2- toxicity mechanism Flashcards
what are 3 importants attributes of target (of toxicity)
reactivity, accessibility, critical function
what is important about target reactivity
some toxins interact directly with target, some become more reactive after modifications
what is important about target accessibility
if poison doesnt get into general circulation or BBB, the target may not be affective
what is important about target critical function
some toxins may just bind to proteins in blood and not do anything
what are 5 reaction types with ultimate toxicant and target
noncovalent binding covalent binding hydrogen abstraction electron transfer enzymatic reaction
what is important about noncovalent binding
you dont have to make new proteins to restore function because it is reversible
what is important about covalent binding
not reversible, you have to make new proteins (like schiff base stuff)
what is important about hydrogen abstraction
its lipid peroxidation
what is important about electron transfer
fenton or redox cycle reactions, shuffle of electrons
what is important about enzymatic reaction
enzymatic modifications of g proteins, like cholera
what are 3 outcomes after interaction ultimate toxicant and target
- dysfunction
- destruction
- neoantigen formation
what is neoantigen formation
recognizes it as a new and foreign thing
what are 3 things that the ultimate toxicant should do
- react with target and adversely affect function
- reach effective concentration at target site
- alter target in a way that is mechanistically consistent with toxicity (like apoptosis)
what is a common theme that causes cell injury, dysfunction and death
mitochondrial stress
what are 3 major causes of xenobiotic induced cell death
- ATP depletion
- calcium overload
- overproduction of ROS RNS
what 2 things can cause ROS and RNS overproduction
xenobiotics directly producing it or secondary to elevated calcium levels
what plays a central role in all causes of cell death
mitochondria
what are 2 main consequences of ATP depletion
- accumulation of ADP and its breakdown products
- ATP requiring ion pumps shut down
what happens with rapid ADP and ATP hydrolysis
accumulation of phosphoric acid from phosphate groups
what happens with phosphoric acid accumulation
it produces acidosis
is acidosis good or bad? what does it cause
initially beneficial cause forms insoluble calcium phosphate (less free calcium) and inhibits phospholipases
what is bad about ATP requiring pumps shutting down
loss of ionic and volume regulation control
what are 3 ways that toxicants can elevate calcium levels
- increased opening of ion channels or LGICs
- increased leakage from mitochondria or ER
- decreased calcium efflux by transporters or depletion of their driving force
what is a major issue with elevated calcium
increase Ca++ uptake in mitochondria pissipating the membrane potential and halting ATP synthesis (proton gradient needed to make ATP)