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Questions and Answers
Which of the following best describes the primary mechanism by which organophosphorus insecticides exert their toxic effects?
Which of the following best describes the primary mechanism by which organophosphorus insecticides exert their toxic effects?
- Direct stimulation of muscarinic and nicotinic receptors.
- Stimulation of acetylcholine synthesis.
- Inhibition of cytochrome P450 enzymes.
- Inhibition of acetylcholinesterase, leading to acetylcholine accumulation. (correct)
What is the significance of 'aging' in the context of organophosphate poisoning?
What is the significance of 'aging' in the context of organophosphate poisoning?
- It describes the process where phosphorylated acetylcholinesterase undergoes a chemical change that prevents reactivation. (correct)
- It refers to the metabolic breakdown of the organophosphate compound, reducing its toxicity.
- It signifies the development of tolerance to the effects of the organophosphate over time.
- It indicates the spontaneous reactivation of acetylcholinesterase after initial inhibition.
Which of the following best characterizes the 'intermediate syndrome' following organophosphate poisoning?
Which of the following best characterizes the 'intermediate syndrome' following organophosphate poisoning?
- A direct result of acetylcholinesterase reactivation leading to erratic nerve firing.
- A delayed onset of muscle weakness and respiratory paralysis occurring after initial cholinergic crisis. (correct)
- An immediate hypersensitivity reaction to the organophosphate.
- A rapid recovery phase where all symptoms of poisoning resolve within 24 hours.
Organophosphate-induced delayed polyneuropathy (OPIDP) is characterized by:
Organophosphate-induced delayed polyneuropathy (OPIDP) is characterized by:
Why are carbamate insecticides considered to have a more rapidly reversible effect compared to organophosphates?
Why are carbamate insecticides considered to have a more rapidly reversible effect compared to organophosphates?
Which of the following is the primary treatment for carbamate intoxication?
Which of the following is the primary treatment for carbamate intoxication?
How do pyrethroids exert their insecticidal action?
How do pyrethroids exert their insecticidal action?
What is the primary difference between Type I and Type II pyrethroid poisoning in rats?
What is the primary difference between Type I and Type II pyrethroid poisoning in rats?
Which of the following best describes the mechanism by which Type II pyrethroids contribute to seizures?
Which of the following best describes the mechanism by which Type II pyrethroids contribute to seizures?
What is paresthesia, as it relates to pyrethroid exposure, and how is it typically resolved?
What is paresthesia, as it relates to pyrethroid exposure, and how is it typically resolved?
What is the primary health concern associated with chronic exposure to organochlorine insecticides like DDT?
What is the primary health concern associated with chronic exposure to organochlorine insecticides like DDT?
What is the most common cause of death due to acute exposure to high doses of DDT?
What is the most common cause of death due to acute exposure to high doses of DDT?
Which of the following statements best describes the mechanism of DDT's toxicity in both insects and mammals?
Which of the following statements best describes the mechanism of DDT's toxicity in both insects and mammals?
What effect does chronic DDT exposure have on the liver?
What effect does chronic DDT exposure have on the liver?
What is the primary mechanism of toxicity for rotenone?
What is the primary mechanism of toxicity for rotenone?
Which of the following is the 'leaving group' in the context of organophosphorus insecticide chemistry?
Which of the following is the 'leaving group' in the context of organophosphorus insecticide chemistry?
In the biotransformation of organophosphates, what is the importance of oxidative desulfuration?
In the biotransformation of organophosphates, what is the importance of oxidative desulfuration?
What is the role of cytochrome P450s in the biotransformation of organophosphates?
What is the role of cytochrome P450s in the biotransformation of organophosphates?
How does non-catalytic hydrolysis of organophosphates play a role in their toxicity?
How does non-catalytic hydrolysis of organophosphates play a role in their toxicity?
What are the key features of the 'cholinergic syndrome' resulting from organophosphate poisoning?
What are the key features of the 'cholinergic syndrome' resulting from organophosphate poisoning?
Which of the following signs or symptoms distinguishes severe organophosphate poisoning from mild poisoning or early stages?
Which of the following signs or symptoms distinguishes severe organophosphate poisoning from mild poisoning or early stages?
What is the effect of OPs containing a P=O moiety on AChE?
What is the effect of OPs containing a P=O moiety on AChE?
Which of the following characterizes the recovery from intermediate syndrome?
Which of the following characterizes the recovery from intermediate syndrome?
Which symptom is associated with Organophosphate-Induced Delayed Polyneuropathy (OPIDP)?
Which symptom is associated with Organophosphate-Induced Delayed Polyneuropathy (OPIDP)?
Which of the following best describes the effect and reversibility of carbamate insecticides on acetylcholinesterase (AChE)?
Which of the following best describes the effect and reversibility of carbamate insecticides on acetylcholinesterase (AChE)?
Why is atropine is the primary treatment for carbamate intoxication?
Why is atropine is the primary treatment for carbamate intoxication?
Why are pyrethroids widely used as insecticides?
