midterm Flashcards
(149 cards)
what are the most accessible tissues to measure exposure to metals?
Blood (recent, acute exposure)
Urine (recent, acute exposure)
Hair (not reliable – external contamination complicates analyses)
what are the best targets of metal toxicity ?
Metal binding proteins
namely enzymes
metals can also bind to non specific proteins
what are metallothioneins?
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)
what are two common types of transporters
Phosphate and sulfate transporters
what is chelation therapy
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
Metal plus ligand equals
complexation
what do chelating agents have to be ?
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
What is BAL
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.
where is arsenic usually found
Commonly found in
Drinking water
Seafood
Pressure-treated wood
Cigarette smoke
Common exposure from
Pesticide and herbicide manufacturers
Smelting industries
where is arsenic released form and what is its mechanisms of toxicity?
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
what are symptoms of arsenic
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
what is cadmium used for and what is the exposure like
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
what does acute and chronic cadmium toxicity look like?
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
Describe Lead and its exposure
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)
what are primary effects of lead in children?
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
what are common lead mechanisms of effect on the developing nervous system
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
where does mercury exposure come from
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
what are effects of mercury vapor toxicity?
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
what are the effects of methylmercury toxicity ?
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
what is nickel
Ubiquitous in nature
Exposure may occur via inhalation, ingestion or through dermal contact
Exposure can also occur through food, jewelry, and cooking utensils
what does nickel toxicity look like?
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
Describe copper exposure and toxicity and what disease it can cause
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)
what does iron do, and what are the effects of acute and chronic toxicity
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
what does zinc do and what can it cause
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