Methanol is toxic due to its metabolic conversion into formaldehyde and formic acid
Methanol is well established as being toxic primarily due to its metabolic conversion into formaldehyde and subsequently formic acid, which drives severe metabolic acidosis and organ damage.
The retrieved literature consistently supports the toxicological consensus that methanol poisoning is mediated through its metabolic intermediates, formaldehyde and formic acid, which cause severe metabolic acidosis, mitochondrial dysfunction, and tissue damage. Papers [0], [7], and [9] explicitly discuss or utilize this established pathway in the context of clinical toxicity and forensic pathology.
Nekoukar Z, Zakariaei Z, Taghizadeh F, Musavi F, Banimostafavi ES, Sharifpour A, Ebrahim Ghuchi N, Fakhar M, Tabaripour R, Safanavaei S. Methanol poisoning as a new world challenge: A review.. 2021. https://doi.org/10.1016/j.amsu.2021.102445
Reviews methanol poisoning and its metabolism by alcohol dehydrogenase, noting that metabolic acidosis and clinical manifestations result from toxic ingestion and subsequent breakdown.
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Nogueira GN, Teles CBM, Varão MVS, Costa AC, Ramos GML, Daher EF. Methanol intoxication and acute kidney injury: pathophysiological mechanisms and therapeutic approaches.. 2026. https://doi.org/10.1590/2175-8239-jbn-2025-0344en
Explains that methanol's nephrotoxic effects are specifically mediated by the accumulation of formic acid, which impairs mitochondrial function and causes oxidative stress.
Çevik FE, Bugra A, Sahin HC, Oduncu M, Özbakir SD, Asliyüksek H. Postmortem Methanol and Formic Acid Levels and Their Pathological Correlates: Diagnostic Implications from an Autopsy Study.. 2026. https://doi.org/10.3390/diagnostics16020233
Examines postmortem cases of fatal methanol poisoning, quantifying levels of both methanol and formic acid to understand associated organ pathology.
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