midterm Flashcards

(149 cards)

1
Q

what are the most accessible tissues to measure exposure to metals?

A

Blood (recent, acute exposure)

Urine (recent, acute exposure)

Hair (not reliable – external contamination complicates analyses)

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2
Q

what are the best targets of metal toxicity ?

A

Metal binding proteins
namely enzymes

metals can also bind to non specific proteins

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3
Q

what are metallothioneins?

A

Many have no known enzymatic activity

May be involved in de-toxification of metals

Have high affinity for several essential and non-essential metals, such as Cd, Cu, Hg, Ag, and Zn

Transferrin: binds ferric iron in plasma

Ferritin: iron-storage protein in liver, spleen, and bone

Ceruloplasmin: converts plasma ferrous iron to ferric iron (to bind to transferrin)

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4
Q

what are two common types of transporters

A

Phosphate and sulfate transporters

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5
Q

what is chelation therapy

A

Chelation: metal ion binds to ligand with two donor atoms to form ring-structure

Metals may react with OH, COOH, SH, NH2, NH, and N

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6
Q

Metal plus ligand equals

A

complexation

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7
Q

what do chelating agents have to be ?

A

Characteristics of chelating agents

Water soluble

Resistant to biotransformation

Able to reach sites of metal storage

Capable of forming nontoxic complexes with toxic metals

Capable of being excreted

Have low affinity for essential metals

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8
Q

What is BAL

A

BAL (British Anti-Lewisite)
(2,3-dimercaptopropanol)

Developed during WWII as a specific antagonist to arsenical war gases

Based on observation that arsenic has affinity for sulfhydryl-containing substances

Also effective against mercury, cadmium, chromium, etc.

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9
Q

where is arsenic usually found

A

Commonly found in
Drinking water
Seafood
Pressure-treated wood
Cigarette smoke

Common exposure from
Pesticide and herbicide manufacturers
Smelting industries

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10
Q

where is arsenic released form and what is its mechanisms of toxicity?

A

Arsenic inhibits succinic dehydrogenase and uncouples oxidative phosphorylation
Leads to stimulation of mitochondrial ATPase activity

Arsenic inhibits the energy-linked functions of mitochondria in two ways

Competition with phosphate during oxidative phosphorylation

Inhibition of energy–linked reduction of NAD

Leads to decreased ATP production and increased H2O2

Leads to oxidative stress through ROS

Inorganic arsenic is released into the environment from
Copper, zinc, and lead smelters
Glass manufacturers
Chemical manufacturers

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11
Q

what are symptoms of arsenic

A

Neurotoxicity of PNS and CNS

Neurotoxicity begins with paresthesia and muscle tenderness

Neuropathy may affect sensory and motor neurons

Eventual demyelination of axon nerve fibers

Liver injury may also manifest as jaundice and may progress to cirrhosis

Reproductive and teratogenic effects
Malformation of fetus in animals
Effects have not been observed in humans with excessive occupational exposure

Carcinogenicity
Studies indicate cancer incidence in response to ingestion and inhalation

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12
Q

what is cadmium used for and what is the exposure like

A

Used in (as)
Electroplating, galvanizing, battery production
Non-corrosive
Pigment in paints and plastics

Exposure
Plants readily take up Cd from contaminated soil, water, and fertilizers

Enter food chain and can contaminate meats, fruit, and fish

Shellfish accumulate cadmium

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13
Q

what does acute and chronic cadmium toxicity look like?

A

Chronic toxicity
Chronic pulmonary disease (respiratory exposure)
Emphysema (respiratory exposure)
Renal tubular disease
Skeletal system problems (Cd may affect calcium metabolism)

Nephrotoxicity
Cd toxic to renal tubular cells and glomeruli (binds to sulfhydryl groups of critical proteins) and leads to proteinuria

Metallothioneins in kidney can bind cadmium – nontoxic
Toxicity may occur when systems become overwhelmed

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14
Q

Describe Lead and its exposure

A

Toxic metal detectable in practically all phases of the inert environment and all biological systems

Exposure
Food and drinking water
Lead-based indoor paint
Air (industrial emissions)

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15
Q

what are primary effects of lead in children?

A

Neurologic, neurobehavioral, and developmental effects in children

Vomiting
Lethargy
Ataxia
Encephalopathy
Coma
Death

Toxicity may manifest itself over time in children
Decreased attention span
Reading disabilities

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16
Q

what are common lead mechanisms of effect on the developing nervous system

A

Pb exposure results in modification of neuronal circuitry
-Alterations in noradrenaline, dopamine, and acetylcholine concentrations
-Impairs calcium homeostasis, calcium and NT concentrations play a role in frequency and sensitivity of nerve firing

Lead-induced peripheral neuropathy
Axonal degeneration
Schwann cell degeneration

Lead-induced hematologic effects
Lead-induced anemia
Pb affects heme synthesis

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17
Q

where does mercury exposure come from

A

Natural degassing of the earth’s crust (vapor) and pollution

this is how it gets into octane, the in gets methylated and accumulates in small fish, then get bio concentrated into larger fish, where we eat it

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18
Q

what are effects of mercury vapor toxicity?

