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Hekal MH, Hashem AI, El-Azm FSMA, Abdel-Haleem DR, Rafat EH, Ali YM. Rational design and synthesis of new pyrrolone candidates as prospective insecticidal agents against Culex pipiens L. Larvae. Sci Rep 2024; 14:24467. [PMID: 39424889 PMCID: PMC11489436 DOI: 10.1038/s41598-024-74011-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2024] [Accepted: 09/23/2024] [Indexed: 10/21/2024] Open
Abstract
As a result of its high reactivity, furan-2(3H)-one derivative 2 can be selected as a versatile and suitable candidate for building of novel nitrogen heterocyclic compounds. Consequently, furan-2(3H)-one derivative 2 and some nitrogen nucleophiles were utilized as starting materials for the formation of new pyridazinone and pyrrolone derivatives bearing naphthalene moiety. The continuous buildup of insecticide resistance is the main obstacle facing pest control measures. Pyrrole-based insecticides are a favourable choice due to their unique mode of action and no cross-resistance with traditional neurotoxic insecticides. The larvicidal activities of pyrrolone derivatives were assessed against field and laboratory strains of Culex pipiens larvae in comparison with chlorfenapyr (pyrrole insecticide). Compounds 17 (21.05 µg/mL) > 9 (22.81 µg/mL) > 15 (24.39 µg/mL) > 10 (26.76 µg/mL) > 16 (32.09 µg/mL) were most effective against lab strain of C. pipiens larvae relative to chlorfenapyr (25.43 µg/mL). While in field strain, 17 and 15 were the most toxic compounds followed by 9 > 10 > 16 > 2 with LC50 of 9.87, 10.76, 11.52, 12.68, 15.32 and 18.37 µg/mL, respectively, compared with chlorfenapyr with 14.03 µg/mL. The cytochrome P-450 monooxygenase activities were significantly increased in treated larvae of lab and field strains relative to untreated. The great variations in toxicity of the synthesized compounds were interpreted by structure-activity relationship study. The pyrrolone derivatives are effective against field and insecticide-resistant strains. Therefore, they are considered promising compounds to be integrated into pest management programs.
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Affiliation(s)
- Mohamed H Hekal
- Department of Chemistry, Faculty of Science, Ain Shams University, Abbassia, Cairo, 11566, Egypt.
| | - Ahmed I Hashem
- Department of Chemistry, Faculty of Science, Ain Shams University, Abbassia, Cairo, 11566, Egypt
| | - Fatma S M Abu El-Azm
- Department of Chemistry, Faculty of Science, Ain Shams University, Abbassia, Cairo, 11566, Egypt.
| | - Doaa R Abdel-Haleem
- Entomology Department, Faculty of Science, Ain Shams University, Abbassia, Cairo, 11566, Egypt
| | - El-Hady Rafat
- Department of Chemistry, Faculty of Science, Ain Shams University, Abbassia, Cairo, 11566, Egypt
| | - Yasmeen M Ali
- Department of Chemistry, Faculty of Science, Ain Shams University, Abbassia, Cairo, 11566, Egypt
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2
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Tchouakui M, Ibrahim SS, Mangoua MK, Thiomela RF, Assatse T, Ngongang-Yipmo SL, Muhammad A, Mugenzi LJM, Menze BD, Mzilahowa T, Wondji CS. Substrate promiscuity of key resistance P450s confers clothianidin resistance while increasing chlorfenapyr potency in malaria vectors. Cell Rep 2024; 43:114566. [PMID: 39088320 PMCID: PMC11372441 DOI: 10.1016/j.celrep.2024.114566] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2024] [Revised: 04/04/2024] [Accepted: 07/16/2024] [Indexed: 08/03/2024] Open
Abstract
Novel insecticides were recently introduced to counter pyrethroid resistance threats in African malaria vectors. To prolong their effectiveness, potential cross-resistance from promiscuous pyrethroid metabolic resistance mechanisms must be elucidated. Here, we demonstrate that the duplicated P450s CYP6P9a/-b, proficient pyrethroid metabolizers, reduce neonicotinoid efficacy in Anopheles funestus while enhancing the potency of chlorfenapyr. Transgenic expression of CYP6P9a/-b in Drosophila confirmed that flies expressing both genes were significantly more resistant to neonicotinoids than controls, whereas the contrasting pattern was observed for chlorfenapyr. This result was also confirmed by RNAi knockdown experiments. In vitro expression of recombinant CYP6P9a and metabolism assays established that it significantly depletes both clothianidin and chlorfenapyr, with metabolism of chlorfenapyr producing the insecticidally active intermediate metabolite tralopyril. This study highlights the risk of cross-resistance between pyrethroid and neonicotinoid and reveals that chlorfenapyr-based control interventions such as Interceptor G2 could remain efficient against some P450-based resistant mosquitoes.
