Key result
Mevinphos triggers biphasic blood pressure responses in rats, marked by transient hypertension before subsequent hypotension.
Why the study?
The cardiovascular consequences of acute intoxication by the organophosphate poison mevinphos and the underlying mechanism needed to be investigated and delineated.
Answers are grounded in this paper and cite their sources.
Rat mevinphos SAP findings should not guide human shock care; leaves open spectral power validation in organophosphate toxicity.
We investigated the cardiovascular consequences of acute intoxication by the organophosphate poison, mevinphos (Mev), and delineated the underlying mechanism. Based on on-line power spectral analysis of systemic arterial pressure (SAP) signals in rats anesthetized and maintained by propofol, we identified two distinct phases after intravenous administration of Mev (160 or 320 microg/kg). Phase I was characterized by transient hypertension and mild tachycardia, concurrent with an increase in the very high-frequency (BVHF; 5-9 Hz), high-frequency (BHF; 0.8-2.4 Hz), low-frequency (BLF; 0.25-0.8 Hz),and very low-frequency (BVLF; 0-0.25 Hz) components of SAP signals. Phase II exhibited significant hypotension, a reversal of the BVHF and BVLF power to control levels, and further reduction in the power density of both BHF and BLF components to below baseline. Microinjection of Mev (2 microg) into the bilateral nucleus reticularis ventrolateralis (NRVL), the medullary origin of sympathetic neurogenic vasomotor tone, essentially duplicated those phasic cardiovascular changes. Similarly, sympathoexcitatory NRVL neurons exhibited respectively an elevation and a decline in their spontaneous activities during Phase I and Phase II Mev intoxication. We conclude that the progressive accumulation of acetylcholine over time induced by a direct inhibition of Mev on cholinesterase in the NRVL may be responsible for the phasic changes in cardiovascular events over the course of acute Mev intoxication. Whereas the initial amount of acetylcholine is excitatory to NRVL neurons, overstimulation by the amassed acetylcholine results instead of an inhibitory action.
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Yen et al. (2001) studied Acute mevinphos (organophosphate) intoxication. Mevinphos vs. Baseline / control levels was evaluated on Power spectral changes in systemic arterial pressure (SAP) signals and spontaneous activity of sympathoexcitatory nucleus reticularis ventrolateralis (NRVL) neurons. Mevinphos administration (160 or 320 microg/kg IV) in rats caused Phase I hypertension with increased SAP spectral power (0-9 Hz) followed by Phase II hypotension and reduced power.
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