An update on toxicology of aluminum phosphide
Open accessAbstract
Aluminum phosphide (AlP) is a cheap solid fumigant and a highly toxic pesticide which is commonly used for grain preservation. In Iran it is known as the “rice tablet”. AlP has currently aroused interest with increasing number of cases in the past four decades due to increased use in agricultural and non-agricultural purposesand also its easy availability in the markets has increased its misuse to commit suicide. Upon contact with moisture in the environment, AlP undergoes a chemical reaction yielding phosphine gas, which is the active pesticidal component. Phosphine inhibits cellular oxygen utilization and can induce lipid peroxidation. It was reported that AlP has a mortality rate more than 50% of intoxication cases. Poisoning with AlP has usually occurred in attempts to suicide. It is a more common case in adults rather than teen agers. In some eastern countries it is a very common agent with rapid action for suicide. Up to date, there is no effective antidote or treatment for its intoxication. Also, some experimental results suggest that magnesium sulfate, N-acetyl cysteine (NAC), glutathione, vitamin C and E, beta-carotenes, coconut oil and melatonin may play an important role in reducing the oxidative outcomes of phosphine. This article reviews the experimental and clinical features of AlP intoxication and tries to suggest a way to encounter its poisoning.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The toxicity of Al phosphide was probably due to formation of highly toxic phosphine gas rather than to Al exposure.
“The toxicity was probably due to the formation of highly toxic phosphine gas rather than to Al exposure (Alter et al., 2001; Kamanyire and Murray, 2003; Moghadamnia, 2012).”
From Aluminium toxicosis: a review of toxic actions and effects (2019) · cites this paper as Moghadamnia, 2012
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
The citation lists haven’t been fetched yet
References 83 · Cited by 158
Research works printed but not linked: 75
- Chopra JS Kalra OP Malik VS Sharma R Chandna A Aluminium phosphide poisoning: a prospective study of 16 cases in one year Postgrad Med J 1986 62 1113 1115 10.1136/pgmj.62.734.1113 3658848 PMC2418928 · DOI · Paper page
- Mehrpour O Singh S Rice tablet poisoning: a major concern in Iranian population Hum Exp Toxicol 2010 29 701 702 10.1177/0960327109359643 20097728 · DOI
- Wahab A Rabbani MU Wahab S Khan RA Spontaneous self-ignition in a case of acute aluminium phosphide poisoning Am J Emerg Med 2009 27 752 756 19751640
- Sudakin DL Occupational exposure to aluminium phosphide and phosphine gas? A suspected case report and review of the literature Hum Exp Toxicol 2005 24 27 33 10.1191/0960327105ht496oa 15727053 · DOI
- Singh D Dewan I Pandey AN Tyagi S Spectrum of unnatural fatalities in the Chandigarh zone of north-west India–a 25 year autopsy study from a tertiary care hospital J Clin Forensic Med 2003 10 145 152 10.1016/S1353-1131(03)00073-7 15275009 · DOI
- Moghadamnia AA Abdollahi M An epidemiological study of poisoning in northern Islamic Republic of Iran East Mediterr Health J 2002 8 88 94 15330564
- Shadnia S Soltaninejad K Spontaneous ignition due to intentional acute aluminum phosphide poisoning J Emerg Med 2009 40 179 181 19625157
- Soltaninejad K Faryadi M Sardari F Acute pesticide poisoning related deaths in Tehran during the period 2003–2004 J Forensic Leg Med 2007 14 352 354 10.1016/j.jflm.2006.12.011 17631456 · DOI
