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10 Cards in this Set
- Front
- Back
cyanide
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-INTRAcellular asphyxia
-inactivates cytochrome oxidase |
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Actinomycin B
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-Inhibits RNA polymerase--> blocks RNA & protein synthesis
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Clostridium perfringens
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-produces lecithinases--> attack cell membrane--> injury & death
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Mercuric chloride
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-binds sulfhydryl groups of cell membranes--> increases membrane permeability & inhibits ATPase-dependent transport
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Carbon tetrachloride (CCl4) & acetaminophen (Tylenol)
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-conversion to reactive toxic metabolites Cl. or CCL3. by P450 mixed function oxidases--> shift double bonds of polyunsat FA's--> peroxidation of lipids
-direct covalent binding of metabolites to cell constituents -generation of free radicals Cl. and CCl3. -CCl4 decreases synthesis of lipid acceptor proteins |
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alcohol & other hepatotoxins
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fatty change (steatosis)
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ischemia & hypoxia
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multifactorial prod'n of cell injury & death
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Pathogenesis of Fatty Liver
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1) excessive influx of FA's (starv'n)
2) decreased metabolism of FA's, including impaired mito oxid'n (alcohol, hypoxia/ischemia) 3) increased esterific'n of FA's--> TGs (Starv'n, alcohol) 4) decreased apoprot synthesis due to impaired microsomal f'n (alcohol, CCl4, protein malnutrition) 5) impaired couplig of lipid w/ protein (alcohol) 6) impaired lipoprot. secr'n from liver (alcohol) |
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mechanisms of membrane injury
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1) degradation of membrane PLs
2) toxic effects of lipid degrad'n products 3) cytoskeletal damage 4) free radical effects (particularly upon reoxygenation or reperfusion) |
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enzymes inhibited due to lactic acid buildup during ischemia
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1) PFK
2) PK-- phosphorylase kinase 3) G-3-P dehydrogenase 4) hexokinase 5) carnitine palmityl coenzyme A transferase 6) adenine nucleotire translocase |