Exam 4 - Metals Flashcards

1
Q

What role do metals play in biology?

A

Vital biochemical processes require energy inputs and catalysts

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Where are thiols found in biomolecules and why are they important in the mechanism of action of many metals and metalloids?

A

Thiols are present on cysteine, tripeptide glutathione, and cysteine residues of proteins & enzymes

located within the active sites of many enzymes and directly involved in catalysis

they are molecular targets of class B and intermediate elements

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is metallothionein and what role does it play in the mammalian cell?

A

metal binding protein - detoxifies metals

1 molecule can bind 7 Cd & other metals

sequesters heavy metals and prevents oxidation of critical protein or nonprotein thiols

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What “form” of mercury is considered the most significant with regards to toxicity and what specifically about the molecular makeup allows it to access the CNS?

A

methyl mercury MeHg

resembles amino acid methionine so amino acid transporter helps cysteine-MeHg cross the BBB through “molecular mimicry”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Mercury toxicity treatment

A

DMSA/succimer

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

exposure to Cadmium

A

sewer sludge pastures with cattle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what metal toxicities are enhanced by a Calcium deficiency

A

Cadmium
Lead

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what does Cadmium replace at binding sites and what can this result in

A

replaces Cu & Zn
Cu deficiency

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What effective treatments exist for cadmium toxicosis?

A

minimize/reduce exposure
EDTA

NO BAL - increase nephrotoxicity
NO DMSA/succimer - ineffective

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

How do the different forms of arsenic differentially target metabolism

A

As3+ binds lipoic acid (in TCA cycle) affecting energy metabolism

As5+ uncouples oxidative phosphorylation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what is the common exposure of arsenic toxicity

A

contaminated ashes or water in cattle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what is the selectivity of target tissues to arsenic toxicosis?

A

targets tissues with high oxidative energy use (actively dividing cells) – intestinal epithelium, liver, kidney, spleen, epidermis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is the most likely source of lead poisoning in cattle in North America?

A

Lead-acid batteries found on pasture

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what metal has the greatest frequency of toxicosis and in what species

A

lead - primarily dogs & cattle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What treatment options are available for acute lead poisoning?

A

Remove lead objects from GI tract
Ca-EDTA
DMA/Succimer

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What form of chromium is considered to contribute most to observed toxicosis?

A

Cr6+/CrVI is responsible for toxicity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

exposure to Chromium for toxicosis

A

cattle exposed to oil sludge or drip + dermal contamination

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What role does copper disposition play in susceptibility to copper toxicity

A

Normally [Cu] in the cell are kept low through Cu-binding proteins, but when too high the “free Cu ions” undergo redox rxn forming ROS

it can also accumulate in the liver = hepatotoxicity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

what role does genetics play in Cu toxicity

A

Dogs with inherited/genetic metabolic defects impair biliary Cu excretion

bedlington terriers - COMMD1 gene
doberman pinscher - ATP7A & 7B mutation
Labs ATP7B polymorphism and RETN mutations

20
Q

clinical signs of Mercury toxicity

A

MeHg - neurologic
inorganic - GI & kidney
elemental Hg0 - kidney

21
Q

clinical signs of Cadmium toxicity

A

diffuse signs (aggression, anxiety, GI disturbance, mild anemia)

22
Q

clinical signs of Arsenic toxicity

A

sudden death, diarrhea, ataxia, dehydration, resp distress

23
Q

clinical signs of Lead toxicity

A

sudden blindness, aggression, head pressing, circling, roaring, anorexia, anemia, tonic-clonic epileptic seizures

24
Q

clinical signs of Chromium toxicity

A

inflam/damage to GI, kidney, liver, gastroenteritis, dermatitis

25
clinical signs of Copper toxicity
dogs - chronic hepatitis ruminants - pale mm, icterus/hepatic necrosis, degeneration, dark brown/red urine, abortion, mobilization of Cu from liver to kidneys
26
clinical signs of Molybdenum toxicity who is more at risk and why
ruminants>monogastrics bc rumen delays absorption with thiomolybdates acute - feed withdrawal, lethargy, weakness, hind limb ataxia chronic (ass w Cu def) - “teart scours”, weight loss, anemia, alopecia, lameness, poor production and reproduction renal and hepatic degeneration/necrosis
27
clinical signs of Iron toxicity
necrosis of GI, fluid loss, cardiotoxicity
28
clinical signs of Manganese toxicity
neurological high acute dose - liver damage
29
clinical signs of Zinc toxicity
hemolytic anemia renal damage w hematuria urinary casts and proteinuria foals - joint enlargements/stiff gait
30
Mercury treatments
egg white, charcoal followed by DSMA or Succimer
31
Cadmium treatments
minimize/reduce exposure EDTA effective NO BAL - increases nephrotoxicity no DMSA/succimer - not effective
32
Arsenic treatments
minimize/reduce exposure GI detox IV fluids BAL DMA/Succimer Na thiosulfate
33
Lead treatments
remove Pb objects from GI tract Calcium Sodium-EDTA DMSA/Succimer
34
Copper treatments in dogs and ruminants
dogs - low copper diet, chelating agents (D-penicillamine & Trientine Hydrochloride), Zn supplementation ruminants - fluids, blood transfusion, **ammonium or sodium molybdate & sodium thiosulfate, ammonium tetrathiomolybdate**, increased molybdenum in diet, Zn supplementation
35
how does Zn supplementation affect Cu toxicity
Zn increases metallothionein which will then decrease Cu
36
Molybdenum treatment
Cu supplementation (6:1 optimal Cu:Mo) <2:1 Mo tox >15:1 Cu tox
37
Iron treatments
GI decontamination cheating agent (deferoxamine) symptomatic/supportive care
38
Manganese treatment
avoid contamination GI decontamination **chelation therapy (EDTA)** **antioxidant therapy (vitamin E or N-acetylcysteine)** supportive/symptomatic care
39
Zinc treatment
antacids proton pump inhibitors removal of Zn eluting foreign body sucralfate supportive care chelation therapy controversial - only use after foreign body removed - use Ca-EDTA
40
Zinc bioavailability decreases with what?
phosphates and calcium
41
Zinc can be found in what
pennies nuts/bolts galvanizes steel diaper cream sunscreen
42
What is the basis for the interaction of copper, molybdenum and sulfate in ruminants? What role does this play in potential toxicities?
Cu toxicity – adding molybdenum + sulfur → thiomolybdate in rumen which decreases Cu availability
43
How does iron "exist" in living systems?
Highly regulated and controlled bc very active in redox rxn "Fenton rxn" - free iron will react with hydroxyl radicals (H2O2) transferrin in blood, lactoferrin in milk, 80% bound to Hb, myoglobin and other heme enzymes, remaining is bound IC to ferritin and hemosiderin
44
Iron exposure
supplements, vitamins, molluscides
45
What role does pH play in potential zinc poisoning? How does zinc differ from other metals with regards to chelation therapy?
low pH releases Zn rapidly from ingested objects chelation therapy controversial bc they will facilitate Zn absorption if foreign body is present chelator of choice - Ca-EDTA