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Toxic doses of paraoxon alter the respiratory pattern without causing respiratory failure in rats
Antoine F Villa1, Pascal Houze, Claire Monier
1INSERM U705, CNRS UMR 7157, Université Paris 5, Hôpital Fernand Widal, 75010 Paris, France.
Abstract:
Respiratory failure, through a combination of muscarinic, nicotinic, and central effects, is the primary cause of death in acute organophosphate poisoning. However, the mechanisms inducing respiratory failure remain unclear. In rats poisoned subcutaneously with paraoxon at doses near the LD(50), we studied the pattern of respiration using whole body plethysmography and the occurrence of respiratory failure using arterial blood gases. Subsequently, we studied the effects of atropine on paraoxon-induced modification of ventilation and arterial blood gases. Fifty and 75%, but not 10% of the subcutaneous LD(50) of paraoxon induced marked and sustained signs and symptoms. At 30min post-injection and throughout the study, there was a significant decrease in the respiratory frequency (34% (50% versus solvent), and 29% (75% versus solvent)) and a significant increase in the expiratory time (72% (50% versus solvent) and 60% (75% versus solvent)) with no modifications of the inspiratory time. The tidal volume was significantly increased for the 75% but not for the 50% dose. Apnea was never detected. Even at the 75% dose, paraoxon had no effects on PaO(2), PaCO(2) or HCO(3)(-); however, a significant decrease in arterial pH was observed at 30min (7.34+/-0.07 versus 7.51+/-0.01, p=0.03). Atropine completely reversed the paraoxon-induced respiratory alterations. We conclude that paraoxon, at doses equal to 50 and 75% of the LD(50), alters ventilation at rest without inducing respiratory failure during the study period.
Insights
Organophosphate poisoning alters rat breathing patterns, decreasing respiratory rate and increasing exhalation time. Atropine effectively reversed these paraoxon-induced changes, preventing respiratory failure.
Area of Science:
- Toxicology
- Respiratory Physiology
Background:
- Acute organophosphate poisoning is a leading cause of death, primarily due to respiratory failure.
- The precise mechanisms driving organophosphate-induced respiratory failure remain incompletely understood.
Purpose of the Study:
- To investigate the effects of paraoxon, an organophosphate, on respiratory patterns and arterial blood gases in rats.
- To determine if paraoxon induces respiratory failure at near-lethal doses.
- To evaluate the efficacy of atropine in reversing paraoxon-induced respiratory alterations.
Main Methods:
- Rats were administered subcutaneous paraoxon at 10%, 50%, and 75% of the LD(50).
- Whole body plethysmography was used to monitor respiratory patterns (frequency, tidal volume, expiratory time).
- Arterial blood gases (PaO2, PaCO2, HCO3-, pH) were analyzed to assess respiratory failure. Atropine was administered to assess its effects.
Main Results:
- Paraoxon at 50% and 75% LD(50) significantly decreased respiratory frequency and increased expiratory time, without causing apnea.
- Tidal volume increased significantly at 75% LD(50) but not at 50% LD(50).
- Paraoxon did not affect PaO2, PaCO2, or HCO3-, but caused a significant decrease in arterial pH at 50% and 75% LD(50).
- Atropine completely reversed all paraoxon-induced respiratory changes.
Conclusions:
- Paraoxon alters resting ventilation in rats at doses of 50% and 75% of the LD(50).
- These alterations in breathing pattern do not lead to respiratory failure within the study period.
- Atropine is an effective antidote for paraoxon-induced respiratory dysregulation.
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