Mechanisms of Toxicity Flashcards

TOX

1
Q

Define mechanisms of toxicity.

A

The fundamental chemical and biological interactions responsible for the genesis and longevity of toxic responses.
* Large number of toxicants with numerous biological processes, so ultimately there are numerous potential mechanisms

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2
Q

Why should we study the mechanisms of toxicity?

A
  • To interpret descriptive toxicity data
  • We need to understand why one toxicant is more toxic than another.
  • To estimate the probability that a chemical will cause harmful effects
  • B/c mechanistic studies generate data o doses that ? specific processes.
  • To develop procedures to prevent toxicity
  • E.g. development of ? is based on understanding mech of toicity. Only possible to reverse toxic resonses if you know how dose repsonses occur and devellpingprocesdures that counteract underlying mechanisms.
  • To develop less hazardous drugs and chemicals
    – especial;y Selectively toxic chemicals
  • in order ot reat cancer, drug you are choosing should onyl target cancerous cells without targetting adhjacent normal cells.
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3
Q

Describe the steps in development of toxicosis

A
  1. Delivery of toxicant to target site. Once here, interacts with target molecule causing dysfunction or injury leading to toxicosis.
  2. Alter bio env –> injury –> toxicosis
  3. Cells impacted by toxicants no longer can perform processes –> toxicosis
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4
Q

Describe delivery of toxicant to target site.

A
  • From site of exposure to the target organ
  • Intensity of toxic effect depends on the concentration and persistence of the ultimate toxicant at the site of action
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5
Q

What is an ultimate toxicant?

A

– The chemical species that reacts with endogenous target molecules or alters the biological microenvironment. The ultimate todxicant can be: Parent xenobiotic-metals, metabolite-Actetaminophen; typically metabolized into? , ROS-Paraquat; during its process of metab, results in prduction of ROS which then discriminately affects cells, Endogenous molecule-Sulfonamides; displaces bilirubin from binding sites in plasma albumin, bili accumulates and is responsible for toxic response.

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6
Q

What factors affect the concentration of the ultimate toxicant at the target site?

A

Work for toxicant: absorption, etc.
Work against: Distribution (from site of action)

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7
Q

Define the term absorption. What does it depend on?

A

Absorption
* Transfer of a xenobiotic from site of uptake
to systemic circulation. It depends on:
– Toxicant concentration at site of absorption (GI, resp, skin)
– Surface area of exposure/absorptive site (how much of substance is absorbed).
– Structure of the absorptive surface (thickness)
– Perfusion of the sub-epithelial region
– Physicochemical properties of the toxicant (lipid solubility)

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8
Q

Absorption is counterbalanced by?

A

Pre-systemic Elimination
* Also known as first-pass elimination

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9
Q

Define pre-systemic elimination.

A
  • It is the loss of a toxicant during transfer from
    the site of exposure to the systemic circulation
    – Most important for toxicants absorbed from the gastrointestinal tract
  • May contribute to increased injury of the digestive tract mucosa, liver, and lungs b/c these processes promote delivery to such sites
  • Reduces toxicity of toxicants delivered to target sites via systemic circulation.
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10
Q

Describe the process of toxicants

A

todxicant may be metab by enymes in gut microbiota, gI epi, and excreted befroe absorption.

most important site for pre-sys loss is liver where delviery by hepatic portal vein, fraction of toicant may be metbolized and excrted by bile and ? into GI tract before entering systemic circulation.

Other important site for pre-ssy elimination is lung where sig metab and elimination for toxicant can occur before toxicants enter systemic circulation.

Degrees in thickness of arrows in image is importnt.

Process by which todicants are

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11
Q

Describe the process of toxicants

A

todxicant may be metab by enymes in gut microbiota, gI epi, and excreted befroe absorption.

most important site for pre-sys loss is liver where delviery by hepatic portal vein, fraction of toicant may be metbolized and excrted by bile and ? into GI tract before entering systemic circulation.

Other important site for pre-ssy elimination is lung where sig metab and elimination for toxicant can occur before toxicants enter systemic circulation.

Degrees in thickness of arrows in image is importnt.

Enterohepatic circ def?

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12
Q

Enterohepatic circulation

A

Plasma concen. of toxicants that have significant circ is chracte4rizd by? and tertiary peaks over time.
Relisten to this slide.

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13
Q

Describe the process of distribution

A

Increases toxicant conc. at target site
- Fenestrations: large molecules, even protein bound toxicants, can pass
- Some toxicants can accumulate in organelles. Lysosomes: accumulation occurs via ph trapping and toxicant is protonated in ? lysosome preventing reflux?
Mito = electro = toxicants are protonoated in intermembrane space which has got a high concentration of protons and after are sucked into ? matrix due to strong negativ epotential.

