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A pilot study for construction of a new cadmium-sensing yeast strain carrying a reporter plasmid with the JLP1 promoter. 一种携带JLP1启动子的报告质粒的镉敏感酵母菌株的构建的初步研究。
Pub Date : 2017-02-01 DOI: 10.2131/jts.42.103
Sayoko Ito‐Harashima, Y. Mizutani, Motoshi Nishimura, Hyo Jeong Kim, Y. Kim, Hyun Soo Kim, Ji Hye Bae, Preeyaporn Koedrith, M. Kawanishi, Y. Seo, T. Yagi
Cadmium contamination still occurs in some parts of the world, and its concentrations in the environment are monitored in most countries due to its adverse effects on human health. We herein established yeast (Saccharomyces cerevisiae) reporter assay strains carrying plasmids with the yeast JLP1, SEO1, and CUP1 promoters connected to the bacterial lacZ reporter gene. The strain carrying the high-copy number pESC-JLP1-lacZ reporter plasmid was more responsive to cadmium than strains with other reporter plasmids. This JLP1-lacZ reporter assay strain will be useful for monitoring cadmium contamination in environmental water and soil as a first screening tool preceding official instrumental analyses, because the assay is rapid, easy to handle, and has the ability to process a large number of samples at a low cost.
镉污染仍在世界某些地区发生,由于其对人类健康的不利影响,大多数国家对其在环境中的浓度进行监测。我们在此建立了酵母(Saccharomyces cerevisiae)报告基因试验菌株,该菌株携带与细菌lacZ报告基因连接的酵母JLP1, SEO1和CUP1启动子质粒。携带高拷贝数pESC-JLP1-lacZ报告质粒的菌株比携带其他报告质粒的菌株对镉的响应更强。该JLP1-lacZ报告分析菌株将用于监测环境水和土壤中的镉污染,作为正式仪器分析之前的第一筛选工具,因为该分析快速,易于操作,并且能够以低成本处理大量样品。
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引用次数: 3
Data-intensive drug development in the information age: applications of Systems Biology/Pharmacology/Toxicology. 信息时代数据密集型药物开发:系统生物学/药理学/毒理学的应用。
Pub Date : 2016-12-20 DOI: 10.2131/jts.41.SP15
N. Kiyosawa, S. Manabe
Pharmaceutical companies continuously face challenges to deliver new drugs with true medical value. R&D productivity of drug development projects depends on 1) the value of the drug concept and 2) data and in-depth knowledge that are used rationally to evaluate the drug concept's validity. A model-based data-intensive drug development approach is a key competitive factor used by innovative pharmaceutical companies to reduce information bias and rationally demonstrate the value of drug concepts. Owing to the accumulation of publicly available biomedical information, our understanding of the pathophysiological mechanisms of diseases has developed considerably; it is the basis for identifying the right drug target and creating a drug concept with true medical value. Our understanding of the pathophysiological mechanisms of disease animal models can also be improved; it can thus support rational extrapolation of animal experiment results to clinical settings. The Systems Biology approach, which leverages publicly available transcriptome data, is useful for these purposes. Furthermore, applying Systems Pharmacology enables dynamic simulation of drug responses, from which key research questions to be addressed in the subsequent studies can be adequately informed. Application of Systems Biology/Pharmacology to toxicology research, namely Systems Toxicology, should considerably improve the predictability of drug-induced toxicities in clinical situations that are difficult to predict from conventional preclinical toxicology studies. Systems Biology/Pharmacology/Toxicology models can be continuously improved using iterative learn-confirm processes throughout preclinical and clinical drug discovery and development processes. Successful implementation of data-intensive drug development approaches requires cultivation of an adequate R&D culture to appreciate this approach.
