A Prominent Superfood: Spirulina platensis A Prominent Superfood: Spirulina platensis

Our planet’s resources have been declining, as you know. The life qualities of humans have also changed a little because of their economy, nutrition, sports, and family life. Therefore, more alternative resources are being sought after by humans. Also, in the food supply for animals, scientists have been researching different and alternative supplements for growth performance, immunity, reproduction, and metabolism. Spirulina platensis and its contents have been linked to a nutritional component in both human and animal health and welfare. Growth and immunomodulation properties of this supplement have been widely studied in animals and humans, recently. Nowadays, nutritional specifics of S. platensis are a main focus for researchers. S. platensis is a single- cell protein due to its rich components, such as protein, essential amino acids, fatty acids, antioxidant pigments, carotenoids, beta-carotene, and phycocyanin. Today, researchers study the nutritional quality and investigate the effects of S. platensis on growth, immunity, antioxidant, antitoxicologic, anticancerogenic, cholesterol and glucose metabolism, and fertility. For these reasons, S. platensis may be acceptable as an alternative and/or superfood for the next generation. So, we review this information regarding S. platensis using historical background, literature reviews, qualitative studies, and microscopic appearances in this chapter.


Introduction
Population growth, depletion of food resources, and balanced diets require the usage of new food sources. For many years, there have been antibiotics, hormones, or drugs used for improving health and immunity, and to fight against disease. Today, antibiotic resistance has become a reality, and using a more natural approach to additives in both humans and animals has become a more acceptable alternative. The natural additives are using a protein source to The World Health Organization reported that S. platensis has no risk and is a good food supplement for health [12]. Included in this issue, in 2003, the Intergovernmental Institution studied this microalgae for malnutrition (IIMSAM) and developed a charter with the United Nations Economic and Social Council (UNECOSOC). They agreed that Spirulina should be used against malnutrition for humans, especially in developing countries.
In 2011, the National Institutes of Health proposed that S. platensis could be used in human research, but they requested further studies on the effects of Spirulina [13]. S. platensis was suggested as a safe dietary supplement by The Food and Drug Administration (FDA) in 2012 [14]. They recommended a 3-10-g daily dose of this microalgae for human health. Notably, according to the European Food Safety Authority (EFSA), S. platensis also helps to control the blood sugar level for glycemic health [15].

Nutritional composition
The superfood S. platensis includes bioactive components such as proteins, amino acids, minerals, vitamins, pigments, nucleic acids, carbohydrates, and lipids, shown in Tables 1-6

Protein and amino acids
S. platensis is the most useful microalgae for nutrition due to its components, especially protein.
The nutritional level of protein is almost 70% of its dry weight and also has a high quantity and quality belonging to amino acids [1]. S. platensis contains all of the essential amino acids, as shown in Table 2. Researchers reported that although methionine and cysteine are found in a lower value, albumin and casein are found in a higher value, of animal proteins, respectively, in eggs and milk [8,16]. S. platensis contains biliproteins, especially C-phycocyanin which is 20% of all protein fractions. C-Phycocyanin molecule has an antioxidant feature, which regulates immunity and protects the organism against diseases [17].

Vitamins
S. platensis has the richest vitamin source of vitamin A (beta-carotene), vitamin E, thiamin (vitamin B1), biotin (vitamin B7), and inositol (vitamin B8) in food. Beta-carotene is in a biotransformed state which can be absorbed by humans, and is also important for antioxidant processes in organisms [18]. On the other hand, there is a conflict of cobalamin (vitamin B12) content in S. platensis. Some researchers reported that S. platensis has no reliable vitamin B12. They explain that it is a pseudovitamin B12 which is inactive and in a form that the human organism cannot uptake at a cellular level [19,20]. However, other researchers claimed that S. platensis has a great amount of B12 compared to other sea algae and they indicated that vitamin B12 in this microalgae is important for vegetable nutrition, especially for humans who do not eat meat [21,22].

