synthesis, ensuring efficient precursor availability. Evolutionarily, the ginkgotoxin pathway exhibits conservation with the de novo biosynthesis route observed in and higher , sharing core glutamine amidotransferase domains and subunit interactions that facilitate pyridoxal phosphate formation. This similarity underscores a common ancestral mechanism, with plant-specific adaptations enabling the divergence toward ginkgotoxin production in G. biloba. The pathway connects to general synthesis by utilizing analogous DXP-independent mechanisms prevalent in photosynthetic organisms.

Key Enzymes and Steps

The biosynthesis of ginkgotoxin in Ginkgo biloba involves key enzymes from the vitamin B6 pathway, adapted to produce this methylated derivative. The primary enzymes are the pyridoxal 5'-phosphate (PLP) synthase complex, composed of Pdx1 and Pdx2 subunits, which catalyze the glutamine-dependent formation of pyridoxal 5'-phosphate (PLP) from pentose phosphate pathway precursors. Pdx1 forms a dodecameric structure that interacts with Pdx2, the glutaminase subunit, to facilitate the condensation of ribulose 5-phosphate and dihydroxyacetone phosphate into PLP, the initial ring-closed product in the pathway. In G. biloba, orthologs such as GbPDX1 and GbPDX2 have been cloned and characterized, confirming their role in this deoxyxylulose-independent pathway. Subsequent steps convert to through and , followed by to yield ginkgotoxin. A reduces PLP to pyridoxine or its 5'-phosphate, setting the stage for the final modification. The critical step is performed by an O-methyltransferase that adds a at the 4'-O position of pyridoxine, utilizing S-adenosylmethionine as the methyl donor; this acts on either free pyridoxine or its phosphorylated form. The overall sequence thus proceeds as: (1) precursor and ring closure to form PLP via the Pdx1/Pdx2 complex; (2) to pyridoxine; and (3) 4'-O- to produce ginkgotoxin. This process links directly to broader pathway intermediates, diverging only at the step unique to G. biloba. Gene regulation of these biosynthetic enzymes is tightly linked to seed development in G. biloba. Expression of is highest in developing seeds, peaking in when ginkgotoxin accumulation reaches approximately 85 µg per seed, indicating upregulation coordinated with toxin production. Similarly, multiple GbPDX2 orthologs show elevated transcription in reproductive tissues, underscoring their role in modulating derivative levels during embryogenesis.

Mechanism of Action

Antivitamin B6 Properties

Ginkgotoxin, chemically known as 4'-O-methylpyridoxine, functions as an antivitamin B6 by acting as a structural analog of pyridoxine, the alcohol form of vitamin B6. This similarity enables ginkgotoxin to interfere with the metabolic activation of vitamin B6, preventing the formation of its biologically active cofactor, pyridoxal 5'-phosphate (PLP), which is essential for numerous enzymatic reactions including amino acid metabolism and neurotransmitter synthesis. The key structural feature responsible for this antivitamin activity is the 4'-O-methyl group attached to the pyridine ring, which differentiates ginkgotoxin from . While ginkgotoxin can be phosphorylated by pyridoxal kinase to form 4'-O-methylpyridoxine 5'-phosphate, this modified product cannot be further converted to an active form analogous to , as the phosphorylated product is not a for pyridoxamine 5'-phosphate . As a result, ginkgotoxin traps the in a non-productive cycle, depleting cellular levels and disrupting B6-dependent processes. The 4'-O-methyl group also enhances binding affinity through hydrophobic interactions with kinase residues such as Thr47 and Val231, further promoting its inhibitory role. Ginkgotoxin exerts its effects through of pyridoxal , the enzyme responsible for phosphorylating vitamers to their 5'-phosphate derivatives. It binds to the 's with high but lacks catalytic productivity in downstream steps, thereby reducing the enzyme's availability for genuine substrates. Kinetic studies have determined an inhibition constant () of approximately 3 μM for human pyridoxal , underscoring its potency as an . This classification of ginkgotoxin as an antivitamin B6 emerged from investigations into ginkgo seed poisoning in the mid-20th century, with definitive structural and functional identification confirmed in 1985 through isolation from seeds and analysis of its interference with metabolism.

Biochemical Interactions

Ginkgotoxin primarily targets human pyridoxal kinase (PLK), the enzyme responsible for phosphorylating forms such as (PL) to produce pyridoxal 5'-phosphate (PLP), the active cofactor. By acting as an alternate substrate with a higher (Km = 4.95 × 10⁻⁶ M) compared to PL (Km = 5.87 × 10⁻⁵ M), ginkgotoxin competes for the enzyme's , leading to its own and a subsequent reduction in PLP availability. This inhibition is competitive, with a Ki value of approximately 3 µM, effectively delaying or suppressing PLP formation at physiological concentrations. The shortage of as a cofactor directly impairs the activity of PLP-dependent enzymes, notably (GAD), which catalyzes the decarboxylation of glutamate to (), the primary inhibitory neurotransmitter in the . Reduced PLP levels decrease GAD function, thereby limiting synthesis without direct inhibition of GAD isoforms at relevant concentrations ( > 2 mM for ginkgotoxin phosphate). This disruption results in a neurotransmitter imbalance, characterized by lowered GABA levels alongside relatively elevated excitatory glutamate signaling, which promotes neuronal hyperexcitability. The competitive nature of the inhibition can be modeled by the Michaelis-Menten equation adjusted for a competitive inhibitor: v = \frac{V_{\max} [S]}{K_m (1 + \frac{[I]}{K_i}) + [S]} where v is the reaction velocity, V_{\max} is the maximum velocity, [S] is the substrate concentration, K_m is the Michaelis constant, [I] is the inhibitor (ginkgotoxin) concentration, and K_i is the inhibition constant. This mechanism underscores ginkgotoxin's role as an antivitamin in B6 metabolism, exacerbating the cofactor deficiency.