A

Mercury vapor toxicity
Acute, corrosive bronchitis
CNS effects (tremors)
Memory loss
Gingivitis
Hg follow calcium pathways into saliva, reacts with bacteria resulting in a precipitate
Delirium
Hallucination

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19
Q

what are the effects of methylmercury toxicity ?

A

Major source of exposure is fish consumption

Symptoms include
Numbness
Ataxia (clumsy, stumbling gait)
Weakness
Vision/hearing loss
Tremors
Coma
Death
Disrupts protein synthesis, creates ROS

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20
Q

what is nickel

A

Ubiquitous in nature
Exposure may occur via inhalation, ingestion or through dermal contact
Exposure can also occur through food, jewelry, and cooking utensils

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21
Q

what does nickel toxicity look like?

A

Toxicity
Carcinogen (can cause cross-linking of DNA)
Allergen
Respiratory tract cancers in factory workers exposed to nickel sulfides and nickel oxides
Ni accounts for 4-9% of allergic dermatitis
Jewelry

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22
Q

Describe copper exposure and toxicity and what disease it can cause

A

Exposure
Drinking water
Food

Toxicity
Nausea
Hepatic necrosis
Death

wilsons disease
Accumulation of copper in liver, brain, kidneys
Due to inability to excrete copper (billiary)

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23
Q

what does iron do, and what are the effects of acute and chronic toxicity

A

Iron homeostasis very complex
Hemoglobin
Iron increases lipid peroxidation

Acute toxicity
Overdose
Vomiting
Liver damage
Coagulation defects
Renal failure

Chronic toxicity
Hereditary
Abnormal absorption from GIT
Excess Fe in diet

Effects
Liver dysfunction
Cardiovascular effects

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24
Q

what does zinc do and what can it cause

A

Approx. 200 enzymes require Zn as a cofactor
Zinc fingers (Zn + His) allow proteins to interact with DNA, hormone receptors and membranes
Excessive exposure to zinc is uncommon

