Inflammation is the natural physiological reaction of the immune system to tissue damage that happens when the human body attempts to deal with different pathogens, toxic compounds, and damaged cells ^[1][26]. Inflammation can cause acute and chronic reactions in various organs, resulting in tissue injuries and immune-mediated diseases. Spirulina spp. contains Sulphoquinovosyl diacylglycerol (SQDG), a natural sulphoglycolipid molecule with anti-inflammatory, anti-viral, and anti-tumor properties. The Irish marine cyanobacterium Spirulina subsalsa is a rich source of glycolipids, including SQDG, monogalactosylodiglycerides (MGDG), and glycosphingolipids (cerebrosides and ceramides). It also contains phospholipids such as phosphatidylcholine (PC) and phosphatidylethanolamine (PE) molecules. According to Shiels et al. ^[2][7], the glycolipid and phospholipid fractions of S. subsalsa exhibited strong anti-inflammatory properties and S. subsalsa can be used as a promising candidate for developing novel health supplements with cardiovascular health benefits.

The bioactive peptides (MW < 3 kDa fractions) isolated from Synechococcus sp. showed anti-inflammatory properties by reducing the gene expression levels of the pro-inflammatory cytokines iNOS, TNF-α, COX-2, and IL-6 in LPS-stimulated RAW 264.7 macrophage cells. A study by Lopes et al. ^[3][27], showed that the marine cyanobacterium Leptolyngbya-like sp. LEGE13412 reduced the nitric oxide (NO) in RAW 264.7 cell culture medium, making it a potential candidate for the treatment of psoriasis. A study on screening for polar lipids and the antioxidant and anti-inflammatory activities of Gloeothece sp. lipid extract with the concentration of 10 µg mL⁻¹ found that it displayed anti-inflammatory activity by the inhibition of the conversion of arachidonic acid to prostaglandin H2 (PGH2) through the inhibition of COX-2 by about 58% ^[4][28]. According to a study conducted by Rai et al. ^[5][29], (9S, E)-8-ethyl-9-methylnonadec-6-en-3-one (EME) extracted from Lyngbya sp. demonstrated significant downregulation of the gene expressions of COX-2, TNF-α, iNOS, NF-kβ, and IL-1β in RAW 264.7 cells induced with Lipopolysaccharide (LPS) and treated with EME and aminated mesoporous silica nanoparticles. Additionally, Kirk et al. ^[6][30] isolated a cyanobacterial metabolite from Trichodesmium thiebautii that lowered the levels of TNF-α, IL-16, soluble TLR2, and nitric oxide species (NOS) in cell culture media. The study highlighted Unnarmicin D as the lead molecule for development of a drug for moderate chronic pain by reducing neuroinflammation. Malynglamide is another type of bioactive molecule present in marine cyanobacteria which exhibits anti-inflammatory properties. Malynglamide F was isolated from the marine cyanobacterium Lyngbya majuscule and was subjected to screening for its anti-inflammatory activity using rat models.

Cancer is one of the most vital healthcare challenges in the world. Cancer is a heterogeneous disease that leads to the growth of abnormal cells that spread to other parts of the body. Chemotherapy is the most commonly used cancer treatment, which involves preventing cancer cells from dividing and growing. Since conventional chemotherapy drugs can have severe side effects, the use of natural anticancer products is gaining more attention at present. More than 50% of marine cyanobacteria produce bioactive compounds. The bioactive compounds produced by marine cyanobacteria are a rich source of compounds with potential anticancer effects which are capable of killing the cancer cells by affecting the cell signaling through activation of protein kinase-C family members or inducing apoptotic death ^[7][32].

