Skip to main content

Toxicity and Novel Biomarkers of OP Exposure

  • Chapter
  • First Online:
Basic and Clinical Toxicology of Organophosphorus Compounds

Abstract

This chapter consists of two different topics which are extremely important in the toxicity of organophosphorus (OP) compounds. The first part is concerned with OP toxicity in humans. OPs cause four important neurotoxic effects, including the cholinergic syndrome, the intermediate syndrome, OP-induced delayed polyneuropathy, and chronic OP-induced neuropsychiatric disorder. Compared with the cholinergic syndrome, that causes millions of cases of poisoning with fatality of more than 15 % each year, other disorders involve much smaller number of patients. The second part describes the novel biomarker of OP exposure. Egasyn which is an isozyme of carboxylesterase is an accessory protein of β-glucuronidase (BG) in the liver microsomes. Egasyn-BG complex is located at the luminal site of liver microsomal endoplasmic reticulum membrane. When the OPs are incorporated into the liver microsomes, OP is tightly bound to egasyn, and subsequently, BG is dissociated and released into blood. Consequently, the increase of plasma BG activity is a good biomarker of OP exposure. The data presented in this chapter indicate the increase in plasma BG activity which is a much more sensitive biomarker to OP exposure than ChE (plasma cholinesterase) inhibition, particularly in the case of acute toxicity of OPs.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 159.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  • Abdollahi M, Karami-Mohajeri S (2012) A comprehensive review on experimental and clinical findings in intermediate syndrome caused by organophosphate poisoning. Toxicol Appl Pharmacol 258:309–314

    Article  CAS  PubMed  Google Scholar 

  • Abou-Donia MB (1993) The cytoskeleton as a target for organophosphorus-ester-induced delayed neurotoxicity (OPIDN). Chem Biol Interact 87:383–393

    Article  CAS  PubMed  Google Scholar 

  • Abou-Donia MB (2003) Organophosphorus ester-induced chronic neurotoxicity. Arch Environ Health 58:484–497

    Article  CAS  PubMed  Google Scholar 

  • Ahmed GM, Davies DR (1997) Chronic organophosphate exposure: toward the definition of a neuropsychiatric syndrome. J Nutr Environ Med 7:169–176

    Article  Google Scholar 

  • Baker DJ, Sedgwick FM (1996) Single fiber electromyographic changes in man after organophosphate exposure. Hum Exp Toxicol 15:369–375

    Article  CAS  PubMed  Google Scholar 

  • Balali-Mood M, Balali-Mood K (2008) Neurotoxic disorders of organophosphorous compounds and their managements. Arch Ir Med 11:65–89

    CAS  Google Scholar 

  • Balali-Mood M, Saber H (2012) Recent advances in the treatment of organophosphorous poisonings. Iran J Med Sci 37:74–91

    PubMed Central  PubMed  Google Scholar 

  • Bayrami M, Hashemi T, Malekirad AA, Ashayeri H, Faraji F, Abdollahi M (2012) Electroencephalogram, cognitive state, psychological disorders, clinical symptom, and oxidative stress in horticulture farmers exposed to organophosphate pesticides. Toxicol Ind Health 28:90–96

    Article  CAS  PubMed  Google Scholar 

  • Bessler CL, Stallones L (2008) A cohort study of pesticide poisoning and depression in Colorado farm residents. Ann Epidemiol 18:768–774

    Article  Google Scholar 

  • Chang PA, Wu YJ (2010) Neuropathy target esterase: an essential enzyme for neural development and axonal maintenance. Int J Biochem Cell Biol 42:573–575

    Article  CAS  PubMed  Google Scholar 

  • Clark RF (2002) Insecticides: organic phosphorus compounds and carbamates. In: Goldfrank’s toxicological emergencies, 7th ed. McGraw-Hill Professional, New York, pp 1346–1360

    Google Scholar 

  • Davies R, Ghouse A, Tegwedd F (2000a) Chronic exposure to organophosphates: background and clinical picture. Adv Psychiatr Treat 6:187–192

    Article  Google Scholar 

  • Davies R, Ghouse A, Tegwedd F (2000b) Psychiatric aspects of chronic exposure to organophosphates: diagnosis and management. Adv Psychiatr Treat 6:356–361

