Class 6 Flashcards

1
Q

What is regulatory toxicology?

A

Regulatory toxicology assesses the risk a drug or chemical poses to human health based on toxicity testing, which includes mechanistic and descriptive studies. It establishes safe exposure standards and guidelines.

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2
Q

Define the blood-brain barrier (BBB).

A

The BBB is a selective membrane that protects the brain from potentially harmful substances while allowing essential nutrients to pass through. It’s formed by brain capillary endothelial cells, pericytes, and astrocytic endfeet, making up the neurovascular unit (NVU).

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3
Q

How do substances cross the BBB?

A

Substances can cross the BBB through various methods, including paracellular diffusion, transcellular passive diffusion, carrier-mediated transcytosis, adsorptive-mediated transcytosis, and receptor-mediated transcytosis.

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4
Q

What role do efflux transporters play in the BBB?

A

Efflux transporters protect the brain by pumping various molecules out of brain cells or across the cell membranes of the BCECs that form the BBB back into the bloodstream, e.g., p-glycoprotein.
Efflux transporters are like the body’s bouncers at the cell’s exit doors. Their job is to pick up stuff inside the cell that shouldn’t be there—like waste, toxins, or even some medicines—and kick it out.

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5
Q

What is neurotoxicity testing?

A

Neurotoxicity testing evaluates whether a chemical can induce neurotoxicity, using both in vitro and in vivo methods to assess changes in behavior, neurochemistry, neurophysiology, and neuropathology.

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6
Q

What are heavy metals?

A

Heavy metals are naturally occurring elements with a high atomic weight, found throughout the Earth’s crust. Some are essential nutrients (e.g., copper, iron, zinc), while others (e.g., lead, mercury, arsenic) have no known biological function and can be toxic.

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7
Q

How are humans exposed to heavy metals?

A

Exposure to heavy metals can come from natural sources (e.g., soil erosion, volcanic eruptions) and human activities (e.g., industrial processes, agriculture, domestic use).

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8
Q

Describe the toxicokinetics of lead.

A

Lead is absorbed into the body via oral, inhalation, and dermal routes, accumulating in bones and tissues. It crosses the BBB potentially through transporters like DMT1 and ATP-dependent calcium pumps, with its half-life in blood being 30 days and in bones 30 years.

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9
Q

What are the neurotoxic effects of lead exposure?

A

Lead exposure can result in cognitive impairments, executive function and attention deficits, and increased aggression. It interferes with calcium signaling pathways, affecting neurotransmitter release and myelination.

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10
Q

What are early symptoms of lead exposure in children?

A

Early symptoms include lethargy, abdominal cramps, irritability, headache, and in severe cases, encephalopathy and hallucinations.

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11
Q

What role does regulatory toxicology play in preventing neurotoxicity?

A

Regulatory toxicology assesses risks to human health from chemicals, establishes safety levels, and implements guidelines for safe exposure to prevent neurotoxicity.

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12
Q

Describe the ADME process for lead in the body.

A

Lead is absorbed (primarily through oral and inhalation routes), distributed to organs like bones and blood, cannot be metabolized (accumulates over time), and is excreted very slowly, primarily through urine and feces.

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13
Q

Besides the BBB, name another protective barrier in the brain.

A

The blood-CSF barrier, which controls the movement of substances between the blood and the cerebrospinal fluid (CSF), is another critical protective barrier.

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14
Q

What are behavioral indicators of neurotoxicity?

A

Indicators include alterations in motor activity, changes in sensations (touch, sight, sound), and impairments in learning, memory, and attention.

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15
Q

What is Developmental Neurotoxicity (DNT), and why is it important?

A

DNT refers to adverse effects on the development of nervous system structures and functions due to exposure to toxic substances, highlighting the vulnerability of the developing brain to environmental toxins.

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16
Q

What is the significance of NOELS and NOAELS in the context of neurotoxicity studies?

A

NOELS (No Observed Effect Levels) and NOAELS (No Observed Adverse Effect Levels) are determined during toxicity testing to identify doses of substances that do not cause observable toxic effects, providing a basis for establishing safety standards.

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17
Q

Explain how paracellular diffusion and transcellular diffusion differ in the context of crossing the Blood-Brain Barrier.

A

Paracellular diffusion involves the passage of substances between endothelial cells, while transcellular diffusion involves the movement through the cells themselves, impacting how various substances can cross the BBB.

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18
Q

How does the body’s deficiency in nutrients like calcium and iron influence lead’s ability to enter the brain?

A

A deficiency in calcium or iron can increase the expression of transporters such as ATP-dependent calcium pumps and DMT1, respectively, enhancing lead’s ability to cross the BBB and enter the brain.

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19
Q

What are the main sources of environmental exposure to lead?

A

Environmental exposure to lead primarily comes from industrial emissions, contaminated water due to lead pipes, lead-based paints, and lead-acid batteries.

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20
Q

What role do efflux transporters play in protecting the brain from neurotoxic substances?

A

Efflux transporters, such as p-glycoprotein, pump various molecules out of brain cells or across the endothelial cell membranes of the BBB back into the bloodstream, thereby helping to protect the brain from neurotoxic substances.

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21
Q

Describe the impact of lead exposure on executive function and attention in children

A

Lead exposure has been associated with impairments in executive function and attention, evidenced by increased rates of arrest and aggressive behaviors in populations with higher blood lead levels.

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22
Q

What is the role of myelin in the nervous system, and how does lead exposure affect it?

A

Myelin is essential for the proper functioning of the nervous system by insulating nerve fibers to enhance signal transmission. Lead exposure targets myelin and myelin-producing cells, leading to impairments in nerve signal transmission and cognitive function.

23
Q

Discuss the significance of the blood-CSF barrier and its role compared to the BBB.

