A role for solvents in the toxicity of agricultural organophosphorus pesticides.

Organophosphorus (OP) insecticide self-poisoning is responsible for about one-quarter of global suicides. Treatment focuses on the fact that OP compounds inhibit acetylcholinesterase (AChE); however, AChE-reactivating drugs do not benefit poisoned humans. We therefore studied the role of solvent cof...

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Main Authors: Eddleston, M, Street, J, Self, I, Thompson, A, King, T, Williams, N, Naredo, G, Dissanayake, K, Yu, L, Worek, F, John, H, Smith, S, Thiermann, H, Harris, J, Eddie Clutton, R
Format: Journal article
Language:English
Published: 2012
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author Eddleston, M
Street, J
Self, I
Thompson, A
King, T
Williams, N
Naredo, G
Dissanayake, K
Yu, L
Worek, F
John, H
Smith, S
Thiermann, H
Harris, J
Eddie Clutton, R
author_facet Eddleston, M
Street, J
Self, I
Thompson, A
King, T
Williams, N
Naredo, G
Dissanayake, K
Yu, L
Worek, F
John, H
Smith, S
Thiermann, H
Harris, J
Eddie Clutton, R
author_sort Eddleston, M
collection OXFORD
description Organophosphorus (OP) insecticide self-poisoning is responsible for about one-quarter of global suicides. Treatment focuses on the fact that OP compounds inhibit acetylcholinesterase (AChE); however, AChE-reactivating drugs do not benefit poisoned humans. We therefore studied the role of solvent coformulants in OP toxicity in a novel minipig model of agricultural OP poisoning. Gottingen minipigs were orally poisoned with clinically relevant doses of agricultural emulsifiable concentrate (EC) dimethoate, dimethoate active ingredient (AI) alone, or solvents. Cardiorespiratory physiology and neuromuscular (NMJ) function, blood AChE activity, and arterial lactate concentration were monitored for 12h to assess poisoning severity. Poisoning with agricultural dimethoate EC40, but not saline, caused respiratory arrest within 30 min, severe distributive shock and NMJ dysfunction, that was similar to human poisoning. Mean arterial lactate rose to 15.6 [SD 2.8] mM in poisoned pigs compared to 1.4 [0.4] in controls. Moderate toxicity resulted from poisoning with dimethoate AI alone, or the major solvent cyclohexanone. Combining dimethoate with cyclohexanone reproduced severe poisoning characteristic of agricultural dimethoate EC poisoning. A formulation without cyclohexanone showed less mammalian toxicity. These results indicate that solvents play a crucial role in dimethoate toxicity. Regulatory assessment of pesticide toxicity should include solvents as well as the AIs which currently dominate the assessment. Reformulation of OP insecticides to ensure that the agricultural product has lower mammalian toxicity could result in fewer deaths after suicidal ingestion and rapidly reduce global suicide rates.
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spelling oxford-uuid:51e46f5b-7e5b-4611-a997-a2ba3d2446e22022-03-26T16:22:25ZA role for solvents in the toxicity of agricultural organophosphorus pesticides.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:51e46f5b-7e5b-4611-a997-a2ba3d2446e2EnglishSymplectic Elements at Oxford2012Eddleston, MStreet, JSelf, IThompson, AKing, TWilliams, NNaredo, GDissanayake, KYu, LWorek, FJohn, HSmith, SThiermann, HHarris, JEddie Clutton, ROrganophosphorus (OP) insecticide self-poisoning is responsible for about one-quarter of global suicides. Treatment focuses on the fact that OP compounds inhibit acetylcholinesterase (AChE); however, AChE-reactivating drugs do not benefit poisoned humans. We therefore studied the role of solvent coformulants in OP toxicity in a novel minipig model of agricultural OP poisoning. Gottingen minipigs were orally poisoned with clinically relevant doses of agricultural emulsifiable concentrate (EC) dimethoate, dimethoate active ingredient (AI) alone, or solvents. Cardiorespiratory physiology and neuromuscular (NMJ) function, blood AChE activity, and arterial lactate concentration were monitored for 12h to assess poisoning severity. Poisoning with agricultural dimethoate EC40, but not saline, caused respiratory arrest within 30 min, severe distributive shock and NMJ dysfunction, that was similar to human poisoning. Mean arterial lactate rose to 15.6 [SD 2.8] mM in poisoned pigs compared to 1.4 [0.4] in controls. Moderate toxicity resulted from poisoning with dimethoate AI alone, or the major solvent cyclohexanone. Combining dimethoate with cyclohexanone reproduced severe poisoning characteristic of agricultural dimethoate EC poisoning. A formulation without cyclohexanone showed less mammalian toxicity. These results indicate that solvents play a crucial role in dimethoate toxicity. Regulatory assessment of pesticide toxicity should include solvents as well as the AIs which currently dominate the assessment. Reformulation of OP insecticides to ensure that the agricultural product has lower mammalian toxicity could result in fewer deaths after suicidal ingestion and rapidly reduce global suicide rates.
spellingShingle Eddleston, M
Street, J
Self, I
Thompson, A
King, T
Williams, N
Naredo, G
Dissanayake, K
Yu, L
Worek, F
John, H
Smith, S
Thiermann, H
Harris, J
Eddie Clutton, R
A role for solvents in the toxicity of agricultural organophosphorus pesticides.
title A role for solvents in the toxicity of agricultural organophosphorus pesticides.
title_full A role for solvents in the toxicity of agricultural organophosphorus pesticides.
title_fullStr A role for solvents in the toxicity of agricultural organophosphorus pesticides.
title_full_unstemmed A role for solvents in the toxicity of agricultural organophosphorus pesticides.
title_short A role for solvents in the toxicity of agricultural organophosphorus pesticides.
title_sort role for solvents in the toxicity of agricultural organophosphorus pesticides
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