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14
Q

Which mechanisms oppose distribution?

A
  1. strong binding delays and prolongs effects and elimination of toxicants.
  2. Brain caps have very low aqeusou porosity because ? lack ? by extremely tight junctions. BBB prevetns access of hydrophillic chemicals inot brain except those that can be acivelu transported.
  3. Some chemicals acumulate in tissues where tehy do not exert siginficant effecs. Storage decreased availablity of toxicants to target sites and acts as temporary protective mechanisms.
  4. Binding to intracelular sites reduces conc. of toxicants at target site. Metals to LMW proteins known as metalll/ When metals bound to this protein they can not inte4ract with sensitiv ttarget sites in cell.
  5. Toxicants can be found outside cells and can be transported back into EC space which occurs in brain cap endothelial cells in luminal membrane, these cells contain ATP dependent mebrane transpores like ATP binding or ABC transportes such as MDR protein which extrudes chemicals a nd contributes to BBB.
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15
Q

Explain how excretion and reabsorption oppose each other.

A

Excretion
– Removal of xenobiotics from the blood and their
return to the external environment
* Main organs: kidney, liver → GI tract, lungs
- Primarily excrete hydrophilic or volatile substances.
* Lipophilic substances are not readily eliminated.
Differs from reabsorption in that the Amount of parent compound is reduced by biotransformation.
Reabsorption
– Toxicants excreted in urine, bile & GI secretions may diffuse back/get reabsorbed into blood. REbaospriton depends on lipid solubility and is inversely proportional to the extent of ionization.

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16
Q

Define toxication.

A

it is a biotransofmrationla reaction in which the ? is more toxic than the xenobiotic.
E.g. conversion of parathion by p450 system into paraoxon increases toxicity of organophosphate?.
Electrophiles are atracted to electrons, toxicants can be converted to nucleophiles as well which are species that are attracted to nucleus becaue nucleus is + charged. Toxicants can cause formation of freee radicals which are molec containing unpaired e- –> highly unstbale and ractive speceis and always require an e- to be stable. toicants can acquire indicsitrimante activity while ? where they are able to donate or accept electrons.

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17
Q

What is detoxication? What does it depend on?

A
  • Biotransformations that eliminate the ultimate toxicant or prevent its formation
  • Detoxication mechanisms depend on the nature of the toxicant:
    1. Toxicants with no functional groups
  • Detoxicated by addition of a functional group (-OH, -NH2, -COOH, etc.) followed by conjugation. Then they are …
  • Catalyzed by phase I enzymes, e.g., CYP450
    – Involves oxidation, reduction or hydrolysis

An endogenous molecule is added by the process of conjugation that is catalyzed by phase 2 enzymes.

    1. Toxicants with functional groups
      – Conjugation (by phase II enzymes)
  1. Free radicals
    – e.g., O2*- is dismutated and converted to water by
    catalase (CAT), glutathione peroxidase (GPx) or peroredoxin (Prx)
  2. Protein toxins: Enzymatically inactivated by proteases (e.g. venoms; cleeaved into smaller units, such as dipeptides, that no longer exert toicity.

Dismutation: simultaneous reduction and oxidation

peroxide formed as intermediate which needs to be reduced to water by catalyze or glutothione peroxidase.

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18
Q

When does detoxication fail?

A
  • Toxicants can overwhelm detoxication
    mechanisms
    – Exhaustion of enzymes, antioxidants, etc
  • Inactivation of detoxifying enzymes
  • Reversal of detoxification reactions
  • Detoxication may produce harmful by-products (e.g., conversion of GSH to glutathione thiyl radical)
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19
Q

Describe step 2a: Interaction with Target Molecules

A
  • Toxic action is mediated by the reaction of the ultimate toxicant with target molecules. Such as reactibility, accessibility, and ?
    The outcome depends on:
    I. Attributes of the target molecules
    II. Types of reactions between the ultimate toxicant and the target molecules
    III. Effects of toxicant on the target molecules
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20
Q

I. Attributes of Target Molecules
* Practically all endogenous molecules are potential targets for toxicants
* The most toxicologically relevant targets are nucleic acids, proteins and membranes
* The target molecule must be able to react with the toxicant and have appropriate configuration and accessibility.

All toxicants do not contribute to toxicity?

A
21
Q

What are the different types of reactions?