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Affiliation(s)
- Magellan Tchouakui
- Centre for Research in Infectious Diseases (CRID), Medical Entomology Department, P.O. Box 13501, Yaoundé, Cameroon.
| | - Sulaiman S Ibrahim
- Centre for Research in Infectious Diseases (CRID), Medical Entomology Department, P.O. Box 13501, Yaoundé, Cameroon; Department of Biochemistry, Bayero University, PMB 3011, Kano, Nigeria; Department of Vector Biology, Liverpool School of Tropical Medicine, Pembroke Place, Liverpool L35QA, UK
| | - Mersimine K Mangoua
- Centre for Research in Infectious Diseases (CRID), Medical Entomology Department, P.O. Box 13501, Yaoundé, Cameroon
| | - Riccado F Thiomela
- Centre for Research in Infectious Diseases (CRID), Medical Entomology Department, P.O. Box 13501, Yaoundé, Cameroon; Parasitology and Ecology Laboratory, Department of Animal Biology and Physiology, Faculty of Science, University of Yaoundé 1, P.O. Box 812, Yaoundé, Cameroon
| | - Tatiane Assatse
- Centre for Research in Infectious Diseases (CRID), Medical Entomology Department, P.O. Box 13501, Yaoundé, Cameroon; Parasitology and Ecology Laboratory, Department of Animal Biology and Physiology, Faculty of Science, University of Yaoundé 1, P.O. Box 812, Yaoundé, Cameroon
| | - Sonia L Ngongang-Yipmo
- Centre for Research in Infectious Diseases (CRID), Medical Entomology Department, P.O. Box 13501, Yaoundé, Cameroon; Parasitology and Ecology Laboratory, Department of Animal Biology and Physiology, Faculty of Science, University of Yaoundé 1, P.O. Box 812, Yaoundé, Cameroon
| | - Abdullahi Muhammad
- Department of Vector Biology, Liverpool School of Tropical Medicine, Pembroke Place, Liverpool L35QA, UK; Centre for Biotechnology Research, Bayero University, PMB 3011, Kano, Nigeria
| | - Leon J M Mugenzi
- Centre for Research in Infectious Diseases (CRID), Medical Entomology Department, P.O. Box 13501, Yaoundé, Cameroon
| | - Benjamin D Menze
- Centre for Research in Infectious Diseases (CRID), Medical Entomology Department, P.O. Box 13501, Yaoundé, Cameroon
| | - Themba Mzilahowa
- Malaria Alert Centre (MAC), Kamuzu University of Health Sciences (KUHeS), Entomology Department, P.O. Box 265, Blantyre, Malawi
| | - Charles S Wondji
- Centre for Research in Infectious Diseases (CRID), Medical Entomology Department, P.O. Box 13501, Yaoundé, Cameroon; Department of Vector Biology, Liverpool School of Tropical Medicine, Pembroke Place, Liverpool L35QA, UK; International Institute of Tropical Agriculture (IITA), P.O. Box 2008, Yaoundé, Cameroon.
