2. Toxicokinetics/dynamics Flashcards

1
Q

Describe the development of toxicity after toxicant exposure.

A
  1. Person is exposed to toxicant
  2. Toxicokinetics: what happens from exposure to the point of action
  3. Toxicodynamics: Interaction with target molecules and how the toxicant exerts its effect on biological systsems
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2
Q

What is toxicokinetics?

A

The way the body handles toxicants. It is the modelling and mathematical description of the time course of disposition of toxicants. Disposition is also known as the “the movement and fate of a toxicant”. Therefore, Toxicokinetics is usually described with ADME except instead of a pharmaceutical compound its a toxicant so it is often referred to as ADMET.

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3
Q

What are the major routes of toxicant exposure? (absorption)

A

Major routes of toxicant exposure:

the skin, lungs and gastro-intestinal tract.

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4
Q

How are toxicants absorbed through the skin?

A

Toxicants cross the stratum corneum, in the epidermis (outer skin layer), by diffusion. The skin is not an impermeable membrane that prevents chemicals from coming through. The more lipophilic a substance is the more likely it will penetrate

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5
Q

Describe the absorption of toxicants via the lungs. What happens to gas molecules vs particles?

A

You inhale particles through your nose, which goes into the bronchioles, into the alveoli, and then into the blood and lymph.
- Gas molecules diffuse into the blood;
- Particles may be deposited in the tracheobranchial region; they may be swallowed, removed by phagocytosis, or by lymphatics.
A lot of conditions have been associated with particulate matter like cardiovascular system problems and cancers.

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6
Q

Describe particle absorption in the upper respiratory tract, the bronchioles, and the alveoli.

A

Upper (nasal, pharyngeal, laryngeal): Absorbs big and small particles
Tracheobronchial: mostly small particles absorbed
Alveolar: Still small particles but absorbed better than bronchial.

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7
Q

Describe the absorption of toxicants via the GI tract.

What does the rate of transport correlate with?

A

Most chemicals cross the GI epithelium by simple diffusion: Rate of transport correlates with lipid solubility.
It depends on the basicity and acidity (charge) of the GI tract, the more the toxicant is lipid soluble in that state, the more it is absorbed.

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8
Q

What is a specialized barrier and what is its effect on absorption?

A

A regular vessel will allow both lipid and water soluble molecule to cross.
A blood brain barrier has tight junctions so water soluble molecules won’t penetrate but lipid soluble molecules will.
Ex: blood brain barrier, eye barrier, blood testis barrier, oocyte barrier. But the last 3 have dynamics that change over time therefore some toxicants will be able to cross.

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9
Q

Is the placenta a barrier to toxicants?

A

The placenta is NOT a barrier. Just about anything the mother sees, the fetus will see.

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10
Q

How are toxicants distributed?

A

Once it comes into the body, it is taken around the body by the circulation.

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11
Q

How are toxicants metabolized?

A

Their major site of metabolism is in the liver and is done by enzymes through 4 types of reactions:

1) Hydrolysis
2) Reduction
3) Oxidation
4) Conjugation

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12
Q

Describe the 2 phases of the metabolism/biotransformation of toxicants.

A

Phase 1: Converts molecule so that it has a charge and can be more easily eliminated via oxidation, hydrolysis, and reduction.
Phase 2: Conjugation– adds things on via many enzymes to make it more polar and easily eliminated
ex: Sulfonation (sulfation), acetylation, and glucuronidation.
The major purpose of the 2 reactions is to transform a lipophilic molecule into a hydrophilic one so that it is more easily eliminated.

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13
Q

What is an example of a hydrolysis reaction?

A

Epoxide hydrolase is an enzyme that makes a really strained 3 membered ring called epoxide into a Diol which reacts with many cellular proteins and DNA. In this case the molecule made due to metabolism is more toxic than the starting molecule.

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14
Q

What’s an example of an oxidation reaction?

A

the metabolism of ethanol (alcohol) in the liver via:

  1. Alcohol dehydrogenase (ADH) which makes acetaldehyde (TOXIC) from ethanol.
  2. Aldehyde dehydrogenase (ALDH) which makes acetic acid from acetaldehyde.

ALDH is the rate limiting step. If it is blocked or saturated then acetaldehyde will accumulate which is toxic. This is another example of how a metabolite is more toxic than the initial compound.

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15
Q

Which enzymes perform the oxidation/reduction reactions? How can toxicants affect those enzymes?

A

Cytochrome P450s.

toxicants can affect p450s by turning them on, inhibiting them, and toxicants can also be converted by them.

