Toxic Principles of Plants Flashcards
Clinical signs associated with toxicosis from a plant with insoluble calcium oxalate?
irritation of lips, mouth, throat, vomiting
Which insoluble calcium oxalate plant has proteolytic enzymes that release histamines and kinins that increase mechanical damage, in addition to the normal MoA of penetration via needle shaped calcium oxalate crystals? A) Devils Ivy, Epiprenum spp. B) Flamingo plant, Anthurium spp. C) Philodendron spp. D) Dumcane varieties, Dieffenbachia spp.
D - Dumcane varieties, Dieffenbachia spp.
Plants that have insoluble calcium oxalate
Chinese evergreen, Aglaonema spp. Alocacia (Elephant's ear), Alocacia spp. Flamingo plant, Anthurium spp. jack-in-the-Pulpit, Arisaema triphyllum Cuckoo-pint, arum maculatum Caladium varieties, Caladium spp. Dumcane varieties, Dieffenbachia spp. Pothos (Devil's Ivy), Epipremnum spp. Cutleaf philodendron (Swiss cheese plant), Monstera deliciosa Philodendron varieties, Philodendron spp. Peace Lily, Spathiphyllum spp. Skunk Cabage, Sympolocarpus foetidus Arrowhead vine (Nephthytis), Syngonium podophyllum Calla/Arum Lily, Zantedeschia oethiopica Umbrella tree, Schefflera spp. Fishtail palm, Caryota mitis
Mechanism of action of soluble oxalate
hypocalcemia, precipitation of Ca oxalates in soft tissues and kidney damage
Clinical signs associated with soluble oxalate? A) GI signs B) neuro deficits C) kidney damage D) All of the above
C - kidney damage (and hypocalcemia)
Plants that have soluble oxalate
Halogeton, Halogeten spp. Greasewood, Sarcobatus vermiculatus Pigweed, Amaranthus retroflexus Beet, beta vulgaris Lamb's quarters, chenopodium album Rhubarb, Rheum rhaponiticum Sorrel and soursop, Oxalis spp. Purslane, Portulacca oleracea
Which of the following causes abortion in cattle? A) Halogeten, Halogeten spp. B) Ponderosa pine, Pinus ponderosa C) Lamb's quarters, chenopodium album D) Purslane, Portulacca oleracea
B - Ponderosa pine, pines ponderosa
Toxic principle of Ponderosa pine, Pinus ponderosa and Monterey cyprus, Cupressus macrocarpus? A) Lycorine B) Diterpine alkaloids C) Soluble oxalate D) Isocupressic acid
D - isocupressic acid
Mechanism of action of isocupressic acid?
vasoconstriction, decreases uterine blood flow, stimulates release of fetal cortisol resulting in abortion (cattle)
Which of the following toxic principles results in primary photosensitization after the ingestion of St. John's wort, Hypericum perforatum and Buckwheat, Fagopyrun esculentum? A) Quinone B) Tannic acid C) Colchicine D) Titerpine acid
A - quinone
Mechanism of action of quinone (found in St. John’s wort, Hypericum perforatum and Buckwheat, Fagopyrun esculentum)
primary photosensitization - only in light or unpigmented skin, sun reacts with compound (quinone in this case) in the blood
Clinical signs of St. John’s wort, Hypericum perforatum and Buckwheat, Fagopyrun esculentum toxicity?
Photosensitization signs - erythema, pruritus, edema, necrosis of the skin, secondary bacterial infections
Which plants contain tannic acid (tannin)
Oak tree, Quercus spp. and Pride of Barbados, Caesalpinia spp.
MoA of tannic acid (tannin)
tissue damage including GI lesions and kidney damage
A cow ingests a toxic amount of acorns. What toxic principle is associated with acorns and what clinical signs do you expect to see?
Acorns come from oak trees, Quercus spp. so toxic principle is tannic acid (tannin). Expect to see constipation, brown urine, antony, anorexia and depression
Clinical signs in a monogastric that ingests tannic acid (tannin)
Oak tree, Quercus spp. and Pride of Barbados, Caesalpinia spp.
- expect mainly GI signs: colic, depression, icterus, constipation, hemorrhagic diarrhea, hemaglobinuria
A farmer calls you because his cows and horses got into a field of Lantana (yellow sage), Lantana camara. He is worried because he knows this plant contains triterpene acid which is toxic. What signs should he watch for in each species?