    Article  Google Scholar 

  • De Bleecker J (1995) The intermediate syndrome in organophosphate poisoning: an overview of experimental and clinical observations. J Toxicol Clin Toxicol 33:683–686

    Article  CAS  PubMed  Google Scholar 

  • De Bleecker JL (2006) Intermediate syndrome in organophosphate poisoning. In: Gupta RC (ed) Toxicology of organophosphate and carbamate compounds, Chapter 26. Elsevier Academic Press, Amsterdam, pp 371–380

    Google Scholar 

  • De Bleecker J, Van DNeuckerK, Colardyn F (1993) Intermediate syndrome in organophosphorus poisoning: a prospective study. Crit Care Med 21:1706–1711

    Article  CAS  PubMed  Google Scholar 

  • De Silva HJ, Samarawickrema NA, Wickremasinghe AR (2006) Toxicity due to organophosphorus compounds: what about chronic exposure? Trans Roy Soc Trop Med Hyg 100:803–806

    Article  CAS  PubMed  Google Scholar 

  • Desi I, Nagymajtenyi L (1999) Electrophysiological biomarkers of an organophosphorous pesticide, dichlorvos. Toxicol Lett 107:55–64

    Article  CAS  PubMed  Google Scholar 

  • Eddleston M (2000) Patterns and problems of deliberate self-poisoning in the developing world. QJM 93:715–731

    Article  CAS  PubMed  Google Scholar 

  • Eddleston M, Phillips MR (2004) Self-poisoning with pesticides. Brit Med J 328:42–44

    Article  PubMed  Google Scholar 

  • Eddleston M, Juszczak E, Buckley NA, Senarathna L, Mohamed F, Dissanayake W, Hittarage A, Azhe S, Jeganathan K, Jayamanne S, Sheriff MHR, Warrell DA (2008) Multiple-dose activated charcoal in acute self-poisoning: a randomised controlled trial. Lancet 371:579–587

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  • Emerick GL, Peccinini RG, de Oliveira GH (2010) Organophosphorus-induced delayed neuropathy: a simple and efficient therapeutic strategy. Toxicol Lett 192:238–244

    Article  CAS  PubMed  Google Scholar 

  • Emerick GL, De Oliveira GH, dos Santos AC, Ehrich M (2012) Mechanisms for consideration for intervention in the development of organophosphorus-induced delayed neuropathy. Chem Biol Interact 199:177–184

    Article  CAS  PubMed  Google Scholar 

  • Fujikawa Y, Satoh T, Suganuma A, Suzuki S, Niikura Y, Yui S, Yamaura Y (2005) Extremely sensitive biomarker of acute organophosphorus insecticide exposure. Hum Exp Toxicol 24:1–4

    Article  Google Scholar 

  • Glynn P (2006) A mechanism for organophosphate-induced delayed neuropathy. Toxicol Lett 162:94–97

    Article  CAS  PubMed  Google Scholar 

  • Hernandez FA, Gomez AM, Pena G, Gil F, Rodrigo L, Villanueva E, Pla A (2004) Effect of long-term to pesticides on plasma esterases from plastic greenhouse workers. J Toxicol Environ Health 67:1095–1108

    Article  CAS  Google Scholar 

  • Hosokawa M, Maki T, Satoh T (1990) Characteriztion of molecular spcies of liver microsomal carboxylesterases of several animal species and humans. Arch Biochem Biophys 277:219–227

    Article  CAS  PubMed  Google Scholar 

  • Inayat-Hussain SH, Lubis SH, Ghazali R, Sakian NI, Ghazali AR, Ali NS, Sersi EM, Lee MT, Zainab AM, Hashim S, Ghazali MS, Saidin MN, Ab Rahman AR, Rafaai MJM, Omar S, Rapiai R, Othman R, Chan TL, Johari A, Soon WH, Salleh AR, Satoh T (2007) Is beta-glucuronidase a novel biomarker for anticholinesterase poisoning? A Malaysian experience. Toxicol Appl Pharmacol 219(2–3):210–216

    Article  CAS  PubMed  Google Scholar 

  • IPCS (1998) Organophosphorus pesticides. International Programme on Chemical Safety Poisons Information Monograph G001, World Health Organization, Geneva, 1989; updated 1998. http://www.inchem.org/documents/pims/chemical/pimg001.htm

