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Cytochrome C Oxidase (Complex IV)

Definition

The terminal electron acceptor in the mitochondrial respiratory chain, inhibited by both cyanide and hydrogen sulphide. Inhibition prevents oxidative phosphorylation and ATP production, producing cellular asphyxia even when haemoglobin is fully oxygenated.

Related terms

Bitter-Almond Odour
The characteristic smell of hydrogen cyanide, detectable at autopsy in approximately 40% of people (a genetically determined anosmia to HCN). Present in...
Carboxyhaemoglobin (COHb)
The compound formed when carbon monoxide binds to haemoglobin at the oxygen-binding site, with an affinity 200-250 times greater than oxygen. Produces...
Cherry-Red Livor Mortis
Bright pink-red post-mortem lividity produced by the spectral absorption shift of carboxyhaemoglobin; also seen in cyanide poisoning and hypothermia. Distinguished from natural...
Co-Oximetry
Spectrophotometric analysis of blood that simultaneously quantifies oxyhaemoglobin, deoxyhaemoglobin, carboxyhaemoglobin, methaemoglobin, sulphhaemoglobin, and total haemoglobin by their distinct absorption wavelengths. The primary...
GC-FID
Gas chromatography with flame ionisation detection. The standard analytical method for quantifying cyanide and methanol in blood and tissue specimens. Provides both...
Knockdown Pattern (H2S)
The scene distribution of multiple H2S victims clustered at the entrance or access point of a confined space, as first responders and...
Sulphhaemoglobin (SHb)
A modified haemoglobin species in which one or more pyrrole rings is sulphonated by reaction with hydrogen sulphide. Produces green-brown blood and...

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