Cynide Toxicity

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The document discusses cyanide toxicity in animals from ingestion of cyanogenic plants. It also talks about the treatment methods for cyanide poisoning.

Cyanogenic plants are plants which yield hydrogen cyanide upon acidic or enzymatic hydrolysis during digestion. Examples mentioned are sorghum, bitter almond, cotton seed cake, cherry plant, sudan grass.

Some major cyanogenic glycosides mentioned are: Amygdalin in bitter almond (250mg HCN/100g), Dhurrin in sorghum (250mg HCN/100g), Linamarin in linseed (10-300mg HCN/100g), Triglochinin in wild cherry (200mg HCN/100mg).

CYANIDE TOXICITY

INTRODUCTION:

C yanid e or Hyd rogen cyani de poisoni ng in an imal s occu rs generally du e toi ng estion of cyan og enic p lan ts( cyan og en et ic g lycosid es) .
WHAT ARE CYANOGE NIC PLANTS?
Th esearep lant s whi ch yeild s h yd rog en cyan id e up on acidi c or enzymat ic h ydrolysis d u rin g di gestion.Cyan id e(h yd rog en cyanid e) is th emost r ap id lyact in g and d ead ly toxicant th at aff ect all mammals.Ex:Sorg hu m,b itter almon d ,cotton seed cake,cherry plant ,sud an gr ass.

CHEMICAL FORMULA AND STRUCHTURE


OF CYANIDE MOLECULE:

PROPERTIES:

Hydrogen cyanide(HCN) is a colourless,readily


volatile gas having charachteristic odour of bitter
almond.

A solution of HCN in water is called as Hydrocyanic


acid or prussic acid.

Cyanogenetic glycosides are formed from nitrates


and anminoacids as part of plant metabolism.

Cyanogenetic glycosides present in epidermal cells


of plant and their mesenchymal cells(leaf tissue)
contains beta glycosidase enzyme which enables
hydrocyanic acid production in plants.

Plant cells can be ruptured in leaves by


cutting,chewing by the animal,wilting
freezing,draught,trampling,crushing and
also by conditions in the rumen also
favours the degradetion of glycoside to free
hydrogen cyanide.

This conversion is mainly because of rumen


microbial enzymes, which metabolizes
cyanogenetic glycosides.

DIFFERENT PLANTS WITH THEIR CYANOGENIC


GLYCOSIDES:

BITTER ALMOND AMYGDALINE-250mg of HCN


per 100g.
SORGHUM PLANT-DHURRIN

250mg HCN
per 100g.

LINSEED(FLAX) - LINAMARIN 10 to 300 mg


HCN /100g
WILD CHERRY - TRIGLOCHININ-200mg HCN
per 100mg

BITTER ALMOND

SORGHUM PLANT

CASSAVA

COTTON SEED CAKE

WILD CHERRY

SUDAN GRASS

BAMBOO YOUNG SHOOTS:

ACACIA

ROSEWOOD

MAIZE PLANT

BRACKENFERN

INDIAN GRASS

JHONSON GRASS

LOTUS LEAF

LINSEED CAKE

LD-50 VALUES OF CYANOGENIC GLYCOSIDES


IN CATTLE ,HORSE AND SHEEP:

Amygdalin- 0.5mg/ kg body weight

Dhurrin- 1mg/ kg body weight

Linamarin-2.4mg/ kg body weight

Triglochinin-2.8mg/kg body weight

Other sources of cyanide poisoning include


cyanide containing fumigants,rodenticides
and drugs like nitropusside.

Polyurethene,polyamide,wool and silk


produces cyanide upon burning.The
combustion gas released during this process
leads to heavy morbidity and mortality by
smoke inhalation.

FACTORS AFFECTING POISONING


1.

Species:Ruminants are more susceptible to cyanide


poisoning than other animals due to ruminal
acidity(6.5-7),higher water content and rumen
microbial enzymes.Among the ruminants cattle are
more suceptible than sheep.

2.

Plant factors: Grain sorghums are more toxic than


forage sorghums or sudan grass.
Leaves contains (upper leaves) HCN than stem,stalk
and lower,older leaves.
.
Young rapidly growing and new shoots
of plants has more HCN.
.
Cyanide content usually decreases after
pollination.
.
Plants containing more amount of beta
glycosidase enzyme releases more of HCN.

3. Injury to plant: Injury due to wilting,frostbite,cutting


etc.,ruptures plant cells so they easily release more
amount of HCN.Dead plants have less prussic acid.
4. Weather: Drought-stricken stunted plants contain
high concentration of cyanogenic glycosides
because they failed to get mature and contains
mostly leaves which are high in HCN.
5.Method of feeding: Indiscriminate grazing is the most
dangerous method of feeding because cattle prefer
to graze leaves and young shoots which tend to be
high in HCN.

6. Time of cutting/grazing: Cyanogenetic glycoside


content usaually high in plants during morning
and low in afternoon and evening.So avoid
grazing cattle during morning.
7.Processing of materials: Drying or making of
silage reduces HCN content in plants.Hay stored
for about 2-3 months gradually losses its HCN
content due to the volatilization of HCN.
8.Soil composition: High contents of nitrogen and
low phophorous favourable for high HCN in
plants.