Minerals
S. platensis contains many minerals such as potassium, calcium, chromium, copper, iron, magnesium, manganese, phosphorus, selenium, sodium, and zinc. This microalgae is a good component due to its iron, calcium, and phosphorus contents. The ferrous component in this microalgae can be easily digested and bioactive in an organism easily which is important for pregnant adult females [23]. The utilization of calcium and phosphorus contents of S. platensis has an important impact on bone calcification and improves bone health [24].

Lipids
Lipid contents of S. platensis are only 4-7%, but it has important essential fatty acids for humans: gamma-linolenic acid and linolenic acid. These components are also mediators of immune and cardiovascular system due to their precursor effects of prostaglandins and leukotrienes [25].

Carbohydrates
S. platensis contains 13.6% carbohydrates, which are glucose, mannose, galactose, and xylose. Nevertheless, it does not contain cellulose, which cannot be absorbed by humans and thereby this feature makes S. platensis easily digestible and a safe nutrient for human consumption. It is significant for people who have intestinal malabsorption and for the elderly [24]. Likewise, there is also a polysaccharide molecule, isolated from S. platensis, which has a huge molecular weight. This polysaccharide has an immunomodulator effect called "immulina" by scientific authorities [26,27].

Nucleic acids
Nucleic acids play a role in uric acid metabolism. They catabolize the uric acid to adenine and guanine which causes gout and cardiovascular diseases [28]. So, the World Health Organization recommends about 80-g daily dosage of S. platensis.

Pigments
S. platensis has some natural pigments which color this microalgae, such as c-phycocyanin, chlorophyll, xanthophyle, beta-carotene, zeaxanthin, and allophycocyanin. The most important are phycocyanin, chlorophyll, and beta-carotene. C-Phycocyanin is the most important pigment, which includes iron, and contains 14% of its dry weight. Also, S. platensis is one of the best nutrients that contains the highest chlorophyll value (1%). Chlorophyll is known as a detoxifier and purifier phyto-nutrient. It improves the carbohydrate, protein, and lipid metabolism and affects reproduction positively. Carotenes constitute half of this microalgae, especially beta-carotene. The carotenes and xanthophyle in S. platensis are demonstrated in different metabolism pathways in the body, and also better influence the function of vitamins and minerals in an organism [29]. Nowadays, diets rich in carotenes are found to be important for human health due to its effects in reducing the risk of diseases [30, 31] ( Table 6).

Usage as food
Plants and plant extracts have been the focus for improved health in recent years. S. platensis is one of the most sought after natural alternatives for nutrition in both human and animal. S. platensis is a microalgae that has been consumed for centuries due to its high nutritional value and supposed health benefits. Apart from its easy production, S. platensis has a high nutritional ability. Its affects on growth, antioxidants and antiviral features, immunomodulator activity, and hypocholesterolemic influence have been proposed by researchers over the years. Likewise, it is indicated as a nontoxic supplement, and the World Health Organization has supported it as a health nutrient [32]. S. platensis is used in many countries, such as Mexico, United States, Japan, Taiwan, India, Singapore, Germany, Spain, Switzerland, Holland, and many others. It is added in food marketing such as candies, chewing gums, appetizers, sports tablets, and bread. As well as its many uses in food, it is a component in some cosmetics such as creams, masks, tonics, and shampoos [33].
Natural additives have also been added to animal feed for healthy animal growth in recent years. At the same time, in the farming sector, it is preferred as it is a natural and economical product, as well as healthy, and it is shown to have rapid growth performance. S. platensis is one of the most sought after ingredients for animal feed as compared to other nutrients due to its high protein contents and nourishing features. Its growth, antiviral, antidiaretic, antioxidant, probiotic, hypocholesterolemic, antiallergic, analgesic, anthelmintic, anticarcinogenic, antiparasitic, immune system activator, and cardiovascular protective effects for animals have been reported by researchers [34-39].
S. platensis grows naturally in shallow bodies of water and in the presence of an alkaline medium of high salinity [40,41]. The primary component for growing this microalgae is sodium bicarbonate. The production systems for this microalgae are found in Thailand, United States, Africa, China, and Chile, mostly where the Pacific Ocean, fresh water, and deep oceans exist. On the other hand, in Turkey and Bulgaria, S. platensis has been cultivated experimentally and recently.
Clinical and experimental trials have shown that S. platensis can be utilized for both human and animal safety. There have also been many studies that can help explain the benefits of this interesting microalgae. Its high biological components are an interest for scientists in recent centuries. Although it has been reported as a nontoxic supplement, current studies have continued to test its safety.
S. platensis can be used for immune enhancement, growth, as a nutritional food source, protector of metabolism, and many other important benefits for both humans and animals. It is amazing that all of these different features exist in this one specific microalgae. This is why scientific evidences call this microalgae a "super food." Nevertheless, in that respect there is always a need for continued studies regarding natural additives such as S. platensis to explain the study of their effects on humans and animals.

