Guest guest Posted September 8, 2008 Report Share Posted September 8, 2008 Listmates, It has been a long time since we discussed the early work in the sulfur chemistry that was done by Rosemary Waring at the University of Birmingham. The following urinary values were reported in Dr. Waring's paper Sulphur metabolism in Autism from the Journal of Nutritional and Environmental Medicine (2000) 10, 25-32: Autism(n=232) Controls (n=68) Protein 103.2 64.5 Sulphite 106.9 7.1 Thiosulphate 130.8 18.6 Thiocyanate 6.4 44.0 Sulphate 6819.0 3030.8 Her paper talked about rhodanese in these words: >The raised levels of urinary thiosulphate and reduced thiocyanate may also >suggest a reduction in rhodanese activity. This enzyme detoxifies cyanide >ions by combination >with thiosulphate to form thiocyanate (see Figure 1) and has been >relatively little >studied. Cyanide ions are toxic; they inhibit the processes of oxidative >phosphorylation and >cellular oxidation reducing the adenosine triphosphate (ATP) supply in >vivo. As brain tissue >is very energy-demanding, the lower levels of ATP, the main supply of >chemical energy, >can lead to cell damage and death so that low levels of cyanide ions act >as chronic >neurotoxins. Again, mutations in this enzyme or inhibition of its activity >may be part of the >aetiology of autism. An article below explains: >The reactions of cyanide with metals are reversible and exhibit >concentration-dependent equilibria, but the reactions of cyanide with >sulfur-containing compounds are catalyzed by the enzyme rhodanese (EC >2.8.I.1) and are essentially one-way and irreversible. The rate-limiting >factor in the rhodanese-mediated reactions is usually the availability of >sulfur donors in the body. Of course, we have been concerned that the sulfur chemistry is not adequate in autism for reasons that we don't understand all that well, unless it comes from depletion from excesses of toxicity or too much immune activation. What Dr. Waring did not talk about in this paper is the expected effect of this weak step on cobalamin metabolism. Cobalamin is used by the body to detox cyande, and it may get called upon to do that more in someone with a deficiency in the function of rhodanese. That might up the requiirement for other forms of cobalamin and may be a reason we see benefits from giving various forms of cobalamin. Maybe we should be looking for the formation of ( -CH3)( -CN)Cbl as evidence that such a process is going on when we give methylB12. I've put more discusions of this issue below and more discussion of cyanide's toxicity. Some of the grains or seeds or nuts we make flour from in g/f diets may increase our consumption of cyanide, especially the bean flours.. I hope I can find a lab that can test for this factor in commercial flours that we might use. I am a little concerned that some of our low oxalate diet flour substitutions may increase our exposure to cyanide without our knowing its cyanide status. That would make people lean more heavily on rhodanese and the sulfur chemistry and the cobalamins. There is some discussion of the US making growers select varieties with lower cyanide, but I don't know if that regulation goes into these specialty flours. At this point, until we know, I think we might need to be cautious about using a lot of the alternative flours, or at least we need to observe the children with autism carefully when they eat these flours. Thoughts? The reaction between methylcobalamin and cyanide revisited J. Brodiea, 1, G. Cregana, Rudi van Eldikb and Nicola E. Brasch[], [], a a Research School of Chemistry, Institute of Advanced Studies, Australian National University, Canberra, ACT 0200, Australia b Institute for Inorganic Chemistry, University of Erlangen-Nürnberg, Egerlandstrasse 1, 91058, Erlangen, Germany Received 10 July 2002; accepted 5 October 2002. ; Available online 3 May 2003. References and further reading may be available for this article. To view references and further reading you must purchase this article. Abstract The reaction between the vitamin B12 coenzyme methylcobalamin and cyanide has been