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Krestonoshina K, Melnichuk A, Kinareikina A, Maslakova K, Yangirova L, Silivanova E. The P450-Monooxygenase Activity and CYP6D1 Expression in the Chlorfenapyr-Resistant Strain of Musca domestica L. INSECTS 2024; 15:461. [PMID: 38921174 PMCID: PMC11203901 DOI: 10.3390/insects15060461] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/08/2024] [Revised: 06/06/2024] [Accepted: 06/09/2024] [Indexed: 06/27/2024]
Abstract
The house fly Musca domestica L. is one of the most common insects of veterinary and medical importance worldwide; its ability to develop resistance to a large number of insecticides is well known. Many studies support the involvement of cytochrome P-450-dependent monooxygenases (P450) in the development of resistance to pyrethroids, neonicotinoids, carbamates, and organophosphates among insects. In this paper, the monooxygenase activity and expression level of CYP6D1 were studied for the first time in a chlorfenapyr-resistant strain of house fly. Our studies demonstrated that P450 activity in adults of the susceptible strain (Lab TY) and chlorfenapyr-resistant strain (ChlA) was 1.56-4.05-fold higher than that in larvae. In females of the Lab TY and ChlA strains, this activity was 1.53- and 1.57-fold higher, respectively (p < 0.05), than that in males, and in contrast, the expression level of CYP6D1 was 21- and 8-fold lower, respectively. The monooxygenase activity did not vary between larvae of the susceptible strain Lab TY and the chlorfenapyr-resistant strain ChlA. Activity in females and males of the ChlA strain exceeded that in the Lab TY strain specimens by 1.54 (p = 0.08) and 1.83 (p < 0.05) times, respectively, with the same level of CYP6D1 expression. PCR-RFLP analysis revealed a previously undescribed mutation in the promoter region of the CYP6D1 gene in adults of the Lab TY and ChlA strains, and it did not affect the gene expression level. The obtained results show that the development of resistance to chlorfenapyr in M. domestica is accompanied by an increase in P450-monooxygenase activity without changes in CYP6D1 expression.
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Affiliation(s)
| | | | | | | | | | - Elena Silivanova
- All-Russian Scientific Research Institute of Veterinary Entomology and Arachnology—Branch of Federal State Institution Federal Research Centre Tyumen Scientific Centre of Siberian Branch of the Russian Academy of Sciences (ASRIVEA)—Branch of Tyumen Scientific Centre SB RAS Institutskaya St. 2, Tyumen 625041, Russia; (K.K.); (A.M.); (A.K.); (K.M.); (L.Y.)
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Moore S, Karl S. Is the next generation of mosquito nets surviving expectations? THE LANCET. INFECTIOUS DISEASES 2024; 24:564-565. [PMID: 38401553 DOI: 10.1016/s1473-3099(24)00073-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/24/2024] [Accepted: 01/25/2024] [Indexed: 02/26/2024]
Affiliation(s)
- Sarah Moore
- Vector Control Product Testing Unit, Ifakara Health Institute, Bagamoyo, Tanzania; Vector Biology Unit, Epidemiology and Public Health Department, Swiss Tropical and Public Health Institute, Allschwil, Basel, Switzerland; University of Basel, Basel, Switzerland; School of Life Sciences and Bioengineering, The Nelson Mandela African Institution of Science and Technology (NM-AIST), Arusha, Tanzania
| | - Stephan Karl
- Australian Institute of Tropical Health and Medicine, James Cook University, Smithfield, QLD 4870, Australia; Vector-borne Diseases Unit, PNG Institute of Medical Research, Madang, Madang Province, Papua New Guinea.
