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Stonefish are regarded as one of the most venomous fish in the world. Research on stonefish venom has chiefly focused on the in vitro and in vivo neurological, cardiovascular, cytotoxic and nociceptive effects of the venom. The last literature review on stonefish venom was published over a decade ago, and much has changed in the field since. In this review, we have generated a global map of the current distribution of all stonefish ( Synanceia ) species, presented a table of clinical case reports and provided up-to-date information about the development of polyspecific stonefish antivenom. We have also presented an overview of recent advancements in the biomolecular composition of stonefish venom, including the analysis of transcriptomic and proteomic data from Synanceia horrida venom gland. Moreover, this review highlights the need for further research on the composition and properties of stonefish venom, which may reveal novel molecules for drug discovery, development or other novel physiological uses.

The trigger fish Melichtys vidua, collected at Pingelap Atoll in Ponape in The Federated States of Micronesia, contained a potent toxin in the viscera, flesh, and digestive tracts with contents. The toxic principle appeared identical to palytoxin on the basis of toxicity and chromatographic properties.

The liver of the parrotfish Ypsiscarus ovifrons sometimes causes severe muscle pain, paralysis and dyspnea when ingested by humans. Individual livers, ovaries and digestive tracts and their contents were examined for lethal potency in mice. They were all toxic, except for livers obtained from April to June. Lethal potency ranged from 0.25 to 5.0 MU/g tissue. Livers were extracted with acidic aqueous ethanol and the extracts purified by charcoal treatment, gel filtration and partition and reversed phase column chromatography. Both the crude and partially purified toxin showed chemical and/or pharmacological properties different from those of tetrodotoxin or paralytic shellfish poisons.

A simplified and rapid enzyme immunoassay stick test is presented in this study. The salient feature of this test is the use of a coating (Liquid Paper) on the stick to adsorb the lipid ciguatoxin and its related polyether toxins onto the stick. This rapid solid phase stick test has been able to differentiate clinically implicated fishes (14 samples) from non-toxic (60 samples) with P less than 0.005. Comparison of the stick test with the enzyme immunoassay procedure with the positive fish samples demonstrated a good correlation. All samples were positive by both procedures. Further comparison of the stick test, enzyme immunoassay and the mouse bioassay with unknown fish samples showed good relationships between the three procedures. Examination of 71 Seriola dumerili, a fish generally implicated in ciguatera poisoning, with the stick test procedure showed that 89% of the fishes were non-toxic and thus consumed without any incidence of ciguatera poisoning. Analysis of graded concentrations of ciguatoxin, in ng/ml of methanol, showed a typical immunological precipitation pattern. The stick test as conceived is simple and rapid, while retaining its sensitivity and specificity to detect ng levels of ciguatoxin and its related polyether toxins. It is suggested that the stick test will be valuable in the screening of ciguatoxin and related polyether toxins in contaminated fish tissues.