Systemic fluoride poisoning and death from inhalational exposure to sulfuryl fluoride

Chloropicrin induced ocular injury: Biomarkers, potential mechanisms, and treatments

Ocular tissue, especially the cornea, is overly sensitive to chemical exposures. The availability and adoption of chemical threat agent chloropicrin (CP) is growing in the United States as a pesticide and fumigant; thereby increasing the risk of its use in warfare, terrorist attacks and non-intentional exposure. Exposure to CP results in immediate ocular, respiratory, and dermal injury; however, we lack knowledge on its mechanism of toxicity as well as of its breakdown products like chlorine and phosgene, and effective therapies are elusive. Herein, we have reviewed the recent findings on exposure route, toxicity and likely mechanisms of CP induced ocular toxicity based on other vesicating chemical warfare agents that cause ocular injury. We have focused on the implication of their toxicity and mechanistic outcomes in the ocular tissue, especially the cornea, which could be useful in the development of broad-spectrum effective therapeutic options. We have discussed on the potential countermeasures, overall hallmarks and challenges involved in studying ocular injuries from chemical threat agent exposures. Finally, we reviewed useful available technologies and methods that can assist in the identification of effective medical countermeasures for chemical threat agents related ocular injuries.

Desmethyl SuFEx-IT: SO2F2-Free Synthesis and Evaluation as a Fluorosulfurylating Agent

Access to SuFExable compounds was remarkably simplified by introduction of the solid FO2S-donor SuFEx-IT. However, the published process for preparation of this reagent relies on the use of sulfuryl fluoride (SO2F2), which is difficult to obtain and highly toxic. Herein, we disclose a simple protocol for SO2F2-free, hectogram-scale preparation of the analogous desmethyl SuFEx-IT from inexpensive starting materials. The reagent was prepared in a high (85%) total yield and without chromatographic purification steps. In addition, we demonstrate the utility of desmethyl SuFEx-IT by successful preparation of a series of fluorosulfates and sulfamoyl fluorides in high to excellent yields. As such, our work recognizes desmethyl SuFEx-IT as a valuable alternative to common FO2S-donors and enables cost-efficient access to substrates for SuFEx click chemistry.

Sulfur(VI) fluorides as tools in biomolecular and medicinal chemistry

Recent advances in the synthesis of sulfur(VI)-fluorides has enabled incredible growth in their application in biomolecular chemistry. This review aims to serve as a primer highlighting synthetic strategies toward a diversity of S(VI) fluorides and their application in chemical biology, bioconjugation, and medicinal chemistry.

Visible-light-induced one-pot synthesis of sulfonic esters via multicomponent reaction of arylazo sulfones and alcohols

Sulfonic ester is a chemical structure common to many organic molecules, including biologically active compounds. Herein, a visible-light-induced synthetic method to prepare aryl sulfonic ester from arylazo sulfones was developed. In the present study, a one-pot reaction was carried out using arylazo sulfones, DABSO (DABCO·(SO2)2), and alcohols in the presence of CuI as a coupling catalyst and HCl as an additive to yield sulfonic esters via multicomponent reaction. This synthetic method afforded a wide range of sulfonic esters with high yields under mild conditions.

Synthesis of 18F-Labeled Aryl Fluorosulfates via Nucleophilic Radiofluorination

Sulfuryl fluoride gas is a key reagent for SO₂F transfer. However, conventional SO₂F transfer reactions have limited ¹⁸F-radiochemistry translation, due to the inaccessibility of gaseous [¹⁸F]SO₂F₂. Herein, we report the first SO₂F₂-free synthesis of aryl [¹⁸F]fluorosulfates from both phenolic and isolated aryl imidazylate precursors with cyclotron-produced ¹⁸F^-. The radiochemical yields ranged from moderate to good with excellent functional group tolerance. The reliability of our approach was validated by the automated radiosynthesis of 4-acetamidophenyl [¹⁸F]fluorosulfate.

