Chelation therapy Chelation therapy is a method for removing heavy metals from blood such as mercury or lead Chelating agent Chelating agents are chemical compounds that react with metal ions to form a stable, water-soluble complex. They are also known as chelators
Chelation therapy Chelating agent is an polydentate ligand
chelation therapy Metal complexes BAL [British anti lewisite] EDTA [ethylene diamine tetra acetic acid DMPS [di mercapto 1-propane sulphonicacid] DMSA [DI mercapto succinic acid] DPA & NAPA [D –pencillamine, N acetyl pencilamine]
BAL
BRITISH ANTI LEWISITE
EDTA
EDTA EDTA and DCTA form strong complex Na salt of EDTA induce Ca deficiency of the bone [hypocalcemia] EDTA forms chelate with Pb, Na2 Pb EDTA Water soluble, non toxic, non ionised, non metabolished and is excreted through urine EDTA is a superior chelating drug compared to BAL It is used for the treatment of the toxicity of As & Hg
DMPS 2,3 di mercapto 1- propane sulphonic acid
DMPS
DMSA It can be used for detoxification of soft metals as Pb, Hg and As
DPA & NAPA Both drugs has SH group NAPA is better then DPA These are hydrolysis product of pencilline