Biological and Environmental Impact of Pharmaceuticals on Marine Fishes: A Review

Pharmaceuticals are recognized as a serious threat to aquatic ecosystems due to their persistence or pseudo-persistence and their biological activity. Their increased consumption in human and animal medicine has led to a continuous discharge of such biologically active molecules in aquatic environments. Marine ecosystems have been poorly investigated, even though recent studies have confirmed that these emerging contaminants occur widely in these ecosystems. Due to their interaction with specific biochemical and physiological pathways in target organisms, pharmaceuticals can cause alterations in several marine species during their entire life cycle. In particular, marine fishes have shown the ability to bioaccumulate these compounds in their body, and they may be used as potential bioindicators of pharmaceutical contamination in seawater. The objective of this review was to provide a comprehensive overview of the current understanding of the sources and occurrence of pharmaceuticals in marine environments, illustrating the adverse biological effects of important classes of these compounds on marine fishes.