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Xiong Y, Ma X, He B, Zhi J, Liu X, Wang P, Zhou Z, Liu D. Multifaceted Effects of Subchronic Exposure to Chlorfenapyr in Mice: Implications from Serum Metabolomics, Hepatic Oxidative Stress, and Intestinal Homeostasis. JOURNAL OF AGRICULTURAL AND FOOD CHEMISTRY 2024; 72:7423-7437. [PMID: 38502791 DOI: 10.1021/acs.jafc.3c09682] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 03/21/2024]
Abstract
As chlorfenapyr is a commonly used insecticide in agriculture, the health risks of subchronic exposure to chlorfenapyr remained unclear. This study aimed to extensively probe the health risks from subchronic exposure to chlorfenapyr at the NOAEL and 10-fold NOAEL dose in mice. Through pathological and biochemical examinations, the body metabolism, hepatic toxicity, and intestinal homeostasis were systematically assessed. After 12 weeks, a 10-fold NOAEL dose of chlorfenapyr resulted in weight reduction, increased daily food intake, and blood lipid abnormalities. Concurrently, this dosage induced hepatotoxicity and amplified oxidative stress in hepatocytes, a finding further supported in HepG2 cells. Moreover, chlorfenapyr resulted in intestinal inflammation, evidenced by increased inflammatory factors (IL-17a, IL-10, IL-1β, IL-6, IL-22), disrupted immune cells (RORγt, Foxp3), and compromised intestinal barriers (ZO-1 and occludin). By contrast, the NOAEL dose presented less toxicity in most evaluations. Serum metabolomic analyses unveiled widespread disruptions in pathways related to hepatotoxicity and intestinal inflammation, including NF-κB signaling, Th cell differentiation, and bile acid metabolism. Microbiomic analysis showed an increase in Lactobacillus, a decrease in Muribaculaceae, and diminished anti-inflammatory microbes, which further propelled the inflammatory response and leaded to intestinal inflammation. These findings revealed the molecular mechanisms underlying chlorfenapyr-induced hepatotoxicity and intestinal inflammation, highlighting the significant role of the gut microbiota.
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Affiliation(s)
- Yabing Xiong
- Department of Applied Chemistry, College of Science, China Agricultural University, Beijing 100193, China
| | - Xiaoran Ma
- Department of Applied Chemistry, College of Science, China Agricultural University, Beijing 100193, China
| | - Bingying He
- Department of Applied Chemistry, College of Science, China Agricultural University, Beijing 100193, China
| | - Jianwen Zhi
- Department of Proctology, Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing 100053, China
| | - Xueke Liu
- Department of Applied Chemistry, College of Science, China Agricultural University, Beijing 100193, China
| | - Peng Wang
- Department of Applied Chemistry, College of Science, China Agricultural University, Beijing 100193, China
| | - Zhiqiang Zhou
- Department of Applied Chemistry, College of Science, China Agricultural University, Beijing 100193, China
| | - Donghui Liu
- Department of Applied Chemistry, College of Science, China Agricultural University, Beijing 100193, China
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Namayandeh A, Zhang W, Watson SK, Borkiewicz OJ, Bompoti NM, Chrysochoou M, Penn RL, Michel FM. Goethite and Hematite Nucleation and Growth from Ferrihydrite: Effects of Oxyanion Surface Complexes. ENVIRONMENTAL SCIENCE & TECHNOLOGY 2024; 58:5952-5962. [PMID: 38506754 DOI: 10.1021/acs.est.3c09955] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 03/21/2024]
Abstract
The presence of oxyanions, such as nitrate (NO3-) and phosphate (PO43-), regulates the nucleation and growth of goethite (Gt) and hematite (Hm) during the transformation of ferrihydrite (Fh). Our previous studies showed that oxyanion surface complexes control the rate and pathway of Fh transformation to Gt and Hm. However, how oxyanion surface complexes control the mechanism of Gt and Hm nucleation and growth during the Fh transformation is still unclear. We used synchrotron scattering methods and cryogenic transmission electron microscopy to investigate the effects of NO3- outer-sphere complexes and PO43- inner-sphere complexes on the mechanism of Gt and Hm formation from Fh. Our TEM results indicated that Gt particles form through a two-step model in which Fh particles first transform to Gt nanoparticles and then crystallographically align and grow to larger particles by oriented attachment (OA). In contrast, for the formation of Hm, imaging shows that Fh particles first aggregate and then transform to Hm through interface nucleation. This is consistent with our X-ray scattering results, which demonstrate that NO3- outer-sphere and PO43- inner-sphere complexes promote the formation of Gt and Hm, respectively. These results have implications for understanding the coupled interactions of oxyanions and iron oxy-hydroxides in Earth-surface environments.
