BASAL GANGLIA NEUROTOXINS
Section snippets
MANGANESE
Chronic manganese intoxication was recognized by Couper in the early 19th century. In 1837, he described a distinctive neurologic syndrome among several workers in a manganese ore crushing mill.18 Couper recognized that this syndrome is the result of inhaling manganese dioxide-containing dust particles. Subsequent work confirmed Couper's clinical description and his recognition of the occupational nature of chronic manganese intoxication. The great majority of manganese, some millions of tons
CYANIDE
Cyanide intoxication results from accidental exposures and deliberate exposures in suicide and homicide attempts.35 There are multiple possible sources of cyanide. Cyanide compounds, such as hydrocyanic acid, potassium cyanide, and sodium cyanide, are used in industrial processes. Cyanide gas may arise from burning polyurethanes, wool, silk, nitrocellulose, and synthetic rubbers. Cyanide may be produced in vivo as a result of biotransformation of cyanogenic compounds such as nitriles, of which
CARBON DISULFIDE
Like manganism, carbon disulfide intoxication is a product of the industrial revolution. Carbon disulfide was used originally in the 19th century in the manufacture of rubber.61 In the 20th century, the widest use of carbon disulfide was in the manufacture of rayon fibers and it was used as a grain fumigant, leading to significant exposures among farmers and silo workers.53, 61 Carbon disulfide was a significant source of morbidity among exposed workers.61 Several neurologic manifestations were
HYDROGEN SULFIDE
Hydrogen sulfide is produced by bacterial decomposition of natural products, natural chemical processes such as volcanic eruption, and is a byproduct of several industrial processes. Hydrogen sulfide is a clear foul smelling gas that produces mucosal irritation, pulmonary edema, and central nervous system toxicity.35 The mechanism of neurotoxicity of hydrogen sulfide is thought to be similar to that of cyanide, inhibition of Fe3+ containing enzymes, notably cytochrome oxidase. Acute hydrogen
METHANOL
Methanol (methyl alcohol) is available widely in the form of deicers, paint removers, carburetor cleaning fluids, and as a solvent in laboratories. Methanol intoxication results most commonly from accidental or deliberate oral ingestion, but toxic amounts can be absorbed transdermally or by inhalation.23 Symptoms of methanol intoxication appear usually with a lag time of several hours after exposure because the proximate cause of methanol toxicity is not methanol itself but its metabolite,
CARBON MONOXIDE
Carbon monoxide is an odorless, colorless gas. Carbon monoxide intoxication is claimed to be the most common cause of poisoning in the United States, accounting for thousands of deaths per year and with a high incidence of persistent or delayed neurologic sequelae.22, 70 The most common cause of carbon monoxide intoxication in the United States is unintentional exposure to motor vehicle exhaust. Attempted carbon monoxide intoxication is a common means of attempting suicide. Other potential
3-NITROPROPRIONIC ACID
In the early 1970s, a new syndrome of acute noninflammatory encephalopathy was noted among children in northern provinces of the People's Republic of China. Clinical and epidemiologic studies established that this syndrome followed consumption of mildewed sugarcane. Over the course of the 1970s and 1980s, there were over 200 documented outbreaks involving hundreds of victims and with numerous deaths. The offending agent was established to be the mycotoxin 3-nitropriopionic acid (3NP), a product
1-METHYL-4-PHENYL-1, 2, 3, 6-TETRAHYDROPYRIDINE
The discovery of 1-methyl-4-phenyl-1, 2, 3, 6-tetrahydropyridine (MPTP) as a dopamine neuron neurotoxin is a remarkable story. In the early 1980s, so-called designer drugs, mainly opiate analogs, were produced by individuals eager to take advantage of a loophole in Federal laws governing the manufacture and sale of scheduled drugs. One chemist in the northern California area attempted to produce the meperdine analog 1-methyl-4-phenyl-4-proprionoxypiperidine (MPPP). An apparently sloppy worker,
ANNONACEAE ALKALOIDS
A recent report by Caparros-Lefebvre et al13 documented an unusually high incidence of atypical parkinsonism on the Caribbean island of Guadeloupe.13 Efforts were made to ascertain cases systematically, although there is only a single department of neurology on the island. Seventy-five percent (65 of 87) of cases of parkinsonism seen over a 2-year period were classified as atypical. A majority met NINDS consensus criteria for progressive supranuclear palsy (PSP; 36% of total) or atypical
SUMMARY
A number of exogenous toxins cause basal ganglia degeneration. Most of these toxins result in putaminal and/or pallidal pathology although MPTP causes remarkably specific degeneration of nigrostriatal dopaminergic neurons. In virtually all cases, the established or likely mechanism of neurodegeneration is impairment of neuronal energy metabolism, usually at the level of mitochondria. For reasons that are unclear, neurons of the globus pallidus and putamen appear to be particularly susceptible
References (76)
- et al.
