Lecture 5: Cellular and Tissue Targets of Toxicity Flashcards

1
Q

T/F: A toxicant interacts with a tissue or cell to result in a toxic effect. The
adverse effect only happens if the toxicant is at a sufficient
concentration at the cellular target.

A

true

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2
Q

what are the four steps of the mechanisms of toxicity?

A
  1. delivery
  2. interaction with target (or microenvironment)
  3. progression to cellular dysfunction
  4. inappropriate repair (or adaptation) at any point
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3
Q

what is the first step of the mechanisms of toxicity?

A

delivery

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4
Q

absorption, distribution toward target, reabsorption, and toxication are all examples of things that…

A

increase delivery to target

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5
Q

presystemic elimination, distribution away from target, excretion, detoxication are all examples of…

A

factors that decrease delivery to target

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6
Q

______: Biotransformation that
increases toxicity (aka metabolic activation)

A

Toxication

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7
Q

______: Biotransformation
that prevents the formation of a toxic metabolite or eliminates it once formed

A

detoxication

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8
Q

what is the second step in mechanisms of toxicity?

A

interaction with target molecule(s)

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9
Q

Dysfunction of target molecules
(i.e., activation or inhibition of protein target molecule)

Destruction of target molecules
(e.g., cleavage of the phosphodiester bond of DNA)

Neoantigen (new antigen) formation due to DNA damage and mutations

…are all examples of the effects of ____

A

toxicants on target molecules

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10
Q

T/F: toxicants can target a molecules AND/OR the microenvironment

A

true!

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11
Q

what are some examples of ways a toxicant can alter the biological microenvironment… causing toxicity

A

Alteration of cell membrane and destruction of essential solute gradients

Some toxicants alter H+ ion concentrations which disrupts the acid-base balance

Toxicant causes harm by occupying a site or space

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12
Q

T/F: Alterations in gene expression can result from exposure to toxicants

A

true!

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13
Q

If a toxicant has high affinity to certain cellular receptors it may…

A

Directly alter expression of certain genes through activating transcription factors

ex: estrogenic compounds binding to estrogen receptors

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14
Q

If a toxicant binds to certain types of membrane receptors it may…

A

Activate a cell signaling pathway(s) that can lead to altered gene expression

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15
Q

T/F: Some toxicants can cause oxidative stress

A

true!
reactive oxygen species (ROS)

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16
Q

what are the three main types of reactive oxygen species?

A

superoxide (O2)
hydroxyl radical (HO)
hydrogen peroxide (H2O2)

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17
Q

where do we accidentally make ROS?

A

in the mitochondria

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18
Q

what four enzymes can remove superoxide radicals?

A

superoxide dismutase (SOD),
glutathione peroxidase (GPX),
peroxiredoxin (PRX), and catalase (CAT)

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19
Q

why do we not need an enzyme to eliminate HO?

A

has an extremely short half-life, no need!

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20
Q

T/F: Some toxicants cause dysregulation of cell function

A

true
Basically, binding to and altering the function of a target molecule, pretty much everything ever lol

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21
Q

Aerobic metabolism mainly occurs in the ________ (i.e.,TCA cycle and
oxidative phosphorylation) to make ATP
(in the presence of oxygen)

A

mitochondria

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22
Q

With oxidative phosphorylation, the ________ used in this process
are transferred to oxygen in a controlled
way to form water.

A

high energy electrons

23
Q

Some of the ATP produced is used to drive ion pumps that keep the concentrations of ions in the cell within
specific ranges (part of _______)

A

homeostasis

24
Q

______ = the tendency toward a relatively stable equilibrium

A

Homeostasis

25
Q

what are the three critical ways a toxicant can disrupt cell function?

A

ATP depletion

Sustained rise in intracellular Ca2+

Overproduction of ROS (and RNS)

26
Q

A toxicant that interferes with any step of aerobic metabolism will decrease the
overall levels of ATP in the cell… without enough ATP, what happens?

A

the cell cannot carry out normal functions

27
Q

what can increased cytosolic Ca2+ do to the cell?

A

Cause increased pumping of Ca2+ into the
mitochondria, both depleting ATP and decreasing
ATP synthesis.

Disrupt the cytoskeleton, which requires low [Ca2+ ]
for stability. This can cause membrane instability.

