neurotoxin

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    Intro Neurotoxicity 5/7/04

    An Introduction to Toxicologyof the Nervous System

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    Introduction

    You cannot reach your

    full genetic potentialwith a damaged nervous

    system.S.G. Gilbert

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    An adverse change in the

    chemistry, structure or function

    of the nervous system during

    development or at maturity,

    following exposure to a chemicalor physical agent.

    What is Neurotoxicity?

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    Even minor changes in the

    structure or function of the

    nervous system may haveprofound consequences for

    neurological, behavioral,

    and related body functions.

    Nervous System Sensitivity

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    Ancient Awareness

    LEAD MAKES THE

    MIND GIVE WAYDioscorides - GREEK 2ND BC

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    The upsurge of interest in recent years

    in academia, industry, and government

    on the effects of toxic chemicals on thenervous system has created a new

    discipline of neurotoxicology.

    Peter S. Spencer & Herbert H. Schaumberg, in

    Experimental and Clinical Neurotoxicology, 1980

    Current Awareness

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    1930s Ginger-Jake Syndrome During prohibition, an alcohol beverage was

    contaminated with TOCP (triorthocresyl

    phosphate) causing paralysis in 5,000 with

    20,000 to 100,000 affected.

    1950s Mercury poisoning

    Methylmercury in fish cause death and severenervous system damage in infants and adults.

    Historical Events

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    Case Studies

    Lead damages developing brainAlcohol Fetal alcohol syndrome

    MPTP similar to Parkinsons disease

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    Lead In Homes

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    Nervous Systems Effects

    Developmental Neurotoxicity

    Reduced IQ

    Impaired learning and memory

    Life-long effects

    Lead Neurotoxicity

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    Alcohol (ethanol)

    CH

    H

    H

    OH

    Ethyl Alcohol

    C

    H

    H

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    Vulnerability of Developing

    Nervous System

    FAS Fetal Alcohol Syndrome

    FAE Fetal Alcohol Effects

    What is a save level of

    consumption during pregnancy?

    Alcohol

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    Intro Neurotoxicity 5/7/04A Small Dose of ToxicologyFAS Child

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    MPTP

    N

    CH3

    1-methyl-4-phenyl-1,2,3,6-tetrahydrophyridine

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    1980s Designer Drug

    Caused effects similar toParkinsons disease

    Damaged neurons that

    secrete dopamine

    MPTP Effects

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    CNS Central Nervous System

    PNS Peripheral Nervous System

    Blood brain barrier

    Neuronal cells

    Neurotransmitters & receptors 10-100 billion cells with 1015

    connections

    Nervous System Biology

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    Nervous System CNS & PNS

    Central Nervous System (CNS) Brain & Spinal Cord

    Peripheral Nervous System (PNS)

    Afferent (sensory) Nerves Carrysensory information to the CNS

    Efferent (motor) Nerves Transmitinformation to muscles or glands

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    Nervous System

    Nervous System

    CNS

    Central Nervous System

    PNSPeripheral Nervous System

    Autonomic Somatic

    Sympathetic Parasympathetic

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    Central Nervous System

    Central Nervous System (CNS)(Brain and Spinal Cord)

    Peripheral Nervous System

    (PNS)

    Autonomic Somatic

    Sympathetic Parasympathetic

    Afferent (sensory) Nerves

    (Carry sensory information to the CNS)

    Efferent (motor) Nerves(Transmit information to muscles or glands)

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    Peripheral Nervous System

    Peripheral Nervous System (PNS)

    Efferent (motor) Nerves Transmit information to muscles or glands

    Somatic Nervous System Stimulates Skeletal muscles

    Autonomic Nervous System Stimulates Glands and Organs (e.g. heart)

    Sympathetic- Adrenergic stress response

    Parasympathetic

    - Cholinergic basic functions

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    Cells of the Nervous System

    Neurons Information conductors

    Supporting Cells (Glia cells) Astrocytes (CNS blood brain barrier)

    Oligodendrocytes

    (CNS link cells)

    Schwann cells (PNS wrap cells)

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    Blood-brain Barrier

    Not an absolute barrier Caffeine (small)

    Methylmercury cysteine complex

    Lipids (brain is a ball of fat)Anatomic Characteristics

    Capillary endothelial cells are tightly joined

    no pores between cells

    Capillaries in CNS surrounded by astrocytes Low protein concentration in CNS fluid

    Active ATP-dependent transporter moves

    chemicals into the blood

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    Neuronal Cells

    Axon

    Myelin (Schwann cell)

    Synapse

    Dendrite

    Cell Body

    Nucleus

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    DopamineTransmitter Cell(Excitatory Neuron)

