7/13/16 Flashcards

1
Q

I = P X A X T

A

I= environmental impact; p=population; a=affluence; t=technology

Growth in environ. impact = growth in population x growth in affluence x growth in technology

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2
Q

What are the top 5 countries in population growth in 2050?

A

1) India
2) China
3) USA
4) Nigeria
5) Indonesia

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3
Q

1969-2013: Death rate per 100,000 has decreased by ____

A

42.9&

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4
Q

Heart disease: ___ reduction

A

75%

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5
Q

Cancer: ____ reduction

A

17.9% reduction

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6
Q

Rate for COPD has increased ___ percent

A

100.6%

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7
Q

Unintentional injuries: ___ reduction

A

39.8%

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8
Q

Factors that make environmental disease hard to identify

A

latency, multi-factorial etiology, disease non-specificity, individual characteristics (susceptibility), dose-response relations, and mixed exposure scenarios

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9
Q

Biomarkers

A

molecular, biochemical or cellular alterations that are measurable in biological media, such as human tissues, cells, or fluids

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10
Q

Molecular epidemiology

A

incorporation of biomarkers into analytic, epidemiologic research

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11
Q

Molecular mechanisms

A

basic biological, physiological, biochemical sequence of events at the molecular and cellular levels that characterize the progression from an initiating event through clinical disease

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12
Q

Why do we care about molecular mechanisms?

A

Risk assessment - risk factors, susceptibility factors

Risk management - interventions

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13
Q

How big is our microbiome?

A

10^14-10^15 bacteria in our gut

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14
Q

How many cells in 1 gram of tissue?

A

10^9 cells

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15
Q

How many cells in average person?

A

10^13-10^14 cells

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16
Q

Pathways that are corrupted in cancer

A
Sustaining proliferative signaling 
Evading growth suppressors
Activating invasion and metastasis 
Enabling replicative immortality 
Inducing angiogenesis 
Resisting cell death
17
Q

Historical perspective of Cancer

A

1713 - Ramazzini - noted nuns had higher breast cancer incidence than other women
1761 - Hill - tobacco snuff use and nasal passage cancer
1775 - Pott - scrotal cancer in chimney sweeps
1895 - Rehn - occupation exposure to aromatic amines and bladder cancer
1915 - Ichikawa - first experimentally induced cancer

18
Q

Evidence suggesting environmental agents as causes of human cancers

A
  • cancer rates within a population change over time
  • global geographic variation in incidence of specific cancers
  • large differences in tumor incidence in a single country
  • migrant populations assume the cancer incidence of their new environment within 1-2 generations
  • twins study, environmental and cancer
19
Q

Biomarkers of dose to humans: internal dose

A

Direct measure of toxic chemicals or their metabolites in cells, tissues, or body fluids (integrates multiple portals of entry, fluctuating exposures, relates exposure to dose)

20
Q

Examples of biomarkers of internal dose

A

exhaled breath - volatile organic chemicals (ethanol)
blood levels - styrene, lead, cadmium, arsenic
fat concentrations - PCBs, and PBBs, DDT & TCDD
metabolites in urine - aflatoxin, benzene, arsenic
mutagen in urine - chemotherapeutic drugs, carcinogens
hair sample - arsenic
blood carboxyhemoglobin - CO
blood methemoglobinemia - organic nitrates

21
Q

DNA adducts

A

cellular DNA: e.g. benzo[a]pyrene-DNA adducts in peripheral lymphocytes of coke oven workers; cisplatinum-DNA adducts in WBC of chemotherapy patients

22
Q

Protein adducts

A

hemoglobin: ethylene oxide, aromatic amines, tobacco-specific nitrosamines, cisplatinum
albumin: aflatoxin B1

23
Q

Cancers linked to smoking

A

lung, oral cavity, pharynx, larynx, esophagus, pancreas, bladders, nasal cavity, stomach, liver, kidney, ureter, cervix, myeloid leukemia

24
Q

Carcinogens in tobacco smoke

A

PAH, nitrosamines, aromatic amines, aldehyde, phenols, volatile hydrocarbons, nitro compounds

25
Q

the major addictive substance in tobacco products, but not a carcinogen

A

nicotine, but when nicotine is nitrosated -> converted to very potent carcinogen (NNK-nicotine-derived nitrosamino ketone)

26
Q

tobacco-specific nitrosamines NNK

A
  • formed during curing and processing of tobacco
  • most abundant strong carcinogen in unburned tobacco
  • present in tobacco smoke (100-400ng per cig)
  • Lung is the main target of NNK
  • both inhalation and skin exposures cause lung tumors
  • classified as IARC Group 1 carcinogen
27
Q

Second leading cause of lung cancer globally

A

Radon

28
Q

Epigenetics

A

Heritable changes in gene expression that are not due to any alteration in the DNA sequence
- best known epigenetic marker - DNA methylation

29
Q

Epigenetics and human disease

A

Epigenetics is the study of inherited changes in phenotype or gene expression caused by mechanisms other than changes int he underlying DNA sequence