Exposure
Seafood
Meat
Dairy Products
Legumes

Toxicity
GI distress

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25
what is the function of a pesticide
The function of a pesticide is to kill or harm some form of life
26
Describe insecticides and the classes of insecticides?
All of the chemical insecticides in use today are neurotoxicants and they act by poisoning the nervous system of target (also non-target) organisms.   Classes of Insecticides: Organochlorine Insecticides Organophosphate/Carbamate Insecticides Pyrethroid Insecticides
27
what are the 4 types of organochlorine insecticides
dichlorodiphenylethanes (e.g. DDT) chlorinated cyclodienes (e.g. Endrin) chlorinated cyclohexanes (e.g. lindane) Chlordecone (e.g. kepone) the organochlorineare chlorinated hydrocarbons
28
what are the properties of organochlorines that make them good insecticides
Properties which made them good insecticides: low volatility chemical stability lipid solubility slow rate of biotransformation and degradation These properties also led to their demise because of their persistence in the environment, bioaccumulation, and biomagnification through the food chains.
29
what is kepone different thant DDT
Chronic exposure with kepone can cause impairment of spermatogenesis and epileptic convulsion, and skin rashes
30
what happens to the skin from organochlorine exposure
Patch test develops hyperpigmentation in 15-20% of subjects tested with dienochlor - resembles reaction to Balsam of Peru
31
what are DDT type pesticides mechanism
periodic sequences of persistent tremoring and/or convulsive seizures suggestive of repetitive discharges in neurons. these tremors, seizures can be initiated by tactile and auditory stimuli, indicating that the sensory nervous system appears to be much more responsive to stimuli. There is a characteristic prolongation of the falling phase of the action potential. The nerve membrane remains in a partially depolarized state and is extremely sensitive to complete depolarization again by very small stimuli.
32
why does DDT cause prolonged repolarization?
1) DDT affects the permeability of the nerve cell membrane to K+ ions reducing K+ transport across the membrane.  (2) DDT alters the Na+ channels, they open normally but are closed (inactivated) slowly.  (3) DDT inhibits neuronal ATPase activity particularly Na/K ATPase and Ca ATPase which play a role in repolarization of the neuron.
33
what is the function of chrloridinated cyclodine insecticide
These insecticides act in the CNS.  (1) Mimic the action of the chemical picrotoxin, a nerve excitant and antagonist of the neurotransmitter GABA found in the CNS. GABA induces the uptake of chloride ions by neurons. The blockage of this uptake results in only partial repolarization of the neuron and a state of uncontrolled excitation.
34
how is DDT broken down?
Very slow rate for DDT due to complex aromatic ring structure and chlorination. Half-life is 335 days in cattle. DDT broken down to DDE both nonenzymatically and by cytochrome P450 reductive dechlorination. All metabolites are highly lipophilic.
35
what happens to aldrin and hepatchlor when metabolized
Aldrin and Heptachlor are converted by cytochrome P450 oxidation reactions to dieldrin and heptachlor epoxide without a change in lipid solubility or toxicity.
36
what can be given to control the convulsions ?
In addition to decontamination and supportive treatment, diazepam or phenobarbital may be administered to control the convulsions
37
what is the mechanism of action of organophosphate and carbamate insecticides
Both organophosphate and carbamate insecticides act by inhibiting the action of acetylcholinesterase (AchEase) at the synapse between two neurons or between a motor neuron and a muscle. AChEase is the enzyme responsible for the breakdown of the neurotransmitter acetylcholine (ACh).  Organophosphate compounds are irreversible inhibitors of AChEase while carbamate compounds are reversible inhibitors of AChEase. organophosphates cause damage that is irreversible The reaction between an organophosphate and the active site on AChEase (a serine hydroxyl group) results in the formation of an intermediate that undergoes partial hydroylsis with the loss of the "Z" group, leaving a stable, phosphorylated, permanently inhibited enzyme. Signs and symptoms are prolonged and persistent. Without intervention, the toxicity will persist until sufficient amounts of "new" AChEase are synthesized in 20 to 30 days
38
What are the ways to manage cholinesterase inhibitor poisoning ?
Collect serum, urine, & clothing samples Hospitalize for severe symptoms Specific treatment Atropine Pralidoxime (2-PAM)--OPs only Workplace restrictions
39
What does Atropine do ?
Reverses SLUD, DUMBELS syndrome Intravenous dose: -Diagnostic 1 mg adult 0.01 mg/kg pediatric -Therapeutic 1 mg - 4 mg adult 0.05 mg/kg pediatric Repeat every 10-30 minutes
40
What does Pralidoxime do ?
(2Pam) Enzyme aging occurs if not treated Treatment effective within 48 hours 2-PAM reactivates cholinesterase Cholinesterase levels rise
41
Both insecticides undergo what mechnaisms
phase 1 and phase 2 One reaction, oxidative desulphuration, results in a significant increase in toxicity. In parathion, methyl parathion and malathion, the presence of the P = S reduces the AChEase inhibiting properties of the compound.
42
what are the health effects of pyrethroid insecticides?
Low systemic toxicity Respiratory sensitization Asthma Skin reactions -Paresthesia -Allergic dermatitis
43
what are pyrethroid insecticides used for ?
Examples of use -Structural & agricultural -Pet flea control -Pediculicide Vector control -West Nile virus -Aircraft “disinsection”
44
what is the pyrethrins mechanism of toxicity ?