制药公司不断面临着提供具有真正医疗价值的新药的挑战。药物开发项目的研发效率取决于1)药物概念的价值和2)合理使用数据和深度知识来评估药物概念的有效性。基于模型的数据密集型药物开发方法是创新制药公司减少信息偏差、合理展示药物概念价值的关键竞争因素。由于公共生物医学信息的积累,我们对疾病病理生理机制的理解有了很大的发展;它是确定正确的药物靶点和创造具有真正医学价值的药物概念的基础。我们对疾病动物模型的病理生理机制的理解也可以得到改善;因此,它可以支持将动物实验结果合理地外推到临床环境中。系统生物学方法利用公开可用的转录组数据,对这些目的很有用。此外,应用系统药理学可以动态模拟药物反应,从中可以充分了解后续研究中要解决的关键研究问题。系统生物学/药理学在毒理学研究中的应用,即系统毒理学,应该大大提高临床情况下药物诱导毒性的可预测性,而传统的临床前毒理学研究很难预测这些毒性。系统生物学/药理学/毒理学模型可以在整个临床前和临床药物发现和开发过程中使用迭代学习-确认过程不断改进。数据密集型药物开发方法的成功实施需要培养足够的研发文化来欣赏这种方法。
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引用次数: 4
Differential toxicity between perfluorooctane sulfonate (PFOS) and perfluorooctanoic acid (PFOA). 全氟辛烷磺酸(PFOS)和全氟辛酸(PFOA)的毒性差异。
Pub Date : 2016-12-20 DOI: 10.2131/jts.41.SP27
S. Tsuda
Perfluoroalkyl substances (PFASs) are persistent environmental contaminants. Perfluorooctane sulfonate (PFOS) and Perfluorooctanoic acid (PFOA) are representatives of PFASs. Recently, the U.S. Environmental Protection Agency (US EPA) set the health advisory level as 70 parts per trillion for lifetime exposure to PFOS and PFOA from drinking water, based on the EPA's 2016 Health Effects Support Documents. Then, a monograph on PFOA was made available online by the International Agency for Research on Cancer, where the agency classified PFOA as "possibly carcinogenic to humans" (Group 2B). The distinction between PFOS and PFOA, however, may not be easily understood from the above documents. This paper discussed differential toxicity between PFOS and PFOA focusing on neurotoxicity, developmental toxicity and carcinogenicity, mainly based on these documents. The conclusions are as follows: Further mechanistic studies may be necessary for ultrasonic-induced PFOS-specific neurotoxicity. To support the hypothesis for PFOS-specific neonatal death that PFOS interacts directly with components of natural lung surfactant, in vivo studies to relate the physicochemical effects to lung collapse may be required. PFOA-induced DNA damage secondary to oxidative stress may develop to mutagenicity under the condition where PFOA-induced apoptosis is not sufficient to remove the damaged cells. A study to find whether PFOA induces apoptosis in normal human cells may contribute to assessment of human carcinogenicity. Studies for new targets such as hepatocyte nuclear factor 4α (HNF4α) may help clarify the underlying mechanism for PFOA-induced carcinogenicity.
全氟烷基物质(PFASs)是持久性环境污染物。全氟辛烷磺酸(PFOS)和全氟辛酸(PFOA)是全氟辛烷磺酸的代表。最近,美国环境保护署(US EPA)根据其2016年健康影响支持文件,将饮用水中全氟辛烷磺酸和全氟辛烷磺酸终生暴露的健康咨询水平定为70万亿分之一。随后,国际癌症研究机构在网上发布了一份关于PFOA的专著,该机构将PFOA归类为“可能对人类致癌”(2B组)。然而,从上述文件中可能不容易理解全氟辛烷磺酸和全氟辛酸之间的区别。本文主要在此基础上,从神经毒性、发育毒性和致癌性三个方面讨论了全氟辛烷磺酸和全氟辛烷磺酸的毒性差异。结论:超声诱发全氟辛烷磺酸特异性神经毒性的机制有待进一步研究。为了支持全氟辛烷磺酸与天然肺表面活性剂组分直接相互作用的全氟辛烷磺酸特异性新生儿死亡假说,可能需要进行体内研究,以将物理化学效应与肺衰竭联系起来。当pfoa诱导的细胞凋亡不足以清除受损细胞时,pfoa诱导的氧化应激继发性DNA损伤可能发展为致突变性。研究PFOA是否能诱导正常人体细胞凋亡,可能有助于人类致癌性的评估。对肝细胞核因子4α (HNF4α)等新靶点的研究可能有助于阐明pfoa诱导致癌性的潜在机制。
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引用次数: 55
Chemical toxicology of reactive species in the atmosphere: two decades of progress in an electron acceptor and an electrophile. 大气中活性物质的化学毒理学:电子受体和亲电试剂的二十年研究进展。
Pub Date : 2016-12-20 DOI: 10.2131/jts.41.SP37
Y. Kumagai, Y. Abiko, Nho Luong Cong
Air pollutants such as diesel exhaust particles (DEP) are thought to cause pulmonary diseases such as asthma as a result of oxidative stress. While DEP contain a large number of polycyclic aromatic hydrocarbons, we have focused on 9,10-phenanthrenequinone (9,10-PQ) and 1,2-naphthoquinone (1,2-NQ) because of their chemical properties based on their oxidative and chemical modification capabilities. We have found that 9,10-PQ interacts with electron donors such as NADPH (in the presence of enzymes) and dithiols, resulting in generation of excess reactive oxygen species (ROS) through redox cycling. We have also shown that 1,2-NQ is able to modify protein thiols, leading to protein adducts associated with activation of redox signal transduction pathways at lower concentrations and toxicity at higher concentrations. In this review, we briefly introduce our findings from the last two decades.
