Concept and Principles of Toxicology (1)

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    Principles ofPrinciples of

    Toxicology :Toxicology :

    The Study of PoisonsThe Study of PoisonsPM Dr Mohd Khan Ayob

    PPSKTM, FST

    Universiti Kebangsaan Malaysia

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    To know scope and denitionof toxicology,

    Describe how toxicologist

    work and manage toxicants,

    To know basic principles oftoxicology.

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    IntroductionIntroduction

    Are all substances toxic?

    YS! "oo# at these$

    % Sugar has an "D&' o( )',''' *g+#g

    % thanol has an "D&' o( ),-'' *g+#g

    % Table salt has an "D&' o( ),-&' *g+#g

    % .ater has an "D&' o( slightly greater than

    /',''' *g+#g

    0Synthetic1 does not *ean toxic or 2oisonous

    03atural1 does not *ean sa(e or even lo4 ris#

    D!":The amount (dose) of achemical whichproduces death in 50%

    of a population of testanimals to which it isadministered by any ofa variety of methods.Normally expressed asmilligrams ofsubstance per ilogram

    ofanimal body weight(mg!g)

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    4

    567 o( all 2oisonings ha22en at ho*e8

    The household 2roducts i*2licated in *ost

    2oisonings are$ cleaning solutions, (uels,*edicines, and other *aterials such asglue and cos*etics8

    9ertain ani*als secrete a xenobiotic 2oisoncalled veno*, usually in:ected 4ith a bite

    or a sting, and others ani*als harborin(ectious bacteria8

    So*e household 2lants are 2oisonous tohu*ans and ani*als8

    Do You Know?Do You Know?

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    Did you know that....(in the USA)Did you know that....(in the USA)

    About ; *illion toxic ex2osures

    annually

    % Fe4er than 7 o( overdose 2atientsthat reach the hos2ital result in (atality

    < =ut )>)&7 *ortality i( arrive in dee2

    co*a

    ne (ourth o( suicide atte*2ts are

    via drugs

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    Leading causes of pharmaceuticalLeading causes of pharmaceutical

    death death

    Analgesics Tricyclic antide2ressants

    Sedative+hy2notics

    Sti*ulants and street

    drugs

    9ardiovascular drugs Alcohols

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    o!icology" an old fieldo!icology" an old field

    Toxicology is arguably the oldest scienti(ic disci2line,

    as the earliest hu*ans had to recogni@e 4hich 2lants

    4ere sa(e to eat8

    Yes!3o!

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    u*ans are ex2osed to che*icals both

    deliberately and inadvertently8

    % Most exposure of humans to chemicals is via naturally

    occurring compounds consumed in the diet from foodplants.

    9he*icals are natural, biological, or synthetic in

    origin% 3atural B(ood, *etals, *ineralsC% =iological Btoxins (ro* bacteriaC

    % Synthetic*anu(actured through che*ical 2rocesses

    A22roxi*ately '',''' che*icals are currently

    in use 4orld4ide8 &'' ne4 (or*ulations enter

    the *ar#et2lace annually8

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    #hat is o!icology$#hat is o!icology$

    ld de(inition$ the basic science o( 2oisons

    3e4 De(inition$ the study o( the adversee((ects o( che*ical agents on biological

    syste*s

    The ulti*ate goal is to increase ourunderstanding o( ho4 che*icals a((ect

    hu*an health8

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    Toxicoo!" # T$%&inoo!i$'Toxicoo!" # T$%&inoo!i$'

    .hat is toxicology? The study of the effects ofpoisons.

    Poison = Toxicant , Toxin and/or Xenobiotic

    Poisonous substances (Toxins) are produced byplants, animals, or bacteria.

    Phytotoxins

    Zootoxins

    Bacteriotoxins

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    What is a Toxicant?What is a Toxicant?

