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Toxicant-Induced Cellular Dysfunction: Cellular Damage and Defense Mechanisms

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What is the result of covalent binding between a toxicant and a target molecule?

A toxicant-target molecule is termed an adduct

What type of compounds are abundant in biological systems and can participate in covalent binding?

Nucleophilic compounds

What is a potential consequence of covalent binding of toxicants to cellular proteins?

Inhibition of vital enzyme reactions

What is the term for the original substance to which the host was exposed?

Xenobiotic

Which type of interaction involves the transfer of electrons between a toxicant and its target molecule?

Electron transfer

What is the result of the reaction between an electrophilic compound and a nucleophilic compound?

Covalent binding

What is the consequence of covalent binding of toxicants to nucleic acids?

Inhibiting protein synthesis or inducing DNA mutations

Which molecules are frequently involved in toxicity due to their exposure to reactive chemicals?

Endogenous molecules adjacent to sites of reactive metabolite formation

What is the first target for reactive metabolites?

The enzyme that catalyzes their production

What is required for a toxicant to react with a target molecule?

The target molecule must possess the appropriate reactivity and/or steric configuration

What is the effect of some toxicants on protein target molecules?

They inhibit the function of protein target molecules

What is the result of bifunctional electrophiles reacting with cytoskeletal proteins, DNA, or DNA with proteins?

Cross-linking of macromolecules

What is the consequence of radicals converting proteins into reactive electrophiles?

Induction of cross-linking of macromolecules

What is necessary to conclusively identify a target molecule as being responsible for toxicity?

All of the above

What is the effect of tetrodotoxin and saxitoxin on the neuronal membrane?

They inhibit the opening of voltage-activated sodium channels

What is the result of toxicants binding to tubulin or actin?

Impairing the assembly and/or disassembly of these cytoskeletal proteins

What is the result of receptor activation in cells?

Altered gene expression and/or chemical modification of specific proteins

What is the common modality of dysregulation of transcription?

Altered activation of transcription factors

What is the result of xenobiotics facilitating phosphorylation of signal transduction proteins?

Promotion of mitosis and tumor formation

What is the effect of phorbol esters on protein kinase C (PKC)?

Activation of PKC by mimicking diacylglycerol

What is the result of Pb2+ on protein kinase C (PKC)?

Mimicking Ca2+, a physiologic activator of PKC

What is the effect of activated PKC on mitogenic signaling?

Promotion of mitogenic signaling by starting a cascade

What can be the result of xenobiotics influencing cellular activity in excitable cells?

Perturbation of ongoing cellular activity

What can be the final endpoint of cellular or biochemical toxicity?

All of the above

What is the effect of cross-linking on target molecules?

Spontaneous degradation and reactivity with adjacent molecules

What can be the result of chemicals interfering with signal transduction?

Aberrant signal transduction and altered protein-protein interactions

What is the result of severe cell damage?

Cell death

What is the main difference between necrosis and apoptosis?

Necrosis involves a group of contiguous cells, while apoptosis is an individual cell death

What is the result of a reduced production of cellular proteins in necrosis?

Changes in electrolyte gradient

What is the term for the accumulation of lipids in the cytoplasmic vacuoles in necrosis?

Fatty accumulation

What is the normal process in which cells have a finite lifespan and spontaneously die?

Apoptosis

What is the term for the fragments of cells that undergo apoptosis?

Apoptotic bodies

What is the result of dysfunction of cell maintenance?

Cell death

What is the energy currency of the cell?

ATP

What is the result of impairment of oxidative phosphorylation?

Cell death

What is the process that couples oxidation of hydrogen to water in the mitochondria?

Oxidative phosphorylation

What is the primary organ responsible for excreting metals from the body?

Kidney

Which metal is known to be a potent nephrotoxicant?

Cadmium

What is the effect of methylmercury on the nervous system?

It crosses the blood-brain barrier and enters the nervous system

What is the result of xenobiotics binding to hormone receptors?

Stimulation of hormone-dependent processes

Which estrogen receptor agonist is known to cause gynecomastia?

DES

What is the effect of chronic exposure to metal dust on the respiratory system?

All of the above

What is the function of metal-binding proteins in the cell?

To decrease metal bioavailability

Which type of metal compound is more likely to enter the nervous system?

Organic mercury compounds

What is the result of metal inclusion bodies forming in the nucleus?

Unknown effects

Which of the following metals is a known human carcinogen?

Arsenic

What is the primary function of metallothionein (MT) in the body?

To regulate the intracellular bioavailability of certain metals

What is the mode of action of carbamate and organophosphate insecticides?

Inhibition of cholinesterase

What is the effect of acetylcholinesterase inhibition on nerve or muscle stimulation?

Prolonged, uncoordinated nerve or muscle stimulation

What is the typical duration of acetylcholinesterase inhibition?

Minutes to permanent

What is the primary cause of death in cases of cholinesterase inhibition?

Respiratory failure

What is the mechanism of action of neonicotinoid insecticides?

Stimulation of acetylcholine receptors

What is the function of acetylcholinesterase in the nervous system?

To hydrolyze acetylcholine into choline and acetate

What is the effect of pyrethrin and pyrethroid binding to sodium channels?

Fixing the channels in an open state

What is the mechanism of action of avermectins?

Activation of chloride channels

What is the primary function of Na+K+ ATPases in nerve impulse transmission?

To actively transport sodium out of the cell

What is the mechanism of action of chemicals in class D?

Inhibition of oxidative phosphorylation by direct inhibition of ATP synthase

What is the effect of sustained elevation of intracellular Ca2+?

Inhibition of ATPase

How do metals exert their toxicity?

By crossing the membrane and entering the cell

What is the major site of toxic action for metals?

Interaction with enzymes

How can metals inhibit enzymes?

All of the above

What is the result of lead displacing zinc in the enzyme δ-aminolevulinic acid dehydratase (ALAD)?

Inhibition of the synthesis of heme

What is the effect of Ca2+ on the citric acid cycle?

Activation of the citric acid cycle

What is the result of Ca2+ activating nitric oxide synthase?

Formation of ONO2-

What is the effect of xenobiotics on intracellular Ca2+ levels?

Increase in intracellular Ca2+ levels

What is the effect of toxic metals on subcellular organelles?

Disruption of subcellular organelles

What is the primary mechanism of neurotoxicity of DDT?

Inhibition of Na+K+ ATPases

Which type of receptors are associated with chloride channels on the postsynaptic region of the neuron?

GABAA receptors

What is the effect of GABAA receptor inhibition on nerve excitation?

Increased nerve excitation

Which insecticides elicit acute neurotoxicity by inhibiting the GABAA receptor?

All of the above

What is the primary mechanism of action of avermectins?

Binding to GABA-insensitive chloride channels

Which compounds enhance the ability of gamma-aminobutyric acid to bind the GABAA receptor?

Both a and b

What is the process by which energy is generated in the cell while molecular oxygen is consumed?

Cellular respiration

Where does the process of cellular respiration occur?

Inner mitochondrial membrane

What is the effect of rotenone on cellular respiration?

Inhibition of electron transfer at site 1

What is a common symptom of toxicity resulting from the inhibition of cellular respiration?

Respiratory distress

This quiz covers the toxic effects of xenobiotics and their metabolites on host cells and tissues, leading to cellular dysfunction and injury. Learn about the different types of toxicants and how they interact with host molecules to cause harm. Understand the mechanisms of cellular defense against toxicant-induced damage.

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