In a recent study, Cai et al. ^[8][33] reported the anticancer activity of two cyclic lipopeptides, laxaphycins B4 (1) and A2, isolated from the marine cyanobacterium Hormothamnion enteromorphoids, which were evaluated using an MTT assay against human colon cancer HCT116 cells. According to the authors, laxaphycin B4 was found to possess anticancer activity in HCT116 cells with an IC₅₀ value of 1.7 μM while laxaphycin A2 showed weak anticancer activity with an IC₅₀ value of 2 μM. In addition, the anticancer properties of 62 cyanobacteria isolates from Brazil against acute myeloid leukemia (AML) cancer cell lines were evaluated by Shishido et al. ^[9][34]. The authors found that extracts from 39 strains resulted in cell death in AML cancer cell lines. Caldoramide, a formal pentapeptide metabolite of the marine cyanobacterium Caldora penicillata, was tested on the human colon adenocarcinoma cell line HT-29, the human colon carcinoma cell line HCT116, and the human breast adenocarcinoma cell line MCF-7 using an MTT assay ^[10][35]. Phycocyanin, a large, water-soluble phycobiliprotein extracted from the marine cyanobacterium Spirulina platensis, was tested against the Vero cell lines and Hep-G2 (liver cancer) cell lines using MTT assay. The maximum anticancer activity was observed at 500 μg/mL and the lowest anticancer activity was observed at the concentration of 100 μg/mL against Hep-G2 cell lines [11]. Fayyad et al. ^[12][36], also reported the anticancer activity of the hot methanolic extract of the cyanobacterium S. platensis against L20B and MCF-7 human cancer cell lines. According to the authors, the methanolic extract of S. platensis was found to possess antiproliferative properties against the L20B and MCF-7 cell lines after 24 h of incubation. Furthermore, methanol extract from the marine cyanobacterium Nostoc sp. N42 and Fischerella sp. S29 was tested against a human liver cancer cell line (HepG2) and human non-small-cell lung carcinoma (A-549) using an MTT assay. According to the authors, Fischerella sp. showed anticancer activity with an IC₅₀ of 254.51 μg mL⁻¹ against the human liver cancer cell line and an IC₅₀ of 171.74 μg mL⁻¹ against the human non-small-cell lung carcinoma cell line. Nostoc sp. N42 showed anticancer activity with an IC₅₀ of 583.1 μg mL⁻¹ against HepG2 and an IC₅₀ of 792.17 μg mL⁻¹ against A-549 cancer cells ^[13][37]. In addition, Elkomy et al. ^[14][38] also reported the anticancer activity of Oscillatoria simplicissima against the A-549 cancer cell line with 49.465% cell viability. The authors confirmed the results using an SBR assay. Lyngbyabellins are a type of peptolide found in various marine cyanobacteria genera, including Moorea and Okeanea ^[15][39]. Lyngbyabellins have been reported to possess anticancer properties against various cancer cell lines ^[16][40]. A study isolated ten lyngbyabellin compounds (lyngbyabellin G, lyngbyabellin O, lyngbyabellin P, lyngbyabellin H, 27-deoxylyngbyabellin A, R=H, homohydroxydolabellin, and lyngbyabellin A, R=OH) from Malaysian Moorea bouillonii and Red Sea Okeania sp., and the isolated compounds were tested for their cytotoxic activity against human breast cancer cells (MCF7). All the tested lyngbyabellin compounds exhibited varying levels of cytotoxic activity based on their structure ^[15][39]. Furthermore, Caldorin is a cytotoxic polyketide found in marine cyanobacteria Caldora penicillate. It was reported that Caldorin showed moderate or weak cytotoxic activity against the HeLa cell line and HL 60 cell line, which are commonly used in cancer research ^[17][41]. A study was conducted to isolate the aplysia toxin derivatives, neo-debromoaplysia toxin I, and neo-debromoaplysiatoxin J from the marine cyanobacterium Lyngbya sp. The cytotoxicity of these compounds was assessed using the SW480 human colorectal carcinoma cell line, SGC7901 human gastric cancer cells, LoVo human colorectal carcinoma cells, and PC-9 non-small-cell lung cancer cells. According to the obtained data, neo-debromoaplysiatoxin I resulted in weak cytotoxic activity while neo-debromoaplysiatoxin J exhibited strong cytotoxic activity against the tested cancer cell lines, with less than 20% cell viability ^[18][42]. The marine cyanobacterium Lyngbya sp. was reported to contain chlorinated leucine-derived natural compounds. These compounds exhibit structural similarity to polychlorinated leucine, which is known to possess a range of bioactivities including anti-cancer activity ^[19][43].

