Chapter 4 lecture 5-6 Flashcards

1
Q

Give another definition of toxicokinetics

A
  • The time-course of movement of chemicals through the body
  • how does the body dispose of a xenobiotic
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2
Q

What does the severity of toxicity depend on?

A

its concentration at the site
of action.

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3
Q

Recall what ADME are

A
  1. Absorption: How do toxicant enter to our body?
  2. Distribution: Whether the absorbed compound could move from the site of entry to the target organ to elicit toxic reaction
  3. Metabolism: Whether the chemical could be metabolized to a more or less toxic compound
  4. Excretion: How and how rapidly the chemical is removed from the body
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4
Q

What are the 7 aspects that are important for toxic disposition?

A
  • Duration and concentration of substance at the site of entry
  • Rate and amount that can be absorbed
  • Distribution in the body and concentration at specific body sites
  • Efficiency of biotransformation and nature of the metabolites
  • The ability of the substance or it’s metabolites to pass through cell membranes and contact with specific cell components (e.g., DNA).
  • The amount and duration of storage of the substance (or it’s metabolites) in body tissues
  • The rate and sites of excretion
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5
Q

ADME are interelated, T/F?

A

True

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6
Q

What is the precise definition of absorption?

A

the process whereby toxicants cross body
membranes
and enter the bloodstream

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7
Q

if the ingested material has not passed the ceullular barriers, should it be considered inside the body?

A

No, must pass through cellular barriers

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8
Q

What does route of absorption describe?

A

different pathway which chemical enters to our body

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9
Q

What does amount of absorption describe?

A

The amount of chemical absorbed determine how much it reaches the site of action

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10
Q

How is cell membrane related to absorption?

A
  • formidable barriers
  • a major body defense that prevents foreign invaders or substances from entering body tissues.
  • cells are so tightly that can barely be pass through
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11
Q

What is the basic requirement for xenobiotics to cause adverse effects?

A

Must be able to penetrate multiple cell membranes.

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12
Q

Why many toxicants are hydrophobic?

A

The phospholipid bilayers of cell mem is hydrophobic.

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13
Q

What are the physiochemical characteristics of the substance that determine absorption?

A
  • Size/shape
  • Lipid solubility/ hydrophobicity
  • Structural similarity to endogenous molecules
  • Charge/ polarity

Bisphenol A (BPA) an endocrine disruptor. Structure similar to estrogen

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14
Q

Name some features of passive diffusion

A
  • Along concentration gradient
  • Diffusion will continue until the concentration is equal on both sides of the membrane
  • Substances with high lipid solubility can move either through small pores or directly through membrane
  • Non-polar/ionized substance
  • Small hydrophilic molecules can pass through channel proteins
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15
Q

Name some features of facilitated diffusion

A
  • Does not require energy
  • carrier-mediated
  • Move larger molecules
  • transport of sugar and amino acids
  • Process is saturated and competitively inhibited
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16
Q

Passive diffusion vs Facilitated diffusion

A
  • Passive diffusion:
    -no limit to the number that can fit through the membrane
    -rate of diffusion increases linearly when more particles at one side of the membrane.
  • Facilitated diffusion:
    -the rate of diffusion is determined by the number of channels and number of particles

Both do not require ATP

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17
Q

Name some features of active transport

A
  1. Transport xenobiotics into liver, kidney and CNS
  2. Electrolyte and nutrient balance
  3. Specific membrane carrier -> low to high conc
  4. Needs metabolic energy -> ATP
  5. Can be inhibited by metabolic poison
  6. May be saturated at high conc/ compete for uptake
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18
Q

Name some features of endocytosis

A
  • invagination of membrane (vagin jeng)
  • Can absorb large materials
  • Against conc gradient
  • Phagocytosis (cell eating): large particles in extracellular fluid, transported into cells or are destroyed within the cell
  • Pinocytosis (cell drinking): engulfing of liquids or very small particles in extracellular fluid
19
Q

Describe what is distribution

A

the process whereby an absorbed chemical moves away from the site of absorption to other areas of the body.

20
Q

After passing through the cell lining, where will the chemical pass though?

