Alkaloids are produced by many plants as defense chemicals not only mainly against herbivores but also against microbial pathogens. Many alkaloids exhibit a pronounced toxicity in animal models and humans. A major target in animals is the nervous system and many alkaloids structurally resemble neurotransmitters. Because of structural similarity, they can interfere with neurotransmitter receptors or ion channels and thus modulate neuronal signal transduction. Also, other organs can be affected by toxic alkaloids, such as the liver, kidneys, heart and circulation, gastrointestinal tract, and reproductive organs. At a molecular level, alkaloids can interfere with membrane permeability, membrane proteins (ion channels and receptors), enzymes and other proteins, DNA, RNA and corresponding proteins, electron chain, and the cytoskeleton. Because of these pharmacological properties, some alkaloids can be used in medicine to treat infections, health disorders, and even cancer.