- Kondo S Tokuhashi K Nagai H Iwasaka M Kaise M Spontaneous ignition limits of silane and phosphine Combustion Flame 1995 101 170 10.1016/0010-2180(94)00175-R · DOI
- Rigobello MP Scutari G Boscolo R Bindoli A Induction of mitochondrial permeability transition by auranofin, a gold(I)-phosphine derivative Br J Pharmacol 2002 136 1162 1168 10.1038/sj.bjp.0704823 12163349 PMC1573451 · DOI
- Valmas N Zuryn S Ebert PR Mitochondrial uncouplers act synergistically with the fumigant phosphine to disrupt mitochondrial membrane potential and cause cell death Toxicology 2008 252 33 39 10.1016/j.tox.2008.07.060 18755236 · DOI
- Wang W Winther JR Thorpe C Erv2p: characterization of the redox behavior of a yeast sulfhydryl oxidase Biochemistry 2007 46 3246 3254 10.1021/bi602499t 17298084 PMC2573868 · DOI
- Proudfoot AT Aluminium and zinc phosphide poisoning Clin Toxicol (Phila) 2009 47 89 100 10.1080/15563650802520675 19280425 · DOI
- Almasieh M Lieven CJ Levin LA Di Polo A A cell-permeable phosphine-borane complex delays retinal ganglion cell death after axonal injury through activation of the pro-survival extracellular signal-regulated kinases 1/2 pathway J Neurochem 2011 118 1075 1086 10.1111/j.1471-4159.2011.07382.x 21749374 PMC3166386 · DOI
- Hsu CH Quistad GB Casida JE Phosphine-induced oxidative stress in Hepa 1c1c7 cells Toxicol Sci 1998 46 204 210 10.1093/toxsci/46.1.204 9928684 · DOI
- Lieven CJ Levin LA Tools for studying early events in optic neuropathies Eye (Lond) 2007 21 Suppl 1 S21 24 18157175
- Nguyen SM Alexejun CN Levin LA Amplification of a reactive oxygen species signal in axotomized retinal ganglion cells Antioxid Redox Signal 2003 5 629 634 10.1089/152308603770310293 14580319 · DOI
- Chugh SN Arora V Sharma A Chugh K Free radical scavengers & lipid peroxidation in acute aluminium phosphide poisoning Indian J Med Res 1996 104 190 193 8840658
- Glindemann D Eismann F Bergmann A Kuschk P Stottmeister U Phosphine by bio-corrosion of phosphide-rich iron Environ Sci Pollut Res Int 1998 5 71 74 10.1007/BF02986389 19005813 · DOI
- Mittra S Peshin SS Lall SB Cholinesterase inhibition by aluminium phosphide poisoning in rats and effects of atropine and pralidoxime chloride Acta Pharmacol Sin 2001 22 37 39 11730559
- Shadnia S Mehrpour O Abdollahi M Unintentional poisoning by phosphine released from aluminum phosphide Hum Exp Toxicol 2008 27 87 89 10.1177/0960327107086241 18480154 · DOI
- Aggarwal P Handa R Wig N Biswas A Saxena R Wali JP Intravascular hemolysis in aluminium phosphide poisoning Am J Emerg Med 1999 17 488 489 10.1016/S0735-6757(99)90255-3 10496516 · DOI
- Gupta MS Mehta L Chugh SN Malhotra KC Aluminium phosphide poisoning. Two cases with rare presentation J Assoc Physicians India 1990 38 509 510 2292563
- Kapoor S Naik S Kumar R Sharma S Pruthi HS Varshney S Benign esophageal stricture following aluminium phosphide poisoning Indian J Gastroenterol 2005 24 261 262 16424626
- Katira R Elhence GP Mehrotra ML A study of aluminum phosphide (AlP) poisoning with special reference to electrocardiographic changes J Assoc Physicians India 1990 38 471 473 2292551
- Gupta SK Peshin SS Srivastava A Kaleekal T A study of childhood poisoning at National Poisons Information Centre, all India Institute of Medical Sciences, New Delhi J Occup Health 2003 45 191 196 10.1539/joh.45.191 14646297 · DOI