Metabolic compromise with systemic 3-nitroproprionic acid produces striatal apoptosis in Sprague-Dawley rats but not in BALB/c ByJ mice
Exp Neurol
(1998) - et al.
Manganese injection into the rat striatum produces excitotoxic lesions by impairing energy metabolism
Exp Neurol
(1993) - et al.
Possible relation of atypical parkinsonism in the French West Indies with consumption of tropical plants: A case-control study
Lancet
(1999) - et al.
Formate bound to cytochrome oxidase can be removed by cyanide and by reduction
Biochim Biophys Acta
(1996) - et al.
Manganese potentiates nitric oxide production by microglia
Mol Brain Res
(1999) - et al.
Effect of intranigral Mn2+, on striatal and nigral synthesis and levels of dopamine and cofactor
Neurotoxicol Teratol
(1991) - et al.
Chronic parkinsonism secondary to intravenous injection of meperdine analogues
Psych Res
(1979) - et al.
Hydrogen sulfide poisoning from toxic inhalations of asphalt roofing fumes
Ann Emerg Med
(1986) Isoquinoline neurotoxins in the brain and Parkinson's disease
Neurosci Res
(1997)- et al.
Visualizing manganese in the primate basal ganglia with magnetic resonance imaging
Exp Neurol
(1989)
Acute 3-nitroproprionic acid intoxication induces striatal astrocytic cell death and dysfunction of the blood brain barrier: Involvement of dopamine toxicity
Neurosci Res
Occupational fatality and persistent neurological sequelae after mass exposure to hydrogen sulfide
Am J Emerg Med
Manganese augments nitric oxide synthesis in murine astrocytes: A new pathogenetic mechanism in manganism?
Exp Neurol
Manganese inhibits mitochondrial aconitase, a mechanism of manganese neurotoxicity
Brain Res
Cyanide antidotes
3-Nitropropionic acid's lethal triplet: Cooperative pathways of neurodegeneration
Neuroreport
Changes in the nervous system following carbon disulfide poisoning in animals and man
Arch Neurol Psych
Permanent parkinsonism in humans due to 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP): Seven cases
Neurology
Neurochemical and histologic characterization of striatal excitotoxic lesions produced by the mitochondrial toxin 3-nitropropionic acid
J Neurosci
Time course of post-anoxic akinetic rigid and dystonic syndromes
Neurology
Delayed onset generalized dystonia after cyanide poisoning
Clin Neurol Neurosurg
Hydrogen sulfide poisoning: Review of 5 years' experience
Can Med Assoc J
Positron emission tomography after MPTP: Observations relating to the cause of Parkinson's disease
Nature
Manganism and idiopathic parkinsonism; similarities and differences
Neurology
Dystonic-parkinsonian syndrome after cyanide poisoning: Clinical and MRI findings
J Neurol Neurosurg Psychiatr
Delayed neurologic sequelae in carbon monoxide intoxication
Arch Neurol
On the effects of black oxide of magnesium when inhaled into the lungs
Br Ann Med Pharmacol
Neurological complications of carbon monoxide poisoning
Q J Med
Carbon Monoxide
Toxic alcohols
Basal ganglia degeneration, myelin alterations, and enzyme inhibition induced in mice by the plant toxin 3-nitropriopionic acid
Neuropathol Appl Neurobiol
Brief report: Clinical and CT scan findings in a case of cyanide intoxication
Mov Disord
3-Nitropropionic acid exacerbates N-methyl-D-aspartate toxicity in striatal culture by multiple mechanisms
Neuroscience
Motor dysfunction as a permanent complication of methanol ingestion
Arch Neurol
Correlation of morphologic brain lesions with physiologic alterations and blood–brain barrier impairment in 3-nitroproprionic acid toxicity in rats
Acta Neuropathol
Nature and distribution of brain lesions in rats intoxicated with 3-nitropriopionic acid: A type of hypoxic (energy deficient) brain damage
Acta Neuropathol
Neurotoxicity to the basal ganglia shown by magnetic resonance imaging (MRI) following poisoning by methanol and other substances
J Toxicol Clin Toxicol
Selective inhibition of the tricarboxylic acid cycle of GABAergic neurons with 3-nitropropionic acid in vivo
J Neurochem
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Address reprint requests to Roger L. Albin, MD, Neuroscience Laboratory Building, 1103 E. Huron, Ann Arbor, MI, 48104-1687
This work is supported by grants from National Institutes of Health, NS 15655, NS 38166, and a VA Merit Grant.
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Department of Neurology, University of Michigan; and the Neuroscience Research, Geriatrics Research, Education and Clinical Center, Ann Arbor VAMC, Ann Arbor, Michigan