Quiz 1 Flashcards
Lectures 1-4
What is Toxicology?
A branch of science that studies the adverse effects of chemical, physical or biological agents on living systems and the ecosystem, including the prevention and the amelioration of such adverse effects
Toxicology is an Interdisciplinary field involving… (4)
biology, chemistry, pharmacology, and medicine
What is Descriptive Toxicology?
Focuses on testing of toxic substances
Typically using animals and then correlating findings to humans
Provides information for safety evaluation and regulation, such as dose-response information
Ex: Assessing the reproductive toxicity of BPA
What is Mechanistic toxicology?
Identifying and understanding the mechanisms that underlie the toxic effects of drugs or chemicals on living systems
Also identifies whether the effects are genotoxic, teratogenic, carcinogenic, neurotoxic, etc.
Ex: Study identifying targets of gymnodimines
What is Regulatory toxicology?
Assessing whether a drug or chemical poses a risk to human health
Uses information gathered from toxicity testing
Establishes standards and/or guidelines for safe exposure
Ex: guidance for the consumption of bitter apricot kernels
What is Forensic toxicology?
Concerned with the medicolegal aspects of the harmful effects of toxic substances, environmental chemicals or poisonous products on human and animals
Determines cause of death in a post-mortem investigation
Ex: Red tide in Florida linked to dolphin deaths
What is Clinical toxicology?
Concerned with disease states caused by or associated with toxic substances
Usually involves physicians or individuals specialized in emergency medicine and/or poison management
Ex: New study linked exposure to second-hand tobacco smoke can predict cardiac arrhythmia
What is Environmental toxicology?
Concerned with the impact of physical and chemical pollutants in the environment on biological organisms
Includes the effects on human health and non-human organisms (such as fish, birds, and terrestrial animals)
Ex: Microplastics in bottled water
What is Ecotoxicology?
Specialized are within environmental toxicology that is concerned with the impacts of toxic substances on population dynamics in an ecosystem
Also evaluates the transport, fate, and interactions of toxic substances in the environment
Ex: Studying the effects of glyphosate (herbicide) on honey bees
What did Paracelsus (16th Century) determine?
specific chemicals were responsible for the toxicity of a plant or an animal poison
“All substances are poisons; there is none which is not a poison. The right dose differentiates a poison and a remedy.”
Who is Orfila (19th Century) and what did he demonstrate?
Spanish physician considered the founder of toxicology
Demonstrated the effects of poisons on specific organs by analyzing autopsy materials for poisons and tissue damage associated with them
What is a toxin?
Peptides or proteins produced by living cells or organisms (i.e., natural toxins)
What is a toxicant?
Substances that are synthetic (man-made
What is a poison?
Any synthetic or natural substance that is harmful to health
Define Xenobiotic
Foreign substance taken into the body
May produce beneficial effects (i.e. pharmaceuticals) or produce toxic effects (i.e., heavy metals)
What is a toxic agent?
Anything that can produce an adverse biological effect
Can be chemical (cyanide), physical (radiation), or biological (snake venom)
What is a toxic substance?
Any material that has toxic properties
Can be a discrete toxic chemical (lead) or a mixture of chemicals (gasoline)
9 ways that toxins are classified
- Toxicity (extremely - slightly)
- Median Lethal Dose (LD50)
- Physical state (gas, solid, liquid)
- chemical composition
- intended use (pesticide, solvent, etc)
- source (natural/synthetic)
- mechanism of action
target organ - Special effect (carcinogen, mutagen, endocrine disruptor)
What is toxicity?