  • Jaga K, Dharmani C (2007) The interrelation between organophosphate toxicity and the epidemiology of depression and suicide. Rev Environ Health 22:57–73

    Article  CAS  PubMed  Google Scholar 

  • Jamal GA (1997) Neurological syndromes of organophosphorus compounds. Adverse Drug React Toxicol Rev 16:133–170

    CAS  PubMed  Google Scholar 

  • Jamal HH, Noor HI, Syarif HL, Syed Mohd SA, Noraziah D (1995) Health effects related to pesticide use among paddy farmers of the Muda area in Kedah. In MINT-MADA (Muda Agricultural Development Authority), Malaysia

    Google Scholar 

  • Jayawardane P, Senanayake N, Dawson A (2009) Electrophysiological correlates of intermediate syndrome following acute organophosphate poisoning. Clin Toxicol 47:193–205

    Article  CAS  Google Scholar 

  • Jeyaratnam J (1990) Pesticide poisoning: a major global health problem. World Health Statist. Quart 43:139–144

    CAS  Google Scholar 

  • John M, Oommen A, Zachariah A (2003) Muscle injury in organophosphorous poisoning and its role in the development of intermediate syndrome. Neurotoxicology 24:43–53

    Article  CAS  PubMed  Google Scholar 

  • Johnson MK (1982) The target for initiation of delayed neurotoxicity by organophosphorus esters: biochemical studies and toxicological applications. In: Hodgson E, Bend JR, Philpot RM (eds) Reviews in biochemical toxicology, Vol 4. Elsevier, New York, pp 141–212

    Google Scholar 

  • Jokanović M (2001) Biotransformation of organophosphorus compounds. Toxicology 166:139–160

    Article  PubMed  Google Scholar 

  • Jokanović M (2009a) Medical treatment of acute poisoning with organophosphorus and carbamate pesticides. Toxicol Lett 190:107–115

    Article  Google Scholar 

  • Jokanović M (2009b) Neuropathy: chemically-induced. In: Squire L, Albright T, Bloom F, Gage F, Spitzer N (eds) Encyclopedia of neuroscience, Chapter 515. Elsevier, pp 759–765

    Google Scholar 

  • Jokanović M (2012a) Neurotoxic disorders and medical management of patients poisoned with organophosphorus and carbamate pesticides. In: Jokanović M (ed) The impact of pesticides. Academic Publishers, pp. 39–62

    Google Scholar 

  • Jokanović M (2012b) Structure-activity relationship and efficacy of pyridinium oximes in the treatment of poisoning with organophosphorus compounds: a review of recent data. Curr Top Med Chem 12:1775–1789

    Article  Google Scholar 

  • Jokanović M, Kosanović M (2010) Neurotoxic effects in patients poisoned with organophosphorus pesticides. Environ Toxicol Pharmacol 29:195–201

    Article  PubMed  Google Scholar 

  • Jokanović M, Prostran M (2009) Pyridinium oximes as cholinesterase reactivators. Structure-activity relationship and efficacy in the treatment of poisoning with organophosphorus compounds. Curr Med Chem 16:2177–2188

    Article  PubMed  Google Scholar 

  • Jokanović M, Stojiljković MP (2006) Current understanding of the application of pyridinium oximes as cholinesterase reactivators in treatment of organophosphate poisoning. Eur J Pharmacol 553:10–17

    Article  PubMed  Google Scholar 

  • Jokanović M, Stukalov PV, Kosanović M (2002) Organophosphate induced delayed polyneuropathy. Curr Drug Targets CNS Neurol Disord 1:591–600

    Google Scholar 

  • Jokanović M, Kosanović M, Stukalov PV (2004) Organophosphate induced delayed polyneuropathy. Med Chem Rev—Online 1:123–131

    Google Scholar 

  • Jokanović M, Antonijević B, Vučinić S (2010) Epidemiological studies of anticholinesterase pesticide poisoning in Serbia. In: Satoh T, Gupta RC (eds) Anticholinesterase pesticides: metabolism, neurotoxicity and epidemiology, Chapter 35, Wiley, pp 481–494

