Lecture 29 Flashcards

1
Q

Toxicant Absorption via Skin
 The skin is an enclosing barrier and provides
environmental protection. It regulates temperature,
produces pigment and vitamin D, and has a role in
sensory perception
 Pathways of toxicant absorption:
◦ Transappendageal route
◦ Epidermal route
 Skin is also a barrier to toxicants:
◦ Structural (physical)
◦ Biochemical

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

Selenium
 A nonmetallic element
 Has 4 oxidation states: -2: selenides; 0:
elemental; +4: selenites and +6: selenates
 Essential nutrient
◦ A component (as selenocysteine) of >30
selenoproteins
 Iodothyronine deiodinases, glutathione peroxidase,
thioredoxin reductase, etc.
 Plays a role in immune function, reproduction,
biotransformation reactions and
neurotransmitter turnover

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

Selenium (Se)
 Sources: plants
◦ Obligate indicator plants: require high
concentrations of Se to grow
 Xylorhiza (woody aster), Oonopsis (goldenweed), Stanleya
(prince’s plume), Astragalus (locoweeds)
◦ Facultative indicator plants: survive in high
Se and accumulate high levels of Se but do not
require high levels of it to grow
 Other asters, Atriplex (saltbush), Sideranthus (ironweed)
Machaeranthera, Gutierrezia (snakeweed)
◦ Non-accumulator plants: other plants growing
on seleniferous soils

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

Sources Contd.
CA maritime provinces: Se deficiency, acidic soils render Se unavailable

 High Se soils in western Canada, AZ, CO, SD,
ND, ID, KS, NE, NV, NM, UT
◦ Low rainfall areas with alkaline soils
 Errors in food formulation (rare but can
occur anywhere)
 Iatrogenic: Associated with Se use for
prevention of musculoskeletal disorders
(white muscle disease)
 Mine wastes esp. from Cu or Ag mines

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

ADME
 Se absorption occurs in the duodenum and to a
lesser extent in the jejunum and ileum
 Absorption depends on the chemical form
◦ Low absorption for elemental Se; high absorption for
selenomethionine, selenocysteine and selenite
◦ Selenite is absorbed by passive diffusion via brush-
border membranes
◦ Selenate is absorbed via sodium cotransport system
◦ Selenomethionine and selenocysteine are absorbed
via amino acid transport mechanisms
 Eliminated in urine, feces and expired air
Garlic odor (dimethylselenide)

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

Toxicity
 The toxic dose varies with species and
route of exposure
 Oral MLD in dogs and cats is 1.5-3 mg/kg
 Oral LD50 (selenite) is 1.9-8.3 mg/kg in
ruminants
 Oral LD50 for poultry is 33 mg/kg
 IM LD50 for injectable Se is 0.5 mg/kg in
lambs

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

Mechanisms of Toxicity
 Se reacts with thiols leading to generation of
ROS  oxidative stress  cellular damage
(e.g., membrane lipid peroxidation)
 Depletion of GSH and S-adenosylmethionine
 Se replaces sulfur in proteins  impaired
enzyme activity & cellular functions (cell
division & growth)
◦ Keratinocytes & the sulfur-containing keratin they
produce are the most susceptible  weakening of
hooves and hair

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

Mechanisms of Toxicity Contd.
 Embryotoxicity in birds is possibly due to
inhibition of DNA and RNA polymerases
 Induction of focal symmetrical
poliomyelomalacia of ventral horns of spinal
cord in swine

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

Clinical Signs
 Species: all, horses are most sensitive
 Acute selenosis: depression,
weakness, dyspnea, cyanosis, anorexia, non-
responsiveness, garlicky odor to breath,
nasal discharge, salivation, teeth grinding,
watery diarrhea, head down, droopy ears,
prostration, mydriasis, fever, incoordination,
sweating, tachycardia, tetanic spasms,
paralysis, dog-sitting (pigs).
 Death in 2h to 7d

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

Clinical Signs Contd.
 Subchronic selenosis
◦ Ataxia, posterior paralysis, quadriplegia, sternal
recumbency, some coronary band separation and
alopecia. Occurs in swine

Ingestion of 20-25 ppm Se in diet

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

Symmetrical poliomyelomalacia

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

Chronic Selenosis (Alkali
Disease)

Consumption of 5-15 ppm Se in diet

 Seen in cattle, horses,
sheep, pigs, poultry
 Affected animals exhibit
decreased vitality,
anaemia, joint stiffness,
lameness, rough hair coat,
hair loss (tail and mane in
horses), horn and hoof
overgrowth/deformities,
but no anorexia (animals
graze on their knees)

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q
A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Teratogenesis
↑Se in irrigation drainage water,
San Joaquin Valley, California
 Occurs in waterfowl
and poultry
 Manifests as:
◦ Underdeveloped feet
◦ Underdeveloped or
missing lower and
upper beak
◦ Underdeveloped or
missing eyes

