2015
DOI: 10.1016/j.wem.2015.08.002
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A Case Study: What Doses of Amanita phalloides and Amatoxins Are Lethal to Humans?

Abstract: There are few data estimating the human lethal dose of amatoxins or of the toxin level present in ingested raw poisonous mushrooms. Here, we present a patient who intentionally ingested several wild collected mushrooms to assess whether they were poisonous. Nearly 1 day after ingestion, during which the patient had nausea and vomiting, he presented at the emergency department. His transaminase levels started to increase starting from hour 48 and peaking at hour 72 (alanine aminotransferase 2496 IU/L; aspartate… Show more

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Cited by 37 publications
(19 citation statements)
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“…Following the screening of the fusion plates, there were 14 positive cultures (optical density > 0. 7), of which 12 cultures exhibited substantial signal reduction (optical density decreased by 0.5 or greater) in the presence of 100 ng mL −1 α-AMA in cELISA ( Figure 2). Only two (9C12 and 9G3) of these grew stably, and were cloned multiple times until every well of the cell culture plate with cell growth elicited a positive indirect ELISA response to the coating antigen, a periodate-oxidized form of α-AMA conjugated to bovine serum albumin (PERI-AMA-BSA).…”
Section: Monoclonal Antibody Productionmentioning
confidence: 99%
See 1 more Smart Citation
“…Following the screening of the fusion plates, there were 14 positive cultures (optical density > 0. 7), of which 12 cultures exhibited substantial signal reduction (optical density decreased by 0.5 or greater) in the presence of 100 ng mL −1 α-AMA in cELISA ( Figure 2). Only two (9C12 and 9G3) of these grew stably, and were cloned multiple times until every well of the cell culture plate with cell growth elicited a positive indirect ELISA response to the coating antigen, a periodate-oxidized form of α-AMA conjugated to bovine serum albumin (PERI-AMA-BSA).…”
Section: Monoclonal Antibody Productionmentioning
confidence: 99%
“…The principle toxins responsible for the poisonings are the bicyclic octapeptides known as AMAs, most notably α-amanitin (α-AMA) and β-amanitin (β-AMA), and possibly γ-amanitin (γ-AMA) ( Figure 1). In mice, the LD 50 for α-AMA is 0.1 mg kg −1 [6] and, to humans, a dose of 0.3 mg kg −1 is severely toxic [7]. AMAs are potent inhibitors of RNA polymerase II, with bioactivity resistant to heat, cold, or acid inactivation.…”
Section: Introductionmentioning
confidence: 99%
“…Amatoxins are highly resistant to degradation, and on the cellular level they inhibit transcription by binding to RNA polymerase II. As little as 0.1 mg/kg body weight of amatoxins may cause death [3,4], and this amount can be found in a single Amanita phalloides.…”
Section: Introductionmentioning
confidence: 99%
“…Toxins 2020, 12, x FOR PEER REVIEW 2 of 9 body weight of amatoxins may cause death [3,4], and this amount can be found in a single Amanita phalloides.…”
Section: Introductionmentioning
confidence: 99%
“…Fungi in the genus Amanita form ectomycorrhizal in association with plants, where they stimulate the growth and defense of the host organism [1,2]. However, Amanita mushrooms can also produce some of the most toxic compounds in the world [3][4][5]. Every year mushroom poisoning caused by mushroom con- sumption is responsible for fatal accidents, in particular in China [6].…”
Section: Introductionmentioning
confidence: 99%