Forensic Medicine · Specific Plant, Animal and Marine Toxins (Aconite, Abrus, Oleander, Snake, Scorpion, Datura)

Elapid venoms contain several neurotoxic components that block neuromuscular transmission at different sites. Which of the following produces paralysis by a PRESYNAPTIC mechanism?

  • A Alpha-bungarotoxin
  • B Cobrotoxin
  • C Beta-bungarotoxin
  • D Erabutoxin b
Correct answer: C. Beta-bungarotoxin

Explanation

Beta-bungarotoxin, found in krait (Bungarus) venom, is a phospholipase A2 neurotoxin that acts presynaptically on the motor nerve terminal, initially causing repetitive transmitter release and subsequently blocking acetylcholine release altogether, producing irreversible paralysis. Alpha-bungarotoxin, cobrotoxin and erabutoxin are all three-finger toxins that bind postsynaptically to the nicotinic receptor at the motor end plate, competing with acetylcholine in a curare-like manner.

Reference: Parikh's Textbook of Medical Jurisprudence and Toxicology, 8th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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