Lead and Mercury Flashcards
what is the most efficient route of absorbing lead
inhalation exposure to leas is a more efficient route of absorption than ingestion
Lead in the lungs
Lead particles that are < 1 μm can penetrate to alveoli and absorbed via phagocytosis
Rates of absorption and retention of lead in adults and children
- Adults absorb 5-15% of ingested lead and retain less than 5% of what is absorbed
- Children absorb 42% of ingested lead with 32% retention
How is lead absorption in the intestines mediated
- Absorption from the intestine is mediate by passive and facilitated diffusion
- Not clear exactly which transporters are involved
Lead Transporters
- Divalent Metal Transporter1 (DMT1)
- Calcium binding protein (calbindin)
- can bind to both calcium and lead
How does lead pass the BBB
- Once in the bloodstream, lead most likely crosses the BBB through passive diffusion
- Passive diffusion most occurrent
- can also transfer across by cation transporters (DMT-1)
Lead and Endothelial Cells
- Lead can accumulate in endothelial cells of the BBB and epithelial cells of the blood-CSF barrier causing them to become leaky
What are Claudins
Claudins are transmembrane proteins that form the backbone of the tight junctions at the BBB
How does lead interfere with the endothelial cell function
- Accumulation in the BBB epithelial cells
- Lead exposure can decrease the mRNA and protein levels of Claudin-1
- Claudin-1 is the tight junction backbone
- Therefore, Lead effects the attachment function of the Claudin-1 and interferes with the tight junction’s original form
Lead, DMT1, and the Brain. A story of betrayal
- DMT1 is highly expressed in the brain endothelial cells of the BBB
- DMT is also expressed in the striatum, cortex, hippocampus, and cerebellum
- DMT helps direct lead within specific areas of the brain
This is called Preferential Accumulation
- evidence of this is that lead preferentially accumulated in the hippocampus
Brain Efflux mediated by ATP-dependent calcium pumps
- Lead can substitute for calcium ions and cross the BBB
- substitution of calcium and using calcium’s form to get past the BBB
Explain the Brain’s lead to calcium ratio
Higher among of lead in the blood = higher levels of calcium deposits in the brain
How does Brain Calcification occur
- Related to increased calcium in the blood or inflammation or damage to the brain
What is Brain Calcification correlated with
- Raised blood lead levels
- Associated with dementia, loss of visual acuity, psychotic episodes
- linked with many diseases and deteriorations
Where can Brain Calcification patterns be found
Calcification patterns found in the subcortical area, basal ganglia, vermis, cerebellum, thalamus, pons
Explain Iron’s Modifying Effect on Lead Exposure
- Iron-deficiency organisms retain 5x more lead then normal iron levelled organisms
- Iron is the sole user of the transporter
- when deficient, lead has multiple transporters available to it. Increasing rates of absorption
DMT1
- absorption of lead regulated through DMT1
- DMT1 is regulated at the mRNA level by Iron
- increased DMT1 due to Iron deficiency
- results in increased absorption of lead
Explain the process and results of the Lead in Rats Study
Process
- Gestation and Lactation
- mother’s exposed to high levels of lead
- Pups then exposed from the mother - Direct Pup lead exposure
- After the pup has been weaned from their mother
Results:
- lead reduces cell proliferation in the hippocampus dentate gyrus
- lead reduces cell survival in the dorsal dentate gyrus
- lead reduces BrdU labelling cells in the dentate gyrus
Cellular Effects of Lead: DCX-labelled fibres
- Lead reduces the density and length of DCX-labelled fibres in the outer molecular layer (OML) of the dorsal dentate gyrus (DG)
- Lead alters cell morphology of DCX-positive neurons in the dorsal DG (causing irregular orientations of apical dendrites (bushy- spiral-like))
Cellular Effects of Lead: Mossy Fibres in the CA3
- Mossy fibres in the CA3 region of the hippocampus
- lead exposure reduces mossy fibres in the stratum oriens
- lead exposure alters granule cell neurogenesis and morphology in the hippocampus
- effects alter neuronal circuity in the hippocampus with detrimental effects on synaptic plasticity and learning
Why is lead to toxic
- Main reason lead is so toxic is due to its ability to substitute for diverse polyvalent cations, including calcium, zinc, and magnesium at their binding sites
- These binding sites have a higher affinity for lead
Mechanisms of Lead Toxicity
- lead has substitution properties for cations at their binding sites
- These cations (calcium, zinc, magnesium) have diverse functions within the body such as;
- Many proteins as structural components
- Signalling networks are based on the association and dissociation of these cations from the proteins which they bind
- Catalytic roles
what is one of the most important targets of lead in the NS
One of the most important targets of lead in the nervous system are voltage-gated calcium channels
- E.x., N-methyl-D-aspartic acid (NMDA) receptor
Role of Voltage-gated calcium channels (VGCCs)
- Allow the flow of many mono- and polyvalent cations (e.x., sodium, potassium, calcium)
Characteristics of VGCC
- Wide permeability range due to the ionic-channel pore diameter and length
- Channel can harbour in its interior more than one ion simultaneously
Mechanisms of Lead Toxicity: Role of Calcium
- EEE locus: four glutamate residues form the selectivity filter, a high-affinity cation-binding site
- The electrostatic interactions among the carboxylic groups of glutamate and the permeating ion determine the affinity of the selectivity filter for the ion
- higher the cation affinity = faster the cation’s entrance to the VGCC channel pore and the slower its exit at the cytoplasmic end - The higher affinity of lead for the EEE locus on VGCCs c
Characteristics of the EEEE
- interactions within the EEEE locus are competitive
- Usually the cation with the highest affinity that binds to the selectivity filter and displaces other ions from the VGCCs channel pore
Characteristics of VGCC
- Selective
- Their pore-forming region has greater affinity for calcium
- A lower affinity for other cations, such as sodium or potassium, which are more abundant
- However, some heavy metals, such as lead, have a higher affinity for the EEEE than calcium
Lead, EEE and VGCC, a story of affinity
The higher affinity of lead for the EEEE locus on VGCCs causes
- Lead to displace calcium form the locus
- Lead to flow slowly flow through the pore acting as a channel blocker
Peak amplitude of NMDA-induced currents inhibition
- The peak amplitude of NMDA-induced currents are preferentially inhibited by lead
- Onset of the effect of lead is rapid (seconds)
- Offset is slow (> 30 minutes)
NMDA-induced currents in immature hippocampal neurons
- NMDA-induced current in immature hippocampal neurons is particularly sensitive to the inhibitory effects of lead
- Peak amplitude reduced in all cultured hippocampal neurons
- Amplitude reduction was greatest in the younger neurons (age 1-10 days) verse older neurons (21-30 days)
What happens when VGCCs are blocked
- Blocking VGCCs can disrupt intracellular calcium dynamics
- Which can affect synaptic development and plasticity resulting in disease states
Explain the expression of Brain-derived neurotrophic factor (BDNF)
- Brain-derived neurotrophic factor (BDNF) expression is a key calcium dependent pathway
- Exposure to lead can reduce BDNF transcripts and protein levels
- BDNF supplementation can fully mitigate the effects of lead exposure on presynaptic function and protein expression