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respiratory
air pollution is more than a _____ issue; it can shorten lives and is a T6 RF for CVD
systemic
cardiovascular
CNS
birth outcomes
what other systems/effects can air pollution have (other than respiratory)
1) Ozone
2) Sulfur dioxide
3) Nitrogen dioxide
4) Carbon monoxide
5) Lead
6) PM
what are the 6 EPA criteria pollutants
carbon dioxide
recently, there’s been a push to add what compound to the EPA criteria pollutants
national air ambient quality standards (NAAQS)
under the Clean Air Act, the EPA is required to set what, in order to protect public health from exposure to the pollutants
nonattainment
areas that exceed the NAAQS are designated as what
NAAQS
nonattainment areas must institute air pollution control programs to
reduce air pollution to levels that meet the what
remove patient from the site of exposure
maintain respiration by giving oxygen
administer oxygen (100% or hyperbaric chamber)
cardiac monitoring
COHb levels 30-40% or 25% with symptoms require monitored setting and acid-base evaluation
COHb above 40% require transfer to hyperbaric facility
what are treatment steps for carbon monoxide toxicity
valleys
in places like _____, warm airs can trap cooler air under it, leading to a temperature inversion
temperature inversion events
warm air trapping cold airs is dangerous and builds up dangerous concentrations leading to what
India (Dehli/Ahmedabad)
what country has the worst pollution in the world (w/mostly PM2.5 and 13/20 pollutants)
China
what country has considerable pollution (w/mostly PM10 and 46/100 pollutants)
an umeployed, alcoholic, homeless man
3 men planned to murder him to obtain life insurance; they tried to kill him by feeding him anti-freeze (methanol) with his alcohol (ethanol), running him over, and freezing him but failed
boarding house and CO poisoning is what killed him
who was Mike Malloy
the methanol in the anti-freeze was most likley cancelled out by the ethanol in the alcohol
how did Mike Malloy survive the anti-freeze and excessive alcohol consumption
1) at least 1 dimension in the nanoscale (<100 nm)
2) must be synthesized
3) when synthesized in bulk, must have uniform characteristics
what main 3 requirements do you have to meet in order to be classified as an engineered nanomaterial
a soccer ball is to earth as a carbon nanoparticle is to a soccer ball
what is an example of the concept of nanosize?
COVID-19
what type of vaccine is lipid nanoparticle enabled
it uses LNPs as a delivery system; the LNPs carry mRNA inside of them and deliver them to the cells
how does the COVID-19 vaccine used lipid nanoparticles (LNPs)
F
T or F: we can make blanket statements (generalizations like all nanoparticles are safe, toxic, behave in same way, etc.) about toxicity
Nanoparticles come in many shapes, sizes, coatings, materials, charges, structures, and behaviors
why can’t we make blanket statements about the toxicity of nanoparticles
inhalation, results in deeper deposition into lungs, translocation, and frustrated phagocytosis due to aspect ratios
what is the primary route of exposure to nanoparticles in occupational and environmental settings
size bc smaller nanoparticles can enter the body more easily and travel further to produce stronger toxic responses; Kim et al. 2015 shows that smaller nanoparticles cause higher oxidative stress and Aldossari et al. 2015 shows that smaller nanoparticles induce more hemolysis
Which property do you believe is of the most toxicological importance and why?
characterization
what is the first step in a toxicology study
agglomeration
particles loosley stick together; reversible
aggregation
particles are tightly bound/fused; can’t go “back down” (NOT reversible)
• Diverse properties
• Number of nanomaterials being produced
• Numerous routes of exposure
• Nanoparticles have large surface areas that are hydrophobic, allowing for the association of dyes, cell culture micronutrients, and cytokines thereby interfering with assays
• Bind contaminants such as LPS resulting in false positives
• Dosimetry issues (Do you expose based on mass, surface area, particle number?)