    Google Scholar 

  • Jokanović M, Kosanović M, Brkić D, Vukomanović P (2011) Organophosphate induced delayed polyneuropathy in man: an overview. Clin Neurol Neurosurg 113:7–10

    Article  PubMed  Google Scholar 

  • Kale BS (2012) Creatine kinase and lactate dehydrogenase as markers of muscular damage in intermediate syndrome associated with organophosphorus toxicity. Indian Streams Res J 2:1–6

    Google Scholar 

  • Kamel F, Hoppin JA (2004) Association of pesticide exposure with neurologic dysfunction and disease. Environ Health Perspect 112:950–958

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  • Karalliedde L, Baker D, Marrs T (2006) Organophosphate-induced intermediate syndrome: aetiology and relationships with myopathy. Toxicol Rev 25:1–14

    Article  CAS  PubMed  Google Scholar 

  • Karchmar AG (2007) Anticholinesterases and war gases. In: Karchmar AG (ed) Exploring the vertebrate central cholinergic nervous system, Chapter 7. Springer, pp 237–310

  • Kaur P, Radotra B, Minz RW, Gill KD (2007) Impaired mitochondrial energy metabolism and neuronal apoptotic cell death after chronic dichlorvos (OP) exposure in rat brain. Neurotoxicology 26:1208–1219

    Article  Google Scholar 

  • Kikuchi H, Suzuki Y, Hashimoto Y (1981) Increase of beta-glucuronidase activity in the serum of rats administered organophosphate and carbamate insecticides. J Toxicol Sci 6:27–35

    Article  CAS  PubMed  Google Scholar 

  • Kohen GL, Henderson G, Karczmar AG (1980) Di-isopropyl phosphofluoridate induced antinociception: possible role of endogenous opioids. Eur J Pharmacol 61:167–173

    Article  Google Scholar 

  • Kubek MJ, Shih TM, Meyerhoff JL (1997) Thyrotropin-releasing hormone (TRH) is markedly increased in the rat brain following soman-induced convulsions. Brain Res 747:328–331

    Article  CAS  PubMed  Google Scholar 

  • Levin HS, Rodnitzky RL, Mick DL (1976) Anxiety associated with exposure to organophosphorus compounds. Arch Gen Psychiatr 33:225–228

    Article  CAS  PubMed  Google Scholar 

  • London L, Nell V, Thompson ML, Myers JE (1998) Effects of long term organophosphate exposures on neurological symptoms, vibration sense and tremor among South African farm workers. Scand J Work Environ Health 24:18–29

    Article  CAS  PubMed  Google Scholar 

  • London L, Flisher AJ, Wesseling C, Mergler D, Kromhout H (2005) Suicide and exposure to organophosphate pesticides: cause or effect? Am J Ind Med 47:308–321

    Article  CAS  PubMed  Google Scholar 

  • Lotti M (1992) The pathogenesis of organophosphate delayed polyneuropathy. Crit Rev Toxicol 21:465–487

    Article  CAS  Google Scholar 

  • Lotti M, Moretto A (2005) Organophosphate-induced delayed polyneuropathy. Toxicol Rev 24:37–49

    Article  CAS  PubMed  Google Scholar 

  • Lubis SH, Uttaman A, Nezrul Hisham AG, Jamil MRM, Salmaan Hussain IH (2002) The current perception threshold among rice farmers in Muda, Kedah and Fishermen in Setiu, Terengganu. In: Nashriyah BM, Ho NK, Ismail BS, Ali AB, Lum KY, Mansor MB (eds) Sustainable rice production in Malaysia beyond 2000. MINTMADA, Malaysia

    Google Scholar 

  • Marrs TC, Vale JA (2006) Management of organophosphorus pesticide poisoning. In: Gupta RC (ed) Toxicology of organophosphorus and carbamate compounds, Chapter 49. Elsevier Academic Press, Amsterdam, pp 715–733

    Google Scholar 

  • Medda S, Takeuchi K, Devore-arter D, Con Deimling O, Heymann E, Swank RT (1987) An accessory protein identical to mouse egasyn in complexed with rat β-glucuronidase and is identical to rat esterase 3. J Biol Chem 262:7248–7253