Is the skin an important exposure route for workers during cyanogen fumigation?

BACKGROUND

Cyanogen is a toxic flammable gas used as a fumigant in numerous industries. Occupational exposure to cyanogen can occur during its production and use. The most serious human health risk from exposure to cyanogen is via the respiratory system. However, there is also potential for skin exposure in many workplace situations. The extent of skin absorption under occupational exposure scenarios has not been directly assessed. Understanding skin uptake potential may inform risk assessment and exposure control measures.

RESULTS

We describe an in vitro experimental system using human epidermis and dynamic atmosphere exposure to cyanogen to mimic potential workplace exposures. The influence of clothing and ventilation on skin permeation outcomes were also assessed. No evidence of transdermal permeation was found at 100 or 1000 ppm exposures, while permeation of 0.99 ± 0.38 μg cm^-2 was observed after 60 min exposure to 10 000 ppm. Fabric on skin and skin ventilation had no additional influence on transdermal permeation compared with naked skin, but fabric provided a reservoir for potential secondary exposures.

CONCLUSION

Results show dermal uptake following cyanogen exposure is possible, but only at very high atmospheric concentrations (10 000 ppm after >15 min exposure). Importantly, this could have implications for fumigant applicators who may only be wearing personal respiratory protection. These empirical data may be used in conjunction with other relevant toxicological information in determining whether a Skin Notation is warranted for Workplace Exposure Standard setting. © 2019 Society of Chemical Industry.

Ex situ gas generation for lab scale organic synthesis

This review discusses recent examples of ex situ generated gaseous reagents, and their use in organic synthesis.

Ex Situ Generation of Sulfuryl Fluoride for the Synthesis of Aryl Fluorosulfates

A convenient transformation of phenols into the corresponding aryl fluorosulfates is presented: the first protocol to completely circumvent direct handling of gaseous sulfuryl fluoride (SO₂F₂). The proposed method employs 1,1'-sulfonyldiimidazole as a precursor to generate near-stoichiometric amounts of SO₂F₂ gas using a two-chamber reactor. With NMR studies, it was shown that this ex situ gas evolution is extremely rapid, and a variety of phenols and hydroxylated heteroarenes were fluorosulfated in good to excellent yields.

Dermal absorption of fumigant gases during HAZMAT incident exposure scenarios—Methyl bromide, sulfuryl fluoride, and chloropicrin

Accidental or intentional releases of toxic gases or vapors are the most common occurrence in hazardous material (HAZMAT) incidents that result in human injuries. The most serious hazard from exposure to gases or vapors is via the respiratory system. Dermal uptake, as a secondary route, is still a concern, most acutely for the unprotected public. There is a limited evidence base describing skin absorption of toxic gases and vapors in HAZMAT exposure scenarios, which are relatively brief compared with traditional test periods for skin absorption studies. We describe research designed to provide experimental data to support decision-making by first responders regarding skin decontamination in HAZMAT-focused exposure scenarios involving toxic gases. We present findings for three common fumigants, methyl bromide, sulfuryl fluoride, and chloropicrin assessed using an Organization for Economic Co-operation and Development in vitro toxicology protocol utilizing human skin and gas/vapor exposures. Results indicate that for atmospheric concentrations that would be lethal via inhalation (LCLo), intact skin provides an excellent barrier to exposures up to 30 min, with little influence of common clothing fabric and high temperature and humidity conditions. The findings may challenge the current HAZMAT dogma requiring mass personal decontamination by strip and shower for short-term exposures to sulfuryl fluoride and chloropicrin gas/vapor.

Ventricular dysrhythmias associated with poisoning and drug overdose: a 10-year review of statewide poison control center data from California

BACKGROUND

Ventricular dysrhythmias are a serious consequence associated with drug overdose and chemical poisoning. The risk factors for the type of ventricular dysrhythmia and the outcomes by drug class are not well documented.