    The ter* toxicant re(ers to toxic substances >

    2roduced by or are by>2roducts o( hu*an>*ade

    activities8

    % eavy Metals

    % Solvents and Ea2ours

    % adiation and adioactive Materials

    % Dioxin+Furans

    % Pesticides

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    Gecall$ Foreign che*icals aresynthesi@ed 4ithin the body areter*ed xenobiotics BHr8Xenos*eaning 0strange1CG

    Ienobiotics *ay be naturallyoccurring che*icals 2roduced by2lants, *icroorganis*s, or ani*alsBincluding hu*ansC8

    Ienobiotics *ay also be synthetic che*icals 2roduced byhu*ans8

    What is a XenobioticWhat is a Xenobiotic

    Poisons are xenobiotics, but not all xenobiotics are poisonous8

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    % #hat is% #hat is o!ico!ic$$

    This ter* relates to 2oisonous or

    deadly e((ects on the body by

    % inhalation BbreathingC,

    % ingestion BeatingC, or

    % absor2tion, or by

    % direct contact 4ith a che*ical8

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    % #hat is a% #hat is a o!ic Symptomo!ic Symptom$$

    Any (eeling or sign indicating the

    2resence o( a 2oison in the syste*8

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    % #hat are% #hat are o!ic &ffectso!ic &ffects$$

    The health e((ects that occur due to

    ex2osure to a toxic substanceJ also

    #no4n as a 2oisonous e((ect on thebody8

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    #hat is#hat is o!icityo!icity$$

    the degree to 4hich a substance is

    2oisonous or can cause in:ury8

    % The toxicity de2ends on a variety o((actors$

    < dose, duration and route o( ex2osure, sha2e

    and structure o( the che*ical itsel(, and

    < individual hu*an (actors8

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    % #hat is% #hat is Selecti'e o!icitySelecti'e o!icity$$

    A toxic che*ical that 2roduces in:ury to

    one #ind o( living *atter 4ithouthar*ing another (or* o( li(e, even

    though the t4o *ay co>exist8

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    ToxicologyToxicology

    The science that deals 4ith har*(ul or

    adverse e((ects o( toxcicants Bche*icalsC on

    living organis*s and assesses the2robability Bris#C o( their occurrence8

    The inter(ace o( che*istry and biology8

    % Toxicology$ toxicosis or disease e((ectES

    % Phar*acology$ thera2eutic e((ect

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    #. Toxicant$ Toxin$ Poison$ %a&ard any agent capable of producing a

    deleterious response in a biological system

    '. (d)erse$Toxic e*ects any unwanted change (damage) from an

    organism"s normal state dependent upon the concentration of active

    compound at the target site (receptor)for asu#cient time.

    +. i)ing organism cellular target sites! storage depots and

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    OMMON TOXI OLOGY

    OMMON TOXI OLOGY

    QUESTIONS

    UESTIONS

    #. hatis a poison-

    '. heredose it come from- exposure /0

    +. %owdoes it get into li)ing organism-exposure /0

    1. hatdoes it do to li)ing organism-

    mechanism /0!. %owcan we treat$pre)ent this toxicity-

    clinical /0

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    lassification of o!ic Agentslassification of o!ic Agents

    eavy Metals

    Solvents and Ea2ours

    adiation and adioactive Materials

    Dioxin+Furans

    PesticidesPlant Toxins

    Ani*al Toxins

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    Sucategories of o!ic SustanceSucategories of o!ic Sustance

    lassificationslassifications ((ect on target organs Bliver, #idney, he*ato2oietic

    syste*C,

    Use B2esticide, solvent, (ood additiveC,

    Source o( the agent Bani*al and 2lant toxinsC,

    ((ects Bcancer *utation, liver in:uryC,

    Physical state Bgas, dust, liuidC,

    "abeling reuire*ents Bex2losive, (la**able, oxidi@erC,

    9he*istry Baro*atic a*ine, halogenated hydrocarbonC, or

    Poisoning 2otential Bextre*ely toxic, very toxic, slightly

    toxicC

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    *eneral lassifications of Interest*eneral lassifications of Interest

    to ommunitiesto ommunities

    Air 2ollutants

    ccu2ation>related

    Acute and chronic 2oisons

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    The science of Toxicology helps peopleThe science of Toxicology helps people

    maemae

    informed decisions and balanceinformed decisions and balance&'' vs. *N*+&T'&'' vs. *N*+&T'

    The study foundThe study found

    the highest le)elsthe highest le)els

    of pesticideof pesticide

    residues inresidues inpeaches, apples,peaches, apples,

    pears22.pears22.