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Affiliation(s)
- Alireza Namayandeh
- Department of Geosciences, Virginia Tech, Blacksburg, Virginia 24061, United States
- Department of Earth System Science, Stanford University, Stanford, California 94305, United States
| | - Wei Zhang
- Department of Diagnostic and Biological Sciences, University of Minnesota, Minneapolis, Minnesota 55455, United States
| | - Steven K Watson
- Department of Geosciences, Virginia Tech, Blacksburg, Virginia 24061, United States
| | - Olaf J Borkiewicz
- Advanced Photon Source, Argonne National Laboratory, Lemont, Illinois 60439, United States
| | - Nefeli M Bompoti
- Department of Civil and Environmental Engineering, University of Massachusetts, Dartmouth, Massachusetts 02747, United States
- Department of Civil and Environmental Engineering, University of Connecticut, Storrs, Connecticut 06269, United States
| | - Maria Chrysochoou
- Department of Civil and Environmental Engineering, University of Connecticut, Storrs, Connecticut 06269, United States
| | - R Lee Penn
- Department of Chemistry, University of Minnesota, Minneapolis, Minnesota 55455, United States
| | - F Marc Michel
- Department of Geosciences, Virginia Tech, Blacksburg, Virginia 24061, United States
- Division of Nanoscience, Academy of Integrated Science, Virginia Tech, Blacksburg, Virginia 24061, United States
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Odufuwa OG, Bradley J, Ngonyani S, Mpelepele AB, Matanila I, Muganga JB, Bosselmann R, Skovmand O, Mboma ZM, Moore SJ. Time of exposure and assessment influence the mortality induced by insecticides against metabolic resistant mosquitoes. Parasit Vectors 2024; 17:103. [PMID: 38431631 PMCID: PMC10908098 DOI: 10.1186/s13071-024-06190-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2023] [Accepted: 02/09/2024] [Indexed: 03/05/2024] Open
Abstract
BACKGROUND Increasing metabolic resistance in malaria vector mosquitoes resulted in the development of insecticide-treated nets (ITNs) with active ingredients (AI) that target them. Bioassays that accurately measure the mortality induced by these AIs on ITNs are needed. Mosquito metabolic enzyme expression follows a circadian rhythm. Thus, this study assessed (i) influence of the time of day of mosquito exposure and (ii) timing of assessment of mortality post exposure (24 and 72 h) to ITNs against vectors that are susceptible to pyrethroids and those with metabolic and knockdown resistance mechanisms. METHODS Two cone bioassay experiments were conducted following World Health Organization (WHO) guidelines. Firstly, on ITNs incorporated with 2 g AI/kg of deltamethrin (DM) alone, or combined with 8 g AI/kg piperonyl butoxide (PBO) synergist, during the day (9:00-14:00 h) and repeated in the evening (18:00-20:00 h). This was followed by a confirmatory experiment during the afternoon (12:00-14:00 h) and repeated in the night (22:00-24:00 h) using mosquitoes unexposed or pre-exposed to PBO for 1 h before exposure to DM ITNs. Each net piece was tested with a minimum of eight cones per time (N = 24). The outcome was mortality after 24 h (M24) or 72 h (M72) of holding. RESULTS The cone bioassays performed using metabolic resistant mosquitoes during the evening showed significantly lower M24 than those performed in the day for DM: odds ratio (OR) 0.14 [95% confidence interval (CI) 0.06-0.30, p < 0.0001] and DM PBO [OR 0.29 (95% CI 0.18-0.49, p < 0.0001). M72 was higher than M24 for metabolic resistant mosquitoes exposed to DM [OR 1.44 (95% CI 1.09-1.88), p = 0.009] and DM PBO [OR 1.82 (95% CI 1.42-2.34), p < 0.0001]. An influence of hour of experiment and time of assessment was not observed for mosquitoes that had knockdown resistance or that were pyrethroid-susceptible. CONCLUSIONS Time of day of experiment and hour of assessment of delayed mortality after exposure of mosquitoes are important considerations in evaluating insecticides that interact with mosquito metabolism to counter metabolic resistant mosquitoes. This is important when evaluating field-aged ITNs that may have lower concentrations of AI.
