bufotoxin

{{Short description|Class of chemical compounds}}

{{expand French|date=February 2019}}

Bufotoxins are a family of toxic steroid lactones or substituted tryptamines of which some are toxic. They occur in the parotoid glands, skin, and poison of many toads (Bufonidae family) and other amphibians, and in some plants and mushrooms.{{cite journal |vauthors=Siperstein MD, Murray AW, Titus E |title=Biosynthesis of cardiotonic sterols from cholesterol in the toad, Bufo marinus |journal=Archives of Biochemistry and Biophysics |volume=67 |issue=1 |pages=154–60 |date=March 1957 |pmid=13412129 |doi=10.1016/0003-9861(57)90254-0}}{{cite book |first1=Gary |last1=Lincoff |first2=Duane H. |last2=Mitchel |year=1977 |title=Toxic and Hallucinogenic Mushroom Poisoning: A Handbook for Physicians and Mushroom Hunters |url=https://archive.org/details/toxichallucinoge0000linc |url-access=registration |location=New York |publisher=Van Nostrand Reinhold |isbn=978-0-442-24580-1}}{{page needed|date=October 2014}}{{cite journal |first1=B. |last1=Kißmer |first2=M. |last2=Wichtl |year=1986 |title=Bufadienolide aus Samen von Helleborus odorus |trans-title=Bufadienolides from the Seeds of Helleborus odorus |language=German |journal=Planta Medica |volume=52 |issue=2 |pages=152–3 |doi=10.1055/s-2007-969103|s2cid=84240708 }} The exact composition varies greatly with the specific source of the toxin.

Composition

File:Bufotoxin.svg

Bufotoxins can contain 5-MeO-DMT, bufagins, bufalin, bufotalin, bufotenin, bufothionine, dehydrobufotenine, epinephrine, norepinephrine, and serotonin. Some authors have also used the term bufotoxin to describe the conjugate of a bufagin with suberylarginine.{{cite journal |vauthors=Chen KK, Kovaríková A |title=Pharmacology and toxicology of toad venom |journal=Journal of Pharmaceutical Sciences |volume=56 |issue=12 |pages=1535–41 |date=December 1967 |pmid=4871915 |doi=10.1002/jps.2600561202}}

The toxic substances found in toads can be divided by chemical structure in two groups:

  1. bufadienolides, which are cardiac glycosides (e.g., bufotalin, bufogenin), are compounds that may be fatal if consumed.
  2. tryptamine-related substances (e.g., bufotenin), are sought after for entheogenic and/or recreational purposes by some individuals. However, the practice of using these substances derived from animals for spiritual experiences or responsible drug use may raise ethical concerns about the potential suffering inflicted on the animal.

Species

{{see also|List of poisonous animals}}

Toads known to secrete bufotoxins.{{cite book|title=5-Hydroxytryptamine and Related Indolealkylamines|date=2013|publisher=Springer Berlin|location=Berlin|isbn=978-3642854699}}

=Toads frequently "milked"=

Despite being a frequent target for milking, these toads still carry cardiotoxic bufotoxins which have been linked to deaths.

=Other toads=

The effects of the bufotoxins in these toads are not well understood.

Extraction

Extract from the skin of certain Asian toads, such as Bufo bufo gargarizans and Bufo melanostictus, is often found in certain Chinese folk remedies. The Pharmacopoeia of the People's Republic of China (ChP) considers the two species valid sources of toad poison ({{lang-zh|s=蟾酥|p=Chánsū}}; {{langx|la|bufonis venenum}}), and requires the dry product to contain at least 6% of cinobufagin and resibufogenin combined by weight. The extract is obtained by squeezing the parotoid glands of caught, washed toads for a white venom and drying; the final dried poison is usually brown, with a chunk or flake form.{{cite book |author1=国家药典委员会 |title=中华人民共和国药典|trans-title=Pharmacopoeia of the People's Republic of China|volume=1 |date=2015 |publisher=中国医药科技出版社 |isbn=9787506773379 |page=333 |edition=10 |language=zh}} entries: [http://db.ouryao.com/yd2015/view.php?id=616 蟾酥 bufonis venenum]

Human poisoning

Poisoning from toad toxin is rare but can kill.{{R|withreview}} It can occur when someone drinks toad soup, eats toad meat or toad eggs, or swallows live toads.{{R|withreview}}{{R|slate}} It can also happen when someone deliberately takes commercial substances made with toad toxins.{{R|slate}} These go under names including "Kyushin", "Chan Su" (marketed as a painkiller,{{R|slate}} topical anesthetic or cardiac treatment{{R|Forensic2009}}), "Rockhard" and "Love Stone" (marketed as aphrodisiacs).{{R|slate}}

"Chan Su" (literally "toad venom") is often adulterated with standard painkillers, such as paracetamol, promethazine and diclofenac. It may be ingested or injected.{{R|poisoning}}

= Symptoms of intoxication =

Symptoms may vary depending on certain factors such as the size and age of the victim. Other than the first, more benign symptoms (such as a tingling or burning sensation in the eyes, mucous membranes, or in exposed wounds), the most frequently described symptoms in the medical literature are :

One epileptic episode caused by bufotoxins was observed in a 5-year old child, minutes after they had placed a Bufo alvarius in their mouth. The child was successfully treated with diazepam and phenobarbital.Hitt M, Ettinger DD. Toad toxicity. N Engl J Med; 1986; 314:1517

In extreme cases following ingestion of mucus or skin of the toad, death generally occurs within 6 and 24 hours. Victims surviving past 24 hours generally will recover.

References

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{{Cite journal|last1=Kostakis|first1=Chris|last2=Byard|first2=Roger W.|date=2009-07-01|title=Sudden death associated with intravenous injection of toad extract|url=http://www.sciencedirect.com/science/article/pii/S0379073809000802|journal=Forensic Science International|language=en|volume=188|issue=1|pages=e1–e5|doi=10.1016/j.forsciint.2009.02.006|pmid=19303230|issn=0379-0738|url-access=subscription}}

{{cite journal |last1=Trakulsrichai |first1=S |last2=Chumvanichaya |first2=K |last3=Sriapha |first3=C |last4=Tongpoo |first4=A |last5=Wananukul |first5=W |title=Toad Poisoning: Clinical Characteristics and Outcomes. |journal=Therapeutics and Clinical Risk Management |date=2020 |volume=16 |pages=1235–1241 |doi=10.2147/TCRM.S272863 |pmid=33363378 |pmc=7752649 |doi-access=free }}

{{cite web |last1=Cartwright |first1=Megan |title=These Men Died Trying to Achieve Epic Erections |url=https://slate.com/technology/2015/06/aphrodisiacs-derived-from-toads-are-poisonous-not-sexy.html |website=Slate Magazine |access-date=22 April 2021 |language=en |date=29 June 2015}}

{{cite journal |last1=Kuo |first1=HY |last2=Hsu |first2=CW |last3=Chen |first3=JH |last4=Wu |first4=YL |last5=Shen |first5=YS |title=Life-threatening episode after ingestion of toad eggs: a case report with literature review. |journal=Emergency Medicine Journal |date=March 2007 |volume=24 |issue=3 |pages=215–6 |doi=10.1136/emj.2006.044602 |pmid=17351232 |pmc=2660035 }}

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