The present study was designed for determining the exact mechanism of cytotoxic action of
aluminum phosphide (AlP) in the presence of
iron sucrose as the proposed
antidote. Rats received AlP (12 mg/kg) and
iron sucrose (5-30 mg/kg) in various sets and were connected to cardiovascular monitoring device. After identification of optimum doses of AlP and
iron sucrose, rats taken in 18 groups received AlP (6 mg/kg) and
iron sucrose (10 mg/kg), treated at six different time points, and then their hearts were surgically removed and used for evaluating a series of mitochondrial parameters, including cell lipid peroxidation,
antioxidant power, mitochondrial complex activity,
ADP/
ATP ratio and process of apoptosis. ECG changes of AlP
poisoning, including QRS, QT, P-R, ST, BP and HR were ameliorated by
iron sucrose (10 mg/kg) treatment. AlP initiated its toxicity in the heart mitochondria through reducing mitochondrial complexes (II, IV and V), which was followed by increasing lipid peroxidation and the
ADP/
ATP ratio and declining mitochondrial membrane integrity that ultimately resulted in cell death. AlP in acute exposure (6 mg/kg) resulted in an increase in
hydroxyl radicals and lipid peroxidation in a time-dependent fashion, suggesting an interaction of delivering electrons of
phosphine with mitochondrial respiratory chain and oxidative stress.
Iron sucrose, as an electron receiver, can compete with mitochondrial respiratory chain complexes and divert electrons to another pathway. The present findings supported the idea that
iron sucrose could normalize the activity of mitochondrial electron transfer chain and cellular
ATP level as vital factors for cell escaping from AlP
poisoning.