Prolong inactivation of nerve membrane sodium channels Pyrethroid structure Type I (non-cyano) Shorter inactivation Type II (alpha-cyano) Longer inactivation Type I pyrethroids affect Na+ channels in nerve membranes (both sensory and motor) and gives long afterpotential similar to DDT. Type II pyrethroids cause persistent depolarization and prolonged repetitive firing of sensory receptors and muscle fibers. Both types also inhibit Ca/Mg ATPase resulting in increased intracellular Ca++ levels and increased neurotransmitter release
45
Treatment for pyrethrin and pyrethroid illness ?
Decontamination Vitamin E cream Symptomatic therapy Remove from further exposure if needed
46
what are the health effects of glyphosate
Health effects Case reports of eye, skin irritation Death due to ingestion of large amounts Experimental studies fail to show skin irritation Mechanism of human toxicity unknown Surfactant preservative?
47
what are the two chlorophenoxy herbicides ?
2,4,5-trichlorophenoxyacetic acid (2,4,5-T) Derived from tetrachlorobenzene Dioxin byproducts 2,4-dichlorophenoxyacetic acid (2,4-D) Derived from phenol Dioxin contaminants not present
48
what does acute and chronic toxicity look like for chlorophenoxy herbicides?
Acute CNS depression Skin, GI, mucous membrane irritation Renal failure, myopathy Chronic Anemia, hepatic, renal effects Tumor formation(?)
49
what are types of fumingants
Halogenated hydrocarbons -Methyl bromide -Ethylene dibromide, DBCP Inorganic compounds -Sulfuryl fluoride Pro-fumigants -Metam sodium Metal phosphides -Aluminum, Zinc, Magnesium
50
what are the characteristics of methyl bromide
High vapor pressure Heavier than air Odorless -Chloropicrin (tear gas) added Toxic mechanism -Tissue methylation
51
what are the characteristics of methyl bromide acute toxicity
Vesicant -Blistering dermatitis Lower respiratory toxicant -Delayed pulmonary edema Central nervous system depressant -Usual cause of death CNS depression Other CNS depressants Pulmonary edema Hepatic & renal disease Acute severe asthma
52
what are chronic toxicity of methyl bromide
Central nervous system -Cognitive, behavioral effects -Polyneuropathy Reproductive system -Teratogen -Genotoxic, mutagenic
53
what symptoms do the sulfuryl fluoride do ?
-Pulmonary ---Dyspnea, cough, delayed pulmonary edema, fatal hypoxia -Renal CNS ---Weakness, nausea, vomiting, restlessness, muscle twitching, seizures
54
what does metam sodium do ?
Hydrolyzes to mixture of irritants health effects -Irritant dermatitis -Reactive airways dysfunction syndrome/asthma
55
what do phosphide compounds do and what are their characteristics ?
Metal phosphides hydrolyze Aluminum, zinc, magnesium Phosphine Colorless, fish/garlic odor Highly explosive, corrosive Rapidly oxidizes to phosphoric acid
56
what are types of fungicides
Thiocarbamates -Zineb, maneb, ziram, thiram Pthalimide derivatives -Captan, captafol, Substituted aromatics Chlorothalonil, hexachlorobenzene Inorganic Sulfur
57
what are health effects of fungicides
Acute Irritant & allergic dermatitis Chronic Chronic dermatitis Possible carcinogens
58
Thiocarbamates resemble what
Resemble rubber accelerator thiuram Sensitization reported in exposed workers
59
what does chlorothalonil do
Fungicide- substituted aromatic Blue-gray pigmentation in antecubital area Positive skin reaction to chlorothalonil Diagnosis: Ashy dermatitis -Disruption of basal membrane of epidermis Melanin deposits in dermis
60
Elemental sulfur
fungicide Potent skin irritant -Animal experiments equivocal Airway irritant
61
types of rodenticides
Botanicals Red squill – effects heart Strychnine – blocks glycine receptors in spinal cord - convulsions Inorganics Phosphorous – GI track Thallium – hair loss, nervous system Zinc phosphide – GI track Anticoagulants Warfarin – inhibits blood clotting Vacor – newer blood clot inhibitors
62
what is toxinology?
Specialized area of toxicology that deals specifically with animal, plant, and microbial toxins The science of toxic substances produced by or accumulated in living organisms, their properties and their biological significance for the organisms involved
63
what is a poison
Any agent capable of producing an adverse response in a biological system
64
difference between poisonous animals vs venomous animals
Poisonous Animals Animals whose tissues, either in part or in their entirety, are toxic No mechanism or structure for delivery of their poisons Venomous Animals Animals that are capable of producing a poison in highly developed glands Toxin can be delivered during a biting or stinging act
65
venom contains
Proteins Amines Lipids Steroids Free amino acids Histamine Phospholipases Etc.
66
what are the problems with venom analysis
Venom must be “taken apart” to look at components Quality of venom may be destroyed Interplay between various components may be lost
67
bioavailability of venoms is determined by
Determined by: Composition Molecular size Amount or concentration gradient Solubility Degree of ionization Rate of blood flow to exposed tissue Site of exposure (or route of exposure!) Is venom injected?
68
what are the 4 ways venom absorption happens
Injection (possible IV injection!) Active transport Facilitated diffusion Pinocytosis
69
describe the action of venom
Tissue destruction Receptor-mediated toxicity -Receptors have highly variable degrees of sensitivity -Complex venoms may affect many receptor types (or even sub-types)
70
what are factors affecting distribution of venom
Protein binding Variations in pH Membrane permeability Rate of blood flow to a particular site Etc.
71
what are arthropods
Insects, crustaceans, arachnids (scorpions, spiders), and myriapods (centipedes) that are characterized by a chitinous exoskeleton and a segmented body to which jointed appendages are articulated in pairs More than one million species All are not significantly venomous Most don’t have fangs or stingers long or strong enough to penetrate human skin
72
what are the signs and symptoms of scorpion envenomation?
Signs and symptoms of scorpion envenomation Localized pain Swelling Mild paresthesia Tachycardia and hypertension Rare systemic reactions including fever and muscle fasciculations in adults Systemic reactions in children more common; lead to motor weakness and respiratory paralysis Symptoms often resolve in 12-36 hours
