smoking Flashcards

1
Q

effects of smoking can have on lung cancer

A

inhibits and damages the normal cleaning process by which the lungs remove foreign and harmful particles

smoke destroys important cleansing layer in the lungs which causes build up of mucus (smokers cough)

harmful cancer-producing particles in cigarette smoke can remain lodged in mucus and start carcinogenesis

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2
Q

carcinogenesis

A

development of cancer by action of chemical/physical/biological/other factor on a cell that is primarily normal

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3
Q

carcinogen

A

any agent capable of causing cancer

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4
Q

What things is benzopyrene common in?

A

soot
tars
car exhausts
burnt food

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5
Q

How is benzypyrene formed?

A

from the incomplete combustion of fossil fuels

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6
Q

Is benzopyrene a carcinogen on its own?

A

no

has to undergo reactions to become carcinogenic

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7
Q

What is produced when benzopyrene undergoes CYP oxidation/hydrolysis?

A

epoxides

DNA can interact with these

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8
Q

Is N-nitrosodimethyl amine a carcinogen?

A

NO

undergoes metabolic change to get carcinogenic agent

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9
Q

What is the carcinogenic agent produced from N-nitrosodimethyl amine?

A

methyl diazonium ion

  • interacts with DNA
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10
Q

How is N-nitrosodimethyl amine activated?

A

cytochromal activation

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11
Q

What does the methyl diazonium ion from N-nitrosodimethyl amine react with in DNA?

A

N7 of guaninie (major adduct, easily repaired)

O6 of guanine (minor adduct, not easily repaired)

-> produces adducts

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12
Q

Does acrolein need to be metabolised to interact with DNA?

A

NO

it reacts directly with guanine residues of DNA without being activated to produce DNA adducts

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13
Q

What drug produce acrolein as a byproduct?

A

cyclophosphamide

ifosamide

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14
Q

What can acrolein casue when produced as byproduct by cyclophosphamide and ifosamide?

A

haemorrhagic cystitis

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15
Q

How does acrolein cause haemorrhagic cystitis?

A

its thiol proteins interact with cysteine residues

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16
Q

How do DNA adducts cause cancer?

A

during DNA replication DNA helix is separated by DNA helicase

RNA primer can be added to the separated DNA strand

DNA polymerase adds nucleotides to the template strands

if DNA adduct has formed (N7 guanine), DNA polymerase can mis-read the sequence

can result in mutation - G interacting with T

accumulation of unrepaired errors can lead to carcinogenic change

17
Q

2 drugs that can be used as NRT

A

Bupropion

Varenicline