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<journal-id journal-id-type="publisher-id">Front. Microbiol.</journal-id>
<journal-title>Frontiers in Microbiology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Microbiol.</abbrev-journal-title>
<issn pub-type="epub">1664-302X</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fmicb.2017.02541</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Microbiology</subject>
<subj-group>
<subject>Review</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Edible Cyanobacterial Genus <italic>Arthrospira</italic>: Actual State of the Art in Cultivation Methods, Genetics, and Application in Medicine</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>Furmaniak</surname> <given-names>Magda A.</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="author-notes" rid="fn003"><sup>&#x02020;</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/455277/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Misztak</surname> <given-names>Agnieszka E.</given-names></name>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<xref ref-type="author-notes" rid="fn003"><sup>&#x02020;</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/454920/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Franczuk</surname> <given-names>Martyna D.</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="author-notes" rid="fn003"><sup>&#x02020;</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/454980/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Wilmotte</surname> <given-names>Annick</given-names></name>
<xref ref-type="aff" rid="aff3"><sup>3</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/202516/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Waleron</surname> <given-names>Ma&#x00142;gorzata</given-names></name>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name><surname>Waleron</surname> <given-names>Krzysztof F.</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="author-notes" rid="fn001"><sup>&#x0002A;</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/454992/overview"/>
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<aff id="aff1"><sup>1</sup><institution>Chair and Department of Pharmaceutical Microbiology, Medical University of Gda&#x00144;sk</institution>, <addr-line>Gda&#x00144;sk</addr-line>, <country>Poland</country></aff>
<aff id="aff2"><sup>2</sup><institution>Department of Biotechnology, Intercollegiate Faculty of Biotechnology of University of Gda&#x00144;sk and Medical University of Gda&#x00144;sk</institution>, <addr-line>Gda&#x00144;sk</addr-line>, <country>Poland</country></aff>
<aff id="aff3"><sup>3</sup><institution>InBios-Centre for Protein Engineering, Department of Life Sciences, University of Li&#x000E8;ge</institution>, <addr-line>Li&#x000E8;ge</addr-line>, <country>Belgium</country></aff>
<author-notes>
<fn fn-type="edited-by"><p>Edited by: T&#x000E9;lesphore Sime-Ngando, Centre National de la Recherche Scientifique (CNRS), France</p></fn>
<fn fn-type="edited-by"><p>Reviewed by: Dmitry A. Los, Timiryazev Institute of Plant Physiology (RAS), Russia; Pawan K. Dadheech, Central University of Rajasthan, India</p></fn>
<fn fn-type="corresp" id="fn001"><p>&#x0002A;Correspondence: Krzysztof F. Waleron <email>krzysztof.waleron&#x00040;gumed.edu.pl</email></p></fn>
<fn fn-type="other" id="fn002"><p>This article was submitted to Aquatic Microbiology, a section of the journal Frontiers in Microbiology</p></fn>
<fn fn-type="other" id="fn003"><p>&#x02020;These authors have contributed equally to this work.</p></fn></author-notes>
<pub-date pub-type="epub">
<day>18</day>
<month>12</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="collection">
<year>2017</year>
</pub-date>
<volume>8</volume>
<elocation-id>2541</elocation-id>
<history>
<date date-type="received">
<day>28</day>
<month>07</month>
<year>2017</year>
</date>
<date date-type="accepted">
<day>06</day>
<month>12</month>
<year>2017</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#x000A9; 2017 Furmaniak, Misztak, Franczuk, Wilmotte, Waleron and Waleron.</copyright-statement>
<copyright-year>2017</copyright-year>
<copyright-holder>Furmaniak, Misztak, Franczuk, Wilmotte, Waleron and Waleron</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/"><p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p></license>
</permissions>
<abstract>
<p>The cyanobacterial genus <italic>Arthrospira</italic> appears very conserved and has been divided into five main genetic clusters on the basis of molecular taxonomy markers. Genetic studies of seven <italic>Arthrospira</italic> strains, including genome sequencing, have enabled a better understanding of those photosynthetic prokaryotes. Even though genetic manipulations have not yet been performed with success, many genomic and proteomic features such as stress adaptation, nitrogen fixation, or biofuel production have been characterized. Many of above-mentioned studies aimed to optimize the cultivation conditions. Factors like the light intensity and quality, the nitrogen source, or different modes of growth (auto-, hetero-, or mixotrophic) have been studied in detail. The scaling-up of the biomass production using photobioreactors, either closed or open, was also investigated to increase the production of useful compounds. The richness of nutrients contained in the genus <italic>Arthrospira</italic> can be used for promising applications in the biomedical domain. Ingredients such as the calcium spirulan, immulina, C-phycocyanin, and &#x003B3;-linolenic acid (GLA) show a strong biological activity. Recently, its use in the fight against cancer cells was documented in many publications. The health-promoting action of &#x0201C;Spirulina&#x0201D; has been demonstrated in the case of cardiovascular diseases and age-related conditions. Some compounds also have potent immunomodulatory properties, promoting the growth of beneficial gut microflora, acting as antimicrobial and antiviral. Products derived from <italic>Arthrospira</italic> were shown to successfully replace biomaterial scaffolds in regenerative medicine. Supplementation with the cyanobacterium also improves the health of livestock and quality of the products of animal origin. They were also used in cosmetic preparations.</p>
</abstract>
<kwd-group>
<kwd><italic>Arthrospira</italic></kwd>
<kwd>Spirulina</kwd>
<kwd>genetics</kwd>
<kwd>biotechnology</kwd>
<kwd>medical application</kwd>
<kwd>cyanobacteria</kwd>
</kwd-group>
<counts>
<fig-count count="2"/>
<table-count count="2"/>
<equation-count count="0"/>
<ref-count count="222"/>
<page-count count="21"/>
<word-count count="18284"/>
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</front>
<body>
<sec id="s1">
<title>Background</title>
<p><italic>Arthrospira</italic> is an extremophilic pioneer organism with optimal growth temperatures around 35&#x000B0;C. Therefore, it is most abundant in tropical and subtropical regions. Ancient civilizations like the Aztecs were first to recognize the nutritional value of these organisms. Inhabitants of Europe came into contact with <italic>Arthrospira</italic> during the colonization of America in the sixteenth century, hence the first references made at that time (Ciferri, <xref ref-type="bibr" rid="B26">1983</xref>). Nowadays, it is still harvested, dried, and consumed by the Kanembu tribe in Chad (Africa) and called &#x0201C;dih&#x000E9;.&#x0201D; Scientific interest in <italic>Arthrospira</italic> species was boosted after the first chemical analyses of biomass from dih&#x000E9; in late 1960&#x00027;s (Ciferri, <xref ref-type="bibr" rid="B26">1983</xref>). Subsequently, it started to be extensively studied due to its nutritional properties.</p>
<p><italic>Arthrospira</italic> is a genus of the cyanobacterial phylum. This multicellular organism is characterized by open helical trichomes that give it a typical morphology and it has a recognized biotechnological potential (Figure <xref ref-type="fig" rid="F1">1</xref>). The oldest reference for the consumption of <italic>Arthrospira</italic> dates back from the sixteenth century, but its use could even be more ancient (Miklaszewska et al., <xref ref-type="bibr" rid="B129">2008b</xref>). Since the genus was rediscovered in Chad and Mexico in the 1950&#x00027;s, the interest for <italic>Arthrospira</italic> applications has grown and diversified from nutrition to health, and biotechnology. However, until now, genetic engineering has turned out to be impossible due to the lack of proper technology. Fortunately, recent technological advances in the sequencing of entire genomes and genetic studies have shed a new light on its basic molecular biology as well as cyanobacterial genetics.</p>
<fig id="F1" position="float">
<label>Figure 1</label>
<caption><p>Light microscopy of <italic>Arthrospira</italic> filaments from natural environment (magnification 200x).</p></caption>
<graphic xlink:href="fmicb-08-02541-g0001.tif"/>
</fig>
<p>One of the most promising projects including <italic>Arthrospira</italic> is the Micro-Ecological Life Support System Alternative (MELiSSA) that aims to create an artificial ecosystem to recycle waste and oxygen for long-duration space expeditions (G&#x000F2;dia et al., <xref ref-type="bibr" rid="B61">2002</xref>). This multinational project consists of four compartments utilizing microbial consortia (compartment 1) or defined microorganisms (compartments 2&#x02013;4). The four compartments form a closed loop that is fed by the wastes from the human crew and vegetable left-overs to recycle them. The effluent from one compartment becomes the influent of the next one. The last compartment is responsible for the removal of CO<sub>2</sub> from atmosphere, water recycling, and production of food and oxygen. It includes both higher plants and the <italic>Arthrospira</italic> strain PCC8005 (Hendrickx et al., <xref ref-type="bibr" rid="B70">2006</xref>; Badri et al., <xref ref-type="bibr" rid="B6">2015</xref>).</p>
<p>The last comprehensive overview dedicated to <italic>Arthrospira</italic> was published in 1997 (Vonshak). As a result of the scientific interest in this taxon, a large amount of data has been generated (Figure <xref ref-type="fig" rid="F2">2</xref>). Here, we summarize the information crucial for the understanding of the modern biology and perspectives concerning this genus.</p>
<fig id="F2" position="float">
<label>Figure 2</label>
<caption><p>Increasing number of publications in the topic of <italic>Arthrospira</italic> (Spirulina) between 1996 and October 2017. The histogram illustrates the number of hits for <italic>Arthrospira</italic> (Spirulina) using Web of Science (<ext-link ext-link-type="uri" xlink:href="https://apps.webofknowledge.com">https://apps.webofknowledge.com</ext-link>) platform using respective keywords: TOPIC: (Arthrospira) <italic>AND</italic> TOPIC: (Spirulina platensis); Timpespan: All years.</p></caption>
<graphic xlink:href="fmicb-08-02541-g0002.tif"/>
</fig>
</sec>
<sec id="s2">
<title>Genetics</title>
<p>The DNA content of the dry biomass of <italic>Arthrospira</italic> varies from 0.6 to 1%, which is similar to other unicellular cyanobacteria, but significantly lower than other bacteria or yeast (4&#x02013;10%). The guanidine plus cytosine content is in the range 44&#x02013;45 mol%. The average size of the <italic>Arthrospira</italic> genomes is 6.1 Mbp (Ciferri, <xref ref-type="bibr" rid="B26">1983</xref>; Fujisawa et al., <xref ref-type="bibr" rid="B54">2010</xref>; Cheevadhanarak et al., <xref ref-type="bibr" rid="B17">2012</xref>; Lefort et al., <xref ref-type="bibr" rid="B103">2014</xref>). In addition, the biomass of <italic>Arthrospira</italic> is rich in substances such as polysaccharides and polyphenols that are very difficult to remove during the DNA isolation process (De Philippis and Vincenzini, <xref ref-type="bibr" rid="B39">1998</xref>; Morin et al., <xref ref-type="bibr" rid="B133">2010</xref>). Apart from the low content of nucleic acids in its dry biomass, <italic>Arthrospira</italic> genomes seem to lack non-chromosomal DNA. The last report concerning the isolation of plasmid from <italic>Arthrospira</italic> was published in 1993 (Song et al., <xref ref-type="bibr" rid="B187">1993</xref>), and has not been reproduced. These missing plasmids would have been indispensable tools for gene manipulation.</p>
<sec>
<title>Phylogenetics</title>
<p>The commercial name of <italic>Arthrospira</italic> products&#x02014;&#x0201C;Spirulina&#x0201D;&#x02014;causes a constant confusion. In 1932, Geitler has merged the genera <italic>Arthrospira</italic> and <italic>Spirulina</italic> (Geitler, <xref ref-type="bibr" rid="B58">1932</xref>). The new name was <italic>Spirulina</italic> because this genus had been described by Turpin a few years before Stizenberger described <italic>Arthrospira</italic> (Vonshak, <xref ref-type="bibr" rid="B206">1997</xref>). Research carried out in the last two decades showed that at ultrastructure and genetic (percentage of G&#x0002B;C, 16S rRNA gene sequence) level, <italic>Arthrospira</italic> and <italic>Spirulina</italic> were very distinct organisms (Herdman et al., <xref ref-type="bibr" rid="B71">1979</xref>; Guglielmi et al., <xref ref-type="bibr" rid="B63">1993</xref>; Nelissen et al., <xref ref-type="bibr" rid="B139">1994</xref>). Chemotaxonomically, those two genera were also shown to be different, as the <italic>Arthrospira</italic> fatty acids profile included &#x003B3;-linolenic acid (GLA), that is absent in <italic>Spirulina</italic> (Cohen and Vonshak, <xref ref-type="bibr" rid="B27">1991</xref>). A phylogenetic study based on the <italic>cpcA-cpcB</italic> locus revealed that the closest relative of the <italic>Arthrospira</italic> genus is <italic>Planktothrix</italic> and that it is not related with <italic>Spirulina</italic> (Manen and Falquet, <xref ref-type="bibr" rid="B113">2002</xref>). The study by Shih et al. (<xref ref-type="bibr" rid="B182">2013</xref>) presents an analysis of 74 publicly available and 54 newly sequenced cyanobacterial genomes, including 4 belonging to <italic>Arthrospira</italic>. The strains used in this study were diverse at the phylogenetic and phenotypical level. According to Shih et al. (<xref ref-type="bibr" rid="B182">2013</xref>), <italic>Lyngbya</italic> was the closest relative of <italic>Arthrospira</italic> based on 16S rRNA sequence, however, the <italic>Planktothrix</italic> genus was not included in this database.</p>