Toxicity can be ________, __________, or ________
The degree to which a substance can harm humans or animals
Toxicity can be acute, subchronic or chronic
Toxicity can result from adverse… (3) changes
- Cellular changes
- ex: cell death (cytotoxins)
- Biochemical changes
- ex: elevated liver enzymes (hepatotoxins)
- Macromolecular changes
- ex: altered insulin signalling (diabetogens)
What is Acute Toxicity (4 points)
- Adverse effects occurring in an organism after a single exposure or short-term exposure (< 24 hours)
- Exposure to a large dose (weak toxin) or a small dose (potent toxin)
- Onset of symptoms is sudden and severe in nature
- Rapidly changing course of progress
What is Subchronic Toxicity? (2 points)
- Due to repeated exposure for several weeks or months
- The ability of a toxic substance to cause adverse effects for more than one year but less than the lifetime of the exposed organism
What is Chronic Toxicity? (3 points)
- The ability of a toxic substance to cause adverse effects over an extended period, usually upon repeated or continuous exposure, sometimes lasting for the entire life of the exposed organism
- Cumulative damage
- Damage becomes so severe that the organ can no longer function as normal
Two types of toxic responses: Exposure Effect
Local
- Effect at site of contact
- Ex: gastrointestinal tract, lungs
Systemic
- Effect distant from exposure site
- Ex: central nervous system, kidneys
Some both
2 Types of Toxic Responses: Target
Specific
- Affect only specific target organs
Widespread
- Can damage any cell or tissues that they come in contact with
Sometimes both
- Target organ may be affected after acute exposure whereas multiple organs affect after chronic exposure
- May depend on dosage and route of exposure
2 Types of Toxic Responses: Timing
Immediate
- Minutes to hours after a single exposure
- Ex: azaspiracids
Delayed
- Days to years after exposure
- Ex: BMAA (potentially linked to neurodegenerative diseases)
Some both
2 Types of Toxic Responses: Permanence
- 3 factors that influence permanence
Reversible
- Rapidly regenerating tissue
- Ex: liver, intestinal mucosa, blood cells
Irreversible
- CNS damage, carcinogenesis, mutagenesis, teratogenesis
Factors that influence if reversible or irreversible include:
- Tissue involved
- Length of exposure
- Magnitude of toxic insult
2 Types of Toxic Responses: Effect
Direct
- Substances or their metabolites themselves are toxic
Ex: phthalates (DEHP)
Indirect
- Some substances may be toxic by indirectly modifying an essential biochemical function, interfering with nutrition, or altering a physiological mechanism
Three Phases of Toxicology
Exposure phase
- How an organism comes in contact with a toxin
Toxicokinetic phase
- The study of the movement of the toxin within the body
- Absorption, distribution, metabolism, and excretion (ADME)
Toxicodynamic phase
- The study of what the toxin does to the body
- Physiological, biochemical, and/or molecular changes
Exposure Phase of Toxicology: 3 factors
- Sources (everyday items have hundreds of chemicals)
- Route (oral, dermal, inhalation, injection)
- Duration
Exposure Phase of Toxicology: Duration of exposure can be … (4)
Acute (< 24 hours)
Subacute (< 1 month)
Subchronic (1-3 months)
Chronic (> 3 months)
Exposure Phase of Toxicology:
An individuals exposure to a substance can be assessed based on the relationship between a person’s body weight and… (3)
- Concentration of the substance
- Amount of a substance taken into the body
- Duration and frequency of exposure
Exposure VS Dose
Exposure (outside)
- Any condition which provides an opportunity for an external environmental substance to enter the body
Dose (inside)
- The amount of an substance actually deposited within the body
- Dose can affected by route, duration, frequency, amount, concentration as well as body weight, sex, age, time etc.
What is an administered dose?
The quantity administered to an organism at one time
The entire dose may not necessarily be absorbed
What is an Internal/absorbed dose?
The amount of a toxin that stays in an organism’s body
What is a total dose?
Sum of all individuals doses
Total dose = Concentration X Amount X Frequency X Duration
What is a response/endpoint to a dose?
The biological response to a substance
Change in structure or function, morbidity, or mortality
Dose-response curve: Point at which toxicity first appears in known as the…
threshold dose level
What does NOAEL stand for
No Observed Adverse Effect Level (NOAEL)
Highest doses at which no toxic effects observed No
What does LOAEL stand for
Lowest Observed Adverse Effect Level (LOAEL)
Lowest dose at which toxic or adverse effects observed
What is Toxicokinetics
The study of the movement of the toxin within the body
Absorption, distribution, metabolism, and excretion (ADME)
Absorption: What is Passive Transfer
Consists of simple diffusion
No cellular energy or assistance is required
Most common way that toxins cross cell membranes
Two factors that determine the rate of passive transfer
Concentration gradient (high to low)
Movement through small pores in membrane or lipophilic interior of the membrane
3 Properties affecting a chemicals substance for passive transfer include:
Lipid solubility
Molecular size
Degree of ionization (positive/negative charge)
Absorption: What is Facilitated Diffusion
- Similar to simple diffusion: does not require energy and follows concentration gradient
- Requires special transport proteins embedded within the cell membrane to facilitate movement of molecules across the membrane
- Is faster and can move larger molecules than passive transport
Absorption: What is Active Transport
- Requires cellular energy (ATP)
- move through ion channels
Absorption: What is Endocytosis
Cell surrounds the substance within a section of its cell wall
What is distribution?
