Toxicodynamics /Toxicokinetics Flashcards

1
Q

what is Toxicokinetics?

A

The modeling and mathematical description of the time course of disposition of toxicants

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2
Q

What are the major routes of toxicant exposure?

A

the skin, lungs, and gastro-intestinal tract

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3
Q

the ________ of the molecule is very important to consider since it has to _______________

A

the lipophilicity of the molecule is very important to consider since it has to cross membranes

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4
Q

When it comes to absorption by the skin, toxicants cross the ________ by __________

A

Toxicants cross the stratum corneum by diffusion

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5
Q

for absorption of toxicants by lungs, the major source of toxicant is what?

A

dust

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6
Q

when absorbed by the lungs, where do gas molecules go and where do other particles go?

A
  • Gas molecules diffuse into the blood;
  • Particles may be deposited in the tracheobranchial region; they may be swallowed, removed by phagocytosis, or by lymphatics.
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7
Q

Most chemicals cross the GI epithelium by _________ and Rate of transport correlates with _________________

A

Most chemicals cross the GI epithelium by simple diffusion and Rate of transport correlates with lipid solubility

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8
Q

what are the different specialized barriers? Are they static or dynamic?

A
  • blood-brain barrier (static)
  • placenta (dynamic)
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9
Q

what are main bodily fluids used to measure the level/distribution of toxicants?

A

urine and blood

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10
Q

what are the different body fluids/parts that can be used to measure toxicants?

A
  • urine
  • blood
  • breastmilk
  • umbilical cord fluid (to see what baby was exposed to during pregnancy)
  • seminal plasma
  • saliva
  • hair
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11
Q

What are the major ways in which toxicants are biotransformed?

A

phase 1:
- hydrolysis, reduction, oxidation

phase 2:
- conjugation

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12
Q

what is an example of a hydrolysis biotransformation enzyme?

A

Epoxide Hydrolase

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13
Q

what is an example(s) of an oxidation biotransformation enzyme?

A

Alcohol Dehydrogenase (ADH)
Aldehyde Dehydrogenase (ALDH)
cytochrome P450s

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14
Q

What are the major conjugation reactions for eliminating toxicants?

A
  • glucuronidation
  • acetylation
  • glutathione conjugation
  • sulfonation
  • methylation
  • amino acid conjugation
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15
Q

what is the function of a conjugation reaction?

A

add anything that makes a molecule more polar and more easily eliminated

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16
Q

what are different elimination methods?

A
  • Fecal Excretion
  • Exhalation
  • Urinary Excretion
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17
Q

what does low and high AVD mean?

A
  • low: high plasma protein binding with little distribution in tissue
  • high: high tissue uptake and trapping in lysosomes
18
Q

Vd = ?/?

A

Dose/C0

19
Q

in first order elimination, how long does it take to remove at least 95% of a toxicant?

A

5 half-lives

20
Q

how much chemical eliminated in zero order kinetics?

A

A fixed amount is eliminated per unit of time

21
Q

in first-order kinetics [C] falls ______ and in zero-order, it falls _________

A

exponentially, linearly

22
Q

what are the two compartments in the 2-compartment model and what do they represent?

A

1 - Central compartment represents plasma and tissues that equilibrate rapidly
2 – Peripheral compartment, equilibrates more slowly

23
Q

To identify a target molecule as responsible
for toxicity, the toxicant must what?

A
  • reach an effective concentration at target site
  • react with target and adversely affect function
  • alter target in a way that is mechanistically
    related to toxicity
24
Q

what are the two reaction types?

A

noncovalent binding and covalent binding

25
Q

what are the targets of noncovalent binding, is it reversible?

A
  • membrane receptors (strychnine to glycine receptor)
  • ion channels (saxitoxin to sodium channels)
  • enzymes (phorbol esters to protein kinase C)
  • reversible
26
Q

what are the targets of covalent binding, is it reversible, what is the usual property of those toxicants?

A
  • permanently alters endogenous molecules
  • toxicant is usually electrophilic & targets nucleophiles
  • irreversible
27
Q

what is the difference between individual and quantal analyses?

A
  • individual: response in relation to graded doses
  • quantal: looking at a population’s general response
28
Q

what are probits and how are they obtained?

A
  • Probability units
  • Convert % response to units of deviation from the
    mean or “normal equivalent deviations” (NEDs)
  • “Probit” approach adds 5 to avoid negatives
29
Q

what is the NOAEL?

A

No Statistically Observed Adverse Effect Level

30
Q

what is the LOAEL?

A

Lowest Observed Adverse Effect Level

31
Q

what are the modifying factors and why do we have them?

A
  • add a factor of 100 to account for species difference and human variability
  • since many differences in exposure route, site; genetic polymorphisms; disease; nutritional status; other drugs/chemicals
32
Q

what is the LD50 and ED50 of Botulinum toxin? is it still used? if so, for what?

A
  • LD50: 10ng/kg
  • ED50: 0.5ng/kg
    used for:
  • uncontrolled eye twitching
  • upper motor neuron syndrome
  • uncontrolled sweating
  • cosmetics (Botox)
33
Q

what is hormesis?

A

a part of a curve that doesn’t follow a normal dose-response curve (e.g. vitamins)

34
Q

what are nonmonotonic dose response curves?

A

goes against the typical or predicted dose-response relationship

35
Q

what are low dose effects?

A

the possibility of having an effect at doses below the NOAEL (maybe due to the curve being non-typical)

36
Q

what is an additive effect?

A

effects of more than one substance would be expected to be additive

37
Q

what is a synergistic effect?

A

occurs when the effects are more than additive

38
Q

what is a potentiation effect?

A

occurs when a substance that has no toxic effect enhances the toxicity of another substance that is toxic

39
Q

what is an antagonism effect?

A

occurs when the effects are less than additive

40
Q

what are some alteration of the biological environment that can occur?

A
  • Chemicals that alter pH in biophase (methanol)
  • Uncouplers of oxidative phosphorylation (2,4-dinitrophenol)
  • Solvents and detergents (nonoxynol-9 (destabilize membranes))
  • Space occupiers (oxalic acid, ethylene glycol (forms water insoluble precipitates in renal tubules))
41
Q

what are the potential outcomes after the development of toxicity?

A
  • complete repair
  • partial repair (may appear normal but partially dysfunctional)
  • apoptosis
  • necrosis
42
Q

what are the stages in the development of toxicity after a chemical exposure?

A
  1. toxicant delivered
  2. interacts with target molecules and alteration of biological environment
  3. leads to cellular dysfunction and injury
  4. may lead to dysrepair
  5. leads to toxicity