L15. Neurotoxicology Flashcards

1
Q

How were neurotoxicants first discovered?

A

They were discovered by accident because people would eat any plant and then would eventually get sick.

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2
Q

What is Hemlock? What are its other names? What is its mechanism of action?

A
  • Poisonous plant that exists in North America.
  • Also called spotted parsley or spotted cowbane
  • Major poison in hemlock is Coniine, a derivative of nicotine.
  • Also contains nicotine, methylconiine, and coniceine
  • The compounds in hemlock stimulate and then block the nicotinic receptors which causes bradycardia (heart rate slows down), ascending paralysis (because blocking nicotinic receptors in the periphery), and coma (once the paralysis extends up) –> death
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3
Q

How can the toxins in living organisms be classified? Why is that so?

A

Most of the toxins in living organisms are neurotoxins. They evolved over evolution so the creature could protect itself and as a mechanism of attack (harm something to attack and consume it).

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4
Q

What is an example of a synthetic neurotoxin? What can it effect?

A

Ex: Electronic waste has a lot of neurotoxins. Can affect neurotransmission, neurodevelopment, intellectual development, motor functions, etc.

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5
Q

What is the top 6 priority list of hazardous substances ?

A

Every 2 years the substances are ranked by official agencies, the top 6 are all neurotoxins:

  1. Arsenic
  2. Lead
  3. Mercury
  4. Vinyl Chloride
  5. Polychlorinated biphenyls
  6. Benzene
  7. Cadmium
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6
Q

What are neurotoxicants?

A
  • Covers neurotoxins (made by living creatures) and synthetic ones made by humans.
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7
Q

How is neurotoxicology studied?

A

We use animal models to study them, but they may not be the same as humans:
- It’s difficult to extrapolate more subtle neurotoxic effects on mood etc. when looking at animals.

New systems for studying neurotoxicity in vitro are being developed:

  • In cultures, neuron cells can grow out and talk to each other and you can see what happens to them when they’re exposed to something.
  • There’s a push to avoid animal models if there are other available methods

Specific methods that you can use to study neurons and their communication with each other:
- You can make specific cultures of motor neurons, cortical neurons, astrocytes, and you can even grow cerebral organoids. (Figure 1)

Nerve outgrowth assay:
- You can watch neurons growing in culture and see if something affects dendrite and axon growth.

There are systems where neurons are growing in culture in the presence of electrodes that can record the firing rate of the neurons. (Figure 2)
- Experiment measuring firing rate of neurons: “Domoic Acid” completely inhibits neuron firing. “Ibuprofen” (the anti-inflammatory) doesn’t affect the neurons compared to the control. The last two compounds observed are convulsants and the firing rate is shown to increase.

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8
Q

Is acute or chronic neurotoxicity easier to study?

A
  • It’s much easier to study acute toxicity in animal models or in vitro than it is to study chronic neurotoxicity.
  • Chronic neurotoxicity is very important.
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9
Q

What are potential neurotoxic effects?

A
  1. Cognitive: Memory, learning, confusion
  2. Motor: Weakness, convulsion, paralysis
  3. Sensory: Vision, hearing, touch, balance
  4. Mood and personality: Sleep, depression, irritability, excitability
    - Very hard to detect in animal models or in vitro
  5. General: loss of appetite, fatigue
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10
Q

What diseases are still not fully understood? What do we know and what are we missing?

A

Parkinson’s disease, Alzheimer’s disease, and autism spectrum disorders.

We know the regions of the brain that are targeted and the end result, but we don’t know why they happen.

These diseases are not a result of aging. We still don’t know what causes them so there’s a lot of research on whether they are related to neurotoxic exposure early in life or not.

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11
Q

What are some important characteristics of the neuron?

A

Neurons cover an extensive surface area with their axons (largest cells in the body) and dendritic trees. They therefore have a very high energy requirement:
- Neurons depend on aerobic glycolysis, so they need glucose and oxygen. They’ll die within minutes without the continuous supply via blood flow.

There are very few enzymes in neurons that metabolize xenobiotics. Therefore, exposure is risky.

They have a very high lipid content, 50% of which is in the myelin sheath surrounding the axons.

They must maintain their membrane potential difference with their ion pumps across their cell membranes and they must transport material back and forth from the cell body to the periphery.
- Ex: neuron to move your big toe must send impulses all the way from top of body to bottom.

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12
Q

What is axonal transport?