The above studies suggest that marine cyanobacteria could be a potential source of natural products with anticancer properties. The extracts and compounds from marine cyanobacteria exhibit significant anticancer activity against various cancer cell lines, indicating their potential for development of novel anticancer drugs with fewer side effects than conventional chemotherapy drugs. However, further research is required to identify and isolate new bioactive compounds from marine cyanobacteria and understand their mechanisms of action. Therefore, more studies are needed to explore the full potential of marine cyanobacteria as a source of anticancer agents.

The liver is a crucial organ in the human body, performing vital functions in metabolism and detoxification. Due to the importance of these functions, hepatic diseases pose a serious threat to people’s health, leading to significant health complications ^[20][44]. Despite the advances of modern medicine, there is still no effective therapeutic agent that can stimulate liver function, prevent liver damage, and help regenerate hepatic cells. However, C-Phycocyanin (C-PC) isolated from the cyanobacterium Phormidium versicolor has been shown to have hepatoprotective activity against cadmium-induced liver injury in rats. Cadmium is an industrial pollutant that increases the production of reactive oxygen species (ROS) in liver tissues and lipid peroxidation. Liver damage caused by cadmium is indicated by the induced levels of hepatic serum enzymes such as alanine transaminase (ALAT), aspartate transaminase, and total bilirubin. Phycocyanin treatment resulted in decreased levels of ALAT, ASAT, and bilirubin in rats with cadmium-induced liver injury. Cadmium suppresses radical scavenging enzymes like superoxide dismutase (SOD), catalase (CAT), and glutathione peroxidase (GPx), leading to an increase in ROS production. The findings demonstrated an increase in the levels of SOD, CAT, and GPx in phycocyanin-treated rats compared to cadmium-treated rats ^[21][17]. Another study revealed that phycocyanin isolated from S. platensis was found to have hepatoprotective activity against carbon tetrachloride (CCL₄)-treated Albino rats. The hepatoprotective effect of phycocyanin was determined by investigating the activities of the liver enzymes alanine transaminase (ALT), aspartate transaminase (AST), creatinine, and urea. ALT enzyme indicates cell membrane damage while AST indicates mitochondrial damage. According to the results, rats injected with a phycocyanin concentration of 200 mg/Kg showed the highest reduction in ALT, AST, creatinine, and urea concentration compared to the positive control ^[22][45]. Furthermore, it was observed that S. platensis reduced oxidative stress induced by CCL4 in male rats by enhancing the activities of antioxidant enzymes, including GPx, SOD, CAT, and glutathione content, while inhibiting lipid peroxidation products and nitric oxide levels in the rat liver. Furthermore, S. platensis was found to counteract the increased hepatic levels of Ki-67, interleukin-6, tumor necrosis factor-alpha (TNF-α), and COX-2 messenger RNA expression induced by CCL4. Additionally, reduced p53 expression levels were observed in the S. platensis + CCL4-treated rats. The study revealed that S. platensis can cause the cell death of injured hepatocytes and prevent liver dysfunction caused by CCL4 ^[23][46].