73
What is spiders name scientific and what does the venom do
Latrodectus (Widow spiders) Found worldwide in temperate and tropical climates Only female has fangs large enough to penetrate human skin Venom affects neurotransmitter release
74
what does latrodectus venom contain
latrotoxins Major latrotoxin is a presynaptic toxin which depolarizes neurons by increasing [Ca2+]i Stimulates exocytosis of neurotransmitter at nerve terminals
75
how do latrodectus bites look like
Clinical symptoms include numbing pain in affected extremity Pain, cramping, and rigidity in large muscle masses Local skin reactions rare Muscle fasciculations Rarely fatal
76
Describe Loxosceles bites
Initial sting Burning sensation at bite site Swelling and redness in mild bites Serious bite cases exhibit hemorrhage, blistering, pustule formation, necrosis Systemic effects may include fever, nausea, hematuria Rarely fatal
77
What are ticks and what disease do they cause?
type of arachnida Saliva is toxic Microbacterial organisms transmitted by ticks Rocky Mountain spotted fever, typhus, tick-borne encephalitis, Lyme disease
78
what is lyme disease caused by, and what happens during lyme disease
Caused by bacterium Borrelia burgdorferi The action of Borrelia toxin is to prevent, through its action as a proteolytic enzyme, the release of the neurotransmitter acetylcholine Bite symptoms include fever, headache, fatigue, and a characteristic circular skin rash at bite site If left untreated, infection can spread to joints, lymph nodes, the heart, and the nervous system If caught early, antibiotic therapy is often successful
79
what are chilopoda
Centipedes Found worldwide First pair of legs are modified poison jaws Venom contains proteinases, esterases, histamine, etc. Venom causes redness and swelling Necrosis rare
80
what is teh scientific name of caterpillars
lepidoptera Most possess urticating hairs (setae) which are attached to unicellular poison glands at the base of each hair In most cases, itching and redness subside shortly
81
what are fire ants name and what do their venoms do
Formicidae (Ants) Solenopsis (Fire ants) are clinically important Native to S. America and Southern US Venom contains formic acid, and alkaloids Stings give rise to intense burning, swelling, pustule formation, and necrosis Severe envenomations may result in respiratory difficulties and rarely death
82
what are bees name and what do their venom contain
Apidae (Bees) Venom contains phopholipase A, histamine, etc.
83
what are true bugs and what do their venom contain
insecta Heteroptera (True bugs) Six legs, most have wings Venom has protease function (digestive enzymes) Some bugs have no mechanism to deliver their venom and are therefore poisonous! Envenomation usually very mild
84
what are poison arrow frogs
amphibians they are classified and dendrobates and phyllobates
85
Describe the arrow frogs poison
Batrachotoxin Arguably the most toxic naturally produced poison Steroidal alkaloid with high specificity for certain nerve structures in the peripheral nervous system Sodium channel blocker -Locks the channel in the open position Results in constant stimulation and release of acetylcholine -Muscles contract and are unable to relax Death may result from respiratory paralysis
86
what is a heloderma suspectum and what is the venom like
Gila monster Venom contains phospholipases as well as proteolytic and hyaluronidase activities (increases tissue permeability) Venom drawn up via capillary action along grooves in the teeth
87
describe the 3 types of venoms from reptiles- snakes
Crotalid venoms: Rich in proteolytic activity and thrombin-like enzymes Vipirid venoms: Moderate-rich in proteolytic activity and thrombin-like enzymes Elapid venoms: Little or no proteolytic activity (although phospholipases may be strongly represented), few thrombin-like enzymes, neurotoxic activity! Venoms may cause death in as little as 5-10 minutes
88
Describe what happens in terms of mortality from 3 venoms
Crotalid and viper envenomation -Hypotension/shock from decrease in circulating blood volume secondary to capillary permeability -Elapid envenomation Respiratory arrest from neurotoxic activity
89
what do antivenoms contain
Contain neutralizing antibodies -Monovalent or polyvalent Antibodies bind to venom components rendering them ineffective
90
what is anaphylaxis and anaphylaxis shock
All venoms have the capability of inducing anaphylaxis Anaphylaxis is an acute systemic (rapid, multi-system) and severe allergic reaction Anaphylactic shock—will usually lead to death in minutes if left untreated
91
what causes anaphylaxis
Symptoms of anaphylaxis are related to the action of IgE and other anaphlatoxins, which act to release histamine and other signaling substances In addition to other effects, histamine induces vasodilation of arterioles and constriction of bronchioles in the lungs – also known as bronchospasm (constriction of the airways) May occur in response to venom or antivenom!
92
what is a solvent ?
A solvent is a liquid at room temperature used to dissolve other substances examples like alcohol, glycols, aldehyde, ketones
93
what are properties of solvents
Solubility Non-flammability/ Flammability/ Explosivity Volatility Metabolism Complex mixtures
94
Routes of solvent exposure
Inhalation Absorption -skin -mucous membranes Ingestion Injection
95
General Toxicological Principles-1 is
Solvent exposure affected by airborne concentration, solubility, and exposure frequency. Higher vapor concentrations for enclosed spaces with poor ventilation, and with solvents having a high vapor pressure. When inhaled, lipid-soluble solvents will easily enter the blood Solvents also can pass through the skin, although not usually a significant route of exposure. Solvents often de-fat or irritate the skin.
96
General Toxicological principles-2