A
  • Noncovalent binding – reversible
  • Associated with toxicant interaction with Receptors, ion channels, enzymes. involves formation of hydrogen and ionic bonds which are elow energy and ?
  • Covalent binding – irreversible
  • permamently alters molecules; Electrophiles, free radicals
  • Hydrogen abstraction (e.g., RSH–>RS*) removal of hydrogen atom from molec by radical. usually leads to conversaation of endenous molec from radicals, ?, cross linking of DNA.
  • Electron transfer (redox reactions, e.g., NO3/NO2 and hemoglobin)
  • Enzymatic reactions (e.g., hydrolysis of ribosomes by ricin) Ricin found in caster beans can hydrolyze ribosomes? and snake venom can ?
22
Q

List the effects of toxicants on target molecules.

A
  • Dysfunction of target molecules
    – Activation (e.g. morphine/opioid receptor) or inhibition (e.g. strychnine/glycine receptor)
  • Destruction of target molecules
    – Cross-linking, fragmentation, degradation
  • Formation of neoantigens
    – Altered proteins evoke immune responses
    (e.g., penicillin, halothane, nickel, urushiol- Poison ivy allergen)
23
Q

Describe the Alteration of Biological
Microenvironment

A
  • Alteration of H+ concentration (e.g., by acids or toxicants metabolized to acids) e.g. ethylene glycol (antifreeze)
  • Physicochemical alteration of the lipid phase of cell membranes (e.g., by solvents, detergents) Occupy bilirubin binding site in albumin
  • Occupation of a site or a space (e.g., CO2 - can occupy aklveolar space whihc is meant to be occupied by oxygen, sulfonamides - Occupy bilirubin binding site in albumin, ethylene glycol - Renals tubules)
24
Q

Describe cellular dysfunction and toxicity.

A
  • Impairment of cellular regulation
    – Dysregulation of gene expression: transcription,
    translation, signal transduction and/or
    extracellular signal production
  •  impaired cell division, protein synthesis and
    apoptosis  neoplasia, teratogenesis, tissue involution
  • Dysregulation of ongoing cellular activity
    – Electrically excitable cells (neurons, muscle)
    – Toxicants can also stimulate non-excitable cells such as Other cells e.g., exocrine cells
  • Impairment of cell maintenance leading to cell death.
25
Q

Describe the dysregulation of electrically excitable cells.

A
  • Alteration of neurotransmitter level
    – Synthesis, storage, release, removal
  • Toxicant-neurotransmitter interactions
    – Agonism, antagonism, activation, inhibition
  • Alteration of signal transduction
  • Impairment of signal termination; impairing removal of potassium from cels and proloning excitation of those neuronal cells.

hydrazines impair … etc.

Relisten to this slide.

26
Q

Under impaired internal maintenance, what effects do toxicants have?

A

– Toxicants can impair synthesis of ATP and
endogenous molecules, assembly of
macromolecules, membranes and organelles
and regulation of intracellular environment
* These impairments imperil cell survival

27
Q

Under impaired external maintenance, what effects do toxicants have?

A
  • Impaired external maintenance
    – Impaired function of integrated systems, e.g.,
    hemostasis –> excessive bleeding –> death
28
Q

What are the Three primary biochemical disorders are
initiated by toxicants to cause cell death?

A

– ATP depletion
– Sustained elevation of intracellular Ca2+
– Overproduction of ROS (Reactive Oxygen Species)

–> These disorders result in Mitochondrial Permeability Transition (MPT): an abrupt increase in mitochondrial inner membrane
permeability resulting in cessation of ATP synthesis. water enter mitochrondria –> swelling –> rupture of the mitochondria

29
Q

What are the consequences of MPT?

A

if few undergo MPT, many undergo MPT, or all/most undergo MPT

30
Q

Define the term necrosis. What is it characterized by?

A

Necrosis
* Results when MPT affects most or all
mitochondria
* Necrosis is characterized by cell/organellar swelling and lysis of plasma membrane
* There is disconnection of cytoskeleton from plasma membrane and membrane blebbing
* It is a random, uncontrolled and disorderly disintegration of cells associated with inflammation

31
Q

Define the term apoptosis. What is it characterized by?

A

Apoptosis
(Programmed Cell Death)
* Results when MPT affects many but not all mitochondria
* Characteristics of cell death by apoptosis:
– Cells shrink but retain intact membranes
– Condensation of nuclear and cytoplasmic materials
– Apoptotic bodies (membrane-bound cell fragments)
* Damaged cells (apoptotic bodies) are
eliminated without inflammation

32
Q
A
33
Q

List other toxic effects that lead to cell death.

A
  • Damage to plasma membranes
    – e.g., solvents, detergents, venoms
  • Damage to lysosomal membranes
    – e.g., by aminoglycosides
  • Destruction of cytoskeleton
    – e.g., phalloidin (a mushroom toxin)
  • Disruption of protein synthesis
    – e.g., ricin (castor bean toxin)
34
Q

Describe the step of repair or dysrepair.