    Dopamine

    Receptor Cell(Post-synaptic receptor)

    Dopamine

    Receptor

    Synaptic Cleft

    Synaptic Vesicles

    Neurotransmission

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    Neuronal Transmission

    + + - + +

    + + - + +

    + + - + +

    + + - + +

    - - + - -- - + - -

    - - + - -- - + - -

    - - - - -+ + + + +- - - - -+ + + + +

    +

    +

    ++

    + + +++ +

    +

    ++

    --

    -

    -

    --

    ----

    -K+

    K+

    Na+

    Cl-

    -- -

    -

    -

    --

    -

    - -

    InhibitorySynapse

    Excitatory

    Synapse

    +40

    0

    -40

    -70

    +40

    0-40

    -70

    Action Potential IPSP

    EPSP

    Action Potential

    No Action Potential

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    Inhalation (e.g. solvents,

    nicotine) Ingestions (e.g. lead, alcohol)

    Skin (e.g. pesticides, nicotine)

    Physical (e.g. load noise)

    Exposure Issues

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    What causes neurotoxicity?

    Wide range of agents

    chemical and physical

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    Types Of Neurotoxicity

    Neuronopathy Cell Death. Irreversible cells not replaced.

    MPTP, Trimethytin

    Axonopathy

    Degeneration of axon. Reversible. Hexane, Acrylamide

    Myelinopathy Damage to myelin (e.g. Schwann cells)

    Lead, Hexachlorophene

    Transmission Toxicity Disruption of neurotransmission

    Organophosphate pesticides, Cocaine, DDT

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    Neurotoxic Injury

    Neuron

    NormalNeuronopathy

    AxonopathyMyelinopathy

    Transmission

    Axon

    Synapse

    Myelin

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    Examples of Neurotoxicology

    Diseases

    Parkinson's, Alzheimer's, MS, ALS..

    Environmental

    Lead, Methylmercury, PCBs

    Occupational

    Solvents, Pesticides

    Drugs - ClinicalVincristine, cisplatin

    Drugs - Social

    Alcohol, cocaine, nicotine

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    Cognitive Effects- memory, learning, confusion

    Motor Effects

    - weakness, convulsion, paralysis Sensory Effects

    - vision, auditory, touch, balance

    Mood and Personality Effects- sleep, depression, irritability, excitability

    General Effects- loss of appetite, fatigue

    Neurotoxic Effects

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    Classification of neurotoxicants

    by mechanism of action

    Temporary inhibition of nerve

    function Agents which alter membrane

    function

    Agents with interfere with synaptic

    transmission

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    Dependence on oxygen Little anaerobic capacity

    CO less available oxygen Cyanide inability to use oxygen

    Dependence on glucose

    Sole energy source High metabolic rate

    Physiological Sensitivity

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    Structure Long cell requires extensive

    intracellular transportBlood-Brain Barrier

    Developmental stage

    (lead and alcohol)

    Physiological Sensitivity

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    Neurons CANNOT divide and

    replace themselves

    Neurons CAN repair limitedaxonal damage

    Most Recovery

    Redundancy of Function

    Reversibility of Damage

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    Classification of neurotoxicants

    by mechanism of action

    Permanent inhibition of nerve function Agents which cause Anoxia

    Anoxic anoxia Ischemic anoxia

    Cytotoxic anoxia

    Agents which damage myelin formation Oligodendroglia (CNS)

    Schwann cells (PNS)

    Agents which damage peripheral axons

    Agents which damage nerve cell body

    Agents which cause localized CNS lesions

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    ReceptorReceptor

    LigandLigand

    Cell

    Membrane

    Cell

    Membrane

    Signal ProteinSignal Protein

    Positive ResponsePositive Response

    Outside CellOutside Cell

    Inside CellInside Cell

    Ligand binds to receptorLigand binds to receptor

    11

    33

    22

    Normal Receptor-Ligand Interaction

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    ToxicantToxicant11

    Toxicant

    inactivates

    receptor

    Toxicant

    inactivates

    receptor

    No ResponseNo Response

    33

    22

    Inactivation of Receptor by Toxicant

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    Toxicant1

    No Response

    32

    Ligand

    Toxicant

    out competes

    normal ligand

    Ligand cannot bind

    receptor

    Competition For Receptor

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    Who Is Vulnerable?

    Young or Old

    Male or FemaleGenetics - Individual Diff.

    Species

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    Fetal Nervous System

    Developing Nervous System

    Mature Nervous System

    Aging Nervous System

    Vulnerability / Sensitivity