Horses - are resistant! Doesn’t have to worry
Cows - depression, anorexia, constipation, diarrhea, icterus. photophobia, erythema of skin, swelling, necrosis and sloughing
2 mechanisms of action of toxicity of Lantana (yellow sage), Lanatana camara
Lantadene A and B cause damage to bile canaliculi membranes and cholestasis = liver damage
hepatic photosensitization due to decreased elimination of chlorophyll metabolite phylloerythrin
Toxic principle of Lantana (yellow sage), Latadene camara? A) Colchicine B) Titerpene acid C) Lycorine D) Muscarine
B - titerpene acid
Which two plants are anti mitotic?
Autumn crocus (meadow saffron), Colchicum autumnale and Glory (climbing) lily
Toxic principle of Autumn crocus (meadow saffron), Colchicum autumnale and Glory (climbing) lily? A) Colchicine B) Diterpene alkaloids C) Lycorine D) Anthraquinone
A - colchicine
Clinical signs of ingestion of toxic levels of plans containing Colchicine?
GI signs - stomatitis, nausea, vomiting, diarrhea, GI hemorrhage
CV signs - hypotension and cardiac arrhythmias
Resp signs, renal and hepatic failure, seizures, coagulopathies, myelosuppression
bottom line - it is antimitotic so many organs will be affected, and rapidly dividing cells are most sensitive
A farmer calls you because he switched all of his animals to a new pasture. His cows all dropped dead, and his sheep are staggering, collapsing, show signs of muscle weakness, and are bloated. You immediately visit the farm and notice there are Larkspur (Dephinium), Delphinium spp. and Monkshade (Aconite), Aconitum spp. scattered throughout the pasture. What is the toxic principle associated with these plants and how would you treat the sick animals?
Toxic principle - Diterpene alkaloids
MoA - competitive blockade of nicotinic receptors at muscle endplate
Treatment - physostigmine or neostigmine
Clinical signs associated with Ergot, Claviceps purpurea toxicicosis?
Vasoconstriction and gangrene, uterine contraction and abortion (chronic presentation)
Toxic principle of Locoweed (milk vetches), Atragalus and Oxytropis spp? A) Indolizidine alkaloids (swainsonine) B) Cardiac glycoside C) Calcinogenic glycoside D) Thiaminase
A - indolizidine alkaloids (swainsonine)
Mechanism of action of indolizidine alkaloids (swainsonine) containing plants (Locoweed (milk vetches), Atragalus and Oxytropis spp)
inhibition of lysosomal enzymes decrease glycoproteins.
Also peripheral neuronal degeneration via nitropropanol glycoside, abnormal hoof and hair via selenium
Clinical signs associated with Locoweed (milk vetches), Atragalus and Oxytropis spp.
Neuronal signs - depression, incoordination, ataxia, circling, abnormal behaviour
Infertility, congenital defects, heart failure, weight loss, decreased immunity
Which species is locoism most common in? A) Cows B) Dogs C) Sheep D) Horses
D - horses
Species of plants containing Lycorine
Narcissus, Narcissus spp. Kaffir lily, Clivia spp. Spider lily, Hymenoocallis caribaea Barbados (fire) lily, Hippeastrum spp. Zephyr (rain) lily, Zephyranthes spp. River lily, Crinum bulbispermum
Most toxic part of the plants that contain Lycorine? A) Stem B) Roots C) Bulb D) Leaves
C - bulb
Which are NOT clinical signs associated with Lycorine? A) vomiting and diarrhea B) anorexia C) abortions D) muscle tremors/seizures
C - abortions
we also see salivation with Lycorine
A dog owner frantically calls you because her dog ate a red mushroom with spots that looks like it is straight out of Alice and Wonderland. What mushroom do you think it ate judging by the description, what is the toxic principle associated with it, and how would you treat it?