    CAS  PubMed  Google Scholar 

  • Morgan JP (1982) The Jamaica ginger paralysis. J Am Med Assoc 248:1864–1867

    Article  CAS  Google Scholar 

  • Nutley B, Cocker J (1993) Biological monitoring of workers occupationally exposed to organophosphorus pesticides. Pest Sci 38:315–322

    Article  CAS  Google Scholar 

  • O’Malley MA (2007) Pesticide. In: LaDou J (ed) Current occupational & environmental medicine, 4th ed. McGraw-Hill, New York, p 544

    Google Scholar 

  • Parron T, Hernandez AF, Pla A, Villanueva E (1996) Clinical and biochemical changes in greenhouse sprayers chronically exposed to pesticides. Hum Exp Toxicol 12:957–963

    Article  Google Scholar 

  • Paul N, Mannathukkaran TJ (2005) Intermediate syndrome following carbamate poisoning. Clin Toxicol 43:867–868

    Article  Google Scholar 

  • Pope CN (2006) Central nervous system effects and neurotoxicity. In: Gupta RC (ed) Toxicology of organophosphate and carbamate compounds, Chapter 20. Elsevier Academic Press, Amsterdam, pp 271–291

    Google Scholar 

  • Pope CN, Chakraborti TK, Chapman ML, Farrar JD (1992) Long-term neurochemical and behavioral effects induced by chlorpyrifos treatment. Pharmacol Biochem Behav 42:251–256

    Article  CAS  PubMed  Google Scholar 

  • Ray DE (1998) Chronic effects of low level exposure to anticholinesterases—a mechanistic review. Toxicol Lett 102–103:527–533

    Google Scholar 

  • Ray DE, Richards PG (2001) The potential for toxic effects of chronic, low-dose exposure to organophosphates. Toxicol Teratol 120:343–351

    CAS  Google Scholar 

  • Read DJ, Li Y, Chao MV, Cavanagh JB, Glynn P (2009) Neuropathy target esterase is required for adult vertebrate axon maintenance. J Neurosci 29:11594–11600

    Article  CAS  PubMed  Google Scholar 

  • Reiner E, Pleština R (1979) Regeneration of cholinesterase activities in humans and rats after inhibition by O, O-dimethyl-O-dimethyl-2,2-dichlorvinyl phosphate. Toxicol Appl Pharmacol 49:451–454

    Article  CAS  PubMed  Google Scholar 

  • Richardson RJ, Hein ND, Wijeysakere SJ, Fink JK, Makhaeva GF (2012) Neuropathy targer esterase (NTE): overview and future. Chem Biol Interact. http://dx.doi.org/10.1016/j.cbi.2012.10.24

  • Rohlman DS, Anger WK, Lein PJ (2011) Correlating neurobehavioral performance with biomarkers of organophosphorous pesticide exposure. Neurotoxicology 32:268–276

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  • Roldan-Tapia L, Parron T, Sanchez-Santed F (2005) Neuropsychological effects of long-term exposure to organophosphate pesticides. Neurotoxicol Teratol 27:259–266

    Article  CAS  PubMed  Google Scholar 

  • Rosenstock L, Keifer M, Daniell W, McConnell R, Claypoole K (1991) Chronic central nervous system effects of acute organophosphate pesticide intoxication. Lancet 338:223–227

    Article  CAS  PubMed  Google Scholar 

  • Ross SM, McManus IC, Harrison V, Mason O (2013) Neurobehavioral problems following low-level exposure to organophosphate pesticides: a systematic and meta-analytic review. Crit Rev Toxicol 43:21–44

    Article  CAS  PubMed  Google Scholar 

  • Ruckart PZ, Kakolewski K, Bove FJ, Kaye WE (2004) Long-term neurobehavioral health effects of methyl parathion exposure in children in Mississippi and Ohio. Environ Health Perspect 112:46–51

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  • Sabbe MB, Desruelles D, Lissens W (2008) Is β-glucuronidase a clinical useful biomarker for an acute organophosphorus poisoning? Hum Exp Tox 27:431–433

    Article  CAS  Google Scholar 

  • Salvi RM, Lara DR, Ghisolfi ES, Portela LV, Dias RD, Souza DO (2003) Neuropsychiatric evaluation in subjects chronically exposed to organophosphate pesticides. Toxicol Sci 72:267–271

