Poisonous Plants - Exam 2 Part 2 Flashcards
Nephrotoxins/oxalate poisoning MOA
oxalate precipitates calcium, inhibiting lactate & succinic dehydrogenase resulting in oxalate nephrosis
clinical signs of oxalate poisoning
kidney failure
tetany, muscle tremors, weakness, recumbency
blood tinged nasal discharge
coma & death (12 hours)
diagnostic signs of oxalate poisoning
hypocalcemia
renal tubular necrosis & oxalate crystals
hemorrhage/hyperemia
rumen wall hemorrhage/edema
treatment for oxalate poisoning
calcium borogluconate hydration
prevention for oxalate poisoning
Calcium Phosphate mineral supplement
water before moving into oxalate rangelands
gradual introduction to halogeton grazing
oxalate poisoning causing plants
- halogeton w/ greasewood
- oxalis spp. - shamrock, sorrel, soursob
- red-rooted pigweed
- Kochia weed
- curly leaved-dock
Oaks - Quercus spp.
toxin:
most susceptible spp
most resistant spp
toxin: Gallotannins (denature of cellular proteins (astringent))
cattle, sheep, horses, pigs
goats resistant due to tannin binding salivary proteins & tannase activity
oak toxicity diagnostic signs
elevated liver enzymes, BUN, creatinine, K+
pale swollen kidneys with tubular necrosis and hyaline casts
liver necrosis
oak toxicity clinical signs
icterus, azotemia, red-brown urine, tarry diarrhea, abdominal pain, hemorrhagic enteritis
Cockle bur toxicity
toxin
most toxic part of plant
MOA
clinical signs
toxin: carboxyactractyloside
seeds, 2-leafed cotyledons
inhibits oxidative phosphorylation
hypoglycemia, elevated liver enzymes, convulsions, hunched back, ataxia, recumbent
cockle bur most toxic part of the plant
seeds, 2-leafed cotyledons
What is the plant that induces calcinosis in North America?
day-blooming jasmine
What is the mechanism of action of plant induced calcinosis in North America?
analog of vitamin D → hypercalcemia → calcification of tendons, ligaments & arteries, stiffness/lameness, increased bone density
What are 2 major plants associated with tremetol induced myopathy/neurotoxicity?
White SnakeRoot & Rayless GoldenRod
what are the clinical signs associated with tremetol induced myopathy and neurotoxicity?
“milk sickness”, myoglobinuria, “choke”, cardiomyopathy, heartblock/death, elevated liver enzymes
what is the association with horses and black walnut shavings?
laminitis
Se toxicity MOA
Se replaces sulfur in proteins → inhibits function, depletes S-adenosylmethionine, GSH → oxidative stress
Se toxicity clinical signs
hair loss of tail, lameness, hoof lesions, depression, anemia, emaciation, diarrhea, reproductive abnormalities, death
Know toxic levels in blood, hoofs, liver for Se toxicity.
blood > 1 ppm
hoofs > 5 ppm
liver > 5 ppm
Why is whole blood better for diagnosis of Se toxicity? Could serum levels be normal in an animal with hoof and hair lesions?
Whole blood > serum as ⅔ of blood Se is in the RBC (metabolized by RBC first)
Yes serum levels could be normal?
6 common selenium accumulating plants
prince plume
woody aster
paint brush
2-grooved milkvetch
4-winged saltbush
gum weed
Identify 5 plants associated with intestinal obstruction.
Simon gets obstructed by sugar beats and beans in China
1. persimon fruits
2. sugar beat tops
3. mesquite beans/pods
4. mescalbean beans/pods
5. chinaberry
what are buttercups associated with?
protoanemonin toxicity
protoanemonin toxicity clinical signs
oral mucosa irritant, EXCESSIVE SALIVATION, gastroenteritis, colic, diarrhea, hemorrhagic diarrhea
Describe the components found in legumes (Yellow sweet closer & Alfalfa) that contribute to rumen bloat
high protein - foaming
saponins - stabilize foam
high Ca2+ - increase surface tension
increased by acidity
Identify plants, clinical signs associated with spewing sickness.
orange sneezeweed
bitterweeds
colorado rubberweed
spewing sickness clinical signs
Digestive: vomiting, bloat, anorexia, abdominal pain
Liver: liver degeneration and elevated enzymes
aspiration pneumonia/coughing, DEATH FROM INHALED VOMIT
what is colic associated with
GI irritants and alkaloids with Atropine-like action
toxin of nightshade poisoning
various alkaloids – Solanine, Hyoscine, Hyoscyamine
nightshade toxicity MOA
Solanine inhibits cholinesterase
Hyoscine & Hyoscyamine are similar to atropine - inhibit ACh
nightshade toxicity clinical signs
anti-sludge (mydriasis, increased heart rate, tremble, apathy, agitated)
GI irritant (colic, hemorrhagic diarrhea)
Know the 3 major categories of photosensitization
1.Primary
2. Secondary
3. Congenital Defects in Porphyrin Metabolism
What are clinical signs of photosensitization?
Photophobia, dermatitis, excessive tearing, swelling/redness, increase in sensitivity of non-pigmented skin, ooze serum around lips/eyes/ears/coronary bands of hooves, hair/skin slough in ulcerated areas
How do primary photosensitizers cause these clinical signs?
