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18 Cards in this Set

  • Front
  • Back
* Occur at site of first contact w/ toxicant
- Caustic substances of caustic substances
- Inhalation of irritant materials
Local Effects
-Require absorption and distribution from entry to distant site
-most substances produce these effects
Systemic Effects
*Sever acid burn plus kidney damage
*Tetraethyl lead - skin plus CNS effect
Local and Systemic effects
What are the 7 things that determine causation
1. Strength of association of variables
2. Specificity of association
3. Biological gradient in dose/response relationship
4. Biologic or theoretical plausibility
5. Consistency of findings in studies
6. Coherence with established knowledge
7. Temporal sequence
* Transfer of a chemical from site of exposure into systemic circulation
* Most toxicants cross epithelial barriers to capillaries by diffusion
Absorption
What determines absorption rate?
The concentration at absorbing surface
These are related to..?
-rate of exposure
-Area of exposed site
-Dissolution of chemical
-Characteristics of epithelial layer
-Lipid solubility
Absorption rate
What is the most important influence on absorption?
Lipid solubility
Rate of Distribution (rapidity) depend upon ...
-blood flow
- characteristics of toxicant ( affinity for tissue, partition coefficient)
Where do very lipophylic compounds store in the body?
adipose tissue
Rapid mobilization of the fat, in which lipophylic coumpounds are stored, can rapidly do what?
Increase blood concentration
What chemicals store in bone?
Lead, Strontium, U, Fluoride
--- Can displace endogenous compounds
Binding to plasma proteins
What are the processes by which administered chemicals are modified by organism through enzymatic reactions?
*1st objective is to make chemical agents more soluble in water and easier to excrete.
* Decrease lipid solubility, which decreases amount at target
*Increase ionization--> Increase excretion--> decrease toxicity
Biotransformation can result in reactive metabolite formation
Bioactivation.
* Can drastically effect the rate of clearance of compounds
* Can occur at any point during the compound's journey from absorption to excretion
Biotransformation
What are the key organs in biotransformation?
- Liver (large Role)
- Lung, kidney, intestine (medium)
-Others (low)
What are the 2 biotransformation pathways?
Phase I- make toxicant more water soluble
Phase 2 - Links with soluble endogenous agent (conjugation)