2000年以来有毒蘑菇研究新进展

误食毒蘑菇而中毒一直被认为是一个对人类健康造成威胁的全球性问题,也是我国食物中毒事件中导致死亡的最主要因素。对2000年以来在有毒蘑菇新种类、新毒素与新症状、有毒蘑菇鉴定及毒素检测新方法、有毒蘑菇中毒机理、毒素基因克隆、中毒治疗以及鹅膏肽类毒素治疗肿瘤等领域取得的新进展进行了综述,并对一些热点研究领域做了展望。     

Mushroom Poisoning in Canada: Report of a Fatal Case

At least 150 cases of mushroom poisoning occur in Canada each year, 75% in the Province of Ontario. Eighty per cent of the total are in children under the age of 9, and most do not require hospitalization. Amanita virosa poisoning is a potentially fatal medical emergency which presents as an acute gastroenteritis, progressing to hepatorenal failure. Treatment consists of elimination of undigested mushrooms, rapid rehydration, management of acute liver and renal failure, and prevention of infection during the recovery phase.     

Traceability of Amanita fuliginea poisoning using DNA barcoding and UPLC-MS/MS

Amanita fuliginea is a lethal poisonous mushroom found in Japan and southern China. The primary toxins are α-amanitin (α-AMA) and β-amanitin (β-AMA). There is a lack of systematic and comprehensive investigations on the traceability of A. fuliginea poisoning due to technological limitations. This study aimed to examine whether A. fuliginea poisoning incidents could be traced using DNA barcoding and ultraperformance liquid chromatography coupled with triple quadrupole mass spectrometry (UPLC-MS/MS). We collected A. fuliginea specimens and prepared cooked and cooked plus simulated gastric fluid (SGF)-treated samples. We then performed DNA barcoding of internal transcribed spacer regions for species identification and UPLC-MS/MS for toxin level determination. Our results indicate that under the experimental conditions used herein, DNA barcoding can be used for molecular identification of mushroom samples that are cooked and/or cooked plus SGF-treated for less than 30 min; UPLC-MS/MS can be used for toxin analysis of cooked and SGF-treated (0–1440 min) samples. This is the first time that DNA barcoding and UPLC-MS/MS have been combined for studying the toxicological traceability of A. fuliginea using simulated gastric contents or vomit in northern China. Our data provide support for the treatment of clinical mushroom poisoning cases.     

Intensive hemodialysis and hemoperfusion treatment of Amanita mushroom poisoning

Over a period of fifteen years, 41 patients including 23 males and 18 females with Amanita mushroom poisoning were treated at the University Hospital of Lund, Sweden. The intensity of poisoning was graded according to serum transaminase elevations and prothrombin time reductions. Severity was mild in 16 patients (Group A), moderate in 14 (Group B) and severe in 11 (Group C). Members of Group C reported shorter latency periods before the onset of symptoms, (10±1 hours,p<0.05) and longer delays in treatment, (34±4 hours), than did the other patients. Intensive treatment was begun before the results of urine amatoxin assays were reported. Treatment consisted of: fluid and electrolyte replacement, oral activated charcoal and lactulose, IV penicillin, combined hemodialysis and hemoperfusion in two 8 hour sessions, some received IV thioctic acid, others IV silibinin, all received a special diet. This combination of treatment modalities was used to accelerate the elimination of amatoxin from the patients' bodies. The longest period of hospitalization, 13±2 days, was required by the patients of Group C (p<0.01). All patients improved and were discharged from the hospital asymptomatic. No sequelae were later reported for the majority of those moderately and severely poisoned. We have concluded that intensive combined treatment applied in these cases is effective in relieving patients with both moderate and severe amanitin poisoning.     

Toxic Factors of Mould Origin

The chemistry and effects of mycotoxins associated with human and animal foodstuffs are reviewed. The aflatoxins, metabolites of Aspergillus flavus, have been implicated in fatal diseases of farm stock fed on infected peanut cake. Muscarine and the phalloidins are the causative agents in mushroom poisoning. Lysergic acid alkaloids are involved in ergotism. “Yellow rice” toxicity arises from infection with Penicillium islandicum, the active principles being islanditoxin and luteoskyrin. Various species of Penicillium, Aspergillus and Fusarium have been linked with other mycotoxicoses and their metabolites characterized. Several fungal metabolites are active hepatotoxins or carcinogens, and the possible etiological significance of mouldy foods is briefly considered, especially in relation to the high incidence of tropical liver disease. Better agricultural practices and more stringent testing to control and detect fungal contamination are advocated.     