-Toxic effects of solvents include: depression of the central nervous system, and irritation of membranes and tissues. -CNS depression tends to increase as the length of the carbon chain increases. --Molecules with more than 5 carbons generally are not volatile enough to cause hazardous exposures. -CNS-depressant properties are increased with the addition of halogens and alcoholic functional groups: alkanes
97
General Toxicological Principles-3
All organic chemicals can cause tissue irritation. -Solvents can extract lipids from cell membranes, casing irritation and cell damage. As the molecular size increases, the potential for irritation increases In general, irritation increases with the addition of functional groups Unsaturated compounds are stronger irritants than their saturated counterparts
98
Hepatic effects of solvents
Chemical hepatitis, with transaminases indicating hepatocellular injury Steatosis (fatty liver), occasionally progressing to hepatic necrosis Possible cirrhosis on recovery Reduced metabolism of other xenobiotics ? Acetylcysteine Mechanisms of hepatotoxicity -free radical formation -Halogenated hydrocarbons have greatest toxicity carbon tetrachloride, chloroform >> 1,1,1-trichloroethane, trichlorethylene >> non halogenated hydrocarbons
99
Describe the renal toxicity of solvents
Acute tubular necrosis -acute heavy exposure -halogenated HCs, glycols, toluene, petroleum distillates Glomerulonephritis -chronic, long term exposure -gasoline implicated
100
Describe acute central neurotoxicity of solvents
General anesthesia-like activity or selective inhibition narcosis euphoria agitation (disinhibition) dyscoordination, ataxia, dysarthria
101
What is TCE
It is a chlorinated hydrocarbons TCE is a widely used solvent for metal degreasing At high acute exposure TCE can cause respiratory depression and cardio toxicity There is a weak association between TCE exposure and multiple myeloma, Hodgkin disease and cancers of the prostate, skin and cervis The IARC concluded that TCE is “probably carcinogenic to humans” based on its assessment of sufficient evidence in animals and limited evidence in humans
102
Describe relationship between TCE and the Air and drinking water
TCE contamination in ground water can release TCE vapors to the subsurface At many sites these vapors may then enter buildings from below, similar to radon Indoor air concerns may lead to cleanup of groundwater not considered a current or potential drinking water source (e.g., water table aquifers), and therefore not subject to drinking water regulations There is no single regulatory standard set by rulemaking for TCE in air
103
Describe the metabolism of TCE
With rare exceptions, the toxicities associated with TCE are thought to be mediated by metabolites rather that by the parent compound The majority of TCE undergoes oxidation via cytochrome P450s, with a small proportion being conjugated with GSH via glutathione transferases
104
TCE Human risk assessment describe it
The human relevance of TCE induced rodent tumor is an unresolved issue For liver tumors: humans appear to be similar to rats than mice in the oxidative metabolism capacity For kidney tumors evidence exists that the rat have a greater GSH metabolism capacity With regards to lung cancer, the CYP450 content and the number of Clara Cells in the human lung are but a fraction of those in the mouse Based on the above, it appears that direct extrapolation from rodent data would overstate human TCE cancer risk
105
Describe carbon tetrachloride and chloroform chcl3
they are organic solvents and halogenated hydrocarbons Carbon tetrachloride, CCl4 --Strong CNS depressant --Potent liver toxin -----Acute exposure can cause death ------Chronic exposure can cause cirrhosis Chloroform, CHCl3 --CNS depressant --High exposure levels can cause liver and kidney damage and cardiac arrhythmias.
106
Describe vinyl chloride
-Vinyl chloride , CH2CHCl --Skin irritant with CNS depressant properties --Much industrial hygiene concern over this chemical is due to its carcinogenic potential -----Chronic exposure may result in liver cancer (angiosarcoma) and other cancers as well.
107
Describe methylene chloride
Methvlene chloride, CH2Cl2 Not as toxic as the other chlorinated methanes A suspected carcinogen An excellent solvent Widely used in industry The 1997 OSHA methylene chloride standard should result in a reduction in the use of this chemical.
108
what is beneze and what does it do
organic solvent aromatic hydrocarbon Benzene has been used for many industrial purposes, component of gasoline High exposure levels can cause death by CNS depression or cardiac arrhythmias Skin exposure causes dermatitis Inhalation of high concentrations may result in bronchial irritation or pulmonary edema. Chronic exposure causes blood disorders of aplastic anemia and leukemia. Victims of chronic benzene poisoning usually have a red blood cell count that is only 50% of normal.
109
what is an alkyl benzene
organic solvent alkyl benzene Alkyl benzenes include toluene, xylenes, etc. More powerful narcotic effect than benzene Not known to cause blood disorders
110
what is ethanol
organic solvent alcohol Irritant and a depressant The toxicology of this compound is well know through centuries of voluntary ingestion It does not have the neurotoxic properties of methanol
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what is methanol
organic solvent alcohol Methanol, CH3OH (wood alcohol, methyl alcohol) Common industrial solvent Methanol poisoning may result in blindness, other neurological damage, or death. -Methanol poisoning 8 - 36 hrs after ingestion -Caused by compounds produced by methanol metabolism -Inhibited by administering ethanol
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what is the mechanism of toxicity for methanol
Mechanism of toxicity Methanol slowly metabolized to formaldehyde Formaldehyde rapidly metabolized to formic acid -Acidosis -Ocular toxicity
