Paraquat is a nonselective contact herbicide. It is widely used in agriculture because it is inexpensive and highly efficient. Moreover, it is not present cumulative pollutant effects. However, it is a very toxic product both for humans and animals. The intoxication produced can be fatal mainly by the lack of an efficient antidote to revert the clinical state of the subject. Paraquat acts on the oxidative stress-induced mechanisms. Thus, there is the increased production of the free radicals associated with the depletion of antioxidant systems of the organism. Paraquat toxicity attacks kidneys, liver, muscles, and brain, but lungs are the target organs. Severe injuries are observed such as edema, hemorrhage, interstitial inflammation and pulmonary fibrosis, culminating in serious respiratory failure with death. Nowadays, the treatment of paraquat intoxication is based in decrease of the absorption and increases the excretion. Moreover, the use of antioxidants and antifibrotic agents has being studied. There is an increasing interest in studies about substances that can serve as antidote in the poisonings, once paraquat increases the morbidity and mortality.
Paraquat; herbicide; poisoning; pulmonary damage; clinical state; therapeutic