Plant is ingested or direct contact with skin
quinones & furanocoumarins are photoreactive → ROS
Familiarize yourself with images of the 5 primary photosensitizing plants in powerpoint.
St. John’s wort, Buckwheat, Bishop’s weed, Cow Parsnip, Spring Parsley
(Bishop John’s Cow Bucked its skin in the Spring)
Define Hepatobiliary or secondary photosensitization.
Most common form
diseased liver unable to metabolize phylloerythrin from chlorophyll → photosensitization
What toxic alkaloid most commonly causes hepatotoxicity leading to secondary photosensitization?
Pyrrolizidine Alkaloids (PA)
What is the mechanism of action for this toxin and why does this lead to photosensitization?
PA activated by cytochrome P450s in liver; >80% liver damage → PA not conjugated → phylloerythrin accumulation → diseases of the skin
What are clinical signs for PA induced toxicity?
Liver failure, diarrhea, tenesmus, rectal prolapse, weight loss, neuro signs of hepatic encephalopathy, dermatitis of non-pigmented skin
What are diagnostic signs for PA induced toxicity?
Liver biopsy, fibrosis, megalocytosis, biliary hyperplasia, elevated liver enzymes, hard fibrotic liver
Familiarize yourself with 5 PA containing plants in powerpoint.
Senecio spp (Groundsel, Tansy Ragwort), Hounds tongue, heliotrope, fiddle neck rattlepod
(Senna the rattlesnake has PA helical worts on her tongue and neck)
How do steroidal sapogenins contribute to secondary photosensitization?
Form crystalloid material blocking the biliary system → intrahepatic cholestasis/biliary occlusion
What are 4 plants that produce steroidal sapogenins in powerpoint?
Agave lechuguilla, bear grass, puncture vine/goat’s head, lantana
What congenital conditions could be a differential diagnosis for primary and secondary photosensitization.
Congenital Protoporphyria (Aberrant Porphyrin Metabolism Type II)
Bovine Protoporphyria
Name plant recently associated with acute hepatotoxicity from contaminated hay
Salvia reflexa (lance-leaf sage)
Know the mechanism of action of plant induced hemoglobinuria
Oxidation of reactive sulfhydryl (S-H) → disulfide bonds → inhibit G6P dehydrogenase → cannot convert NADPH or GSH → oxidant injury to Hb & RBC
Why are cats more susceptible to Heinz body formation?
Low glucuronyl transferase, slow metabolism, 4x S-H groups in Hb
Onion poisoning – toxin
n-propyl disulfide
Onion poisoning - MOA
oxidant injury to Hb and RBC → heinz bodies
Onion poisoning - clinical signs
hemoglobinuria, weakness/ataxia, anemia/pale mm, tachycardia, onion odor
Onion poisoning - treatment
remove source
blood transfusions in severely anemic patients
avoid stressing the animal
Brassica syndromes – list 5 associated syndromes and treatments, if any.
- SMCO → hemoglobinuria (treatment: blood transfusion)
- Glucosinolates → isothiocyanates/thiocyanates → goiter
- Tryptophan → 3-MI → pulmonary emphysema/edema
- High sulfur → thiamine & Cu def → polioencephalomalacia (treatment: thiamine)
- Hepatotoxicity
Brassica treatment
blood transfusion for anemia
thiamine for polioenceph
remove source
treat symptoms
corticosteroids for emphysema
Brassica induced hemoglobinuria – toxin
s-methyl-L-cysteine-sulfoxide (SMCO)
Brassica induced hemoglobinuria – MOA
SMCO converted to dimethyl sulfide in the rumen → heinz bodies & hemoglobinuri
major members of the Brassica family.
rape, kale, cabbage, turnips, brussel sprouts
Describe how the Descurainia spp. Tansy mustard and Flixweed induce thyroid hyperplasia. Toxin & MOA,
Toxin: glucosinolates
MOA: glucosinolates → isothiocyanates/thiocyanates → inhibit iodine uptake by thyroid → no negative feedback resulting increased thyroid hormones → goiter
Descurainia spp. Tansy mustard and Flixweed induce thyroid hyperplasia treatment/prevention.
treatment: remove from diet, supplement iodine
Prevention: do not feed to pregnant goats
Red Maple poisoning – which maples, other trees? Animals effected, Clinical signs
Red maple hybrids, silver maple, sugar maple, Pistacia
horses, zebras, alpacas
heinz body anemia, brown/red urine, methemoglobinemia, liver icterus and elevated enzymes
red maple leaves poisoning post-mortem findings
splenomegaly, hepatomegaly with pale centrilobular areas, brown/black kidney
Moldy Sweet Clover toxin and how is it created
coumarin
penicillin & aspergillus spp convert coumarin into dicourmarol
Moldy Sweet Clover MOA
depletes vitamin K clotting factors (prothrombin & factors 7,9,10)
Moldy Sweet Clover clinical signs
hematomas, hematuria, hemarthrosis, hyphema, abortion, weakness, low PTT
Moldy Sweet Clover treatment
whole blood transfusion
vitamin K1
(vitamin K3 less effective)