鹅膏菌毒素及其毒理研究进展

鹅膏菌是一类真菌的 称,误食野生蘑菇的中毒事件中,９５％以上由鹅膏菌引起,国外自六十年代起,对其毒理进行了深入的研究,而国仙则只是在九十年代才刚开始这方面的工作。为促进国内鹅膏菌毒素毒理的研究,作者概括了国内外各方面的资料,写就本文。本文概述了鹅膏 多肽毒素的种类、鹅膏菌毒素中毒反应及病理学症状、机体对鹅膏菌毒素的吸收、鹅膏菌毒素的生和毒理以及鹅膏菌毒素在生命科学研究中的应用,为国内这方面的研究提     

Unusual Non-Occupational Exposure to Metals

Exposure to metals at workplaces is well known and in many cases occupational studies led to an adoption of limit values. For airborne concentrations of substances as metals refer to the “Maximaleo Arbeitsplatz-Konzentration” (MAK) in Germany or the “Threshold Limit Value” (TLV) in USA. Biological monitoring consists of an assessment of overall exposure to chemicals at the workplace and in the environment. The “Biologischer Arbeitsstoff Toleranzwert” (BAT) in Germany and the “Biological Exposure Index” in the USA serve as reference values. Besides these occupational limit values, reference values exist in Germany for the background exposure of the non occupationally exposed general population. In some cases the reference values are exceeded without any occupational exposure. Several cases of unusual environmental exposure to cobalt, mercury and manganese are reported. In such cases, it is often difficult to evaluate the measured concentration. In Germany, therefore, the “Human-Biomonitoring-Werte” (HBMValues) have been adopted in order to evaluate such high background exposures. The HBM-concept is presented. Environmental exposure to metals is usual within some limits. Reference values are helpful for an assessment. Unusual exposure occurs and the physician should be alert to symptoms of poisoning.     

Antidotes to Experimental cc-Amanitin Poisoning

THE two most important toxic cyclopeptides isolated from the mushroom Amanita phalloides (death cap) are phalloidin and α-amanitin^{1, 2}. The latter is considered to be responsible for the fatal cases of poisoning. Up to now, protection has been demonstrated either with a non-toxic chemical analogue (antamanide) isolated from the toadstool itself and synthesized by Wieland et al.³ or with hepatotoxins such as carbon tetrachloride, sodium cinchophen (sodium salt of 2-phenylcin-choninic acid) and thioacetamide^{4, 5}. These agents protect mice against lethal doses of phalloidin while the first two and 6-aminonicotinamide also give some protection against α-amanitin⁵. For practical purposes, the usefulness of antamanide and hepatotoxins is obviously hampered by the fact that they are active only if given prophylactically: even if applied 30 min after the toxins, they are ineffective. This, of course, thwarts attempts to use them therapeutically in clinical cases of Amanita poisoning.     

PARATHYROID TUMORS—Intermittent Function,a Pitfall in Diagnosis

Seventy cases of functioning parathyroid tumors encountered at Columbia-Presbyterian Medical Center were reviewed. The clinical and chemical findings in parathyroid tumors were variable and were suggestive of intermittent function. The indirect diagnostic tests available today usually paralleled the basic serum calcium and phosphorus determinations. Urolithiasis was the most common complication observed, but the symptoms of it varied from simple colic and single calculus problem to extensive calculus disease. There were two instances of hyperparathyroid crisis or “hypercalcemic poisoning.”     

8个毒蘑菇菌株培养特性及生理学习性

通过对8个毒蘑菇菌株的培养特性及生理学习性的研究,描述了其培养特性,确定其生长所需最适温度、最适碳源、最适氮源以及最适pH值。8菌株为:鳞柄白鹅膏(Amanita virosa)、细鳞环柄菇(Lepiota clypelo-laria)、绒白乳菇(Lactarius vellereus)、鹅膏菌(Amanitasp.)、厚环鹅膏(Amanita pachycolea)、珊瑚菌(Ramariaephemeroderma)、白霜杯伞(Clitocybe dealbata)、冠状环柄菇(Lepiota cristata)。     

Application of Siderotyping for Characterization of Pseudomonas tolaasii and “Pseudomonas reactans” Isolates Associated with Brown Blotch Disease of Cultivated Mushrooms

Pyoverdine isoelectric focusing analysis and pyoverdine-mediated iron uptake were used as siderotyping methods to analyze a collection of 57 northern and central European isolates of P. tolaasii and “P. reactans.” The bacteria, isolated from cultivated Agaricus bisporus or Pleurotus ostreatus mushroom sporophores presenting brown blotch disease symptoms, were identified according to the white line test (W. C. Wong and T. F. Preece, J. Appl. Bacteriol. 47:401–407, 1979) and their pathogenicity towards A. bisporus and were grouped into siderovars according to the type of pyoverdine they produced. Seventeen P. tolaasii isolates were recognized, which divided into two siderovars, with the first one containing reference strains and isolates of various geographical origins while the second one contained Finnish isolates exclusively. The 40 “P. reactans” isolates divided into eight siderovars. Pyoverdine isoelectric focusing profiles and cross-uptake studies demonstrated an identity for some “P. reactans” isolates, with reference strains belonging to the P. fluorescens biovars II, III, or V. Thus, the easy and rapid methods of siderotyping proved to be reliable by supporting and strengthening previous taxonomical data. Moreover, two potentially novel pyoverdines characterizing one P. tolaasii siderovar and one “P. reactans” siderovar were found.     

