Gastrointestinal tract toxicity

With respect to acute toxicity, based on lethaHty in rats or rabbits, acryhc monomers are slightly to moderately toxic. Mucous membranes of the eyes, nose, throat, and gastrointestinal tract are particularly sensitive to irritation. Acrylates can produce a range of eye and skin irritations from slight to corrosive depending on the monomer. 

Toxicity. Fluoroborates are excreted mostly in the urine (22). Sodium fluoroborate is absorbed almost completely into the human bloodstream and over a 14-d experiment all of the NaBF ingested was found in the urine. Although the fluoride ion is covalently bound to boron, the rate of absorption of the physiologically inert BF from the gastrointestinal tract of rats exceeds that of the physiologically active simple fluorides (23). 

Health and Safety Factors. Fluorocarbons containing bromine or iodine are more toxic than the corresponding chloro compounds. When the ratio of the fluorine to other halogens is high, the toxicity can be quite low, especially for bromofluorocarbons. Perfluoro-l-bromooctane [423-55-2] has an LD q of greater than 64 mL/kg when adininistered into the gastrointestinal tract, and has Htde effect when instilled into the lungs (49). Other examples are included in Table 7. 

Poly(ethylene oxide) resins are safely used in numerous pharmaceutical and personal-care appHcations. Poly(ethylene oxide) resins show a low order toxicity in animal studies by all routes of exposure. Because of their high molecular weight, they are poorly adsorbed from the gastrointestinal tract and completely... 

Mesitylene. One of the principal derivatives of mesitylene is the stericaHy hindered phenol of the stmcture shown in Eigure 4. Its trade name is Ethanox 330 and it is produced by Albemarle Corporation (formerly Ethyl Corporation) (31). Ethanox 330 is an important noncoloring antioxidant and thermal stabiHzer for plastics, adhesives, mbber, and waxes (qv) (32,33) (see Antioxidants). The oral toxicity of Antioxidant 330 is extremely low (oral LD q in rats >15 g/kg) since its large size, C H gO, effectively eliminates absorption from the gastrointestinal tract. 

Normally, dietary tyramine is broken down in the gastrointestinal tract by MAO and is not absorbed. In the presence of MAOI, however, all of its potent sympathomimetic actions are seen. Other side effects of MAOI include excessive CNS stimulation, orthostatic hypotension, weight gain, and in rare cases hepatotoxicity. Because the monoamine oxidase inhibitors exhibit greater toxicity, yet no greater therapeutic response than other, newer agents, clinical use has been markedly curtailed. The primary use for MAOIs is in the treatment of atypical depressions, eg, those associated with increased appetite, phobic anxiety, hypersomnolence, and fatigues, but not melancholia (2). 

The relative toxicities of thallium compounds depend on their solubHities and valence states. Soluble univalent thallium compounds, eg, thaHous sulfate, acetate, and carbonate, are especiaHy toxic. They are rapidly and completely absorbed from the gastrointestinal tract, skin peritoneal cavity, and sites of subcutaneous and intramuscular injection. Tb allium is also rapidly absorbed from the mucous membranes of the respiratory tract, mouth, and lungs foHowing inhalation of soluble thallium salts. Insoluble compounds, eg, thaHous sulfide and iodide, are poorly absorbed by any route and are less toxic. 

Swallowing. If it is sufficiently irritant or caustic, a swallowed material may cause local effects on the mouth, pharynx, esophagus, and stomach. Additionally, carcinogenic materials may induce tumor formation in the alimentary tract. Also, the gastrointestinal tract is an important route by which toxic materials are absorbed. The sites of absorption and factors regulating absorption have been reviewed (42,43). 

The modes of action for niclosamide are interference with respiration and blockade of glucose uptake. It uncouples oxidative phosphorylation in both mammalian and taenioid mitochondria (22,23), inhibiting the anaerobic incorporation of inorganic phosphate into adenosine triphosphate (ATP). Tapeworms are very sensitive to niclosamide because they depend on the anaerobic metaboHsm of carbohydrates as their major source of energy. Niclosamide has selective toxicity for the parasites as compared with the host because Httle niclosamide is absorbed from the gastrointestinal tract. Adverse effects are uncommon, except for occasional gastrointestinal upset. 

