4.7 Article

Multiple neurological effects associated with exposure to organophosphorus pesticides in man

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TOXICOLOGY
卷 484, 期 -, 页码 -

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ELSEVIER IRELAND LTD
DOI: 10.1016/j.tox.2022.153407

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Organophosphorus compounds; Toxicity; Neurotoxicity; Acetylcholinesterase; Neurology; Neurodegenerative diseases

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This article examines the potential link between organophosphorus (OP) pesticides and neurological disorders, including dementia, attention deficit hyperactivity disorder, neurodevelopment, autism, cognitive development, Parkinson's disease, and chronic organophosphate-induced neuropsychiatric disorder. These effects are primarily observed after chronic exposure to low doses of OP pesticides. The article also discusses three well-defined neurotoxic effects in humans resulting from single doses of OP compounds. These effects include the cholinergic syndrome, the intermediate syndrome, and organophosphate-induced delayed polyneuropathy. Poisoning can generally be prevented through improved administrative control, restricted access to OP pesticides, effective personal protection measures, and education for OP pesticide applicators and medical staff.
This article reviews available data regarding the possible association of organophosphorus (OP) pesticides with neurological disorders such as dementia, attention deficit hyperactivity disorder, neurodevelopment, autism, cognitive development, Parkinson's disease and chronic organophosphate-induced neuropsychiatric disorder. These effects mainly develop after repeated (chronic) human exposure to low doses of OP. In addition, three well defined neurotoxic effects in humans caused by single doses of OP compounds are discussed. Those effects are the cholinergic syndrome, the intermediate syndrome and organophosphate-induced delayed polyneuropathy. Usually, the poisoning can be avoided by an improved administrative control, limited access to OP pesticides, efficient measures of personal protection and education of OP pesticide applicators and medical staff.

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