- _______, ________, and _______ can distribute chemicals.
Distribution is the process in which an absorbed chemical moves away from the site of absorption to other areas of the body
Blood, lymph, and CSF can distribute chemicals
4 storage sites for chemicals in the body
adipose tissue
liver
kidney
bone
Distribution: 3 Barriers that stop chemicals
Blood-Brain Barrier (BBB)
Blood-CSF Barrier
Placental Barrier
What is metabolism
Also known as biotransformation
Conversion of a chemical from one form to another by a biological organism
Two phases of metabolism:
Phase I reactions
- modify the chemical by adding a functional structure
Phase II reactions
- conjugate the modified substance with another substance
Phase I Metabolism
Detoxification
- Chemical substance is converted to a less toxic form
- Generally speaking lipid-soluble compounds are converted to polar compounds
Phase II Metabolism
Bioactivation
- Chemical substance is converted to more reactive or toxic forms
Excretion: where does it occur
Kidney is primary excretory organ
- Other sites of excretion include the GI tract, lungs, sweat, tears, and breast milk
What is toxicodynamics
The study of what the toxin does to the body
- Physiological, biochemical, behavioural, and/or molecular changes
- Toxic chemical effects critical target, causes modification to target, causes overt biological response or effect
Factors Influencing Toxicity: Factors Related to the Substance (5)
- Form of a substance (chemical makeup)
- Innate chemical activity of a substance
- Dosage
- Exposure Route
- Level of absorption
Factors Influencing Toxicity: Factors Related to the Organism (7)
- Species
- Life stage
- sex
- Metabolism
- Distribution within the body
- Health and Nutritional status
- Circadian rhythms
Factors Influencing Toxicity: Other Factors (1)
- interactions with other present chemicals
-
Factors Influencing Toxicity: The combined effects of two or more chemicals can be… (4)
- additive
- synergistic (may occur due to both chemicals using similar metabolism pathways or one of the chemicals can inhibit the metabolism pathway of the other)
- Potentiation Effects ( Occurs when one chemical that does not normally have a toxic effect is added to another chemical, making the second chemical more toxic)
- Antagonistic effects (Effects of two or more chemicals interfere with each other’s action)
Factors Influencing Toxicity: 4 types of antagonism
Physiological antagonism
- Severe drop in blood pressure due to a barbiturate overdose reversed by administration of vasopressor
Chemical antagonism
- Mercury toxicity can be reduced by chelating the mercury ions with dimercaprol
Dispositional antagonism
- Swallowed poison is absorbed by introducing charcoal into the stomach reducing duration of chemical at target organ
Receptor antagonism
- Carbon monoxide poisoning is treated with oxygen to displace the carbon monoxide from the hemoglobin receptors
What is a hazard VS a risk?
Hazard
- The potential of a substance to cause damage
- i.e., the inherent toxicity of a substance
Risk
- A measure of the probability that harm will occur under defined conditions of exposure to a substance
Substances which pose only a small hazard but there is frequent or excessive exposure may pose as much risk as substances which have a high degree of hazard but only limited exposure
What is a monotonic dose-response curve?
The higher the dose, the greater the response (effect)
“S” shaped curves
linear
What is a non-monotonic dose-response curve?
- The shape of the dose response curve reverses as the dose increases
- “U” or “J” shaped curves with high responses at low and high doses
- Inverted “U” shaped curves with high responses at the intermediate doses
- when the dose is high enough, the response stops increasing and starts to decrease
Why do we get non-monotonic responses:
What is Hormesis?
- Biphasic response to increasing amounts of a substance
- Low doses show beneficial effects whereas high doses show detrimental effects
Why do we get non-monotonic responses: what is the low-dose hypothesis
Responses that may occur at doses well below those levels previously tested and determined to be safe
Why do we get non-monotonic responses: Toxins can also be _____________ _____________
Need small amounts of these substances to maintain good health
High doses of these substances can be toxic
What is neurotoxicity?
The capacity of chemical, biological, or physical agents to cause adverse functional or structural changes in the nervous system at any time in the life cycle
functional changes: Neurochemical, neurophysiological, or behavioural changes
structural changes: Neuroanatomical changes (macroscopic and microscopic)
What are adverse neurotoxic effects?