<p>The <italic>Arthrospira</italic> strains show high morphological similarities but also genetic homogeneity. This complicates their taxonomy, that is the subject of a few publications (Desikachary and Jeeji Bai, <xref ref-type="bibr" rid="B43">1992</xref>; Kom&#x000E1;rek and Anagnostidis, <xref ref-type="bibr" rid="B93">2005</xref>). At the morphological level, scientists have observed spontaneous changes from a spiral to a straight morphology in <italic>Arthrospira</italic> trichomes, dependent on cultivation conditions (Desikachary and Jeeji Bai, <xref ref-type="bibr" rid="B44">1996</xref>; Tomaselli, <xref ref-type="bibr" rid="B195">1997</xref>; Muhling et al., <xref ref-type="bibr" rid="B134">2005</xref>; Wang and Zhao, <xref ref-type="bibr" rid="B214">2005</xref>).</p>
<p>The ITS (Internally Transcribed Sequence) is a non-functional spacer situated between structural rRNA genes in the precursor transcript, and is subjected to less conservation pressures than the structural genes. It is used in molecular taxonomy to distinguish different species (Taton et al., <xref ref-type="bibr" rid="B194">2003</xref>). The ITS sequences show large variations in length and sequence between species, and they are easier to amplify because the rRNA operons are present in several copies. Based on ITS sequences and ARDRA fingerprinting analysis, 54 strains of the <italic>Arthrospira</italic> genus from four continents have been divided into five clusters grouped in two main genetic variants: IA, IB, IIA, IIB, IIA/IIB (Scheldeman et al., <xref ref-type="bibr" rid="B179">1999</xref>; Baurain et al., <xref ref-type="bibr" rid="B9">2002</xref>) and to which the new genetic variant III was later added (Comte et al., <xref ref-type="bibr" rid="B28">2013</xref>). A study conducted by Manen and Falquet (<xref ref-type="bibr" rid="B113">2002</xref>) on the <italic>cpcBA</italic> locus reaffirmed that <italic>Arthrospira</italic> genus consists of three genetically clustered lineages. However, there was little overlap between the studied strains and the congruence between lineages observed on the basis of the different markers could not be assessed.</p>
<p>The usefulness of the <italic>cpc</italic>BA-IGS locus and ITS in <italic>Arthrospira</italic> phylogeny was presented by Dadheech et al. (<xref ref-type="bibr" rid="B32">2010</xref>). Thirty-three <italic>Arthrospira</italic> strains collected from North America, Africa and India were analyzed in comparison to 53 known <italic>Arthrospira</italic> strains using morphological traits and molecular phylogeny. Phylogenetic trees obtained in this study, one based on <italic>cpc</italic>BA-IGS and the second on the ITS region, were divided into two clusters&#x02014;cluster I and cluster II, which is congruent with findings of Baurain et al. (<xref ref-type="bibr" rid="B9">2002</xref>) and Manen and Falquet (<xref ref-type="bibr" rid="B113">2002</xref>). Interestingly, the phylogenetic cluster division was related to <italic>Arthospira</italic> strains&#x00027; origin. Strains in cluster I were mainly collected from Mexico, USA, or Peru, whereas in cluster II, they were collected from China, India, Kenya, or Chad, suggesting different evolutionary tracks of the two clusters.</p>
</sec>
<sec>
<title>Transformation</title>
<p>The first attempt to build an <italic>Arthrospira</italic> DNA library was made by Kawata et al. (<xref ref-type="bibr" rid="B86">1998</xref>), with a method based on sonication, usage of TaqDNA polymerase, and ligation with a TA vector (Kawata et al., <xref ref-type="bibr" rid="B86">1998</xref>). Further studies tested transformation methods based on electroporation. The method proposed by Kawata et al. suggested the use of a few elements (1) electroporation procedure, (2) elements of transposition system: natural Tn5 transposon and transposase, (3) cation liposome complexes, (4) and finally the <italic>cat</italic> reporter gene with chloramphenicol acetyltransferase (Toyomizu et al., <xref ref-type="bibr" rid="B198">2001a</xref>; Kawata et al., <xref ref-type="bibr" rid="B87">2004</xref>). However, this protocol was not reproduced. Recent study of Jeamton et al. (<xref ref-type="bibr" rid="B79">2017</xref>), resulted in an efficient and stable transformation of <italic>Arthrospira platenis</italic> C1. This protocol was also based on electroporation, but its novelty was the use of a type I restriction-modification systems inhibitor and liposomes to protect the DNA.</p>
</sec>
<sec>
<title>DNA libraries, mutagenesis, and restriction-modification systems</title>
<p>Since 1981, various <italic>Arthrospira</italic> mutagenesis studies have been performed, mainly by Riccardi et al. NGT (nitrosoguanidine) was used as mutagenic agent, and resulted in <italic>A. platensis</italic> mutants resistant to: 5-fluorotryptophan, &#x003B2;-2-thienylalanine, ethionine, p-fluorophenylalanine, or azetidine-2-carboxylic acid (Riccardi et al., <xref ref-type="bibr" rid="B164">1981</xref>, <xref ref-type="bibr" rid="B165">1982</xref>). These mutants have been divided into two groups: mutants resistant to more than one analog, and mutants resistant to only one analog, both overproducing the corresponding amino acid. Researchers&#x00027; attention focused on proline overproducing mutants, belonging to the second group. Some studies suggested that proline may be responsible for osmoregulation in blue-green algae (Gilles and Gilles-Baillien, <xref ref-type="bibr" rid="B60">1985</xref>; Singh et al., <xref ref-type="bibr" rid="B185">1996</xref>). Growth tests showed that, while control cultures&#x00027; growth decreased with increasing NaCl concentration, proline-overproducing mutants&#x00027; growth remained constant. Singh et al. (<xref ref-type="bibr" rid="B185">1996</xref>) revealed that a mutant strain of <italic>Nostoc muscorum</italic> with proline overaccumulation presented enhanced salinity tolerance. This suggests that simple genetic approaches, like point mutations, could be a solution for culture growth problems (Vonshak, <xref ref-type="bibr" rid="B206">1997</xref>).</p>
<p>In 2008, via UV mutagenesis, Choi et al. obtained a mutant strain of <italic>A. platensis</italic> PCC 9108 that was able to grow mixotrophically in a SOT medium with glucose addition. The study revealed that the mutant biomass growth was significantly higher than a wild-type <italic>Arthrospira</italic>. Furthermore, the &#x003B3;-linolenic acid (GLA) content (increasing with a higher dose of glucose in the medium) was two-fold higher in autotrophic culture and three-fold higher in mixotrophic one in comparison to the wild type. This suggests that the mutant strain possesses the ability to easier assimilate and metabolize glucose and presents an increased production of GLA (Choi et al., <xref ref-type="bibr" rid="B24">2008</xref>).</p>
<p>Genetic studies have revealed the activity of restriction-modification (RM) systems in filamentous cyanobacteria (Zhao et al., <xref ref-type="bibr" rid="B222">2006</xref>). Those bacterial systems protect cells from exogenous DNA. They consist of two enzymes: a restriction endonuclease, cutting the DNA at a specific site, and a methyltransferase, adding a methyl group to cytosine or adenine in the autochtonous DNA strand, preventing it from being cut. Restriction-modification systems are important in genetic studies, molecular cloning and are a perfect model for examining DNA-protein interactions (Wilson, <xref ref-type="bibr" rid="B215">1991</xref>; Pingoud and Jeltsch, <xref ref-type="bibr" rid="B152">2001</xref>; Waleron et al., <xref ref-type="bibr" rid="B210">2006</xref>). In the study of Zhao et al. (<xref ref-type="bibr" rid="B222">2006</xref>), <italic>Synechocystis, Synechococcus Prochlorococcus, Anabaena, Nostoc, Spirulina</italic>, and <italic>Trichodesmium</italic> strains were examined <italic>in silico</italic>, using the RM gene set obtained from CyanoBase. The (BLAST)P and TBLASTN tools were used to obtain 30 putative RM genes, mostly type I RM systems. Additionally, gene expression profiles for &#x0201C;<italic>Spirulina&#x0201D;</italic> methyltransferases were characterized by the RT-PCR method (Zhao et al., <xref ref-type="bibr" rid="B222">2006</xref>).</p>
<p>A recent study of Shiraishi and Tabuse (<xref ref-type="bibr" rid="B184">2013</xref>) revealed the presence of a new RM system in the <italic>A. platensis</italic> NIES-39 genome, named AplI. The NIES39_K04640 gene, a putative type II restriction enzyme, showed an endonuclease activity specific at the 5&#x02032;-CTGCAG-3&#x02032; sequence.</p>
</sec>
<sec>
<title>Genome studies</title>
<p>Hitherto seven <italic>Arthrospira</italic> genomes have been fully sequenced: <italic>Arthrospira</italic> sp. PCC8005, <italic>A. platensis</italic> NIES-39, <italic>A. platensis</italic> C1, <italic>A. maxima</italic> CS-328, <italic>A. platensis</italic> Paraca P0 (WGS), <italic>A. platensis</italic> YZ, and <italic>Arthrospira</italic> sp. TJSD091 (Fujisawa et al., <xref ref-type="bibr" rid="B54">2010</xref>; Janssen et al., <xref ref-type="bibr" rid="B77">2010</xref>; Carrieri et al., <xref ref-type="bibr" rid="B14">2011</xref>; Cheevadhanarak et al., <xref ref-type="bibr" rid="B17">2012</xref>; Lefort et al., <xref ref-type="bibr" rid="B103">2014</xref>; Dong et al., <xref ref-type="bibr" rid="B45">2015</xref>) (Table <xref ref-type="table" rid="T1">1</xref>). According to the statistical comparisons (Cheevadhanarak et al., <xref ref-type="bibr" rid="B17">2012</xref>), genome sizes of the <italic>Arthrospira</italic> strains range from 4.9 Mbp (<italic>A. platensis</italic> Paraca P0) to 6.8 Mbp (<italic>A. platensis</italic> NIES-39). The genome is organized as a single, circular chromosome and cells contain no known plasmid DNA. The total gene numbers vary from 5,401 to 6,676, and the percentage of protein-coding genes reaches up to 99% (Fujisawa et al., <xref ref-type="bibr" rid="B54">2010</xref>; Janssen et al., <xref ref-type="bibr" rid="B77">2010</xref>; Carrieri et al., <xref ref-type="bibr" rid="B14">2011</xref>; Cheevadhanarak et al., <xref ref-type="bibr" rid="B17">2012</xref>; Lefort et al., <xref ref-type="bibr" rid="B103">2014</xref>; Dong et al., <xref ref-type="bibr" rid="B45">2015</xref>).</p>
<table-wrap position="float" id="T1">
<label>Table 1</label>
<caption><p>Summary of statistics of available on NCBI <italic>Arthrospira</italic> genomes data.</p></caption>
<table frame="hsides" rules="groups">
<thead><tr>
<th valign="top" align="left"><bold>Strain</bold></th>
<th valign="top" align="center"><bold><italic>Arthrospira maxima</italic> CS-328</bold></th>
<th valign="top" align="center"><bold><italic>Arthrospira platensis</italic> C1</bold></th>
<th valign="top" align="center"><bold><italic>Arthrospira platensis</italic> NIES-39</bold></th>
<th valign="top" align="center"><bold><italic>Arthrospira platensis</italic> str. Paraca</bold></th>
<th valign="top" align="center"><bold><italic>Arthrospira platensis</italic> YZ</bold></th>
<th valign="top" align="center"><bold><italic>Arthrospira</italic> sp. PCC8005</bold></th>
<th valign="top" align="center"><bold><italic>Arthrospira</italic> sp. TJSD091</bold></th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">Number of scaffolds</td>
<td valign="top" align="center">129</td>
<td valign="top" align="center">1</td>
<td valign="top" align="center">1</td>
<td valign="top" align="center">268</td>
<td valign="top" align="center">1</td>
<td valign="top" align="center">1</td>
<td valign="top" align="center">359</td>
</tr>
<tr>
<td valign="top" align="left">Number of contigs</td>
<td valign="top" align="center">129</td>
<td valign="top" align="center">63</td>
<td valign="top" align="center">18</td>
<td valign="top" align="center">208</td>
<td valign="top" align="center">10</td>
<td valign="top" align="center">6</td>
<td valign="top" align="center">296</td>
</tr>
<tr>
<td valign="top" align="left">Largest contig</td>
<td valign="top" align="center">324197</td>
<td valign="top" align="center">799912</td>
<td valign="top" align="center">870292</td>
<td valign="top" align="center">297520</td>
<td valign="top" align="center">2167980</td>
<td valign="top" align="center">2117149</td>
<td valign="top" align="center">164291</td>
</tr>
<tr>
<td valign="top" align="left">Total length</td>
<td valign="top" align="center">6003314</td>
<td valign="top" align="center">6089210</td>
<td valign="top" align="center">6788435</td>
<td valign="top" align="center">6501886</td>
<td valign="top" align="center">6520772</td>
<td valign="top" align="center">6228153</td>
<td valign="top" align="center">5978827</td>
</tr>
<tr>
<td valign="top" align="left">GC (%)</td>
<td valign="top" align="center">44.76</td>
<td valign="top" align="center">44.68</td>
<td valign="top" align="center">44.27</td>
<td valign="top" align="center">44.3</td>
<td valign="top" align="center">44.19</td>
<td valign="top" align="center">44.73</td>
<td valign="top" align="center">44.75</td>
</tr>
<tr>
<td valign="top" align="left">N50</td>
<td valign="top" align="center">92573</td>
<td valign="top" align="center">206210</td>
<td valign="top" align="center">619347</td>
<td valign="top" align="center">72660</td>
<td valign="top" align="center">1054592</td>
<td valign="top" align="center">1412831</td>
<td valign="top" align="center">50394</td>
</tr>
<tr>
<td valign="top" align="left">ITS cluster (after Baurain et al., <xref ref-type="bibr" rid="B9">2002</xref>)</td>
<td valign="top" align="center">I.A</td>
<td valign="top" align="center">I.A</td>
<td valign="top" align="center">II.A</td>