- Singh D Jit I Tyagi S Changing trends in acute poisoning in Chandigarh zone: a 25-year autopsy experience from a tertiary care hospital in northern India Am J Forensic Med Pathol 1999 20 203 210 10.1097/00000433-199906000-00019 10414665 · DOI
- Feldstein A Heumann M Barnett M Fumigant intoxication during transport of grain by railroad J Occup Med 1991 33 64 65 10.1097/00043764-199101000-00016 1995804 · DOI
- Wilson R Lovejoy FH Jaeger RJ Landrigan PL Acute phosphine poisoning aboard a grain freighter. Epidemiologic, clinical, and pathological findings JAMA 1980 244 148 150 10.1001/jama.1980.03310020024020 7382074 · DOI
- Shadnia S Sasanian G Allami P A retrospective 7-years study of aluminum phosphide poisoning in Tehran: opportunities for prevention Hum Exp Toxicol 2009 28 209 213 10.1177/0960327108097194 19734272 · DOI
- Moghadamnia AA Khalilian E Mahdipour E Salar N Ghafouri M Epidemiological study of poisoning in Babol J Babol Univ Med Sci 2012 1 8 in press
- Abder-Rahman HA Battah AH Ibraheem YM Shomaf MS el-Batainch N Aluminum phosphide fatalities, new local experience Med Sci Law 2000 40 164 168 10821029
- Willers-Russo LJ Three fatalities involving phosphine gas, produced as a result of methamphetamine manufacturing J Forensic Sci 1999 44 647 652 10408124
- Burgess JL Phosphine exposure from a methamphetamine laboratory investigation J Toxicol Clin Toxicol 2001 39 165 168 10.1081/CLT-100103833 11407503 · DOI
- Singh S Singh D Wig N Jit I Sharma BK Aluminum phosphide ingestion–a clinico-pathologic study J Toxicol Clin Toxicol 1996 34 703 706 10.3109/15563659609013832 8941200 · DOI
- Chugh SN Ram S Chugh K Malhotra KC Spot diagnosis of aluminium phosphide ingestion: an application of a simple test J Assoc Physicians India 1989 37 219 220 2768165
- Khosla SN Nand N Khosla P Aluminium phosphide poisoning J Trop Med Hyg 1988 91 196 198 3404567
- Mital HS Mehrotra TN Dwivedi KK Gera M A study of aluminium phosphide poisoning with special reference to its spot diagnosis by silver nitrate test J Assoc Physicians India 1992 40 473 474 1282918
- Demange M Elcabache JM Grzebyk M Phosphine sampling and analysis using silver nitrate impregnated filters J Environ Monit 2000 2 476 482 10.1039/b001990i 11254053 · DOI
- Carlson M Thompson RD Determination of phosphine residues in whole grains and soybeans by ion chromatography via conversion to phosphate J AOAC Int 1998 81 1190 1201 9850582
- Gras R Luong J Hawryluk M Monagle M Analysis of part-per-billion level of arsine and phosphine in light hydrocarbons by capillary flow technology and dielectric barrier discharge detector J Chromatogr A 2009 1217 348 352 20004902
- Norman KN Leonard K Gas chromatography–mass spectrometry determination of phosphine residues in stored products and processed foods J Agric Food Chem 2000 48 4066 4070 10.1021/jf991221v 10995315 · DOI
- Roels J Van Langenhove H Verstraete W Determination of phosphine in biogas and sludge at ppt-levels with gas chromatography-thermionic specific detection J Chromatogr A 2002 952 229 237 10.1016/S0021-9673(02)00084-5 12064534 · DOI
- Musshoff F Preuss J Lignitz E Madea B A gas chromatographic analysis of phosphine in biological material in a case of suicide Forensic Sci Int 2008 177 e35 38 10.1016/j.forsciint.2007.12.007 18294792 · DOI
- Chan LT Crowley RJ Delliou D Geyer R Phosphine analysis in post mortem specimens following ingestion of aluminium phosphide J Anal Toxicol 1983 7 165 167 6314042
