T3: Absorption, distribution and excretion

26 important questions on T3: Absorption, distribution and excretion

What ways are there for xenobiotics to pass the cell membranes?

- Passive diffusion through the membrane phospholipids
- passive filtration trough aqueous pores
- active transport
- facilitated diffusion
- phagocytosis and pinocytosis

What is passive diffusion or filtration?

Small molecules can pass the membrane from the higher concentration towards the lower concentration. (down a concentration gradient)

This is influenced by, lipophilicity, ionisation and bloodflow

Of the 5 ways by which chemicals can be absorbed into the cell, which requires energy/ATP and which do NOT require energy/ATP?
  1. Passive diffusion & filtration
  2. Passive filtration through aqueous pores
  3. Active transport
  4. Facilitated diffusion
  5. Phagocytosis & pinocytosis

Require energy: active transport, phagocytosis & pinocytosis
Do NOT require energy: passive diffusion & filtration, passive filtration through aqueous pores, facilitated diffusion
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What drives the movement of a specific molecule between areas in (passive) diffusion, and in (passive) filtration?

Diffusion: the molecule moves from a higher concentration area to a lower concentration area
Filtration: the molecule moves from a higher pressure area to a lower pressure area

What are the 3 things that passive diffusion/filtration is influenced by and when do these factors make this transport easier?

  1. Lipophilicity
    Chemical is highly lipophilic/hydrophobic --> easier diffusion
  2. Ionization/charge
    Chemical is NOT ionized/charged --> easier diffusion
  3. Blood flow
    Pressure gradient is large (large pressure difference between areas) --> easier filtration

What is the difference between active and passive transport?

- Passive transport is going with the concentration gradient, active transport can go against the gradient.
- Active transport is selective, transporters are needed and is only for the larger important chemicals for the cell.
- It requires energy (ATP)
- There is a Tmax, the transport system can be saturated.

What is facilitated diffusion?

It does require transporters, but no energy is needed. The transport is going down the concentration gradient.

The pH of the environment affects ionization/charge of the chemical, which influences the degree of absorption into the cell. Which of these two compounds is better taken up by cells in the stomach?

Benzoic acid: the nonionized form is present over the ionized form with a 1000 to 1 particles in areas in a lower pH. The stomach has a low pH. The nonionized form of a compound is absorbed easier by passive transport

What two groups of integral membrane proteins are involved?

- Carrier proteins (hexose/glucose transporters)
- Ion channels (Cl, Na)

What is phagocytosis and pinocytosis?

- Cell eating
Ingestion of particles, mostly done in the immune system.


- Cell drinking
Ingestion of drops or small particles (< 1 um), can be done by almost every cell.

There are a lot of different exposure routes thorugh the body, what are the differences between them?

Via the gut, it will take a lot of time till the chemical is in the blood. Via the lungs, a chemical is taken up the fastest. The surface under the curve is for all the ways the same amount of chemical.

Example uneven ditribution of toxicants:

-Plasma proteins: albumin binds xenobiotics -> prevents high concentrations of free toxic substances -> protection against toxic effect
-liver and kidneys: high capacity for binding and accumulation of toxic substances

What happens when a chemical is applied to the skin?

This will give a very shallow graph and there will be a slow uptake because the skin is very thick.

What are the unique espects of oral exposure?

The chemicals will go to the liver, but before the get there they first need to pass the gestinal tract including the stomach. The uptake of a chemical is depending on several things:
- concentration
- duration + level of exposure
- erea of exposure (villi)
- epithelial layer
- sub epidermal blood flow
- Physico-chemical properties

Which 2 types of membrane proteins do facilitated diffusion?

  • Carrier proteins/protein transporters (EX: glucose transporters)
  • Ion channels (EX: Cl-, Na+ transporters)

What is the first pass effect?

The chemical is moved through the portal vein into the liver. There it can be processed before entering the systematic circulation.
For some compounds this metabolism will unactivate the compound. Therefore not all chemicals can be oraly consumed.

What cells do phagocytosis - when the cell takes up ("eats") particles - and what cells do pinocytosis - when the cell takes up ("drinks") drops or small fluid particles?

Phagocytosis: specialized cells (neutrophils, macrophages)
Pinocytosis: almost all cells

Some pesticides bind covalently to the enzyme, what is the effect?

Neurotransmitter is not being break down by the neurotransmitter -> overstimulation

The distribution of a compound in the body is dependent on.....?

- blood flow
- diffusion out of capillary bed into the cells
- active transport into cells
- binding to plasma and tissue proteins
- storage in tissue (fat, liver, bone)
- specific barriers (blood-brain barrier)

the distribution can be uneven, this can result in toxicity in specific tissues.

What is the role of plasma proteins?

They can reversible bind to toxicants. If a toxicant is bound to an plasma protein it is not available for distribution of filtration in the kidneys.

How are compounds stored in the bones?

For example, Fluor can be stored in the bones. There could be a local toxic effect in the bones by to much storage. For example malformation of the bone.

How does the first pass effect influence what chemicals reach the body?

Chemicals absorbed from the GI tract go through the portal vein to the liver -->
in the liver, the chemicals can get metabolized -->
metabolized form reaches the rest of the body

What can be a danger of fat storage?

Highly lipophilic compounds (dioxin) like to be stored in fat. This can also be in mothermilk and this will expose the child to high concentrations of dioxins.

A chemical is taken up by the GI tract and is taken through the (hepatic) portal vein to the liver where it can be metabolized, after which the chemical is distributed in the body by the blood. What is this cycle called?

Enterohepatic cycle

The blood distributes toxic chemicals throughout the body (which can be uneven, which can contribute to toxicity in specific tissue). Where do the chemicals go and how?

  1. Diffusion out of capillary bed --> into cells
  2. Active transport --> into cells
  3. Binding to plasma proteins
    Binding to tissue proteins
  4. Storage (& accumulation) in tissue --> fat, liver, kidney, bone

What 4 characteristics of the blood-brain-barrier make the brains harder to reach for toxic chemicals than other tissues?

  1. No fenestrae (= openings that facilitate transport)
  2. Tight junctions --> less permeability
  3. Low protein content of interstitial fluid --> less binding proteins
  4. Mainly active transport over the barrier

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