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what is a methanol specific antidote
Fomepizole (4-methylpyrazole) Inhibits alcohol dehydrogenase Produces same end result as ethanol without causing intoxication
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What is ethylene glycol description
Antifreeze (95% ethylene glycol) Tastes sweet Kids, animals like taste/drink large quantities
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What is ethylene glycol mechanism
Mechanism of toxicity Metabolized via alcohol dehydrogenase to glycoaldehyde then to glycolic , glyoxylic, and oxalic acids Acids lead to anion gap metabolic acidosis Oxalate binds with calcium -Forms crystals causing tissue injury -Produces hypocalcemia
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what does ethylene glycol overdose presentation look at 3 hours and 4-12 hours
Overdose Presentation (first 3-4 hours) Patient may appear intoxicated Gastritis, vomiting Increase in osmolar gap No initial acidosis Overdose Presentation (after 4-12 hours) Anion gap acidosis Hyperventilation Seizures, coma Cardiac conduction disturbances, arrhythmias Renal failure Pulmonary, cerebral edema
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what is ethylene glycol management look like after overodse
Lavage if within 2 hours Sodium bicarbonate Fomepizole or ethanol Folic acid, pyridoxine, thiamine (enhance metabolism of glyoxylic acid to nontoxic metabolites)
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Describe aldehydes
organic solvents -Aldehydes are strongly irritating to mucous membranes Can cause CNS depression, but their irritating nature usually prevents significant exposure. -Formaldehyde is regulated by OSHA as a carcinogen. -Can cause sensitization in about 4 - 8% of the population. -Glutaraldehyde --Commonly used in hospitals to sterilize endoscopes and other equipment --Also causes sensitization.
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Describe ketones
organic solvents CNS depressants Irritating effects cause workers to avoid high exposures -Toxic properties of ketones generally increase with increasing molecular weight. Acetone, (2-propanone) is a relatively safe solvent, as its principle toxic effect is irritation.
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Describe ethers
Organic solvents Anesthetic effect of ethers increases with the size of the molecule Very flammable, and they can be easily oxidized to explosive peroxides. Ethyl ether, CH3CH2OCH2CH3 (diethyl ether) Had been widely used as an anesthetic
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Describe phenols
Phenols are extremely irritating, capable of causing severe burns from direct contact. Phenol is cytotoxic to all cells and tissues, and is toxic by all routes of exposure -Rapidly absorbed through the skin -Fatalities have resulted within 10 minutes of skin exposure.
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what is delayed contact sensitivity
Delayed contact sensitivity aka allergic contact dermatitis standard chemistry for sensitizers -low molecular weight (haptens) -react with cutaneous proteins poison ivy and poison oak develops after one or more contacts subsequent exposure elicits response dependent on dose 3-5 weeks to develop skin reactivity
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what is contact urticaria
nettles -hollow, stinging hairs inject chemical into skin -mixture of acetylcholine, histamine, and serotonin causes local vasodilation, sweating and pain recovery in 3-5 days
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what is phototoxicity
parsnips, caraway, dill, parsley and citrus sensitize skin to long-wave UV light contain furocoumarins skin burns within 6-24 hours of contact range from mild irritation to severe blistering relieved with aspirin or corticosteroids
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What is primary chemical irritation in plant skin injury
spurges, buttercups and wild pepper resembles contact with corrosive acid affected by dose, exposure time, genetics, temperature and humidity serious eye damage possible keratoconjunctivitis with transient blindness
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Plant toxins- Gastrointestinal
Direct stomach irritation - Nausea, vomiting and diarrhea California buckthorn (sacred bark), tung nut, horse chestnut (active is called esculin), pokeweed Antimitotic (stops cell division) – Nausea, vomiting, confusion, delirium Lily family, glory lily, crocus, may apple Colchicine (gout treatment) Lectin toxicity – nausea, diarrhea, headache, confusion, dehydration, death Wisteria, castor bean (Ricinus communis) Ricin – block protein synthesis very toxic 5 to 6 beans can kill a child
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Plant toxins that cause cardiovascular 1
Digitalis like glycosides – cardiac arrhythmias Foxglove (Digitalis purpurea), squill, lily of the valley Contain glycosides that are similar to digitalis The toxic effects is identical to that of Digitalis toxicity: nausea, vomiting and cardiac arrhythmias
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What are vasoactive chemicals
Mistletoe (berries contain toxin) Cardiovascular Toxin is called phoratoxin (produces hypotension, bradychardia, negative ionotropic effects and vasoconstriction of the vessels of skin and skeletal muscle) Claviceps purpurea (ergot) is a fungus parasitic on grains of rye- this has caused an outbreak in several European countries in the Middle ages known as “Saint Anthony’s fire”.
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what are plant toxin effects on heart nerves
Heart nerves – decreased heart rate and blood pressure, general weakness Lily, hellebore, death camas, heath family, monkshood, rhododendron Alkaloids, aconitum, grayanotoxin (concentrated in honey) (honey poisoning) It consists of marked bradbradycardia, hypotension, weakness, GI upset and in severe cases respiratory depression The toxins gets into the honey from the nectar collected by the bees from the flowers (Rhododendrom ponticum)
