Marine biotoxins represent a class of highly toxic neurotoxins found within marine ecosystems, the majority of which exert their effects on ion channels.Notably, sodium (Na+) channel inhibitory marine biotoxins are recognized as the most toxic among these compounds, posing significant risks to both human and animal health.Current methodologies for the detection of Na+ channel inhibitory marine biotoxins are fraught with ethical and tech. limitations.Therefore, it is imperative to develop a high-throughput, high-sensitivity, and user-friendly detection method for these toxins.In this study, we established a cellular impedance sensing method for the detection of Na+ channel inhibitory marine biotoxins, based on an ion channel effect-oriented strategy.Veratridine, a Na+ channel activator, combined with ouabain, a Na+/K+-ATPase inhibitor, induce a sustained influx of Na+ ions into cells, which can lead to cell death.In contrast, Na+ channel inhibitory marine biotoxins exhibit antagonistic effects against veratridine and ouabain, thereby preventing the influx of Na+ ions into the cell and promoting cell survival.This method showed high sensitivity for detecting various paralytic shellfish toxins (PSTs), with the limit of detection reaching 0.03 ng/mL for saxitoxin (STX).Moreover, the assay enables the comparative assessment of the toxicity of different PSTs and facilitates the semi-quant. detection of PSTs in real samples including com. available seafood products and those from the Organization for the Prohibition of Chem. Weapons (OPCW) biotoxin exercises.This method may be extended for the detection of other sodium channel-modulating toxins, broadening its applicability in food safety testing and environmental monitoring.