    (3D Spinach.(3D Spinach.

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    he Scope of o!icologyhe Scope of o!icology

    < Toxicoloy related closely to< Pharmacology,< Biochemistry,

    < Molecular biology,< Chemistry,< Epidemiology,< Pathology,< Genetics,< Public Health,< Medicine,< etc.

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    Su+disciplines of o!icologySu+disciplines of o!icology

    nviron*ental Toxicologyccu2ational BLndustrialC ToxicologyFood 3utritional Toxicology9linical ToxicologyForensic ToxicologyDescri2tive Toxicology

    Mechanistic Toxicologyegulatory ToxicologyAnalytical Toxicology

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    Environmental ToxicologyEnvironmental Toxicology

    Studies che*icals that are conta*inantso( (ood, 4ater, soil, or the air8

    Deals 4ith toxic substances that enter

    the 4ater4ays, such as la#es, strea*s,rivers and oceans8

    Fact$ Most co**on 2roble*s include4ater>borne bacteria and viruses,

    4aste heat (ro* electrical 2lants,radioactive 4astes, se4age, andindustrial 2ollution8

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    ccupational !"ndustrial#ccupational !"ndustrial#

    ToxicologyToxicology Protects !or"ers from toxic substances and

    ma"es their !or" en#ironment safe.

    $act%&ccupational diseases caused by industrial chemicals

    account for an estimated ', to , deaths and

    *', ne! cases of illness each year in the +nited tates.

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    Food ToxicologyFood Toxicology

    $ood toxicoloy is the study of the nature, properties,

    effects, and detection of toxic substances in food, and

    their disease manifestation in humans.

    deals !ith substances found in food (contaminants) that

    miht be harmful to those !ho consume sufficient

    -uantities of the food containin such substances.

    n#ol#es deli#erin a safe and edible supply of food to theconsumer.

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    $ood Toxicology$ood Toxicology

    $ood contaminanats%

    % n#ironmental pollutants

    < the air, !ater and soil, such as the case !ith toxic

    metals, P0Bs (Polychlorinated Biphenyls) and dioxins,

    % 1arious chemicals (intentionally used)

    < pesticides, animal drus, antibiotics and other

    arochemicals

    < food additi#es.

    % Toxins

    < Plant, animal and microbial toxins

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    $ood Toxicology$ood Toxicology

    human exposure to toxic chemicals and nutritional imbalances arecurrently "no!n or suspected to be responsible for promotin or

    causin% cancer,

    % "idney and li#er dysfunction,

    % hormonal imbalance,

    % immune system suppression,

    % musculos"eletal disease,% birth defects,

    % premature births,

    % impeded ner#ous and sensory system de#elopment,

    % reproducti#e disorders,

    % mental health problems,

    % cardio#ascular diseases,

    % enitor2urinary disease,% old2ae dementia, and

    % learnin disabilities.

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    utritional Toxicologyutritional Toxicology

    3utritional toxicoloy is the study of the

    nutritional aspects of toxicoloy.

    % tarets the interrelations that toxicants or

    toxins ha#e !ith nutrients in the diet, !hichaffect nutritional status and pre#ent aainst

    the ad#erse effects of toxicants or toxins

    % % antinutrient substances

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    Clinical ToxicologyClinical Toxicology

    s concerned !ith diseases and illnesses

    associated !ith short term or lon term

    exposure to toxic chemicals.

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    Forensic ToxicologyForensic Toxicology

    4elps to establish cause and

    effect relationships bet!eenexposure to a dru or

    chemical and the toxic or

    lethal effects that result.

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    !escripti"e Toxicology!escripti"e Toxicology

    s concerned !ith

    atherin toxicoloical

    information from animalexperimentation.

    % These type of experiments

    are used to establish the

    chemical dosae that!ould cause illness and

    death.

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    Mechanistic ToxicologyMechanistic Toxicology

    5a"es obser#ations on ho! toxic

    substances cause their effects.

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    #nalytical Toxicology#nalytical Toxicology

    dentifies the toxicant throuh analysis of

    body fluids, stomach content, excrement,

    s"in, or suspected containers.

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    $egulatory Toxicology$egulatory Toxicology

    6athers and e#aluates existin

    toxicoloical information to establish

    concentration2based standards of 7safe8exposure.

