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Erschienen in: Forensic Toxicology 2/2023

06.01.2023 | Review Article

Acute, chronic, and post-mortem toxicity: a review focused on three different classes of new psychoactive substances

verfasst von: Caio H. P. Rodrigues, Lívia S. Mariotto, Jade S. Castro, Paulo H. Peruquetti, Newton C. Silva-Junior, Aline T. Bruni

Erschienen in: Forensic Toxicology | Ausgabe 2/2023

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Abstract

Purpose

New psychoactive substances (NPS) are not controlled under the Single Convention on Narcotic Drugs of 1961 or the 1971 Convention, but they may pose a public health threat. Knowledge of the main properties and toxicological effects of these substances is lacking. According to the current Drugs Law (Law n. 11.343/2006), the Brazilian Surveillance Agency issues directives for forbidden substances in Brazil, and structural classes of synthetic cannabinoids, cathinones, and phenylethylamines are considered illicit drugs. Considering that data on these controlled substances are scattered, the main objective of this work was to collect and organize data to generate relevant information on the toxicological properties of NPS.

Methods

We carried out a literature review collecting information on the acute, chronic, and post-mortem toxicity of these classes of NSP. We searched info in five scientific databases considering works from 2017 to 2021 and performed a statistical evaluation of the data.

Results

Results have shown a general lack of studies in this field given that many NPS have not had their toxicity evaluated. We observed a significant difference in the volume of data concerning acute and chronic/post-mortem toxicity. Moreover, studies on the adverse effects of polydrug use are scarce.

