Efectos histológicos hepático y renal relacionados con la hiperglicemia producida por el extracto de Angostura trifoliata (Willd) T.S. Elías. Rutaceae / Hepatic and renal histological effects related to hyperglycemia produced by the extract of Angostura trifoliata (Willd) T.S. Elías. Rutaceae

Angostura trifoliata (Willd) T.S. Elías (Rutaceae) es una planta, cuya corteza es empleada en Venezuela para el tratamiento de la diabetes mellitus, la malaria y la disminución de peso. Sin embargo, se ha demostrado que altas dosis de su extracto administrados en forma aguda producen hiperglicemia y alteraciones neurológicas. El objetivo de este estudio fue correlacionar los efectos histológicos a nivel hepático y renal en ratones sanos con la hiperglicemia aguda producida por el extracto de la corteza de esta planta. Métodos: Se realizó un estudio experimental in vivo utilizando el extracto diluido en agua y administrado vía ip a dosis de 452 y 700 mg/kg; se determinó la glicemia utilizando un glucómetro comercial; los efectos histológicos con hematoxilina eosina previa fijación de los órganos con formaldehído al 10%. En todos los casos, se comparó con el grupo control. Resultados: el extracto produjo hiperglicemia significativamente P<0,05. En el tejido hepático causó: pérdida parcial de su arquitectura, binucleación, vasos congestivos con elementos inflamatorios, núcleos hipercromáticos, espacios de Disse dilatados con hematíes y áreas de necrosis. En el riñón originó congestión vascular en los tubos contorneados proximales y distales, concomitante con ruptura y necrosis de la membrana basal. Conclusión: el extracto produce toxicidad hepática y renal que se correlacionan con hiperglicemia, por lo que podría ser considerado como un agente hepatotóxico y nefrotóxico. (AU)

Angostura trifoliata (Willd) T.S. Elías (Rutaceae) is a plant, whose bark is used in Venezuela for the treatment of diabetes mellitus, malaria and weight loss. However, it has been shown that high doses of its extract administered acutely produce hyperglycemia and neurological alterations. The objective of this study was to correlate the histological effects at the liver and kidney level in healthy mice with the acute hyperglycemia produced by the bark extract of this plant. Methods: An in vivo experimental study was carried out using the extract diluted in water and administered ip at doses of 452 and 700 mg/kg; blood glucose was determined using a commercial glucometer; the histological effects with hematoxylin eosin after fixation of the organs with 10% formaldehyde. In all cases, it was compared with the control group. Results: the extract produced hyperglycemia significantly P<0.05. In the liver tissue it caused: partial loss of its architecture, binucleation, congested vessels with inflammatory elements, hyperchromatic nuclei, dilated spaces of Disse with red blood cells and areas of necrosis. In the kidney, it caused vascular congestion in the proximal and distal convoluted tubes, concomitant with rupture and necrosis of the basement membrane. Conclusion: the extract produces liver and kidney toxicity that correlates with hyperglycemia, so it could be considered a hepatotoxic and nephrotoxic agent. (AU)

Exposing the Hepatotoxicity of Medicinal Plants: A Review of Copalchi Stem Bark (Hintonia latiflora) / Exponiendo la hepatotoxicidad de las plantas medicinales: una revisión de palo amargo (Hintonia latiflora)

Resumen Se estima que el 80% de la población mundial utiliza diversas plantas medicinales para el tratamiento o control de diversas enfermedades, ya sean agudas o crónicas, debido a su accesibilidad y bajo costo, observándose en los últimos años un aumento en el consumo sin una observación médica adecuada. México es considerado como el segundo país más importante del mundo en cuanto al conocimiento de la medicina tradicional, solo después de china. El uso de las plantas medicinales se ha reportado desde tiempos prehispánicos como una opción terapéutica, sin embargo, el único enfoque que se tiene es la parte curativa y no se ha reflexionado en que las plantas poseen metabolitos secundarios (compuestos químicos producidos por las plantas con actividad biológica en los seres vivos) que, además de tener efectos terapéuticos poseen efectos tóxicos en las personas que las consumen, observándose en algunos casos efectos reversibles después de suspender su consumo. El copalchi o palo amargo es una planta medicinal que proviene de la corteza del árbol de Hintonia latiflora (sin. Coutarea latiflora), la cual ha sido utilizada principalmente como tratamiento alternativo para pacientes con diabetes tipo 2, ya que se ha demostrado que tiene efecto hipoglucemiante. Sin embargo, se han reportado casos de hepatotoxicidad aguda con un incremento en las transaminasas hepáticas (ALT y AST) por el consumo continuo de dicha corteza, no obstante el procesamiento de las plantas medicinales utilizando medios físicos (calentar o hervir) puede alterar la actividad farmacológica de los constituyentes orgánicos, los cuales pueden verse también afectados en su concentración dependiendo de los factores ambientales de cultivo, localización del suelo, humedad y temperatura ambiental, así como la temporada de cosecha (tallos, hojas, flores, raíces, semillas). El consumo de esta planta medicinal es por medio de infusiones calientes o en cápsulas con extracto.

Abstract Approximately 80% of the world's population uses various medicinal plants for the treatment or control of various diseases, whether acute or chronic, due to their accessibility and low cost, observing in recent years an increase in consumption without proper medical observation. Mexico is considered the second most important country in the world in terms of traditional medicine knowledge, only after China. The use of medicinal plants has been reported since pre-Hispanic times as a therapeutic option; however, the only focus is on the curative part and it has not been considered that plants have secondary metabolites (chemical compounds produced by plants with biological activity in living beings) that, besides having therapeutic effects, have toxic effects in people who consume them, and in some cases reversible effects are observed after suspending their consumption. Copalchi or palo amargo is a medicinal plant obtained from the bark of the Hintonia latiflora tree (syn. Coutarea latiflora), which has been used mainly as an alternative treatment for patients with type 2 diabetes, since it has been shown to have a hypoglycemic effect. However, cases of acute hepatotoxicity have been reported with an increase in hepatic transaminases (ALT and AST) by the continuous consumption of this bark. However, the processing of medicinal plants using physical means (heating or boiling) can alter the pharmacological activity of the organic constituents, which can also be affected in their concentration depending on the environmental factors of cultivation, soil location, humidity, and environmental temperature, as well as the harvesting season (stems, leaves, flowers, roots, seeds). The consumption of this medicinal plant is by means of hot infusions or in capsules with extract.

Hepatotoxic Effect of Aqueous Extract of Parkia biglobosa Seeds on Adult Albino Wistar Rats

Background: Parkia biglobosa belongs to the plant family Fabaceae and is popularly known as the African locust bean tree is gotten from medium-sized, tree high (20-20 cm), whose leaves are edible and are used in many African local dishes. The phytochemical screening of the methanolic extracts of P. biglobosa revealed the presence of saponins, tannins, terpenes, and phenols, reducing sugars, sterols, flavonoids. Methods: 21 adult Wistar rats (100-120 g) were distributed into 3 groups (A, B and C) consisting of 7 in each. Group B and C were administered orally with aqueous seed extract of P. biglobosa at a dose of 300 mg/kgB wt and 500 mg/kg B wt, respectively for 30 days. Group A was normal control and received 300 mg/kgB wt of normal saline. After 30 days, the weights were recorded and the animals were sacrificed using cervical dislocation. The changes in body weight, liver histology and enzymes were evaluated. Results: This study shows a significant difference (p<0.01) in the body weight gain between animals in the low, high and control groups, respectively. Photomicrograph of the liver tissue from animals in low dose reveals a liver cytoarchitecture with mildly dilated sinusoids, while the liver tissue from animals high dose group revealed a portal tract with dilated sinusoids. Results from histochemical observation of the liver of the control group showed marked periodic Acid Schiff (PAS) staining on predominant hepatocytes but little or no staining of cytoplasm, the low dose reveals a mild PAS staining while that of high dose shows moderate staining on tissue degeneration. Serum chemistry revealed a significant increase (p<0.05) AST and ALT in the test groups when compared to control group. Conclusion: Results from this study shows that the aqueous extract of P. biglobosa at a dose of 500 mg/kgB wt over 30 days may have adversely affected the morphology of the liver with the increase in serum levels.