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    egulatory Toxicologyegulatory Toxicology

    +se data from descripti#e and mechanistic

    toxicoloy to perform ris" assessments.

    0oncerned !ith meetin re-uirements

    of reulatory aencies.

    ndustry/o#ernment interactions.

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    .hat Do Toxicologists Do?.hat Do Toxicologists Do?

    5ost toxicoloists !or" to de#elop

    a mechanistic understandin of

    ho! chemicals affect li#in

    systems%% 9e#elop safer chemical products

    % 9e#elop safer drus

    % 9etermine ris"s for chemical exposures

    % 9e#elop treatments for chemical

    exposures% Teach ( e.. other toxicoloists,

    raduate students, and youth)

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    ha* Do Toxicoo!i'*' Do?ha* Do Toxicoo!i'*' Do?

    5echanistic toxicoloists study ho! a chemical

    causes toxic effects by in#estiatin its absorption,

    distribution, metabolism and excretion (:95). Theyoften !or" in academic settins or pri#ate industries and

    de#elop antidotes.

    9escripti#e toxicoloists e#aluate the toxicity ofdrus, foods, and other products. They often performexperiments in a pharmaceutical or academic settin.

    0linical toxicoloists usually are physicians or#eterinarians interested in the pre#ention, dianosis,

    and treatment of poisonin cases. They ha#especiali;ed trainin in emerency medicine andpoison manaement.

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    ha* Do Toxicoo!i'*' Do?ha* Do Toxicoo!i'*' Do?

    $orensic toxicoloists study the

    application of toxicologyto the la!. Theyuses chemical analysis to determine thecause and circumstances of death in apostmortem in#estiation.

    n#ironmental toxicoloists study theeffects of pollutants on oranisms,populations, ecosystems, and thebiosphere.

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    +$,i$w+$,i$wToxicoloy is the science that studies the harmful effects of

    o#erexposure to drus, en#ironmental contaminants, andnaturally occurrin substances found in food, !ater, air, andsoil.

    % 5ain obecti#es are to establish safe doses and determinemechanisms of bioloic action of chemical substances.

    : career in toxicoloy in#ol#es e#aluatin the harmful effectsand mechanisms of action of chemicals in people, otheranimals, and all other li#in thins in the en#ironment.

    % This !or" may be carried out in o#ernment, pri#ateindustry and consultin firms, or uni#ersities and otherresearch settins.

    Toxicoloists routinely use many sophisticated tools todetermine ho! chemicals are harmful.

    (e..) computer simulations, computer chips, molecularbioloy, cultured cells, and enetically2enineeredlaboratory animals .

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    ,rinciples of o!icology,rinciples of o!icology

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    -undamental ules of o!icology-undamental ules of o!icology

    xposure*ust (irst occur (or the che*ical to 2resent a

    ris"8

    The manitudeo( ris"is 2ro2ortional to both the potency

    o( the che*ical and the extent of exposure8

    0The dose ma"es the poison1 Ba*ount o( che*ical at the

    target site deter*ines toxicityC8

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    Th$ Do'$Th$ Do'$

    S4iss 2hysician

    Paracelsus B;5)>&;C

    %#ll substances are poisons& there is

    none 'hich is not a poison. The right

    dose di((erentiates a poison (rom a

    remedy.)

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    he Dose /akes the ,oison0he Dose /akes the ,oison0

    An a22arently non>toxic che*ical can be toxic at high

    doses8 BToo *uch o( a good thing can be bad!C8

    ighly toxic che*icals can be li(e saving 4hen given in

    a22ro2riate doses8 BPoisons are not har*(ul at a

    su((iciently lo4 doseC

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    Do'$Do'$9etermines >hether a 0hemical >ill Be

    Beneficial or Poisonous

    4enecial Dose Toxic Dose

    ,spirin -00 /000 mg /000 -0000 mg

    1itamin , 5000 units!day 50000 units!day

    2xygen 30% (,ir) 50 40% (,ir)

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    LD12 omparisonLD12 omparison

