Inter-species + Inter-individual Differences Flashcards

1
Q

What is included in pre-clinical toxicity screening

A

Mutagenicity
Carcinogenicity
Reproductive toxicity
Acute toxicity
Subchronic toxicity
Chronic toxicity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Describe the use of rodents in toxicology studies

A

Usually rats as they’re standardised
Mice can be genetically manipulated and organ systems are more reproducible
-> guinea pigs better

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Describe the use of non-rodents in toxicology studies

A

Not commonly used anymore
Dogs usually used to test cardiovascular effects
Mini-pigs have a similar cardiovascular system to humans
Rabbits have a similar reproductive cycle so are used in reproductive toxicity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

When would primates be used in toxicity studies

A

Used to study CNS effects due to their similar CNS
Antibody therapy as their immune system is most similar to humans

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

How could the toxicological effect of long term administration be monitored

A

6-12 month toxicological studies in rodents and non-rodents

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

How can a chemical be tested for it carcinogenicity

A

Lifetime exposure in rats and/or mice

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

How can the complete metabolic fate of a chemical be monitored

A

Characterisation of the complete metabolic profile often using radiolabelling
Shows if the active metabolites contribute to efficacy or toxicity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

How can potential chemical interactions be excluded based on previous knowledge

A

Identification of metabolising enzymes responsible for the new chemical metabolism
In vitro chemical interaction studies using humane enzymes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Descirbe the ideal animal model

A

Replicates the human metabolism of the chemical
Share the same molecular pathways and enzymes
Should be a good model for a given human disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What are the factors affect drug metabolism in lab animals

A

Lab animals are in a controlled environment and lack genetic diversity
Limited effects of sex differences
= controlled and stable metabolism

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What are the factors affect drug metabolism in the human population

A

High levels of genetic diversity
Environmental and lifestyle pressures
Impact of sexdifferences
= No control and variable metabolism

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What variation in metabolism is there between species

A

Difference in proportion, specificity and distribution of phase I and phase II enzymes
Different in mechanisms regulating phase I and phase II enzyme expression
Difference in responses to DNA damage between animals and humans

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What variation in metabolism is there between humans

A

Population diversity: SNP’s, age, body fat, gender and health status
Extreme conditions
Exposure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Describe the difference in CYP450 distribution between human and rat livers

A

Might see CYPS in rats that we don’t see in human e.g CYP2C11
Different levels of CYPS: higher levels of CYP1A2 and 2E1 in humans that rats
= might not see some toxic effects in rats but in humans

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What are the advantages and disadvantages of testing toxicity in lab animals

A

Adv: helps deduces the mechanism of toxicity
Dis: limited experimental approach that implies they share the same metabolic pathway

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What chemical is a good example of the difference in drug metabolism in humans vs rats

A

Nicotine
In humans metabolised by CYP2A6 which is highly expressed and a SNP causes nicotine dependence
But in rats nicotine is metabolised by CYP2B

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

How does phase II metabolism vary between species

A

Promotion of phenol conjugated to glucuronides and sulfates
Can lead to significant variation in metabolism between species

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

How do gender differences effect CYP450 levels in humans and rodents

A

Humans: no major differences
Rodents: CYP3A, 2A, 2B and 2C higher in males than females

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

How do inter-species differences effect hydrolysis of esters in humans vs rodents

A

Higher level of cholinesterases in humans than rodents
Higher level of carboxylesterases in rodents than in humans

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

How does age affect metabolism in humans

A

Long life span
Children: many changes to P450s in the first 4 years of life
Adults: specific activity does not decrease with age
Elderly: reduced liver size and liver blood flow = reduced clearance by metabolism

21
Q

How does age effect metabolism in rodents

A

Limitations for long-term exposure
Have short life span of approx 2 years
Have ‘mature’ P450s at 6 weeks = difficult to study toxicology in children

22
Q

What is the difference in biliary excretion between species

A

Cut off point in terms of MC for biliary vs renal excretion
Might be due to differences in specificity for ABCC2 transporter

23
Q

Describe how genetic differences between DA rats have an effect on their ability to reduce high blood pressure

