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Cardiac Glycoside
Cardiac glycosides are a class of organic compounds that increase the output force of the heart and decrease its rate of contractions by inhibiting the cellular sodium-potassium ATPase pump. Their beneficial medical uses are as treatments for congestive heart failure and cardiac arrhythmias; however, their relative toxicity prevents them from being widely used. Most commonly found as secondary metabolites in several plants such as foxglove plants, these compounds nevertheless have a diverse range of biochemical effects regarding cardiac cell function and have also been suggested for use in cancer treatment. Classification General structure The general structure of a cardiac glycoside consists of a steroid molecule attached to a sugar (glycoside) and an R group. The steroid nucleus consists of four fused rings to which other functional groups such as methyl, hydroxyl, and aldehyde groups can be attached to influence the overall molecule's biological activity. Cardiac glycosi ...
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Congestive Heart Failure
Heart failure (HF), also known as congestive heart failure (CHF), is a syndrome, a group of signs and symptoms caused by an impairment of the heart's blood pumping function. Symptoms typically include shortness of breath, excessive fatigue, and leg swelling. The shortness of breath may occur with exertion or while lying down, and may wake people up during the night. Chest pain, including angina, is not usually caused by heart failure, but may occur if the heart failure was caused by a heart attack. The severity of the heart failure is measured by the severity of symptoms during exercise. Other conditions that may have symptoms similar to heart failure include obesity, kidney failure, liver disease, anemia, and thyroid disease. Common causes of heart failure include coronary artery disease, heart attack, high blood pressure, atrial fibrillation, valvular heart disease, excessive alcohol consumption, infection, and cardiomyopathy. These cause heart failure by altering ...
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Cane Toad
The cane toad (''Rhinella marina''), also known as the giant neotropical toad or marine toad, is a large, terrestrial true toad native to South and mainland Central America, but which has been introduced to various islands throughout Oceania and the Caribbean, as well as Northern Australia. It is a member of the genus ''Rhinella'', which includes many true toad species found throughout Central and South America, but it was formerly assigned to the genus ''Bufo''. The cane toad is an old species. A fossil toad (specimen UCMP 41159) from the La Venta fauna of the late Miocene in Colombia is indistinguishable from modern cane toads from northern South America. It was discovered in a floodplain deposit, which suggests the ''R. marina'' habitat preferences have long been for open areas. The cane toad is a prolific breeder; females lay single-clump spawns with thousands of eggs. Its reproductive success is partly because of opportunistic feeding: it has a diet, unusual among anuran ...
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Asclepias
''Asclepias'' is a genus of herbaceous, perennial, flowering plants known as milkweeds, named for their latex, a milky substance containing cardiac glycosides termed cardenolides, exuded where cells are damaged. Most species are toxic to humans and many other species, primarily due to the presence of cardenolides, although, as with many such plants, there are species that feed upon them (e.g. their leaves) and from them (e.g. their nectar). Most notable are monarch butterflies, who use and require certain milkweeds as host plants for their larvae. The genus contains over 200 species distributed broadly across Africa, North America, and South America. It previously belonged to the family Asclepiadaceae, which is now classified as the subfamily Asclepiadoideae of the dogbane family, Apocynaceae. The genus was formally described by Carl Linnaeus in 1753, who named it after Asclepius, the Greek god of healing. Flowers Members of the genus produce some of the most complex flowe ...
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Oleandrin
Oleandrin is a cardiac glycoside found in the poisonous plant oleander (''Nerium oleander'' L.). As a main phytochemical of oleander, oleandrin is associated with the toxicity of oleander sap, and has similar properties to digoxin. Oleander has been used in traditional medicine for its presumed therapeutic purposes, such as for treating cardiac insufficiency. There is no clinical evidence that oleander or its constituents, including oleandrin, are safe or effective. Oleandrin is not approved by regulatory agencies as a prescription drug or dietary supplement. Structure and reactivity The structure of oleandrin contains a central steroid nucleus with an unsaturated lactone ring structure on C17 and a dideoxy arabinose group on C3. In addition, the steroid ring has a substitute of an acetyloxy group on C16. Oleandrin resembles very much other glycosides like ouabain and digoxin but has less effect than digoxin. It is however, just like its derivate oleandrigenin, a more pote ...
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Nerium Oleander
''Nerium oleander'' ( ), most commonly known as oleander or nerium, is a shrub or small tree cultivated worldwide in temperate and subtropical areas as an ornamental and landscaping plant. It is the only species currently classified in the genus ''Nerium'', belonging to subfamily Apocynoideae of the dogbane family Apocynaceae. It is so widely cultivated that no precise region of origin has been identified, though it is usually associated with the Mediterranean Basin. Nerium grows to tall. It is most commonly grown in its natural shrub form, but can be trained into a small tree with a single trunk. It is tolerant to both drought and inundation, but not to prolonged frost. White, pink or red five-lobed flowers grow in clusters year-round, peaking during the summer. The fruit is a long narrow pair of follicles, which splits open at maturity to release numerous downy seeds. Nerium contains several toxic compounds, and it has historically been considered a poisonous plant. Howeve ...
