Treatment FAQ

which of the following could be an effective treatment for curare poisoning

by Rodolfo Fahey V Published 2 years ago Updated 2 years ago
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The antidote for curare poisoning is an acetylcholinesterase (AChE) inhibitor (anti-cholinesterase), such as physostigmine or neostigmine. By blocking ACh degradation, AChE inhibitors raise the amount of ACh in the neuromuscular junction; the accumulated ACh will then correct for the effect of the curare by activating the receptors not blocked by toxin at a higher rate.

Full Answer

What is the antidote for curare poisoning?

The antidote for curare poisoning is an acetylcholinesterase (AChE) inhibitor (anti-cholinesterase), such as physostigmine or neostigmine.

How does curare act on the postsynaptic cell?

Curare acts by binding temporarily to acetylcholine receptors on the postsynaptic cell and prevents acetylcholine from binding. 58) What effect does curare likely have on the postsynaptic cell?

Is curare poisonous if taken orally?

It is harmless if taken orally because curare compounds are too large and highly charged to pass through the lining of the digestive tract to be absorbed into the blood. For this reason, people can safely eat curare-poisoned prey, and it has no effect on its flavor.

What is curare (arrow poison)?

At first, curare was known as “arrow poison”. The indigenes of America used it over centuries for hunting and produced this poison, by boiling diverse plants, e.g. Chondrodendron tomentosum, Menispermaceae or Strychnos, according to traditional recipes. The resulting paste was applied to arrowheads.

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What effect does curare likely have on the postsynaptic cell?

Curare acts by binding temporarily to acetylcholine receptors on the postsynaptic cell and prevents acetylcholine from binding.

Which of the following channels may be involved with a change of potential more negative than the value of resting membrane potential?

The voltage-gated potassium channels stay open a little longer than needed to bring the membrane back to its resting potential. This results in a phenomenon called “undershoot,” in which the membrane potential briefly dips lower (more negative) than its resting potential.

Which of the following could be a direct result of a neuron is prevented from releasing neurotransmitters?

Exocrine glands secrete substances directly onto surfaces or lumens, and endocrine glands produce hormones which will enter the blood stream. Which of the following could be a direct result if a neuron is prevented from releasing neurotransmitters? Muscle cells fail to contract.

Which of the following is the most direct result of depolarizing the presynaptic membrane of an axon terminal?

Which of the following is a direct result of depolarizing the presynaptic membrane of an axon terminal? Voltage-gated calcium channels in the membrane open.

What does the sodium-potassium pump do?

[3][4] The Na+K+-ATPase pump helps to maintain osmotic equilibrium and membrane potential in cells. The sodium and potassium move against the concentration gradients. The Na+ K+-ATPase pump maintains the gradient of a higher concentration of sodium extracellularly and a higher level of potassium intracellularly.

Which ion channel opens in response to a change in membrane potential and participates in the generation and conduction of action potentials?

Voltage-gated ion channels open in response to changes in membrane voltage.

Which of the following could be a direct result if a neuron is prevented from releasing neurotransmitters quizlet?

This is correct answer : a. The neuron could no longer transmit action potentials. b.

What stops neurotransmitter release?

0:342:002-Minute Neuroscience: Neurotransmitter Release - YouTubeYouTubeStart of suggested clipEnd of suggested clipCalcium seems to be involved with mobilizing vesicles to prepare them for neurotransmitter release.MoreCalcium seems to be involved with mobilizing vesicles to prepare them for neurotransmitter release. One way this occurs is through interaction between calcium.

How is acetylcholine removed from the synaptic cleft?

Acetylcholine is removed from the synaptic cleft by an specialized enzyme located in the synaptic cleft called acetylcholinesterase (AChE).

Which of the following ions cause the presynaptic vesicles to fuse with the presynaptic membrane and release a neurotransmitter into the synaptic area?

Calcium ionsCalcium ions cause the synaptic vesicle to enter into the synaptic area and release its neurotransmitter, which will bind to the postsynaptic membrane.

Which of the following events will lead to depolarization?