Diabetes mellitus is one of the concerning health issues which affects people of different age groups worldwide. It is a type of metabolic disorder in which a person has a high blood glucose level over some time due to insufficiency in insulin secretion or insufficiency in insulin activity of the body ^[24][47]. The antidiabetic activity of marine cyanobacteria makes them useful as potential antidiabetic sources for antidiabetic drugs. Phycocyanin, a water-soluble protein isolated from S. platensis, showed antidiabetic activity through α-amylase and β-glucosidase enzyme inhibition. The β-glucosidase enzyme activity of phycocyanin from S. platensis was reported to have increased activity with the increased concentration of phycocyanin. The α-amylase enzyme activity of phycocyanin from S. platensis was also reported to have increased activity with the increased concentration of phycocyanin [11]. According to a study conducted by Ahmed et al. ^[25][48], Fischerella sp. BS1-EG proved to have anti-diabetic activity by potential inhibition of α-glucosidase by 7.56%. Υ-Aminobutyric acid (GABA) is a bioactive compound present in both eukaryotes and prokaryotic organisms. Due to the important physiological functions of GABA, it aids in preventing and controlling various diseases, including diabetes ^[25][48]. Cyanobacteria were reported to produce GABA as a survival strategy against environmental stresses. A recent study evaluated Irish marine cyanobacteria as an alternative source for GABA production.

Aging is an inevitable biological process that affects everyone, and skin aging is a complex phenomenon that is associated with both age-dependent and premature aging. While age-dependent aging is an intrinsic process, premature aging is caused by extrinsic factors such as changes in the environment, diet, exposure to sunlight, and pollution ^[26][50]. Skin dryness, wrinkles, and decreased elasticity are the main aging expressions. The inhibition of hyaluronidase, elastase, and collagenase enzymes leads to the decrease of wrinkles and the enhancement of skin elasticity ^[27][14]. According to a study conducted by Pagels et al. ^[27][14], two pigment-targeted extracts, rich in carotenoids and phycobiliproteins, from the marine cyanobacterium Cyanobium sp. were screened for hyaluronidase, tyrosinase, elastase, and collagenase activities. The results showed that the carotenoid-targeted extract was able to inhibit the hyaluronidase enzyme activity while the phycobiliprotein-targeted extract was able to inhibit the hyaluronidase and collagenase enzyme activities. In another study, Cyanobium sp. LEGE07175 and Tychonema sp. LEGE 07196 were screened for hyaluronidase inhibition. Both species showed hyaluronidase inhibition potential. However, among those two species, Tychonema sp. LEGE 07196 resulted in the highest inhibitory activity, with an IC₅₀ value of 182.74 μgmL⁻¹, while Cyanobium sp. LEGE 07175 resulted in an IC₅₀ value of 208.36 μgmL^{−1 [28]}[51]. According to Nowruzi et al. ^[29][52], protein-rich Spirulina extract has been identified as a potential source for the development of anti-aging products. Moreover, Chlorogloeopsis sp. exhibited anti-aging properties by preventing the formation of free radicals in the presence of UV-A and UV-B radiation. Another review article by Nowruzi et al. ^[29][52] reported that Chlorogloeopsis sp. exhibited anti-aging properties by preventing the formation of free radicals in the presence of UV-A and UV-B radiation. Overall, the review by Nowruzi et al. ^[30][15] highlights the potential of natural sources, such as Spirulina extract and Chlorogloeopsis sp., in the development of anti-aging products. The extracellular matrix (ECM) is the largest component of the dermal skin, which constitute over 70% of the skin. It is composed of collagen and glycosaminoglycans covalently linked to proteins, forming the proteoglycans. The human skin contains different types of collagenase enzymes which initiate collagen fragmentation and collagen turnover by cleaving all types of collagen present in the human skin. This cleavage ultimately results in loss of dermal homeostasis and tissue damage. Several cyanobacteria were reported to have compounds that can inhibit the enzymes responsible for the digestion of extracellular matrix compounds. A study performed with the cyanobacterium Aphanothece halophytica demonstrated that it contains Mycosporine-2-glycine (M2G) a type of mycosporine-like amino acid (MAA) which has collagenase-inhibitory activity.