<td valign="top" align="center">II.A</td>
<td valign="top" align="center">II.A</td>
<td valign="top" align="center">I.B</td>
<td valign="top" align="center">I.A</td>
</tr>
<tr>
<td valign="top" align="left">Sequencing method</td>
<td valign="top" align="center">n.a.</td>
<td valign="top" align="center">Sanger/454 GS FLX Titanium</td>
<td valign="top" align="center">ABI 3730</td>
<td valign="top" align="center">Illumina HiSeq</td>
<td valign="top" align="center">ABI 3730/Illumina GAIIx</td>
<td valign="top" align="center">n.a.</td>
<td valign="top" align="center">Illumina HiSeq</td>
</tr>
<tr>
<td valign="top" align="left">coverage</td>
<td valign="top" align="center">n.a.</td>
<td valign="top" align="center">28x</td>
<td valign="top" align="center">11x</td>
<td valign="top" align="center">36x</td>
<td valign="top" align="center">86x</td>
<td valign="top" align="center">n.a.</td>
<td valign="top" align="center">130x</td>
</tr>
</tbody>
</table>
</table-wrap>
<p>All genomes contain highly interspersed repetitive sequences (reaching up to 9% of the genomes), including group II introns, phage-like sequences, insertion elements and, on average, six to 13 CRISPRs (Clustered Regularly Interspaced Short Palindromic Repeats). Together with RM systems, they compose a cellular defense system, which is a major barrier in the transformation of cyanobacterial cells (Fujisawa et al., <xref ref-type="bibr" rid="B54">2010</xref>; Janssen et al., <xref ref-type="bibr" rid="B77">2010</xref>; Cheevadhanarak et al., <xref ref-type="bibr" rid="B17">2012</xref>; Lefort et al., <xref ref-type="bibr" rid="B103">2014</xref>).</p>
</sec>
<sec>
<title>Phages</title>
<p>Little is known about <italic>Arthrospira</italic> cyanophages. The first report about a virus infecting <italic>A. platensis</italic> was published by Jacquet and collaborators in 2013. The discovered phage was isolated from commercial culture ponds located in the South of France. On the basis of molecular and morphological characteristics, it was thought to be a member of the cyanopodovirus group, but finally, it appeared to be a very narrow host specific virus (Jacquet et al., <xref ref-type="bibr" rid="B76">2013</xref>). Kaggwa et al. (<xref ref-type="bibr" rid="B84">2013</xref>) and Peduzzi et al. (<xref ref-type="bibr" rid="B149">2014</xref>) noticed morphological changes in <italic>Arthrospira fusiformis</italic> from African saline lakes connected with cyanophage infections. Infected cells formed long, narrow coiled filaments. Lysis and sudden breakdown in <italic>A. fusiformis</italic> biomass, which is a main food supply for flamingos, may cause a periodical decrease in their populations in African lakes (Peduzzi et al., <xref ref-type="bibr" rid="B149">2014</xref>).</p>
</sec>
<sec>
<title>Gas vesicles</title>
<p>In various aquatic prokaryotes, including <italic>Arthrospira</italic>, gas vacuoles are present and provide buoyancy to the cells. In the <italic>Arthrospira</italic> genus, gas vesicle clusters are dispersed throughout the cells, although their occurrence is dependent on culture conditions and may be lost as a result of mutations (Castenholz et al., <xref ref-type="bibr" rid="B15">2001</xref>). Walsby (<xref ref-type="bibr" rid="B211">1994</xref>) revealed that there are two main gas vesicle proteins, GvpA, the small rib protein, and GvpC, the large outer surface protein. The most characteristic feature of GvpC protein is the presence of a highly conserved motif of 33 amino acid residues, forming tandem repeats. Miklaszewska et al. (<xref ref-type="bibr" rid="B130">2012</xref>) have proposed the following structure for the <italic>gvp</italic> operon: <italic>gvpA1-gvpC1-gvpA2-gvpC2-gvpA3-gvpC3-gvpN</italic>, which was identical in five analyzed <italic>Arthrospira</italic> strains. Although the operon could not be assembled during genome analysis, its structure could be determined by gene cloning. Additionally, the comparison of the <italic>gvp</italic> genes sequence between five <italic>Arthrospira</italic> strains (PCC 8005, PCC 7345, PCC 9108, PCC 9444, Moz 2.1) revealed the presence of polymorphic positions characteristic for different genetic clusters (I and II).</p>
</sec>
<sec>
<title>Stress adaptation</title>
<p>Members of the <italic>Arthrospira</italic> genus are known from their resistance to different environmental conditions: high temperature, alkaline pH, high salt concentration. Genome studies revealed potential genes responsible for the adaptation capacity of <italic>Arthrospira</italic>. Nap-A type Na&#x0002B;/H&#x0002B; antiporters of the membrane transporter family are known to be involved in salt tolerance at alkaline pH in several cyanobacterial species. Accumulation of bicarbonate in the cytoplasm additionally influences photosynthesis in high pH conditions. Homologs of these antiporters have been found in all <italic>Arthrospira</italic> genomes. <italic>A. platensis</italic> NIES-39 genome possesses seven genes encoding putative Na&#x0002B;/H&#x0002B; antiporters, as well as two sets of genes for CO<sub>2</sub> uptake (NDH-1) (Furrer et al., <xref ref-type="bibr" rid="B55">2007</xref>; Fujisawa et al., <xref ref-type="bibr" rid="B54">2010</xref>).</p>
<p>Another strategy for the tolerance to high salinity, in addition to ion transport, is the accumulation of compatible solutes in cyanobacterial cells. Compatible solutes are organic, highly water soluble compounds, that counterbalance the osmotic potential and maintain the cellular turgor. Those molecules also exhibit protective effects toward some sensitive macromolecules, what enhances their role in salinity stress tolerance. The genes responsible for the biosynthesis of three compatible solutes (trehalose, glucosylglycerol, glucosylglycerate) were detected by Hagemann, <xref ref-type="bibr" rid="B65">2010</xref>, <xref ref-type="bibr" rid="B66">2013</xref>) in four <italic>Arthrospira</italic> genomes (<italic>Arthrospira maxima</italic> CS-328, <italic>Arthrospira sp</italic>. PCC8005, <italic>A. platensis</italic> NIES-39, <italic>A. platensis</italic> Paraca P0). In <italic>A. platensis</italic> NIES-39 and <italic>Arthrospira</italic> sp. PCC8005, the trehalose biosynthesis pathway seems incomplete (Hagemann, <xref ref-type="bibr" rid="B65">2010</xref>, <xref ref-type="bibr" rid="B66">2013</xref>).</p>
</sec>
<sec>
<title>Nitrogen fixing and hydrogen production</title>
<p><italic>Arthrospira</italic> was originally described as a non-nitrogen fixing species, however, some genes responsible for heterocyst maturation (<italic>patU, hetR, hetF</italic>) and nitrogen fixation are conserved in all <italic>Arthrospira</italic> genomes. This fact suggests that heterocyst and trichome formation might be coupled (Fujisawa et al., <xref ref-type="bibr" rid="B54">2010</xref>).</p>
<p>Analysis of <italic>A. platensis</italic> NIES-39 and <italic>Arthrospira</italic> sp. PCC8005 genomes revealed the presence of hydrogenase genes (<italic>hox</italic> and <italic>hyp</italic> loci). This suggests that <italic>Arthrospira</italic> is a potential organism for clean energy production (Fujisawa et al., <xref ref-type="bibr" rid="B54">2010</xref>; Janssen et al., <xref ref-type="bibr" rid="B77">2010</xref>). Indeed, <italic>Arthrospira</italic> strains are now being tested for hydrogen production (Juantorena et al., <xref ref-type="bibr" rid="B82">2007</xref>; Raksajit et al., <xref ref-type="bibr" rid="B159">2012</xref>).</p>
<p>Carrieri et al. (<xref ref-type="bibr" rid="B14">2011</xref>) have shown an increased autofermentation of the carbohydrates (glycogen and sugars) produced by the photosynthetic pathway under dark, anoxic conditions in <italic>A. maxima</italic> CS-328. By replacing potassium with sodium in cultivation buffers, these authors obtained high (67% higher than in normal conditions) yields of hydrogen, acetate, and ethanol. Removal and blocking of a sodium ion gradient resulted in increased catabolism of intracellular carbohydrates by <italic>Arthrospira</italic> cells. Additionally, genome sequencing studies revealed the presence of e.g., homologs of P-type ATPase that extrude sodium at the expense of ATP hydrolysis; genes homologous to <italic>bicA</italic> that encode sodium-bicarbonate symport protein; genes encoding a Mrp complex that play a role in extruding sodium under anoxic conditions (Carrieri et al., <xref ref-type="bibr" rid="B14">2011</xref>).</p>
</sec>
<sec>
<title>Toxin production</title>
<p>Genome analyses of <italic>A. platensis</italic> C1 and <italic>A. platensis</italic> NIES-39 also revealed the absence of genes responsible for the biosynthesis of toxins: non-ribosomal peptide toxins, polyketide toxins, urea-derived toxin and others, what makes the <italic>Arthrospira</italic> genus safe for biomass and food production. However, genomic studies showed the presence of genes encoding proteins containing an RTX-motif, that is characteristic for hemolysins (Fujisawa et al., <xref ref-type="bibr" rid="B54">2010</xref>; Cheevadhanarak et al., <xref ref-type="bibr" rid="B17">2012</xref>), though toxicity analysis proved that <italic>Arthrospira</italic> is safe to consume (FDA, <xref ref-type="bibr" rid="B51">2002</xref>). RTX-motif proteins are also thought to play a role in plant nodulation and cyanobacteria motility, which may explain their presence in <italic>Arthrospira</italic> genomes (Hoiczyk and Baumeister, <xref ref-type="bibr" rid="B73">1997</xref>; Linhartov&#x000E1; et al., <xref ref-type="bibr" rid="B109">2010</xref>).</p>
<p>The first cyanobactin cluster described in the cyanobacterial phylum was the patellamide group of bactins. Cyanobactin gene cluster consists of at least few elements: a precursor peptide gene and two short conserved hypothetical proteins named by similarity to the canonical patellamide cluster (Donia and Schmidt, <xref ref-type="bibr" rid="B46">2011</xref>). In the <italic>Arthrospira</italic> genus, the <italic>art</italic> gene cluster (arthrospiramide) shows the features typical for cyanobactins, except for the presence of additional precursor peptides and a transposase gene between <italic>artF</italic> and <italic>artG</italic>. Although cyanobactins from <italic>Arthrospira</italic> genus encoded by the <italic>art</italic> gene cluster have been purified, their pharmacological properties should be further investigated (Donia and Schmidt, <xref ref-type="bibr" rid="B46">2011</xref>). Based on a study of the N-terminal gene phylogeny, arthrospiramide was classified into cluster VI within already identified cyanobactins (Martins et al., <xref ref-type="bibr" rid="B121">2013</xref>).</p>
</sec>
<sec>
<title>Proteomics and transcriptomics</title>
<p>The first proteomic study of <italic>Arthrospira</italic> in light/dark diurnal cycles based on shotgun proteomics has recently been published. Examination concerns <italic>Arthrospira</italic> sp. PCC8005 strain and is based on fractionation workflows methods: gel-free and gel-based protein/peptide, combined with Liquid Chromatography-Tandem Mass Spectrometry (LC-MS/MS). Each of the methods provided a different number of identified proteins. Overall, the combined analysis resulted in the identification of 1,306 proteins. The researchers suggested that it represents a 21% coverage of the theoretical proteome of <italic>A. platensis</italic> PCC8005 (Matallana-Surget et al., <xref ref-type="bibr" rid="B122">2014</xref>). Further study revealed that regulation of the 30 identified proteins differed during the light/dark growth transition. This effect was mainly observed for proteins related to Calvin cycle, photosynthesis, and translation processes. Genome studies indicated that <italic>Arthrospira</italic> contains the <italic>kaiABC</italic> genes, responsible for controlling the circadian clock. Interestingly, only one biological replicate showed the presence of <italic>kai</italic> proteins, whereas an inference of gene regulation was impossible. The study revealed that <italic>kaiA</italic> gene maintains a periodic expression under constant light conditions and that the overall <italic>A. platensis</italic> responses to LD (light/dark) cycles were correlated with the Earth conditions. The researchers suggest that further studies are needed to maintain a suitable and efficient bioreactor for long-term manned missions in space (Matallana-Surget et al., <xref ref-type="bibr" rid="B122">2014</xref>).</p>
<p>Another proteomic study of <italic>Arthrospira</italic> was focused on protein expression under salt stress (Wang et al., <xref ref-type="bibr" rid="B213">2013</xref>). The strain <italic>A. platensis</italic>-YZ was grown under salt-stress conditions: 0.02, 0.5, 1.0 M NaCl, and the protein expression patterns were compared. The study revealed that 114 proteins out of 141 were homologous to the ones in other <italic>Arthrospira</italic> strains (<italic>A. platensis</italic> Paraca and <italic>A. maxima</italic> CS-328), but the others were thought to originate from the other bacteria. The expression level of 29 genes responsible for salt-stress response was measured by qRT-PCR. The results showed that the transcription level of 11 genes remained up-regulated, and expressions of all 12 examined genes were consistent at their transcription and protein level. Proteins studied by Wang et al. (<xref ref-type="bibr" rid="B213">2013</xref>) were classified into 18 types according to their function (such as carbohydrate transport and metabolism, cell envelope biogenesis, post-translational modification or translation, ribosomal structure), and they were involved in 31 different metabolic pathways.</p>