A

The neuron moves things back and forth in the neuron along microtubules. It is important, vulnerable, and sophisticated.

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13
Q

What are ways neurons can be injured?

A
  • Neuronopathy: Neuron is destroyed. You can’t replace it.
  • Axonopathy: only the axon is injured. You may be able to recover. If you still have Schwann cells in the periphery, the axon can regrow.
  • Myelinopathy: if myelin is injured, but the axon is still okay it can recover.
  • Destruction of the nerve ending can also occur, where the nerve ending would have to sprout new ones to survive but the cell body can live.
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14
Q

Can neurons regenerate?

A

No. Once neurons have died, that section of the brain is dead for good.

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15
Q

How much of the brain must be destroyed to kill a person?

A

In the brain, you don’t have to destroy a large part for a person to die. A small area of damage that hits a vital center can kill a person.

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16
Q

What is neuronal plasticity? What are the consequences of this?

A

Neuronal plasticity: our brains are designed to be constantly changing. Since neurons are so adaptable, some neurons can die, and other neurons will make up for their loss which can camouflage toxicity for a long time. This can make it difficult to associate problems in individuals with prior exposure years before.

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17
Q

What is the brain protected by? What is the spine protected by? What kind of injuries does this protect them from, what does it not?

A
  • The brain is protected from mechanical damage by the skull and meninges (three layers of membranes that cover and protect your brain and spinal cord).
  • Spinal cord is protected by vertebrae.
  • The factors above don’t necessarily protect you from chemical injury, they protect from mechanical injuries. Neurotoxins tend to target specific locations. Some can also have more general effects as well such as causing brain atrophy.
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18
Q

What does the peripheral nervous system control? How is it affected by neurotoxicants?

A
  • Peripheral nervous system controls all our muscles

- Sensory neurons in the periphery can be affected by neurotoxicants

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19
Q

What is the role of the nervous system? Can we pinpoint where in the nervous system a toxicant is acting?

A
  • All parts of the NS (central and peripheral) must coordinate for you to properly function. They’re interconnected.
  • We can find out the main site where a toxicant is acting in the NS but it will affect pretty much everything in in the NS in consequence due to them being interconnected.
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20
Q

What are the different cell types in the brain?

A
  • Neurons

- Glial cells: microglia, astrocytes, oligodendrocytes

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21
Q

What are astrocytes?

A

Control microenvironment. Protector cells of neurons.

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22
Q

What are oligodendrocytes (oligodendroglial)?

A
  • the myelinating cells of the central nervous system (CNS).
  • Send out branches so that one cell can interact with several axons.
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23
Q

What are microglia?

A
  • Microglia are variant macrophages.
  • Have a lot of pattern recognition receptors (PRRS)
  • They can be targeted and then they can have the ability to trigger intense inflammatory reactions. Dangerous.
  • Can release free radicals, ROS’s, inflammatory cytokines
  • Damage to microglial cells or toxins that stimulate them can cause neurotoxicity.
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24
Q

What are Schwann cells? (SCs) Where can damage occur?

A
  • the main glial cells of the peripheral nervous system which wrap around axons of motor and sensory neurons to form the myelin sheath.
  • Damage to Schwann cells in the periphery can occur
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25
Q

What are the meninges? Are they a target for neurotoxicants?

A

-Protective membranes covering the brain. Not a target for neurotoxicants.

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26
Q

What is the blood brain barrier? Can it be targeted by neurotoxicants?

A
  • Can be affected by neurotoxicants.
  • It’s a very sophisticated barrier designed to keep things in the periphery out of the brain.
  • Made up of endothelial cells with tight junctions between them (whereas in the periphery there are spaces). Also made up of foot processes of the astrocytes that surround it.
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27
Q

How do things get through the blood brain barrier?

A
  • There are special transporters that get things through the blood brain barrier that toxins can use to get in.
  • Different transport mechanisms for: Glucose, lipids, proteins, receptor mediated transcytosis, adsorptive transcytosis (using vesicles to enter)
  • Neurotoxicants can also damage the BBB by getting in through the transporters.
28
Q

What is the Cerebral spinal fluid? What is its path through the brain?

A
  • Secreted by the choroid plexus of each ventricle in the brain and surrounds the brain.
  • There is a barrier at the choroid plexus so that things circulating in the blood don’t get into the CSF. Keeps neurotoxicants out.
  • The CSF bathes the brain and drains through the arachnoid villi and returns to the venous side of the circulation.
29
Q

Is there a barrier between the CSF and the brain?