人们认为,柴油废气颗粒(DEP)等空气污染物会导致肺部疾病,如哮喘,这是氧化应激的结果。虽然DEP含有大量的多环芳烃,但我们主要关注9,10-菲醌(9,10- pq)和1,2-萘醌(1,2- nq),因为它们的化学性质基于它们的氧化和化学修饰能力。我们发现9,10- pq与NADPH(在酶的存在下)和二硫醇等电子供体相互作用,通过氧化还原循环产生过量的活性氧(ROS)。我们还发现1,2- nq能够修饰蛋白质硫醇,导致蛋白质加合物在较低浓度下激活氧化还原信号转导途径,而在较高浓度下产生毒性。在这篇综述中,我们简要介绍了我们近二十年来的发现。
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引用次数: 5
History and development of The Journal of Toxicological Sciences. 《毒理学杂志》的历史和发展。
Pub Date : 2016-12-20 DOI: 10.2131/jts.41.SP11
A. Naganuma
The Journal of Toxicological Sciences, published by The Japanese Society of Toxicology (JSOT), is an international scientific journal covering the entire field of toxicology. This article reviews the history of The Journal of Toxicological Sciences as well as actions taken by the Editorial Committee to improve the journal and the results of these initiatives.
日本毒理学学会(JSOT)出版的《毒理学科学杂志》是一本涵盖整个毒理学领域的国际性科学期刊。本文回顾了《毒理学科学杂志》的历史,以及编辑委员会为改进杂志所采取的行动和这些举措的结果。
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引用次数: 0
Endoplasmic reticulum stress is involved in 2,4-dichlorophenol-induced hepatotoxicity. 内质网应激参与2,4-二氯酚诱导的肝毒性。
Pub Date : 2016-12-01 DOI: 10.2131/JTS.41.745
Jianbo Fu, Xiaoning Zhang, Peng Chen, Yingmei Zhang
2,4-Dichlorophenol (2,4-DCP) is an environmental pollutant exhibiting a wide spectrum of toxic effects. We investigated the toxic effects and potential mechanisms underlying 2,4-DCP-induced hepatotoxicity. In vitro, 2,4-DCP caused hepatotoxicity manifested by a decrease in cell viability and inhibition of colony formation. Bip and CHOP expression was up-regulated at the mRNA and protein levels. Moreover, 2,4-DCP induced eIF2α phosphorylation and Xbp1 mRNA splicing, indicating that endoplasmic reticulum (ER) stress was activated after exposure of HL7702 cells to 2,4-DCP for 12 hr. Furthermore, the mitochondrial membrane potential collapsed and apoptosis was triggered after exposure to 2,4-DCP for 24 hr. In vivo, 2,4-DCP caused histological changes in the liver, and dramatically elevated the serum alanine transaminase (ALT) and aspartate aminotransferase (AST) levels of mice. ER stress was also triggered in the liver of mice on days 1 and 3. The ER stress inhibitor TUDCA could partly relieve the liver damage, as indicated by the restoration of serum ALT and AST levels. Taken together, our results demonstrated that ER stress may serve as an early warning mechanism against 2,4-DCP-induced hepatotoxicity, and severe ER stress may lead to apoptosis.