Effect of S. platensis on the growth of bacteria and animals
S. platensis does not contain cellulose on its cell wall. Therefore, this microalgae can be absorbed in the intestinal mucosa and improve the intestinal function and mucosal digestion. Although S. platensis can repress the harmful microorganism such as Candida, it can help to increase the good microorganism such as Lactobacillus and Bifidobacteria. So, this increase of Lactobacillus population helps the absorption and digestion of food [42][43][44]. At the same time, the biological components in S. platensis, such as phycocyanin, polysaccharide, and gamma-linolenic acid, have an important role for improving overall body function. The Scientific Committee on Food (SCF) and the European Food Safety Authority (EFSA) also recommend 10 g of S. platensis as a supplement for daily intake in order to protect the health of humans, and research indicates that there is no risk with this microalgae use as a food [14].
The focus on S. platensis is due to its protein bioavailability, and that is the reason for this important microalgae to be compared to others. Its high protein content can improve growth performances of both humans and animals. The application of S. platensis for protein malnutrition has resulted in good weight gain, hematological responses, and positive nitrogen balance in metabolism with no side effects. Foods containing high protein are especially useful for malnutrition in humans, as malnutrition is a global problem. Studies, which estimate the effects, were performed in Africa, where malnutrition is prevalent, especially in children. The children and older people were separated according to their protein malnutrition first, and then rehabilitated with S. platensis for these studies [45][46][47][48][49]. The studies resulted in positive weight gain, normalized blood values, and optimized the health of human immunodeficiency virus (HIV)-negative children. The study of Simpore et al. [47] compared HIV-negative andpositive children, and showed a positive weight gain between 15 and 25 g/day with children given S. platensis. They reported that S. platensis is a good food source for malnutrition. On the other hand, Azabji Kenfazk et al. [49] studied HIV-infected and malnourished adults, using S. platensis for 12 weeks. At the end of that study, positive improvement in body composition and body weight was concluded.
There are many different studies that point out the growth performance of S. platensis in animals [50][51][52][53][54][55][56][57]. For example, Moreira et al. [50] studied the Wistar rat using S. platensis as an added nutrient at 8.8, 17.6, and 26.4% doses of forage. They reported that there was a significant increase in weight in the 17.6% group. Heidarpour [35] used 0-, 2-, 6-, and 25-g S. platensis for cattle, and noted weight gain every 15 days. He observed no statistical differences in growth performances when comparing all groups. On the other hand, although some researchers found positive effects of S. platensis as a supplement with fish [52], some of them reported no significant changes in growth performances in fish [53,54]. Seyidoglu and Galip [51] tried to elucidate the effects of S. platensis on growth performance in rabbits. They indicated that there was a positive effect of supplementing S. platensis on growth performance due to dose, animals, and environmental changes.
When comparing all these studies, there were different results about the supplementing dose and effects of the S. platensis. So, there continues to be more studies which are necessary to determine dietary concentration and the effects of this interesting microalgae.

