Diethylphosphate, (DEP) indicates exposure to an organophosphate insecticide. Approximately 340 million kilograms of pesticide active ingredient is used agriculturally in the United States annually, and 85% of U.S. households store at least one pesticide for home use. These insecticides kill insects (and mammals such as humans) by the inhibition of the enzyme acetyl-cholinesterase and other enzymes in which serine is part of the active site such as dipeptidyl peptidase IV. When acetylcholine cannot be broken down, overstimulation can lead to constant nerve transmission or overstimulation of neurons or muscles, resulting in excessive salivation, abnormal behavior, diarrhea, urinary incontinence, vomiting, tremors, muscle paralysis, and even death.
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