Toxicity. The toxicity of barium compounds depends on solubility (47—49). The free ion is readily absorbed from the lung and gastrointestinal tract. The mammalian intestinal mucosa is highly permeable to Ba " ions and is involved in the rapid flow of soluble barium salts into the blood. Barium is also deposited in the muscles where it remains for the first 30 h and then is slowly removed from the site (50). Very Httle is retained by the fiver, kidneys, or spleen and practically none by the brain, heart, and hair. 

Soluble Compounds. The mechanism of barium toxicity is related to its ability to substitute for calcium in muscle contraction. Toxicity results from stimulation of smooth muscles of the gastrointestinal tract, the cardiac muscle, and the voluntary muscles, resulting in paralysis (47). Skeletal, arterial, intestinal, and bronchial muscle all seem to be affected by barium. 

Water-insoluble barium salts are poorly absorbed. In fact, barium sulfate is used as a contrast material for x-ray examination of the gastrointestinal tract based on its limited solubility andlow toxicity (52). Barium sulfate fed to mice at various levels up to 8 ppm dietary Ba ( 1.14 mg/kg-d as Ba " ) for three generations had no significant effects on growth, mortality, morbidity, or reproductive performance (53). 

Calcium chloride solutions, typically employed at 2—5% concentration, are used as antispasmodics, diuretics (qv), and in the treatment of tetany. Concentrated solutions of calcium chloride cause erythema, exfoUation, ulceration, and scarring of the skin (39). Injections into the tissue may cause necrosis. If given orally calcium chloride can cause irrita tion to the gastrointestinal tract unless accompanied by a demulcent. There is no pubHshed information on mutagenicity or carcinogenicity caused by calcium ions or calcium chloride. Calcium chloride has been given a toxicity or hazard level 3 (40). Materials in this classification typically have LD q below 400 mg/kg or an LC q below 100 ppm. 

In general the lanthanides, including cerium, have a low toxicity rating (17), especially when they are present in material having low aqueous solubiUty. When orally adrninistered poor absorption from the gastrointestinal tract tends to result in the lanthanides generally having Httle effect. The anion is often an important deterrninant in toxicity. 

The primary routes of entry for animal exposure to chromium compounds are inhalation, ingestion, and, for hexavalent compounds, skin penetration. This last route is more important in industrial exposures. Most hexavalent chromium compounds are readily absorbed, are more soluble than trivalent chromium in the pH range 5 to 7, and react with cell membranes. Although hexavalent compounds are more toxic than those of Cr(III), an overexposure to compounds of either oxidation state may lead to inflammation and irritation of the eyes, skin, and the mucous membranes associated with the respiratory and gastrointestinal tracts. Skin ulcers and perforations of nasal septa have been observed in some industrial workers after prolonged exposure to certain hexavalent chromium compounds (108—110), ie, to chromic acid mist or sodium and potassium dichromate. 

Ipecac is prepared from the dried roots and rhizomes of Cephaelis ipecacuanha (Brot.) A. Rich, and contains the alkaloids emetine [483-18-1] (17) and cephaeJine [483-17-0] (18) in a ratio between 2 1 and 4 1. It has been used extensively in cough preparations and is beheved to act by gastric reflex stimulation. Toxic effects include vomiting, irritation of the gastrointestinal tract, and cardiac arrhythmias (19). Ipecac symp is available over-the-counter in the United States only in 30-mL containers for use as an emetic in treating poisonings. 

Relatively high levels of copper in pig diets can improve nutritional performance due to the antimicrobial effects in the gastrointestinal tract. However, if land is fertilized with dung from pigs and subsequently grazed by sheep, the sheep may suffer copper toxicity because of their increased susceptibility to copper compared with pigs. Similarly, pig diets would be unacceptable for sheep because of the high levels of copper therein. 

Ingestible materials get into the mouth through hand-to-mouth contact, and through coughing when inhaled particulate material is removed from the lungs to the throat and then swallowed. Since there are acids, alkalies and enzymes in the gastrointestinal tract, the toxic nature of a compound may be enhanced or diminished. 

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