Immune system and allergy
Hematopoietic system is important for repairing tissues, generating important body cells, and protecting healthy regulation. The immune system is one of the most important systems within the hematopoietic system. Together, they are all responsible for protecting the host. The immune system of the organism is classified as an innate immune system and adaptive immune system. The innate immune system is the first barrier to protect the organism against infections. This system includes macrophages, neutrophiles, natural killer cells, and lectins. On the other hand, providing a more specialized and active defense against diseases is called an adaptive immune system, in which there are antibodies, lymphocytes, and cytokines. These two immune systems are in a sensitive balance with each other.
S. platensis can produce high protein, amino acids, vitamins, beta-carotene, pigments, and polysaccharides as a bioactive agent. All these components have an enhanced effect on the production of antibodies and cytokines. Especially polysaccharide, in this microalgae, has an effect on macrophages and T-and B-cell proliferations, and so it is said that S. platensis can improve the resistance of the organism. However, the effects of S. platensis on the immune system have not yet been precisely determined. The first experimental study was performed on mice in 1994, and it investigated at the effects of supporting antibody production [58]. In that study, it was reported that C-phycocyanin and polysaccharide in S. platensis activated the proliferation of monocytes, erythrocytes, granulocytes, and fibroblastosis in the bone marrow, and thereby the hematopoietic and immune systems were activated. In the University of Mississippi, a polysaccharide that is called "Immulina" was extracted from S. platensis by researchers [26]. They measured the immunostimulatory activity on human monocyte cells in vitro, and reported positive monocyte activation due to the effect of polysaccharide. Some researchers demonstrated that S. platensis plays an important role in the balance of immune system cells [59][60][61][62][63][64][65]. All these researchers reported that polysaccharides and phycocyanin have a positive role in erythropoietin activity, which is based on improved T-lymphocytes, and triggered leukocytes and bone marrow growth. Moreover, Løbner et al. [60] observed the increased CD4+ cell proliferation in humans using Immulina. There are two studies which also used S. platensis supplement (Immulina) with healthy humans. They reported that hemoglobin levels, natural killer cell activity, and monocytes were increased [27,61]. Although some of the studies did showed the immune stimulatory effect of this microalgae on adaptive immune system [62][63][64], some of the studies [65] found no effect on the immune system, which can be explained by mutation in protocols and strains, and also the ratio of S. platensis.
An allergic response is a reaction of the immune system against a harmless substance such as pollen, nutrition, house mites, or other substances. Today, it is an increasing problem in the world. The protection and treatment process of allergies is aided by natural foods, especially S. platensis. According to researchers [66], S. platensis can regulate T-helper cells (Th) in allergic rhinitis. In that study, which was the first human study investigating at allergies, the role of Thelper 2 cells (Th2) and IL-4, which induced the production of IgE, was inhibited by this microalgae. According to the results, S. platensis supplements had a positive effect on allergic patients. In another study about food allergies, the researchers investigated the immunoglobulins role (IgA, E, G1) in the protective effects of S. platensis. They suggested that S. platensis may enhance the IgA antibody, which worked as a blocking antibody toward IgE, and thereby had protective effects against allergic reactions [67].
The supplementing of S. platensis was also used for adolescent animals, which have an immature immune system, which has been shown to improve the immune system and living ratio [62,68]. Some researchers studied this concept with poultry and reported that there was a positive immunomodulator effect of S. platensis through the decreasing of the nutrients in macrophages [69]. According to other studies in animals, there have been increases in hemoglobin, erythrocytes, natural killer value, T-lymphocytes, and cytokine activity with this microalgae [70][71][72]. Prompya and Chitmanat [53] studied fish over a 60-day duration using this microalgae and found a statistically significant increase in white and red blood cells. There was another research which studied newborn pigs, and the results found a significant increase in cytokines and interleukins [72].
For many years, S. platensis has been used as a food additive for both humans and animals. According to scientific findings, the components are sufficient for healthy nutrition, the protective activity of the body and disease therapies. Also, according to the Food and Drug Administration, S. platensis has been designated as a "safe food" [14] due to its natural properties for health therapies.

