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Reports of Biochemistry and Molecular Biology
rbmb.net
Basic Sciences
http://rbmb.net
1
admin
2322-3480
2322-3480
10.61882/rbmb
en
jalali
1395
2
1
gregorian
2016
5
1
4
2
online
1
fulltext
en
Ricin Toxicity: Clinical and Molecular Aspects
بیوشیمی
Biochemistry
<p style="text-align: justify;">Seeds of the castor bean plant <em>Ricinuscommunis</em> 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 48 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.</p>
Biological warfare agent, Castor bean, Ricin, Ricinine
60
65
http://rbmb.net/browse.php?a_code=A-10-1-51&slc_lang=en&sid=1
Mohammad
Moshiri
10031947532846006121
10031947532846006121
No
Pharmacodynamy and Toxicology department, Faculty of Pharmacy, Mashhad University of Medical Sciences, Mashhad, Iran
Fatemeh
Hamid
10031947532846006122
10031947532846006122
No
Department of Laboratory Medicine, Varastegan Institute for Medical Sciences, Mashhad, Iran
Leila
Etemad
Etemadl@mums.ac.ir
10031947532846006123
10031947532846006123
Yes
Pharmaceutical Research Center, Mashhad University of Medical Sciences, Mashhad, Iran