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    &!posure&!posureonceptsoncepts

    x2osure *eans 9ontact 4ith a ha@ard8< 4a;ard ?is a chemical substance, physical aent,

    or bioloical aent that can harm the health ofpeople

    Di((erent toxic res2onses *ay arise (ro*di((erent$% outes o( ex2osure8% Freuencies Bho4 o(tenC o( ex2osure8

    % Duration Bho4 longC o( ex2osure Bacute vs8chronicC8

    % 9oncentration o( ex2osure Bho4 *uchC >the DS

    5isk 6 %a&ard x 7xpo

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    +ou*$ o- .xo'u%$+ou*$ o- .xo'u%$

    Lngestion B4ater and (oodC

    Absor2tion Bthrough s#inC

    Ln:ection Bbite, 2uncture, or cutC

    Lnhalation BairC

    Peo2le can 2rotect the*selves by

    bloc#ing these routes o( ex2osure8

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    /a3or outes of o!icant &ntry/a3or outes of o!icant &ntry

    nestion ? #ia the astro2intestinal @6A tract

    nhalation ? #ia the luns

    9ermal ? #ia the s"in

    &ther Parenteral (non2intestinal) routes%% ntra#enous (1) ? direct inection into a #ein

    % ntraperitoneal (P) ? inection into the peritoneal ca#ity

    % ubcutaneous (0) ? inection bet!een the s"in and the muscle

    % ntramuscular (5) ? inection directly into the muscle

    %ntradermal ? inection into the dermis

    &ccupational xposures ? nhalation, 9ermal

    :ccidental / uicide xposures ? nestion

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    +ou*$ o- .xo'u%$+ou*$ o- .xo'u%$

    Lngestions account (or -57 o( ex2osures

    % -7 der*al

    % N7 o2hthal*ologic

    % &7 inhalations

    % )7 stings and bites

    % '8)7 in:ection

    Ty2ical ((ectiveness o( oute o(x2osure$

    i, inha$ i i& in!$'* *oica

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    Du%a*ion %$u$nc" o- .xo'u%$Du%a*ion %$u$nc" o- .xo'u%$

    Duration and (reuency are also i*2ortantco*2onents o( ex2osure and contribute todose8

    Acute ex2osure > less than 6; hoursJusually entails a single ex2osure

    e2eated ex2osures are classi(ied as$Subacute > re2eated (or u2 to )' days

    Subchronic > re2eated (or )'>5' days

    9hronic >re2eated (or over 5' days

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    ou%c$' o- .xo'u%$ou%c$' o- .xo'u%$

    xposure to chemicals may come from

    many sources%

    % n#ironmental

    % &ccupational

    % Therapeutic

    % 9ietary

    % :ccidental

    % 9eliberate

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    Mechanisms o( ToxicityMechanisms o( Toxicity

    The ter* 7toxicity) is used to describe the nature o(adverse e((ects 2roduced and the conditionsnecessary (or their 2roduction8

    =e(ore toxicity can develo2, a substance *ust co*einto contact 4ith a body sur(ace such as s#in, eye or*ucus o( the ali*entary or res2iratory tract % anex2osure8

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    /echanisms of o!ic &ffects/echanisms of o!ic &ffects

    Adverse e((ects can occur at the level o( the*olecule, cell, organ, or organis*

    Molecular level$ che*ical can interact 4ith$ Proteins +"i2ids + D3A

    9ellular level$ che*ical can% inter(ere 4ith rece2tor>ligand binding

    % inter(ere 4ith *e*brane (unction% inter(ere 4ith cellular energy 2roduction% bind to bio*olecules% agitate ho*eostasis

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    /echanisms of o!icity/echanisms of o!icity

    8 Lnter(ere 4ith 6trans2ort or tissue utili@ation o(

    oxygen Bexa*2le cyanide, 9C

    68 A((ect 93S Bexa*2le cocaine, sedativesC

    )8 A((ect A3S Bexa*2le organo2hos2hatesC

    ;8 A((ect lungs Bexa*2le 2arauatC

    &8 A((ect cardiovascular syste* Bexa*2le T9A, 9aOO

    channel bloc#ersC

    N8 Direct local da*age Bexa*2le acids, basesC

    -8 Delayed e((ects on liver or #idneys Bexa*2le

    aceta*ino2hen, *etalsC

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    ypes of to!ic effectypes of to!ic effect

