Toxicological Sciences, Vol 51, 310-316, Copyright © 1999 by Society of Toxicology
DC McMillan and DJ Jollow
Favism is an acute hemolytic anemia known to occur in susceptible
individuals who ingest fava beans. Susceptibility to favism is conferred by
a genetic deficiency in erythrocytic glucose-6-phosphate dehydrogenase
(G6PD) activity. Although the fava bean pyrimidine aglycones, divicine and
isouramil, have been implicated in the onset of favism in humans, the lack
of a well-defined experimental animal model for favism has hampered
progress in elucidating the mechanism underlying hemotoxicity. We have
examined whether a favic-like response could be provoked in G6PD-normal
rats treated with synthetic divicine. Intraperitoneal administration of
divicine to rats preloaded with 51Cr- tagged erythrocytes resulted in a
severe, dose-dependent decrease in blood radioactivity (TD50 approximately
0.5 mmol/kg) within 24 h. The increased rate of removal of blood
radioactivity was accompanied by a rapid decline in reduced glutathione
levels in the blood, decreased hematocrits, marked hemoglobinuria, splenic
enlargement, and reticulocytosis. In vitro exposure of 51Cr-tagged red
cells to divicine before their re-administration to isologous rats also
resulted in a sharp, concentration-dependent decrease in erythrocyte
survival in vivo (TC50 approximately 1.5 mM), and these divicine-damaged
red cells were removed from the circulation by the spleen. These data
demonstrate that a favic response can be induced in G6PD-normal rats
treated with divicine, and that hemolytic activity can be reproduced in
isolated red cells under conditions that will allow a direct examination of
the mechanism underlying this hemotoxicity.
ARTICLES
Favism: divicine hemotoxicity in the rat
Department of Cell and Molecular Pharmacology and Experimental Therapeutics, Medical University of South Carolina, Charleston 29425, USA. mcmilldc@musc.edu
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