Obesity is one of the concerning metabolic diseases at present. It can increase the risk of many health conditions including type II diabetes, cardiovascular diseases, osteoarthritis, and cancer of the esophagus, colon, rectum, liver, gallbladder, pancreas, and kidney ^[31][53]. Obesity is caused by the imbalance between energy intake and energy expenditure. This imbalance is caused by the alteration of lipogenesis and lipolysis. Modulation of the intake of dietary lipids triacylglycerol and cholesterol and phospholipids is an effective way to treat obesity. A group of researchers screened 263 cyanobacterial fractions for PED6 activity using Zebrafish larvae as an in vivo animal model ^[32][54]. In total, 11 out of 263 cyanobacterial fractions reduced PED6 activity by 30%–40%. The reduction of PED6 activity is related to the inhibition of intestinal phospholipid activity and gastrointestinal phospholipid absorption. Yoshinone A is a bioactive molecule derived from cyanobacterium Leptolyngbys sp. Yoshinone A is reported to inhibit the adipogenic differentiation in the mouse fibroblastic cell line 3T3-L1 ^[33][16].

Chlorophylls are some of the most abundant photosynthetic pigments present in marine cyanobacteria. Chlorophyll a is the major type of chlorophyll found in cyanobacteria, while some cyanobacteria species have been reported to possess additional chlorophylls, such as Chlorophyll d and Chlorophyll f ^[34][55]. Chlorophylls derived from cyanobacteria could be structurally altered into various derivatives: pheophorbides, pheophytin, porphycene, porphyrins, and phthalocyanines ^[35][36][56,57]. Freitas et al. ^[35][56] investigated the presence of chlorophyll derivatives in the cyanobacteria Cyanobium sp. LEGE 07175 and Nodosilinea sp. LEGE 06001. The chlorophyll derivatives 13²-hydroxy-pheophytin and 13²-hydroxy-pheofarnesin were successfully isolated. The isolated chlorophyll derivatives were tested for lipid-reducing activity using a Zebrafish Nile red fat metabolism assay. 13²-hydroxypheophytin and 13²-hydroxy-pheofarnesin derivatives effectively reduced the Nile red staining, with half the maximum effective concentration (EC₅₀) concentrations of 8.9 ± 0.4 μM and 15.5 ± 1.3 μM. Furthermore, both derivatives reduced neutral lipid accumulation in 3T3-L1 multicellular spheroids of murine preadipocytes.

Neurodegenerative diseases affect millions of people around the world. The World Health Organization predicts neurodegenerative diseases will be the second leading cause of death by 2040 ^[37][58]. Most of the neurons originate in the brain and they can be found throughout the body. The proper functioning of neurons is most important as they play a critical role in human brain activity. Neurodegeneration is associated with the continuous loss of neurons, neuron structure, or its functions ^[38][59]. Neurodegeneration also causes abnormalities in the brain and spinal cord, causing muscle weakness, permanent paralysis, and dementia. Common neurodegenerative diseases include Alzheimer’s disease (AD), Parkinson’s disease, Huntington’s disease, and prion disease ^[38][39][59,60]. Acetylcholinesterase enzyme (AChE) is the targeted molecule for drug use in the treatment of AD. Acetylcholinesterase enzyme (AChE) inhibits the Acetylcholine neurotransmitter, which is essential for processing memory and learning. Patients with AD have a deficiency in Acetylcholine due to the activity of the Acetylcholinesterase enzyme (AChE). Since the synthetic drugs which are used to inhibit the activity of the Acetylcholinesterase enzyme (AChE) have adverse side effects, researchers are now focusing on compounds extracted from natural resources. A study was conducted to assess the AChE inhibitory potential of the cyanobacterium Oscillatoria sancta. According to the obtained results, O. sancta extracts greatly reduced AChE activity, suggesting their potential use in treating Alzheimer’s disease ^[40][61]. One of