Evaluation of selected parameters in calcium and phosphate metabolism in acute liver failure following poisoning with Amanita phalloides

Serum calcium, phosphate and 25-OHD8 levels as well as calcium and phosphate urine excretion were determined in 21 children between 5 and 7 days after poisoning with Amanita phalloides. Hypophosphatemia was seen in children with the symptoms of moderate intoxication whereas hypocalcemia in severely poisoned patients. Phosphates deficit should be corrected early in all patients poisoned with Amanita phalloides.     

Hepatotoxic mushroom poisoning: diagnosis and management

Hepatotoxic mushroom poisoning (due to Amanita, Lepiota and Galerina species) may be considered as a real medical emergency, since an early diagnosis and immediate treatment are required for a successful outcome. In this review the physio-pathological features and the clinical picture of amatoxin poisonings are described, as the basis for diagnosis and therapeutic decisions. The treatment schedule proposed is analyzed in some points: Symptomatic and supportive measures, toxin removal and extraction procedures, and the possibility of using antidotes. Some parameters with prognostic significance are commented on. Finally, the mortality rate and its evolution throughout the present century is also considered.     

The insensitivity of mushroom nuclear RNA polymerase activity to inhibiton by amatoxins

Nuclear fractions isolated from Amanita phalloides, Amanita muscaria and Agaricus bisporus were subjected to in vitro RNA synthesis assays in the presence of various concentrations of amatoxins. The mushroom nuclei were highly insensitive to inhibition by amatoxin when compared to assays of nuclear fractions isolated from the Oömycete fungus, Achlya ambisexualis and from rabbit brain.Abbreviations DTT dithiothreitol - PMSF phenylmethyl sulfonyl fluoride - MES 2[N-morpholino] ethane sulfonic acid Paper no. 1-78     

A case of mushroom poisoning in Nigeria

A reported ease of fatal poisoning by mushrooms in Imo State, Nigeria was caused by a species of Amanita containing amatoxins. The species probably belongs to Amanita section Phalloideae.     

A Study of Cultural Bias in Field Guide Determinations of Mushroom Edibility Using the Iconic Mushroom, Amanita muscaria, as an Example

A Study of Cultural Bias in Field Guide Determinations of Mushroom Edibility Using the Iconic Mushroom, Amanita muscaria , as an Example. Mushroom field guides teach identification skills as well as provide information on the edible or toxic qualities of each species of wild mushroom. As such they function as modern-day village elders for an increasingly urban, nature-ignorant population. This paper identifies underlying cultural bias in the determination of mushroom edibility in English-language field guides, using the iconic mushroom, Amanita muscaria, as an example. We explore a selection of ethnographic and medical texts that report the use of A. muscaria as a food, and we accept parboiling as a safe method of detoxifying it for the dinner table. Mushroom field guides, however, almost universally label the mushroom as poisonous. We discuss the cultural underpinnings and literary form of mushroom field guides and demonstrate that they work within a mostly closed intellectual system that ironically shares many of the same limitations of cultural bias found in traditional folk cultures, but with the pretense of being modern and scientific. An erratum to this article can be found at     

Two new species of Amanita from Japan

 Two new species from Japan, Amanita areolata and Amanita griseoturcosa, are described. The former, found in a broad-leaved forest in Aichi Prefecture, is a medium- to large-sized mushroom characterized by an areolate, brownish pileus, a nonstriate and appendiculate margin of the pileus, and amyloid basidiospores. The latter, found in forests with Fagaceae or Pinaceae in Tokyo, Chiba Prefecture, and Miyagi Prefecture, is a medium-sized mushroom characterized by a grayish-turquoise pileus, a nonstriate margin of the pileus, a saccate volva, an apical membranous annulus, and amyloid basidiospores. Received: July 10, 2001 / Accepted: June 5, 2002     

A chloro amino acid from Amanita solitaria

The mushroom Amanita solitaria contains in excess of 1000 ppm 2(S)-amino-4,5-hexadienoic acid (I), 300 ppm trans-2-amino-5-chloro-4-hexenoic acid (II), and a chloride ion concentration (2000 ppm) significantly greater than that found in other basidiomycetes. I can be converted into II in hydrochloric acid, but II is not an artifact of isolation.