Determination and Risk Assessment of Six Hepatotoxic Pyrrolizidine Alkaloids in Verbenae Herba / 中国实验方剂学杂志

Objective:To establish ultra-performance liquid chromatography-tandem mass spectrometry （UPLC-MS/MS） for simultaneous determination of six hepatotoxic pyrrolizidine alkaloids in Verbenae Herba， and to carry out preliminary risk assessment according to the research results. Method:An ACQUITY UPLC HSS T3 column （2.1 mm×100 mm， 1.8 μm） was used for analysis with 0.05% formic acid and 2.5 mmol·L^-1 ammonium formate in water （A）-0.05% formic acid and 2.5 mmol·L^-1 ammonium formate in acetonitrile （B） as mobile phase for gradient elution （0-12 min， 3%-8%B； 12-25 min， 8%-15%B； 25-26 min， 15%-3%B； 26-30 min， 3%B）， the flow rate was 0.3 mL·min^-1， the column temperature was 40 ℃， and the injection volume was 1 μL. MS system was operated by electrospray ionization （ESI） in the positive ion mode with multiple reaction monitoring mode. MS parameters of triple quadrupole and six analytes were optimized for qualitative and quantitative analysis. According to the determination results， the risk assessment was carried out by using margin of exposure （MOE） combined with transfer rate of hot water extraction. Result:Based on the instrument precision， linear range， repeatability， stability， recovery and other methodological validations， the results were in conformity with relevant standards of quantitative analysis. The linear ranges of intermedine， lycopsamine， intermedine <italic>N</italic>-oxide， lycopsamine<italic> N</italic>-oxide， echimidine<italic> N</italic>-oxide and echimidine were good （<italic>r</italic>≥0.999 0） between peak area and mass concentration in the ranges of 0.984-49.20， 0.994-49.70， 1.012-50.60， 1.032-51.60， 1.004-50.20， 1.016-50.80 µg·L^-1， respectively. The average recoveries of these six analytes were 87.2%-94.2% with relative standard deviation （RSD）<4.0%. Their MOE values were >10 000. Conclusion:The UPLC-MS/MS established in this study is stable and feasible， which can provide scientific basis for the quality control and safety evaluation of hepatotoxic pyrrolizidine alkaloids in Verbenae Herba.

Experimental poisoning by Crotalaria lanceolata and Crotalaria pallida seeds in broilers / Intoxicação experimental pelas sementes de Crotalaria lanceolata E. Mey. e Crotalaria pallida Aiton. em frangos de corte

Crotalaria lanceolata E. Mey. and Crotalaria pallida Aiton. are leguminous plants of family Fabaceae found in most of the Brazilian territory. They were initially used as green manure and due their easy spread they are currently considered weeds in crops. Soybean and corn contamination can occur through the mechanical harvesting of these grains along with seeds of the Crotalaria species, which end up in the formulation of feed for production animals. Crotalaria spp. genus has toxic pyrrolizidine alkaloids (PA). Most plant species belonging to this genus can cause acute or chronic liver injury. In a first stage, one-day old broilers were divided into three groups: Group A (C. pallida seeds), Group B (C. lanceolata seeds), and Group C (Control). Groups A and B were divided into five subgroups, each with eight broilers, which received the following doses of the respective seeds in feed as of the 7th day of age: daily doses of 0.4%, 0.8% and 2.5%, and single doses of 15% and 25%. Four broilers in each study group were euthanized at 28 days of age - completing 21 days of seed consumption, and the four remaining broilers were euthanized at 42 days of age - completing 35 days of seed consumption. In a second stage, experiments were conducted using seeds of both the aforementioned plants with 28-day old broilers. These were divided into three groups of four animals each: Group D (C. pallida seeds) and Group E (C. lanceolata seeds), which received the respective seeds at daily doses of 1% and 2% in feed for 20 days, and Group F (Control). These broilers were euthanized when they were 80 days old. C. lanceolata seeds showed higher toxicity to broilers than C. pallida seeds, both supplied as of the 7th day of life. Clinical signs included inappetence, ruffled feathers, and brown diarrhea. The following gross lesions were observed: subcutaneous edema, ascites, hydropericardium, yellowish liver with hypertrophy or atrophy and enhanced lobular pattern, and distended gallbladder. Histologic lesions present in all birds in varying degrees were characterized by tumefaction and vacuolar degeneration of hepatocytes. The following clinical conditions and gross lesions were observed in the broilers: hepatocyte megalocytosis and karyomegaly, slight biliary epithelial hyperplasia, eosinophilic spheroids, and nuclear invagination with loss of hepatocyte cord architecture.(AU)

Crotalaria lanceolata E. Mey. e Crotalaria pallida Aiton. são leguminosas da família Fabaceae presentes na maioria do território brasileiro. Inicialmente foram utilizadas como adubação verde e devido sua fácil disseminação são consideradas invasoras de culturas. Através da colheita mecanizada da soja e milho pode ocorrer a contaminação destes grãos com sementes dessas espécies e entrar na formulação de ração para animais de produção. O gênero Crotalaria spp. possui alcaloides pirrolizidínicos de ação tóxica. A maioria das espécies desse gênero causam lesões hepáticas, com evolução aguda, ou, crônica. Frangos de corte de um dia de vida foram divididos em três grupos: Grupo A (sementes de C. pallida - doses diárias de 0,4%, 0,8%, 2,5% e doses únicas de 15% e 25%), Grupo B (sementes de C. lanceolata - doses diárias de 0,4%, 0,8%, 2,5% e doses únicas de 15% e 25%) e Grupo C (Controle). Os Grupos A e B foram divididos em cinco subgrupos, com oito frangos cada, que a partir do sétimo dia de vida, receberam as doses estabelecidas. Quatro frangos de cada grupo foram sacrificados aos 28 dias, e os quatro restantes aos 42 dias de vida. Também foram conduzidos experimentos com as sementes dessas duas plantas com aves de 28 dias, as quais foram divididas em três grupos: Grupo D (C. pallida - doses de 1% e 2% diariamente, durante vinte dias), Grupo E (C. lanceolata - doses de 1% e 2% diariamente, durante vinte dias) e Grupo F (Controle). Cada grupo composto por quatro aves. Estas aves foram sacrificadas ao completarem 80 dias de vida. Sementes de C. lanceolata demonstraram maior toxicidade para frangos de corte do que sementes de C. pallida. Os sinais clínicos foram inapetência, penas arrepiadas e diarreia acastanhada. Na macroscopia observou-se edema subcutâneo, ascite, hidropericárdio, fígado de coloração amarelada com hipertrofia e, ou, atrofia, evidenciação do padrão lobular e vesícula biliar distendida. As lesões histológicas presentes em todas as aves, em diferentes graus caracterizaram-se por tumefação e degeneração vacuolar de hepatócitos. Nas aves que manifestaram alterações clínicas e lesões macroscópicas, havia megalocitose, cariomegalia, hiperplasia do epitélio biliar, leve, esferoides eosinofílicos e invaginação nuclear com perda da arquitetura dos cordões de hepatócitos.(AU)

Confirmation study of hepatotoxic quality marker in Euodiae Fructus decoction / 中草药

Objective: To confirm the hepatotoxic Q-marker of Euodiae Fructus decoction. Methods: The hepatotoxicity of target compounds was studied by hepatotoxicity index and flow cytometry. The targets and target organs were predicted by network pharmacology. The qualitative absorption analysis of 3-O-trans-caffeoylgluconic acid (1), 4-O-trans-caffeoylgluconic acid (2), 2-O-trans-caffeoylgluconic acid (3) was performed by LC-MS. Through the systematic study of Q-marker properties, the confirmation study of hepatotoxicity Q-marker in Euodiae Fructus decoction was performed. Results: Compounds 1, 2, and 3 inhibited the growth of L02 cells in G0/G1 phase and had direct toxicity to L02 cells, which led to hepatotoxicity. The target organ may be the liver by the network pharmacology analysis. After drug administration, compounds 1, 2, and 3 could be absorbed into the blood by prototype. Compounds 1, 2, and 3 had properties of structural confirmation, toxicity confirmation, measurability, and transmissibility. Conclusion: Compounds 1, 2, and 3 could be confirmed as hepatotoxic Q-marker of Euodiae Fructus decoction.