<p>Huili et al. (<xref ref-type="bibr" rid="B74">2013</xref>) studied by proteomics the temperature response at 15, 35, and 45&#x000B0;C of <italic>A. platenis</italic> YZ strains. The expression of 122 proteins was significantly affected at different temperatures. In this study, the majority of the genes were homologous to those from other <italic>Arthrospira</italic> genomes (116 homologous genes out of 122 examined). Proteins showing different expression with changing temperatures appeared to be involved in different functions. This included the post-translational modification (e.g., chaperones), translation (e.g., ribosomal biogenesis), carbohydrate transport, energy metabolism (e.g., respiratory electron transport), and others that were classified in 14 different types depending on the functions by the COG database. Likewise, in the previous study of salt-stress (Wang et al., <xref ref-type="bibr" rid="B213">2013</xref>), the transcription and translation levels of 26 proteins measured by qRT-PCR remained constant.</p>
<p>Transcriptome in different stress conditions have been studied e.g., N-limited stress (Deschoenmaeker et al., <xref ref-type="bibr" rid="B42">2014</xref>; Depraetere et al., <xref ref-type="bibr" rid="B41">2015</xref>), high temperature (Panyakampol et al., <xref ref-type="bibr" rid="B147">2014</xref>), and sulfur stress (Kumerasan et al., <xref ref-type="bibr" rid="B99">2017</xref>). Down-regulation of <italic>de novo</italic> protein synthesis under N-limited stress has been revealed by Depraetere et al. (<xref ref-type="bibr" rid="B41">2015</xref>). Study of Panyakampol et al. (<xref ref-type="bibr" rid="B147">2014</xref>) suggest up-regulation of thermal-responsive genes helps the cells to remain in homeostasis during high-temperature conditions. Group of Kumerasan et al. (<xref ref-type="bibr" rid="B99">2017</xref>) observed that sulfur stress decreases level of pigments and reduces the biomass growth. Additionally, they revealed that <italic>Arthrospira</italic> was able to survive the stress due to expression changes of genes related with sulfur metabolism.</p>
<p>Majority of the mentioned transcriptomic studies were based on microarray assay, so it is relevant to mention that complete transcriptome of <italic>Arthrospira</italic> genus remains unavailable.</p>
<p>Due to the mass-scale character of commercial <italic>Arthrospira</italic> cultivation, understanding of the mechanisms that underlie responses to environmental changes is essential. In response to that, group of Senachak et al. (<xref ref-type="bibr" rid="B181">2015</xref>) developed an online platform, SpirPro, with integrated proteome and PPI database of <italic>A. platensis</italic> C1, publicly available on the web.</p>
</sec>
</sec>
<sec id="s3">
<title>Cultivation methods</title>
<sec>
<title>Light intensity</title>
<p>Light, temperature, and nutrient availability are considered to be major limiting factors for <italic>Arthrospira</italic> growth in adequate culture media. <italic>Arthrospira</italic>, a photosynthetic organism, needs light as the main energy source and many studies were focused on light intensity effect on the increase in biomass production. In laboratory conditions, however, some discrepancies were observed concerning the most favorable light intensity for optimal biomass production. Zarrouk in his doctoral thesis determined an optimal photosynthetic photon flux (PPF) at 480&#x02013;550 &#x003BC;mol m<sup>&#x02212;2</sup> s&#x02013;<sup>1</sup>. More recent studies report an optimal light intensity for maximal biomass production that varies between 37 &#x003BC;mol m<sup>&#x02212;2</sup> s<sup>&#x02212;1</sup> (Kumar et al., <xref ref-type="bibr" rid="B98">2011</xref>) and 150&#x02013;200 &#x003BC;mol m<sup>&#x02212;2</sup> s<sup>&#x02212;1</sup> (Markou et al., <xref ref-type="bibr" rid="B117">2012</xref>). Those values correspond to the light intensity of an overcast day and of a sunny day, respectively. These differences in reported values may be a result of using different sources of light and different strains of <italic>Arthrospira</italic>. However, at some point, photoinhibition, loss of photosynthetic capacity due to damage caused by photon flux, can be observed. Consequently, reduction of biomass production is observed (Vonshak, <xref ref-type="bibr" rid="B206">1997</xref>). <italic>Arthrospira</italic> cultures grown in outdoor ponds at higher cell density providing self-shading or/and with net shading showed a lower reduction in the Fv/Fm ratio (parameter describing the maximal photochemical efficiency of PSII), that was helpful in maintaining suitable biomass productivity (Vonshak et al., <xref ref-type="bibr" rid="B209">2014</xref>). This approach allowed to obtain a higher biomass yield by comparison to indoor production. Additionally, light intensity has been proven to have a linear effect on extracellular polymeric substances (EPS) production by <italic>Arthrospira</italic>. According to Trabelsi et al. (<xref ref-type="bibr" rid="B199">2009</xref>), a light intensity of 180 &#x003BC;mol m<sup>&#x02212;2</sup> s<sup>&#x02212;1</sup> and presumably higher values result in a significant increase of EPS production.</p>
</sec>
<sec>
<title>Led light of different colors</title>
<p>Although fluorescent lamps seem to be the most popular light source for <italic>Arthrospira</italic> cultivation in laboratories, it can also be grown under illumination provided by different light sources like e.g., light emitting diode (LED). In a study, the effect of a mono-, di-, and polychromatic LED light (of average intensity 166 &#x003BC;mol m<sup>&#x02212;2</sup> s<sup>&#x02212;1</sup>) on productivity and cell composition was determined. The greatest increase in biomass production was observed in cultures illuminated with red and pink light. Cultures illuminated with yellow and white LED light showed almost a two times lower productivity. The lowest increase in biomass production was observed under blue LED light. This difference in growth rate is probably a result of pink and red LED emitting in close proximity to chlorophylls (435/676 nm) and phycocyanin (620 nm) absorption peaks, while other colors emit at wavelengths relatively distant (Markou, <xref ref-type="bibr" rid="B116">2014</xref>). Chen et al. (<xref ref-type="bibr" rid="B20">2010</xref>) and Wang et al. (<xref ref-type="bibr" rid="B212">2007</xref>) obtained similar results, while Ravelonandro et al. (<xref ref-type="bibr" rid="B162">2008</xref>) and Madhyastha and Vatsala (<xref ref-type="bibr" rid="B111">2007</xref>) described best biomass productivity under cultivation with green and blue light illumination. This contradiction probably is a result of using different light sources. It is also worth pointing that in many reports, the light sources&#x00027; descriptions are neglected as only the irradiance level is provided, which may lead to bad reproducibility of the obtained results.</p>
<p>Changes in light color used for culture illumination also have an impact on cell composition. Cultures of <italic>A. platensis</italic> cultivated under different light colors showed no changes in carotenoid composition. However, blue LED illumination resulted in the highest content of, not only chlorophyll and phycocyanin, but also carbohydrates and lipids. That can be explained as an attempt by the cyanobacteria to improve the efficiency of photosynthesis in less than optimal light conditions. The highest protein content was obtained under green and white LED illumination (Markou, <xref ref-type="bibr" rid="B116">2014</xref>).</p>
</sec>
<sec>
<title>Effect of the light intensity on biomass growth under mixotrophic conditions</title>
<p>It is already known that <italic>Arthrospira</italic> can grow in three modes: autotrophic&#x02014;based on photosynthesis, heterotrophic&#x02014;depending on organic carbon sources (Vonshak et al., <xref ref-type="bibr" rid="B208">2000</xref>; Chojnacka and Noworyta, <xref ref-type="bibr" rid="B25">2004</xref>; Andrade and Costa, <xref ref-type="bibr" rid="B2">2007</xref>), and mixotrophic, which use those two modes simultaneously (Marquez et al., <xref ref-type="bibr" rid="B120">1993</xref>). Mixotrophic cultivation of <italic>A. platensis</italic> results in higher overall biomass production in any light intensity used compared to autotrophic and heterotrophic cultures (4 klux for (Chen, <xref ref-type="bibr" rid="B18">1996</xref>); below 150 &#x003BC;mol m<sup>&#x02212;2</sup> s<sup>&#x02212;1</sup> for (Vonshak et al., <xref ref-type="bibr" rid="B208">2000</xref>)). Indeed, the maximal biomass yield was 2.3 times greater in mixotrophic conditions under 150 &#x003BC;mol m<sup>&#x02212;2</sup> s<sup>&#x02212;1</sup> light intensity (Rym et al., <xref ref-type="bibr" rid="B168">2010</xref>). The results showed that the amount of biomass obtained under mixotrophic conditions was a result of the combined response of cyanobacterium to light and organic carbon source&#x02014;glucose. Moreover, the addition of glucose to the cultivation medium in mixotrophic conditions under a light intensity of 150 &#x003BC;mol m<sup>&#x02212;2</sup> s<sup>&#x02212;1</sup> resulted in higher EPS yield compared to autotrophic and heterotrophic conditions (Trabelsi et al., <xref ref-type="bibr" rid="B200">2013</xref>). Mixotrophic cultures also have lower light requirements, higher oversaturation levels and can recover quicker from light stresses than autotrophic cultures (Vonshak et al., <xref ref-type="bibr" rid="B208">2000</xref>). Under lower illumination, glucose has a low influence on the maximal biomass concentration and growth rate (Rym et al., <xref ref-type="bibr" rid="B168">2010</xref>).</p>
</sec>
<sec>
<title>Effect of UV radiation on morphology</title>
<p>Ultraviolet light is a naturally present environmental factor influencing the outdoor growth of <italic>Arthrospira</italic>. Cyanobacteria developed various defense mechanisms to protect themselves. First, the cells may avoid the stress-inducing or damaging factor by changing the buoyancy of the trichome or its rotation (Miklaszewska et al., <xref ref-type="bibr" rid="B130">2012</xref>). Secondly, cells may repair the damaged DNA or synthesize DNA <italic>de novo</italic> (Sinha and H&#x000E4;der, <xref ref-type="bibr" rid="B186">2002</xref>). Another defense mechanism is the production of UV-absorbing compounds like mycosporine-like amino acids (MMAs), scytonemin (Rastogi and Incharoensakdi, <xref ref-type="bibr" rid="B160">2014</xref>) and carotenoids in higher quantity (Rakhimberdieva et al., <xref ref-type="bibr" rid="B158">2004</xref>; Gao and Ma, <xref ref-type="bibr" rid="B56">2008</xref>).</p>
<p>Regardless of its impact at the molecular level, UV is causing morphological changes in the cells that are visible after 2 h of exposure. The exposure to full solar radiation (UV-B, UV-A, and PAR) has the most destructive effect and leads to severe filaments breakage. In contrast, longer exposure of filaments to only PAR only leads to slight breakage (Wu et al., <xref ref-type="bibr" rid="B216">2005</xref>). In addition, Sarma et al. (<xref ref-type="bibr" rid="B177">2010</xref>) showed that, to some extent, PAR light protects filaments from breakage caused by UV radiation when applied simultaneously. It is important to emphasize that the destructive effect of UV is more pronounced at 15&#x02013;23&#x000B0;C&#x02014;temperatures below <italic>Arthrospira</italic> growth optimum. In temperatures around its optimum, the damages caused by UV exposure are smaller and become visible only after a longer exposure&#x02014;up to 8 h (Gao et al., <xref ref-type="bibr" rid="B57">2008</xref>). UV light exposure results in the formation of a tighter helical structure of trichome (Wu et al., <xref ref-type="bibr" rid="B216">2005</xref>; Helbling et al., <xref ref-type="bibr" rid="B69">2006</xref>) and it has already been suggested that this change in morphology is increasing the tolerance to high-light conditions (Jeeji Bai and Seshadri, <xref ref-type="bibr" rid="B81">1980</xref>). Cultivation in the laboratory without UV radiation seems to promote the development of straight filaments (Lewin, <xref ref-type="bibr" rid="B105">1980</xref>; Jeeji Bai, <xref ref-type="bibr" rid="B80">1985</xref>).</p>
</sec>
<sec>
<title>Growth in different salinities</title>
<p><italic>Arthrospira</italic> is known as an alkalophilic and halophilic organism. <italic>Arthrospira</italic> species have been reported to grow in the natural environment in a salinity range from 1.1 to 300 g/L, understood as a total amount of all salts present in the environment (Dadheech et al., <xref ref-type="bibr" rid="B32">2010</xref>). In laboratory conditions, according to literature data, <italic>Arthrospira</italic> is grown in media with salinity levels varying from 8.5 to 200 g/L (Arruda et al., <xref ref-type="bibr" rid="B4">2009</xref>; Pelizer and Moraes, <xref ref-type="bibr" rid="B150">2009</xref>). Many studies focused on establishing the optimal salinity to obtain the highest <italic>Arthrospira</italic> biomass yields and different media with and without supplementation were utilized. Among the most commonly used media are the ones by Zarrouk, Schl&#x000F6;sser, Provasoli, Paoletti, and Spirulina Medium (Zarrouk, <xref ref-type="bibr" rid="B221">1966</xref>; S&#x000E1;nchez-Luna et al., <xref ref-type="bibr" rid="B174">2004</xref>; Converti et al., <xref ref-type="bibr" rid="B29">2006</xref>; Tambiev et al., <xref ref-type="bibr" rid="B193">2011</xref>; Ogato et al., <xref ref-type="bibr" rid="B142">2014</xref>). The composition of those media only slightly varies and all of them contain a substantial amount of salts. It is difficult to define which medium is the best since results are contradictory and seem to differ not only between media but also between strains. The biomass yield obtained is most likely dependent upon multiple factors like light intensity, nitrogen, and micronutrients availability, stirring, and pH (Converti et al., <xref ref-type="bibr" rid="B29">2006</xref>; Ravelonandro et al., <xref ref-type="bibr" rid="B161">2011</xref>; Moraes et al., <xref ref-type="bibr" rid="B132">2013</xref>).</p>