Anemia
Anemia refers to a decreased number of circulating red blood cells and is the most common blood disorder. Insufficient nutritional intake, toxic metals, and environmental contamination cause there to be a disruption in the red blood cell production pathways, and thereby anemia is the result. Also, iron deficiency is the most common cause of anemia in pregnant women, older people, and children [61]. In literature reviews, several studies have shown that several types of anemia have been treated by S. platensis due to its phycocyanin content [73][74][75]. The mechanism of C-phycocyanin is explained through the stimulation of the hematopoiesis and the endogenous erythropoietin (Epo). The Epo is known as an indicator for the proliferation and differentiation of erythrocytes. Along with this result, some research have also demonstrated that S. platensis has a positive impact on different types of anemia due to its rich components such as essential amino acids, folic acids, vitamin B12, and high iron which have an important role in erythropoiesis [48,76,77]. There are also some animal studies regarding anemia that have shown the beneficial effects of S. platensis on hemoglobin and serum iron levels [47,86,88].

Obesity
S. platensis has a hypocholesterolemic effect due to its C-phycocyanin component. It was reported that C-phycocyanin inhibits the reabsorption of bile acids in the ileum and also cholesterol in the jejunum [78][79][80]. In some studies, humans using S. platensis supplements showed lower results in cholesterol and triacylglycerol levels, and an increase in high-density lipoprotein levels. All of these effects indirectly reduced both diastolic and systolic blood pressure and gave a protective effect on the cardiovascular system [51,[81][82][83]. In another study [84], researchers treated hyperlipidemia nephrotic syndrome with S. platensis by applying 1-g S. platensis per day for 2 months and observed whether S. platensis decreased essential fatty acids and cholesterol values or not. They concluded that S. platensis consumption decreases lipid profile and helps to reduce the hyperlipidemia nephrotic syndrome. Also, all these researchers suggested that S. platensis is important to maintain a healthy cardiovascular system including blood lipid profile as well as treating precardiovascular disease. In vascular lesions such as coronary artery disease, the proteoglycan metabolism protecting cardiovascular cells is associated with exogen polysaccharides that are present in S. platensis. This pathway was studied by Sato et al. [85] and has been found to be an important element in coronary artery disease.
Cardiovascular diseases, obesity, and diabetes are linked with each other. The risk of cancer development is enhanced by these diseases in both humans and animals. On that point, some researchers point out the effects of S. platensis on obesity and diabetes [86][87][88][89]. During a 4-week study, S. platensis supplement (2.8 g) was taken by obese people, and the total body weight and biochemical values were determined. A reduction in body weight and lower cholesterol levels in obese humans was observed, in the lower significant level. Also, the other researchers observed the positive effects on diabetics using supplements of S. platensis [86,89]. In these studies, obese humans with high blood sugar and lipid profiles were studied to determine the antidiabetic mechanism of this microalgae and have suggested that the gamma-linolenic acid in S. platensis may be attributed to the reduction in hyperglycemia.
S. platensis has been applied to animal feed and it has been reported that S. platensis plays a substantial part in lipid metabolism in animals, such as a decreased effect on total cholesterol, lipid profile, and glucose [5,35,90,91]. They suggested that S. platensis could reduce serum cholesterol, and thereby have positive effects on lipid metabolism. In fact, cholesterol metabolism is significant in these creatures, especially in the milk production during lactation. The fatty acid profile of this microalgae is a prominent source and may stimulate milk production. The application of S. platensis to both humans and animals has been reviewed by The Dietary Supplements Information Expert Committee (DSI-EC) with experimental researches of animals, human clinical, and animal studies, and has reported that S. platensis does not have any risk for nutritional consumption. However, as there are quite limited studies in animals, especially in ruminants shown by researchers, more animal studies will be necessary to study this functional microalgae.