- Chugh SN Ram S Sharma A Arora BB Saini AS Malhotra KC Adrenocortical involvement in aluminium phosphide poisoning Indian J Med Res 1989 90 289 294 2620956
- Gupta MS Malik A Sharma VK Cardiovascular manifestations in aluminium phosphide poisoning with special reference to echocardiographic changes J Assoc Physicians India 1995 43 773–774 779 780 8773039
- Jain SM Bharani A Sepaha GC Sanghvi VC Raman PG Electrocardiographic changes in aluminium phosphide (ALP) poisoning J Assoc Physicians India 1985 33 406 409 4077827
- Singh RB Rastogi SS Singh DS Cardiovascular manifestations of aluminium phosphide intoxication J Assoc Physicians India 1989 37 590 592 2632560
- Siwach SB Singh H Jagdish Katyal VK Bhardwaj G Cardiac arrhythmias in aluminium phosphide poisoning studied by on continuous holter and cardioscopic monitoring J Assoc Physicians India 1998 46 598 601 12152839
- Chugh SN Mittal A Seth S Chugh K Lipid peroxidation in acute aluminium phosphide poisoning J Assoc Physicians India 1995 43 265 266 8713267
- Shadnia S Soltaninejad K Hassanian-Moghadam H Methemoglobinemia in aluminum phosphide poisoning Hum Exp Toxicol 2010 30 250 253 20889582
- Shadnia S Mehrpour O Soltaninejad K A simplified acute physiology score in the prediction of acute aluminum phosphide poisoning outcome Indian J Med Sci 2011 64 532 539 21258160
- Anger F Paysant F Brousse F Fatal aluminum phosphide poisoning J Anal Toxicol 2000 24 90 92 10732945
- Misra UK Tripathi AK Pandey R Bhargwa B Acute phosphine poisoning following ingestion of aluminium phosphide Hum Toxicol 1988 7 343 345 10.1177/096032718800700408 3410483 · DOI
- Chugh SN Kumar P Aggarwal HK Sharma A Mahajan SK Malhotra KC Efficacy of magnesium sulphate in aluminium phosphide poisoning–comparison of two different dose schedules J Assoc Physicians India 1994 42 373 375 7829435
- Siwach SB Dua A Sharma R Sharma D Mehla RK Tissue magnesium content and histopathological changes in non-survivors of aluminium phosphide poisoning J Assoc Physicians India 1995 43 676 678 8773002
- Yazdanpanah H Roshanzamir F Shafaghi B Faizi M Elhami M Rasekh HR Assessment of possible protective roles of selenium, zinc, and cis-stilbene oxide against acute T-2 toxin poisoning: a preliminary report Nat Toxins 1997 5 133 135 9407554
- Siwach SB Singh P Dua A Sharma D Serum and tissue magnesium content in patients of aluminium phosphide poisoning and critical evaluation of high dose magnesium sulphate therapy in reducing mortality J Assoc Physicians India 1990 42 107 110 7860467
- Feroci G Fini A Study of the antioxidant effect of several selenium and sulphur compounds J Trace Elem Med Biol 1998 12 96 100 10.1016/S0946-672X(98)80032-1 9760418 · DOI
- Patteson KG Trivedi N Stadtman TC Methanococcus vannielii selenium-binding protein (SeBP): chemical reactivity of recombinant SeBP produced in Escherichia coli Proc Natl Acad Sci U S A 2005 102 12029 12034 10.1073/pnas.0505650102 16103372 PMC1189349 · DOI
- Mackenzie GG Salvador GA Romero C Keen CL Oteiza PI A deficit in zinc availability can cause alterations in tubulin thiol redox status in cultured neurons and in the developing fetal rat brain Free Radic Biol Med 2011 51 480 489 10.1016/j.freeradbiomed.2011.04.028 21600978 PMC3506427 · DOI
- Abder-Rahman H Effect of aluminum phosphide on blood glucose level Vet Hum Toxicol 1999 41 31 32 9949483