    : !ide #ariety of effects due to #arious toxicants%% :lleric aents$ itching, rashes, snee@ing, 4atery eyes8

    % :sphyxiants$ cause dis2lace*ent o( oxygen and thus

    su((ocation8% rritants$ cause 2ul*onary ede*a B(luid in the lungsC 4heninhaled at high concentrations and rashes 4hen s2illed ontothe s#in8

    % 3ecrotic aents% cause cell death8

    % 0arcinoens, mutaens and teratoens$9ancer, *utations,and de(or*ed e*bryos result (ro* chronic ex2osure to lo4levels

    % ystemic poisons% can have an adverse e((ect on the 4holebody 4hen ta#en internally8

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    Ad'erse &ffectsAd'erse &ffects

    3ot all orans are affected e-ually% greater susce2tibility o( the target organ

    % higher concentration o( active co*2ound

    i#er$ high blood (lo4, oxidative reactions

    Cidney$ high blood (lo4, concentratesche*icals

    un$ high blood (lo4, site o( ex2osure

    3eurons$ oxygen de2endent, irreversibleda*age

    5yocardium$ oxygen de2endent

    Bone marro!, intestinal mucosa$ ra2iddivide

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    Ultimatum of o!ic &ffectsUltimatum of o!ic &ffects

    9eath> arsenic,

    cyanide

    &ran 9amae >

    o@one, lead 5utaenesis> UE light

    0arcinoenesis>

    ben@ene, asbestos

    Teratoenesis>

    thalido*ide

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    $%c$*ion ,' +$ai*"$%c$*ion ,' +$ai*"

    Perception%

    % Pollution is a sinificant contributor to cancer

    and that cancer rates are soarin.

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    anc$% D$a*h +a*$' # Ma$anc$% D$a*h +a*$' # Ma$

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    anc$% D$a*h +a*$' # $&a$anc$% D$a*h +a*$' # $&a$

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    $%c$*ion ,' +$ai*"$%c$*ion ,' +$ai*"

    Perception% 4ih dose animal cancer tests tell us the

    sinificant cancer ris"s for humans.

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    $%c$*ion ,' +$ai*"$%c$*ion ,' +$ai*"

    Perception% 4uman exposures to carcinoens and other

    toxins are nearly all due to synthetic

    chemicals.

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    $%c$*ion ,' +$ai*"$%c$*ion ,' +$ai*"

    Perception% ynthetic toxins pose reater carcinoenic

    ha;ards than natural toxins.

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    $%c$*ion ,' +$ai*"$%c$*ion ,' +$ai*"

    Perception

    % Toxicoloy of man2made chemicals is different

    from that of natural chemicals.

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    $%c$*ion ,' +$ai*"$%c$*ion ,' +$ai*"

    Perception

    % 0orrelation implies causation.

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    $%c$*ion' ou* h$&ica'$%c$*ion' ou* h$&ica'

    >hat dri#es our perceptionsG

    n#ol#es subecti#e udments.

    :re chemicals badG% 3atural #s. synthetic

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    :a*u%a a%cino!$n' in o--$$:a*u%a a%cino!$n' in o--$$

    :cetaldehyde

    Ben;aldehyde

    Ben;ene

    Ben;ofuran Ben;o@aApyrene

    0affeic acid

    0atechol

    D,H,',I9iben;anthracene

    thanol

    thylben;ene

    $ormaldehyde

    $uran

    $urfural

    4ydroen peroxide

    4ydro-uinone

    imonine

    tyrene

    Toluene

    Xylene

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    o!icology helps create a safero!icology helps create a safer

    world ...world ... Toxicology is a (ascinating science that *a#es

    biology and che*istry interesting and relevant8

    Understanding . Bi8e8 *echanis*C so*ething

    2roduces a toxic e((ect can lead to ne4 4ays o(2reventing or treating che*ically>related diseases8

    Many diseases are the result o( an interactionbet4een our genetics Bindividual variabilityC andche*icals in our environ*ent8

    Toxicology 2rovides an interesting and exciting4ay to a22ly science to i*2ortant 2roble*s o(social, environ*ental, and 2ublic healthsigni(icance8

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    Th$ .ndTh$ .nd