Hepatic and Renal Biochemical Profile of Albino Rats Exposed to Chloroform and Methanol Leaf Extracts of Portulaca oleracea Linn.

Portulaca oleracea Linn. is among the medicinal plants used globally in the treatment of diseases and management of health challenges. The dearth of information on the long term effect of Portulaca oleracea on hepatic and renal toxicity prompted this study. The study investigated the subchronic effect of the oral administration of chloroform leaf extracts of Portulaca oleracea (CLEPO) and methanol leaf extracts of Portulaca oleracea (MLEPO) on plasma activity of some enzymes (ALT, ALP & AST) and levels of other biochemical parameters such as blood electrolytes, total protein, albumin, bilirubin, urea and creatinine in male albino rats. One hundred and twelve (112) animals were randomly divided into seven (7) groups of sixteen (16) rats each. Group A (Control) received 0.5ml/kg of 20% Tween 80 (vehicle), Groups B, C & D received 125, 250 & 500 mg/kg of CLEPO respectively and Groups E, F & G received 125, 250 & 500 mg/kg of MLEPO respectively for 60 days. On days 14, 28, 42 and 60; four rats from each group were anaesthetized and blood samples were collected for plasma biochemical assay. MLEPO caused a significant (p<0.05) decrease in plasma AST and ALP level while CLEPO significantly (p<0.05) decreased the plasma AST level. MLEPO produced a highly significant (p<0.01) reduction in both total bilirubin and conjugated bilirubin levels as well as significant (p<0.05) decline in urea level. CLEPO produced a significant (p<0.05) decrease on conjugated bilirubin. Both extracts significantly (p<0.05) reduced the chloride level. Oral administration of CLEPO and MLEPO over a 60 day period is neither hepatotoxic nor nephrotoxic.

Comparação dos efeitos das folhas de Cestrum axillare Vell. com as saponinas isoladas em caprinos / Comparison of the effects of Cestrum axillare leaves with isolated saponins in goats

Cestrum axillare Vell. (formerly Cestrum laevigatum Schltd.), family Solanaceae, is the most important hepatotoxic plant in Brazil that causes acute poisoning. It occurs in the Southeast and Center-West regions and in coastal areas of the Northeast Brazil. Spontaneous poisoning was described in cattle, goats and sheep, with clinical signs evidenced within 24 hours after ingestion of the leaves and death within 48 hours after signs onset. The clinical signs observed in acute poisoning are apathy, anorexia, ruminal arrest, arched back, constipation with feces in small spheres, sometimes covered with mucus and blood streaks, muscle tremors, staggering gait and sometimes sialorrhoea. Neurological signs may be observed, due to interference in the urea cycle due to hepatic insufficiency resulting in hyperammonemia (hepatic encephalopathy). The main pathological finding is centrilobular hepatic necrosis. The toxic principle present in C. axillare was not yet definitively proven, but some authors attribute the toxicity of the plant to the presence of saponins gitogenin and digitogenin. However, it has not been determined whether the saponins present in C. axillare are responsible for the hepatotoxic effect of the plant. Thus, the objective of this work is to determine if the saponins are the compounds responsible for the hepatotoxic effects produced by the ingestion of the leaves of C axillare, using goats as experimental model. For this, the effects of the administration of the leaves were compared with those produced by the saponins isolated from the leaves in goats. Six goats were randomly assigned to three experimental groups that received [1] dry leaves of C. axillare (animals A1 and A2), [2] saponins extract from leaves (animals S1 and S2) or [3] control group (animals C1 and C2). For goats receiving the dry leaves the administered dose of plant was 10g/kg for one animal (A1) and 5g/kg for the other one (A2). For animals receiving the saponins extract, administration was done at a dose equivalent to 20g/kg repeated after 24 hours. The dry leaves administered at a dose of 10g/kg to a goat produced toxic effects, with alterations in biochemistry (indicating hepatic lesion) and histopathology showing centrilobular hepatic necrosis. At the dose of 5 g/kg of dry leaves, clinical signs of poisoning were not observed, but hepatic necrosis was found; after 15 days after the last administration, the hepatic parenchyma of this animal was already normal, with only hemorrhagic areas, demonstrating full regeneration. The administration of extracts of saponins containing gitogenin and digitogenin to goats did not produce significant toxic effects, proving that these compounds are not responsible for intoxication. In addition, goats are a good experimental model for studies of this intoxication.(AU)

Cestrum axillare Vell. (anteriormente C. laevigatum Schltd.), família Solanaceae, é a mais importante planta hepatotóxica do Brasil que causa intoxicação aguda. Tem ocorrência nas regiões Sudeste e Centro-Oeste e em áreas litorâneas do Nordeste. A intoxicação natural foi descrita em bovinos, caprinos e ovinos, com sinais clínicos evidenciados em até 24 horas após a ingestão das folhas e morte em até 48 horas após o início da sintomatologia. Os sinais clínicos observados na intoxicação aguda são apatia, anorexia, parada ruminal, dorso arqueado, constipação com fezes em formas de pequenas esferas, por vezes recobertas com muco e com estrias de sangue, tremores musculares, andar cambaleante e, às vezes, sialorreia. Podem ser observados sinais neurológicos, devido à interferência no ciclo da ureia pela insuficiência hepática resultando em hiperamonemia (encefalopatia hepática). O principal achado patológico é a necrose hepática centrolobular. O princípio tóxico presente no C. axillare ainda não está definitivamente comprovado, mas alguns autores atribuem a toxicidade da planta à presença das saponinas gitogenina e digitogenina. No entanto, ainda não foi determinado se as saponinas presentes em C. axillare são as responsáveis pelo efeito hepatotóxico da planta. Assim, o objetivo deste trabalho é determinar se as saponinas são os compostos responsáveis pelos efeitos hepatotóxicos produzidos pela ingestão das folhas de C. axillare, usando caprinos como modelo experimental. Para isto, foram comparados os efeitos da administração das folhas com os produzidos pelas saponinas isoladas destas folhas em caprinos. Foram utilizados seis caprinos, distribuídos aleatoriamente em três grupos experimentais que receberam [1] folhas secas de C. axillare (Caprinos A1 e A2), [2] extrato de saponinas das folhas (Caprinos S1 e S2), e [3] grupo controle (Caprinos C1 e C2). Para os caprinos que receberam as folhas secas a dose administrada de planta foi de 10g/kg para um animal (A1) e de 5g/kg para outro (A2). Para os animais que receberam o extrato de saponinas, a administração foi feita na dose equivalente a 20g/kg, repetida após 24 horas. Foi verificado que as folhas secas, quando administradas na dose de 10g/kg a um caprino, produziram efeitos tóxicos, com alterações na bioquímica (indicando lesão hepática) e histopatológica apresentando necrose hepática centrolobular. Na dose de 5g/kg de folhas secas, não foi observado sintomatologia clínica da intoxicação, mas houve necrose hepática; 15 dias após a última administração, o parênquima hepático deste animal já se encontrava normal, apenas com áreas hemorrágicas, demonstrando plena regeneração. A administração do extrato de saponinas contendo gitogenina e digitogenina a caprinos não produziu efeitos tóxicos significantes, comprovando não serem estes compostos os responsáveis pela intoxicação. Além disto, a espécie caprina é um bom modelo experimental para estudos desta intoxicação.(AU)