the distinctive features of Alzheimer’s disease (AD) is the deposition of insoluble aggregates of amyloid β-peptide (Aβ) in the brain and its blood vessels ^[41][42][62,63]. In a study conducted by Koh et al. ^[41][62], Spirulina maxima 70% ethanol extract was tested for its neuroprotective effects against Aβ-induced neurotoxicity in PC12 cells. Glutamate is a neurotransmitter that can be found in the central nervous system. When an excessive amount of glutamate is present, it causes neuronal cell death, which is a major causative factor for neurodegenerative diseases. Lee et al. ^[43][64] investigated the neuroprotective effect of water-extracted Spirulina maxima on glutamate-induced neuronal cell death in mouse hippocampal HT22 cells. The study reported that the 10 and 100 μg/mL concentrations of S. maxima have the potential to reduce glutamate-induced cell death in HT22 cells. In another study, the neuroprotective activities of fermented S. maxima on glutamate-treated HT22 cells were investigated. According to the results, β-carotene-containing S. maxima extract had the highest neuroprotective activity, with a rate of 82.96% ^[41][62]. Additionally, three new cyclic depsipeptides, Tiahuramides A, B, and C, were isolated from a French Polynesian collection of the marine cyanobacterium Lyngbya majuscule. The cytotoxic activity of these compounds was evaluated on a human neuroblastoma SH-SY5Y cell line using an MTT assay. The study reported that Tiahuramides B and C demonstrated IC₅₀ values of 14 and 6 μM, respectively. These findings suggest that Tiahuramides B and C may have the potential to act as therapeutic agents ^[44][65].

Oxidative stress refers to the imbalance between the production and degradation of reactive oxygen species (ROS) or reactive nitrogen species (RNS). Oxidative stress has been implicated as one of the main causative factors in the development of chronic and degenerative diseases, such as aging, diabetes, arthritis, cardiovascular diseases, and cancer ^[45][66]. Photosynthetic organisms like cyanobacteria have various approaches to prevent damage caused by reactive oxygen species (ROS). Cyanobacteria contain a wide variety of pigments that have antioxidant properties. Phycocyanin is a blue-colored pigment that is abundant in cyanobacteria. In a study conducted by Renugadevi et al. ^[46][67], the phycocyanin pigment that was extracted from the filamentous cyanobacteria Geitlerinema sp. was tested for its antioxidant properties. According to the results, the DPPH radical-scavenging effect of the extracted pigment was found to be the highest at a concentration of 200 μg/mL, with a scavenging activity of 78.75%. Ferric-reducing antioxidant activity of the extracted pigment was also observed at a concentration of 200 μg/mL. Furthermore, the maximum hydrogen-peroxide-radical-scavenging activity of the extracted phycocyanin was recorded as 95.27% at the same concentration. The maximum anti-lipid peroxidation activity of phycocyanin was observed to be 53.65% at 200 μg/mL ^[46][67]. In another study, Phycoerythrin isolated from Halomicronema sp. R31DM was screened for antioxidant activity in vitro and in vivo. According to the results, Phycoerythrin isolated from Halomicronema sp. R31DM had dose-dependent DPPH scavenging activity of up to 64% at a 100 μg dose. In addition, the in vivo antioxidant activities of Phycoerythrin was also tested using Caenorhabditis elegans worms and found to have promising antioxidant properties under the tested conditions (oxidative stress resistance assay, thermal stress resistance assay, lifespan assay, and pharyngeal) ^[47][68]. Moreover, a study conducted by Konstantinou et al. ^[48][13] found it to have antioxidant activity in Leptothoe strains (TAU-MAC 0915, 1015, 1115, and 1215) ^[49][69]. The DPPH radical-scavenging activity of C-phycocyanin in Phycobiliprotein extracted from Arthrospira platensis resulted in 54% inhibition at 0.02 g/mL