    Article  CAS  PubMed  Google Scholar 

  • Satoh T, Hosokawa M (1998) The mammalian carboxylesterases: from molecules to functions. Ann Rev Pharmacol Toxicol 38:257–288

    Article  CAS  Google Scholar 

  • Satoh T, Hosokawa M (2000) Organophosphates and their impact on the global environment. Neurotoxicology 21:223–227

    CAS  PubMed  Google Scholar 

  • Satoh T, Suzuki S, Kawai N, Nakamura T, Hosokawa M (1999) Toxicological significance in the cleavage of esterase-beta-glucuronidase complex in liver microsomes by organophosphorus compounds. Chem-Biol Interact 14(119–120):471–478

    Article  Google Scholar 

  • Satoh T, Taylor P, Bosron WF, Sanghani SP, Hosokawa M, La Du B (2002) Current progress on esterases: from molecular structure to function. Drug Metab Dispos 30:488–493

    Article  CAS  PubMed  Google Scholar 

  • Savage EP, Keefe TJ, Mounce LM, Heaton RK, Lewis JA, Burcar PJ (1998) Chronic neurological sequelae of organophosphate pesticide poisoning. Arch Environ Health 43:38–45

    Article  Google Scholar 

  • Senanayake N, Karalliedde L (1987) Neurotoxic effects of organophosphorus insecticides: an intermediate syndrome. New Engl J Med 316:761–763

    Article  CAS  PubMed  Google Scholar 

  • Singh S, Sharma N (2000) Neurological syndromes following organophosphate poisoning. Neurol India 48:308–313

    CAS  PubMed  Google Scholar 

  • Soltaninejad K, Shadnia S, Afkhami-Taghipour M, Saljooghi R, Mohammadirad A, Abdollahi M (2007) Blood beta-glucuronidase as a suitable biomarker at acute exposure of severe organophosphorus poisoning in human. Hum Exp Toxicol 26:963–966

    Article  CAS  PubMed  Google Scholar 

  • Steenland K, Jenkins B, Ames RG, O’Maley M, Chrislip D, Russo J (1994) Chronic neurological sequelae to organophosphate poisoning. Am J Pub Health 84:731–736

    Article  CAS  Google Scholar 

  • Tan DH, Peng SQ, Wu YL, Wang YM, Lu CF, Yan CH (2009) Chronic organophosphate (OP)-induced neuropsychiatric disorder is a withdrawal syndrome. Med Hypotheses 72:405–406

    Article  CAS  PubMed  Google Scholar 

  • van Dongen CJ, Wolthuis OL (1989) On the development of behavioral tolerance to organophosphates. I: behavioral and biochemical aspects. Pharmacol Biochem Behav 34:473–481

    Article  CAS  PubMed  Google Scholar 

  • van derHW, Konradsen F, Athukorala K, Wanigadewa T (1998) Pesticide poisoning: a major health problem in Sri Lanka. Soc Sci Med 46:495–504

    Article  Google Scholar 

  • Worek F, Diepold C, Eyer P (1999) Dimethylphosphoryl-inhibited human cholinesterases: inhibition, reactivation, and aging kinetics. Arch Toxicol 73:7–14

    Article  CAS  PubMed  Google Scholar 

  • World Health Organization (1986) Organophosphorus insecticides: a General introduction, vol 63. Environmental Health Criteria, Geneva

    Google Scholar 

  • Yang C-C, Deng J-F (2007) Intermediate syndrome following organophosphate insecticide poisoning. J Chin Med Assoc 70:467–472

    Article  CAS  PubMed  Google Scholar 

Download references

Acknowledgements

M. Jokanović, was supported in part by the Ministry of Education, Science and Technology of the Republic of Serbia (Project 175045).

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Tetsuo Satoh Ph.D. .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2014 Springer-Verlag London

About this chapter

Cite this chapter

Satoh, T., Jokanović, M. (2014). Toxicity and Novel Biomarkers of OP Exposure. In: Balali-Mood, M., Abdollahi, M. (eds) Basic and Clinical Toxicology of Organophosphorus Compounds. Springer, London. https://doi.org/10.1007/978-1-4471-5625-3_5

Download citation

Publish with us

Policies and ethics