9.Gastric pH: Acidic pH reduces release of HCN and


incidence of cyanide toxicity. Although gastric
acid facilitates the release of HCN by hydrolysing
cyanogenetic glycosides, yet at the same time it
destroys plant enzyme responsible for release of
HCN. So, humans.dogs,horses and pigs are less
susceptible for HCN poisoning because of their
highly acidic stomach.
10.Rumen content: Chances of HCN release is
more in full stomach animal compared to empty
stomach animal due to presence of more
enzymes in ingested plant.

TOXICITY:
Toxicity of cyanide varies with type of salt,
species,speed of ingestion and indivisual animal
tolerence.
HCN or its alkaline salts are highly toxic having
oral LD50 of 0.5-3.0mg/kg in most of the animals.
A plant containing morethan 20mg HCN/100g
is considered as toxic to animals.

Numerous forms of cyanide exist,including


gaseous HCN ,water soluble Na and K cyanide
salts and Hg,Cu, Au and Ag cyanide salts are
poorly water soluble.
Salts of cyanic acid (cyanates) are more
while salts of thiocyanic
acid(thiocyanate,rhodanide) have less
toxicity.Potassium ferricyanate and ferrocyanide
are practically non-toxic.

TOXICO-KINETICS:

Hydrogen cyanide rapidly released by the


cyanogenic glycosides upon chewing,rumen and
intestinal microflora.This is due to damage
caused to the plantcells,allows enzyme and
cyanogenic glycosides to come into contact to
release HCN.

Upon

HCN release, it is rapidly absorbed by GIT


and in various organs in the body,and lungs by
inhalation route.

The

cyanide rapidly metabolised in the liver.The


principal excretory product produced is
THIOCYANATE.Production of thiocyanate is
catalysed by the enzyme RHODANESE which
is commonly occurs in mammalian tissue.

Other

minor routes of metabolism are


production of thiazoline oxidative pathway leads
to production of CO2 and formate.Some amount
of HCN is also eliminated by expiration giving
charachteristic bitter almond smell to the
exhailed air.

PRODUCTION OF THIOCYANATE BY
RHODANESE:

MECHANISM OF
TOXICITY:

The toxic effects of cyanide is due to its affinity to


the metalloporphyrin containing enzymes more
susceptible towards cytochrome oxidase enzyme.

Cyanide has strong affinity for TRIVALENT IRON


of the CYTOCHROME OXIDASE (cyt).HCN
molecule acts by inhibiting its activity and hence
cellular respiration.

In mitochondria, the CN- radical combines with


ferric ions of cyt and inhibits electron transport
system (ETC).

Cyt

is phyciologically responcible for transfer of


oxygen and its utilization at cellular level.

Normally

oxygen combines with cyta3++ and


oxidises it to cyta3+++ which is reconverted to
cyta3++ for cycle to continue.

But this not happens when cyanide radical binds


to cyt, which results in the formation of cyancytochrome oxidase complex.

This does not allow converstion of cyta3+++ to


cyta3++ .And further combination of oxygen and

SHAEMATIC REPRESENTION OF CYANIDE


TOXICITY:

This results in blockade of ETS, hence respiration and


cells die due to lack of oxygen.All tissues are
susceptible, but death is primarily due to BRAIN
TISSUE ANOXIA.

As arterial blood is not utilised ,venous blood retains


the bright colour of oxyhaemoglobin.

Cyanide radicle inhibits several other enzymes.It also


reacts with the methhaemoglobin to produce
cyanmethheamoglobin.

DEATH OF PAERT OF BRIAN DUE TO TISSUE


ANOXIA

CLINICAL SIGNS:
1.PERACUTE TOXICITY:

In this condition animal may found dead or death


occurs in few hours.

2.ACUTE TOXICITY:

The clinical course of toxicity depends on


concentration of cyanide ingested by the animal and
rate,duration of consumption.

Acute poisoning occurs due to consumption of large


amount of toxin in shorter duration.

Signs include restlessness,laboured


breathing,stumbling gait,dyspnoea and
tachycardia.

Salivation, lacrymation,mydriasis,voiding of urine


and feaces are seen.

Mucous membrane, gum,sclera become cyanotic.


Finally tissue dies by depletion of oxygen.

Muscle

tremors,fasciculations,regurgitation pf
rumen contents,clonic convulsions,bloat occurs.

MYDRIASIS

Finally death occurs due to severe asphyxial


convulsions due to RESPIRATORY
PARALYSIS.

Ultimately

breathing stops.This whole


syndrome does not exceeds 30-45
minutes.Most of the animals showing signs
for 2 hours after ingestion of cyanide toxin,
usually survives.

CHRONIC TOXICITY:
Consumption of lower concentration of
cyanide for a long period may produce
nuerotoxic syndrome and goitre

POSTMORTEM FINDINGS:

In acute and peracute cases blood may be bright


CHERRY RED colour initially.