- Persistent structural changes or persistent functional changes in behavioural, neurochemistry, neurophysiology
- Reversible effects occurring at doses that could endanger performance in the workplace
- Reversible effects occurring at doses that are associated with a known neurotoxicological mechanism of action
Neurotoxic Effects may have…. (2)
both structural and functional effects
localized or far-reaching effects
Manifestations of neurotoxicity can be: (3)
immediate
progressive
delayed
What is the Blood Brain Barrier (BBB)
- Physical barrier between the lumen of the cerebral blood vessels and the brain parenchyma
- Specialized microvascular endothelial cells form luminal tight junctions which occlude or severely attenuate movement through the intercellular spaces
- Outside of the endothelial cells is a basement membrane which is surrounded by pericytes
- Around these structures are the astrocytic endfeet from nearby astrocytes
Blood-Brain Barrier: what are endothelial cells? ECs
- Form the walls of blood vessels
- The diameter of large arteries and veins can be made up of dozens of ECs
Blood-Brain Barrier: Specifications of CNS endothelial cells
- extremely _______
- held together by tight _____________
- lack ___________ (pores)
- express extremely low levels of ______________ ____________ molecules
- undergo extremely low rates of ________________
- higher amounts of ________________
- differential ___________ ______________ altering the physical properties of molecules
thin junctions fenestrae leukocyte adhesion transcytosis mitochondria vascular metabolism
Blood-Brain Barrier: What is the basement membrane?
- Attach layers of tissue in the body (connecting ECs to neural tissue)
- Provide an anchor for many signalling processes at the vasculature
- Provide an additional barrier for molecules to cross before reaching neural tissue
Blood-Brain Barrier: What are pericytes?
- Embedded in the BM and do not touch the endothelium
- Are contractile proteins, and have the ability to contract to control the diameter of the capillary
BBB: Pericytes have an important role in… (5)
- Regulating angiogenesis,
- Wound healing,
- Regulating immune cell infiltration,
- Regulation of blood flow in response to neural activity
- Regulating the formation of the BBB during development
BBB: CNS Pericyte specifications (2)
- derived from the neural crest rather than the mesoderm
- CNS microvasculatures have the highest CNS PCs coverage of any tissue
Blood-Brain Barrier: what are Astrocytes
Astrocytes provide a cellular link between neuronal circuitry and blood vessels
- This allows astrocytes to relay signals that regulate blood flow in response to neuronal activity
- Includes contraction and dilation of vascular smooth muscle cells as well as PCs
The endfeet of the basal process of astrocytes almost completely surrounds the vascular tube
Blood-Brain Barrier: Tight Junctions, importance
- CNS ECs are held together by tight junctions
- This creates a highly resistant paracellular barrier to molecules and ions
- Have a size elective permeability to uncharged molecules up to 4 nanometers (nm)
Two main categories of transporters in CNS endothelial cells
Efflux Transporters
- Transport a wide variety of small lipophilic molecules into the blood that could otherwise passively diffuse across the EC membrane to the CNS
Nutrient Transporters
- Transport specific nutrients across the BBB into the CNS
- Facilitates the removal of specific waste products from the CNS into the blood
Development of BBB
- begins with __________________
- endothelial ______________ cells innervate the embryonic __________________
- neural ____________ cells secrete factors that guide sprouting ______________ cells
- Innervation of ______________ cells by ____________ and ____________
- ____________ of interendothelial ________ ______________ by ____________
angiogenesis
progenitor. .. neuroectoderm
progenitor. .. endothelial
endothelial. .. astrocytes… pericytes
sealing. .. tight junctions… astrocytes
In humans, the BBB is fully established prenatally at approximately ___________ weeks of gestation
23-32
What is the Blood-CSF Barrier
A barrier between the blood and the cerebrospinal fluid (CSF) along the lateral, third, and fourth ventricles
CSF-Brain Barrier in embryos/ development (2)
Gap differences in fetuses/adults (2)
- Only significant barrier in the embryo
- Created by the separation of the ventricular system from the extracellular fluid of the brain
- In embryos and fetuses, strap junctions (tight, nothing can get through) between neuroependymal cells
- In adults, gap junctions (free exchange) between ependymal cells
What is the Meningeal Barrier
Blood-brain interface over the outer surface of the brain within the pia-arachnoid
- Arachnoid membrane and blood vessels in the arachnoid and pial surface have tight junctions
Junctions in the meningeal barrier in adults vs fetuses
In adults, cells lining these regions are linked by gap junctions
In early brain development, cells lining these regions are linked by strap junctions