Poisonous mushroom, Amanita muscaria
toxic principle - Muscarine
Treatment - Atropine, symptomatic treatment and decontaminate
T/F: ingestion of Amanita muscaria results in CNS depression
False, it involves stimulation of muscarinic cholinergic receptors resulting in CNS stimulation
Plants containing piperidine alkaloids
Poison/spotted Hemlock (california/nebraska fern), Conium maculatum Lupines, Lupinus spp. Tobacco, Nicotiana tobaccum Tree tobacco, Nicotiana glucagon Coyote tobacco, Nicotiana attenuata
A calf is born with a cleft palate and other skeletal malformations. Which toxic principle has the potential to cause this? A) pyridine alkaloids B) Piperidine alkaloids C) pyrrolizidine alkaloids D) Xanthine alkaloids
B - piperidine alkaloids
MoA of piperidine alkaloids
nicotinic effects starting with ganglionic and neuromuscular stimulation followed by ganglionic and neuromuscular blockade
Clinical signs associated with piperidine alkaloids
ataxia, incoordination and birth defects (cleft palate and skeletal malformations)
Plants containing pyridine alkaloids (nicotine and lobeline)
Tobacco plant, Nicotiana tabacum
Tree tobacco, nicotiana gluca
Lobelia, Lobelia spp.
Which of the following doesn't cause death due to respiratory failure? A) Tobacco plant, Nicotiana tabacum B) Lupines, Lupinus spp. C) Tree tobacco, nicotiana gluca D) Lobelia, Lobelia spp.
B - lupines, lupinus spp
Low doses of pyridine alkaloids cause ________ while high doses cause _______.
Low doses of pyridine alkaloids cause depolarization while high doses cause blockade
Clinical signs associated with pyridine alkaloids (nicotine and lobeline)
rapid onset
- excitation, salivation, lacrimation, vomiting, diarrhea, tachypnea, muscle twitching, weakness, dyspnea
death due to respiratory failure
Which two plants contain pyrrolizidine alkaloids, and what is the MoA
Rattlebox (crotolaria), Crotolaria spp.
Senecio/groundsel/ragwort, Senecio spp.
Hepatotoxic
T/F: plants in the nightshade family are only toxic once they have matured
False, they are only toxic when they are green and immature
Plants containing solanine and solanidine alkaloids
Black nightshade, Solanum niger American nightshade, Solanum americanum Eggplant, Solanum melongena Tomato, lycopersicon lycopersicon Turkey berry, Solanum torvum Chalice vine, Solandra guttota Chinese lantern, Physalis spp.
Typical signs associated with solanine and solanidine alkaloids? A) CNS signs B) GI signs C) cardiac and respiratory signs D) All of the above
D - all of the above
Which plant contains taxine alkaloids and what clinical signs are associated with it?
Japanese yew, Taxus spp.
Cardiotoxic (similar to cardiac glycosides) and GI signs
Plants containing tropane alkaloids
Jimsonweed/thornapple/angel’s trumpet, Datura stramonium
Devil’s trumpet, Datura metel
Angel’s trumpet, Brugmansia candida
Henbane, Hyoscyamus spp.
T/F: all parts of plants containing tropane alkaloids are toxic
True
Clinical signs associated with plants containing tropane alkaloids? What is the treatment?
GI, CNS (convulsive seizures), mydriasis, tachycardia
Treat: physostigmine
Which is not a toxic principle found in coffee and chocolate? A) caffine B) theophylline C) theobromide D) anthraquinone
D - anthraquinone
Which two plants contain xanthine alkaloids?
Cocoa, Theobroma cocao
Coffee, coffea arabica
Mechanism of action of xanthine alkaloids
Block adenosine receptors thus inhibiting phosphodiesterase
Clinical signs associated with ingestion of coffee or chocolate?
Happiness!! just kidding…
salivation, vomiting, colic, diarrhea, CNS stimulation, convulsive seizures, muscle tremors, tachycardia, hypotension, urination
Plants containing anthraquinone
Cascara sagrada from small tree Rhamnus purshiana DC
Buckthorn, Rhamnus spp.
Coffee weed/Senna, Senna occidentalis
Aloe, Aloe vera
Which of the plants containing anthraquinone also has an unknown principle that causes skeletal and muscle degeneration leading to kidney damage? A) Cascara sagrada B) Buckthorn, Rhamnus spp. C) Coffee weed/Senna, Senna occidentalis D) Aloe, Aloe vera
C - coffee weed/Senna, Senna occidentalis
Main effect of anthraquinone?
purgative