2,4-二氯苯酚(2,4- dcp)是一种具有广泛毒性作用的环境污染物。我们研究了2,4- dcp诱导肝毒性的毒性作用和潜在机制。在体外,2,4- dcp引起肝毒性,表现为细胞活力降低和集落形成抑制。在mRNA和蛋白水平上上调Bip和CHOP的表达。此外,2,4- dcp诱导eIF2α磷酸化和Xbp1 mRNA剪接,表明在暴露于2,4- dcp 12小时后,HL7702细胞内质网(ER)应激被激活。2,4- dcp作用24小时后,线粒体膜电位塌陷,细胞凋亡。在体内,2,4- dcp引起小鼠肝脏组织学改变,显著提高血清谷丙转氨酶(ALT)和天冬氨酸转氨酶(AST)水平。在第1天和第3天,小鼠肝脏也会触发内质网应激。内质网应激抑制剂TUDCA可部分缓解肝损伤,恢复血清ALT和AST水平。综上所述,我们的研究结果表明内质网应激可能是2,4- dcp诱导的肝毒性的早期预警机制,严重的内质网应激可能导致细胞凋亡。
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引用次数: 20
Quinone-mediated induction of cytochrome P450 1A1 in HepG2 cells through increased interaction of aryl hydrocarbon receptor with aryl hydrocarbon receptor nuclear translocator. 醌通过增加芳烃受体与芳烃受体核转运子的相互作用诱导HepG2细胞的细胞色素P450 1A1。
Pub Date : 2016-12-01 DOI: 10.2131/JTS.41.775
Y. Abiko, Fang Lin, Hsinyu Lee, A. Puga, Y. Kumagai
While it has long been believed that benzenes and naphthalenes are unable to activate the aryl hydrocarbon receptor (AhR) because they are poor ligands, we recently reported that these quinoid metabolites upregulated cytochrome P450 1A1 (CYP1A1) in Hepa1c1c7 cells (Abiko et al., 2015). In the current study, AhR activation, measured with a bioluminescence-based cell free assay, was induced by 1,2-naphthoquinone (1,2-NQ), a metabolite of naphthalene. Consistent with this, 1,4-benzoquinone (1,4-BQ), tert-butyl-1,4-BQ, and 1,4-NQ, as well as 1,2-NQ, all electrophilic mono- and bi-cyclic quinones, upregulated CYP1A1 mRNA and protein in HepG2 cells, whereas their parent aromatic hydrocarbons had little effect. Furthermore, immunofluorescence analysis confirmed that these quinones enhanced translocation of AhR to the nucleus.
虽然人们一直认为苯和萘不能激活芳烃受体(AhR),因为它们是不良配体,但我们最近报道了这些醌代谢产物上调Hepa1c1c7细胞中的细胞色素P450 1A1 (CYP1A1) (Abiko et al., 2015)。在目前的研究中,用基于生物发光的无细胞测定法测量AhR的激活,是由萘的代谢物1,2-萘醌(1,2- nq)诱导的。与此一致的是,1,4-苯醌(1,4- bq)、叔丁基-1,4- bq、1,4- nq以及1,2- nq,所有亲电的单环和双环醌都能上调HepG2细胞中CYP1A1 mRNA和蛋白,而它们的亲本芳香烃几乎没有影响。此外,免疫荧光分析证实,这些醌类促进了AhR向细胞核的易位。
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引用次数: 9
A crucial role of constitutive androstane receptor (CAR) in liver tumor development by imazalil in mice. 组成型雄甾受体(CAR)在伊马唑利小鼠肝肿瘤发生中的重要作用。
Pub Date : 2016-12-01 DOI: 10.2131/JTS.41.801
K. Tamura, Kaoru Inoue, Miwa Takahashi, S. Matsuo, Y. Kodama, Midori Yoshida
To clarify the major pathway of liver tumor development induced by imazalil (IMA), an imidazole fungicide, male constitutive androstane receptor (CAR)-knockout (CARKO) and wild-type (WT) mice were treated with IMA at 500 ppm in the diet up to 27 weeks after initiation by diethylnitrosamine. After 27 weeks of treatment, neither altered foci nor adenomas were significantly increased in CARKO mice, whereas both eosinophilic altered foci and adenomas were increased in WT mice. After 4 or 13 weeks of IMA treatment, liver hypertrophy was observed at the tumor-inducible dose without differences among genotypes or durations. Analysis of hepatic drug metabolite enzymes, performed after administration of multiple doses during a 1-week period, indicated that pregnane X receptor might be involved in liver hypertrophy because IMA markedly elevated Cyp3a11 and Cyp2b10 expression levels in a dose-dependent manner in both genotypes. Our results demonstrated that the CAR pathway was the main mechanism of liver tumor development induced by IMA. The carcinogenic pathway was different from that of liver hypertrophy.