<p>Cultivation of <italic>Arthrospira</italic> in synthetic media is expensive and not economical. Therefore, numerous studies were designed to find the best natural alternative medium without compromising biomass productivity (Materassi et al., <xref ref-type="bibr" rid="B123">1984</xref>; Tredici et al., <xref ref-type="bibr" rid="B202">1986</xref>; Costa et al., <xref ref-type="bibr" rid="B30">2003</xref>; Ogato et al., <xref ref-type="bibr" rid="B142">2014</xref>). A first choice alternative medium would be lake or seawater with proper chemical composition. An example of such studies is the cultivation of <italic>Arthrospira</italic> in waters from two saline-alkaline lakes located in the Ethiopian rift: Chitu, in which a natural population of <italic>A.fusiformis</italic> is present and the nearby Shalla, which was devoid of <italic>Arthrospira</italic>. After supplementing the water from these lakes with a synthetic medium, the yield was comparable to that obtained from the control grown in standard Spirulina medium (Ogato et al., <xref ref-type="bibr" rid="B142">2014</xref>).</p>
</sec>
<sec>
<title>Nitrogen source</title>
<p>Strains of the genus <italic>Arthrospira</italic> are usually cultivated in media containing KNO<sub>3</sub> or NaNO<sub>3</sub> as a primary nitrogen source. However, reports concerning <italic>Arthrospira</italic> growth in media with different and cheaper nitrogen source are fairly abundant. An extensively studied nitrogen source is urea (Feng and Wu, <xref ref-type="bibr" rid="B52">2006</xref>; S&#x000E1;nchez-Luna et al., <xref ref-type="bibr" rid="B173">2007</xref>; Avila-Leon et al., <xref ref-type="bibr" rid="B5">2012</xref>) as it is quite cheap. However, at higher concentrations, it tends to become toxic because it damages the Photosystem II (Dai et al., <xref ref-type="bibr" rid="B33">2014</xref>) and under alkaline conditions, urea hydrolyses to ammonia, which results in a loss by off-gassing (Danesi et al., <xref ref-type="bibr" rid="B34">2002</xref>). Loss of ammonia to the atmosphere is also a problematic issue if ammonium salts are used. Markou et al. (<xref ref-type="bibr" rid="B118">2014</xref>) showed that the ammonium chloride loss as gaseous ammonia ranged from about 17 up to 80%, depending on the initial salt concentration. In another study, Bezerra et al. (<xref ref-type="bibr" rid="B10">2008</xref>) also used ammonium chloride as a nitrogen source, but have not reported loss by off-gassing under non-light limited conditions during the fed-batch experiment. Cultivation of <italic>Arthrospira</italic> in waters from the Gulf of Mexico supplemented with anaerobic effluents after pig waste digestion under two light intensities (66 and 144 &#x003BC;mol m<sup>&#x02212;2</sup> s<sup>&#x02212;1</sup>) resulted in significant increases in lipids and polysaccharides (Olgu&#x000ED;n et al., <xref ref-type="bibr" rid="B143">2001</xref>) as compared to the biomass grown in control conditions. Another study investigated the growth of <italic>Arthrospira</italic> in nitrogen&#x02014;depleted medium and the effect of such cultivation on cells (Deschoenmaeker et al., <xref ref-type="bibr" rid="B42">2014</xref>). The strain PCC8005 was able to survive long&#x02014;term cultivation without any external nitrogen source and recovered upon transfer to standard medium. Nevertheless, the lack of nitrogen source resulted in a decrease of protein and phycobilisome contents, downregulation of the inorganic carbon fixation pathway and glycogenolysis as well as upregulation of glutamine synthesis, nitrogen metabolism, carbohydrate synthesis, and both HglK and HglR proteins, which are involved in heterocyst formation in other cyanobacteria.</p>
</sec>
<sec>
<title>Indoor and outdoor cultivation methods</title>
<p>Mass cultivation of photosynthetic organisms such as <italic>Arthrospira</italic> has been widely studied in order to establish the most economical process to obtain biomass. For indoor cultivation, closed photobioreactors are the most popular choice. They allow the control of cultivation conditions such as pH, light intensity, or CO<sub>2</sub> supplementation as well as contamination prevention (Travieso et al., <xref ref-type="bibr" rid="B201">2001</xref>). However, cultivation at the industrial scale is most often performed in large outdoor open-ponds (Borowitzka, <xref ref-type="bibr" rid="B13">1999</xref>). Due to the fact that <italic>Arthrospira</italic> requires high temperatures in order to grow efficiently, it is often cultivated in regions with high average air temperature and high amounts of sunlight (tropical and sub-tropical regions), which lowers the production costs significantly. However, though economically more sustainable, open-pond cultivations also face certain problems. Those issues, like contaminations, mixing of the cultures, CO2 utilization efficiency and weather influence have been discussed in a review about engineering solutions for open microalgae mass cultivation (Apel and Weuster-Botz, <xref ref-type="bibr" rid="B3">2015</xref>). Engineerig solutions for the above-mentioned problems were presented and a model-based bioprocess and bioreactors development was proposed as a promising tool for further improvement in productivity of microalgae during mass cultivation.</p>
<p>Industrial production of &#x0201C;Spirulina&#x0201D; has existed for many years in countries such as Australia, India, Israel, Japan, Malaysia, China, Chad, and Myanmar, without production data being reported to FAO. The first pilot plant started production in 1973 in Mexico and produced 150 tons of dry &#x0201C;Spirulina&#x0201D; biomass per year. The production increased later to 300 tons per year (Habib et al., <xref ref-type="bibr" rid="B64">2008</xref>). In 1988, yearly worldwide production was estimated on 900 tons of dry biomass (Vonshak and Richmond, <xref ref-type="bibr" rid="B207">1988</xref>; Pulz and Gross, <xref ref-type="bibr" rid="B154">2004</xref>). Between 2000 and 2004 the world production raised to 3,000 tons per year (Pulz and Gross, <xref ref-type="bibr" rid="B154">2004</xref>; Shimamatsu, <xref ref-type="bibr" rid="B183">2004</xref>). In 2010 efficiency of dry mass production reached 90 000 tons and remained at this level until last reports from FAO (<xref ref-type="bibr" rid="B50">2016</xref>). The largest farm is estimated to produce 500 tons of dry biomass per year (FAO, <xref ref-type="bibr" rid="B50">2016</xref>).</p>
</sec>
</sec>
<sec id="s4">
<title><italic>Arthrospira</italic>, human health, and medicine&#x02014;the multiplot story</title>
<p>Because of its chemical compound richness, the members of the <italic>Arthrospira</italic> genus are potent candidates as sources for bioactive substances. In 1993, the World Health Organization<xref ref-type="fn" rid="fn0001"><sup>1</sup></xref> announced that <italic>Arthrospira</italic> (formerly named <italic>Spirulina</italic>) is an &#x0201C;interesting food for multiple reasons, rich in iron and protein, and is able to be administered to children without any risk&#x0201D; (WHO; Credentials|Abundance, <xref ref-type="bibr" rid="B31">2017</xref>). Since then, <italic>Arthrospira</italic> products are treated as a superfood&#x02014;a nutrient-rich food considered to be especially beneficial for health and well-being&#x00027; (definition of superfood by Oxford Dictionary<xref ref-type="fn" rid="fn0002"><sup>2</sup></xref>). The American Food and Drug Administration classified <italic>Arthrospira</italic> preparations as GRAS (Generally Recognized As Safe) in 2002 (FDA). In 2011, a commission of United States Pharmacopeia reviewed information from human clinical trials, animal studies, and regulatory and pharmacopeial sources and analyzed 31 adverse event reports regarding &#x0201C;Spirulina&#x0201D; to assess potential health concerns. As a result of the performed investigation, the commission assigned a Class A safety rating for <italic>S. maxima</italic> and <italic>S. platensis</italic>, thereby permitting the admission of quality monographs for these dietary supplement ingredients in USP-NF (United States Pharmacopeia and the National Formulary) (Marles et al., <xref ref-type="bibr" rid="B119">2011</xref>).</p>
<p>The pharmacological potential of pure <italic>Arthrospira</italic> biomass, hot water extracts, purified polysaccharides, phycocyanin, and calcium spirulan preparations has been examined in many studies. Results reveal the ability of these preparations to beat viral infections, act as immunomodulatory factor, antitumor agent, genetic cell damage and cardiovascular diseases protector. <italic>Arthrospira</italic> powder sold as &#x0201C;Spirulina&#x0201D; in general has no detectable adverse effects on human body, reproductive performance, embryo/fetus development, and growth. Nevertheless, in cultures without GMP (Good Manufacturing Practice) application, <italic>Arthrospira</italic> biomass may contain low levels of mercury and other heavy metals that constitute a direct health danger (Kim and Lee, <xref ref-type="bibr" rid="B91">2013</xref>; Vicat et al., <xref ref-type="bibr" rid="B204">2014</xref>). Nonetheless, <italic>Arthrospira</italic> may become an important source of food and feed in the future, as 4 m<sup>2</sup> basin produces around 40 g of dry biomass daily with 10 times lesser requirements of water in comparison to equivalent weight of soybean (Habib et al., <xref ref-type="bibr" rid="B64">2008</xref>).</p>
<p>In the presented review, we aim at demonstrating the broad medical potential of <italic>Arthrospira</italic> biomass, extracts, and products, summarized in Table <xref ref-type="table" rid="T2">2</xref>. Due to the diversity of material used in research&#x02014;from pure laboratory strains to commercial products sold as &#x0201C;Spirulina,&#x0201D; these authors decided to reproduce the nomenclature of the cited original papers.</p>
<table-wrap position="float" id="T2">
<label>Table 2</label>
<caption><p>Therapeutic effects of the most important <italic>Arthrospira</italic> components: immulina, calcium spirulan C-phycocyjanin, and gamma linoleic acid as well as extracts and supplementary formulations.</p></caption>
<table frame="hsides" rules="groups">
<thead><tr>
<th/>
<th valign="top" align="left"><bold>Immunomodulatry effect</bold></th>
<th valign="top" align="left"><bold>Antimicrobial activity</bold></th>
<th valign="top" align="left"><bold>Anticancer effect</bold></th>
<th valign="top" align="left"><bold>Cardiovascular system protection</bold></th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">Calcium spirulan</td>
<td/>
<td valign="top" align="left">Selective inhibition of the penetration and replication of enveloped viruses such as Herpes simplex virus type 1 (HSV-1) and type 2 (HSV-2), Human cytomegalovirus (HCMV), measles, mumps, influenza A, and HIV-1 (Hayashi et al., <xref ref-type="bibr" rid="B68">1996</xref>; Hern&#x000E1;ndez-Corona et al., <xref ref-type="bibr" rid="B72">2002</xref>; Rechter et al., <xref ref-type="bibr" rid="B163">2006</xref>).</td>
<td valign="top" align="left">Inhibition of the invasion of B16-BL6 melanoma, colon carcinoma, and HT-1080 fibrosarcoma cells (Mishima et al., <xref ref-type="bibr" rid="B131">1998</xref>).</td>
<td/>
</tr>
<tr style="border-top: thin solid #000000;">
<td valign="top" align="left">Immulina</td>
<td valign="top" align="left">100- to 1,000-fold more potent monocyte activator <italic>in vitro</italic> than standard polysaccharide preparations in clinical cancer immunotherapy (L&#x000F8;bner et al., <xref ref-type="bibr" rid="B110">2008</xref>). Increase of TNF&#x003B1;, IFN&#x003B3;, and IL-6 levels in blood (L&#x000F8;bner et al., <xref ref-type="bibr" rid="B110">2008</xref>).</td>
<td valign="top" align="left">Strong <italic>in vitro</italic> activity against <italic>Candida albicans</italic> and the tetanus toxoid (L&#x000F8;bner et al., <xref ref-type="bibr" rid="B110">2008</xref>).</td>
<td valign="top" align="left"><italic>Look at the immunomodulatory effect</italic>.</td>
<td/>
</tr>
<tr style="border-top: thin solid #000000;">
<td valign="top" align="left">C-phycocyanin</td>
<td valign="top" align="left">Stimulation of the production of the pro-inflammatory cytokines (Chen H. W. et al., <xref ref-type="bibr" rid="B21">2014</xref>). Macrophage, T, and B cells activation (Khan Z. et al., <xref ref-type="bibr" rid="B90">2005</xref>). Reduction of the allergic inflammations by suppressing the antigen-specific IgE antibodies (Nemoto-Kawamura et al., <xref ref-type="bibr" rid="B140">2004</xref>). Histamine release inhibition from mast cells (Nemoto-Kawamura et al., <xref ref-type="bibr" rid="B140">2004</xref>). Reduction of functional neutrophils metabolic activity (Dartsch, <xref ref-type="bibr" rid="B35">2008</xref>).</td>
<td valign="top" align="left">Inhibition of bacterial growth in many drug-resistant strains such as <italic>E. coli, K. pneumoniae, P. aeruginosa</italic>, and <italic>S. aureus</italic> (Sarada et al., <xref ref-type="bibr" rid="B176">2011</xref>).</td>
<td valign="top" align="left">Cell cycle arrest and mediation of apoptosis (Ouhtit et al., <xref ref-type="bibr" rid="B144">2014</xref>; Pan et al., <xref ref-type="bibr" rid="B146">2015</xref>; Saini and Sanyal, <xref ref-type="bibr" rid="B171">2015</xref>). Antiproliferative effect in different cancer cell lines (Subhashini et al., <xref ref-type="bibr" rid="B191">2004</xref>; Li et al., <xref ref-type="bibr" rid="B107">2006</xref>, <xref ref-type="bibr" rid="B106">2013</xref>; Roy et al., <xref ref-type="bibr" rid="B167">2007</xref>; Chen and Wong, <xref ref-type="bibr" rid="B22">2008</xref>; Saini and Sanyal, <xref ref-type="bibr" rid="B170">2014</xref>; Yang et al., <xref ref-type="bibr" rid="B218">2014</xref>; Pan et al., <xref ref-type="bibr" rid="B146">2015</xref>). Anti-angiogenic role in cancer model by inhibiting cyclooxygenase-2 (Saini and Sanyal, <xref ref-type="bibr" rid="B170">2014</xref>). Antineoplastic effects via the regulation of membrane properties (Saini and Sanyal, <xref ref-type="bibr" rid="B170">2014</xref>). Mimics cell intracellular bilirubin&#x00027;s role as an inhibitor of NADPH oxidase activity, what makes it a promising agent to mitigate the pro-oxidative effects of smoke aldehydes and ketones responsible for lung cancer development (McCarty et al., <xref ref-type="bibr" rid="B127">2015</xref>).</td>