Depolarization is caused when positively charged sodium ions rush into a neuron with the opening of voltage-gated sodium channels. Repolarization is caused by the closing of sodium ion channels and the opening of potassium ion channels.

What must happen in order for a chemical signal to change the membrane potential of a neuron?

What must happen in order for a chemical signal to change the membrane potential of a neuron? There must be a change in ion flow across the membrane.

What is Curare used for?

In 1940, Abram Elting Bennett revealed that curare could be used to reduce trauma during metrazol-induced convulsive therapy for spastic disorders in children. In 1942, Harold Griffith and Enid Johnson used curare to augment general anesthesia when performing an appendectomy.

How does curare cause death?

Animal. As a potent muscle relaxant, curare can cause death quickly by inducing asphyxia due to rapid relaxation of diaphragmatic muscles. According to one source, death from respiratory arrest can take place within a few minutes in birds and small prey, and up to 20 min in larger mammals. Curare is considered to be highly toxic.

What percentage of tubocurarine is bound to plasma proteins?

About 40–50% of a normal dose of tubocurarine is bound to plasma proteins, mostly gammaglobulins (about 25%). This binding is highly variable, giving a variable amount of non-bound drug available for neuromuscular blockade. Metabolism does not occur.

What is tubocurarine?

Tubocurarine is the dextrorotatory isomer of curare, obtained from the bark of Chondrodendron tomentosum (Menispermaceae). It is the standard non-depolarizing neuromuscular blocking agent against which all others of the group are compared. The molecule has one quaternary and one tertiary nitrogen, the latter being protonated at body pH, making it a bisquaternary entity. Its main action at the neuromuscular junction is to block the access of acetylcholine to the receptor recognition sites competitively; it may also block some ion channels, but only to a small extent and at very high concentrations.

Where did the word "curare" come from?

The name curare is derived from the native Guyana Mukusi Indian word wurari. In 1596, Sir Walter Raleigh referred to curare in The Discovery of the Large, Rich, and Beautiful Empire of Guiana. In 1780, Abbe Felix Fontana identified the action of curare on voluntary muscles. In 1800, Alexander von Humboldt described the extraction of curare. In 1811, Sir Benjamin Collins Brodie determined that complete recovery from curare poisoning is possible provided artificial ventilation is maintained. In 1825, Charles Waterton brought curarep to Europe, and in 1835 Sir Robert Hermann Schomburgk classified and named the vine Strychnos toxifera. In 1850, George Harley demonstrated that curare could be used to treat tetanus and strychnine poisoning. By 1868, Claude Bernard and Alfred Vulpian had identified the site of action of curare as the motor end plate. From 1887, curare was marketed for medical use by Burroughs Welcome. In 1900, Jacob Pal recognized that physostigmine could be used to antagonize the effects of curare. In 1912, Arthur Lawen demonstrated the use of curare during surgery, but this potential was not realized as the finding was published in German. In 1914, Henry Hallett Dale described the action of acetylcholine. In 1935, Harold King isolated d-tubocurarine and described its structure, while in 1936 Dale revealed the role of acetylcholine in neuromuscular transmission and the mechanism of action for curare. In 1940, Abram Elting Bennett revealed that curare could be used to reduce trauma during metrazol-induced convulsive therapy for spastic disorders in children. In 1942, Harold Griffith and Enid Johnson used curare to augment general anesthesia when performing an appendectomy. Curare was used surgically until the development of safer synthetic neuromuscular blocking analogues such as Pancuronium (in 1964), Vecuronium (in 1979), Mivacurium (in 1993), and Rocuronium (in 1994).

Did Bernard Curare uncouple motor nerves?

Unfortunately, after having made substantial progress toward a modern understanding of the actions of curare, Bernard became confused by certain observations in the late 1850s and by 1865 concluded erroneously that curare physiologically uncoupled motor nerves from the spinal cord.

Who brought curarep to Europe?

In 1825, Charles Waterton brought curarep to Europe, and in 1835 Sir Robert Hermann Schomburgk classified and named the vine Strychnos toxifera. In 1850, George Harley demonstrated that curare could be used to treat tetanus and strychnine poisoning.