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16
Q

What is significant about the metabolism of benzo[a]pyrene?

A

The metabolites that are made are really toxic, much more than the parent compound.

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17
Q

What are the types of conjugation reactions? which phase is it?

A
Phase 2:
1. Glucuronidation
2. Sulfonation (sulfation)
3. Acetylation
4. Methylation
5. Glutathione conjugation
6. Amino acid conjugation
Many ways of modifying a molecule to make it less toxic and easily eliminated
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18
Q

Explain how glutathione conjugation works.

A
  1. Glutathione is a tripeptide with a free SH group which wants to bind electrophiles.
  2. Electrophile is rendered less toxic when it is bound bc it wont bind to other proteins or DNA and will be removed from the body (excreted).
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19
Q

What are the different ways toxicants can be eliminated? What is the major route?

A
  1. Fecal excretion
  2. Exhalation
  3. urinary excretion (major route)
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20
Q

Where and how does urinary excretion occur?

A

It occurs via the kidney. Different components in the renal tubule will allow for the concentration or removal of metabolites from the blood and into the urine.
The kidney also has several metabolizing enzymes but not as much as the liver.

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21
Q

What variables are important to measure for toxicokinetics?

A
So = Amount of toxicant 
Vd = Apparent volume of distribution
C = [toxicant] in the blood plasma
k = rate constant of elimination
22
Q

What is the apparent volume of distribution and how is it calculated?

A

Vd = Dose/Co (concentration in plasma)
The more lipophilic, the more the toxicant enters tissues and accumulates in fatty deposits (higher Vd). The more hydrophilic the more it is in the blood (lower Vd).

23
Q

What factors influence the apparent volume of distribution in order of increasing AVD?

A
  1. High plasma protein binding with little distribution to tissues
  2. Distribution in total body water
  3. Distribution to peripheral tissues
  4. Extensive distribution to peripheral tissues and high protein binding
  5. High tissue uptake and trapping in lysosomes
24
Q

Describe elimination according to the one compartment model.

A

The whole body is one equal compartment. The molecule enters and it leaves. It is eliminated over time in terms.
First order kinetics: 50% of the chemical will be gone after one half life (exponential). Chemical is eliminated in approximately 4 half lives (94%).
At saturation or blockage of metabolizing enzymes, kinetics moves to zero order: a fixed amount of toxicant is eliminated over time (linear).

25
Q

What are the compartments of the 2 compartment model?

A

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

26
Q

Describe elimination for the 2 compartment molecule.

A

The toxicant is metabolized differently in each compartment:

  • Elimination is slower in peripheral tissue than in central tissue so the half life elimination is not as clear cut.
  • Each compartment has a first order or zero order kinetic. It’s with the combined results that you can understand the elimination.
27
Q

What are the target molecules of a toxicant?

A

DNA, proteins, membranes, and lipids.

28
Q

To identify a target molecule as responsible

for toxicity, the toxicant must:

A
  • Reach an effective concentration at target site; if you don’t have enough of it then it doesn’t matter how toxic it is
  • React with target and adversely affect function; if it doesn’t have an adverse effect then it’s not a toxicant
  • Alter target in a way that is mechanistically related to toxicity
29
Q

What are the reaction types of a toxicant and its target molecule?

A
  • Non-covalent binding: usually reversible (more common)

- Covalent binding: usually irreversible

30
Q

Explain non-covalent binding between a toxicant and its target.

A

Noncovalent binding, usually reversible and it affects:

  • membrane receptors (strychnine to glycine receptor)
  • ion channels (saxitoxin to sodium channels)
  • enzymes (phorbol esters to protein kinase C)
31
Q

Explain covalent binding between a toxicant and its target.

A

Covalent binding, usually irreversible

  • permanently alters endogenous molecules
  • toxicant is usually electrophilic & targets nucleophiles
  • action by: hydrogen abstraction (most likely), electron transfer, enzymatic reaction
32
Q

What is the effect of the immune response when exposed to a toxicant?

A

Since the toxicant binds to a protein, the protein is modified, the modified protein can now be viewed as a foreign body. So the incidence of autoimmune responses increases after toxicant introduction.

33
Q

What’s another name for a standard dose response curve?

A

Individual/graded dose response curve.

34
Q

What do you call a dose response curve looking at a population and how do you get a standard dose response curve from it?

A

Quantal dose response curve. (looks like a gaussian)
To get the standard dose response curve for the population, you add up the columns of the gaussian to get a sigmoidal curve. L2 S46.

35
Q

What are probit units used for? What does PROBIT stand for?

