Happy Thanksgiving to those of you in the US! Happy Thursday to the rest of y'all.

I told you these were coming during my #amwriting breaks! In the spirit of overeating and edible things, here's the toxic tale of COPRINE.
The inkcap mushrooms, or "inky caps", are edible mushrooms with a mild flavor. I know, you're here for the poisonous mushrooms, not the edible ones. It is edible, but not when you consume them with alcohol! Weird, I know, but I'll explain. [pic by Nick Saltmarsh (CC BY-2.0)]
The ink caps contain a chemical called COPRINE. It's not too special, though the cyclopropyl group (the triangle part) is always fun to see in natural products. The problem with COPRINE is when it is metabolized. When ingested, the body breaks it down to AMINOCYCLOPROPANOL.
What the hell is AMINOCYCLOPROPANOL you ask? It's an inhibitor - stops the function of - aldehyde dehydrogenase. If you drink alcohol, you're very lucky to have these enzymes.
When you drink alcohol, your body wants to get rid of it. It does this by oxidizing ethanol to acetaldehyde with the enzyme alcohol dehydrogenase. Our bodies haaaates acetaldehyde, and further oxidizes it to acetic acid with aldehyde dehydrogenase. Ethanol crisis averted!
So I said our body hates acetaldehyde. It does. We do. Acetaldehyde is super toxic to the body. But it also makes us sick. It makes us nauseous and flushed - that "I'm never drinking again" feeling. So we need aldehyde dehydrogenase to get rid of it for us.
Since we already established AMINOCYCLOPROPANOL is an inhibitor of aldehyde dehydrogenase, it stops the conversion of acetaldehyde to acetic acid, building up acetaldehyde in the body, making you feel super sick and nauseous.
What else works this way, as an inhibitor of aldehyde dehydrogenase? Disulfiram, also known as Antabuse, which is used as a negative reinforcement to drinking alcohol. So you take it daily, and if you consume alcohol, you'll get violently sick and feel like ass.
I love COPRINE because it's not a poison in and of itself, just in combination with alcohol. It's sneaky like that. It's an ED doctor's nightmare.
People come into the ED nauseous and sick and the doctor sees they ate wild mushrooms. Bingo! But not everyone that ate them got sick, and not the kids, who are usually the most susceptible to poisonings. AGHHH! Fortunately, I don't know of any fatalities, you just feel like ass.
So that's the story of COPRINE and the dangers of eating inky cap mushrooms with alcohol. A little bit of chemistry, biology, biochemistry, toxicology, and medicine all rolled into one toxic tale. Enjoy your day everyone!

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More from @NaturesPoisons

25 Nov
As promised, more toxic tales as I take a break from #amwriting. What I love about poisons is where it takes you: chemistry, biology, history... maybe the ED or a shallow grave.

Today we'll talk about the neurotoxic, hiccup-inducing, destroyer of kidneys CARAMBOXIN.
Caramboxin is found in starfruit, the fruit that is, uh, shaped like stars. It grows throughout Southeast Asia and tastes like a citrusy apple to me. It's a unique flavor and I rather like it. [pic by Ting W. Chang (CC BY-2.0)]
But you don't want to eat too much of it. I already spoiled it - I'm rightfully accused of being too "telly" in my writing - because of caramboxin.

Caramboxin is a non-proteinogenic amino acid - it's not encoded into our DNA or needed for anything. It's strictly a poison.
Read 13 tweets
24 Nov
I have the rest of the week off, so when I take a break from #amwriting, expect a bunch of these.

You've heard of capsaicin, right? The the "hot" chemical in chili peppers? Today I present you with RESINIFERATOXIN. It's 🔥🔥🔥!
The resin spurge plant, Euphorbia resinifera is a cactus-y type thing found in north Africa. If you cut it open, it exudes a milky latex that contains resiniferatoxin. But watch out! [Pic by James Steakley (CC BY-SA 3.0)]
Resiniferatoxin is about 1000-times "hotter" than capsaicin. It's likely the hottest, most painful toxin on the planet, so I advise not putting it in your chili or making a hot sauce out of it.
Read 9 tweets
26 Aug
*Internal screaming*

Every reputable and credible forensic pathologist and toxicologist has issues with this "reporting."

A thread, as the kids say.
First, forensic toxicology, or any part of a medico-legal death investigation, can not be done in a vacuum. I made this for death investigation talks. It's like the fire triangle: heat, fuel, air. To determine a cause of death we need: Investigation, Pathology, and Toxicology.
Second, yes, George Floyd had illicit fentanyl in his blood (the methamphetamine is so trivial a lot of labs wouldn't even bother confirming or reporting it). No one is disputing this, nor should they.

Was it fatal? LOL, no. He was walking and talking not dead on a couch.
Read 13 tweets
6 Jun 19
It's Toxicology Thursday!
Let's talk about Tinyatoxin. It's got a funny name, which is why I chose it, but there's nothing tiny about the pain it produces...it brings the heat, literally.
On the chemistry side of things, it's got a super weird structure. That tri-phenoxyethyl ether thingy is odd (that's the top part, with the three oxygens (O's) I'm talking about). I don't know if I've seen a structure with one of those before, and I've seen a lot of structures.
On the botany side, tinyatoxin is produced in the succulent plant Euphorbia poissonii, which is native to Nigeria and west Africa. If you cut it open it exudes a milky latex that contains, you guessed it, tinyatoxin.
Read 13 tweets
17 Apr 19
A is for aconitine,
the Queen of Poisons she’s called.
Acting on ion-channels
flutters the heart, leaves it mauled.

There is plenty in Monkshood,
roots and leaves look delicious.
But snuck into a curry
is awfully suspicious.
B is for batrachotoxin,
it’s a bit difficult to say.
On the skin of poison dart frogs,
just one lick will ruin your day.

Paralysis sets in quickly
while depolarizing your nerves.
Remember when you are frozen,
dart frogs make horrible hors d’oeuvres.
C is for cantharidin,
from the blister beetle bug.
Also known as Spanish Fly,
honestly a bad love drug.

A rather simple structure
makes your skin disintegrate.
But be aware, you could die,
if you’re poisoned by your date.
Read 27 tweets
20 Dec 18
Dropping a bit of knowledge for a Toxicology Thursday.
Did you know that your lungs - you likely have two of them (I hope) -don't weigh the same? Your right one weighs more than the left. Mean masses (R/L) are 450/500g in males and 350/300g in females. How come, you ask?
Why? It's your heart. As a kid we're told our heart is on the left side, then we learn that it's really in the center. Then someone like me says, "you know what, it really is a little bit to the left." This takes up a bit of space from the left lung, hence the weight difference.
They even have different numbers of lobes. The right lung has 3 lobes, and the left lobe has 2. You're probably wondering why a toxicologist even cares about this, aren't you? Well, it has to do with opiate deaths. Lingering opiate deaths to be specific.
Read 15 tweets

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