Healing and antibiotic effects
Wound healing is a process of repairing skin or tissue, and this process is also important for regulating hemostasis. During the healing process, bacteria and other pathogens are present at damaged areas where the pyretic situation occurs as a result of the inflammation. Natural pharmaceutical compounds are generally used to heal such wound areas. In addition, S. platensis or its extracts have been widely used in creams, solutions, raw juices, and ointments for skin health in recent times. Collagen fibrils, which is the plant constituent contained in microalgae, have attributes that have positive effects on wound closure during the healing process [92]. Rabadiya et al. [93] suggested that the antibiotic effects of S. platensis had inhibitive effects of bacteria and promoted skin healing, during the scarring process. Also, another study suggested that aqueous extract of S. platensis has a healing activity and it is an economical method for promoting skin, especially for diabetic wounds [94].
The anti-inflammatory effect of S. platensis is explained as an inhibitive effect of gammalinolenic acid [95][96][97]. Gamma-linolenic acid is important to control inflammation and cell proliferation. The high value of gamma-linolenic acid inhibits the work of prostaglandin and the progression of inflammation. On the other hand, some researchers reported that S. platensis and its extract C-phycocyanin, can regulate the cytotoxicity and inflammation-associated factors such as ions, COX-2, tumor necrosis factor (TNF)-α, and IL-6 with BV-2 microglial cell during the inflammatory process [98].
Antibacterial activity of S. platensis is also caused by the activation of phagocytosis in mononuclear cells and this bacterial clearance is associated with liver health. The increase in T-cell and mononuclear phagocytes in liver by S. platensis has been reported [99].
S. platensis and its extracts, especially calcium, do not allow the viruses to attack and infect the cells. On that point, there are some written reports about the inhibition effect of viral replication and natural defenses [100]. Referring to the animal studies, S. platensis has been shown to be beneficial as an antiviral agent and lead to a limitation of foot and mouth disease [101]. The researchers studied the calcium extract of this microalgae in vitro, and indicated that the replication of viruses, such as herpes, measles, or mumps, was interfered by this extract. In some other studies, aqueous extracts of S. platensis diminished the HIV-1 virus and enterovirus replication in T-cells, Langerhans, and peripheral blood mononuclear cells due to the polysaccharides activity of this microalgae [102,103].
Helminth infections contribute to diseases such as anemia, eosinophilia, and malnutrition. Studies about marine natural products, which are used for anthelmintic situation, were reviewed by Mayer et al. [104]; however, sufficient anthelmintic effect by S. platensis on the parasites was not observed.

Fertility
There are many factors that affect infertility in female humans and animals such as age, size and physical condition, reproductive history, and nutrition [105]. S. platensis is an amazing food for supporting fertility and pregnancy due to its contents. It was reported that high protein and essential amino acid components of S. platensis may have improved fertility by enhancing the gonad weight and gonadosomatic index, and thereby had positive effects on reproductive function [106]. Granaci et al. [107] studied with boars and found that S. platensis can increase the fertilizing ability of sperms. Some researchers suggested that S. platensis improves the sperm motility and tone due to lactate dehydrogenase (LDH) in spermatozoa, which is increased by this microalgae [108,109]. Also, it is known that thyroid hormones (T3 and T4) are associated with increased testosterone stimulation [110], which in turn helps spermatogenesis, which were studied in rats supplemented with S. platensis. It was also described that these thyroid hormones regulated by this microalgae can show an improvement in rats, which have a testicular injury and dysfunction, due to its antioxidant components [111,112].