A
  • The responses so far have been curvilinear - difficult to express mathematically
  • Transformation of data assists analysis by converting relationship to LINEAR facilitating various statistical techniques
  • PROBIT stands for probability unit.
36
Q

How do you do a probit transformation?

A
  1. Convert % response (Y axis) to units of deviation from the mean or “normal equivalent deviations” (NEDs)
  2. Hence the NED for a 50% response (the arbitrary zero) is 0 + 5
    - “Probit” approach adds 5 to avoid negatives
  3. Perform log10 transformation of the dose (x axis)
    - Produces an approximately linear relationship
    - Probit units= 5 + number of standard deviations
    - Most probit unit values are between 2 and 8
37
Q

Explain potency vs efficacy using probit units.

A

Drug A is more potent than drug B if it is to the left of drug B. (need less of A to cause same effect)
Drug D is more efficacious than C if it has a higher response (probit units).

38
Q

What is a threshold?

A

The dose where you start to see a response

39
Q

What is a zero threshold?

A

Assumes that there is a linear relationship between the 0 point and the point where we can start seeing an effect (every dose is toxic). This is only applied to anti-cancer drugs or to any toxicant that causes cancer. It is not applied to other types or responses.

40
Q

What is a NOAEL?

A

NOAEL or No Observed Adverse Effect Level. Highest concentration at which we do NOT see an adverse effect.

41
Q

What is a LOAEL?

A

LOAEL or Lowest Observed Adverse Effect. Lowest concentration at which we do see an adverse effect.

42
Q

What is a reference dose and how is it calculated?

A

A set dose of a chemical that is the limit of what is safe.
RfD= NOAEL/(UF x MF)
UF=uncertainty factor. Ex: extrapolation from children to adults or from animals to humans.
MF: modifying factor. Ex: Variations in different parts of the city/ different environments.

43
Q

What is LD50? LD1?

A
LD50= dosage (mg/kg body weight causing death in 50% of exposed animals)
LD1= What is the dose when the first percent of animals die
44
Q

What is the most dangerous toxin we know of?

A

Botulinum Toxin has a very low therapeutic index.

45
Q

What is a therapeutic index.

A

TI=LD50/ED50

The bigger the TI the safer the chemical (in 100s and 1000s)

46
Q

What are the therapeutic uses of Botilunum toxin?

A

VERY low doses!!

  • uncontrolled eye twitch
  • upper motor neuron syndrome
  • uncontrolled sweating
  • (cosmetic BOTOXTM)
47
Q

What is hormesis? Give an example.

A

There is a dose range that is safe (region of homeostasis). Too much or too little is lethal.
Ex: Vitamin A

48
Q

How do hormesis curves create a problem for the people that decide the reference (safe) dose of a chemical?

A

The reference dose is based on the NOAEL and then the safety factors (MF and UF) reduce the dose. The reference dose that is determined is surprisingly considered toxic due to the shape of the hormesis curve (too little= high response and too much=high response. need to remain in the sweet spot). L2 S63.

49
Q

What are the different types of toxicant interactions?give examples.

A
  • Effects of more than one substance would be expected to be additive (2+2=4). Can calculate the total effect if you measure the individual effects.
  • Synergism occurs when the effects are more than additive (2+2=10), e.g. carbon tetrachloride and ethanol on induction of liver injury. Generally poorly known subject
  • Potentiation occurs when a substance that has no toxic effect enhances the toxicity of another substance that is toxic (0+2=8), e.g. isopropanol and carbon tetrachloride on induction of liver injury. First chemical primes the system to respond a certain way. Second comes in and, seeing the first chemical (having a primed system), now it has a huge effect.
  • Antagonism occurs when the effects are less than additive (2+2=3) e.g. Calcium and Selenium. Chemicals fight each other.
50
Q

How can a toxicant alter the biological environment?

A
  • Chemicals that alter pH in biophase
    ex: methanol
  • Uncouplers of oxidative phosphorylation
    ex: 2,4-dinitrophenol
  • Solvents and detergents
    ex: nonoxynol-9 (destabilize membranes)
  • Space occupiers (doesn’t have a target molecule)
    ex: oxalic acid, ethylene glycol (forms water insoluble precipitates in renal tubules)
51
Q

Explain the effects of a toxicant on a cell.

A
  1. Cellular dysfunction/ injury
  2. Disrepair
    These lead to toxicity which causes the cell to react in different ways:
    - Complete repair: so the toxicant doesn’t affect the cell
    - Partial repair: may appear normal but partially dysfunctional (causes a problem. Ex: cancer)
    - Apoptosis (suicide)
    - Necrosis (death of body tissue)