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

stilts

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

Dx
 History of access to Se source or Se
administration to animals
 Compatible clinical signs and lesions
 Se detection by chemical analysis
◦ Blood and urine
◦ Liver, kidney and spleen

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

Tx
 Acute toxicosis
◦ Terminate exposure
◦ IV fluids, supplemental oxygen, assist ventilation
◦ Administer vitamin E or N-acetylcysteine
◦ Treat symptoms
 Chronic toxicosis
◦ Add arsenic salt to feed to accelerate biliary Se
excretion (in poultry, cattle and pigs)
◦ Add substances that antagonize Se to feed
◦ Eliminate source of Se and provide Se-deficient
rations
◦ Increase protein content of feed to bind free Se

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Molybdenum Toxicosis –
Copper Deficiency
 Molybdenum (Mo) is an essential nutrient
for all animals
◦ It is a component of important metalloenzymes
 Xanthine oxidase, xanthine dehydrogenase, aldehyde
oxidase, sulfite oxidase
 Purine metabolism  uric acid (an antioxidant) production,
sulfur-containing amino acids metabolism, metabolism of drugs
and toxicants
◦ Mo binds to α-macroglobulin in RBC membranes
and enhances resistance of the membranes to
rupture

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Sources
 Mo occurs naturally in copper, lead and tungsten
ores but not as an element
 Combustion of fossil fuels releases Mo
 High [Mo] in forage
◦ High soil Mo, e.g., in FL, OR, NV, CA
◦ Use of Mo fertilizers to increase nitrogen fixation
in legumes
◦ Pastures in the vicinity of metal mining or
aluminum and steel alloy production plants
 Usually a concomitant Cu deficiency is present

22
Q

ADME
 Mo and sulfate share a common transport
pathway in the intestine and kidney
◦ Sulfate competitively inhibit Mo uptake
 Mo absorption ranges from 40-90%
 Mo is eliminated in bile (cattle) or urine
(lab animals)
 Mo is also excreted in milk in ruminants
 Species: Mo toxicosis is most often
seen in ruminants and has been reported in
horses, swine and rabbits

23
Q

Toxicity and Risk
 Cattle are more susceptible than sheep and
young animals are usually more sensitive
than adults
 Dietary Cu:Mo ratio is the single most
important factor driving Mo toxicity
◦ Desired ratio of Cu to Mo is 4:1 to 10:1
 High dietary sulfur levels exacerbate Mo
toxicity because sulfur decreases Cu
absorption

24
Q

Pathophysiology/MOT
3-way interaction of Mo–Cu–S
 Dietary S is converted to sulfide in the rumen
which binds Cu  Cu absorption
◦ ↑Mo in diet increases conversion of S to sulfide
 Mo and S form thiomolybdates in the rumen
which bind Cu  insoluble Cu thiomolybdates
 Cu absorption
 When rumen Cu is low thiomolybdates are
absorbed and impair systemic Cu metabolism by
i). Increasing biliary and urinary loss of Cu  Cu
availability in blood