Encefalopatia hepática secundária à intoxicação por Tephrosia cinerea em ovinos / Hepatic encephalopathy secondary to poisoning by Tephrosia cinerea in sheep

A intoxicação por Tephrosia cinerea causa fibrose hepática periacinar em ovinos na região semiárida do Nordeste, com quadro clínico de ascite acentuada, e, ocasionalmente, com sinais neurológicos. Neste trabalho foram estudadas 16 ovinos em 6 surtos de intoxicação por T. cinerea. Todos os ovinos apresentaram lesões histológicas de fibrose periacinar e seis apresentaram, no encéfalo, vacuolização da substância branca e da junção entre a substância branca e a cinzenta com presença de astrócitos de Alzheimer tipo II na substância cinzenta. A doença foi reproduzida experimentalmente em dois ovinos que apresentaram ascite, desvios vasculares (shunts) porto-sistêmicos e sinais nervosos com lesões histológicas semelhantes a dos casos espontâneos. Na técnica de imuno-histoquímica houve marcação fraca ou ausente do citoplasma astrocitário para o anticorpo anti-GFAP em seis ovinos evidenciando uma alteração degenerativa, em que os astrócitos acumulam corpos densos e reduzem o volume de GFAP. Houve marcação positiva para o anticorpo anti-S100 em oito ovinos, incluindo os dois ovinos experimentais o que sugere reatividade celular, com proliferação mitocondrial e de retículo endoplasmático liso. Estas alterações são caraterísticas dos efeitos da amônia nos astrócitos. Conclui-se que na intoxicação por T. cinerea em alguns ovinos ocorrem sinais nervosos em consequência da encefalopatia hepática.(AU)

In the semiarid region of northeastern Brazil, Tephrosia cinerea causes periacinar hepatic fibrosis in sheep with severe ascites and, occasionally, nervous signs. Sixteen sheep from six outbreaks of T. cinerea poisoning were studied. All sheep had histologic lesion of periacinar fibrosis and six showed, in the brain, vacuolization (spongy degeneration) of the white matter and junction between grey and white matter and presence of Alzheimer type II astrocytes in the grey matter. The disease was produced experimentally in two sheep, that presented porto-sistemic shunts and similar histologic lesions as those observed in the spontaneous cases. Immunohistochemistry revealed weak labelling with anti-GFAP antibodies suggesting a degenerative alteration of astrocytes with accumulation of dense bodies and reduction of the GFAP. There was strong labelling with anti-S100 antibodies suggesting cellular reactivity with proliferation of mitochondria and endoplasmatic reticulum. Such alterations are characteristic of the effects caused by ammonia on the astrocytes. It is concluded that in poisoning by T. cinerea nervous signs due to hepatic encephalopathy occur in some sheep.(AU)

Controle de Senecio madagascariensis e de Senecio brasiliensis pela utilização de pastejo com ovinos / Control of Senecio madagascariensis and Senecio brasiliensis by the use of sheep

Com o objetivo de testar diferentes formas de controle de Senecio madagascariensis foram realizados três experimentos. No primeiro, 40 ovinos foram colocados em uma área de quatro hectares por 90 dias, com infestação média e alta por S. madagascariensis. A área após este período foi dessecada com glifosato (Roundup®) e semeada com Lotus corniculatus L. (cornichão), Trifolium repens (trevo branco), Medicago sativa (alfafa) e Festuca arundinacea Schreb. (festuca) por plantio direto. Os ovinos, após oito meses, retornaram a área por mais 90 dias. O segundo experimento foi realizado com 10 ovinos em pastejo por 30 dias com 60 dias de descanso em três áreas de 0,5 hectares cada uma, com infestação baixa, média e alta por S. madagascariensis. O terceiro experimento foi realizado utilizando-se dessecação, aração e plantio de pastagens (leguminosas e gramíneas) por três vezes consecutivas, sem utilização de ovinos em uma área invadida pela planta. Para o controle de S. brasiliensis e outras espécies do gênero, um quarto experimento foi realizado em uma propriedade rural com histórico de intoxicação por Senecio spp. em bovinos. Foram utilizados 86 ovinos, que permaneceram em uma área de 90 hectares durante um ano. Os resultados destes experimentos demonstraram que os ovinos consomem S. madagascariensis e diminuem a quantidade de planta em áreas infestadas. Por outro lado, evidenciou-se também que S. madagascariensis para ser controlado de forma eficiente necessita de pastejo contínuo com pelo menos quatro ovinos por ha. As práticas como dessecação com herbicidas, aração e plantio de pastagem podem auxiliar na eliminação da planta a longo prazo. Em áreas de infestação por S. brasiliensis a roçagem pode ser uma prática eficiente, principalmente pelo porte alto da planta, pois facilita o consumo pelos ovinos.(AU)

In order to test different technics to control Senecio madagascariensis, three experiments were carried out. In the first, 40 sheep were placed in an area of four hectares for 90 days, with medium/high levels of infestation by the plant. The area after this period was desiccated with glyphosate (Roundup®) and seeded with Lotus corniculatus L., Trifolium repens, Medicago sativa and Festuca arundinacea Schreb. by direct seeding. After eight months, sheep returned to the area for another 90 days. The second experiment was conducted with 10 sheep grazing for 30 days and 60 days' rest, in three areas of 0.5 hectares each, with low, medium and high levels of S. madagascariensis infestation. The third experiment was carried out using drying, plowing and cultivated pasture (legumes and grasses) for three consecutive times without the use of sheep in an area infested by the plant. For the control of S. brasiliensis and other species of the genus, a fourth experiment was performed on a farm with history of intoxication by Senecio spp. in cattle. Eighty-six sheep were used in an area of 90 hectares for a year. The results of these experiments demonstrated that sheep consume and decrease the amount of S. madagascariensis in infested areas. Furthermore, it also indicated that S. madagascariensis to be efficiently controlled requires continuous grazing with at least four sheep per hectare. Practices as drying the pastures with herbicides, tillage and pasture planting can help eliminate the plant in long-term plan. In areas with S. brasiliensis infestation mowing can be an effective practice, mainly due to the high size of the plant, since it facilitates consumption by sheep.(AU)

Intoxicação natural por Senecio brasiliensis em equinos / Natural poisoning by Senecio brasiliensis in horses