A
  • No. Once something gets into the CSF, then it can have access to everything in the brain. There is no CSF-brain barrier.
30
Q

Can toxins interfere with the blood brain barrier? Give an example of how.

A

Some toxins can interfere with the blood brain barrier, for example by increasing permeability. This can allow substances into the brain that wouldn’t normally be able to cross.

31
Q

Explain a potential target of neurotoxicants on the neuron.

A

In some diseases, there can be considerable decrease in the branching of dendrites.
- This is another target for neurotoxicants

32
Q

Can chronic exposure to drugs be considered a neurotoxin?

A

Yes

Ex: nicotine addiction

33
Q

What are the different mechanisms of neurotoxicity?

A
  • Most neurotoxins are specific for the cell type (ex: neuron, glial cell, etc.) and the structural component (does it act on the cell body, dendrite, axon terminal, synapse, myelin, etc.).
  • Interference with aerobic metabolism
  • Interference with enzyme synthesis
  • Interference with intermediate metabolism
  • Altering electrical transmission
  • Interference with axonal transport
  • Anticancer drugs
  • Damage to myelin sheaths
  • Selective Cytotoxicity
  • Interference with synaptic transmission
34
Q

Explain how neurotoxins can interfere with aerobic metabolism. Give an example.

A

Interference with aerobic metabolism: the brain relies on aerobic metabolism for its energy so the brain will die very quickly.
Ex: Carbon monoxide

35
Q

What neurotoxin can interfere with enzyme synthesis involved in neurotransmission?

A

Manganese poisoning

36
Q

Explain the neurotoxic mechanism of interference with intermediate metabolism. Give an example.

A
  • MPTP Byproduct of the synthesis of a synthetic opioid.
  • It gets into the brain and is taken in by the astrocyte.
  • The astrocytes have a monoamine oxidase (MOA) enzyme which converts MPTP to MPP.
  • MPP is released and is taken up by the dopamine transporter in neurons in a brain area called substantia nigra (essential for control of normal movement).
  • When the MPP gets into these neurons, it damages the mitochondria in the neurons so they’re no longer able to make ATP, which means they don’t have the energy to drive neurons, and the neurons die.
  • This is what happens in parkinson’s disease: you lose your cells in the substantia nigra, so this has been a model for Parkinson’s disease.
37
Q

How was Parkinson’s disease discovered as a model for interference with intermediate metabolism by MPTP?

A

The discovery of this was because young people were going to emergency rooms in the US and were paralyzed. Neurologists realized they were all seeing this inexplicable case of paralysis and they found out that all these people were taking a synthetic drug that wasn’t what it was supposed to be. They treated these people with anti-Parkinson’s drugs which helped the people for some time because they realized they had similar symptoms. Some of them had too many damaged neurons to be cured so the problem eventually re-occurred.

38
Q

Explain the neurotoxic mechanism of altering the electrical transmission .

A
  • Tetrodotoxin
  • Comes from the puffer fish
  • Blocks sodium channels so axonal conduction is impaired.
  • Makes you die of paralysis.
  • Conotoxin made by cone snail is also a sodium channel blocker. which does the same thing
  • The sodium channel is the site of many toxins because if you interfere with it you block neuronal function and paralyze the individual so they can’t even breathe and die.
  • Batrachotoxin
39
Q

What is Batrachotoxin?

A
  • Also targets sodium channels
  • Made in poison arrow frogs and some insects also contain batrachotoxin.
  • The classical poison arrow in South America was based on the toxin that is in these animals’ skin. If you rub the tip of the arrow on the skin of the frog and hit prey with the arrow, they will get paralyzed and die.
  • There are birds in certain parts of the world that eat insects that contain batrachotoxin. These birds are resistant, and the toxin is present in their feathers and skin which protects them from bird lice. Furthermore, anything that eats these birds will die.
40
Q

Explain the neurotoxic mechanism of interference with axonal transport. Give a toxin example.

A
  • Plant Neurotoxins: ex- Vinca alkaloids
  • Anterograde axonal transport: from cell body to synapse
  • Retrograde axonal transport: from terminal to cell body:
    Dynein (retrograde motor) and kinesin (anterograde motor) are the motor proteins that walk along the microtubules to allow for the transportation. These can also be targets of neurotoxins.
41
Q

Explain the neurotoxicity mechanism of anti-cancer drugs. Give drug examples.

