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potentiation synergism,
effects of the interacting agents are multiplied. Pyrethroids and piperonylbutoxid are an example of potentiation synergism. Piperonylbutoxid markedly potentiates the effect of pyrethroids, and in practise pyrethroids are used as insecticides potentiated by piperonylbutoxid
Antagonism
interaction of two or more agents that in combination have an overall effect which is less than the sum of their individual effects
- Chemical antagonism
is exemplified by neutralization occurring when an acid combines with a base, or a combination of cation-active and anion-active tensides in water. The same principle of chemical antagonism is also used in chelate treatment of metal poisoning
Functinal antagonism
Methyl alcohol poisoning is treated by administration of ethyl alcohol. The alcohol dehydrogenase enzyme in the liver “prioritizes” ethyl alcohol oxidation, and the conversion rate of methyl alcohol to formaldehyde and formic acid is thus slowed down.
Methaldehyde
Mechanism of action:
- Metaldehyde itself causes decrease in neurotransmitters, mainly in GABA, but exact mechanism of the decrease is not known yet. Partially decomposed to acetaldehyde, which causes metabolic acidosis – cardiovascular effects. Both are local irritants
Metaldehyde is metabolised also by liver cytochrome P450 and undergoes enterohepatic cycling
Theobromide, theopylline, caffein
Mechanism of action:
stimulate CNS, muscles and heart, increase diuresis, cause vasodilatation of coronary vessels (sport doping)
a) inhibition of adenosine receptors in CNS – stimulation, tachycardia, vasoconstriction in brain, diuresis
b) inhibition of phosphodiesterase – increased cAMP leads to increased contractility of myocardium, increased glycolysis and lipolysis
c) inhibition of Ca2+ resorption back into sarcoplasmatic reticulum – also increased myocardial and muscle contractility
Onion + garlic
Mechanism of action is oxidation of iron in haemoglobin and formation of methaemoglobin, then Heinz bodies formation, haemolysis, anaemia, renal damage
Ethhanol
Non-specific mechanism of action
– osmotic activity + dissolves lipids in membranes,
- influences GABA and NMDA receptors),
- disturbs thermoregulation
First excitation, then depression of CNS, causes hypoglycaemia
Nitite metHb LD
50% death
Inorganic mercury
HgCl, Hg(NO3)2
Mercury binds with covalent bond to -SH, -COOH
This influences function of many enzymes and cell processes
Water soluble salts moreover coagulate peptides and are corrosive
They damage GIT mucosa + kidney tubules
Absorption less than 40 %
Only traces excreted to milk(cross placenta)
Organic mercury
Methyl- and ethylmercury – firm bond, whole compound toxic, absorbed from GIT (> 90 %)
Bind with –SH groups, block enzymes, destroy haematoencephalic (blood-brain) barrier, increase its permeability
Don’t have corrosive effect on mucosas
In blood transported bound to erythrocytes
They have high affinity to neural tissue
Cross the placenta and have fetotoxic effect
Inorganic lead
MCA
Mechanism of action: Binds to –SH groups and inhibits many enzymatic functions Inorganic lead (mainly): - Disturbs saccharide metabolism, metabolism of haem - inhibits Ala-D (Delta-aminolevulinic acid dehydratase) – increased concentration of aminolevulinic acid in urine, and other enzymes involved in haem formation - The toxicity comes also from its ability to mimic other biologically important metals - calcium, iron and zinc, and replace them
Organic lead (mainly):
MCA
- interferes with excitatory neurotransmission by glutamate
- it is a potent inhibitor of the NMDA receptor, a protein playing an important role in brain development and cognition (also in development of schizophrenia)
- doesn’t influence synthesis of haem much
Cadmium
Mechanism of action:
Does NOTgo to fetus and placenta
Inhibition of many enzymes – binds to –SH groups
Antagonist to many metals – Zn, Cu, Ca, Fe
Formation of complexes, which are cleaved in kidney – release of Cd = damage
Damage to kidneys = disturbance of cholecalciferol (vit. D) hydroxylation, thus influences Ca metabolism
Xenoestrogennic element
Copper
Mechanism of action:
Haematotrophic poison – directly toxic to erythrocytes
Hepatotoxic – directly toxic to hepatocytes
Probably due to oxidation potential - catalyzes the production of very reactive radical ions – oxidative stress (free Cu joins Fenton reaction)