为了阐明咪唑类杀菌剂伊马唑利(imazalil, IMA)诱导肝脏肿瘤发展的主要途径,研究人员在二乙基亚硝胺启动27周后,在日粮中添加500 ppm的伊马唑利(imazalil,一种咪唑类杀菌剂)雄甾烷受体(CAR)敲除(CARKO)和野生型(WT)小鼠。治疗27周后,CARKO小鼠的病灶改变和腺瘤均未显著增加,而WT小鼠的嗜酸性灶改变和腺瘤均增加。IMA治疗4周或13周后,在肿瘤诱导剂量下观察到肝脏肥大,基因型和持续时间没有差异。在给药1周后进行的肝脏药物代谢酶分析表明,妊娠X受体可能参与肝脏肥大,因为IMA在两种基因型中以剂量依赖的方式显著提高了Cyp3a11和Cyp2b10的表达水平。我们的研究结果表明,CAR途径是IMA诱导肝脏肿瘤发展的主要机制。其致癌途径与肝脏肥大不同。
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引用次数: 8
Trifloxystrobin-induced mitophagy through mitochondrial damage in human skin keratinocytes. 三氟虫罗宾通过线粒体损伤诱导人皮肤角质形成细胞自噬。
Pub Date : 2016-12-01 DOI: 10.2131/JTS.41.731
Yoonjeong Jang, Ji-eun Kim, Sang-Hee Jeong, M. Paik, Jun Sung Kim, M. Cho
Trifloxystrobin is a strobilurin class fungicide, the mode of action of which is to block the mitochondrial electron transport chain and inhibit energy production in fungi. Although adverse effects have been reported by occupational or environmental exposure of fungicides, the pathophysiological mechanism in human cells remains poorly understood. In the present study, we investigated the impact of trifloxystrobin on exposed skin at the cellular organelle level using HaCaT, the human skin keratinocyte cell line. Cells were treated with trifloxystrobin for 48 hr and trifloxystrobin showed detrimental effects on mitochondria evidenced by altered mitochondrial membrane potential and morphology. To identify autophagic degradation of the damaged mitochondria, confocal imaging and Western blotting were performed. Trifloxystrobin induced autophagy-related proteins in HaCaT cells. The mitochondrial reactive oxygen species scavenger mitoTEMPO was applied to further explore the mechanism of trifloxystrobin-mediated mitophagy in human skin cells. PINK1 and Parkin were overexpressed by trifloxystrobin, and mitoTEMPO alleviated the effects on mitophagy induction. Taken together, our findings indicated that mitochondrial damage and mitophagy may play a role in trifloxystrobin-induced toxicity in human keratinocytes and this could be suggested as a mechanism of cutaneous diseases developed by exposure.
Trifloxystrobin是一种strobilurin类杀菌剂,其作用方式是阻断真菌线粒体电子传递链,抑制能量产生。尽管职业或环境暴露杀菌剂的不良影响已被报道,但人类细胞的病理生理机制仍然知之甚少。在本研究中,我们利用人皮肤角质形成细胞系HaCaT,从细胞器水平研究了三氟虫胺对暴露皮肤的影响。细胞用三氟虫胺处理48小时,三氟虫胺对线粒体产生有害影响,线粒体膜电位和形态发生改变。为了鉴定受损线粒体的自噬降解,进行了共聚焦成像和Western blotting。三氟虫胺诱导HaCaT细胞自噬相关蛋白。应用线粒体活性氧清除剂mitoTEMPO进一步探讨三氯虫罗宾介导的人皮肤细胞线粒体自噬机制。PINK1和Parkin被三氟虫酯过表达,mitoTEMPO减轻了诱导有丝分裂的作用。综上所述,我们的研究结果表明,线粒体损伤和线粒体自噬可能在三氯虫罗宾诱导的人类角化细胞毒性中发挥作用,这可能是暴露导致皮肤疾病的一种机制。
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引用次数: 14
Clinical characteristics of patients who overdose on multiple psychotropic drugs in Tokyo. 东京地区多种精神药物过量患者的临床特征。
Pub Date : 2016-12-01 DOI: 10.2131/JTS.41.765
S. Hori, K. Kinoshita
OBJECTIVEThe purpose of this study was to identify the clinical aspects leading to overdose of multiple psychotropic drugs, in order to determine areas which need attention in the proper treatment of overdose patients.METHODSPatients who were treated for overdose of psychotropic drugs at our emergency and critical center over two years were targeted. The clinical data was gathered from the medical records and database of all patients, including age, gender, vital signs, and laboratory data, drugs, and medical complications during hospital stay. In addition primary patient care at the emergency department was examined.RESULTSAmong the 277 patients treated during this study period, 255 (74.0%) used two or more types of psychotropic drugs. Risk factors associated with