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forensic toxicology - mechanisms of toxicity

1. Explain how necrosis differs from apoptosis. 2. What are the three primary causes of necrosis? 3. What are the four key mechanisms by which ATP can be depleted? What is the role of ion gradients in necrosis? 4. Why are the levels of calcium ions tightly regulated within a cell? What are four consequences of excitotoxicity? 5. Define the term ‘oxidative stress’. What causes oxidative stress? How can it be avoided within a cell? 6. What are the cellular consequences of ROS production?
Quiz by camisadorising
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Last updated: August 6, 2023
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First submittedAugust 6, 2023
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what is narcosis?
the bigger picture, downstream cellular effects that toxins can have
what is necrosis?
what do dying cells do during necrosis?
what affect will this have on neighbouring cells?
non-programmed cell death
membrane integrity is lost and the cell body swells and bursts open
it can trigger an inflammatory response or long term inflammation
what is apoptosis?
what will dying cells do during apoptosis?
what affect will this have on neighbouring cells?
programmed cell death
fragment into membrane-bound apoptotic bodies
none, the membrane makes it so cellular contents are not released, so cannot effect neighbouring cells
what are the 3 primary causes of necrosis?
what kind of 'essential function disruption' are these causes?
ATP depletion
disruption to energy generation & protein synthesis
excitotoxicity
oxidative stress
what do we need ATP for?
what are the 4 key mechanisms by which ATP can be depleted?
what is the role of ion gradients in necrosis?
what does this ion gradient cause that leads to necrosis?
active transport, especially ion transport, biosynthetic reactions, cell division, cell morphology, cytoskeletal polymerisation, essential part of DNA, muscle contraction, regulation of signal transduction
inhibition of electron transport (eg. cyanide inhibits cytochrome oxidase)
it sets off a positive feedback loop of Na+ and Ca2+ entering the cell, opening voltage-gated channels, which lets more ions enter etc.
loss of volume control: water influx & cell swelling until the cell lyses (dies)
inhibition of oxygen delivery to the ETC (eg. cocaine, carbon monoxide)
inhibition of ADP phosphorylation (eg. DDT)
physical damage to mitochondria (eg. chronic ethanol abuse)
what is Ca2+ involved in?
why are the levels of calcium ions tightly regulated within a cell?
when does calcium become toxic in the cytoplasm?
what is the consequence of increased intracellular Ca2+?
activation of enzymes (e.g. TCA cycle), cytoskeletal polymerisation, muscle contraction, neurotransmission, regulation of signal transduction and exocytosis, transporters
because it is so important and so reactive
at high levels
excitotoxicity
what are the 4 mechanisms of calcium removal from the cell?
what are four consequences of
excitotoxicity?
extracellular Ca2+ ATPase
depletion of ATP (Mitochondrial ATP production is decreased; activation of Ca2+ ATPase uses ATP)
endoplasmic reticulum Ca2+ ATPase
activation of Ca2+-dependent hydrolytic enzymes (leads to disintegration of membranes, proteins etc.)
extracellular Na+/Ca2+ exchanger
production of reaction oxygen and nitrogen species (leads to disintegration of membranes, proteins etc.)
mitochondrial Ca2+ uniporter
microfilament dysfunction (disrupted morphology and function, impaired motility)
what are oxidants?
what are antioxidants?
which is more reactive?
molecules that can accept an electron
molecules that can donate an electron
oxidants
what is oxidative stress?
what causes oxidative stress?
how are these species generated directly?
how are these species generated indirectly?
when the balance of oxidants and antioxidants is disrupted, meaning that more oxidants are present
reactive oxygen (ROS) and reactive nitrogen (RNS) species
activation of foreign compounds (e.g. benzene), redox cycling (e.g. paraquat), transition metals, inhibition of mitochondrial electron transport (blocking the electron transport chain)
activation of cytochrome P450, increased intracellular Ca2+
how do these species cause oxidative stress?
what do these species do to ATP?
what other issues can these species cause?
activation of dehydrogenases in the TCA cycle (increases electron output via the electron transport chain, causing increased production of superoxide)
drain the ATP reserves
affecting the function of oxidise proteins, mutate DNA causing cellular dysfunction and reducing ATP synthesis, lipid peroxidation, cell swelling, cell lysis
activation of Ca2+-dependent proteases (convert xanthine dehydrogenase to xanthine oxidase, which also produces superoxide and hydrogen peroxide)
activation of constitutively-expressed nitric oxide synthases in neuronal and endothelial cells (increases NO production, which reacts with superoxide to form highly reactive peroxynitrite)
what is lipid peroxidation?
how is this further broken down?
what eventuates?
peroxidative degradation of lipids by removal of hydrogen from fatty acids, producing a lipid radical.
this can be further broken down by reaction w oxygen, forming a lipid peroxyl radical
eventually the lipid fragments release reactive aldehydes and more free radicals
how can oxidative stress be avoided within a cell?
which is most important?
how does it stop oxidative stress?
it can be quenched by enzymes
superoxide dismutase (SOD)
it converts the superoxide radical (O2-) into H2O2 using metals such as Cu, Fe, Mn, or Ni. H2O2 is then degraded to H2O by catalase
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