Toxicology Flashcards
Body Fluid Compartments - Female
45% Solids and 55%Fluids
Water within the body exists in three major fluid compartments and consitutes 50-70% body weight
Extracellular, Intercellular and Transcellular
Extracellular
Blood Plasma, Interstitial fluid and lymph
Intercellular
Fluid within all cells of the body
Transcellular
Cerebrospinal (the fluid that flows in and around the spinal cord etc.)
Intracellular makes up (ICF)
2/3 of the bodies fluids
Extracellular makes up (ECF)
1/3 of the bodies fluids
Extracellular is made up of
80% Interstitial fluid and 20% Plasma
Distribution of Drugs occurs in 4 patterns throughout the body
Only in Plasma. All body fluids homogenously, specific tissues and non-homogenous (non-uniform)
Only in Plasma
High-molecular weight (HMW), Dextran, Evans blue (dye) and Suramin
All body fluids homogenously
Small and non-ionized few molecules like alcohol, some sulfonamides
Concentration in specific tissues
Iodine in thyroid; chloroquine in liver; tetracylines in bones and teeth; high high lipophilic drugs in fat tissue
Non-homogenous (non-uniform)
Most of the drugs are distributed in this patter according to their abilities to pass through the cell membrans or affinities to different tissues
Uneven distribution of toxins in the body because of:
Toxicant Physio chemical properties:
*pKa
*Lipid Solubility
*Mollecular weight
*Protein/tissue binding
Volume of Ditribution
Blood flow (perfusion rate) mL/min/g
Barriers
*Placental barrier
*Blood-brain-barrier
*Walls of the capillary vessels in the circulatory system
*Cell membranes
As Molecular Weight (MW) increases
absorbtion decreases
Molecular Weight (MW)
The proper molecular weight of the drug is affecting its correct dosage range and it is importnat to avoid either being ineffective or creating an overdose even in use.
Molecular weight (MW)
If a higher proportion of the drug stays within the vascular space, due to binding to plasma protein or high molecular weight, the drug will have a lower volume of distribution.
Function of cell membranes
- Act as a barrier to control transport of molecules
- Structural support for the cell
- Contain receptor sites for hormones and other extracellular enzymes
- Contain cell markers for cell recognition
Membrane Permeability
- Passive diffusion - During passive diffusion, a molecule simply dissolves in the phospholipid bilayer, diffuses across it, and then dissolves in the aqueous solution at the other side of the membrane.
- Filtration - Membrane filtration process is a physical separation method characterized by the ability to separate molecules of different sizes and characteristics
- Facilitated diffusion - Facilitated diffusion therefore allows polar and charged molecules, such as carbohydrates, amino acids, nucleosides, and ions, to cross the plasma membrane. Two classes of proteins that mediate facilitated diffusion are generally distinguished: carrier proteins and channel proteins.
- Active transport - Active transport is the movement of dissolved molecules into or out of a cell through the cell membrane, from a region of lower concentration to a region of higher concentration. The particles move against the concentration gradient, using energy released during respiration.
- Ion-pair - Ion pairing is shown to effectively increase the lipophilicity and transport rate of polar drugs across lipid membranes
- Cells ingest fluid, molecules, and particles by endocytosis, in which localized regions of the plasma membrane invaginate and pinch off to form endocytic vesicles. Many of the endocytosed molecules and particles end up in lysosomes, where they are degraded.
Passive diffusion
Toxins dissolve and cross the cell membrane following concentration gradient.
Requires a:
* Concentration gradient
* Predominantly lipid soluable
* Uncharged (nonionised) toxin
* Lowe molecular weight (MW)
*Molecular size 50-600 Da (The dalton (symbol: Da), also known as an atomic mass unit, is a unit of mass that is equal to one twelfth of the mass of a free carbon-12 atom at rest. Its value is approximately equal to 1.660 x 10−27 kg.)
Rate of diffusion influence by the:
- Difference in concentration gradient
- Surface area and thickness of cell membrane
- Lipid solubility of the toxin
Two types of Passive diffusion
1) Passive diffusion of non-electrolytes
2) Passive diffusion of electrolytes
Influence of pH and pKa
Weak acids are uncharged in acidic environment
Weak bases are uncharge in basic environment
Passive diffusion of non-electrolytes
Lipid-water partition coefficient (P) - the ratio of the concentration of the drug in two immiscible phases: a nonpolar liquid (representing membrane) and an aqueous buffer (represnting the plasma).
P
= [drug] in lipid phase/[drug] in aqueous phase.
If the drug is more soluble in the lipid phase
P is higher
If the drug is more soluble in the aqeuous phase
P will be lower
Partition coefficient
a measure of relative affinity of a drug for the lipid and acqueous phases
One can control the P by modifying the side groups of the compound
The more C (carbon) and H (hydrogen) on the compound, the more lipid soluble, and thus the higher the P. The more O (oxygen) S () and the more water-soluble the compound, and the lower the P
Lipid solubility is an important and desired feature of most administered drugs that allows for the passive diffusion across cellular membranes. Lipophilic drugs are also difficult to excrete
Passive diffusion of electrolytes
The lower the P , the less lipid soluble, the slower the rate of transfer across biological membranes