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Affiliation(s)
- Olukayode G Odufuwa
- Vector Control Product Testing Unit (VCPTU) Ifakara Health Institute, Environmental Health, and Ecological Sciences, P.O. Box 74, Bagamoyo, Tanzania.
- Vector Biology Unit, Department of Epidemiology and Public Health, Swiss Tropical & Public Health Institute, Kreuzstrasse 2, Allschwill, 4123, Basel, Switzerland.
- Faculty of Science, University of Basel, Petersplatz 1, 4001, Basel, Switzerland.
- MRC International Statistics and Epidemiology Group, London School of Hygiene and Tropical Medicine (LSHTM), London, WC1E 7HT, UK.
| | - John Bradley
- MRC International Statistics and Epidemiology Group, London School of Hygiene and Tropical Medicine (LSHTM), London, WC1E 7HT, UK
| | - Safina Ngonyani
- Vector Control Product Testing Unit (VCPTU) Ifakara Health Institute, Environmental Health, and Ecological Sciences, P.O. Box 74, Bagamoyo, Tanzania
| | - Ahmadi Bakari Mpelepele
- Vector Control Product Testing Unit (VCPTU) Ifakara Health Institute, Environmental Health, and Ecological Sciences, P.O. Box 74, Bagamoyo, Tanzania
| | - Isaya Matanila
- Vector Control Product Testing Unit (VCPTU) Ifakara Health Institute, Environmental Health, and Ecological Sciences, P.O. Box 74, Bagamoyo, Tanzania
| | - Joseph B Muganga
- Vector Control Product Testing Unit (VCPTU) Ifakara Health Institute, Environmental Health, and Ecological Sciences, P.O. Box 74, Bagamoyo, Tanzania
| | | | | | - Zawadi Mageni Mboma
- Vector Control Product Testing Unit (VCPTU) Ifakara Health Institute, Environmental Health, and Ecological Sciences, P.O. Box 74, Bagamoyo, Tanzania
- The Nelson Mandela African Institution of Science and Technology (NM-AIST), Tengeru, P.O. Box 447, Arusha, Tanzania
| | - Sarah Jane Moore
- Vector Control Product Testing Unit (VCPTU) Ifakara Health Institute, Environmental Health, and Ecological Sciences, P.O. Box 74, Bagamoyo, Tanzania
- Vector Biology Unit, Department of Epidemiology and Public Health, Swiss Tropical & Public Health Institute, Kreuzstrasse 2, Allschwill, 4123, Basel, Switzerland
- Faculty of Science, University of Basel, Petersplatz 1, 4001, Basel, Switzerland
- The Nelson Mandela African Institution of Science and Technology (NM-AIST), Tengeru, P.O. Box 447, Arusha, Tanzania
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Zhan Y, Li J, Zhu Y, Tao Q, Zhang S. Delayed death of a child from chlorfenapyr poisoning: A case report and literature review. Clin Case Rep 2024; 12:e8589. [PMID: 38449897 PMCID: PMC10914687 DOI: 10.1002/ccr3.8589] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2023] [Revised: 12/26/2023] [Accepted: 01/21/2024] [Indexed: 03/08/2024] Open
Abstract
This was the first article reported a fatal case of chlorfenapyr poisoning in a child, and the typical symptoms before death include high fever, severe sweating, coma, and limb stiffness, and elevation of myocardial enzymes and myoglobin; neurological symptoms tend to appear earlier in children than in adults.