Intoxicações por plantas do gênero Senecio representam uma importante causa de morte em animais de produção, sendo Senecio brasiliensis a espécie mais envolvida nos casos de intoxicação espontânea. Nesse trabalho, são descritos os aspectos epidemiológicos, clínicos e anatomopatológicos de um surto de intoxicação natural por Senecio brasiliensis em equinos. Dois equinos, de um total de dezoito, foram afetados. Os casos ocorreram em uma propriedade rural no município de São Martinho da Serra, Rio Grande do Sul, Brasil. Grande quantidade de exemplares de Senecio brasiliensis em estágio de brotação foi encontrada na área onde os equinos estavam. Os animais eram da raça Crioula, sendo uma égua com quatro anos e um potro com cinco meses. A égua apresentou evolução aguda da doença com duração de três dias e o potro evolução crônica de dois meses. As principais manifestações clínicas observadas em ambos os equinos incluíam apatia, anorexia, emagrecimento, desidratação e sinais neurológicos. Além disso, havia moderado edema subcutâneo na região ventral do abdômen e marcada icterícia nas mucosas ocular, oral e vulvar da égua e palidez das mucosas no potro. Na avaliação bioquímica do potro, havia acentuado aumento da atividade sérica da gamaglutamil transferase (119 U/L), aumento da fosfatase alcalina (434 U/L) e hipoalbuminemia (2,1g/dL). No hemograma do mesmo, observou-se leve anemia normocítica e normocrômica (30% de hematócrito; VCM: 39,5 fL; HCM: 15,3pg). As alterações presentes em ambas as necropsias foram observadas principalmente no fígado, que estava difusamente aumentado de tamanho, escuro e firme. Na superfície de corte, observaram-se acentuação do padrão lobular e hemorragia. Histologicamente, no fígado dos equinos, havia graus variados de necrose coagulativa, hemorragia, fibrose, proliferação de ductos biliares, hepatomegalocitose e bilestase. Nas diferentes seções analisadas do encéfalo, havia alterações astrocitárias restritas à substância cinzenta, predominantemente, no córtex telencefálico. Os astrócitos degenerados eram similares aos astrócitos de Alzheimer tipo II. O diagnóstico da intoxicação nesses casos foi baseado na epidemiologia, no quadro clínico, nas lesões de necropsia e nos achados histopatológicos. Cabe ressaltar que a necrose de coagulação e a discreta fibrose e proliferação de ductos biliares observados na égua, constituiu uma apresentação subaguda da intoxicação, enquanto que a fibrose, mais predominante no potro, caracterizou uma hepatopatia crônica.(AU)

Poisoning due to plants of the genus Senecio is considered an important cause of death in livestock. Senecio brasiliensis is the most common species involved in spontaneous cases. This paper describes the epidemiological, clinical and pathological aspects of a natural outbreak of intoxication with Senecio brasiliensis affecting two out of eighteen horses in a farm. The cases occurred in the municipality of Sao Martinho da Serra, Rio Grande do Sul State, Southern Brazil. A large amount of Senecio brasiliensis in its sprouting stage was found in the fields where the horses used to be kept. A four-year-old, Crioulo mare and a five-month-old, male, Crioulo foal were affected. The clinical course was acute in the mare, comprising three days and chronic in the foal, lasting for two months. The main clinical signs in both animals included apathy, anorexia, weight loss, dehydration and neurological signs. Moreover, subcutaneous edema was noted in the ventral abdomen and the mucous membranes were icteric in the mare and pale in the foal. The serum biochemistry in the foal showed hypoalbuminemia (2.1g/dL), increased activity of the serum alkaline phosphatase (434 U/L) and gamma glutamyl transferase (119 U/L). In the hemogram, a mild normocytic normochromic anemia was noted in the foal (Hct: 30%; MCV: 39.5 fL; MCH: 15.3pg). Necropsy findings observed in both horses included an enlarged, dark red and firm liver with extensive areas of hemorrhage and enhanced lobular pattern on cut surface. Histologically, the liver showed variable degrees of fibrosis, coagulative necrosis, biliary ducts hyperplasia, megalocytosis and cholestasis. In the brain, the astrocytes in the cerebrum were degenerated and similar to Alzheimer type II astrocytes. The diagnosis in this outbreak was established based on the epidemiology, clinical picture, gross and histologic findings. It is noteworthy that the coagulative necrosis, minimal fibrosis, and biliary duct hyperplasia observed in the mare are characteristic of a subacute presentation. On the other hand, the fibrosis that was more prominent in the foal characterizes a chronic hepatopathy.(AU)

Intoxicação por Senecio brasiliensis em bezerros: padrão e evolução de lesões hepáticas / Senecio brasiliensis poisoning in calves: pattern and evolution of hepatic lesions

Intoxicações por plantas do gênero Senecio representam uma importante causa de morte em bovinos no Rio Grande do Sul e estima-se que mais de 50% das mortes causadas por plantas tóxicas devem-se à intoxicação por Senecio spp. Nesse trabalho, são descritos os aspectos epidemiológicos, clínicos e anatomopatológicos de um surto de intoxicação natural por Senecio brasiliensis em bezerros e a caracterização e evolução das lesões hepáticas durante o surto. Um lote com 206 bovinos, fêmeas, sem raça definida, foi desmamado com aproximadamente quatro meses de idade e soltos em campo nativo com 25 hectares, contendo grande quantidade de Senecio brasiliensis em diferentes estágios. Os bovinos permaneceram nesse campo durante três meses e posteriormente foram transferidos para outra área. Na nova área, seis bezerras, com idades entre sete a oito meses, começaram a apresentar sinais clínicos de emagrecimento, fraqueza, diarreia e edema subcutâneo de declive na região submandibular. Os seis bovinos morreram em um período de 15 dias e um deles foi necropsiado. Macroscopicamente, foi visualizado o primeiro dos três padrões distintos de lesão hepática dos bovinos desse surto, que se caracterizava por um fígado aumentado de tamanho, com os bordos arredondados e com superfície capsular e de corte alaranjada. Histologicamente havia acentuada degeneração vacuolar hepatocelular difusa, bilestase, megalocitose e leve proliferação de ductos biliares e fibrose periportal. Dois meses após o início do surto, constatou-se que em um período de 20 dias adoeceram mais 28 bezerras e, dessas, 14 morreram. Os bovinos acometidos nessa segunda visita tinham idades entre nove a 10 meses. O principal sinal clínico observado foi fotossensibilização, e incluía graus variados de fotofobia, lacrimejamento, salivação excessiva, descarga ocular mucopurulenta, secreção nasal e glossite diftérica ventral. Das 14 bezerras mortas, realizou-se a necropsia de duas delas, sendo visualizado o segundo padrão de lesão hepática nesse surto (Padrão 2). Os fígados estavam com a superfície capsular lisa e esbranquiçada e moderadamente diminuídos de tamanho. Ao corte observou-se leve irregularidade do parênquima e áreas mais claras intercaladas com áreas avermelhadas. O aspecto histológico incluía acentuada fibrose periportal, marcada proliferação de ductos biliares, megalocitose, áreas multifocais de necrose de hepatócitos, hemorragia e lesões veno-oclusivas. A atividade sérica da GGT foi avaliada em 15 bovinos afetados nessa segunda visita à propriedade. Desses, 13 bezerras testadas apresentaram alterações nos valores, que variaram de 26-175 U/L. Em uma terceira visita à propriedade, sete meses após o início do surto, mais 27 bezerras adoeceram em um período de 40 dias e, dessas, 23 morreram, sendo três submetidas à necropsia. Evidenciou-se o terceiro padrão de lesão hepática. O fígado dos três bovinos estava diminuído de tamanho e acentuadamente firme. A superfície capsular era lisa e esbranquiçada, e a superfície de corte apresentava-se difusamente acastanhada. Lesões histológicas semelhantes ao segundo padrão foram também constatadas no fígado dessas três bezerras. Na quarta visita à propriedade, realizaram-se biópsias hepáticas nos 163 bovinos restantes do lote. Lesões hepáticas características da intoxicação estavam presentes em 103 dos 163 bovinos submetidos à biopsia hepática. Os bovinos afetados foram classificados em grupos de acordo com a severidade e os aspectos morfológicos observados. O diagnóstico de intoxicação nos bovinos desse estudo baseou-se nos achados epidemiológicos, clínicos e anatomopatológicos, associados ao histórico do consumo da planta e evolução das lesões.(AU)