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what plants cause seizures
Water Hemlock, mint family
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what plant toxins induce stimulation of nervous system
Excitatory Amino Acids – headache, confusion, hallucinations Red alga (produces Kainic acid), Green alga (produces domoic acid). In 1987 there was a serious outbreak in Canada in individual eating mussels containing domoic acid) coffee bean, tea, cola nut, caffeine most widely consumed stimulant in the world
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what plant causes aberrant behavior
very excitable, muscle weakness, death locoweed
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What plant causes neurotoxic death
Poison hemlock (Conium maculatum) Coniine – neurotoxic alkaloid – Poison used by Socrates
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what plant causes paralysis?
demyelination of peripheral nerves is caused by Buckthorn, coyotillo, tullidora (U.S., Mexico)
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what plant causes atropine like effects like
dry mouth, dilated pupils, confusion, hallucinations, memory lose Solanaceae family – jimsonweed, henbane, deadly nightshade (Atropa belladonna), angles trumpet (atropine and scopolamine)
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what plants cause nueromuscular effects
mild stimulation to muscle paralysis, respiratory failure (curare), death Coffee bean, tea, cola nut Tobacco – South American – Strychnos family (curare) Blue green alga (anatonin A)
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what plant toxins effect the liver
Hepatitis” and cirrhosis of liver - From contaminated grain Ragwort or groundsel Pyrrolizidine alkaloids – attack liver vessels – effects humans, cattle but some species resistant Liver failure and death Mushrooms – “Death cap” (Amanita phalloides) Amatoxin and phalloidin effects RNA and protein synthesis Liver cancer Fungus that grows on peanuts, walnuts, , etc…plant Alfaltoxins– produced by fungus in poorly stored grain
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what plant toxins effect reproduction
Teratogen – malformations in offspring (sheep) Veratrum californicum – native to North America Veratrum – blocks cholesterol synthesis – seen offspring of mountain sheep Abortifacients Legumes (Astrogalus) Bitter melon seeds (Momordica) Swainsonine toxin – stops cell division Lectins - halt protein synthesis– used by humans
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what happens with the toxicity of alpah amintin
through interference with RNA polymerase II, prevents the transcription of DNA
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what do phalotoxins do
are rapid-acting and interrupt actin polymerization, impair cell membrane function, has limited absorption
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what do mushrooms containg Monomethylhydrazine contain in terms of toxicity
Toxicity is due to gyromitrin which is metabolized to monomethylhydrazine This metabolite reacts with pyridoxine resulting in inhibition of pyridoxal phosphate-related enzymatic reactions
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symptoms of monomethylhydrazine mushrooms
Headache, nausea, vomiting, seizures, and hepatorenal failure Symptoms occur 6-10 hours after ingestion Toxin may be eliminated with cooking but inhalation of cooking fumes may cause poisoning
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the therapy for monomethyl mushrooms
Pyridoxine, in dose of 25 mg/kg
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C. Muscarine-Containing Mushrooms do what to the human body
no lethality, Small amounts of muscarine are in Amanitia muscaria Symptoms: SLUDGE within 0.5-2 hours Salivation, Lacrimation, Urination, Diaphoresis, Gastrointestinal motility, Emesis Therapy: Atropine
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Coprine-Containing Mushrooms mechanism symptoms and therapy
Rarely fatal Coprine has a disulfiram like effect (Blocks acetaldehyde dehydrogenase) Toxic if alcohol is consumed within 48-72 hours after mushroom Symptoms: Flushing, headache, hypotension, histamine induced vasodilation Therapy: Supportive, anti H1 and anti H2, prostaglandin inhibitors
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what is colchichine
Antiinflammatory effects mediated by ability to inhibit microtubule and PMN activity May cross placenta + found in breast milk
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What is ricin
a potent cytotoxin (toxic at cellular level) concentrated in the castor bean also contains highly toxic glycoproteins that block the synthesis of other good proteins causing cell death used as a lubricant, boiling makes it non- toxic
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what are routes and symptoms of ricin poisoning
Intravenous-Introduced into a puncture or cut. Inhalation- Aerosolized liquid or powder inhaled directly into the lungs. Ingestion- Ricin enters through contaminated food or water into the stomach. Symptoms range from fever, cough, nausea, chest tightness, sweating, cyanosis, hypo tension (very low blood pressure), dyspnea (labored breathing). Circulatory and respiratory collapse occur within 36-72 hrs leading to death.
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what is ricin mechanism of action
Death from Castor beans is caused by two lectins in the beans: Ricin I and Ricin II (more toxic) Ricin II consists of two chains of amino acids. The A chain inactivates the 60s ribosomal subunit of cells by depurination of a single adenosine residue within the 28s rRNA and blocks protein synthesis Exposure to high or very warm temperatures and or high humidity will diminish the strength of the toxin (denaturing effect).