A
  • Toxicants may alter macromolecules that if not repaired cause damage at higher levels of biological hierarchy
  • Repair mechanisms arrest progression of injury
35
Q

At what step does molecular repair fail?

A
36
Q

How are proteins repaired?

A
  • Oxidized proteins are repaired by reduction or electron transfer
    – Requires enzyme action and reducing equivalents
  • e.g., repair of oxidized thiol groups involves the thioredoxin/glutaredoxin system and NADPH (Nicotinamide adenine dinucleotide phosphate, reduced)
  • Denatured or altered proteins undergo refolding by heat shock proteins
  • Permanently damaged proteins are eliminated by proteolytic degradation
37
Q

How are lipids repaired?

A
  • Peroxidized lipids are repaired by a
    complex process involving reductants and enzymes e.g., GSH, glutathione peroxidase, and glutathione reductase
    – NADPH recycles the reductants (GSH) oxidized in the process
  • Peroxidized fatty acids in phospholipids can be replaced with normal fatty acids after
    preferential hydrolysis by phospholipase A2
38
Q

Why is mitochondrial DNA prone to damage? Is nuclear DNA prone to damage?

A

Mitochondrial DNA is prone to damage: lacks
histones and efficient repair mechanisms. Nuclear DNA is very stable.

39
Q

Histones are rich in arginine and lysinine and repair DNA into new chormosomes.

A
40
Q

Decribe the process fo direct repair.

A
  1. Direct repair
    – Involves enzymatic reversal of covalent DNA
    modification e.g. by DNA photolyase following UV
    modification or by alkyl transferases (remove alkyl
    groups from DNA) after chemical-induced alkylation. UV-induced thymine dimers
    repaired by photoreactivation,
    in which energy from visible
    light is used to split the bonds
41
Q
A

UV-induced thymine dimers
repaired by photoreactivation,
in which energy from visible
light is used to split the bonds

42
Q

Decribe the process of excision repair.

A

Base or nucleotide is excised and replaced
– Base excision: used for lesions that do not cause major
helix distortion
– Nucleotide excision: used for removal of bulky adducts
that distort the double helix structure

43
Q
A

altered base or dimer is recognied by DNAg and is removed leaving the swugar phsphate bone inrac.t this creates a site without a purine or pyrimidine base now as ? recognixed by AP endonuclease. AP dephosphyrlzes the boned and the missing gap is resynthesized by DNA ppol and ? by DNA ligase.

44
Q

Describe recombinational/postreplication repair.

A
  • Occurs when excision of a
    bulky adduct or pyrimidine
    dimer fails to occur before
    replication begins
  • This results in a gap opposite
    the dimer in the newly
    synthesized strand
  • Recombination with the
    undamaged parental strand
    fills the gap
  • Parental strand gap is filled using daughter strand as template
45
Q

Cellular Repair
* Not a widely applied strategy to overcome toxic cell injuries. In most tissues damaged cells are removed
and replaced
* Important in repair of peripheral neurons (axons) and is mediated by macrophages and Schwann cells
– Macrophages remove debris & produce cytokines and growth factors which activate Schwann cells
– Schwann cells support growth and synthesize adhesion molecules
Note: CNS contains inhibitory glycoproteins & chondroitin sulfate
proteoglycans which prevent axonal regrowth

A
46
Q

Tissue Repair
* Deletion (by apoptosis) of the injured cells
and regeneration (by mitosis and cell
migration)
* Regeneration of the extracellular matrix by
stellate cells, mesangial cells and fibroblasts
* Reintegration of new cells and matrix into
tissues and organs. Requires the adhesion
molecules cadherins (Cell-cell adhesion), connexins (Gap junction) & integrins (link Cells within ECM)

A
47
Q

When does repair failure occur?

A
  • Damage can overwhelm repair mechanisms
    Oxidation > reduction, enzymes/cofactors consumed
  • Toxicant-induced injury adversely affects the
    repair process, e.g., stoppage of mitosis
  • Some toxic injuries cannot be repaired
  • Repair can contribute to toxicity
    through Depletion of ATP and reductants such as NADPS or glutothione.
  • Repair may go astray and lead to uncontrolled
    proliferation –> neoplasia and fibrosis
48
Q

What are the adverse consequences of dysrepair?

A
  • Necrosis (injury overwhelms repair)
  • Fibrosis (excess abnormal extracellular
    matrix)
    – Causes loss of elasticity, compresses normal cells
    and blood vessels, increases diffusion barriers
  • Carcinogenesis
    – Results from failure of DNA repair, apoptosis or
    termination of cell proliferation