Coprine

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Coprine


Coprine is a chemical compound that is notably found in some species of mushrooms, particularly those belonging to the genus Coprinopsis, such as the Coprinopsis atramentaria (commonly known as the ink cap mushroom). Coprine interferes with the body's ability to metabolize alcohol, leading to an accumulation of acetaldehyde in the blood when alcohol is consumed. This interaction can cause a syndrome known as Coprine poisoning or the Antabuse effect, which is characterized by various unpleasant symptoms including facial flushing, nausea, vomiting, malaise, and palpitations. These symptoms are similar to those experienced by individuals taking the drug disulfiram (Antabuse), which is used in the treatment of alcohol dependence.

The mechanism of action of coprine involves the inhibition of the enzyme aldehyde dehydrogenase (ALDH), which is crucial for the breakdown of acetaldehyde, a toxic metabolite of alcohol. When ALDH is inhibited, acetaldehyde accumulates in the body, leading to the adverse reactions associated with coprine poisoning.

It is important for foragers and consumers of wild mushrooms to be aware of the potential risks associated with consuming species that contain coprine, especially if alcohol consumption is anticipated around the same time. Education on the identification of mushrooms and knowledge of their potential interactions with other substances is crucial for preventing coprine poisoning.

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Contributors: Prab R. Tumpati, MD