Why are pyrethroids widely used as insecticides?
How do pyrethroids modify nerve function?
How do pyrethroids modify nerve function?
How are pyrethroids metabolized in mammals?
How are pyrethroids metabolized in mammals?
Flashcards
What are pesticides?
What are pesticides?
Substances intended to prevent, destroy, repel, or mitigate pests.
What is Organophosphorus(OP)?
What is Organophosphorus(OP)?
General structure can be represented, X is the leaving group. Divided into subclasses like phosphates and phosphonates.
What is Biotransformation of OPs?
What is Biotransformation of OPs?
Metabolic process required for sulfur-bound phosphorus compounds to become effective AChE inhibitors, catalyzed by cytochrome P450s.
Define Inhibition of AChE
Define Inhibition of AChE
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What is Intermediate Syndrome?
What is Intermediate Syndrome?
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What is OPIDP?
What is OPIDP?
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What are Carbamates?
What are Carbamates?
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Carbamate poisoning symptoms?
Carbamate poisoning symptoms?
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What are Pyrethroids?
What are Pyrethroids?
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Pyrethroids Metabolism routes?
Pyrethroids Metabolism routes?
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Type I Pyrethroid Signs?
Type I Pyrethroid Signs?
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Type II Syndrome Signs?
Type II Syndrome Signs?
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What is Paresthesia?
What is Paresthesia?
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What are Organo-chlorine Insecticides?
What are Organo-chlorine Insecticides?
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What is DDT?
What is DDT?
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What is DDT's effect on the liver?
What is DDT's effect on the liver?
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what is Retinoid?
what is Retinoid?
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Study Notes
Background
- Pesticides are substances or mixtures that prevent, destroy, repel, or mitigate pests.
- Pests include insects, rodents, weeds, etc.
- Pesticides can be insecticides (insects), herbicides (weeds) and fungicides (fungi and molds).
- Pesticides can also be rodenticides (rodents), acaricides (mites), molluscides (snails and other mollusks), miticides (mites), larvicides (larvae), and pediculocides (lice).
- Plant growth regulators, repellants (pheromones), and attractants also classified as pesticides.
Organophosphorus Insecticides
- Organophosphorus (OP) insecticides have a general structure represented by R1, R2, P, O/S, and X.
- X is a leaving group displaced when the OP phosphorylates acetylcholinesterase (AChE).
- X is sensitive to hydrolysis.
- R1 and R2 are alkoxy groups or chemical substituents; either oxygen or sulfur.
- OPs are divided into subclasses like phosphates and phosphorothioates based on chemical differences.
Biotransformation of OPs
- Compounds with sulfur bound to phosphorus need metabolic bioactivation for biological activity.
- Compounds with a P=O moiety are effective AChE inhibitors.
- Oxidative desulfuration and thioether oxidation are catalyzed by cytochrome P450s.
- Catalytic hydrolysis by A-esterases detoxifies OPs.
- Serine esterases classified as B-esterases phosphorylate compounds, leading to non-catalytic hydrolysis of OPs.
Toxicity, Signs, Symptoms, Mechanism of Action
- Insecticides are acutely toxic, with oral LD50 values (rat) often below 50 mg/kg.
- Acute dermal toxicity is high for some OPs.
- Inhibition of AChE by OPs leads to acetylcholine accumulation at cholinergic synapses.
- Overstimulation of muscarinic and nicotinic cholinergic receptors occurs because of AChE inhibition by OPs.
- Cholinergic syndrome includes increased sweating, salivation, bronchial secretion.
- Other symptoms include bronchoconstriction, miosis, gastrointestinal motility increase, diarrhea, tremors.
- Severe OP poisoning's hallmark is respiratory failure.
- Mild poisoning/early-stage severe poisoning may have no clear symptoms.
OPs Affect on Enzymes
- OPs with a P=O moiety phosphorylate hydroxyl groups on serine, impeding enzyme action.
- Phosphorylated AChE is slowly hydrolyzed by water.
- The rate of "spontaneous reactivation" depends on the chemical nature of the R substituents.
- Reactivation of phosphorylated AChE doesn't occur after the enzyme-inhibitor complex has "aged".
- Aging is the loss of alkyl (R) groups via non-enzymatic hydrolysis.
- Phosphorylated AChE is irreversibly inhibited once aged.
- Replacing enzyme activity requires new enzyme synthesis, which can take days.
Intermediate Syndrome
- Intermediate syndrome is a manifestation of OP exposure seen in 20-50% of acute OP poisoning cases.
- The syndrome develops 1-several days post-poisoning.
- The syndrome starts during recovery from or after cholinergic manifestations or cholinergic crisis.
- Features include weakness of respiratory, neck, and proximal limb muscles.
- Mortality is high due to paralysis, ranging from 15-40%, with up to a 30-day recovery.
- The syndrome is not an effect of AChE inhibition.
- The precise mechanisms are not fully known.
- The hypothesis that muscle weakness results from nicotinic receptor desensitization due to prolonged cholinergic stimulation is considered valid.
