neurotoxin
TRANSCRIPT
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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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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
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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