re-investigated by UV–Vis and 1H NMR spectroscopies under the same conditions. On the basis of the results and recent results of other studies on the reaction between other alkylcobalamins and cyanide, the changes in the 1H NMR chemical shifts and linewidths in the aromatic region observed upon addition of cyanide to methylcobalamin can be attributed to the rapid formation of ( -CH3)( -CN)Cbl , rather than the formation of MeCbl·CN as proposed earlier (Inorg. Chem. 36 (1997) 4891). There is excellent agreement between the equilibrium constant for formation of ( -CH3)( -CN)Cbl determined by the two methods (0.35±0.03 M 1 and 0.31±0.01 M 1 from the UV–Vis and 1H NMR spectroscopic data, respectively (D2O, pD 12.1, 25.0 °C)). Graphical Abstract The cause of the changes in the chemical shifts and line widths of the 1H NMR spectrum of methylcobalamin upon the addition of cyanide has been re-investigated. [] Ann Emerg Med. 2007 Jun;49(6):806-13. Epub 2006 Nov 13.[] Links Comment in: Ann Emerg Med. 2007 Jun;49(6):814-6. Ann Emerg Med. 2008 Mar;51(3):338-9. Sodium thiosulfate or hydroxocobalamin for the empiric treatment of cyanide poisoning? Hall AH, Dart R, Bogdan G. Toxicology Consulting and Medical Translating Services, Inc., Elk Mountain, WY 82324, USA. ahalltoxic@... Cyanide poisoning must be seriously considered in victims of smoke inhalation from enclosed space fires; it is also a credible terrorism threat agent. The treatment of cyanide poisoning is empiric because laboratory confirmation can take hours or days. Empiric treatment requires a safe and effective antidote that can be rapidly administered by either out-of-hospital or emergency department personnel. Among several cyanide antidotes available, sodium thiosulfate and hydroxocobalamin have been proposed for use in these circumstances. The evidence available to assess either sodium thiosulfate or hydroxocobalamin is incomplete. According to recent safety and efficacy studies in animals and human safety and uncontrolled efficacy studies, hydroxocobalamin seems to be an appropriate antidote for empiric treatment of smoke inhalation and other suspected cyanide poisoning victims in the out-of-hospital setting. Sodium thiosulfate can also be administered in the out-of-hospital setting. The efficacy of sodium thiosulfate is based on individual case studies, and there are contradictory conclusions about efficacy in animal models. The onset of antidotal action of sodium thiosulfate may be too slow for it to be the only cyanide antidote for emergency use. Hydroxocobalamin is being developed for potential introduction in the United States and may represent a new option for emergency personnel in cases of suspected or confirmed cyanide poisoning in the out-of-hospital setting. PMID: 17098327 [PubMed - indexed for MEDLINE] Toxicology. 1979 Sep;14(1):81-90.[] Links Effects of low cobalamin diet and chronic cyanide toxicity on cobalamin distribution in baboons. Linnell JC, J, Crampton RF, WT, Knowles JF, Gaunt IF, Wise IJ, s DM. This paper reports the bodily distribution of total cobalamin and individual cobalamins at the termination of an experiment on the effects of a low cobalamin diet and chronic cyanide or thiocyanate administration in baboons. The results show that the distribution of cobalamins in the tissues of the baboon can be altered by a low cobalamin diet and also by chronic intoxication with cyanide, whether or not the animals are on a low cobalamin diet. All animals on the low cobalamin diet showed a reduction in total and individual cobalamins. In blood plasma and erythrocytes, kidney, spleen, testis and brain, the proportion of methylcobalamin tended to be disproportionately reduced in cobalamin-depleted animals. This reduction was lessened or prevented by the administration of cyanide. Neither cyanide not thiocyanate produced a significant increase in the proportion of cyanocobalamin in plasma, though thiocyanate produced a large increase in cyanocobalamin in erythrocytes. In liver, cyanocobalamin was more than doubled by the administration of cyanide to cobalamin-depleted animals. PMID: 119336 [PubMed - indexed for MEDLINE] Inorg Chem. 1997 Jul 16;36(15):3216-3222.