The Kidneys
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Transcript of The Kidneys
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THE KIDNEYS
Regulation of extracellular components.Elimination of waste products.
Regulation of acid-base balance.Erythropoietin production.
Formation of renin.Xenobiotics metabolism.
Production of glucose and 1,25-dioH vitamin D3.
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ANATOMY OF KIDNEY
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1. Renal vein2. Renal Artery3. Renal Calyx
4. Medullary Pyramid
5. Renal Cortex
6. Segmental Artery
7. Interlobar Artery
8. Arcuate Artery
9. Arcuate Vein
10. Interlobar Vein
11. Segmental Vein
12. Renal Column
13. Renal Papillae
14. Renal Pelvis
15. Ureter
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NEPHRON
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NEPHROTOXICANTS
Heavy metals accumulate in body Induction of metallothionein by liver. Cadmium (Cd) stimulates its
production. Metallothionein bind with Cd and
protects other organs from its toxic effects.
The kidney is vulnerable to this complex.
Beta-2-microglubulin excretion from kidney is diagnostic of Cd toxicity.
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NEPHROTOXICANTS
Long term use of Analgesics Antibiotics. Anticancer drugs. Ochratoxin A.
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Role of Immune System
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IMMUNE SYSTEM
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IMMUNOSUPRESSION BY TOXICANT
Pharmaceutical compounds.
Corticosteroids
Antitumor drugs
Cyclophosphamide
6-mercapto-purine
5-fluorouracil
Methotrexate
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IMMUNOSUPRESSION BY TOXICANT
Halogenated Aromatic Hydrocarbons 2,3,7,8-tetrachlorodibenzo-p-dioxin(TCDD)
Lymphoid atrophy, Thymic involution. Polychlorinated biphenyls (PCBs) Polybrominated biphenyls (PBBs)
Suppress Antibody Response. Formaldehyde & Isocyanates
Types I and IV reactions
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IMMUNOSUPRESSION BY TOXICANT
Polyaromatic hydrocarbons (PAHs)
Depress Humoral immunity , Cell mediated immunity and Tumor resistance.
Nitrosamines (dimethyl & diethyl nitrosamine)
inhibit T-cell dependent humoral immune response.
Pesticides Immunotoxic
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METALS
As Arsenic immunosupressive
Be Beryllium
T-cell mediated hypersensitivity
Cd Cadmium
Depression of humoral, macrophages
Hg Mercurry Type III hypersensitivity
Pb Lead Susceptibility of upper respiratory infection
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SKIN
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SKIN
Physical protection from environmental agents Hydroregulation through active &passive mechanism Thermoregulation to maintain core body temperature. Chemical synthesis of vitamin D. Immunological surveillance and function. Absorption of pharmaceutical preparation. Sensory reception of pain, temperature, touch &
pressure
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HOMEOSTATIC THERMOGENESIS
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TOXICOLOGICAL POINT OF VIEW
Route of exposure for systemic toxicants. Direct target for toxicity. Xenobiotic metabolizing organ. Minor pathway for the elimination of certain
toxicants.
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SKIN
Epidermis: outermost layer; mostly epithelial cells; non-vascular
Dermis: fibrous connective tissue; vascular
Hypodermis: (superficial fascia)not skin; protective; adipose and loose connective tissue
Epidermis is thick keratinized Stratified Squamous Epithelium consisting of four cell types and five layer
Keratinocytes
Melanocytes
Merkel cells
Langerhan’s cells
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STRATUM BASALE (STRATUM GERMINATIVUM)—DEEPEST LAYER I. SINGLE LAYER OF MITOTICALLY ACTIVE CELLS II. GIVE RISE TO KERATINOCYTES (YOUNGEST) III. INCLUDES MELANOCYTES AND SOME MERKEL CELLSSTRATUM SPINOSUM (PRICKLY LAYER)—WEBLIKE NETWORK OF CELLS FORMED BY INTERMEDIATE FILAMENTS ATTACHED TO DESMOSOMES I. COMPRISED OF KERATINOCYTES II. INCLUDES MELANIN GRANULES AND LANGERHANS CELLSSTRATUM GRANULOSUM—THICK; 3-5 CELL LAYERS; KERATINOCYTES ARE MODIFIED I. FLATTENED; NUCLEI AND ORGANELLES LOST II. KERATOHYLALINE AND LAMELLATED GRANULES ACCUMULATE III. LAMELLATED GRANULES ARE GLYCOPROTEINS, RELEASED INTO EXTRACELLULAR SPACE, THAT REDUCE WATER LOSS IV. CELLS MORE RESISTANT TO DESTRUCTION
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Stratum Lucidum—a few rows of clear, flattened, dead keratinocytes; layer occurs only in thick skin i. Keratohyalin granules—gummy substance associated with keratin filaments ii. Cells aggregate in parallel arraysStratum Corneum (Horny layer)—outer most layer; most
of epidermis thickness i. 20-30 cell layers thick ii. Keratin, thickened plasma membranes and glycoproteins protect against abrasion and loss of water iii. Cornified or horny cells—remnants of cells from this layer
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MELANOCYTES
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LANGERHANS CELLSANTIGEN
PRESENTATION.
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MERKEL’S CELLSTOUCH RECEPTOR
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DERMIS
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APPENDAGES OF THE SKIN
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SEBACEOUS GLANDS
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MEIBOMIAN GLAND
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SWEAT GLANDS
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SKIN ABSORPTION OF CHEMICALS
Percutaneous absorption: systemic toxicity from skin exposure can occur only when chemical moves from the epidermis into dermis of the skin, which contain blood vessel, the movement is by passive diffusion.
The major barrier is stratum corneum.The rate of penetration is largely related to the
lipophilicity of the chemical. (Lipophilic substances, Hydrophilic substances)
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SYSTEMIC EFFECTS FROM PERCUTANEOUS ABSORPTION
Benzidine Bladder cancer
Hydrofluoric acid Electrolyte deregulation, Kidney
Aniline Bladder cancer
Acrylmide Peripheral neuropathy
Carbon disulfide Coronary artery disease, CNS
Glycol ether Aplastic anemia
Hexachlorophene Encephalopathy
Inorganic mercury Renal toxicity
Alkyl lead Neurotoxicity
Boric acid Gastrointestinal lesions
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SKIN TOXICITY: LOCAL EFFECTS
Contact Dermatitis
Irritant contact dermatitis Allergic contact dermatitis Phtotoxic skin response.
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EFFECTS OF CHEMICAL EXPOSURE ON SKIN
Urticarial reactions: Type I allergic reactions cause the release of
histamines, IgE, and local inflammatory mediators.
Cutaneous granulomas: Inflammatory response to insoluble materials.
Hair loss: due to exposure of thallium, cancer therapeutic agents, depilatories.
Hypopigmentation: inhibition/destruction of melanocytes (phenolic preparation, hydroquinone).
Hyperpigmentation: Heavy metals, acridines
Color change: orange/yellow from picric acid, green from copper dust, black from osmium trioxide.