Poisoning by Senecio spp. plants are an important cause of death in cattle in the State of Rio Grande do Sul, Brazil. It is estimated that over 50% of deaths caused by toxic plants are due to the ingestion of Senecio spp. The epidemiological, clinical and anatomopathological aspects of a spontaneous outbreak of Senecio brasiliensis in calves are described here. Characterization and evolution of liver lesions during the outbreak are also described. Two hundred and six 4-month-old female calves were weaned and placed in a 25-hectare pasture heavily infested by S. brasiliensis at of varying growth stages. The calves remained in this pasture for three months and were later transferred to another area where six calves aged 7-8- month-old developed clinical signs including unthriftiness, diarrhea, and subcutaneous dependent edema in the submandibular region. All these six affected calves died within 15 days from the onset of clinical signs and one of those was necropsied. Grossly the first of three patterns of hepatic lesions described in this report was observed and it was characterized by an enlarged liver, with round borders and an orange hue to the capsular and cut surfaces. Histologically there was marked diffuse vacuolar hepatocellular degeneration, bilestasis, hepatocellular megalocytosis, and mild bile duct proliferation and periportal fibrosis. Two months after the onset of the outbreak, in another visit to the farm, it was observed that an additional 28 calves got sick and 14 died. Affected calves observed in this second on-site visit were 9-10 month-old and their main clinical sign was photosensitization characterized by varying degrees of photophobia, tearing from the eyes, marked drooling, mucopurulent ocular discharge, increased nasal secretion, and ventral diphtheric glossitis. Two of the fourteen calves that died were necropsied and displayed the second pattern of hepatic lesions observed in the outbreak. Liver had smooth and whitish capsular surfaces and a moderate decrease in size. There was moderate irregularity to the cut surface of hepatic parenchyma and pale areas intercalated with red ones. Histologically there was marked periportal fibrosis, marked bile duct proliferation, hepatocellular megalocytosis, focal areas of hepatocellular necrosis, and hemorrhage and veno-occlusive changes. In this second on-site visit, GGT serum activity was determined in 15 affected calves and 13 of them had increased values (26-175 U/L). Seven months after the onset of the outbreak, a third visit was made to the farm when was learned that and additional 27 calves have been affected, 23 of which died within a period of 40 days. At the necropsy of three of these calves the third pattern of hepatic lesions were observed. The liver was decreased in size and markedly firm. The capsular surface was smooth and whitish and the capsular surface was diffusely tan. Histological lesions similar to those observed in the second pattern were seen in in the liver of these three calves. A fourth on-site visit to the farm was made and a liver biopsy was performed in each of the 163 calves remaining in the herd and hepatic lesions characteristic of Senecio poisoning were observed in the liver biopsy of 103 of them. Affected calves were classified in groups according to the severity and morphologic aspects of the observed hepatic lesions. The diagnosis of Senecio poisoning in calves of this study was based on epidemiology, clinical and anatomopathological findings associated with the history of consumption of the plant, and on the chronological development of the lesions.(AU)

Intoxicação por Senecio brasiliensis em bezerros: padrão e evolução de lesões hepáticas / Senecio brasiliensis poisoning in calves: pattern and evolution of hepatic lesions

Poisoning by Senecio spp. plants are an important cause of death in cattle in the State of Rio Grande do Sul, Brazil. It is estimated that over 50% of deaths caused by toxic plants are due to the ingestion of Senecio spp. The epidemiological, clinical and anatomopathological aspects of a spontaneous outbreak of Senecio brasiliensis in calves are described here. Characterization and evolution of liver lesions during the outbreak are also described. Two hundred and six 4-month-old female calves were weaned and placed in a 25-hectare pasture heavily infested by S. brasiliensis at of varying growth stages. The calves remained in this pasture for three months and were later transferred to another area where six calves aged 7-8- month-old developed clinical signs including unthriftiness, diarrhea, and subcutaneous dependent edema in the submandibular region. All these six affected calves died within 15 days from the onset of clinical signs and one of those was necropsied. Grossly the first of three patterns of hepatic lesions described in this report was observed and it was characterized by an enlarged liver, with round borders and an orange hue to the capsular and cut surfaces. Histologically there was marked diffuse vacuolar hepatocellular degeneration, bilestasis, hepatocellular megalocytosis, and mild bile duct proliferation and periportal fibrosis. Two months after the onset of the outbreak, in another visit to the farm, it was observed that an additional 28 calves got sick and 14 died. Affected calves observed in this second on-site visit were 9-10 month-old and their main clinical sign was photosensitization characterized by varying degrees of photophobia, tearing from the eyes, marked drooling, mucopurulent ocular discharge, increased nasal secretion, and ventral diphtheric glossitis. Two of the fourteen calves that died were necropsied and displayed the second pattern of hepatic lesions observed in the outbreak. [...]

Intoxicações por plantas do gênero Senecio representam uma importante causa de morte em bovinos no Rio Grande do Sul e estima-se que mais de 50% das mortes causadas por plantas tóxicas devem-se à intoxicação por Senecio spp. Nesse trabalho, são descritos os aspectos epidemiológicos, clínicos e anatomopatológicos de um surto de intoxicação natural por Senecio brasiliensis em bezerros e a caracterização e evolução das lesões hepáticas durante o surto. Um lote com 206 bovinos, fêmeas, sem raça definida, foi desmamado com aproximadamente quatro meses de idade e soltos em campo nativo com 25 hectares, contendo grande quantidade de Senecio brasiliensis em diferentes estágios. Os bovinos permaneceram nesse campo durante três meses e posteriormente foram transferidos para outra área. Na nova área, seis bezerras, com idades entre sete a oito meses, começaram a apresentar sinais clínicos de emagrecimento, fraqueza, diarreia e edema subcutâneo de declive na região submandibular. Os seis bovinos morreram em um período de 15 dias e um deles foi necropsiado. Macroscopicamente, foi visualizado o primeiro dos três padrões distintos de lesão hepática dos bovinos desse surto, que se caracterizava por um fígado aumentado de tamanho, com os bordos arredondados e com superfície capsular e de corte alaranjada. Histologicamente havia acentuada degeneração vacuolar hepatocelular difusa, bilestase, megalocitose e leve proliferação de ductos biliares e fibrose periportal. Dois meses após o início do surto, constatou-se que em um período de 20 dias adoeceram mais 28 bezerras e, dessas, 14 morreram. Os bovinos acometidos nessa segunda visita tinham idades entre nove a 10 meses. O principal sinal clínico observado foi fotossensibilização, e incluía graus variados de fotofobia, lacrimejamento, salivação excessiva, descarga ocular mucopurulenta, secreção nasal e glossite diftérica ventral.[...]

Premarketing Clinical Evaluation of Drug-induced Liver Injury / 世界科学技术-中医药现代化

The liver injury caused by drug and / or its metabolites is one of the most common reasons for drugs to be withdrawn or disapproved.Premarketing clinical evaluation of drug-induced liver injury (DILI) is extremely important to drug evaluation.Signals of DILI and Hyman's Law (Hy's Law),clinical evaluation and lessons of DILI were discussed to help developing new drugs.