<td valign="top" align="left">Lowering of the cholesterol solubility and intake by Caco-2 intestinal cells (Nagaoka et al., <xref ref-type="bibr" rid="B136">2005</xref>). Inhibition of the development of atherosclerosis (Li et al., <xref ref-type="bibr" rid="B106">2013</xref>).</td>
</tr>
<tr style="border-top: thin solid #000000;">
<td valign="top" align="left">GLA</td>
<td/>
<td/>
<td valign="top" align="left">Potent cytotoxic agent against human lung carcinoma&#x02014;A549 cell line (Jubie et al., <xref ref-type="bibr" rid="B83">2015</xref>).</td>
<td valign="top" align="left">Reduction of the cholesterol accumulation in the hypolipidemic nephrotic syndrome (Samuels et al., <xref ref-type="bibr" rid="B172">2002</xref>).</td>
</tr>
<tr style="border-top: thin solid #000000;">
<td valign="top" align="left">Other compounds</td>
<td valign="top" align="left">Polisachcaride increased the levels of IL-1, IL-3, and TNF&#x003B1;.</td>
<td valign="top" align="left">Phycobiliproteins isolated from <italic>A. fusiformis</italic> exhibited antibacterial activity against <italic>Streptococcus pyogenes</italic> (Najdenski et al., <xref ref-type="bibr" rid="B137">2013</xref>).</td>
<td valign="top" align="left">Tetrapyrrolic compounds act against pancreatic cancer cells (Kon&#x000ED;ckov&#x000E1; et al., <xref ref-type="bibr" rid="B94">2014</xref>).</td>
<td/>
</tr>
<tr style="border-top: thin solid #000000;">
<td valign="top" align="left">Supplements</td>
<td valign="top" align="left">Immulina&#x000AE;, a commercial extract of <italic>Arthrospira (Spirulina) platensis</italic> is a potent activator of THP-1 monocytes and CD4&#x0002B; T cells <italic>in vitro</italic> and enhances several immunological functions in mice (Nielsen et al., <xref ref-type="bibr" rid="B141">2010</xref>).</td>
<td valign="top" align="left">May help patients with chronic HCV infection, but still further research is needed (Yakoot and Salem, <xref ref-type="bibr" rid="B217">2012</xref>). Dry biomass exhibits antiviral activity on the bacteriophage T4 (Gorobets et al., <xref ref-type="bibr" rid="B62">2002</xref>).</td>
<td/>
<td valign="top" align="left">In patients with ischemic heart disease &#x0201C;spirulina&#x0201D; improves patients&#x00027; lipid profiles and helps to lower blood pressure (Torres-Duran et al., <xref ref-type="bibr" rid="B196">2007</xref>). Protective effect on doxorubicin-related cardiac side effects in rodents (Khan M. et al., <xref ref-type="bibr" rid="B88">2005</xref>; Khan et al., <xref ref-type="bibr" rid="B89">2006</xref>) as well as against heart attacks in humans (McCarty, <xref ref-type="bibr" rid="B125">2010</xref>).</td>
</tr>
<tr style="border-top: thin solid #000000;">
<td valign="top" align="left">Extracts</td>
<td/>
<td valign="top" align="left">Water, propanol and acetone extracts of <italic>Arthrospira</italic> showed antimicrobial activity against <italic>Klebsiella pneumoniae, Proteus vulgaris, Pseudomonas aeruginosa, Salmonella</italic> Typhi, <italic>Staphylococcus aureus</italic>, and <italic>Escherichia coli</italic>. (Mala et al., <xref ref-type="bibr" rid="B112">2009</xref>). Butanol extract from &#x0201C;Spirulina&#x0201D; powder acts as an antifungal agent against <italic>Candida glabrata</italic> (Santhanam, <xref ref-type="bibr" rid="B175">2011</xref>).</td>
<td valign="top" align="left">Potent anticancer activity in human colon adenocarcinoma (HT29) and human kidney adenocarcinoma (A498) cancer cell lines with no significant impact on healthy cells (Srivastava et al., <xref ref-type="bibr" rid="B188">2015</xref>)</td>
<td valign="top" align="left">Water extracts lower the fat absorption by inhibiting pancreatic lipase activity (Han et al., <xref ref-type="bibr" rid="B67">2006</xref>).</td>
</tr>
</tbody>
</table>
</table-wrap>
<sec>
<title>Substances that play a pivotal role in <italic>Arthrospira</italic> multi-directional activity</title>
<p>The first analysis performed by Leonard and Compere (<xref ref-type="bibr" rid="B104">1967</xref>) showed that 45% of the dry biomass of <italic>Arthrospira</italic> was composed of proteins. Recent research revealed that the protein content may in fact be higher, up to 77% of the dry weight, depending on external conditions. Indeed, the analyzed protein content in all strains cultivated in the laboratory was higher than for the biomass collected from open ponds (Ciferri, <xref ref-type="bibr" rid="B26">1983</xref>). The pigments content appear to depend on the temperature and light intensity (Kumar et al., <xref ref-type="bibr" rid="B98">2011</xref>) and the amino acids content depends from the salinity (Volkmann et al., <xref ref-type="bibr" rid="B205">2008</xref>; Wang et al., <xref ref-type="bibr" rid="B213">2013</xref>).</p>
<p>The nutritional value of <italic>Arthrospira</italic> was reviewed by Miklaszewska et al. (<xref ref-type="bibr" rid="B128">2008a</xref>). Here we present the most important dietary aspects. <italic>Arthrospira</italic> is a valuable source of protein, not only because its high concentration in the dry biomass but also thanks to the amino acids composition and high digestibility. It is worth mentioning that <italic>Arthrospira</italic> biomass contains all 8 exogenic and 12 endogenic amino acids. The most abundant amino acids are leucine (10.9%), valine (7.5%), and isoleucine (6.8%). Although the content of cysteine and methionine is the lowest of all present amino acids, it is still higher compared to cereals or vegetables.</p>
<p>The lipid content of <italic>Arthrospira</italic> biomass is difficult to determine due to the differences in efficiency of extraction methods and changes in its actual content. Reported data vary from 1.5 to 12% of dry mass (Ciferri, <xref ref-type="bibr" rid="B26">1983</xref>). Notably, the gamma linolenic acid (GLA) synthesized by the delta-6 fatty acid desaturase can reach up to 40% of all fatty acids in <italic>Arthrospira platensis</italic> (Murata et al., <xref ref-type="bibr" rid="B135">1996</xref>). It acts as a precursor of prostaglandins, tromboxanes, and leukotrienes. That makes <italic>Arthrospira</italic> one of the best-known sources of &#x003B3;-linolenic acid. Additionally, <italic>Arthrospira</italic> extracts contain vitamin F, linolenic, and arachidonic acids, fatty acids that promote cholesterol normalization (Miklaszewska et al., <xref ref-type="bibr" rid="B128">2008a</xref>). However, the presence of arachidonic acid may be the effect of improper sample treatment during the analytical procedure as cyanobacteria do not possess fatty acid elongases required for C20 fatty acids production (Iliev et al., <xref ref-type="bibr" rid="B75">2011</xref>).</p>
<p><italic>Arthrospira</italic> carbohydrates content vary from 10 to 15% of dry biomass, mainly as rhamnose and glycogen. An important carbohydrate, mesoinositol phosphate, reaches a concentration of 350&#x02013;850 mg/kg dry biomass. This compound is a perfect source of organic inositol (Falquet and Hurni, <xref ref-type="bibr" rid="B49">1997</xref>). High molecular polysaccharides extracted from the <italic>Arthrospira</italic> biomass or culture medium have anticancer, immunostimulatory effects and can constitute scaffolds for tissue/organ regeneration in regenerative medicine (de Morais et al., <xref ref-type="bibr" rid="B37">2010</xref>, <xref ref-type="bibr" rid="B38">2014</xref>; Nielsen et al., <xref ref-type="bibr" rid="B141">2010</xref>; Kurd and Samavati, <xref ref-type="bibr" rid="B100">2015</xref>).</p>
<p>Although proteins, carbohydrates, and lipids are the building material of the cell, other trace elements significantly impact human metabolism. <italic>Arthrospira</italic> contains many essential minerals and trace elements like potassium, zinc, calcium, magnesium, selenium, manganese, iron, phosphorus, that are absorbed from its culture medium and transformed into chelated, easily absorbed forms. Potassium is an essential enzyme activator in muscle and heart, responsible also for maintaining the electrolyte balance. Iron consumed with <italic>Arthrospira</italic> is two times better assimilated than the one eaten with vegetables or meat (Puyfoulhoux et al., <xref ref-type="bibr" rid="B155">2001</xref>).</p>
<p><italic>Arthrospira</italic> cells contain carotenoids in different forms: &#x003B1;-carotene, &#x003B2;-carotene, cryptoxanthin, zeaxanthin, xanthophylls, echinenone, lutein. Eighty percent of all carotenoids present in <italic>Arthrospira</italic> are made by &#x003B2;-carotene (700&#x02013;1,700 mg/kg of biomass) and cryptoxanthin (100 mg/kg), which are both precursors of vitamin A. <italic>Arthrospira</italic> supplements are efficient in eliminating vitamin A deficiency (Falquet and Hurni, <xref ref-type="bibr" rid="B49">1997</xref>; Miklaszewska et al., <xref ref-type="bibr" rid="B128">2008a</xref>; Naturalways, <xref ref-type="bibr" rid="B138">2017</xref>).</p>
<p><italic>Arthrospira</italic> biomass contains also other enzymatic pigments such as chlorophyll, phycocyanin, porphyrin. Chlorophyll supports intestine peristalsis, normalizes secretion of digestive acids, decreases secretion of pepsin and soothes inflammation. Porphyrin forms a nucleus of hemoglobin, what makes it an important factor in the maintenance of healthy red blood cells. Phycocyanin is related to bilirubin, essential for liver functions and digestion of amino acids. Apart from standard functions carotenoids and phycocyanin are antioxidants, reduce free radicals and have potential anti-tumor properties (Pervushkin et al., <xref ref-type="bibr" rid="B151">2001</xref>; Miklaszewska et al., <xref ref-type="bibr" rid="B128">2008a</xref>).</p>
<p>Besides its nutritional values, the consumption of <italic>Arthrospira</italic> as a food supplement gives other advantages. The cell wall of <italic>Arthrospira</italic> does not contain cellulose, which make it very easy to digest. Additionally, <italic>Arthrospira</italic> biomass has a very low level of nucleic acids and due to alkaline growth conditions, it is not easily contaminated by most of the human pathogens (Ciferri, <xref ref-type="bibr" rid="B26">1983</xref>). However, in a recent report of the Vardaka research group, 31 dietary supplements sold as &#x0201C;Spirulina&#x0201D; on the Greek market contained 469 different bacterial OTUs. Among them were toxic cyanobacteria from the <italic>Microcystis, Nostoc</italic>, and <italic>Anabaenopsis</italic> genera. Moreover, supplements were contaminated with human pathogens (Vardaka et al., <xref ref-type="bibr" rid="B203">2016</xref>). This highlights the need to control the quality of the production, as for any other foodstuff.</p>
<p>Detailed research has been conducted to confirm the therapeutic effects of some compounds that are unique for <italic>Arthrospira</italic>, including (I) calcium spirulan (II) immulina (III) C-phycocyanin and (IV) &#x003B3;-linolenic acid (GLA).</p>
<p>Calcium spirulan (Ca-SP) is a complex polysaccharide composed of rhamnose, ribose, mannose, fructose, galactose, xylose, glucose, glucuronic acid, galacturonic acid, sulfate, and calcium (Lee et al., <xref ref-type="bibr" rid="B102">1998</xref>, <xref ref-type="bibr" rid="B101">2000</xref>). It was shown to inhibit the replication of enveloped viruses from different genera (Hayashi et al., <xref ref-type="bibr" rid="B68">1996</xref>). Immulina is also a high-molecular-weight polysaccharide and exhibits significant effects as an immunostimulator (Nielsen et al., <xref ref-type="bibr" rid="B141">2010</xref>). C-Phycocyanin is an unusual nontoxic fluorescent protein having an antioxidative, anti-inflammatory and antitumor potential (de Jesus Raposo et al., <xref ref-type="bibr" rid="B36">2013</xref>). Studies suggest it is more potent in colon cancer prevention than vitamin E and germanium-132 (Chen and Zhang, <xref ref-type="bibr" rid="B19">1995</xref>). The &#x003B3;-linolenic acid controls cholesterol levels and protects the cardiovascular system (Bia&#x00142;ek and Rutkowska, <xref ref-type="bibr" rid="B11">2015</xref>).</p>
</sec>
<sec>
<title><italic>Arthrospira</italic> empowers natural immunological responses</title>
<p><italic>Arthrospira</italic> components are potent immunostimulating agents, they enhance the resistance to infections, have the capacity to influence hematopoiesis and stimulate the production of antibodies, especially IgA (Nemoto-Kawamura et al., <xref ref-type="bibr" rid="B140">2004</xref>) and cytokines. Compounds from cyanobacteria are known to empower the immune system to inhibit carcinogenesis and assist natural healing mechanisms. Indeed, <italic>Arthrospira</italic> appears much more effective in Th1-response stimulation than Th2 (Mao et al., <xref ref-type="bibr" rid="B114">2000</xref>).</p>
<p>Immulina is 100-1000x more active as monocyte activation factor <italic>in vitro</italic> than polysaccharide preparations that were being used at the time in clinical settings for cancer immunotherapy (L&#x000F8;bner et al., <xref ref-type="bibr" rid="B110">2008</xref>). Immulina raises TNF&#x003B1;, IFN&#x003B3;, and IL-6 blood levels (L&#x000F8;bner et al., <xref ref-type="bibr" rid="B110">2008</xref>). Polysaccharide extracts from &#x0201C;Spirulina&#x0201D; significantly increased the levels of IL-1, IL-3, and TNF&#x003B1;.</p>
<p>The C-phycocyanin also exhibits potent immunostimulatory effects by stimulating the generation of pro-inflammatory cytokines, which in turn boost the cytotoxic functions of CTL (cytolytic T lymphocytes) and NK (natural killer) cells activity (Chen H. W. et al., <xref ref-type="bibr" rid="B21">2014</xref>). Moreover, pro-inflammatory cytikines activate macrophages, T, and B cells (Khan Z. et al., <xref ref-type="bibr" rid="B90">2005</xref>). Studies suggest that this multi-directional effect of <italic>Arthrospira</italic> consumption is due to an involvement in signaling responses through toll-like receptors in blood cells (Balachandran et al., <xref ref-type="bibr" rid="B8">2006</xref>; Kawanishi et al., <xref ref-type="bibr" rid="B85">2013</xref>).</p>