endotracheal intubation and aspiration pneumonitis included the use of antipsychotics and/or barbiturates as types of overdose drugs. The mean number of days in the ICU was 3.4 days. Seventy-four patients (26.7%) stayed 4 days or more in the ICU of which 16 patients (5.8%) still had suicidal thoughts. A significantly higher incidence of extended ICU stay or endotracheal intubation and aspiration pneumonitis was observed in the group who overdosed on more than 50 or 60 tablets of psychotropic drugs, respectively.CONCLUSIONSPatients who ingested an overdose of more than 60 tablets of psychotropic drugs should be considered a high-risk group requiring intensive care with extended ICU stay. In case of including antipsychotics and/or barbiturates, the patient should be observed carefully due to a higher risk of medical complications.
目的探讨导致多种精神药物用药过量的临床因素,以确定用药过量患者在合理治疗中应注意的问题。方法选取在我院急危中心接受过2年以上精神药物过量治疗的患者为研究对象。临床资料收集自所有患者的病历和数据库,包括年龄、性别、生命体征、实验室数据、用药情况和住院期间的医疗并发症。此外,还对急诊科的初级病人护理进行了检查。结果277例患者中,有255例(74.0%)使用两种及两种以上精神药物。与气管内插管和吸入性肺炎相关的危险因素包括抗精神病药物和/或巴比妥类药物的过量使用。在ICU的平均住院天数为3.4天。74例(26.7%)患者在ICU停留4天及以上,其中16例(5.8%)患者仍有自杀念头。过量服用精神药物超过50片或60片的组,ICU住院时间延长、气管插管和吸入性肺炎的发生率均显著高于对照组。结论精神药物服用过量超过60片的患者应考虑为高危人群,需要延长ICU住院时间。在包括抗精神病药物和/或巴比妥类药物的情况下,由于较高的医疗并发症风险,应仔细观察患者。
{"title":"Clinical characteristics of patients who overdose on multiple psychotropic drugs in Tokyo.","authors":"S. Hori, K. Kinoshita","doi":"10.2131/JTS.41.765","DOIUrl":"https://doi.org/10.2131/JTS.41.765","url":null,"abstract":"OBJECTIVE\u0000The purpose of this study was to identify the clinical aspects leading to overdose of multiple psychotropic drugs, in order to determine areas which need attention in the proper treatment of overdose patients.\u0000\u0000\u0000METHODS\u0000Patients who were treated for overdose of psychotropic drugs at our emergency and critical center over two years were targeted. The clinical data was gathered from the medical records and database of all patients, including age, gender, vital signs, and laboratory data, drugs, and medical complications during hospital stay. In addition primary patient care at the emergency department was examined.\u0000\u0000\u0000RESULTS\u0000Among the 277 patients treated during this study period, 255 (74.0%) used two or more types of psychotropic drugs. Risk factors associated with endotracheal intubation and aspiration pneumonitis included the use of antipsychotics and/or barbiturates as types of overdose drugs. The mean number of days in the ICU was 3.4 days. Seventy-four patients (26.7%) stayed 4 days or more in the ICU of which 16 patients (5.8%) still had suicidal thoughts. A significantly higher incidence of extended ICU stay or endotracheal intubation and aspiration pneumonitis was observed in the group who overdosed on more than 50 or 60 tablets of psychotropic drugs, respectively.\u0000\u0000\u0000CONCLUSIONS\u0000Patients who ingested an overdose of more than 60 tablets of psychotropic drugs should be considered a high-risk group requiring intensive care with extended ICU stay. In case of including antipsychotics and/or barbiturates, the patient should be observed carefully due to a higher risk of medical complications.","PeriodicalId":231048,"journal":{"name":"The Journal of toxicological sciences","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122384169","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 11
期刊
The Journal of toxicological sciences
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