This Key Event Relationship is licensed under the Creative Commons BY-SA license. This license allows reusers to distribute, remix, adapt, and build upon the material in any medium or format, so long as attribution is given to the creator. The license allows for commercial use. If you remix, adapt, or build upon the material, you must license the modified material under identical terms.
Relationship: 457
Title
Increased Cholinergic Signaling leads to Respiratory distress/arrest
Upstream event
Downstream event
AOPs Referencing Relationship
| AOP Name | Adjacency | Weight of Evidence | Quantitative Understanding | Point of Contact | Author Status | OECD Status |
|---|---|---|---|---|---|---|
| Acetylcholinesterase inhibition leading to acute mortality | adjacent | High | Low | Cataia Ives (send email) | Under Development: Contributions and Comments Welcome | Under Development |
Taxonomic Applicability
Sex Applicability
Life Stage Applicability
Respiratory distress as a result of increased cholinergic signalling due to AChE inhibition occurs through combined peripheral and central cholinergic effects.
| ID | Experimental Design | Species | Upstream Observation | Downstream Observation | Citation (first author, year) | Notes |
|---|
| Title | First Author | Biological Plausibility |
Dose Concordance |
Temporal Concordance |
Incidence Concordance |
|---|
Biological Plausibility
Dose Concordance Evidence
Temporal Concordance Evidence
Incidence Concordance Evidence
Uncertainties and Inconsistencies
- There is abundant evidence that increased cholinergic signalling leads to respiratory failure in many organisms. There is one area of uncertainty, which relates to how the balance of nicotinic and muscarinic effects lead to respiratory failure. It is unclear which mechanism predominates and greater understanding of these mechanisms could help inform therapeutic intervention strategies.
-
We are unaware of any correlative relationships of significant predictive value with regard to this KER.
-
Predominance of nicotinic vs muscarinic responses seems to depend on the time post-OP exposure in humans
Response-response Relationship
Time-scale
Known Feedforward/Feedback loops influencing this KER
- Cats - see Rickett 1986, cited above