[] Links Evidence for the Unexpected Associative Displacement of Adenosyl by Cyanide in Coenzyme B(12). Brasch NE, Hamza MS, van Eldik R. Institute for Inorganic Chemistry, University of Erlangen-Nürnberg, Egerlandstrasse 1, 91058 Erlangen, Germany. The reaction of coenzyme B(12) (adenosylcobalamin) with cyanide has been reinvestigated in detail using spectroscopic and kinetic techniques. It has been shown that this reaction proceeds in one kinetically observable step, contradicting previous findings, with rate-determining attack of the first cyanide (k = (7.4 +/- 0.1) x 10(-3) M(-1) s(-1), 25.0 degrees C, I = 1.0 M (NaClO(4))). The activation parameters were found to be DeltaH() = 53.0 +/- 0.6 kJ mol(-1), DeltaS() = -127 +/- 3 J mol(-1) K(-1) and DeltaV() = -10.0 +/- 0.4 cm(3) mol(-1), suggesting an associative displacement mechanism. It is postulated that attack of the first cyanide occurs at the beta-(5'-deoxy-5'-adenosyl) site rather than at the alpha-dimethylbenzimidazole site. PMID: 11669983 [PubMed - as supplied by publisher] Inorg Chem. 2001 Oct 8;40(21):5440-7.[] Links Equilibrium and kinetic studies on the reactions of alkylcobalamins with cyanide. Hamza MS, Zou X, Brown KL, van Eldik R. Institute for Inorganic Chemistry, University of Erlangen-Nürnberg, Egerlandstrasse 1, 91058 Erlangen, Germany. Ligand substitution equilibria of different alkylcobalamins (RCbl, R = Me, CH(2)Br, CH(2)CF(3), CHF(2), CF(3)) with cyanide have been studied. It was found that CN(-) first substitutes the 5,6-dimethylbenzimidazole (Bzm) moiety in the alpha-position, followed by substitution of the alkyl group in the beta-position trans to Bzm. The formation constants K(CN) for the 1:1 cyanide adducts (R(CN)Cbl) were found to be 0.38 +/- 0.03, 0.43 +/- 0.03, and 123 +/- 9 M(-1) for R = Me, CH(2)Br, and CF(3), respectively. In the case of R = CH(2)CF(3), the 1:1 adduct decomposes in the dark with CN(-) to give (CN)(2)Cbl. The unfavorable formation constants for R = Me and CH(2)Br indicate the requirement of very high cyanide concentrations to produce the 1:1 complex, which cause the kinetics of the displacement of Bzm to be too fast to follow kinetically. The kinetics of the displacement of Bzm by CN(-) could be followed for R = CH(2)CF(3) and CF(3) to form CF(3)CH(2)(CN)Cbl and CF(3)(CN)Cbl, respectively, in the rate-determining step. Both reactions show saturation kinetics at high cyanide concentration, and the limiting rate constants are characterized by the activation parameters: R = CH(2)CF(3), DeltaH = 71 +/- 1 kJ mol(-1), DeltaS = -25 +/- 4 J K(-1) mol(-1), and DeltaV = +8.9 +/- 1.0 cm(3) mol(-1); R = CF(3), DeltaH = 77 +/- 3 kJ mol(-1), DeltaS = +44 +/- 11 J K(-1) mol(-1), and DeltaV = +14.8 +/- 0.8 cm(3) mol(-1), respectively. These parameters are interpreted in terms of an I(d) and D mechanism for R = CH(2)CF(3) and CF(3), respectively. The results of the study enable the formulation of a general mechanism that can account for the substitution behavior of all investigated alkylcobalamins including coenzyme B(12). PMID: 11578192 [PubMed - indexed for MEDLIN http://www.botgard.ucla.edu/html/botanytextbooks/economicbotany/Bloodpoisons/ind\ ex.html Cyanide (a.k.a. hydrogen cyanide, cyanohydric acid, prussic acid, or bitter almonds) is a potent metabolic poison present in some food crops and other plants. Cyanide is a small molecule composed of a carbon and nitrogen atom joined by a stable triple bond. This poison is best known for its inhibition of many enzymes that are important in animal metabolism. [Enzymes are proteins that act as catalysts in chemical reactions.] Cyanide most notably inhibits cytochrome oxidase, one of a group of enzymes important in cellular respiration. [Respiration is the process by which both animals and plants break down glucose in the presence of oxygen to yield carbon dioxide and water and produce valuable energy to maintain cellular processes and growth.] Without functioning cytochrome oxidase, respiration is inhibited. Cyanide binds tightly to the enzyme and