- Chugh SN Kolley T Kakkar R Chugh K Sharma A A critical evaluation of anti-peroxidant effect of intravenous magnesium in acute aluminium phosphide poisoning Magnes Res 1997 10 225 230 9483483
- Schelble T Haddad LM, Winchester JF Phosphine and phosgene Clinical management of poisoning and drug overdose 1990 2 Philadelphia: W. B. Saunders Co 1235 1240
- Chugh SN Arora V Kaur S Sood AK Toxicity of exposed aluminium phosphide J Assoc Phys Ind 1993 41 569 570 8307912
- Chugh SN Chugh K Ram S Malhotra KC Electrocardiographic abnormalities in aluminium phosphide poisoning with special reference to its incidence, pathogenesis, mortality and histopathology J Indian Med Assoc 1991 89 32 35 2056173
- Gurjar M Baronia AK Azim A Sharma K Managing aluminum phosphide poisonings J Emerg Trauma and Shock 2011 4 378 384 10.4103/0974-2700.83868 21887030 PMC3162709 · DOI
- Shadnia S Rahimi M Pajoumand A Rasouli MH Abdollahi M Successful treatment of acute aluminium phosphide poisoning: possible benefit of coconut oil Hum Exp Toxicol 2005 24 215 218 10.1191/0960327105ht513oa 15957538 · DOI
- de Leiris J Boucher F Rationale for trimetazidine administration in myocardial ischaemia-reperfusion syndrome Eur Heart J 1993 Suppl G 34 40 8287867
- Lopaschuk GD Treating ischemic heart disease by pharmacologically improving cardiac energy metabolism Am J Cardiol 1998 82 14K 17K 10.1016/S0002-9149(98)00532-3 9737481 · DOI
- Duenas A Perez-Castrillon JL Cobos MA Herreros V Treatment of the cardiovascular manifestations of phosphine poisoning with trimetazidine, a new antiischemic drug Am J Emerg Med 1999 17 219 220 10102341
- Siwach SB Singh P Ahlawat S Dua A Sharma D Serum & tissue magnesium content in patients of aluminium phosphide poisoning and critical evaluation of high dose magnesium sulphate therapy in reducing mortality J Assoc Physicians India 1994 42 107 110 7860467
- Goswami M Bindal M Sen P Gupta SK Avasthi R Ram BK Fat and oil inhibit phosphine release from aluminium phosphide-its clinical implication Indian J Exp Biol 1994 32 647 649 7814045
- Mehrpour O Farzaneh E Abdollahi M Successful treatment of aluminum phosphide poisoning with digoxin: a case report and review of literature Int J Pharmacol 2011 7 761 764 10.3923/ijp.2011.761.764 · DOI
- Authors
- Moghadamnia, A. A.
- Affiliations
- Babol University of Medical Sciences (IR)
- Corresponding author
- Moghadamnia, Ali Akbar
- Venue
- DARU Journal of Pharmaceutical Sciences
- Published
- 2012-09-03
- Volume
- 20
- Issue
- 1
- Pages
- 25-25
- ISSN
- 1560-8115 (ISSN-L)
- 2008-2231
- PMC
- PMC3555759
- OpenAlex
- W2139408713
- Cited by
- 158
- References
- 83
- Citations by year
- 2026: 8 · 2025: 10 · 2024: 15 · 2023: 19 · 2022: 12 · 2021: 21 · 2020: 10 · 2019: 10 · 2018: 9 · 2017: 13 · 2016: 8 · 2015: 10 · 2014: 5 · 2013: 5 · 2012: 2
- FWCI
- 7.83
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- DARU Journal of Pharmaceutical Sciences (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Topics
- Health Sciences › Medicine › Emergency Medicine › Poisoning and overdose treatments
- Life Sciences › Agricultural and Biological Sciences › Plant Science › Pesticide Exposure and Toxicity
- Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Heavy Metal Exposure and Toxicity
- Keywords
- aluminum phosphide, phosphine poisoning, suicide attempts, fumigant toxicity, grain conservation, lipid peroxidation, oxidative stress, antidotes, magnesium sulfate, N-acetylcysteine, glutathione, melatonin
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review