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Digitoxin
Digitoxin is a cardiac glycoside used for the treatment of heart failure and certain kinds of heart arrhythmia. It is a phytosteroid and is similar in structure and effects to digoxin, though the effects are longer-lasting. Unlike digoxin, which is eliminated from the body via the kidneys, it is eliminated via the liver, and so can be used in patients with poor or erratic kidney function. While several controlled trials have shown digoxin to be effective in a proportion of patients treated for heart failure, the evidence base for digitoxin is not as strong, although it is presumed to be similarly effective. Medical uses Digitoxin is used for the treatment of heart failure, especially in people with impaired kidney function. It is also used to treat certain kinds of heart arrhythmia, such as atrial fibrillation. Contraindications Contraindications include * problems with the heart rhythm, such as severe bradycardia (slow heartbeat), ventricular tachycardia (fast heartbeat caused ...
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Digoxin
Digoxin (better known as Digitalis), sold under the brand name Lanoxin among others, is a medication used to treat various heart conditions. Most frequently it is used for atrial fibrillation, atrial flutter, and heart failure. Digoxin is one of the oldest medications used in the field of cardiology. It works by increasing myocardial contractility, increasing stroke volume and blood pressure, reducing heart rate, and somewhat extending the time frame of the contraction. Digoxin is taken by mouth or by injection into a vein. Digoxin has a half life of approximately 36 hours given at average doses in patients with normal renal function. It is excreted mostly unchanged in the urine. Common side effects include breast enlargement with other side effects generally due to an excessive dose. These side effects may include loss of appetite, nausea, trouble seeing, confusion, and an irregular heartbeat. Greater care is required in older people and those with poor kidney function. It ...
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Strophanthin
Strophanthins are cardiac glycosides in plants of the genus ''Strophanthus''. The singular may refer to: * g-Strophanthin, also known as ouabain * k-Strophanthin It is commonly used in euthanasia (lethal injections) See also * Cardenolide A cardenolide is a type of steroid. Many plants contain derivatives, collectively known as cardenolides, including many in the form of cardenolide glycosides (cardenolides that contain structural groups derived from sugars). Cardenolide glycoside ...
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Ouabain
Ouabain or (from Somali ''waabaayo'', "arrow poison" through French ''ouabaïo'') also known as g-strophanthin, is a plant derived toxic substance that was traditionally used as an arrow poison in eastern Africa for both hunting and warfare. Ouabain is a cardiac glycoside and in lower doses, can be used medically to treat hypotension and some arrhythmias. It acts by inhibiting the Na/K-ATPase, also known as the sodium-potassium ion pump. However, adaptations to the alpha-subunit of the Na+/K+-ATPase via amino acid substitutions, have been observed in certain species, namely some herbivore- insect species, that have resulted in toxin resistance. It is classified as an extremely hazardous substance in the United States as defined in Section 302 of the U.S. Emergency Planning and Community Right-to-Know Act (42 U.S.C. 11002), and is subject to strict reporting requirements by facilities which produce, store, or use it in significant quantities. Sources Ouabain can be found in ...
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Strophanthus Kombe
''Strophanthus kombe'', the kombe arrow poison, is a vine that grows in the tropical regions of Eastern Africa, and is part of the genus ''Strophanthus'', which contains approximately 38 species. ''S. kombe'' contains a cardiac glycoside which directly affects the heart. Historically, both the seeds and roots of the plant were used in the preparation of poison arrowheads used for hunting. Today, the seeds are used pharmaceutically for patients with certain heart conditions that affect blood circulation. The seeds are traded primarily with Europe, but have also been exported to the United States and Japan. Distribution ''Strophanthus kombe'' is found growing naturally in the tropical regions of southeast Africa. As it is not a commercially cultivated species, it principally occurs as wild plant. It is not typically seen growing outside of its native region, although specimens are sometimes collected from the wild to be grown in foreign botanical gardens. Habitat and ecology ''Str ...
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Antiarin
Antiarins are cardiac glycoside poisons produced by the upas tree (''Antiaris toxicaria''). There are two forms, α-antiarin and β-antiarin. β-Antiarin β-Antiarin, a cardiac glycoside steroid, can be isolated from upas tree latex (''Antiaris toxicaria''). Its use ranges from medical use, such as hypertension treatment, to arrow poison application. It also proves to be more poisonous than curare, sporting a low LD50 of 0.1 mg/kg in most mammals. To date, β-antiarin has only been isolated from the upas tree by the scientist H. Kiliani in 1896; no synthetic synthesis has yet been achieved. Symptoms of β-antiarin poisoning Upon β-antiarin poisoning, when observed in animals such as frogs and small mammals, visible symptoms include muscle spasms — particularly of the head and neck — and excess defecation. Paralysis can also be presented before death. The primary physiological system affected is the cardiac muscle, though gastro-intestinal tissue has also been kno ...
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Antiaris Toxicaria
''Antiaris toxicaria'' is a tree in the mulberry and fig family, Moraceae. It is the only species currently recognized in the genus ''Antiaris''. The genus ''Antiaris'' was at one time considered to consist of several species, but is now regarded as just one variable species which can be further divided into five subspecies. One significant difference within the species is that the size of the fruit decreases as one travels from Africa to Polynesia. Antiaris has a remarkably wide distribution in tropical regions, occurring in Australia, tropical Asia, tropical Africa, Indonesia, the Philippines, Tonga, and various other tropical islands. Its seeds are spread by various birds and bats, and it is not clear how many of the populations are essentially invasive. The species is of interest as a source of wood, bark cloth, and pharmacological or toxic substances. Naming and etymology The generic epithet ''Antiaris'' is derived directly from the Javanese name for it: ''ancar''Heyne, K. ...
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