A
  • Vincristine, Cisplatin: Bind tubulin monomers, prevent microtubule formation
  • Taxol: Binds microtubules, prevents disassembly
  • Dose of the drugs will have to be adjusted or stopped if they start to show neurological symptoms such as sensorimotor axonopathy and motor weakness.
42
Q

Explain the neurotoxicity mechanism of damaging myelin sheaths. Give example of neurotoxicant.

A
  • Hexachlorophene: was a very good disinfectant in hospitals, but it has mostly been replaced.
  • Causes: myelin edema, and demyelination
  • Myelin sheaths allow for the impulses in neurons to jump from one node of Ranvier to the next. If you damage Schwann cells, you greatly slow the transmission of the impulse and the health of the axon.
43
Q

Explain the neurotoxicity mechanism of selective cytotoxicity. What are the toxicants that cause this?

A
  • Selective toxicity to the axon itself.
  • The equivalent of severing the axon so you don’t get transmission.
  • Toxicants: N-hexane, arsenic, methanol
44
Q

Explain the selective cytotoxicity of N-hexane. (What is N-hexane)?

A
  • Hexane is a solvent in glue. Glue sniffing is a classical cause of this problem.
  • A metabolite of hexane (diketone) crosslinks the axonal cytoskeleton which cause severe problems. The effect starts in the periphery and works its way centrally.
  • It’s an axonopathy.
45
Q

Explain the selective cytotoxicity of arsenic. Give one more example

A
  • Peripheral neuropathy
  • Referred to in a “stocking glove” pattern because initially the sensation is lost in hands and feet. It can eventually kill you.
  • There are various speculations that this is what killed Napoléon.
  • Arsenic is a natural ingredient in water.
  • Was used to pressure-treat wood so it was resistant to environmental degradation. A lot of playgrounds in North America were built using wood treated with arsenic. Wooden play structures were replaced with plastic ones.
  • Lead can also cause severe neurotoxicity
46
Q

Explain the selective cytotoxicity of methanol.

A
  • Solvent. Rubbing alcohol
  • Converted by alcohol dehydrogenase to form formaldehyde. Formaldehyde converted via alcohol dehydrogenase to form formic acid.
  • Formic acid damages various regions of the nervous system: cerebral cortex, basal ganglia, cerebellum, retina (people go blind)
  • People drink methanol (ex: alcoholics, kids by mistake, animals)
47
Q

What are the steps for neurotransmission?

A
  • Neurotransmitter precursor comes down axon
  • Neurotransmitter is synthesized and held in vesicles
  • Neurotransmitter is released into synapse
  • Neurotransmitter acts on post-synaptic receptors
  • The transmitter is broken down by enzymes and there is re-uptake into pre-synaptic membrane.
  • Any of these steps can be targeted by a neurotoxicant and neurotoxicants can be specific for certain types of synapses
48
Q

What can be targeted in terms of synaptic transmission? Give an example.

A
  • Transmitter release (increase or decrease)
  • Indirect effect: synaptic modulation
  • Prevent transmitter inactivation or reuptake
  • Direct agonist or antagonist: receptors
  • Ex: Botulinum toxin- food poisoning toxin
    Acts on specific receptors in the synapse
49
Q

What are microplastics?

A
  • Little pieces of plastic (less than 5 mm)
  • Nano-plastics are more dangerous (less than 1 um)
  • Billions of tons of plastics that end up in our ocean are broken down by sunlight and motion in water and gradually form smaller particles.
  • These small particles can sink to the bottom and get taken up by various creatures.
  • Some can get taken up by fish which can bioaccumulate up the food chain until we eat the fish.
50
Q

Are there potential toxic effects in humans due to microplastics? What are the routes of exposure?

A
  • There are potential toxic effects in humans to microplastic exposure.
  • How much of the nano-plastics get into the brain?
  • If they’re in the air we can inhale them
  • Small enough particles that reach the lung can get into the circulation, can they get into the brain that way?
  • Routes/sources of exposure: inhalation & ingestion
  • Level of microplastics in bottled water is higher than in tap water in Montreal.
51
Q

What are the potential consequences of microplastic consumption?

A
  • Neurotoxicity
  • Can also affect lungs and GI systems
  • Effects on microbiome if microplastics are ingested which can effect our nervous system.
  • Trojan horse effect: micro and nano plastics can carry other contaminants and toxins and pathogens into the body.
52
Q

Is it a problem to wear microplastics?