concentration. Another study was conducted to assess the antioxidant activity of crude polysaccharides extracted from the marine cyanobacteria Oscillatoria simplicissima and O. acutissima. The results showed that the highest percentage of inhibition of 45.97% was in crude polysaccharides extracted from O. simplicissima, while it was 42% in crude polysaccharides extracted from O. acutissima. In another study, the antioxidant activity of different solvent extracts (dH2O, ethanol: dH2O(1:1), ethanol: dH2O(4:1), and ethanol) of the cyanobacteria Scytonema sp. and Lyngbya sp was tested using DPPH and ABTS assays. According to the results, solvent extracts (dH2O and ethanol: dH2O(4:1)) of Scytonema sp. showed the highest activity with the ABTS assay while solvent extracts (ethanol: dH2O(4:1)) of Lyngbya sp presented the highest activity with the ABTS assay. The aqueous extract of Scytonema sp. showed the highest activity with the DPPH assay while solvent extracts (ethanol: dH2O(4:1)) of Lyngbya sp presented the highest activity with the DPPH assay ^[50][19]. Mycosporine-like amino acids (MAAs) are multifunctional secondary metabolites synthesized by cyanobacteria. MAAs are known to have antioxidant properties. A study was conducted to screen a total 53 Irish marine cyanobacteria species in order to identify potential producers of MAAs. LC-MS analysis revealed the presence of eight types of known MAAs in eight cyanobacteria species. All of these MAAs exhibited antioxidant activities through DPPH, FRAP, and ORAC assays ^[51][70]. In a separate study, the marine cyanobacteria Lyngbya majuscule SB 12-13 and Lyngbya martensiana SBD24, isolated from the Odisha coast, India, were tested for antioxidant activity using DPPH and ABTS radical-scavenging assays. Between the two species, the highest antioxidant activity was recorded in Lyngbya majuscule ^[52][71].

In the last few decades, infectious diseases have increased to a great extent, affecting public health. Antibiotic resistivity has become a major therapeutic problem in recent years. Marine cyanobacteria are known to have compounds with antibacterial activity. Cyanobacteria-derived natural peptides were reported to have antibiotic activity. These peptide antibiotics are categorized into four groups; depsipeptides, lipopeptides, cyclamides, and cyclic peptides ^[53][72]. Three new cyclic depsipeptides, tiahuramides A, B, and C, from a French Polynesian collection of the marine cyanobacterium Lyngbya majuscule were tested for antibacterial activity against three opportunistic marine pathogenic bacteria, Aeromonas salmonicida, Vibrio anguillarum, and Shewanella baltica. Tiahuramide C was reported to have the highest antibacterial activity with Minimum Inhibitory Concentration (MIC) values of 7, 7, and 16 μM against A. salmonicida, V. anguillarum, and S. baltica, respectively. Moreover, Tiahuramide B showed the highest antibacterial activity with MIC values of 12 and 29 μM against Gram-negative (Escherichia coli) and Gram-positive (Micrococcus luteus) bacteria compared to tiahuramides A and C ^[44][65]. A study conducted by Elkomy et al. ^[54][73] screened marine cyanobacteria O. simplicissima, O. acutissima, and S. platensis for antibacterial activity against pathogenic Gram-negative and Gram-positive bacteria. The data showed that the methanol extract of three cyanobacteria had more activity against most of the pathogenic bacteria (Staphylococcus aureus, M. luteus, Serratia marcescene, Salmonella spp., Vibrio spp., Aeromonas hydrophila, Pseudomonas aeruginosa, and E. coli). Organic solvents extracts (Chloroform, Acetone, Dichloromethane, and Ethyl acetate) of marine cyanobacteria Oxynema thaianum ALU PBC1, PBC2, PBC3, PBC4, PBC5, PBC6, PBC7, and PBC8 was tested for antibacterial activity against E. coli and Klebsiella pneumoniae by disk diffusion assay. Among all the extracts tested, chloroform extract of O. thaianum ALU PBC5 showed effective zones of