Senecio madagascariensis Poir. (Asteraceae): uma nova causa de seneciose em bovinos no Sul do Rio Grande do Sul / Senecio madagascariensis Poir. (Asteraceae): a new cause of seneciosis in cattle in Southern Brazil

Descrevem-se dois surtos de intoxicação por Senecio madagascariensis Poir. diagnosticados em bovinos em outubro de 2013 na região sul do Rio Grande do Sul. A morbidade foi de 3,2% e de 6,1% respectivamente e a letalidade foi de 100%. Um terceiro caso da intoxicação ocorreu em uma propriedade na qual de 54 bovinos um morreu com sinais clínicos da intoxicação. Em todos os casos, os bovinos estavam em áreas altamente infestas por S. madagascariensis que se encontrava em floração. Os sinais clínicos caracterizaram-se por diarreia, tenesmo, opistótono e emagrecimento progressivo e a morte ocorreu entre 10 e 15 dias após o início dos sinais clínicos. Nas necropsias as lesões eram de edema do mesentério, das paredes do abomaso e do rúmen, e das paredes da vesícula biliar, além de fígado firme e com aspecto marmorizado. Histologicamente havia no fígado proliferação de tecido conjuntivo fibroso, principalmente nos espaços porta, megalocitose e hiperplasia de ductos biliares. A observação de grande quantidade de S. madagascariensis em várias propriedades nos municípios de Arroio Grande, Pedro Osório e Capão do Leão a partir do ano 2013 sugere que esta planta está em pleno processo de adaptação e disseminação nesta região e que outros surtos podem ocorrer nos próximos anos. Os surtos relatados aparentemente resultaram do consumo da planta durante o outono/inverno de 2013, quando a mesma estava já em floração. A quantificação dos alcaloides revelou a presença de 500 µg/g e 4000µg/g de planta seca de alcaloides pirrolizidínicos em duas das três propriedades com casos de seneciose. Acredita-se que a grande quantidade de planta existente nas áreas onde os animais estavam e a quantidade de alcaloides presentes na mesma foram fatores que determinaram a ocorrência dos surtos...

Two outbreaks of Senecio madagascariensis poisoning in cattle occurred in October 2013 in southern Brazil. Morbidity rate ranged were 3.2% and 6.1%, and lethality rate was 100%. A third case of poisoning occurred on a property in which out of 54 cattle one died with clinical signs of intoxication. In all cases, the cattle were in areas highly infested by S. madagascariensis that was in bloom. The clinical signs were diarrhea, tenesmus, opisthotonus, and progressive weight loss. Death occurred between 10 and 15 days after the onset of clinical signs. At necropsy, lesions were edema in the mesentery, in the wall of the rumen and abomasum, and in the walls of the gall bladder; the liver was firm with marbled aspect. Histologically, the liver had proliferation of fibrous connective tissue, especially in portal areas, hepatomegalocytosis, and bile duct hyperplasia. The observation of large number of S. madagascariensis in several farms in the counties of Arroio Grande, Pedro Osório and Capão do Leão reinforces that this plant is in the process of adaptation and dissemination in this region and that other outbreaks may occur in coming years. The cases reported here apparently resulted from the consumption of the plant during the fall/winter of 2013, when it was in bloom. The quantification of alkaloids in S. madagascariensis revealed the presence of 500µg/g and 4000µg/g of pyrrolizidine alkaloids in the dry plant from two properties. It is believed that the large amount of the plant in the areas where the animals were and the amount of pyrrolizidine alkaloids found were factors that contributed to the occurrence of outbreaks...

Identification of metabolites of senecionine, a hepatotoxic pyrrolizidine alkaloid, by liquid chromatography/tandem mass spectrometry / 中国药学杂志

OBJECTIVE: To investigate the metabolic profile of senecionine in rats. METHODS: Liquid chromatography-tandem mass spectrometry (LC-MSn) mass spectrometry was used for the analysis of senecionine and its metabolites in rats bile, urine, and feces after a single oral dose of senecionine. RESULTS: In total 38 metabolites were identified, including oxidation products, hydroxylation products, hydrolysis products, sulfation products, glucuronidation products, and GSH-conjugations. And metabolites were found to be more abundant in bile and urine than those in feces. CONCLUSION: Senecionine undergoes extensive metabolism in rats.

Intoxicação por Cestrum laevigatum (Solanaceae) em bubalinos / Poisoning by Cestrum laevigatum (Solanaceae) in buffaloes

Com base no histórico e em dados clínico-patológicos, bem como a inspeção das pastagens, foi estabelecido o diagnóstico de intoxicação por Cestrum laevigatum Schlecht. em uma mortandade de búfalos no município de Itaguaí, RJ. A intoxicação foi reproduzida em dois búfalos. Amostras de folhas dessecadas de C. laevigatum foram administradas manualmente por via oral a quatro bubalinos da raça Murrah, em doses únicas correspondentes a 20g/kg e 40g/kg da planta fresca. A dose correspondente a 40g/kg provocou o aparecimento dos sinais clínicos que consistiram principalmente em apatia, anorexia, ausência dos movimentos ruminais, dismetria, excitação e agressividade, e levaram à morte os dois animais em até 65 horas após a administração da planta. Dos outros dois bufalos que receberam a dose correspondente a de 20g/kg da planta fresca, um apresentou sinais clínicos, caracterizados principalmente por diminuição dos movimentos ruminais, e recuperou-se em 97h22min após a administração da planta; o outro não apresentou sinais clínicos. Os exames laboratoriais para avaliação bioquímica indicaram lesão hepática. Em um búfalo que morreu, as principais alterações macroscópicas foram fígado de cor alaranjada, com superfície externa e de corte com nítido aspecto de noz moscada; no outro, o fígado tinha a superfície externa e de corte de cor alaranjada, sem aspecto de noz moscada. Outras alterações encontradas nos dois búfalos foram leve edema da parede da vesícula biliar, endocárdio do ventrículo esquerdo com equimoses extensas e endocárdio do ventrículo direito com algumas petéquias; mucosa do abomaso levemente avermelhada e conteúdo levemente ressecado; intestino grosso com pouco conteúdo, levemente ressecado e envolto por muco. Os exames histopatológicos revelaram no fígado, acentuada necrose de coagulação dos hepatócitos nas zonas centrais e intermediárias dos lóbulos. Na periferia dessas regiões necrosadas observou-se um halo de hepatócitos com vacuolização.

Based on the history and clinical and pathological data, as well as on inspection of the pastures, a mortality of buffaloes in the county of Itaguaí/RJ, Brazil, was diagnosed as poisoning by Cestrum laevigatum Schlecht., a plant of the Solanaceae family. The poisoning was reproduced in two buffaloes. Dried leaves of the shrub were administered by hand, in single doses corresponding to 20g/kg and 40g/kg of the fresh leaves, to four buffaloes of the Murrah breed. The dose corresponding to 40g/kg of the fresh leaves caused signs of poisoning, as apathy, anorexia, absence of rumen movements, dysmetria, excitement and aggressiveness, followed by death of the two buffaloes within 65 hours after administration. From the two buffaloes that received the corresponding dose of 20g/kg of the fresh plant, one presented clinical signs characterized mainly by decrease of the rumen movements, but recovered 97h22min after the administration; the other buffalo did not show symptoms of poisoning. Laboratory analyses for biochemical evaluation accused hepatic alterations. In one buffalo that died, the main macroscopic finding was an orange liver with a clear nutmeg appearance; in the second buffalo, the orange liver had no nutmeg appearance. Other alterations found in these two buffaloes were slight edema of the gall bladder wall, a slightly reddish mucous membrane of the abomasum, extensive echymoses in the endocard of the left ventricle and few petechiae in the endocard of the right ventricle; the abomasum content was slightly dry, and the large intestine had little and slightly dry contents wrapped by mucus. Histopatological examination revealed severe coagulative necrosis of the liver parenchyma in the centrolobular and intermediate lobular areas, with a halo of vacuolated hepatocytes at the periphery of the necrotic areas.

