Abstract: Electrochemotherapy (ECT) is a technique that combines chemotherapy with local application of specific electric pulses with the aim of increasing the permeability of the plasma membrane in a reversible way, improving the influx of chemotherapeutic drugs into the cytoplasm and potentiating their cytotoxic effects. This technique has broadened the range of possible treatments for oncological patients, either on its own or as adjuvant to surgical procedures. It is especially useful in tumors located in regions with only a small surgical safety margin, such as the limb extremities, skull, oral cavity, neck and perianal region, among others. ECT makes it feasible to perform procedures more conservatively, or even to perform otherwise infeasible procedures, by expanding the margins without removing healthy tissues. The objective of this paper is to provide a brief bibliographic review of the principles, applications and future possibilities of electrochemotherapy, helping to disseminate pertinent information about this relatively new technique for the treatment of cancer.

RESUMO: A partir de um caso de intoxicação iatrogênica por selenito de sódio injetável em suíno verificaram-se alguns aspectos patogenéticos não esclarecidos, o que ensejou o estudo experimental. Selenito de sódio foi administrado pelas vias oral e parenteral a 13 suínos, subdivididos em três grupos (G1, G2 e G3). Os grupos G1 e G3 receberam selenito de sódio por via intra-muscular (IM); (G1 - fórmula comercial e G3 - selenito de sódio misturado à água destilada, em diversas dosagens) e o grupo G2, por via oral (VO), misturado à ração. Quadros de evolução aguda e subaguda foram observados em todos os grupos, embora o início dos sintomas tenha sido mais lento no grupo G2. Um único porco (do grupo G1), que havia recebido a dose mais alta, apresentou evolução superaguda. Apatia, anorexia, dispneia, vômito, tremores musculares, déficit proprioceptivo, ataxia e paresia dos membros posteriores com progressão para os anteriores e evolução para tetraplegia foram observados. Os achados de necropsia foram diferentes entre os animais que receberam o selenito de sódio injetável (IM - G1 e G3) e oral (G2). Havia moderada atrofia hepática em alguns animais do G2. Parte dos animais dos grupos G1 e G3 apresentaram edema pulmonar. Em um suíno (G3) notaram-se áreas marrom-amareladas nos cornos ventrais da intumescência cervical. As alterações histológicas mais importantes ocorreram nos cornos ventrais do “H” medular das intumescências cervical e lombar. Em um animal, as alterações envolviam o tronco cerebral e o mesencéfalo. Inicialmente, a lesão caracterizava-se por edema perivascular e astrocitário que progredia para lise e necrose de astrócitos e neurônios. O estágio crônico das lesões caracterizava-se por extensas áreas de necrose liquefativa e infiltração perivascular linfocítica e histiocítica, com raros eosinófilos. Sugere-se que a ruptura da barreira hematoencefálica por edema astrocitário seja o mecanismo mais provável da lesão no SNC.

ABSTRACT: Following a case of iatrogenic selenium poisoning in a young pig, an experimental study was carry out. Sodium selenite was orally and parenterally administered to 13 pigs that were subdivided into three groups (G1, G2 and G3). The animals in groups G1 and G3 received sodium selenite intramuscularly (IM), G1 received a comercial formula, and G3 received sodium selenite mixed with distilled water at different dosages, and those in group G2 were fed commercial sodium selenite. Acute and subacute poisoning was observed in both groups, although the onset of clinical signs was slower in group G2. Only one pig (in group G1) that had received the highest dose showed a peracute course. Apathy, anorexia, dyspnea, vomiting, muscular tremors, proprioceptive deficit, ataxia and paresis of the hind limbs progressing to the front limbs evolving to tetraplegia were observed. Postmortem findings differed whether the animals received the injected (G1 and G3) or oral (G2) sodium selenite. The liver was moderately atrophic in some animals of G2. Some of the animals in groups G1 and G3 presented with lung edema. One pig in G3 had yellowish-brown areas in the ventral horns of the cervical intumescences of the spinal cord. The most important histological changes were present in the ventral horns of the cervical and lumbar intumescences of the spinal cord. In one animal, changes were present in the brainstem and mesencephalon. The initial lesion was a perivascular and astrocyte edema that progressing to lysis and death of astrocytes and neurons. In the chronic stage of the lesions, there were extensive areas of liquefaction necrosis with perivascular lymphocytic and histiocytic infiltration and occasional eosinophils. It seems that disruption of the blood-brain barrier due to astrocyte edema is the most likely mechanism of CNS lesion.

