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Ch.22 - The Main Group Elements
Chapter 22, Problem 22.96

Why are CO and CN so toxic to humans?

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1
Understand that both CO (carbon monoxide) and CN<sup>–</sup> (cyanide ion) are toxic because they interfere with the body's ability to use oxygen effectively.
Recognize that CO binds to hemoglobin in red blood cells with a much higher affinity than oxygen, forming carboxyhemoglobin, which reduces the blood's oxygen-carrying capacity.
Note that CN<sup>–</sup> inhibits cytochrome c oxidase, a key enzyme in the electron transport chain of mitochondria, preventing cells from using oxygen to produce ATP, the energy currency of the cell.
Consider that the toxicity of both CO and CN<sup>–</sup> is due to their ability to disrupt cellular respiration, leading to cellular hypoxia and potential organ failure.
Remember that the symptoms of poisoning by these substances can include headache, dizziness, weakness, and in severe cases, can lead to death if not treated promptly.

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Key Concepts

Here are the essential concepts you must grasp in order to answer the question correctly.

Carbon Monoxide Toxicity

Carbon monoxide (CO) is a colorless, odorless gas that binds to hemoglobin in red blood cells more effectively than oxygen. This binding forms carboxyhemoglobin, which reduces the blood's ability to carry oxygen to tissues, leading to hypoxia. The symptoms of CO poisoning can include headache, dizziness, and in severe cases, death.
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Cyanide Ion Toxicity

The cyanide ion (CN⁻) is highly toxic because it inhibits cytochrome c oxidase, an essential enzyme in the electron transport chain of cellular respiration. This inhibition prevents cells from utilizing oxygen, effectively causing cellular asphyxiation. Exposure to cyanide can lead to rapid onset of symptoms such as confusion, seizures, and respiratory failure.
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Mechanisms of Toxicity

Both CO and CN⁻ exhibit their toxic effects through mechanisms that disrupt oxygen transport and utilization in the body. While CO interferes with oxygen binding in hemoglobin, CN⁻ disrupts cellular respiration at the mitochondrial level. Understanding these mechanisms is crucial for developing treatments and antidotes for poisoning from these substances.
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