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Anticholinesterase Agents: Poisoning and Treatment01:26

Anticholinesterase Agents: Poisoning and Treatment

Anticholinesterases, also known as cholinesterase inhibitors, work by blocking the breakdown of acetylcholine, leading to its accumulation in the synaptic cleft. This accumulation indirectly enhances both muscarinic and nicotinic actions. These agents are classified as reversible or irreversible based on their mechanism of action.     
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When toxic substances penetrate the human body, they disseminate to various tissues, undergoing metabolic changes. This process yields reactive metabolites that may covalently bind with specific target molecules, resulting in toxicity.
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Amines with low molecular weight are usually gaseous at room temperature, while those with high molecular weight are liquid or solids in nature. Usually, low molecular weight amines have a rotten fish-like smell. Diamines typically have a pungent smell. For instance, cadaverine and putrescine, depicted in Figure 1, are two molecules responsible for decaying tissue.
Drug Toxicity: Overview01:00

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Drug toxicity quantifies the harm a compound causes to an organism, varying by dose and potentially impacting whole systems or specific organs like the liver. Toxic reactions may arise from venomous insect or spider bites, with effects ranging from mild symptoms to severe outcomes such as brain damage or death. Common forms of acute poisoning include ethanol intoxication and overdose of pain or fever medications, with substances like GHB and heroin being particularly lethal at doses close to...
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Updated: Jul 10, 2026

Nerve Excitability Assessment in Chemotherapy-induced Neurotoxicity
07:42

Nerve Excitability Assessment in Chemotherapy-induced Neurotoxicity

Published on: April 26, 2012

Arsenic neurotoxicity--a review.

A Vahidnia1, G B van der Voet, F A de Wolff

  • 1Department of Clinical Pharmacy and Toxicology, Leiden University Medical Center, Leiden, The Netherlands.

Human & Experimental Toxicology
|November 21, 2007
PubMed
Summary
This summary is machine-generated.

Chronic arsenic (As) toxicity is a global health issue, contaminating water and food. Exposure leads to severe health effects, including neurotoxicity, by disrupting cellular enzymes and cytoskeletal proteins.

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Area of Science:

  • Environmental Health
  • Toxicology
  • Neuroscience

Background:

  • Arsenic (As) is a toxic metalloid with historical uses and widespread environmental release.
  • Chronic arsenic toxicity is a significant global health problem, impacting millions worldwide through contaminated drinking water and agricultural products.
  • Arsenic contamination in groundwater exceeds the World Health Organization's (WHO) guideline of 10 parts per billion (ppb).

Purpose of the Study:

  • To elucidate the mechanisms of arsenic-induced neurotoxicity.
  • To understand the long-term health effects of arsenic exposure.
  • To investigate the biochemical pathways affected by arsenic in the body.

Main Methods:

  • Review of existing literature on arsenic toxicity and health effects.
  • Analysis of clinical features and electrophysiological studies in patients with arsenic neuropathy.
  • Biochemical examination of arsenic's interaction with enzymes and proteins.

Main Results:

  • Arsenic exposure causes severe, variable health effects including cancers and neurological disorders.
  • Arsenic neuropathy presents as symmetrical sensorimotor neuropathy with reduced nerve conduction velocity, indicative of axonal degeneration.
  • Arsenic inhibits enzyme activity by reacting with thiol groups and causes cytoskeletal protein changes and hyperphosphorylation, leading to neurotoxicity.

Conclusions:

  • Arsenic toxicity poses a significant environmental and health risk globally.
  • Arsenic-induced neurotoxicity involves enzyme inhibition and disruption of the neuronal cytoskeleton.
  • Understanding these mechanisms is crucial for developing strategies to mitigate arsenic's adverse health effects.