Wk 11: Causes of cancer - Smoking (chemistry) Flashcards

1
Q

What is benzopyrene?

A
  • Carcinogen
  • Formed from incomplete combustion of fossil fuels
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2
Q

Where are polycyclic aromatics found?

A

Soot, tar, car exhaust + burnt food

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3
Q

What is the shape of benzopyrene?

A

Planar - intercalate into DNA

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4
Q

What happens when CYP is oxidised/hydrolysed in benzopyrene?

A

Produces epoxides

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5
Q

What are epoxides?

A

Strong electrophiles due to electronegative oxygen atom + strained 3 membered ring system, nucleophilic DNA react with

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6
Q

What are DNA adducts?

A
  • Cause distortions
  • DNA replication disrupted w/ errors from mis-reads, deletions or insertions
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7
Q

What are nitrosoamines known to contribute to?

A

Lung + bladder cancer

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8
Q

What happens to N-nitrosodimethyl amine when it is activated?

A
  • Turns into potent alkylating agent
  • Methyl diazonium ion reacts w/ DNA bases to produce DNA adducts
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9
Q

What adducts do methyl diazonium ions produce when reacting with DNA bases?

A
  • N-7 guanine adduct (major - easily repaired)
  • O-6 guanine adduct (minor - not easily repaired)
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10
Q

Which chemotherapy contains methyldiazonium ion?

A
  • Temozolomide
  • Dacarbazine
  • Streptozotocin
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11
Q

What is acrolein?

A

Most abundant mutagenic aldehyde in cigs

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12
Q

Which chemical does not need to be metabolically activated to react directly with guanine residues?

A

Acrolein

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13
Q

What are the signs + symptoms of exposure to acrolein?

A
  • Cough
  • SOB
  • Headache
  • Nausea
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14
Q

What happens when someone is exposed to acrolein when being administered cyclophosphamide + ifosfamide?

A

Acrolein reactive towards nucleophiles + cysteine residue - causes hemorrhagic cystitis

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15
Q

What are the potential effects of acrolein when inhaled?

A

Destructive to tissue of mucous membranes + upper respiratory tract

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16
Q

What are the potential effects of acrolein to the skin and eyes?

A
  • Toxic if absorbed
  • Burns
17
Q

Why does DNA adducts cause cancer?

A
  • Polymerase can mis read sequence if adduct formed
  • Results in mutation
  • Accumulation of unrepaired errors = carcinogenic change
18
Q

What is bupropion?

A
  • Originally antidepressant
  • Used to stop smoking > 18yrs
  • Inhibits norepinephrine + dopamine reuptake
19
Q

What is varenicline?

A
  • Partial α4β2 nicotinic receptor partial agonist
  • Used to stop smoking >18 yrs