T12: Heart and lung toxicity

14 important questions on T12: Heart and lung toxicity

What are toxic effects on the heart?

Contraction intensity and frequency can be affected by compounds that interfere with:
- autonomic nervous system
- Ca2+ fluxes
- membrane functions
- oxygen supply
- energy supply
- oxidative stress

Obligatory nose breathers:

Rodents

What are respiratory toxic effects?

- Disturbance of central regulation
- effects on gas exchange in the lungs
- interactions with O2/CO2 transport in the blood
- disruption of respiration at cellular level.
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Lung toxicity: effects on ventilation or gas exchange in the respiratory organs

-inflammation
-pulmonary oedema: accumulation of moisture in pulmonary alveoli -> distance traveled by gas molecules through alveocapillary membrane is lengthened.
-pulmonary fibrosis: increase in connective tissue and diminished lung function
-lung emphysema: chronic toxic effect
-lung cancer

Lung toxicity: interactions with O2/ CO2 transport in the blood

Amenic hypoxia: decreased concentration functional hb

-CO poisoning

Lung toxicity: disruption of respiration at the level of cells

-histotoxic hypoxia; cells cannot utilize O2 properly

Toxic effects heart: ca2+ fluxes

ADTA & chelator -> influx of Ca2+
caffeine -> efflux of Ca2+
metals -> Ca2+ sensitive ATPase

Structural changes in the heart:

-cardiomypathies: fibrosis, due to blood cell replacement by collagen
-cellular degeneration: necrosis
-interstitial fibrosis: excess fibrous connective tissue
-accumulation of fat globules
-loss of myofibrils
-cytoplasmic vacuolisation

A factor determining how deep gasses can penetrate into the lungs is their

Water solubility

A factor determining how deep particles can penetrate into the lungs is their

Size

Which compounds may cause lung toxicity?

MO2, asbestos and mustard gas

Accumulation of malignant tissue

Mesothelioma

Which targets direct effects the heart function ?

-effects on calcium channels
-effects on Na/K pumps
-effects on oxidative phosphorylation
-effects in the electron transport system in the mitochondria

Which are chemicals known for their heart toxicity?

-adriamycin
-digitals glycosides

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