A
  • Microplastics are everywhere and it’s not a problem when you wear them, but when they are broken down into their finer particles, then they become an issue.
    Ex: masks, gloves, protective suits
  • Protecting you from virus but we must dispose of them properly
53
Q

What is shown about microplastics in animal studies?

A

In animal studies they can alter neurotransmitter levels, AChE inhibition (enzyme that breaks down acetylcholine), cause neuroinflammation, behavioral changes.

54
Q

What is domoic acid? What is its mechanism?

A
  • Heat stable neurotoxin
  • Acts on the ionotropic glutamate receptors (particularly NMDA but also on AMPA and Kainate receptors)
  • The structure of domoic acid is like that of glutamic acid (and kainic acid and aspartic acid) which is why it can sink into the receptors.
  • Prolongs the opening of sodium channels pre-and post-synaptic:
    Prolonged depolarization opens calcium channels. And excess calcium causes excitotoxicity.
55
Q

Explain the case study of Algal Bloom.

A
  • Originated in Canada and had an international outcome
  • Started in Canada 1987
  • In Montreal there were 153 cases of people coming into emergency with these symptoms: gastroenteritis, headache, agitation, seizures, short term memory loss, coma, excitation followed by necrosis (hippocampus and spinal chord neurons), some survivors with permanent loss of short term memory.
  • It was a neurological problem that hasn’t been seen before coming up in many people, so a case control study was done.
  • The common thing they were exposed to were muscles from the Atlantic coast, so the muscles were analyzed.
  • They had been exposed to Domoic acid produced by an algal bloom in the ocean
  • Caused excitotoxicity (because of excess calcium in neuron): causes seizures, neuronal death, people may die and if they recover, they have severe long-term neurological problems.
56
Q

After the Algal Bloom situation with domoic acid, what preventative measures were put in place? Specifically what did Canada do?

A
  • Now oceans are always monitored for levels of domoic acid.
  • Beaches are monitored and signs are put up if they see that shellfish will be affected by an algae bloom.
  • Shellfish are resistant and they take in the poison which accumulates it and then the human eats it and dies.
  • Canada:
    They put in intense research effort: established the international safety level at 20ug/g
    Monitor water level of damoic acid (algae that produces it) and shellfish levels of damoic acid
57
Q

Was the domoic acid problem solved?

A

The problem was not solved because not only humans are affected: Birds, fish, marine mammals.

58
Q

What is the US sea lion crisis?

A
  • Off the coast of California, they were coming onto the beach, having seizures, and dying.
  • They all had the same symptoms humans had.
  • They did autopsies and found that the lesions in the hippocampus of the sea lions were the same as in humans.
  • The tests confirmed domoic acid
  • Fetal exposure in sea lions can cause epilepsy later in life.
  • Dolphins also started dying, and seabirds and crabs.
  • Scallops also
59
Q

Why did the domoic acid exposure suddenly become a problem when it wasn’t before?

A
  • We have possibly been transporting algae from one part of the world to another with ballast water.
  • When huge ships unload their cargo, if they don’t fill up with more cargo right away, they fill up the ship with water from the port they’re at and then they dump the water when they’re at the new port to pick up their next load.
  • Climate change and increased temperature of ocean which may be supporting the growth of the algae.
  • Agricultural runoff.
60
Q

What are other toxins produced by various algae?

A
  • Saxitoxin
  • Brevetoxin
  • Okadaic acid
61
Q

What is saxitoxin?

A
  • Toxin produced by algae: Alexandrium species
  • Blocks sodium channels: axonal conduction
  • Causes paralytic shellfish poisoning (PSP)
  • Symptoms of rapid ataxia, drowsiness, respiratory arrest.
  • With support you can recover completely
62
Q

What is Brevetoxin?

A
  • Toxin produced by algae: Gymnodium breve
  • Opens voltage-gated sodium channel: ANS transmitter
  • Causes neurotoxic shellfish poisoning (NSP)
  • Florida red tide- mild gastroenteritis but massive kills of fish and birds.
63
Q

What is Okadaic acid?

A
  • Toxin produced by algae: dimophysis

- Diarrhetic shellfish poisoning (DSP)

64
Q

When does the algae bloom occur?

A

The algae bloom occurs periodically. There are cysts on the ocean floor that suddenly erupt and multiply. During the bloom, the risk occurs.

65
Q

What is the effect of climate change on toxins?

A
  • Climate change is causing toxins to appear that we didn’t have to worry about
  • Black widow spiders in Montreal were documented