Organophosphate-Induced Delayed Polyneuropathy (OPIDP)
- Some OPs may cause OPIDP.
- Symptoms of OPIDP include tingling in hands and feet, followed by sensory loss.
- Other symptoms include progressive muscle weakness, flaccidity in distal skeletal muscles, and ataxia.
- OPIDP Symptoms may occur 2-3 weeks after a single exposure, when acute cholinergic and intermediate syndromes have subsided.
- OPIDP is classified as a distal sensorimotor axonopathy
OPIDP Studies
- Neuropathological studies find the primary lesion a degenerative change in distal levels of axons and their terminals.
- The primary lesion primarily affects larger/longer myelinated central and peripheral nerve fibers.
- The lesion leads to the breakdown of neuritic segments and myelin sheaths.
- Aging of neuropathy target esterase (NTE) is involved in OPIDP.
- The details of phosphorylation, NTE aging, and axonal degeneration are not fully understood.
Carbamates and Toxicity
- Carbamate insecticides are derived from carbamic acid and are mainly N-methylcarbamates.
- Acute oral toxicity ranges from moderate to low, such as carbaryl, to extremely high, such as aldicarb.
- Dermal skin penetration by carbamates is increased by organic solvents and emulsifiers in formulations.
- Carbamates are susceptible to enzyme-catalyzed biotransformation, including oxidation and hydrolysis.
- The toxicity mechanism of carbamates is AChE inhibition.
- The toxicity is rapidly reversible.
Carbamates and Poisoning
- Symptoms include miosis, urination, diarrhea, salivation, muscle fasciculation, and CNS effects.
- Acute intoxication resolves within hours.
- Treatment relies on atropine.
- Carbamates inhibit neuropathy target esterase (NTE).
- Carbamylated NTE cannot age/initiate OPIDP when given before causing a neuropathic organophosphate.
- Carbamates offer protection against OPIDP when given after, they can promote OPIDP.
Pyrethoids
- Pyrethrins are used for insecticides since they decompose rapidly on exposure to light
- Pyrethroids that are synthetic are commonly used for Topical treatments
- Pyrethroids alter function of insect nerves by modifying kinetics of voltage-sensitive sodium channels.
- Pyrethroids can increase the sodium permeability of the nerve membrane that underlies the nerve action potential.
- Pyrethroids are metabolized through hydrolysis of the ester linkage by hepatic and plasma carboxylesterases.
- Pyrethroids are metabolized through by oxidation of the alcohol moiety by cytochrome P450s.
- Further reactions of pyrethroids include oxidations, hydrolysis, and conjugation.
- Toxic signs in rats are divided into two types - Type I and Type II.
Pyrethoid Types
- Type I compounds produce behavioral arousal, aggressive sparring, and startle.
- The effects from type I compounds progresses to whole-body tremor and prostration.
- Type II compounds produce profuse salivation, coarse tremor and choreoathetosis.
- Type II can progress to clonic seizures.
- Pyrethroids disrupt voltage-gated sodium channels in mammals and insects.
- Pyrethroids slow the activation and rate of inactivation of the sodium channel, leading to hyperexcitability.
- Type II pyrethroids bind to and inhibit GABAA-gated chloride channels to affect sodium channels.
- The effects contributed to seizures in severe type II pyrethroid poisoning.
Effects from Pyrethoids
- occupational exposure can result to contact to dermal
- Symtoms can include tingling or pricking when its severe it can get hot burning.
- Condition is reversed in 24 hours
- When you apply topical E vitamins its effective.
- High levels can cause slight liver enlargement with histopathologic changes.
- There is slight teratogenicity but there is some mutagenicity
- High doses in rodents can cause increased lymphoma incidence but its not definite.
Organo-chlorine Insecticides
- These include Chlorinated Ethane Derivatives (DDT) the cyclodienes etc
- The toxicity is acute toxicity, with some chronic exposure.
- exposure can lead to adverse health effects.
- DDT and analogs are effective against agricultural pests and transmit diseases.
- DDT has slight oral toxicity and only limited dermatological.
- Humans doses can produces illness
- Toxicity from dermatological is low
- DDT is found in adipose tissue in the body, and its excreted through bile ducts.
- DDT Causes hyper susceptibility to ear etc.
- can cause eventual motor unrest
- Death is always caused by respiratory failure.
Toxicity from DDT
- The earliest symptoms from DDT is parathesia
- Dizziness and vomit also known side effects.
- The important is that DTT causes problems in the liver.
- DDT breakdown results in a high increase in liver weight.
- the breakdown of DDE and DDD are carcinogenic in rodents with potential for increase in tumor size.
Other insectides
- The best abundant is rotenone which is used as insecticide in agriculture particularly in farming.
- Is is known that both targeted species and none targeted species from rotenone is due to its ability to inhibit.
- It works by blocking the electron transport and poisoning
- Can cause Muscular Depression.
- Rotenone can possibly lead to Parkinson diesease.
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