Ricin Toxicity: Clinical and Molecular Aspects
سال انتشار: 1395
نوع سند: مقاله ژورنالی
زبان: انگلیسی
مشاهده: 180
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شناسه ملی سند علمی:
JR_RBMB-4-2_001
تاریخ نمایه سازی: 10 شهریور 1400
چکیده مقاله:
Seeds of the castor bean plant Ricinuscommunis L (CB) contain ricin toxin (RT), one of the most poisonous naturally-occurring substances known. Ricin toxin, a water-soluble glycoprotein that does not partition into the oil extract, is a ribosome-inactivating toxin composed of two chains, labeled A and B. Severity of the toxicity varies depending on the route of exposure to the toxin. Inhalational is the most toxic route, followed by oral ingestion. Orally-ingested RT accumulates in the liver and spleen but other cells are also affected. The main clinical manifestations are also related to the administration route. Oral ingestion of CB or RT results in abdominal pain, vomiting, diarrhea, and various types of gastrointestinal bleeding that leading to volume depletion, hypovolemic shock, and renal failure. Inhalation of the toxin presents with non-cardiogenic pulmonary edema, diffuse necrotizing pneumonia, interstitial and alveolar inflammation, and edema. Local injection of RT induces indurations at the injection site, swelling of regional lymph nodes, hypotension, and death. An enzyme-linked immunosorbent assay (ELISA) has been developed to detect RT in animal tissues and fluids. Ricinine, an alkaloid of CB, can be detected in rat urine within ۴۸ h of RT exposure. Supportive care is the basic treatment and standard biowarfare decontamination protocols are used for RT intoxication. Dexamethasone and difluoromethylornithine might be effective treatments. This review examines the clinical and molecular aspects of ricin toxicity.
کلیدواژه ها:
نویسندگان
Mohammad Moshiri
Pharmacodynamy and Toxicology department, Faculty of Pharmacy, Mashhad University of Medical Sciences, Mashhad, Iran
Fatemeh Hamid
Department of Laboratory Medicine, Varastegan Institute for Medical Sciences, Mashhad, Iran
Leila Etemad
Pharmaceutical Research Center, Mashhad University of Medical Sciences, Mashhad, Iran