Certain hydrolytic enzymes are activated by Ca2+
These can then start to break down integral
membrane proteins and membrane lipids

28
Q

T/F: Cells maintain a 10,000-fold difference in concentration of
Ca2+ between the exterior of
the cell and the cytosol

29
Q

T/F: Inside the cell, there’s a large difference between Ca2+ levels in the endoplasmic
reticulum (high) and the
cytosol (low)

30
Q

T/F: xenobiotics can directly produce ROS/RNS

31
Q

High Ca2+ levels in the
mitochondria activate the TCA cycle, causing more electrons to flow through the electron transport chain to ATP synthase. If ATP synthase is inhibited, electrons can mistakenly get transferred to oxygen or nitrogen,
forming ________

A

ROS and RNS

32
Q

loss of ____________:
1. Depletion of cellular ATP deprives the endoplasmic reticulum and plasma
membrane Ca2+ pumps of “fuel”, causing rise of Ca2+ in the cytoplasm.

  1. The cell partially compensates by pumping Ca2+ into the mitochondria, which
    decreases the H+ separation across the mitochondrial membrane hindering ATP
    synthase.
  2. Hindering ATP synthase causes the formation of free radicals, which can impact
    the Ca2+ pumps that normally pump Ca2+ outside the cell, further contributing to
    high levels of Ca2+ in the cytoplasm.
  3. ROS and RNS can further reduce ATP reserves as the cell tries to detoxify them.
  4. The ROS and RNS species can directly damage membranes, causing leakage of ions out of the cell, and the leakage of Ca2+ from the outside to the inside of the
    cell.
A

cell function (death spiral)

33
Q

When does a cell go through
necrosis vs. apoptosis?

A

main determinant is extent of mitochondrial damage

second determinant is whether DNA is damaged or not

34
Q

what kicks off necrosis, as shown by cell culture studies?

A

depletion of ATP

35
Q

what is apoptosis?

A

programmed and orderly cell death- a natural process!

36
Q

T/F: In moderate levels of
mitochondrial damage,
membranes and organelles get broken down and engulfed by phagocytes

37
Q

how is apoptosis often triggered?

A

by cytochrome C leaking from mitochondria (since its involved in oxidative phosphorylation)

38
Q

once the cytochrome C signal is received, the ‘executioner’ _______ signals to
begin the apoptosis process

39
Q

______ – cell
death when damage cannot be repaired

40
Q

during necrosis, a ______ occurs, an abrupt increase in inner mitochondrial membrane permeability leads to opening a pore and the contents leak out into
the cytosol

A

mitochondrial permeability transition
(MPT)

41
Q

when an MTP occurs, what happens?

A

all aerobic ATP production stops
excess of free radicals released into cytosol
cell membrane becomes permeable
cell swells and bursts

42
Q

Molecular repair of proteins, lipids, and DNA
* Reversal of chemical alterations
* Removal of damaged unit and replacement with newly
synthesized unit

Cellular repair
* Autophagic removal of damaged cell organelles
* Clearance and regeneration of damaged axons

Tissue repair
* Deletion of injured cells and
regeneration of the tissue by
proliferation

…these are all examples of mechanisms of ______

43
Q

Decreasing delivery to the target
* Decreased absorption
* Increased sequestration by
intracellular binding proteins
* Enhanced detoxification
* Cellular export

Decreasing the target density or responsiveness
* Receptor downregulation

Increasing Repair
* For example, the induction of chaperones to repair misfolded proteins

…these are all examples of mechanisms of _____

A

adaptation

44
Q

what are three examples of toxicity resulting from inappropriate repair and adaptation?

A

tissue necrosis
fibrosis
carcinogenesis

45
Q

cancer is caused by…

A

uncontrolled cell division

46
Q

There are genes that normally signal the cell to progress through the cell cycle (called ____ if their altered regulation causes cancer)

47
Q

There are genes that normally signal the cell to not progress through the cell cycle, or signal DNA repair, or apoptosis when there is irreparable DNA damage (called _______)

A

tumor suppressor genes

48
Q

which step of cancer is irreversible

A

when it enters the progression stage, when there’s proliferation of cells… WIL lead to cancer

49
Q

Mutagens can be carcinogens through altering DNA by what two ways?

A
  1. Binding to DNA as adducts. The cell repairs these by a
    mechanism that isn’t perfect, and a different nucleotide base can be accidentally inserted causing a change in the DNA code
    (i.e., mutation)
  2. Directly damaging the DNA. ROS and radiation can do this. Repairing damaged DNA is error-prone and can cause a change in the DNA sequence
50
Q

T/F: not all mutagens ‘hit’ important cancer-causing genes

A

true! not all mutagens are carconigens!

51
Q

Carcinogens can also be _____ that directly kill cells or speed up their division

52
Q

what are the two main forms of carcinogens that can also be toxicants?

A
  1. carcinogens that cause high cell death
  2. hormones that mimic signals for cell division when it should not

both these examples lead to a higher probability of gaining a mutation

53
Q

asbestos is a carcinogen but NOT a _____

A

mutagen

just causes lots of cell death… COULD lead to chance of mutation