A

Interstitual fluid of the organ

21
Q

What are the 3 types of body fluid?

A
  1. Intracellular fluid
  2. Interstitual fluid
  3. Blood plasma

1 and 2 slow moving

3 fast moving

22
Q

How can toxicants leave interstitual fluid?

A
  • entering local tissue cells
  • entering blood capillaries
  • entering lymphatic system
23
Q

Distribution does not require the penetration of membranes, T/F?

A

False

24
Q

What does plasma level reflect?

A
  • The conc of chemical in tissue
  • Conc of chemical at the target site
  • Used to calc half-life, volume of distribution, body burden etc.
25
Q

How to calculate volume of distribution?

A

Vd = Dose/Plasma conc

Units in (L)

26
Q

What is the meaning of Vd?

A

The total volume of body fluids in which a toxicant is distributed.

How extensive the toxicant is distributed

27
Q

How to calculate body burden?

A

Body burden = plasma conc x Vd

28
Q

Can body burden be possible to predict the amount of chemical remaining in the body?
in the body at any time

A

Yes

29
Q

What does low or high Vd stand for?

A

Low Vd: Confine to plasma, not to tissue
High Vd: Localize/binds to tissue

30
Q

Describe the interaction of xenobiotics with plasma protein

A

The distribution of a xenobiotic is greatly affected by
whether it binds to plasma protein.

only the free substance is available to pass through the capillary membranes.

greatly affects distribution, prolongs the
half-life within the body, and affects the dose threshold for toxicity.

greatly affects distribution, prolongs the
half-life within the body, and affects the dose threshold for
toxicity.

31
Q

the degree of biotransformation, storage, and elimination (and thus toxicity) can be influenced by the time course and path taken by the chemical as it moves through the body. T/F?

A

TRUE

The route of exposure is very influential

32
Q

Give some examples of toxicant distribution in our body

A
  • Toxicants absorbed in GI tract will be carried bt the blood to liver by portal system.
  • Toxicants that are absorbed through the lung or skin enter the blood and go directly to the heart and systemic circulation. WILL PASS THROUGH OTHER ORGANS BEFORE REACHING LIVER
  • A toxicant that enters the lymph of the intestinal tract will not go to the liver first but will slowly enter the systemic circulation.
33
Q

What will lipophilic toxicants be metabolized to?

A

Usually hydrophylic metabolites, where lipophilic toxicants are hard to be eliminated

34
Q

What can metabolism do to toxicants?

A
  • Decrease the toxicity of the chemical (detoxification)
  • Increase the toxicity of the chemical (bioactivation)
  • Producing toxic intermediates to damage tissue
35
Q

What ar ethe 2 pathways of metabolism?

A

Phase 1: reactions which modify thechemical by** adding a reactive chemical structure**. (allows the substance to fit Phase II enzymes)

Phase II: enzymatic reactions that conjugate the modified xenobiotic with another substance. (Larger molecule, pollar, water soluble, so that they can be excreted)

36
Q

What is the exception of metabolism pathway?

A
  • the xenobiotic already has a functional group that can be conjugated
  • biotransformed by a Phase II reaction without Phase I reaction.
37
Q

What are the 3 main Phase I reactions?

A

Oxydation, reduction, hydrolysis

REDOX, Hydrolysis

38
Q

What is hydrolysis?

A

The adiition of water splits the toxicant into 2 or smaller molecules. OH- incorporate one, H+ incoporate another.

39
Q

What are the phase II reactions?

A
  • Conjugation reactions with our body molecule
  • Phase II metabolite is hydrophlic, readily eliminated
40
Q

What are the 2 examples of Phase II reactions?

A
  1. glucuronide conjugation
  2. sulfate conjugation
41
Q

Elimination from body is crucial in determining the
potential toxicity of a xenobiotic. T/F?

A

TRUE

42
Q

What substance has advantage to be eliminated first?

A

Polar substances>lipid-soluble substance

43
Q

What are the major routes of excretion?

A
  • Urine (Urinary system)
  • Feces (GI system)
  • Exhaled air (Respiratory system)