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Neurotoxicity
Exam 1
49
Pharmacology
Professional
02/09/2013

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Term
cognitive effects
Definition
memory proplems, learning impairment, speech impairment, confusion
Term
motor effects
Definition
muscle weakness, convulsions, paralysis, tremor, ataxia
Term
sensory effects
Definition
vison, autidory, pain, equilibrium changes
Term
mood and personality effects
Definition
sleep disturbances, mental depression, irritability, excitability, delirium, hallucination
Term
general effects
Definition
loss of appetite, fatigue, stupor, nerve damage
Term
neurotoxicants
Definition
any chemical that can cause undesirable effects on the CNS of living organisms
Term
pharmaceuticals that cause more deaths than vehicular accidents
Definition
overdoses on prescription painkillers (opiods)
Term
one half of prescription painkiller deaths involve
Definition
at least two drugs (synergistic/ additive effects)...alcohol is involved in many overdose deaths
Term
poison help desk
Definition
1-800-222-1222
Term
infants and toddlers
Definition
highest risk for acute (accidental) poisoning, easy to catch and treat, chronic poisoning is harder to detect because the person is exposed to low levels of drug and sings may not show toxicity immediately
Term
Exogenous neurotoxins
Definition
Batrachotoxin and tetrodotoxin (produced by plants or animals
Term
batrachotoxin
Definition
most lethal toxin of any known animal (open nueronal Na channel and polarization cannot occur no longer transmits AP's)
Term
tetrodotoxin
Definition
blocks Na channels causing paralysis and respiratory arrest within min, cardiac arrest is due to lack of oxygen (blue octopus and puffer fish)
Term
endogenous toxins
Definition
glutamate-induced excitotoxicity
Term
glutamate
Definition
excitatory neurotransmitter
Term
GABA
Definition
inhibitory neurotransmitter
Term
glutamate-induced excitotoxicity
Definition
pathological phenomenon by which overactivation of receptors for excitatory amino acid transmitters lead to cell damage and death
Term
excitotoxicity
Definition
could be a mechanism of self-repair by which the brain discards useless connections or prunes poorly functioning nuerons, or mechanism of toxicity by which neurotoxicants and neurodegenerative disease cause neurotoxicity
Term
pre-synaptic release of glutamate
Definition
normally activates NMDA and AMPA receptors resulting in an influx of both Na and Ca ions, ultimately creating an action potential
Term
glutamate found in synapse
Definition
normally taken up by glial cells which contain EAAT (exitatory/Amino-acid transporter), reuptatke mechanism where glutamate is broken down.
Term
excitotoxicitiy in terms of glutamate
Definition
marked increase in extracellular glutamate which can be caused by an increased release of decreased re-uptake
Term
Excess NMDA and AMPA stimulation
Definition
results in inccreased intracellurlar levels of Ca ions which cause the neuron to die and increase in cytosolic Ca that is taken up by mitochondria
Term
mitochondrial Ca overload
Definition
leads to explosion of oxygen production and subsequent cytochrome C release
Term
elevated cytosolic Ca
Definition
activates nNOS and increases NO production, NO reacts with Oxy producing ONOO- which then difuses into nucleus to damage DNA
Term
pathophysiologies of glutamate cytotoxicity
Definition
spinal chord injury where increased glutamate results in spinal chord damage, lack of oxy to the brain causes excess release of glutamate and neurodegenerative disease
Term
transmission toxicity
Definition
increase of decrease in transmission but NOT synaptic failure
Term
drug-induced transmission toxicity
Definition
organophosphate poisoning, cocaine intoxication and nicotine-induced brain damage
Term
organophosphate poisoning
Definition
sarin inhibits AChE which blocks/ turns off ACh, resulting in buildup of ACh and continues to transmit nerve signals to muscles causing spasms and death
Term
cocaine induced transmission toxicity
Definition
inhibition reuptake of DA and NE results in sympathetic overstimulation causing convulsion and multiple other actions such as mascarinic blockade
Term
nicotine-induced brain damage
Definition
induced ROS levels dose-dependently and activates neuronal transcription factors causing neuro-inflammation, reducing grey matter density in brain
Term
axonopathy
Definition
something wrong with axon, either axon its dies or the myelin may disappear
Term
drug-induced axonopathy
Definition
retrograde axonal loss starting from synapse going toward neuron, similar to Lou Gehrig's disease
Term
organophosphates-induced delayed neuropathy OPIDN(axonopathy)
Definition
inhibition of neuropathy target esterase (NTE) causing swelling and degenration of axons in corticospinal motor tracts resulting in muscle weakness, ataxia and paralysis
Term
cisplatin-induced axonopathy
Definition
damage to organ corti, destruction of auditory and vestibular-balance occurring 3-4 days after drug administration (high pitch sounds most affected)
Term
vincristin-induced
Definition
microtubuli interferance; symmetrical peripheral sensory-motor neuropathy resulting in paresthesia and severe motor weakness (ileus and orthostatic hypotension)
Term
myelinopathy
Definition
myelin sheath will degenerate and breakdown, axon and neuron body remains but the conduction of AP is compromised and slowed
Term
drug-induced myelinopaty
Definition
loss of myelin sheath (direct) or schwann cells (indirect) which produce myelin...can progress to axonopathy
Term
lead-induced myelinopathy
Definition
mechanism is unknown but target is CNS, oxidative stress and apoptosis are characterized
Term
hecachlorophene-induced encephalopathy
Definition
inhibits respiratory D-lactase dehydrogenase and interferes with electron transpot, it is a mitochondrial neurotoxin and causes spongiform (myelin: fluid filled) encephalopathy in cerebellum, hippocampus and brain stem
Term
nitrous oxide-induced myelinopathy
Definition
irriversible oxidation of cobalt in methycobalamin and ihnibits the synthesis of methionine, reducing meylin formation
Term
carbon monoxide-induced encephalopathy
Definition
induces platelet and endothelial release of NO formin free peroxynitrite radical causing mitochondrial dysfunction, capillary leakage, leukocyte sequestration and apoptosis, lipid peroxidation causes reversible demyelination of white matter
Term
neuropathy
Definition
entire neuron degenerates and disappears, irreversible neuronal loss peripherally or centrally followed by apoptosis and necrosis
Term
Alzheimer's disease
Definition
major neuropathy occurs with neurofibrillary tangles (twisted fragments of proteins) and amyloid plaques (abnormal clusters of anyloid and tau protein remnants)
Term
neurofibrillary tangles
Definition
occurs in Alzheimer's disease; twisted fragments of protein
Term
amyloid plaques
Definition
occurs in Alzheimer's disease; abnormal clusters of anyloid and tau protein remnants
Term
MPTP-induced parkinsonism
Definition
taken up into dopamine neurons and attacks mitochondria and inhibits energy production, causing neuropathy and resembles advanced parkinsonism with major loss of dopamine activity
Term
Minimata disease
Definition
cerebral palsy, blindness, deafness, growth retardation, mental retardation and microcephaly due to neuropathies in brain and spinal cord
Term
MeHg
Definition
organic form of mercury and the form of mercury that is most easily bioaccumulated
Term
methylmercury (MeHg) induced neuropathy, minamata disease
Definition
organic form of mercury (toxin found in large fish) that is most easily bioaccumulated casing major neuropathies in the brain and sever CNS and sensory damage
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