Antioxidant, anticancer and antitoxicity effects
The natural antioxidants are vitamins (B1, B5, B6, and E6), minerals (zinc, manganese, and copper), amino acid (methionine), beta-carotene, and trace elements (selenium). S. platensis, which contains phenolic acids, beta-carotene, and tocopherols, is a very important natural source for the intake of antioxidants. The antioxidant effect has been examined in vivo and in vitro [113,114]. S. platensis has antioxidant and immunomodulatory properties which appear in the mechanism of tumor destruction and also in cancer prevention [115]. Some researchers studied liver cancer and reported that lymphocyte activity and survival rate in cancer-stricken organisms can be increased by the supply of S. platensis [17] through C-phycocyanin activating the immune system and playing an important role to prevent the progress of local and oral cancer [116].
Beta-carotene contained in S. platensis at a high value protects the free radicals and tumors induced by chemicals and enhances the immunologic resistance of the body, also decreasing lung cancer [117,118]. The inhibitory effects of S. platensis and its extracts on carcinogenesis for both humans and animals were reported in some studies [119][120][121]. Grawish et al. [119] showed the inhibition of dysplastic tumoral changes in cheek pouch mucosa in hamsters. In another study, the protective phyto-antioxidant functions of liver tumors were determined, by an increase of the Bax/Bcl-2 ratio, which is associated in the apoptosis mechanism of hepatocellular carcinoma cell line HepG2 [120]. Additionally, S. platensis and its contents have protective effects against drugs, chemicals, and xenobiotics on liver tissue [120,122,123]. Abdel Daim et al. [124] reported that the protective mechanism of S. platensis against Deltamethrin induced oxidative stress through the inhibition of lipid peroxidation and releasing of free radicals or enhancing of the activity superoxide dismutase. Related to all these studies, it has been suggested that S. platensis may have a positive effect on anticancerogenic and oxidative situations.
S. platensis consists of proteins, lipids, carbohydrates, elements, and vitamins such as βcarotene, riboflavin, cyanocobalamin, α-tocopherol, and α-lipoic acid [125]. As discussed, with all these substances, S. platensis has beneficial effects against nephrotoxicity and cardiotoxicity [125][126][127]. Mohan et al. [126] showed that S. platensis may protect against cisplatin-induced nephrotoxicity in rats. Also, Khan et al. [127] described the protective effect of S. platensis against doxorubicin-induced cardiotoxicity. In the world, there are some threats which are spreading dangerously such as arsenic and radiation in the water. The millions of people living in Bangladesh, India, Taiwan, and Chile are consuming high concentrations of arseniccontaminated drinking water and thousands of them are exposed to chronic arsenic poisoning [128]. Specific treatment for this situation is unavailable. Misbahuddin et al. [128] showed that S. platensis extract plus zinc could be beneficial for the treatment of chronic arsenic poisoning with melanosis and keratosis. Likewise, in another study it was determined that S. platensis could protect the testes against mercury chloride-induced testicular damage by its rich antioxidants and antitoxicity activity [129]. An important example of radiation and S. platensis effects is the Chernobyl disaster. In Ukraine and Belarus, people live with radiation, which is in contaminated water, land, and nutrients. Due to this effect, poisoning, leukemia, cancer, birth defects, anemia, and thyroid disease have appeared. On that point, there is some unpublished work which talks about the effects of S. platensis on these symptoms and diseases [130]. Also, the protective effects of this microalgae and its extract polysaccharides and phycocyanin were shown by Belookaya et al., Wu et al., and Qishen et al [130][131][132]. They reported that S. platensis and its extracts decrease the radioactivities, and improve the bone marrow reproduction and immune system.

Conclusions
A prominent super food, S. platensis, has been known for its importance for health instead of medicine for centuries. Many studies have been performed on the effects of this interesting microalgae on both humans and animals. Today, studies observe at the nutritional quality and investigate the medicinal aspects of S. platensis on growth, hematopoietic system, immune system, allergy, anemia, cholesterol, obesity, diabetes, wound healing, fertility, viral and bacterial diseases, parasites, and helminth diseases. Besides these effects, anti-inflammatory, antibiotic, antipyretic, antioxidant, anticancer, and antitoxicity effects have also been determined by researchers. The potential effects have been addressed with in vivo and in vitro experiments, and contribute to the literature.