Why is curare important?

Later, as medicinal knowledge grew it was used as a natural remedy for many illnesses. Curare became a tool for humans that was versatile and important through out time. This plants defense system has intertwined with human nature to kill and to cure. Citations: Chondrodendron tomentosum.

What is the name of the plant that kills animals?

Historically the curare plant was used to poison and kill people and animals. Curare is full of secondary metabolites called alkaloids. The type of alkaloid that curare possesses is called D-tubocuraine (C 37 H 41 N 2 O 6+ ). Which acts as a neurotoxin that shuts down a nervous system.

What is the curare plant used for?

The curare plant wasn’t only used to kill. This plant soon raised the interest of European scientists in the mid-20 th century who found a way to use its deadly neurotoxin as a muscle relaxant. This was an extremely useful tool to doctors when someone was under anesthesia. This plant gained popularity as the medical field expanded its horizons.

What happens if you get pierced with a poison arrow?

You’ve just been pierced with a poison covered arrow. You feel your muscles start to relax and your breathing slow. Complete paralysis overcomes your body and you slowly slip into darkness. This is what you would experience if you came into deadly contact with the Curare plant.

What are the effects of D-tubocuraine?

The effects of D-tubocuraine were only seen when the plant entered into the bloodstream. Victims of the poison lined arrows would quickly enter paralysis and death followed soon after (Click here to learn more about the neurotoxin D-tubocuraine).

What are the two groups of chemicals that make up a plant?

Plants contain two groups of chemicals, primary and secondary metabolites. Primary metabolites are chemicals that ensure the plant grows and develops properly. Secondary metabolites have many different functions. Some secondary metabolite chemicals act as a defense system for the plant.

How long are the leaves on a sage vine?

This plant is a woody vine that climbs up towards the canopy. It has big leaves that stretch 6 to 8 inches long. These leaves are displayed in an alternate pattern. The top of the leave is smooth and green, while the bottom is lined with a white fuzz.

How does curare cause death?

Animal. As a potent muscle relaxant, curare can cause death quickly by inducing asphyxia due to rapid relaxation of diaphragmatic muscles. According to one source, death from respiratory arrest can take place within a few minutes in birds and small prey, and up to 20 min in larger mammals. Curare is considered to be highly toxic.

What is Curare used for?

In 1940, Abram Elting Bennett revealed that curare could be used to reduce trauma during metrazol-induced convulsive therapy for spastic disorders in children. In 1942, Harold Griffith and Enid Johnson used curare to augment general anesthesia when performing an appendectomy.

When was Curare first used?

Curare (also called D-tubocurare) was the first paralytic used in anesthesia, but it has been replaced by newer agents. It was introduced to anesthesia around 1940. It was discovered in South America and was first used in poison arrows for hunting. It is harvested from the plant Strychnos toxifera.

What is d-tubocurarine used for?

d-Tubocurarine (curare), was the first antagonist used in experiments at the neuromuscular junction, and has been used in neuronal preparations as well. It acts via a competitive mechanism and blocks all nAChR subtypes with little specificity. It also has been shown to block GABAA ( Wotring and Yoon, 1995 ), glycine ( Zhang and Berg, 1995 ), and 5-HT3 receptors ( Pedersen and Cohen, 1990 ). With such a wide range of activities, d -tubocurarine is of limited utility.

How old are babies when they are breastfed?

All four mothers breastfed their infants (less than 6 months of age) and none of them showed any signs of drowsiness or dizziness ( Stuttmann 2010 ). Excretion of thiopental into mature milk and the colostrum was studied in eight women undergoing either minor surgery or caesarean section.

What is the name of the blocker of the nachr?

Hexamethonium (Hex) and mecamylamine (Mec) are classical blockers of autonomic ganglia nAChRs. They are also used to block central nAChRs. They act via noncompetitive mechanisms, probably by occluding the channel pore. Blockade may be voltage-dependent, which is an important caveat in electrophysiology experiments.