A

The blood-CSF barrier controls the movement of substances between the blood and the cerebrospinal fluid, complementing the BBB’s function by providing an additional layer of protection against neurotoxic substances entering the central nervous system.

24
Q

What mechanism allows heavy metals, such as methylmercury, to cross the Blood-Brain Barrier (BBB)?

A

Methylmercury crosses the BBB through receptor-mediated transcytosis by mimicking essential nutrients. It uses the L-type large neutral amino acid transporter 1 (LAT1), normally responsible for transporting essential amino acids, to gain entry into the brain.

25
Q

How do environmental and nutritional factors impact the neurotoxic effects of lead?

A

Environmental and nutritional factors, such as exposure to other toxins, diet, and deficiencies in essential nutrients (e.g., calcium and iron), can exacerbate the neurotoxic effects of lead by enhancing its absorption and bioavailability, and by influencing the body’s defense mechanisms against toxicity.

26
Q

Why is the developing brain considered more vulnerable to neurotoxicity compared to the adult brain?

A

The developing brain is more vulnerable due to ongoing processes such as neurogenesis, synaptogenesis, and myelination. Perturbations in these processes by neurotoxicants can result in lasting adverse effects on brain structure and function, making early life stages particularly sensitive to neurotoxic exposure.

27
Q

what is the BBB formed by:

A

brain capillary endothelial
cells (BCECs)

28
Q

BCECs surrounded by:

A

pericytes &
astrocytic endfeet

29
Q

methods of transport across BBB

A

(i) paracellular
diffusion, (ii) transcellular diffusion
(passive diffusion), (iii) carrier
mediated transcytosis/transport,
(iv) adsorptive mediated
transcytosis, & (v) receptor
mediated transcytosis

30
Q

LAT1 is normally responsible for:

A

transporting essential amino
acids across the BBB

31
Q

Efflux transporters =

A

proteins that pump
various molecules out of brain cells or
across the cell membranes of the BCECs
that form the BBB back into the blood
stream

32
Q

the blood-CSF
barrier:

A

controls
the movement of substances btw the blood
& the CSF

33
Q

two types of neurotoxicity tests:

A

in vitro and in vivo

34
Q

in vitro vs in vivo testing

A

in Vitro Testing: Imagine doing experiments in a small bowl or a test tube. You might mix some cells with a medicine to see what happens, but all of this is happening on a lab bench, not inside a living thing. It’s like testing a toy boat in a bathtub to see if it floats, but that doesn’t tell you how it will handle a big lake with waves.

In Vivo Testing: Now, think about doing tests inside a living creature, like giving medicine to a mouse to see if it helps with a sickness. This is more like testing the toy boat in a real lake. It gives you a much better idea of how the boat—or in this case, the medicine—works in real-life conditions.

35
Q

Examples of some behavioural indicators
of neurotoxicity (5):

A

Alterations (ex. increases or decrease)
in motor activity
Changes in sensations (ex. touch, sight,
sound, taste, or smell)
Changes in rate or temporal patterning
of schedule-controlled behaviour
Changes in learning, memory, &
attention
Overt clinical signs of neurotoxicity

36
Q

neuroanatomical changes

A

Neuroanatomical changes are like updates or alterations in the brain’s structure—think of it as the brain’s way of remodeling itself. This can happen for many reasons: learning new things, aging, an injury, or due to diseases.

Imagine your brain is a city. As you learn and grow, new buildings and roads are built to make the city more efficient. This is like what happens when you learn new skills or information; your brain creates new connections or strengthens existing ones.

37
Q

true or false:
Neuroanatomical changes resulting from
exposure to toxic substances are always
regarded as adverse!!!

A

true

38
Q

do heavy metals have high or low atomic weight

A

high

39
Q

Some metals are essential
nutrients (called trace minerals)
including:

A

Copper, Iron, Manganese,
Selenium, Zinc (amongst
others)

40
Q

Perturbation

A

Perturbation is like shaking or disturbing something from its normal state. (e.g., by chemical exposure, lack
of nutrient intake, etc.) of one or more of these
processes may result in adverse effects on
brain structure or function (if not
compensated)

41
Q

DNT =

A

any adverse effect on the normal
development of nervous system structures &/or
functions, due to the exposure to a toxic
substance

42
Q

where do heavy metals come from

A

Heavy metals can come from both
natural sources & human activities

Natural Sources: Soil/rock erosion,
volcanic eruptions, & forest fires
release heavy metals like mercury,
cadmium, & lead into the environment
Human activity = industrial processes,
mining, agriculture, domestic use

43
Q

Clean Label Project (2018)

A

Tested 134 top selling protein
powder products (plant based vs.
not)

44
Q

lead exists in three forms:

A

(i) Metallic lead, (ii) inorganic
lead & lead compounds (lead salts), & (iii) organic
lead

45
Q

major sources of lead:

A

include paints, industrial
emissions, contaminated water (due to lead pipes), &
lead-acid batteries

46
Q

can lead be absorbed into the body?

A

yes

47
Q

true or false: Growth, aging, pregnancy, lactation,
menopause, & osteoporosis can all increase
blood lead concentrations from bone stores

A

true

48
Q

Lead body burden

A

the total amount of
lead that is stored or accumulated in the
body over time as a result of exposure to
lead from various sources

49
Q

can lead cross the BBB

A

yes

50
Q

DMT1 (divalent metal transporter 1) =

A

a
transporter protein that is capable of transporting
several metals

51
Q

Another transporter may also be ATP-
dependent calcium pump

A

Lead substitutes for calcium ions (more on this
later)

52
Q

Claudins

A

Claudins are transmembranal
proteins that form the backbone of
the tight junctions at the BBB

53
Q
A