Por meio de revisão da literatura pertinente foram coligidos e são apresentados os principais dados relativos à intoxicação por selênio em animais domésticos. Foram abordados e discutidos os aspectos epidemiológicos, clínicos, anátomo e histopatológicos e patogenéticos atribuídos a Alkali Disease, Blind Staggers, intoxicação aguda e poliomielomalácia simétrica focal dos suínos. O trabalho tem como objetivo esclarecer pontos obscuros relativos à intoxicação por selênio, bem como alertar para os riscos que a suplementação com esse elemento pode representar.

Trough a critical literature review, the main data of selenium poisoning in domestic animals are presented. Epidemiological, clinical, anatomic and histopathological aspects attributed to Alkali Disease, Blind Staggers, acute poisoning and focal symmetrical poliomielomalacia of swine are discussed. The main objective of the paper is to clarify obscure points of selenium poisoning, as well to point out the risks that supplementation with this element can represent.

A administração por via oral das folhas dessecadas de Piptadenia macrocarpa (Benth. [=Anadenanthera macrocarpa (Benth.) Brenan], Piptadenia viridiflora (Kunth.) Benth. e Holocalyx glaziovii Taub. [=Holocalyx balansae Micheli], plantas cianogênicas da família Leguminosae Mimosoideae, revelou a sensibilidade do coelho à elas, caracterizando-se a intoxicação por sintomatologia de natureza neuromuscular. A dose letal de P. macrocarpa foi de 6 g/kg para a brotação dessecada, até 5 meses após sua coleta; 6 meses depois da coleta a planta havia perdido a toxidez. A dose letal de P. viridiflora foi também de 6 g/kg para a brotação dessecada, coletada dois meses antes dos experimentos; 10 meses após a coleta a planta havia perdido metade da toxidez. Com H. glaziovii foram realizadas duas séries experimentais; estabeleceu-se a dose letal entre 0,75 e 1,5 g/kg com a planta coletada 2 meses antes, também com perda aproximada de metade da toxidez no período de 12 meses. O experimentos indicam, que H. glaziovii, moída logo após a coleta e armazenada em vidros fechados com tampa plástica, conserva melhor a toxidez nos primeiros meses do que a planta guardada em sacos de algodão, porém, ao final de um ano, essa diferença deixa de existir. A toxidez das folhas dessecadas foi proporcional à intensidade das reações das mesmas ao teste do papel picro-sódico, com raras exceções

The dried leaves of Piptadenia macrocarpa Benth. [=Anadenanthera macrocarpa (Benth.) Brenan], Piptadenia viridiflora (Kunth.) Benth. and Holocalyx glaziovii Taub.[=Holocalyx balansae Micheli], all trees of the Leguminosae Mimosoideae family, were given orally to rabbits in single doses. In the case of H. glaziovii, leaves were fed after being stored in two different ways. In the first series of experiments, Piptadenia macrocarpa failed to poison rabbits although the leaves were collected when sprouting, the most toxic stage for cattle. The experiments were performed 4 to 6 months after the leaves had been collected and dried. In a second series of experiments, similar leaves were fed at monthly intervals after harvest. They were toxic for the first 5 months, but were innocuous after 6 months storage. In both series of experiments the leaves were dried in the shade and then kept in cotton sacks at room temperature. They always were milled at the occasion of the experiments. These experiments with rabbits confirm the results with cattle, in which severe poisoning was caused by leaves stored for 3 months but caused no ill effect after 4 months, even when fed in large amounts. Young leaves of P. viridiflora were lethal at 12 g/kg, 12 months after collection and drying. In a second experiment the lethal dose was only 6 g/kg with leaves stored for only 2 months. These results show that the dried leaves of these species lose toxicity with time. Holocalyx glaziovii leaves were milled 6 weeks after collecting and dried and stored in sealed containers. They were fed in single doses to different rabbits at intervals during a whole year. Lethal doses were initially 0.75 g/kg to 1.5 g/kg but rose to 1.5 g/kg to 3 g/kg by the end of the year. In a second experiment, leaves stored in cotton sacks and milled just before feeding were compared with milled leaves stored in sealed glass containers. The plant material kept in cotton sacks had half the toxicity of the leaves stored for 2 months in sealed containers. After 10 to 12 months it was only a little less toxic than that stored in the sealed containers but there were no differences after 14 months. The symptoms observed in the rabbits that were poisoned by the dried leaves of P. macrocarpa, P. viridiflora and H. glaziovii were neuromuscular. Post-mortem findings and histopathological findings were almost absent. On opening the stomach, a strong smell of bitter almonds was sometimes noticed. The degree of toxicity during the storage of the dried leaves of the three tested plants was generally well correlated with the picrate test for cyanide.