<p><italic>Arthrospira</italic> extracts not only increase resistance to infectious diseases or natural healing mechanisms but also can modulate allergic responses. They sustain the functions of mucosal immunological mechanisms and reduce allergic inflammations by suppressing the antigen-specific IgE antibodies (Nemoto-Kawamura et al., <xref ref-type="bibr" rid="B140">2004</xref>). So far, Mao et al. (<xref ref-type="bibr" rid="B115">2005</xref>) observed positive results with &#x0201C;Spirulina&#x0201D; dietary supplementation (product delivered by Earthrise Nutritionals, Inc., Irvine, CA) to protect against allergic rhinitis. Another anti-inflammatory effect of &#x0201C;Spirulina&#x0201D; phycocyanin is the histamine release inhibition from mast cells (Nemoto-Kawamura et al., <xref ref-type="bibr" rid="B140">2004</xref>) and the reduction of functional neutrophils metabolic activity (four &#x0201C;Spirulina&#x0201D; preparations, Dartsch, <xref ref-type="bibr" rid="B35">2008</xref>).</p>
</sec>
<sec>
<title>Antiviral activity</title>
<p>Although its exact mode of action is unknown, scientists suspect that unique nutrients play an important role in <italic>A. platensis</italic> function as an antiviral (Blinkova et al., <xref ref-type="bibr" rid="B12">2001</xref>). The calcium spirulan, isolated from hot water extracts is very effective against a variety of viruses and it inhibits the replication of enveloped viruses such as Herpes simplex virus type 1 (HSV-1) and type 2 (HSV-2), Human cytomegalovirus (HCMV), measles, mumps, influenza A, and HIV-1 in <italic>in vitro</italic> conditions (Hern&#x000E1;ndez-Corona et al., <xref ref-type="bibr" rid="B72">2002</xref>; Rechter et al., <xref ref-type="bibr" rid="B163">2006</xref>). Study performed by Hayashi et al. (<xref ref-type="bibr" rid="B68">1996</xref>) indicated that calcium spirulan selectively inhibits the penetration of the virus particle into the host cell and is more effective than dextran sulfate. The most probable mode of action is the conformational chelation of sulfate groups on the surface of the virus envelope.</p>
<p>Encouraging results were observed when <italic>Arthrospira</italic> supplements were administered to patients with chronic HCV infection (Yakoot and Salem, <xref ref-type="bibr" rid="B217">2012</xref>). Nevertheless, further research is needed to confirm this effect.</p>
<p>Interestingly, dried <italic>A. platensis</italic> exhibits antiviral activity on the bacteriophage T4 (Gorobets et al., <xref ref-type="bibr" rid="B62">2002</xref>).</p>
</sec>
<sec>
<title>Antibacterial and antifungal properties</title>
<p>Compounds isolated from <italic>Arthrospira</italic> cells can also act as antimicrobial agents. Animal studies suggest that they enhance natural immunological clearance mechanisms after bacterial infections with <italic>Escherichia coli</italic> or <italic>Staphylococcus aureus</italic> (Quereshi et al., <xref ref-type="bibr" rid="B156">1995</xref>).</p>
<p>Mala et al. (<xref ref-type="bibr" rid="B112">2009</xref>) studied the antimicrobial activity of various organic and aqueous extracts of <italic>A. platensis</italic>. In agar-solid diffusion tests, a water extract of <italic>Arthrospira</italic> (WEA) showed a maximal antimicrobial activity (18.00 mm inhibition zone) in case of <italic>Klebsiella pneumoniae</italic> and a minimum activity against <italic>Proteus vulgaris</italic> (10.0 mm). A propanol extract (PEA) exhibited at least a 7.0 mm inhibition zone for <italic>Pseudomonas aeruginosa</italic> and 8.0 mm for <italic>E. coli</italic>. The acetone extract (AEA) displayed the highest biological activity with 17 mm inhibition zone against <italic>K. pneumonia</italic>, moderate activity in case of <italic>Salmonella</italic> Typhi and a 10.0 mm inhibition zone with <italic>P. aeruginosa, E. coli</italic>, and <italic>S. aureus</italic>. Sequential extracts of <italic>A. platensis</italic> exhibited the maximal antimicrobial activity and an inhibition zone of 25.3 mm was observed for <italic>K. pneumoniae</italic> and 16.0 mm for <italic>P. vulgaris</italic>. The authors assigned the antimicrobial activity to the peptides detected in the FTIR spectrum of this extract.</p>
<p>Microalgal cultures of <italic>A. platensis</italic> displayed significant antimicrobial activity against six <italic>Vibrio</italic> strains (Pradhan et al., <xref ref-type="bibr" rid="B153">2011</xref>). Phycobiliproteins isolated from <italic>A. fusiformis</italic> exhibited antibacterial activity against <italic>Streptococcus pyogenes</italic> (Najdenski et al., <xref ref-type="bibr" rid="B137">2013</xref>). The C-phycocyanin purified from <italic>A. platensis</italic> was able to inhibit the bacterial growth in many drug-resistant strains such as <italic>E. coli, K. pneumoniae, P. aeruginosa</italic>, and <italic>S. aureus</italic> (Sarada et al., <xref ref-type="bibr" rid="B176">2011</xref>). Besides antimicrobial and antiviral properties, <italic>Arthrospira</italic> formulations show antifungal characteristics. Butanol extract from &#x0201C;Spirulina&#x0201D; powder was tested as a potential antifungal agent against <italic>Candida glabrata</italic> and caused a 13 mm growth inhibition zone in test plates (Santhanam, <xref ref-type="bibr" rid="B175">2011</xref>). The previously mentioned immulina was found to be strongly active <italic>in vitro</italic> against <italic>Candida albicans</italic> and the tetanus toxoid (L&#x000F8;bner et al., <xref ref-type="bibr" rid="B110">2008</xref>).</p>
<p>Recently, Duda-Chodak (<xref ref-type="bibr" rid="B47">2013</xref>) demonstrated that the water extract of <italic>Arthrospira</italic> has a notable impact on microorganisms. An inhibitory activity was shown against <italic>Bacillus subtilis, Micrococcus luteus, Rhodotorula</italic>, and <italic>Penicillum</italic>. Water extract of <italic>Arthrospira</italic> also strongly stimulated <italic>Alicyclobacillus acidoterrestris</italic>, and <italic>Geotrichum</italic> growth. Higher concentrations promoted the development of mycelium and production of conidiophores by <italic>Cladosporium</italic> and <italic>Aspergillus niger</italic>.</p>
<p><italic>A. platensis</italic> was documented to be used as a bioreactor for production of silver nanoparticles. The latter are powerful toxic agents against the cancer promoter cyanobacterium, <italic>Microcystis aeruginosa</italic> (El-Sheekh and El-Kassas, <xref ref-type="bibr" rid="B48">2014</xref>).</p>
</sec>
<sec>
<title>Activity against tumors</title>
<p>Strong immunological influence and antioxidant activity predestinates <italic>Arthrospira</italic> to become a useful support for antitumor immunotherapy, both as a preventive and therapeutical agent. Kon&#x000ED;ckov&#x000E1; et al. (<xref ref-type="bibr" rid="B94">2014</xref>) demonstrated an antioxidative activity of <italic>A. platensis</italic> and its tetrapyrrolic compounds against pancreatic cancer cells. Kurd and Samavati (<xref ref-type="bibr" rid="B100">2015</xref>) showed that polysaccharides extracted from <italic>A. platensis</italic> had strong scavenging activities <italic>in vitro</italic> on DPPH (stable nitrogen-centered free radical) and hydroxyl radicals (but in this case lower than vitamin C). Studies indicate that <italic>Arthrospira</italic> or its components also have radioprotectant and cytotoxic properties. MB-6 is a novel herbal preparation containing fermented soybean extract, green tea extract, <italic>Antrodia camphorata</italic> mycelia, spirulina, grape seed extract, and curcumin extract. This supplement was proven to be a promising support that increases the effectiveness of chemotherapy in patients with metastatic colorectal cancer (Chen W. T. et al., <xref ref-type="bibr" rid="B23">2014</xref>). Radioprotectant and cytotoxic effect of <italic>Arthrospira</italic> was observed in combined therapy with metronidazole in relapsed vulvar cancer (VVC) (Kiziltan et al., <xref ref-type="bibr" rid="B92">2015</xref>).</p>
<p>Srivastava et al. (<xref ref-type="bibr" rid="B188">2015</xref>) screened five cyanobacterial strains, including <italic>Arthrospira</italic> sp. CCC729 for anticancer potential. Tests were performed on human colon adenocarcinoma (HT29) and human kidney adenocarcinoma (A498) cancer cell lines. Crude extracts and TLC eluates of <italic>Arthrospira</italic> sp. CCC729 exhibited potent anticancer activity. Apoptotic studies in cancer cell line (A498) and normal human epithelial cells (MCF-10A) revealed no significant impact on MCF-10A cells, in contrast to cancer cells.</p>
<p>During investigation performed on DMH-induced rat colon cancerogenesis, the C&#x02013;phycocyanin promoted the arrest of the cell cycle by downregulating cyclin D1, cyclin E, CDK2, and CDK4 (Saini and Sanyal, <xref ref-type="bibr" rid="B171">2015</xref>). Moreover, this pigment mediated apoptosis through the p53 activation pathway. C-phycocyanin also promoted antiproliferation by restraining PCNA expression and reduced cell survival via inhibiting NF&#x003BA;B (p65). C-phycocyanin demonstrated an anti-angiogenic role in cancer model by inhibiting cyclooxygenase-2 (Saini and Sanyal, <xref ref-type="bibr" rid="B170">2014</xref>). Furthermore, it exerts antineoplastic effects via the regulation of membrane properties, raising calpain-9 and PPAR&#x003B3; expression while suppressing Wnt/&#x003B2;-catenin signaling (Saini and Sanyal, <xref ref-type="bibr" rid="B170">2014</xref>).</p>
<p>C-phycocyanin was also reported to be efficient against mouth tumor in long-term smokers. In rodents treated with a combination of <italic>Arthrospira</italic> and <italic>Dunaliella</italic> extracts, the supplementation prevented the mouth-tumor development (Schwartz et al., <xref ref-type="bibr" rid="B180">1988</xref>). Mathew et al. (<xref ref-type="bibr" rid="B124">1995</xref>) have evaluated the chemopreventive activity of <italic>A. fusiformis</italic> in reversing oral leukoplakia in pan-tobacco chewers in Kerala, India. Complete regression of lesions was observed in 45% evaluable subjects supplemented with &#x0201C;Spirulina,&#x0201D; as opposed to 7% in the placebo arm (Mathew et al., <xref ref-type="bibr" rid="B124">1995</xref>). The aldehydes and ketones from tobacco smoke activate NADPH oxidase complexes in vascular tissues and in the lungs. Phycocyanin mimics cell intracellular bilirubin&#x00027;s role as an inhibitor of NADPH oxidase activity (McCarty et al., <xref ref-type="bibr" rid="B127">2015</xref>), what makes it a promising agent to mitigate the pro-oxidative effects of smoke aldehydes and ketones. In turn, methyl gamma linoleate from <italic>A. platensis</italic> appeared to be a potent cytotoxic agent against human lung carcinoma&#x02014;A549 cell line (Jubie et al., <xref ref-type="bibr" rid="B83">2015</xref>).</p>
<p>Phycocyanin significantly decreases HeLa cells multiplication in comparison to control cells (Li et al., <xref ref-type="bibr" rid="B107">2006</xref>, <xref ref-type="bibr" rid="B106">2013</xref>; Yang et al., <xref ref-type="bibr" rid="B218">2014</xref>). Furthermore, it activates the apoptotic pathway, including cell shrinkage in HeLa cell lines. Beaten cancer cells are enfeebled and incapable of rejuvenation. Ouhtit et al. (<xref ref-type="bibr" rid="B144">2014</xref>) confirmed that an <italic>A. platensis</italic> treatment of DMBA-induced rat mammary tumor decreased the cancer incidence from 87 to 13%. Immunohistochemical analysis revealed that supplementation with &#x0201C;Spirulina&#x0201D; reduced the expression of Ki-67 and estrogen &#x003B1;. <italic>In vitro</italic> studies showed that a &#x0201C;Spirulina&#x0201D; treatment inhibited cell proliferation, increased p53 expression, followed by the increased expression of its downstream target gene, Cdkn1a [alias p21 or p21(Waf1/Cip1)]. <italic>A. platensis</italic> increases Bax and decreases Bcl-2 expression, indicating the induction of apoptosis also 48 h after treatment.</p>
<p>Pan et al. (<xref ref-type="bibr" rid="B146">2015</xref>) showed the inhibitory effect of phycocyanin on the proliferation of the ovarian cancer SKOV-3 cell line. Phycocyanin also induced the apoptosis by the mitochondrial pathway.</p>
<p>The oral treatment with <italic>A. maxima</italic> performed by Chamorro-Cevallos et al. (<xref ref-type="bibr" rid="B16">2014</xref>) significantly reduced the detrimental effect of benzo[&#x003B1;]pyrene on the quality of mouse semen, protected from B[&#x003B1;]P-induced pre- and post-implant losses in the male dominant lethal test, and from B[&#x003B1;]P-induced post-implantation losses in treated females. Those results demonstrate the protective effects of <italic>A. maxima</italic> against B[&#x003B1;]P-induced mutagenicity in germ cells.</p>
<p>Antioxidant and anti-inflammatory effects of <italic>A. platensis</italic> have been shown in UVB-induced skin carcinogenesis in animal models. Investigators used wild-type and Ogg1 knockout-(KO) mice, as the absence of the enzyme produced by this gene raises the tumor incidence in response to UVB exposure. Dietary supplementation with <italic>A. platensis</italic> suppressed cancer development in both genotypes (Yogianti et al., <xref ref-type="bibr" rid="B219">2014</xref>). Calcium spirulan from <italic>Arthrospira</italic> exhibited valuable antitumor characteristics, it inhibited the invasion of B16-BL6 melanoma, Colon 26 M3.1 carcinoma, and HT-1080 fibrosarcoma cells through reconstituted basement membrane (Mishima et al., <xref ref-type="bibr" rid="B131">1998</xref>).</p>