25
26
Clinical Signs  Clinical signs of acute and chronic toxicoses are different Acute toxicosis (cattle and sheep) ◦ Feed withdrawal, lethargy, weakness, hind limb ataxia that progresses to front limbs and recumbency ◦ Profuse salivation, ocular discharge and mucoid feces in cattle ◦ Lesions: hydropic degeneration of hepatocytes and renal tubules
27
Chronic Toxicosis  Severe, persistent diarrhea (peat scours) ◦ Green, liquid feces containing gas bubbles  Achromotrichia and alopecia --> Due to depletion of tyrosinase and reduced melanin synthesis  Emaciation, decreased milk production, delayed puberty, decreased fertility and libido, abortions, bone fractures, lameness, anemia, limb deformities, muscular degeneration  Swayback/enzootic ataxia in lambs ◦ Stiffness of the back and legs with difficulty rising  Microcytic hypochromic anemia can occur
28
chronic toxicosis
29
Dx  Important: Distinguishing between 1o Cu deficiency and 2o Cu deficiency related to excessive Mo exposure  Clinical signs in a herd and concentration of Mo in blood, liver and kidney ◦ Mo levels that result in toxicosis depend on the levels of Cu and S  Levels of Cu and Mo (ratio) in feeds/forages  Levels of Cu and Mo in tissues ◦ There is a poor correlation between tissue levels of Cu and clinical disease
30
DDx  Disease syndromes characterized by: ◦ Emaciation or unthriftiness  Parasite infections, selenosis, fluorosis, ergotism ◦ Diarrhea  Metals poisonings, GI infections ◦ Lameness or bone abnormalities  Fluorosis, selenosis, ergotism, lead poisoning
31
Tx  Addition of Cu to diets to achieve 4:1 to 10:1 Cu-to-Mo ratio ◦ Additional Cu is necessary to cater for effects of dietary S. The S-to-Mo ratio should be <100:1  Administer Cu orally or parenterally ◦ Injectable products include copper glycinate or copper edetate (Cu-EDTA) ◦ If dietary exposure is not eliminated, treatment with copper products may be futile
32
Photosensitization  An abnormal sensitivity of skin to UV light caused by endogenous or exogenous factors  Affects all animals, but mostly herbivores Classification  Type 1: Primary photosensitization  Type II: Aberrant endogenous pigment synthesis (porphyria)  Type III: Secondary/hepatogenous photosensitization  Type IV: Idiopathic (unknown etiology) Not sunburn!
33
Pathogenesis  In nonpigmented skin, photodynamic compounds are activated by absorption of light (UV) of appropriate   higher energy state  reaction with biological substrates or molecular oxygen  free radicals (1O2, O2*-; HO*; etc.)  The free radicals cause oxidative damage of macromolecules (amino acids, cell membrane lipids, proteins, DNA) and damage to organelles (lysosomes, mitochondria, nucleus)  Damaged cell and organelle membranes results in increased permeability and release of lytic enzymes and cytoplasmic extrusion lambda = wavelength
34
Pathogenesis Contd.  The consequence of the photosensitivity reaction is edema, cell death and ulceration  Superficial blood vessels and epidermis are the primary targets ◦ Epidermal cell death  skin ulceration  skin sloughs off
35
Primary Photosensitization  Photodynamic compounds ingested, injected, or absorbed through the skin react with light in non-pigmented skin to cause a severe dermatitis  Plants causing primary photosensitization:  Fagopyrum esculentum (buckwheat)  Hypericum perforatum (St. John’s wort)  Ammi majus (bishop’s weed)  Chemically induced e.g. by phenothiazines Polycyclic aromatic hydrocarbons , Polycyclic aromatic hydrocarbons PAHs, sulfonamides, tetracyclines, antifungals, NSAIDs
36
37
38
39
Type II: Aberrant Pigment Metabolism  Occurs in cattle and cats  The photosensitizing agent is porphyrin, an endogenous pigment ◦ Arises from inherited or acquired defective functions of enzymes involved in heme synthesis ◦ Bovine/feline congenital erythropoietic porphyria and bovine erythropoietic protoporphyria are the most common diseases in this category
40
Type III: Secondary/hepatogenous Photosensitization  Phylloerythrin, a microbial breakdown product of chlorophyll in the GI tract, is the photosensitizing agent ◦ Hepatic disease/dysfunction or occlusion of the biliary system prevents excretion of phylloerythrin  concentration increases in circulation. On reaching the skin, phylloerythrin is activated by light  phototoxic reaction  Hepatogenous photosensitization is most common type of photosensitivity in livestock and has a poor prognosis
41
Plants Causing Secondary Photosensitization  See hepatobiliary system for additional examples of plants/toxins/toxicants causing 2o photosensitization
42
Panicum virgatum (Switch grass)  Panicum sp. are collectively known as panic grasses  Toxic principle: Lithogenic saponins (diosgenin)  Species affected: cattle, goats, sheep Stone-forming: crystalize in bile ducts
43
44
Agave ( Agave lecheguilla)  Location: TX, NM  Toxic principle: diosgenin  Species affected: cattle, goats, sheep Puncture vine (Tribulus terrestris) and beargrass (Nolina texana) also contain diosgenin
45
agave
46
Clinical Signs of Photosensitivity  Signs are similar regardless of the cause  Skin areas affected most include those with little or no hair, and areas with light-colored skin: ◦ Skin around the lips, nose, eyes and coronary band of the hooves ◦ White skin on the face, back and legs ◦ Udder, teats and tongue  Severe phylloerythrinemia and bright sunlight can induce lesions even in black-coated animals
47
Clinical Signs Contd.  Initially: photophobia, excessive tearing, and swelling, redness and increased sensitivity of nonpigmented skin  Later: pruritus, blister formation, ulceration and exudation, scab formation, cutaneous edema, fissuring of epithelium, necrosis and sloughing of non-pigmented exposed skin, 2o bacterial infections. Licking behavior in cattle and deer results in glossitis with ulceration and deep necrosis. Corneal edema and blindness may occur  Signs of liver disease, e.g., icterus may be present in hepatogenous form
48
Photosensitization
49
Sheep: Protected by Thick Fleece Except... Whole body is affected if recently sheared
50
Facial Eczema Caused by the mycotoxin sporidesmin which produces severe cholangitis and pericholangitis  biliary obstruction  restriction of excretion of phylloerythrin  photosensitization
51
Dx  History or evidence of exposure to photosensitizing agents or hepatotoxins  Clinical signs and lesions restricted to lightly pigmented areas with sparse hair cover  Liver serum enzymes and histologic signs of disease support 2o photosensitization Dx  Porphyria Dx ◦ Signalment (sex, breed, age), ◦ Clinical signs ◦ Porphyrin levels in blood, feces and urine
52
Tx  Supportive and symptomatic care are the only options  Provide ample shade/sheltering during the day ◦ Allow grazing only in darkness  Parenteral corticosteroids in the early stages may be helpful  Basic wound management (lavage, debridement, closure) ◦ Prevent 2o bacterial infections with antibiotics