What is the action of aminoglycosides?

The aminoglycosides have a curare-like action , which can be antagonized by calcium ions and prostigmine. In cases requiring general anesthesia, the effect of muscle relaxants such as d -tubocurarine can be potentiated by aminoglycosides.

What is curare and what was it originally used for?

Curare is the name given to various highly toxic substances used by certain indigenous tribes in South America to poison their hunting arrows.

Where does curare come from?

The various highly toxic substances referred to as ‘curare’ are extracted from plants. Curare can be extracted from plants such as those from the genus Strychnos, including S. toxifera and S. castelnaea, and plants from the Menispermaceae family, including chondrodendron tomentosum.

How does curare work?

Curare works in different ways depending on the plant it is extracted from and exactly what toxin it is. In general, however, curare is known for being a neurotoxin that can cause muscle paralysis when it enters the bloodstream.

What medical uses did curare have?

During the late 19th and early 20th centuries curare began to be used for the treatment of various diseases, including hydrophobia (an irrational fear of water and symptom of rabies), chorea (jerky involuntary movements), epilepsy and conditions causing muscle spasms.

What does curare do?

and kill animals. Curare acts at synapses between motor neurons and skeletal muscle cells. When. a motor neuron synapses with a skeletal muscle cell, the skeletal muscle cell may be stimulated.

Do mouse eat scorpions?

However, the southern grasshopper. mouse is essentially immune to the sting of this scorpion and actually eats the scorpions as prey. Researchers have recently elucidated the neuronal reason for why the southern grasshopper.

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Overview

History

The word 'curare' is derived from wurari, from the Carib language of the Macusi of Guyana. It has its origins in the Carib phrase "mawa cure" meaning of the Mawa vine, scientifically known as Strychnos toxifera. Curare is also known among indigenous peoples as Ampi, Woorari, Woorara, Woorali, Wourali, Wouralia, Ourare, Ourari, Urare, Urari, and Uirary.

Chemical structure

The various components of curare are organic compounds classified as either isoquinoline or indole alkaloids. Tubocurarine is one of the major active components in the South American dart poison. As an alkaloid, tubocurarine is a naturally occurring compound that consists of nitrogenous bases, although the chemical structure of alkaloids is highly variable.

Pharmacological properties

Curare is an example of a non-depolarizing muscle relaxant that blocks the nicotinic acetylcholine receptor (nAChR), one of the two types of acetylcholine (ACh) receptors, at the neuromuscular junction. The main toxin of curare, d-tubocurarine, occupies the same position on the receptor as ACh with an equal or greater affinity, and elicits no response, making it a competitive antagonist. …

Plant sources

There are dozens of plants from which isoquinoline and indole alkaloids with curarizing effects can be isolated, and which were utilized by indigenous tribes of Central and South America for the production of arrow poisons. Among them are:
In family Menispermaceae:
• Genus Chondrodendron notably C. tomentosum

Toxicity

The toxicity of curare alkaloids in humans has not been established. Administration must be parenterally, as gastro-intestinal absorption is ineffective.
LD50 (mg/kg)
human: 0.735 est. (form and method of administration not indicated)
mouse: pot: 0.8–25; tubo: 5-10; calabash: 2–15.

Preparation

In 1807, Alexander von Humboldt provided the first eye-witness account of curare preparation. A mixture of young bark scrapings of the Strychnos plant, other cleaned plant parts, and occasionally snake venom is boiled in water for two days. This liquid is then strained and evaporated to create a dark, heavy, viscid paste that would be tested for its potency later. This curare paste was described to be very bitter in taste.

Diagnosis and management of curare poisoning

Curare poisoning can be indicated by typical signs of neuromuscular-blocking drugs such as paralysis including respiration but not directly affecting the heart.
Curare poisoning can be managed by artificial respiration such as mouth-to-mouth resuscitation. In a study of 29 army volunteers that were paralyzed with curare, artificial respiration managed to keep an oxygen saturation of always above 85%, a level at which there is no evidence of altered st…

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