• Limited exposure assessment making it difficult to set relevant experimental exposure concentrations
• The nanoparticle-biocorona
• Interdisciplinary nature of nanotoxicology
why is studying nanotoxicology challenging
reproductive
the following describes what kind of toxicology:
defined as a delay in pregnancy, an increase in early pregnancy loss, or sub-fertility or absolute infertility, resulting from an exposure to a physical, biological, or chemical agent that alters reproductive performance of either partner or the couple (focus is on the parents)
developmental
the following describes what kind of toxicology:
defined as an alteration in the structure or function of a developing embryo, fetus, infant, child, or adult resulting from an exposure to the male or female either before or after conception or during development (focus is on the offspring)
endogenous reporductive hormones
in pharmaceutical settings, you need to be careful bc if a drug has too much similarity to _________, it can disrupt the reproductive cycle
alligators
what animals had abnormally small penises and low testosterone levels, due to endocrine disrupting chemicals found in Florida lakes
wallabies
what animals had reduced penis lengths (by 20%) as a result of endocrine disrupter and herbicide, Atrazine, in Australian water
number of sperm and volume of semen, sperm motility, sperm morphology
when we talk about male fertility, what factors are we taking into account
2-5 mL
what is the volume of semen
20 million/mL
what is the typical number of sperm cells
50% progressive
what’s a good percentage of sperm motility
30% normal
what’s a good sperm morphology percentage
procarbazine
what is an alkylating agent that’s used as a chemotherapy medication
it adds alkyl groups which leads to DNA damage and death of diving germ cells, leading to permanent death
how does procarbazine result in cell death
yes bc the spermatagonia are still there (can regen sperm production)
is procarbazine sterility reversible
Sertoli
boric acid targets what kind of cells
permanent
boric acid sterility is
semen
what is the most accessible and reliable for measuring biomarkers in terms of toxicity in males
vaginal and cervical secretions
what is the best biomarker for women in terms of specificity and relevance
synthetic progesterone and estrogen
birth control pills are made out of what
small
does it take a small or large amount of synthetic progesterone and estrogen to inhibit the ovulation
GnRH
progesterone in the pills inhibits this entire ovulation process, mainly by stopping the release of what
FSH and LH
progesterone leads to lower GnRH, leading to decrease of what hormones by the anterior pituitary
follicular development
decreased FSH inhibits what
synthetic progesterone; progesterone lvls are usually high only after ovulation
specifically what part of birth control pills tricks the body into thinking ovulation has already happened
Nonoxynol-9
what is the primary chemical used in spermicides that inhibits sperm motility
inhibits sperm motility by stopping sperm from traveling to the egg, resulting in immobilization and death
how does Nonoxynol-9 work
nourishes developing sperm cells
what do Sertoli cells do
lipid
solvents tend to accumulated in ____-rich tissues
1) number of C
2) whether it’s un/saturated, has dbl or trpl bonds between adj. Cs
3) configuration (straight, branched, cyclic)
4) halogenated or not
5) presence of functional groups
toxicity of a solvent is based on what factors
volatility and lipophilicity
what are the 2 most important properties of solvents that govern absorption and deposition
1) they are smaller than adults
2) high hand to mouth activity
3) immune, reproductive, digestive, and CNS are still developing
why are children more sensitive than adults to exposures (list 3 reasons)
low
do humans have low or high capacity for metabolizing TCE through the GST/GSH pathway (that’s common in rats)
rats are good at metabolizing TCE through the GSH pathway, which ultimately ends up producing very toxic metabolites before they can excrete it
humans are not good at metabolizing TCE through the GSH pathway, and are better at it through the P450 pathway, creating safer metabolites that are excreted in urine
why do rats suffer from extensive kidney damage due to TCE damage, as opposed to humans
they have low levels of epoxide hydrolase
why do B6C3F1 mice show high levels of liver cancer as a result of TCE exposure
epoxide hydrolase usually metabolizes DCA and TCA, which will now accumulate, leading to activation of PPARalpha, eventually leading to rapid cell growth, oxidative stress, lipid peroxidation, DNA damage, apoptosis suppression, and TF activation
how does low levels of epoxide hydrolase affect B6C3F1 mice negatively
Clara
TCE is carcinogenic in mouse lungs bc mice have high amounts of what type of cells
TCE targets Clara cells, and the Clara cells metabolize TCE into chloral by CYP450s. With low ADH though, chloral cannot be converted to TCOH (a safer metabolite), leading to accumulation of toxic chloral and cell death
how does having high amounts of Clara cells affect mice lungs negatively
low ADH levels
in terms of TCE exposure in mice lungs, why can chloral not be converted into the safer TCOH metabolite
dose would have to be perfectly measured for the person (weight, size, etc.)
must form uninterrupted seal for 5 minutes
very volatile (would have to immediately administer or else it’d evaporate)
upon waking up, nervous system would likely be heavily impaired (ability to communicate and think properly would be damaged)
there’s a a very small difference between the dose required to knock someone out and kill them
why doesn’t chloroform work the way it does in the movies?