permanently inhibits its functioning. Cyanide is made as an anti-herbivory compound to discourage plant consumers. Cyanide most often is attached to other molecules in the form of cyanogenic glycosides. An example of one such compound is amygdalin (from stems of cherry, apricot, etc., Prunus spp.). In this form, cyanide is nontoxic to the plant; only in the breakdown of cyanogenic glycosides, during animal consumption or digestion, is hydrogen cyanide gas released. For example, cows feeding on some species of grasses containing cyanogenic glycosides become ill as they chew on the grass. In this fashion, it is hypothesized that cyanide in nonlethal doses effectively deters herbivory. Progressive symptoms of cyanide poisoning include gasping, staggering, paralysis, convulsions, and coma, and the result can be death. The lethal dose ranges from 0.5 to 3.5 mg per kilogram of body weight, a substantial quantity. Victims are treated by pumping the stomach and administering oxygen. As with other poisons, cyanide can be broken down by proper processing of the plant for safe consumption (see cassava). Some cyanide containing plants are listed below. Plant (relative cyanide level) cassava (++++) Prunus spp. (+++) lima beans (certain ones,+++) sorghum (++) linseed (++) millet (++) bamboo shoots (++) sweet potatoes (+) maize (+) http://www.brooksidepress.org/Products/OperationalMedicine/DATA/operationalmed/M\ anuals/RedHandbook/005Cyanide.htm MECHANISM OF TOXICITY Cyanide salts in solid form or in solution are readily absorbed from the gastrointestinal tract when ingested. Moreover, the lower the pH in the stomach, the more hydrogen cyanide is released as gas from ingested salts. Liquid cyanide and cyanide in solution can be absorbed even through intact skin, but this route of entry is usually not clinically significant. Parenteral absorption of liquid cyanide can also occur from wounds. Cyanide is readily absorbed through the eyes, but the most important route of entry in a battlefield or terrorist scenario would likely be by inhalation. Following absorption, cyanide is quickly and widely distributed to all organs and tissues of the body. Ingestion leads to particularly high levels in the liver when compared with inhalation exposure, but both routes lead to high concentrations in plasma and erythrocytes and in the heart, lungs, and brain. An example of the ability of cyanide to react with metals in the body is its reaction with the cobalt in hydroxycobalamin (vitamin B12a) to form cyanocobalamin (vitamin B12). The reactions of cyanide with metals are reversible and exhibit concentration-dependent equilibria, but the reactions of cyanide with sulfur-containing compounds are catalyzed by the enzyme rhodanese (EC 2.8.I.1) and are essentially one-way and irreversible. The rate-limiting factor in the rhodanese-mediated reactions is usually the availability of sulfur donors in the body. These reactions can be accelerated therapeutically by providing a sulfane such as sodium thiosulfate. The reaction products, thiocyanates and sulfites, are significantly less toxic than cyanide itself and are eliminated in the urine. Cyanide also reacts with carbonyl and sulfhydryl groups (directly or via 3-MPST and other enzymes). However, the two most important kinds of reactions from the perspective of understanding the classical mechanism of action of cyanide and its response to specific antidotal therapy are the reactions with metals and the enzyme-catalyzed reactions with sulfur-containing compounds. Cyanide is eliminated unchanged from the body in breath, sweat, and urine - as sodium thiocyanate in the urine and as iminothiocarboxyllic acid (ITCA) from reaction with sulfhydryl groups. High concentrations of cyanide in the body will also lead to measurable increases in urinary elimination of cyanocobalamin (vitamin B12). -- No virus found in this outgoing message. Checked by AVG. Version: 7.5.526 / Virus Database: 270.6.19/1659 - Release Date: 9/8/2008 7:01 AM Quote Link to comment Share on other sites More sharing options...
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