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Affiliation(s)
- Yishan Zhan
- Department of Pediatric Intensive Care UnitJiangxi Provincial Children's HospitalNanchangChina
| | - Jing Li
- Department of Pediatric Intensive Care UnitJiangxi Provincial Children's HospitalNanchangChina
| | - Yourong Zhu
- Department of Pediatric Intensive Care UnitJiangxi Provincial Children's HospitalNanchangChina
| | - Qiang Tao
- Department of General SurgeryJiangxi Provincial Children's HospitalNanchangChina
| | - Shouhua Zhang
- Department of General SurgeryJiangxi Provincial Children's HospitalNanchangChina
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Cheng J, Chen Y, Wang W, Zhu X, Jiang Z, Liu P, Du L. Chlorfenapyr poisoning: mechanisms, clinical presentations, and treatment strategies. World J Emerg Med 2024; 15:214-219. [PMID: 38855374 PMCID: PMC11153369 DOI: 10.5847/wjem.j.1920-8642.2024.046] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2023] [Accepted: 03/20/2024] [Indexed: 06/11/2024] Open
Abstract
BACKGROUND Chlorfenapyr is used to kill insects that are resistant to organophosphorus insecticides. Chlorfenapyr poisoning has a high mortality rate and is difficult to treat. This article aims to review the mechanisms, clinical presentations, and treatment strategies for chlorfenapyr poisoning. DATA RESOURCES We conducted a review of the literature using PubMed, Web of Science, and SpringerLink from their beginnings to the end of October 2023. The inclusion criteria were systematic reviews, clinical guidelines, retrospective studies, and case reports on chlorfenapyr poisoning that focused on its mechanisms, clinical presentations, and treatment strategies. The references in the included studies were also examined to identify additional sources. RESULTS We included 57 studies in this review. Chlorfenapyr can be degraded into tralopyril, which is more toxic and reduces energy production by inhibiting the conversion of adenosine diphosphate to adenosine triphosphate. High fever and altered mental status are characteristic clinical presentations of chlorfenapyr poisoning. Once it occurs, respiratory failure occurs immediately, ultimately leading to cardiac arrest and death. Chlorfenapyr poisoning is difficult to treat, and there is no specific antidote. CONCLUSION Chlorfenapyr is a new pyrrole pesticide. Although it has been identified as a moderately toxic pesticide by the World Health Organization (WHO), the mortality rate of poisoned patients is extremely high. There is no specific antidote for chlorfenapyr poisoning. Therefore, based on the literature review, future efforts to explore rapid and effective detoxification methods, reconstitute intracellular oxidative phosphorylation couplings, identify early biomarkers of chlorfenapyr poisoning, and block the conversion of chlorfenapyr to tralopyril may be helpful for emergency physicians in the diagnosis and treatment of this disease.
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Affiliation(s)
- Ji Cheng
- Emergency Department, Ningbo No. 2 Hospital, Ningbo 315010, China
| | - Yulu Chen
- Emergency Department, Ningbo No. 2 Hospital, Ningbo 315010, China
| | - Weidong Wang
- Emergency Department, Ningbo No. 2 Hospital, Ningbo 315010, China
| | - Xueqi Zhu
- Emergency Department, Ningbo No. 2 Hospital, Ningbo 315010, China
| | - Zhenluo Jiang
- Emergency Department, Ningbo No. 2 Hospital, Ningbo 315010, China
| | - Peng Liu
- Emergency Department, Ningbo No. 2 Hospital, Ningbo 315010, China
| | - Liwen Du
- Emergency Department, Ningbo No. 2 Hospital, Ningbo 315010, China
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