Conclusions

More in-depth information about the main threats involving NPS use are needed.
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Literatur
4.
Zurück zum Zitat Oga S, de Camargo MMA, de Batistuzzo JAO (2021) Fundamentos de toxicologia, 5th edn. Grupo Atheneu, São Paulo Oga S, de Camargo MMA, de Batistuzzo JAO (2021) Fundamentos de toxicologia, 5th edn. Grupo Atheneu, São Paulo
6.
Zurück zum Zitat Lehman-McKeeman LD (2015) Absorption, distribution, and excretion of toxicants. In: Klaassen CD, Watkins-III JB (eds) Casarett & Doull’s essentials of toxicology, 3rd edn. McGraw-Hill Education, New York Lehman-McKeeman LD (2015) Absorption, distribution, and excretion of toxicants. In: Klaassen CD, Watkins-III JB (eds) Casarett & Doull’s essentials of toxicology, 3rd edn. McGraw-Hill Education, New York
13.
Zurück zum Zitat Subramanian MA (2010) Absorption of toxicants. In: Subramanian MA (ed) Toxicology: principles and methods, 1st edn. MJP Publishers, Chennai, p 350 Subramanian MA (2010) Absorption of toxicants. In: Subramanian MA (ed) Toxicology: principles and methods, 1st edn. MJP Publishers, Chennai, p 350
26.
Zurück zum Zitat Hakkola J, Bernasconi C, Coecke S et al (2018) Cytochrome P450 induction and xeno-sensing receptors pregnane x receptor, constitutive androstane receptor, aryl hydrocarbon receptor and peroxisome proliferator-activated receptor α at the crossroads of toxicokinetics and toxicodynamics. Basic Clin Pharmacol Toxicol 123:42–50. https://​doi.​org/​10.​1111/​bcpt.​13004 CrossRefPubMed Hakkola J, Bernasconi C, Coecke S et al (2018) Cytochrome P450 induction and xeno-sensing receptors pregnane x receptor, constitutive androstane receptor, aryl hydrocarbon receptor and peroxisome proliferator-activated receptor α at the crossroads of toxicokinetics and toxicodynamics. Basic Clin Pharmacol Toxicol 123:42–50. https://​doi.​org/​10.​1111/​bcpt.​13004 CrossRefPubMed
30.
Zurück zum Zitat Booth WC, Colomb GG, Williams JM (2005) A arte da pesquisa, 2 a Edição. Martins Fontes—Selo Martins, São Paulo Booth WC, Colomb GG, Williams JM (2005) A arte da pesquisa, 2 a Edição. Martins Fontes—Selo Martins, São Paulo
69.
Zurück zum Zitat Standaert DG, Walsh RR (2011) Pharmacology of dopaminergic neurotransmission. In: Golan DE, Tashjian AH, Armstrong EJ, Armstrong AW (eds) Principles of pharmacology: the pathophysiologic basis of drug therapy, 3rd edn. Lippincott Williams & Wilkins, Philadelphia Standaert DG, Walsh RR (2011) Pharmacology of dopaminergic neurotransmission. In: Golan DE, Tashjian AH, Armstrong EJ, Armstrong AW (eds) Principles of pharmacology: the pathophysiologic basis of drug therapy, 3rd edn. Lippincott Williams & Wilkins, Philadelphia
76.
Zurück zum Zitat Grafinger KE, Liechti ME, Liakoni E (2020) Clinical value of analytical testing in patients presenting with new psychoactive substances intoxication. Br J Clin Pharmacol 86:429–436 CrossRefPubMed Grafinger KE, Liechti ME, Liakoni E (2020) Clinical value of analytical testing in patients presenting with new psychoactive substances intoxication. Br J Clin Pharmacol 86:429–436 CrossRefPubMed
83.
Zurück zum Zitat Abdulrahim D, Bowden-Jones O (2022) Addiction and treatment of novel psychoactive substance dependence. In: Dargan P, Wood D (eds) Novel psychoactive substances, 2nd edn. Elsevier, Oxford, pp 203–222 CrossRef Abdulrahim D, Bowden-Jones O (2022) Addiction and treatment of novel psychoactive substance dependence. In: Dargan P, Wood D (eds) Novel psychoactive substances, 2nd edn. Elsevier, Oxford, pp 203–222 CrossRef
94.
Zurück zum Zitat Richter LHJ, Menges J, Wagmann L et al (2020) In vitro toxicokinetics and analytical toxicology of three novel NBOMe derivatives: phase I and II metabolism, plasma protein binding, and detectability in standard urine screening approaches studied by means of hyphenated mass spectrometry. Forensic Toxicol 38:141–159. https://​doi.​org/​10.​1007/​s11419-019-00498-7 CrossRef Richter LHJ, Menges J, Wagmann L et al (2020) In vitro toxicokinetics and analytical toxicology of three novel NBOMe derivatives: phase I and II metabolism, plasma protein binding, and detectability in standard urine screening approaches studied by means of hyphenated mass spectrometry. Forensic Toxicol 38:141–159. https://​doi.​org/​10.​1007/​s11419-019-00498-7 CrossRef
108.
Zurück zum Zitat Madsen GR, Petersen TS, Dalhoff KP (2017) NBOMe hallucinogenic drug exposures reported to the Danish Poison information centre. Dan Med J 64:A5386 PubMed Madsen GR, Petersen TS, Dalhoff KP (2017) NBOMe hallucinogenic drug exposures reported to the Danish Poison information centre. Dan Med J 64:A5386 PubMed
111.
Zurück zum Zitat United Nations Office on Drugs and Crime - UNODC (2013). World Drug Report 2013, 1st ed. United Nations publication, Sales No. E.13.XI.6, Vienna United Nations Office on Drugs and Crime - UNODC (2013). World Drug Report 2013, 1st ed. United Nations publication, Sales No. E.13.XI.6, Vienna
112.
Zurück zum Zitat Tavares IS, Yonamine M (2018) Novas substâncias psicoativas: canabinóides sintéticos, derivados da fenetilamina e derivados da triptamina. In: Dorta DJ, Yonamine M, da Costa JL, de Martinis BS (eds) Toxicologia Forense, 1st edn. Blucher, São Paulo, pp 237–253 Tavares IS, Yonamine M (2018) Novas substâncias psicoativas: canabinóides sintéticos, derivados da fenetilamina e derivados da triptamina. In: Dorta DJ, Yonamine M, da Costa JL, de Martinis BS (eds) Toxicologia Forense, 1st edn. Blucher, São Paulo, pp 237–253
115.
Zurück zum Zitat Wiley JL, Marusich JA, Thomas BF (2016) Combination chemistry: structure-activity relationships of novel psychoactive cannabinoids. In: Baumann MH, Glennon RA, Wiley JL (eds) Neuropharmacology of new psychoactive substances (NPS). Current topics in behavioral neurosciences, 1st edn. Springer Cham, San Diego, pp 231–248. https://​doi.​org/​10.​1007/​7854_​2016_​17 CrossRef Wiley JL, Marusich JA, Thomas BF (2016) Combination chemistry: structure-activity relationships of novel psychoactive cannabinoids. In: Baumann MH, Glennon RA, Wiley JL (eds) Neuropharmacology of new psychoactive substances (NPS). Current topics in behavioral neurosciences, 1st edn. Springer Cham, San Diego, pp 231–248. https://​doi.​org/​10.​1007/​7854_​2016_​17 CrossRef
124.
Zurück zum Zitat United Nations Office on Drugs and Crime - UNODC (2020). Cross-cutting issues: evolving trends and new challenges. United Nations publication, Sales No. E.20.XI.6, Vienna United Nations Office on Drugs and Crime - UNODC (2020). Cross-cutting issues: evolving trends and new challenges. United Nations publication, Sales No. E.20.XI.6, Vienna
131.
Zurück zum Zitat Sharma P, Murthy P, Bharath MMS (2012) Chemistry, metabolism, and toxicology of cannabis: clinical implications. Iran J Psychiat 7:149–156 Sharma P, Murthy P, Bharath MMS (2012) Chemistry, metabolism, and toxicology of cannabis: clinical implications. Iran J Psychiat 7:149–156
Metadaten
Titel
Acute, chronic, and post-mortem toxicity: a review focused on three different classes of new psychoactive substances
verfasst von
Caio H. P. Rodrigues
Lívia S. Mariotto
Jade S. Castro
Paulo H. Peruquetti
Newton C. Silva-Junior
Aline T. Bruni
Publikationsdatum
06.01.2023
Verlag
Springer Nature Singapore
Erschienen in
Forensic Toxicology / Ausgabe 2/2023
Print ISSN: 1860-8965
Elektronische ISSN: 1860-8973
DOI
https://doi.org/10.1007/s11419-022-00657-3

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