Mucous membranes are pink initially,then


become cyanotic when respiration ceases.

Rumen may be distended with gas,which


produces bitter almond smell upon
opening,congestion,
Some haemorrhages seen in GIT,lungs.AGONAL
HEMORRHAGES SEEN IN HEART,froath is seen in
respiratory passages.

CHERRY RED LIVER PIECES

HEMORRHAGES ON HEART

CHERRY RED APPEARANCE OF SKIN


DURING CYANIDE TOXICITY IN HUMANS

DIAGNOSIS:

The acute onset,bright red mucous membrane and


blood,odour of HCN is indicative of cyanide poisoning.

By demonstration of HCN in rumen


contents,heparinised whole blood,liver and muscles.

Rumen contents and liver showing >10ppm and


1.4ppm
HCN respectively indicative of cyanide poisoning.

PICRIC ACID PAPER TEST METHOD:

HCN SPOT TEST:


PRINCIPLE: In acidic medium HCN get

released by the feed and reacts with the picric


acid pre-treated whatmann paper No.42
changing its yellow colour to red colour,
indicating the presence of HCN in suspected
feed sample.

PROCEDURE: 1 ml of sulphuric acid+0.5 ml of


chloroform +suspected feed sample.keep picric
acid pre-treated paper at the top of test
tube.Observe for the red discolouration of
paper.

DIFFERENTIAL DIAGNOSIS:
1.Carbon monoxide toxicity: Bright red coloured blood
but no acute death.
2.Hydrogen sulphide toxicity:Blood and tissue are
dark brown in colour and smell of hydrogen sulphide
comes from tissues.
3.Nitrate and Nitrite toxicity: Causes rapid death but
colour of blood is brown red.
4.Urea toxicity: Causes rapid death but main signs are
colic,nervous and behavioural changes.Rumen gives off
odour of ammonia.

TREATMENT AND
MANAGEMENT:

The major objective of treatment is to re-establish oxygen


transport to cellular level.

1.SODIUM NITRITE: It is used as ANTIDOTE for the cyanide


poisoning ,conjunction with sodium thiosulphate.It converts
hemoglobin(Fe++ ) to methemoglobin
(Fe+++ )by process of oxidation.
Methemoglobin reacts with cyanide of cyt to produce
cyanmethemoglobin.This process reactivates the inactivated
cyt enzyme.
The cyanmethemoglobin takes sulphur in presence of
rhodanese enzyme from the donor sodium thiosulphate
( Na2 SO3 ) and forms sodium thiocyanate(NaSCN) which is
non-toxic and eliminated through URINE.

Sodium nitrite is toxic substance due to its potential


to produce methemoglobinaemia,so its dose
should be carefully regulated.
DOSAGE:

Cattle and sheep: 20mg/kg,slow I/V as 1% solution


followed by sodium thiosulphate (500mg/kg,slow I/V as 25%
solution).
DOGS AND CATS: 25 mg/kg,slow I/V as 1%solution followed
sodium thiosulphate (1.25g/kg,I/V as 25% solution).
HORSES:16mg/kg,slow I/V as 1% solution followed by
sodium thiosulphate(30-40 mg/kg,slow I/V as 20% solution).

MECHANISM OF ACTION OF
ANTIDOTE :

HbO2

NO

2Met Hb

CN

CNMetHb

HCN

CN
S2O3

SCN+ SO 3
RHODANESE

URINE

2.SODIUM THIOSULPHATE: It is administered after


systemic administration of sodium nitrite,but alone also
given as cyanide toxicity antidote.
It hastens de-toxification of cyanide by providing an
exogenous source of sulphur to enzyme Rhodanese.
The cyanide in presence of enzyme rhodanese takes
sulphur from sodium thiosulphate and forms sodium
thiocyanite,which is relatively non-toxic and eliminates
through urine.

DOSAGE:
CATTLE AND SHEEP: 5OO mg/kg,slow I/V as 25%
solution plus 30g/cow,6g/sheep PO.

DOGS AND CATS: 1.25g/kg.I/V as 25% solution.

HORSES: 30-40 mg/kg,slow I/V as 20% solution.

3.COBALT PREPARATIONS: cobaltous chloride at rate


of 10mg/kg given PO.
Large dose of hydroxocobalamine or aquocobalamine
may be used at the rate of 15 IU/50 KG I/M route.
4.Other measures include cooling,diluting and acidifying
the rumen contents by giving adult cattle 4L of
VINEGAR in 12-20L of cold water to slowdown the
microbial hydrolysis of cyanogenic glycosides.

PREVENTION:
1.Do not graze wilted,frosted or drought stressed plants.
2.Do not feed SORGHUM during early regrowth after
plants have been cut,when they are likely to be most
toxic.
3.Feed hungry cattle before allowing them to graze
forages which may contain high levels of HCN.
4.Thoroughly boil the linseeds to remove any HCN
content.
5.Follow fertilizer recommendations to assure adequate
soil P.Avoid high levels of soil nitrgen.

PROGNOSIS:

It depends on time of initiation of therapy.If


animal survives for a day,no further treatment is
required.

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