Toxicity

Symptoms and Clinical Effects

Ingestion of ginkgotoxin, primarily from overconsumption of seeds, leads to acute gastrointestinal symptoms including , , , and abdominal pain, typically onsetting within 1 to 12 hours post-ingestion. These initial manifestations are often followed by neurological effects such as and loss of consciousness. Neurological symptoms are particularly prominent and include tonic-clonic convulsions and epileptic seizures, which can be severe and life-threatening. These effects are linked to disruption of GABA-mediated due to ginkgotoxin's antivitamin B6 activity. In children, toxicity is especially pronounced, with as few as 10 cooked seeds potentially inducing convulsions and other severe symptoms. Lethality is rare but documented in cases of significant overconsumption (e.g., 50–100 or more seeds), though exact toxic thresholds are derived from animal data and case reports, with fatalities noted in historical incidents. Infants and individuals with pre-existing deficiency represent vulnerable populations, exhibiting heightened susceptibility to these clinical effects.

Treatment and Management

The primary treatment for ginkgotoxin toxicity involves intravenous administration of (pyridoxine) to counteract the toxin's antivitamin B6 effects and restore normal biochemical function. Typical doses range from 50 to 100 mg, often given promptly upon suspicion of to reverse the induced vitamin B6 deficiency. supplementation directly overcomes ginkgotoxin's of pyridoxal kinase, thereby alleviating neurotoxic symptoms. Supportive care is essential and includes the use of anticonvulsants such as to control seizures, particularly in cases presenting with tonic-clonic convulsions. For recent ingestions, may be performed to remove unabsorbed ginkgotoxin from the , reducing further absorption. Prevention focuses on limiting consumption of ginkgo , with recommendations to restrict intake to fewer than 5–10 cooked per day for adults and to avoid them entirely in children due to heightened sensitivity. As of , health authorities recommend limiting intake to a few per day for adults and avoiding them in children. Proper cooking methods, such as or , can significantly reduce levels of both ginkgotoxin-5'-glucoside (through and ) and free ginkgotoxin (through and ), though they do not eliminate the toxins completely. With prompt administration of , full recovery is typical, and no long-term effects are generally observed if occurs early in the course of toxicity.

Historical Context

Discovery and Research

Ginkgotoxin was first isolated in 1985 from the seeds of by Japanese researchers investigating incidents of nut , which had been reported in traditional and modern cases involving convulsions and neurological symptoms. This discovery identified the compound as the primary neurotoxin responsible for "gin-nan sitotoxism," linking overconsumption of raw or underprocessed seeds to vitamin B6 antagonism. Early studies confirmed its structural similarity to , establishing it as an antivitamin that disrupts B6-dependent enzymatic processes. Subsequent research expanded on ginkgotoxin's biochemical interactions. A seminal published in the FEBS Journal demonstrated that ginkgotoxin serves as an alternate substrate for human pyridoxal kinase, the enzyme responsible for phosphorylating forms to their active cofactor, pyridoxal 5'-phosphate; this occurs with a value of approximately 0.4 μM, explaining its neurotoxic effects through reduced synthesis. These findings underscored the dual nature of ginkgo as both therapeutic and hazardous. Recent advances have focused on detection, , and genetic underpinnings. Recent 2023 analyses have examined ginkgotoxin persistence in processed foods, such as boiled or fermented seeds, despite , highlighting the need for advanced techniques. Concurrently, genetic studies have explored biosynthetic pathways associated with production in G. biloba during seed development. Ongoing research gaps include the long-term impacts of chronic low-dose exposure, which may contribute to subtle neurological deficits without acute poisoning, and the development of high-sensitivity analytical methods to ensure product safety. These areas remain critical for regulatory and clinical translation.

Traditional Uses

In , ginkgo seeds have been employed for centuries to address respiratory and urinary conditions, including cough, , and . These applications are detailed in classical texts such as the (Compendium of Materia Medica), compiled by and published in 1596, which lists 17 therapeutic uses for the seeds, primarily targeting ailments like and bronchial issues. Preparations often involved boiling or processing the seeds to mitigate potential risks, reflecting an early recognition of their dual nature as both medicinal and hazardous. In , roasted ginkgo seeds, known as ginnan, have long been valued as a seasonal and occasional folk remedy, sometimes used to alleviate symptoms associated with . traditions emphasize moderation, with stories warning of adverse effects from excessive intake, underscoring the seeds' role in cultural cuisine alongside precautionary tales. Historical awareness of the seeds' toxicity dates to the , with reports of ginkgo seed poisoning in dating back to 1881, highlighting risks even in small quantities for vulnerable individuals. Ginkgotoxin, the primary toxin present in these traditionally used seeds, contributes to such incidents when ingestion exceeds safe limits. In contemporary settings, ginkgo's applications have shifted toward regulated supplements derived from leaf extracts, which are naturally free of ginkgotoxin and processed to ensure safety. These extracts are utilized in treatments for , showing modest improvements in cognitive function for patients with when administered at doses of 120-240 mg daily for 3-6 months.

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