Grayanotoxin
Grayanotoxin is a group of toxins found in plants from the family Ericaceae, such as Rhododendron, Pieris, and Agarista. These toxins are named after the genus Grayanotoxin, which is included in the family Ericaceae. Grayanotoxins have a direct effect on the sodium channels in cell membranes, leading to a range of symptoms in humans and animals when ingested.
History
The presence of grayanotoxins in plants has been known for centuries, with reports of poisoning in humans and livestock dating back to ancient times. The toxins were first isolated and identified in the 20th century.
Structure and Function
Grayanotoxins are diterpenes, a type of molecule made up of four isoprene units. They have a complex structure that includes a cyclic ether ring, which is responsible for their toxic effects.
The primary action of grayanotoxins is on the sodium channels in cell membranes. These channels are responsible for the transmission of nerve impulses, and the toxins interfere with this process by binding to the channels and preventing them from closing. This leads to a prolonged depolarization of the nerve cell, resulting in excessive neurotransmitter release and overstimulation of the nervous system.
Symptoms and Treatment
The symptoms of grayanotoxin poisoning can vary widely, depending on the amount ingested and the individual's sensitivity. They can include nausea, vomiting, salivation, sweating, headache, blurred vision, loss of coordination, and in severe cases, seizures and cardiac problems.
Treatment for grayanotoxin poisoning is primarily supportive, with the aim of managing symptoms and preventing complications. This can include measures such as fluid replacement to prevent dehydration, medication to control seizures, and in severe cases, hospitalization for monitoring and treatment.
See Also
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Contributors: Prab R. Tumpati, MD