Detoxification Flashcards

1
Q

What is the primary organ responsible for detoxification in the body?

A

The liver.

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2
Q

Describe the two phases of liver detoxification.

A

Phase I involves oxidation, reduction, and hydrolysis reactions; Phase II involves conjugation reactions.

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3
Q

What enzymes are involved in Phase I detoxification?

A

Cytochrome P450 enzymes.

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4
Q

How do cytochrome P450 enzymes function in detoxification?

A

They oxidize toxins, making them more water-soluble for excretion.

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5
Q

What role do conjugation reactions play in Phase II detoxification?

A

Conjugation reactions attach water-soluble groups to toxins, making them easier to excrete.

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6
Q

Name three types of conjugation reactions in Phase II detoxification.

A

Glucuronidation, sulfation, and glutathione conjugation.

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7
Q

What is the role of glutathione in detoxification?

A

Glutathione acts as an antioxidant and participates in conjugation reactions.

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8
Q

How is glutathione synthesized in the body?

A

Glutathione is synthesized from amino acids cysteine, glutamate, and glycine.

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9
Q

What are the consequences of glutathione deficiency?

A

Increased oxidative stress and susceptibility to toxins.

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10
Q

How does the liver process alcohol during detoxification?

A

The liver metabolizes alcohol via alcohol dehydrogenase and acetaldehyde dehydrogenase.

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11
Q

What enzymes are involved in alcohol metabolism?

A

Alcohol dehydrogenase and acetaldehyde dehydrogenase.

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12
Q

Describe the process of acetaminophen detoxification.

A

Acetaminophen is metabolized by glucuronidation, sulfation, and CYP450 oxidation.

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13
Q

How does acetaminophen overdose lead to liver damage?

A

It depletes glutathione, leading to oxidative damage and liver cell death.

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14
Q

What is the role of N-acetylcysteine in treating acetaminophen toxicity?

A

N-acetylcysteine replenishes glutathione stores.

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15
Q

How do heavy metals like lead and mercury affect the body?

A

They disrupt cellular processes and cause toxicity.

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16
Q

What are the mechanisms of detoxification for heavy metals?

A

Chelation therapy and binding to proteins like metallothioneins.

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17
Q

Describe the role of metallothioneins in heavy metal detoxification.

A

Metallothioneins bind and sequester heavy metals.

18
Q

How do phase I and phase II detoxification pathways interact?

A

Phase I reactions generate reactive intermediates; Phase II reactions neutralize them.

19
Q

What dietary components support detoxification processes?

A

Cruciferous vegetables, garlic, and green tea.

20
Q

How does fasting affect liver detoxification?

A

Fasting can enhance autophagy and liver detoxification.

21
Q

What is the role of the kidneys in detoxification?

A

The kidneys filter blood and excrete waste products.

22
Q

How do the kidneys filter and excrete toxins?

A

By filtration through the glomeruli and excretion via urine.

23
Q

What role does the gastrointestinal tract play in detoxification?

A

The GI tract absorbs, metabolizes, and excretes toxins.

24
Q

How does the microbiome influence detoxification?

A

The microbiome metabolizes certain toxins and drugs.

25
What is the significance of enterohepatic circulation in detoxification?
It recirculates bile acids and toxins from the intestine to the liver.
26
Describe the role of bile in detoxification.
Bile helps excrete fat-soluble toxins.
27
How does fiber intake impact detoxification?
Fiber binds to toxins in the intestine, aiding in their excretion.
28
What are xenobiotics and how are they detoxified?
Xenobiotics are foreign substances; detoxified via phase I and II reactions.
29
How does the body detoxify pesticides and herbicides?
By oxidation, hydrolysis, and conjugation reactions.
30
What is the role of antioxidants in detoxification?
Antioxidants neutralize free radicals and reduce oxidative damage.
31
How does oxidative stress relate to detoxification?
Oxidative stress results from an imbalance between free radicals and antioxidants.
32
What enzymes are involved in the antioxidant defense system?
Superoxide dismutase, catalase, and glutathione peroxidase.
33
Describe the role of superoxide dismutase in detoxification.
It converts superoxide radicals into hydrogen peroxide.
34
How do catalase and glutathione peroxidase function in detoxification?
Catalase converts hydrogen peroxide into water and oxygen; glutathione peroxidase reduces peroxides.
35
What are the effects of chronic exposure to environmental toxins?
Accumulation of toxins can lead to chronic diseases.
36
How do phase III detoxification pathways contribute to detoxification?
Phase III involves the excretion of toxins via transport proteins.
37
What role do transport proteins play in phase III detoxification?
They transport conjugated toxins out of cells.
38
How does the body detoxify polychlorinated biphenyls (PCBs)?
PCBs are detoxified via phase I and II reactions and excreted in bile.
39
What lifestyle changes can enhance detoxification processes?
Eating a balanced diet, staying hydrated, and avoiding toxin exposure.
40
How does exercise influence detoxification?
Exercise increases circulation and enhances detoxification pathways.