Intoxicação por Trema micrantha (Ulmaceae) em caprinos no Estado de Santa Catarina / Poisoning by Trema micrantha (Ulmaceae) in goats in the State of Santa Catarina

Vinte e cinco caprinos, criados em piquetes, morreram nos cinco dias subsequentes ao fornecimento de folhas de Trema micrantha (fam.Ulmaceae), uma árvore com nome comum de grandiúva. Quatro caprinos foram necropsiados e amostras de vísceras foram coletadas para exame histológico. As principais alterações clínicas foram: apatia, anorexia, cabeça apoiada contra obstáculos, decúbito e morte. Achados macroscópicos incluíram sufusões no epicárdio e endocárdio; fígado levemente amarelado e com padrão lobular evidente e, em um caso, acompanhado de hemorragias multifocais. Na histologia observou-se necrose hepática, que variava de centrolobular a massiva, compatível com hepatopatia tóxica. No SNC havia satelitose, tumefação neuronal, edema periaxonal, perivascular. O diagnóstico de intoxicação por Trema micrantha foi baseado no quadro clínico e lesional de hepatite tóxica associado ao uso da planta para alimentação de caprinos.

Twenty five goats, maintained in paddocks, had died in five subsequent days after have been offered leaves, mixed in the ration, of Trema micrantha, a tree commonly called grandiúva. Four animals were necropsied and samples were collected for histopathology. Clinical signs included apathy, anorexia, head pressing against obstacles, decubitus and death. Macroscopic findings included suffusions in the epi- and endocardium, a yellowish liver with pronounced lobular pattern, in one goat, the liver presented additionally multiple visible hemorrhages. Histological examination revealed centrilobular to massive hepatic necrosis consistent with acute liver toxicosis. In the brain, satelitosis, neuronal swelling, and perineuronal and perivascular edema was found. The diagnosis of poisoning by Trema micrantha was based in the clinical picture characteristic of toxic hepatitis associated in the feeding of the plant to the goats.

Hepatotoxicidad detectada en un hospital de cuarto nivel en la ciudad de Medellín / Hepatotoxicity detected in a fourth-level hospital at the city of Medellín

El hígado es el principal órgano que sirve de primer paso en la biotransformación de la mayoría de los medicamentos, los cuales en algunos casos pueden conllevar a toxicidad hepática, debido a la acción tóxica directa y/o factores idiosincráticos. El diagnóstico suele ser difícil y por ello se han establecido escalas para evaluar daño hepático inducido por medicamentos. El objetivo de nuestro estudio consiste en describir las características clínicas, bioquímicas y epidemiológicas de los casos de hepatotoxicidad medicamentosa documentadas en las historias clínicas de los pacientes evaluados por la unidad de hepatología de un hospital de cuarto nivel en la ciudad de Medellín, Hospital Pablo Tobón Uribe (HPTU), entre enero 2001 y enero 2008. Se presenta un análisis estadístico de 42 casos de hepatotoxicidad medicamentosa atribuida a fármacos como los antibióticos, inmunosupresores, anticonvulsivantes, analgésicos, entre otros. Todos fueron evaluados por la escala de daño hepático inducida por medicamentos y tuvieron desenlaces como hepatitis aguda, falla hepática, trasplante, etc.

The liver is the main first-step organ involved in the metabolism of most medications. Therefore it is vulnerable to drug toxicity in some cases, due to direct toxic action and/or to idiosyncratic factors. The diagnosis is usually difficult; therefore there are some scales whose purpose is to assess hepatic damage induced by drugs. The objective of our study is to describe the clinical, biochemical and epidemiological characteristics of cases of hepatotoxicity documented in the case histories of patients evaluated by the hepatology unit of a fourth-level hospital in the city of Medellin, Hospital Pablo Tobón Uribe (HPTU), between January 2001 and January 2008. A statistical analysis is presented of 42 cases of liver toxicity ascribed to drugs such as antibiotics, immunosuppressants, antiepileptics, and analgesics, among others. All were evaluated using the scale of hepatic damage induced by medications, and they had outcomes like acute hepatitis, hepatic failure, transplant, etc.

Intoxicação aguda e abortos em cobaias pelas favas de Enterolobium contortisiliquum (Leg. Mimosoideae) / Acute poisoning and abortions in guinea pigs by the pods of Enterolobium contortisiliquum (Leg. Mimosoideae)

Os objetivos deste trabalho foram determinar a toxicidade aguda e o efeito abortivo de favas de Enterolobium contortisiliquum. Em um experimento frutos da árvore foram administrados a 4 grupos de 3 cobaias cada. Outro grupo de 3 cobaias foi utilizado como controle. Para os Grupos 1 e 2 foram administradas 5 e 10g de favas por kg de peso vivo, respectivamente, em doses únicas. Para os Grupos 3 e 4 foram administradas 10 e 15g/kg, respectivamente, divididas em doses diárias de 5g/kg. Uma cobaia do Grupo 2 e uma do Grupo 4 morreram 12 e 18 horas após o final da administração da planta. As lesões macroscópicas consistiam hemorragias no estômago e intestinos delgado e grosso, fígado aumentado e vesícula biliar distendida. Histologicamente, o fígado apresentava severa vacuolização e necrose dos hepatócitos periportais. Em outro experimento, ração contendo 4% de favas de E. contortisiliquum foi administrada a dois grupos de 4 cobaias 35 dias após o acasalamento. Das 8 cobaias, 4 abortaram 6-15 dias após o início da ingestão. As outras 4 cobaias não estavam prenhes. Duas cobaias controle pariram normalmente. Todas as cobaias foram eutanasiadas no final do experimento. Histologicamente, as cobaias que ingeriram as favas apresentaram, no fígado, necrose hemorrágica periportal de moderada a severa. Todos os fetos apresentavam graus variáveis de autólise. Em 4 fetos que foram estudados histologicamente não foram observadas lesões significantes. As lesões agudas observadas nas cobaias são semelhantes às observadas na intoxicação por favas de E. contortisiliquum em bovinos e às da intoxicação experimental com saponinas da árvore.Os resultados do experimento em cobaias prenhes demostram o efeito abortivo de E. contortisiliquum e sugerem que esta espécie pode ser utilizada para estudar o efeito abortivo da planta ou de princípios ativos identificados na mesma.(AU)

The objective was to study the acute toxicity and the abortive properties of Enterolobium contortisiliquum pods in guinea pigs. Pods of E. contortisiliquum were administered orally to 4 groups of 3 guinea pigs each. Another group of 3 guinea-pigs was used as control. Group 1 and 2 were fed with one dose of 5 and 10g of pods for kg body weight, respectively. The guinea pigs of Group 3 and 4 received 10 and 15g/kg, respectively, divided into daily doses of 5g/kg. One guinea pig from Group 2 and one from Group 4 died 12 and 18 hours after the end of the administration. Gross lesions were hemorrhages of the stomach and of the large and small gut, enlarged liver, and dilated gall bladder. Histologically, the liver had severe vacuolation and necrosis of periportal hepatocytes. In another experiment a ration containing 4% of pods of E. contortisiliquum was fed to 2 groups of 4 guinea-pigs, 35 days after mating. Four of the 8 guinea pigs aborted 6-15 days after the beginning of ingestion. The other 4 guinea pigs were not pregnant. All guinea pigs were euthanized after abortion or at the end of the experiment. Histologically all animals had mild to severe periportal hemorrhagic necrosis. All fetuses had variable degree of autolysis. In 4 fetuses studied no significant histologic lesions were observed. The acute lesions observed in guinea-pigs are similar than those observed in the spontaneous poisoning by Enterolobium spp. in cattle. Similar lesions are observed in guinea-pigs poisoned experimentally with saponins from E. gummiferum. The results of the experiments in pregnant guinea pigs suggest that E. contortisiliquum can be used to study the abortive effect of its pods or its toxic compounds.(AU)