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