A

Female DA lacks CYP2D1 = can’t hydroxylate debrisoquine
Male DA express a male specific CYP2D isoform = can hyroxylate debrisoquine

24
Q

What is a good model to study debrisoquine toxicity for CYP2D6 ‘poor metabolisers’

25
What is a good model for paracetamol induced hepatoxicty in individuals with a SNP in UGT1A
Gunn rat Unable to synthesise certain phenol glucuronides
26
What are some sex and tissue differences related to carcinogens
Genotoxic carcinogens: can cause can in any tissue, multispecies Non-genotoxic carcinogens: maybe tissue specific, show sex differences
27
What is the proposed mechanism of carcinogenicity of unleaded petrol in male rats
Normal renal cells + TMP -> renal uptake of a2-microglobulin-TMP complex = lysosomal overload -> cell death -> regenerative hyperplasia = renal tumours
28
Why is there no carcinogenicity of unleaded petrol in female rats
Synthesis of a2-microglobulin is under hormonal control = make 1% compared to makes = no complex -> no uptake -> no hyperplasia -> no tumours
29
Describe the PPAR-a
Nuclear receptor and txn factor Indices txn of CYP3A4 and CYP4A Agonist used as hypolipidaemic drugs
30
How do mice and rats respond to PPARa agonists
Highly responsive Liver tumours
31
How do guinea pigs respond to PPARa agonists
No peroxisome proliferation Hypolipidaemia No evidence of liver tumours
32
How do dogs and marmosets respond to PPARa agonists
No response No evidence of liver tumours
33
How do humans respond to PPARa agonists
Believed to be unresponsive Evidence of hypolipidaemia
34
Why is there no hepatocarcinogenesis in human compared to rats after being administered PPARa agonists
Human: insufficient levels of PPARa to induce cell proliferation Rat/mouse: higher PPARa levels = cell proliferation
35
What is tamoxifen
Non-steroidal anti-oestrogen if treatment of breast cnacer Blocks oestrogen binding to receptor Metabolised to compounds that bind to oestrogen receptor but do not activate it
36
What species specific genotoxic effects does tamoxifen have
Male rats: hepatocellular carcinomas Female rats: hepatocellular and endometrial carcinomas Mice: rare hepatocellular carcinomas Human: no hepatocellular carcinomas
37
Describe how tamoxifen metabolism differs in rats vs humans
Tamoxifen -> 4OH-tamoxifen via CYP3A4 Humans: 4OH-tamoxifen glucuronidated and detoxified Rats: 4OH-tamoxifen is sulfated which is genotoxic
38
What is the active form of tamoxifen
Endoxifen 4OH-tamoxifen -> endoxifen via CYP2D6
39
How can SNPs affect response to medication
Results in alteration of amino acid sequence of protein = could result in phenotypic differences between subjects
40
Describe PON1
Synthesised in liver, secreted in plasma where it associates w HDL Detoxifies OPs
41
Describe the SNP Q192R in PON1
Induces AA change in position 192 = change in substrate specificity and affects protein levels Q isoform = rapid metabolisers of diazinon and nerve agents R isoform= rapid metabolisers of paraoxon
42
What SNP in PON1 affects protein levels but not activity
L55M Leucine -> methionine at position 55
43
How does older age affect distribution of drugs
Altered blood flow and decreased clearance Changing in volume of distribution = hydrophobic chemicals stored in fat tissue
44
How does older age affect the absorption of drugs
Decreased inaction capacity Increased dermal absorption due to thinner skin Decreased gut absorption due to impaired wall function
45
Describe the effect of older age on metabolism
Decrease in expression of metabolic enzymes and plasma protein transporting drugs
46
Describe drug absorption in neonates
Increased dermal absorption Decreased gut absorption
47
Describe the distribution of drugs in neonates
Increased susceptibility due to different fat/water ratio
48
Describe the metabolism of drugs in neonates
Some metabolic enzymes are underdeveloped e.g P450s and UDPs
49
Describe excretion of drugs in neonates
Immature renal function = reduced excretion