OBJECTIVE

The aim of this study was to determine the most common drugs and chemicals associated with ventricular dysrhythmias and their outcomes.

METHODS

We reviewed all human exposures reported to a statewide poison control system between 2002 and 2011 that had a documented ventricular dysrhythmia. Cases were differentiated into two groups by type of arrhythmia: (1) ventricular fibrillation and/or tachycardia (VT/VF); and (2) torsade de pointes (TdP).

RESULTS

Among the 300 potential cases identified, 148 cases met the inclusion criteria. Of these, 132 cases (89%) experienced an episode of VT or VF, while the remaining 16 cases (11%) had an episode of TdP. The most commonly involved therapeutic classes of drugs associated with VT/VF were antidepressants (33/132, 25%), stimulants (33/132, 25%), and diphenhydramine (16/132, 12.1%). Those associated with TdP were antidepressants (4/16, 25%), methadone (4/16, 25%), and antiarrhythmics (3/16, 18.75%). Drug exposures with the greatest risk of death in association with VT/VF were antidepressant exposure [odds ratio (OR) 1.71; 95% confidence interval (CI) 0.705-4.181] and antiarrhythmic exposure (OR 1.75; 95% CI 0.304-10.05), but neither association was statistically significant. Drug exposures with a statistically significant risk for TdP included methadone and antiarrhythmic drugs.

CONCLUSIONS

Antidepressants and stimulants were the most common drugs associated with ventricular dysrhythmias. Patients with suspected poisonings by medications with a high risk of ventricular dysrhythmia warrant prompt ECG monitoring.

The investigation of kinetic and isotherm of fluoride adsorption onto functionalize pumice stone

In this research work, pumice that is functionalized by the cationic surfactant, hexadecyltrimethyl ammonium (HDTMA), is used as an adsorbent for the removal of fluoride from drinking water. This work was carried out in two parts. The effects of HDTMA loading, pH (3-10), reaction time (5-60 min) and the adsorbent dosage (0.15-2.5 g L(-1)) were investigated on the removal of fluoride as a target contaminate from water through the design of different experimental sets in the first part. The results from this first part revealed that surfactant-modified pumice (SMP) exhibited the best performance at dose 0.5 g L(-1), pH 6, and it adsorbs over 96% of fluoride from a solution containing 10 mg L(-1) fluoride after 30 min of mixing time. The four linear forms of the Langmuir, Freundlich, Temkin and Dubinin-Radushkevich isotherms model were applied to determine the best fit of equilibrium expressions. Apart from the regression coefficient (R(2)), four error functions were used to validate the isotherm and kinetics data. The experimental adsorption isotherm complies with Langmuir equation model type 1. The maximum amount of adsorption (Q(max)) was 41 mg g(-1). The kinetic studies indicated that the adsorption of fluoride best fitted with the pseudo-second-order kinetic type 1. Thermodynamic parameters evaluation of fluoride adsorption on SMP showed that the adsorption process under the selected conditions was spontaneous and endothermic. The suitability of SMP in defluoridation at field condition was investigated with natural groundwater samples collected from a nearby fluoride endemic area in the second part of this study. Based on this study's results, SMP was shown to be an affordable and a promising option for the removal of fluoride in drinking water.

Environmental and health risks of sulfuryl fluoride, a fumigant replacement for methyl bromide

Sulfuryl fluoride (SO(2)F(2)) is used primarily as a fumigant in replacement of methyl bromide, but it has the potential to contribute significantly to the global warming. This article introduces SO(2)F(2) in the physicochemical properties, the current uses in agriculture and industry, the toxicological data, and the environmental implications on the basis of its environmental properties. The health hazards of SO(2)F(2) and its probable decomposition products were also evaluated based on their occupational exposure limits and possible exposure sources. The resident and occupational exposure assessment was further discussed to understand seriousness of risk caused by SO(2)F(2) and its decomposition products.