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<br />r <br />`_ <br />C]'MIDE <br /> <br /> <br /> <br />1 <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />medication in Tylenol capsules in drugstores in <br />various cities in the United States. In fact, cya- <br />nidesare responsible for more human deaths than <br />any other chemicals known, owing to their deliber- <br />ateuse insuicide, murder, chemical warfare, geno- <br />cide, and judicial execution (Way 1981, 1984; <br />Ballantyne and Marrs 1987a; Gee 1987; Marrs and <br />Ballantyne 19B7;Yamamoto 19891. High sublethal <br />doses of cyanide are rapidly detoxified, and acci- <br />dentalacute cyanide poisonings in humans are un- <br />common (Towill et al. 1978). <br />Cyanide compounds are useful to society in <br />terms of their key role in synthetic and industrial <br />processes, for certain fumigation and agricultural <br />uses, and for some therapeutic applications (Bal- <br />lan tyneand Marrs 1987a). Cyanides are present in <br />effluents from iron and steel processing plants, pe- <br />troleum refineries, and metal-plating plants, and <br />constitute a hazard to aquatic ecosystems in cer- <br />tain waste-receiving waters (Smith et al. 1979), <br />and to livestock (EPA 1980; Towill et al. 1978). <br />Cyanide serves no useful purpose in the human <br />body, yet it is present in our food, air, and water <br />(Becker 1985). <br />Natural sources of cyanide include various <br />species of bacteria, algae, fungi, and higher plants <br />that form and excrete cyanide (Way 1984), The <br />most widely distributed major food crop with a <br />high content of cyanogenic glycosides is cassava <br />(Manihot esculenia), also known as manioc. Cas- <br />sava is a staple food in human diets in over 80 <br />countries, and it is sometimes added to animal <br />feeds as a substitute for more expensive cereal <br />grains (Gomez et al. 1988). In humans, chronic <br />cyanide intoxication caused by consumption ofcas- <br />sava is the main etiological Cactor in the debilitat- <br />ing tropical ataxic neuropathy (Egekeze and <br />Oehme 1980). Other plants having comparatively <br />elevated cyanide content include fruit pits, sweet <br />potatoes (lpomoea batatas), corn (Zee mays), bam- <br />boo shoots (Bambusa spp.), linseed, iLinum sp.), <br />lima beans (Phaseolus lunatus), and millet <br />(Ponicum miliaceum; Way 1984). In higher plants <br />that contain cyanogenic glycosides, at least 20 of <br />these compounds have been identified (EPA 1980). <br />Amygdalin--one of the more intensively studied <br />cyanogenic glycosides-is found in seeds of the <br />cherry fPrunus spp.), plum (Prunus spp.l, peach <br />(Prunus persica), apricot (Prunus armenaical, ap- <br />ple (iilalus domestical, pear (Pyrus communise, <br />and many parts of the cherry laurel (Prunus <br />laurocerasus; EPA 1980). Apricot seeds and peach <br />kernels are food delicacies in Turkey, and have <br />caused at ]east nine poisonings (two fatal) in chil- <br />dren Crom that. country (Gee 1987). Acute cyanide <br />poisoning has occurred in the United States from <br />the ingestion of almond-flavored milkshakes pre- <br />pared from apricot kernels (Way 19$4 ). Amygdalin <br />is also the chiefingredient in laetrile, a medication <br />prescribed by some physicians to control tumors. <br />Both laetrile and amygdalin-cpntaining fruit pits <br />have been implicated as the cpuses of acute cya- <br />nide poisoning in humans (EpA 1980). Another <br />naturally occurring group of organic cyanides <br />(nitrites) is the highly toxic pseudocyanogenic <br />glycosides, especially cycasin, apd these have been <br />implicated in a variety of tropical diseases of the <br />nervous system, and partial pr total blindness <br />(EPA 1980). Other nitrites found in plants include <br />the ]athyrogenic compounds, glucosinolates, and <br />the cyanopyridine alkaloids (EPA 1980). <br />That certain plants, such ~s bitter almonds <br />(Prunus dulcls), cherry laurel le8ves, and cassava, <br />are poisonous if consumed in su1<iicient quantities <br />has been known for at least 2,000 years. But it was <br />not until the 1700's that cyanide was recognized as <br />the basis for their lethal toxicity. The first account <br />otan experimental administration of extract of bit- <br />ter almonds and other poisons to dogs (Canis <br />jamitiarls) dates from 1679, as reviewed by Sykes <br />(1981) and Ballantyne (1987a). In 1731, two fatal <br />cases of human poisoning in Ireland were caused <br />by drinking cherry laurel water, in this instance <br />used as a flavoring agent in cooking and to dilute <br />brand}'. In that same year it was shown that cherry <br />laurel water administered to dpgs by various <br />routes proved rapidly fatal. By 1781, it was well es- <br />tablished that mammals, birds, reptiles, amphibi- <br />ans, fish, and insects could all be killed with small <br />doses of laurel water, and that death was more <br />rapid than that produced by other poisons tested. <br />It was also at this time that cyanide was first impli- <br />cated as a homicidal agent in England. In 1782, <br />hydrocyanic acid was isolated from Prussian blue <br />la dye) by the Swedish chemist Scheele. In 1786, <br />Scheele accidentally broke a via] of the material <br />and died from vapor poisoning. In 17$7, it was de- <br />termined that hydrocyanic acid contained hydro- <br />gen, carbon, and nitrogen, but did not contain <br />oxygen, formerly believed to be an essential compo- <br />nent of all acids. Between 1802 and 1815, <br />hydrocyanic acid was found to be lethal in small <br />quantities to birds and dogs, and to act rapidly <br />when given orall}~, intravenously, or $pplied to the <br />eye surface. By 1803, it was known that cyanide oc- <br />curred naturally and could be extracted from apri- <br />cots or almonds. In 1815, hydrocyanic acid was <br />prepared in a semipure form. Between 1817 and <br />