Evidence map›Paper›PMID 22365945›Full record

ArticleToxicology2012

A role for solvents in the toxicity of agricultural organophosphorus pesticides.

Michael Eddleston, Jonathan M Street, Ian Self, Adrian Thompson, Tim King, Nicola Williams, Gregorio Naredo, Kosala Dissanayake, Ly-Mee Yu, Franz Worek and 5 more

Open access · hybridAbstract readComparative Study
In one paragraph

Article in Toxicology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
12.5field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 122 citations in OpenAlex.

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  3. Toxidromes.Nature reviews. Disease primers · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 4 institutions in 1 country.

Michael EddlestonClinical Pharmacology Unit, University/BHF Centre for Cardiovascular Science, University of Edinburgh, UK. m.eddleston@ed.ac.uk
Jonathan M Street
Ian Self
Adrian Thompson
Tim King
Nicola Williams
Gregorio Naredo
Kosala Dissanayake
Ly-Mee Yu
Franz Worek
Harald John
Sionagh Smith
Horst Thiermann
John B Harris
R Eddie Clutton
University of Edinburgh · GBInstitut für Pharmakologie und Toxikologie der BundeswehrNewcastle University · GBRoslin Institute · GB

Funding

Chief Scientist Office SCD/05Wellcome Trust GR063560Wellcome Trust GR085979Wellcome Trust GR090886
6 · The paper itself

Abstract

Organophosphorus (OP) insecticide self-poisoning is responsible for about one-quarter of global suicides. Treatment focuses on the fact that OP compounds inhibit acetylcholinesterase (AChE); however, AChE-reactivating drugs do not benefit poisoned humans. We therefore studied the role of solvent coformulants in OP toxicity in a novel minipig model of agricultural OP poisoning. Gottingen minipigs were orally poisoned with clinically relevant doses of agricultural emulsifiable concentrate (EC) dimethoate, dimethoate active ingredient (AI) alone, or solvents. Cardiorespiratory physiology and neuromuscular (NMJ) function, blood AChE activity, and arterial lactate concentration were monitored for 12h to assess poisoning severity. Poisoning with agricultural dimethoate EC40, but not saline, caused respiratory arrest within 30 min, severe distributive shock and NMJ dysfunction, that was similar to human poisoning. Mean arterial lactate rose to 15.6 [SD 2.8] mM in poisoned pigs compared to 1.4 [0.4] in controls. Moderate toxicity resulted from poisoning with dimethoate AI alone, or the major solvent cyclohexanone. Combining dimethoate with cyclohexanone reproduced severe poisoning characteristic of agricultural dimethoate EC poisoning. A formulation without cyclohexanone showed less mammalian toxicity. These results indicate that solvents play a crucial role in dimethoate toxicity. Regulatory assessment of pesticide toxicity should include solvents as well as the AIs which currently dominate the assessment. Reformulation of OP insecticides to ensure that the agricultural product has lower mammalian toxicity could result in fewer deaths after suicidal ingestion and rapidly reduce global suicide rates.

Indexed as

AgricultureAnimalsCholinesterase InhibitorsCyclohexanonesDimethoateEmulsionsHumansInsecticidesLactic AcidMaleNeuromuscular JunctionRespiratory InsufficiencyShockSolventsSpecies SpecificitySwineCholinesterase InhibitorscyclohexanoneCyclohexanonesDimethoateEmulsionsInsecticidesLactic AcidSolvents

Identifiers

PMID22365945
PMCPMC3325481
OpenAlexW2121665700

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.