clearance against E. coli and K. pneumoniae. Hence, O. thaianum ALU PBC5 can be used as a promising source to treat multi-drug-resistant pathogens. The marine cyanobacterium Oscillatoria sp., isolated from the coastal region of west Malaysia, was tested for antibacterial activity against S. aureus, B. subtilis, E. coli, and P. aeruginosa by a well diffusion assay. According to the data, crude extract of Oscillatoria sp. effectively inhibited the growth of S. aureus, Bacillus subtilis, E. coli, and P. aeruginosa at the concentrations of 100 mg/mL. Moreover, the methanolic extract of Oscillatoria sp. effectively inhibited the growth of S. aureus and P. aeruginosa at MIC values of 30 and 25 μg/mL, respectively. The Gas chromatography-Mass Spectroscopy analysis of Oscillatoria sp. extract identified antimicrobial compounds such as 1,3,5-triazine, 5-Nitro-3-cyano-2(1H)-pyridone, aceticacid, and 5-methyl-2-phenyl indolizine ^[55][74]. A study conducted by Grubisic et al. ^[56][75] screened the marine cyanobacterium Euhalothece sp. C1 for antibacterial ad antifungal activity against bacteria (E. coli, B. subtilis, S. aureus, P. aeruginosa, and Enterococcus faecalis), a fungus (Aspergillus niger), and yeast (Candida utilis) using a disk diffusion assay. Among these, the methanolic extract of Euhalothece sp. C1 showed an inhibitory effect against E. coli, P. aeruginosa, S. aureus, E. faecalis, and C. utilis. Ethanol extracts of the marine cyanobacterium Rivularia mesenterica were also reported to have antibacterial and antifungal activity against B. cereus, Clostridium perfringens, M. luteus, S. aureus, Enterobacter sakazakii, E. coli, Enterobacter cloacae, K. pneumoniae, P. aeruginosa, A. niger, Candida albicans, Penicillium sp., and Saccharomyces cerevisiae at MIC values in the range 0.06 to 32.00 μg/mL ^[57][76]. Furthermore, the cyanobacteria Stigonema sp. and Spirulina sp., isolated from the southeast coast of India, were screened for antibacterial and antifungal activity against the bacteria Bacillus sp., K. pnemoniae, Protease sp., P. aeruginosa, and S. aureus and the fungi Aspergillus flavus, Aspergillus fumigatus, Aspergillus ochraceus, Aspergillus terreus, and Trichoderma viride using the agar well diffusion method. Methanol and hexane extracts of Stigonema sp. showed effective inhibition at a concentration of 100 μL, while methanol and hexane extracts of Spirulina sp. showed effective inhibition at a concentration of 100 μL ^[58][77]. The Oscillatoria sancta marine cyanobacterium was reported to show antibacterial activity against Bacillus cerus under starvation conditions ^[40][61].

Solar ultraviolet radiation (UV-R) compromises three categories, depending on wavelength; UV-A radiation (320–400 nm), UV-B radiation (280–320 nm), and UV-C radiation (200–280 nm). Among these, UV-B radiation is considered the most harmful since it induces gene mutations in skin cells. Additionally, UV-A radiation also induces gene mutations indirectly by producing reactive oxygen species. Therefore, to protect the human skin from these harmful UV radiations, synthetic sunscreens are being used. However synthetic sunscreen is often associated with several negative impacts, for instance, allergic reactions, photo-toxicity, and hormone disorders. As a solution to this problem, scientists are now focusing on natural photoprotective alternatives. Due to the photoautotrophic nature of cyanobacteria, they have adapted to protect themselves from harmful UV radiation. One of the main adaptations of cyanobacteria is the production of UVR-absorbing compounds such as scytonemin and mycosporine-like amino acids (MAA). An oil–water cream that contains hydroethanolic extract of the cyanobacterium Scytonema sp. was screened in vitro for its photoprotective capacity. According to the results of the study, the highest absorption increase showed in the UV-B region (between 309–312 nm) was by 15% in comparison with the base cream.