<p><italic>In vitro</italic> studies indicated that phycocyanin is able to diminish proliferation of leukemia cell line K-562 about 49% (Subhashini et al., <xref ref-type="bibr" rid="B191">2004</xref>) and even 50% in case of hepatocellular carcinoma (liver cancer cell lines) S- and R-HepG2 cells (Roy et al., <xref ref-type="bibr" rid="B167">2007</xref>).</p>
<p>Sometimes, better results are obtained when the compounds are used in combination. The mixing of phycocyanin with selenium demonstrates antiproliferative activity against melanoma A375 cells and human breast adenocarcinoma MCF-7 cells (Chen and Wong, <xref ref-type="bibr" rid="B22">2008</xref>). A combination of selenium and &#x0201C;Spirulina&#x0201D; was also patented as the anticancer delivery vehicle (Riva and Oreal, <xref ref-type="bibr" rid="B166">2013</xref>).</p>
</sec>
<sec>
<title>Cardiovascular system protection</title>
<p><italic>Arthrospira</italic> extracts and compounds may play an important role in the prevention of cardiovascular diseases. They lower the blood pressure, plasma lipid concentration, especially triacylglycerols. They indirectly modify total cholesterol and HDL/LDL (high- to low-density lipoprotein rates). Animal studies indicate that <italic>Arthrospira</italic> could be a novel preventive tonic for the heart and whole cardiovascular system. Nevertheless, human trials are still too small to prove this effect. All animal studies, preclinical and clinical trials are clearly reviewed by Deng and Chow (<xref ref-type="bibr" rid="B40">2010</xref>) in <italic>Cardiovascular Therapeutics</italic>.</p>
<p>&#x0201C;Spirulina&#x0201D; may be a prominent dietary supplement for patients with ischemic heart disease as it improves patients&#x00027; lipid profiles and helps to lower blood pressure (Torres-Duran et al., <xref ref-type="bibr" rid="B196">2007</xref>). In rodents, <italic>Arthrospira</italic> can have a protective effect on doxorubicin-related cardiac side effects (Khan M. et al., <xref ref-type="bibr" rid="B88">2005</xref>; Khan et al., <xref ref-type="bibr" rid="B89">2006</xref>) as well as be protective against heart attacks in humans (McCarty, <xref ref-type="bibr" rid="B125">2010</xref>). Water extracts lower the fat absorption by inhibiting pancreatic lipase activity (Han et al., <xref ref-type="bibr" rid="B67">2006</xref>).</p>
<p>Phycocyanin from &#x0201C;Spirulina&#x0201D; has a high bile binding capacity, lowers cholesterol solubility and intake by Caco-2 intestinal cells (in comparison to casein) (Nagaoka et al., <xref ref-type="bibr" rid="B136">2005</xref>). In mice, C-phycocyanin can promote the CD59 gene expression. This activity prevents smooth muscle cell proliferation and the apoptosis of endothelial cells, reducing blood fat levels. In consequence, C-phycocyanin inhibits the development of atherosclerosis (Li et al., <xref ref-type="bibr" rid="B106">2013</xref>). The GLA present in <italic>Arthrospira</italic> reduces cholesterol accumulation in the hypolipidemic nephrotic syndrome (Samuels et al., <xref ref-type="bibr" rid="B172">2002</xref>).</p>
</sec>
<sec>
<title>Biomaterials and bioactive substances from <italic>Arthrospira</italic> in tissue engineering</title>
<p>Polyhydroxyalkanoates (PHAs) are biodegradable and biocompatible polymers for tissue or organ scaffold construction in regenerative medicine. They can be extracted from different microorganisms including <italic>Arthrospira</italic> (Jau et al., <xref ref-type="bibr" rid="B78">2005</xref>). Replacement of commercially available PHA biopolymers with equivalents obtained from <italic>Arthrospira</italic> or/and containing its biomass significantly increases the eucaryotic cell proliferation and decreases the risk of transplant rejection (de Morais et al., <xref ref-type="bibr" rid="B38">2014</xref>). Since 2007, de Morais et al. (<xref ref-type="bibr" rid="B37">2010</xref>) have been studying the development of nanofibers produced from PLA (polylactic acid), polyethylene oxide and PHB (polyhydroxybutyrate) extracted from <italic>Arthrospira</italic> LEB 18 strain and incorporation of its compounds in artificial extracellular matrices. Their observations reveal that addition of LEB 18 biomass increases nanofibers conductivity (de Morais et al., <xref ref-type="bibr" rid="B37">2010</xref>). PHB nanofibers from LEB 18 have higher mechanical durability with enhanced elasticity, tensile strength, and breaking elongation. Those characteristics support nutrient, growth factors, and metabolism byproducts distribution (de Morais et al., <xref ref-type="bibr" rid="B38">2014</xref>).</p>
<p>A study carried out to compare poly-D,L-lactic acid (PDLLA) associated with LEB 18 biomass with classic PDDLA in the animal model of skin injury disclosed that PDDLLA/Sp scaffolds were more moldable and had better adherence to the wound (Steffens et al., <xref ref-type="bibr" rid="B189">2014</xref>). The same authors showed that PDDLA/Sp increased cells viability in comparison to simple PDDLA matrices (Steffens et al., <xref ref-type="bibr" rid="B190">2013</xref>). Formerly described antimicrobial, anti-inflammatory and immunostimulatory effects of biocompounds from <italic>Arthrospira</italic> provide additional benefits in biomatrices produced from cyanobacteria. They promote natural wound healing processes and minimize the risk of infection (de Morais et al., <xref ref-type="bibr" rid="B38">2014</xref>).</p>
</sec>
<sec>
<title>Other effects and perspectives</title>
<p>Some observed beneficial effects of <italic>Arthrospira</italic> supplementation cannot be classified, but their existence underlines the multiple therapeutical possibilities and how to take advantage of those unusual cyanobacteria.</p>
<p>Studies worth mentioning show that <italic>Arthrospira</italic> promotes the growth of probiotic microbiota (Parada et al., <xref ref-type="bibr" rid="B148">1998</xref>; Kordowska-Wiater et al., <xref ref-type="bibr" rid="B95">2011</xref>) from human gut, thus boosting the production of B6 vitamin that aids in energy release. This fact and its high content of rhamnose, glycogen, and GLA, which also participate in energy release, could predestine <italic>Arthrospira</italic> to be a potential medication in chronic fatigue syndrome. Notwithstanding, <italic>Arthrospira</italic> activity in four N-of-1 double-blind, randomized trials is comparable to placebo (Baicus and Baicus, <xref ref-type="bibr" rid="B7">2007</xref>).</p>
<p><italic>Arthrospira</italic> can turn out to be useful for aging-related diseases. A study performed on rats suggests it enhances expression level of the beta-adrenergic receptor in brain tissue, which decreases with age and is connected with dementia in elderly people (Gemma et al., <xref ref-type="bibr" rid="B59">2002</xref>). Another animal study demonstrates &#x0201C;Spirulina&#x0201D;&#x00027;s ability to protect neurons in the &#x003B1;-synuclein model of Parkinson Disease (Pabon et al., <xref ref-type="bibr" rid="B145">2012</xref>). In rodents, it also exhibits protective effects against drug-related serious renal failure (Kuhad et al., <xref ref-type="bibr" rid="B96">2006a</xref>,<xref ref-type="bibr" rid="B97">b</xref>; Lim et al., <xref ref-type="bibr" rid="B108">2012</xref>). &#x0201C;Spirulina&#x0201D; also may have a particular utility in mitigating adverse effects of alcohol consumption thanks to its inhibitory effect on NADPH oxidase and certain nutraceuticals, including taurine, pantethine, and lipoic acid that may have a potential to boost conversion of acetaldehyde to acetate (McCarty, <xref ref-type="bibr" rid="B126">2013</xref>). Due to the good ability to accumulate metal ions from solutions, <italic>Arthrospira</italic> can be a prominent source of therapeutical nanoparticles. The assimilation process is pH-independent and may be a part of the biofunctionalized (antibacterial) Au nanoparticles biosynthesis in <italic>Arthrospira</italic> platensis (Savvaidis, <xref ref-type="bibr" rid="B178">1998</xref>; Suganya et al., <xref ref-type="bibr" rid="B192">2015</xref>).</p>
</sec>
<sec>
<title><italic>Arthrospira</italic> formulations as cosmetics</title>
<p>The abundance of natural bioactive compounds makes <italic>Arthrospira</italic> extracts perfect for use in commercial as well homemade cosmetics. Formulas containing &#x0201C;Spirulina&#x0201D; are mostly sold as anti-aging products that combat the action of free radicals, provide hydration, and protection to the skin (e.g., Patent EP2695604 A1<xref ref-type="fn" rid="fn0003"><sup>3</sup></xref>). Due to its antimicrobial activity, cosmetics against acne, and other bacterial skin infections are enriched with &#x0201C;Spirulina&#x0201D; extracts (W&#x00026;P Cosmetics)<xref ref-type="fn" rid="fn0004"><sup>4</sup></xref>.</p>
</sec>
<sec>
<title>Cyanobacteria from the <italic>Arthrospira</italic> genus in animal diet supplementation</title>
<p>Previously, animals were fed with <italic>Arthrospira</italic> to examine the effect on a living organism, which was a preliminary model for human nutrition (Fevrier and Seve, <xref ref-type="bibr" rid="B53">1975</xref>). Nowadays, &#x0201C;Spirulina&#x0201D; is treated as a valuable supplement that supports animal well-being and their products quality.</p>
<p>Dietary &#x0201C;Spirulina&#x0201D; supplementation in poultry influences both the yellowness and redness of broiler flesh (Toyomizu et al., <xref ref-type="bibr" rid="B197">2001b</xref>), increases several immunological functions, rising resistance to infections (Qureshi et al., <xref ref-type="bibr" rid="B157">1996</xref>; Al-Batshan et al., <xref ref-type="bibr" rid="B1">2001</xref>) and could be as effective as the diet with synthetic pigment in producing an agreeable egg yolk color (Zahroojian et al., <xref ref-type="bibr" rid="B220">2011</xref>).</p>
<p>Saeid et al. (<xref ref-type="bibr" rid="B169">2013</xref>) performed studies focused on the effect of supplementation of <italic>A. maxima</italic> enriched with Cu on the production performance, metabolism and physiological parameters in fattening pigs. Examination revealed that supplementation with &#x0201C;Spirulina&#x0201D; extract reduced the liver toxic stress and total cholesterol levels by 10%, rose the glucose level in blood, which may indicate a better energy metabolism and caused a more intense red color of the meat (Saeid et al., <xref ref-type="bibr" rid="B169">2013</xref>).</p>
</sec>
</sec>
<sec sec-type="conclusions" id="s5">
<title>Conclusions</title>
<p>Recent progress in genomics and molecular biology allowed for a better understanding of extraordinary microorganisms&#x02014;the edible cyanobacteria from the <italic>Arthrospira</italic> genus. Phylogenetic analyses and bioinformatic approaches shed a new light on genomes&#x00027; structure and obstacles in genetic engineering. Genetic analyses identified numerous genes responsible for hydrogen production, stress adaptation, restriction-modification systems, and others, unraveling the processes sustaining the functions of the organisms. Genome and proteome studies have proven the absence of toxicity factors, supporting the idea that Arthrospira products are safe to consume. Studies conducted for many years showed that <italic>Arthrospira</italic> was an organism extremely resistant to environmental stresses. As a rich source of macro- and microelements, vitamins, pigments, protein, polysaccharides, GLA, and other bioactive compounds, it has become a vivid object of interest in food and health industry. Increased interest in this organism results in higher demand for biomass production. Therefore, multiple studies aiming at improving its cultivation conditions and lowering the costs were carried on. <italic>Arthrospira</italic> was also proven to be very valuable from the medical point of view. Numerous researches conducted on animal models and patients confirmed its immunomodulatory properties, which is strictly connected with antitumor activity against different types of lesions. Apart from empowering human immunological response, chemical compounds extracted from <italic>Arthrospira</italic> exhibits antibacterial, antifungal, and antiviral activity. Interestingly, the probable mechanism of action against enveloped viruses is so universal that &#x0201C;Spirulina&#x0201D; extracts inhibit internalization and replication of potentially every enveloped virus, including HIV-1 and HCV. Fatty acids, especially GLA provide a protective effect for the cardiovascular system, regulating cholesterol levels. A recent development of modern medicine&#x02014;tissue engineering&#x02014;can take advantage of <italic>Arthrospira</italic> polysaccharides used for scaffold construction in tissue/organ regeneration process. The addition of biocompounds from <italic>Arthrospira</italic> enhances stem cells proliferation and promotes wound healing by supporting the immunological system and providing nourishing substances. Other valuable effects worth mentioning include the promotion of human gut microflora growth, clearance from different types of toxins and neuron anti-aging properties.</p>
</sec>
<sec id="s6">
<title>Author contributions</title>
<p>The authors of the general work conception are KW and MW. Reviewers and actual authors of the manuscript text are MAF (genetic section), AM (physiology), MDF (medicine). Critical revision for important intelectual content: AW, KW, and MW. Proofreading, edition, and final approval of the version to be published was made by all authors mentioned above. All questions should be addressed to KW.</p>
<sec>
<title>Conflict of interest statement</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
</sec>
</body>
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<fn fn-type="financial-disclosure"><p><bold>Funding.</bold> This work was supported by Medical University of Gda&#x00144;sk and was a result of Scientific and Technical Cooperation projects between Republic of Poland and French-speaking Community and Walloon region of Belgium (Wallonia Brussels International) 2014&#x02013;2016 and 2017&#x02013;2019. AW is Research Associate of the FRS-FNRS of Belgium.</p>
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