Mammalian Toxicology

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							Mammalian Toxicology:
 History & Principles
   Lecture 1, Fall 2006
     History and Scope of
  Toxicology: How we got here
 Toxicology:  The study of adverse
  effects of xenobiotics.
 Xenobiotics: From the Greek
  xeno (ξένο) for “foreign” and
  bios (βίος) for “life”.
 This discipline actually has its
  roots in the ancient art of
  poisoning.
 Now its scope is much broader.
      History and Scope of
 Toxicology: Different Branches
 Biomedical:
  – Mechanisms of actions
  – Effects of exposure
  – Understanding biological responses
    through model toxic compounds
 Public   Health:
  – Recognition and identification of
    hazards
  – Occupational exposure
  – Development and use of pesticides
      History and Scope of
 Toxicology: Different Branches
 Regulatory:
  – Development of exposure standards
  – Detection methods
 Environmental:
  – Chemical effects on plants, animals
    & ecosystems
 Clinical:
  – Development of antidotes &
    treatments
  – Recognition of exposure
 History and Scope of Toxicology:
         How we got here
 Toxicology, like other disciplines,
 is a mixture of science, art &
 creative thinking
  – Science: The observational and
    data-gathering phase.
History and Scope of Toxicology:
        How we got here
– Art: Utilization of the data to predict
  outcomes in humans based on in
  vitro and in vivo studies.
– Creative Thinking: Determining the
  next hypothesis and how to design
  experiments to actually answer the
  questions posed.
     History and Scope of
  Toxicology: How we got here
 It is important to note that facts are
  different from predictions.
 Facts have been proven; predictions
  are based on probabilities. They
  don’t have equal value, in terms of
  scientific weight.
 Toxicologists need to be careful
  when talking to the public to make
  sure they don’t confuse the two!
 History of Toxicology—Antiquity
 Humans have a long history of
 using poisons
 – Hemlock (Greek capital punishment),
   made famous by death of Socrates.
 Milestones
 – Dioscorides—Greek physician who
   classified poisons for Nero. He
   included descriptions and drawings.
   This was a standard text for 1600
   years!
History of Toxicology—Antiquity
 Toxicology during this time,
  however, mainly focused on
  poisoning (suicide, state-
  sanctioned & personal usage…)
 This knowledge also lead to
  antidotes.
 – Emetics (εμμετικός)—Agent to
   induce vomiting following
   poisonings
History of Toxicology—Antiquity
     Mithridates VI of Pontus—
 King
 Experimented on criminals and
 himself.
  – He would drink a poison cock-tail
    (36 ingredients!) to prevent
    political enemies from being able to
    poison him.
  – When ultimately captured, he had
    to resort to using his sword.
History of Toxicology—Antiquity
 Poisonings were so rampant in
 Rome, a law was enacted in
 82BC. It made poisoning illegal,
 and later extended to careless
 dispensers of drugs (an early
 regulatory effort!)
 History of Toxicology—Middle
              Ages
 Maimonides—Concept     of
 bioavailability: Based on the
 forms of toxicant, or what one
 eats/drinks before ingestion, the
 chemical can be more or less
 readily available in the body.
 – Milk, butter and cream could delay
   intestinal absorption (due to the fat
   content)
 – Full stomach also delays absorption
 History of Toxicology—Middle
              Ages
 The poisoner, in Renaissance
 Italy, was an integral part of
 society.
 – Toffana—Woman who sold arsenic-
   laced cosmetics
 – Hieronyma Spara—Provided
   ‘services’ to local young soon-to-be
   widows.
    History of Toxicology—Middle
                 Ages
   Catherine de Medici—Systematic study
    of the effects of poisons in the sick
    and poor to make sure the correct
    concoction was delivered to her
    ‘customers’.
    – Noted the following:
       Rapidity of the toxic response (onset of action)
       Effectiveness of the compound (potency)
       Degree and specificity of response (site of
        action)
       Complaints of victims (clinical signs and
        symptoms)
 History of Toxicology—Age of
         Enlightenment
 Theage of Paracelsus (1493-
 1541)—Responsible for the most
 famous saying in all of
 toxicology:
 Allsubstances are poisons;
 there is none which is not a
 poison. The right dose
 differentiates a poison from a
 remedy.
 History of Toxicology—Age of
         Enlightenment
 Paracelsus  focused on the
  importance of the ‘toxicon’—a
  primary toxic agent and a single
  chemical entity.
 This was in contrast to previous
  schools of thought that included
  the concept of mixtures.
 History of Toxicology—Age of
         Enlightenment
 Fundamental   contributions:
 – Experimentation is essential in the
   examination of responses.
 – There is a difference between the
   therapeutic and toxic properties.
 – The above are not easily
   determined, except by dose.
 – It is possible to ascertain a degree
   of specificity of chemicals and their
   therapeutic or toxic effects.
 History of Toxicology—Age of
         Enlightenment
 Seminal   texts:
 – On the Miners’ Sickness and other
   Diseases of Miners (1567) by
   Paracelsus
    Includedtreatment and prevention
    strategies
 – Discourse on the Diseases of
   Workers (1700) by Bernardino
   Ramazzini
    Set the standard for occupational
     medicine.
    Also included information about miners,
     midwives, printers, weavers and
     potters.
 History of Toxicology—Age of
         Enlightenment
 Major   developments:
 – 1775—Role of soot in scrotal cancer
   in chimney sweeps (due to
   polyaromatic hydrocarbons)
 – 1825—Synthesis of phosgene and
   mustard gas (chemical warfare)
 – 1880—Boom in organic chemical
   synthesis led to over 10,000 new
   compounds (no industry testing for
   toxicity)
 History of Toxicology—Age of
         Enlightenment
 Major   developments:
 – Orfila (1787-1853): Introduced the
   use of autopsy material to
   toxicology to provide legal proof of
   poisoning.
 – Magendie (1783-1885): Detailed
   the absorption and distribution of
   various compounds in the body.
         Modern Toxicology
   Toxicologists must understand
    aspects of biology, chemistry and
    metabolism.
    – They tend to function as detectives who
      must utilize many clues.
   Initial growth in the field spurred by
    need to explain deaths occurring after
    administration of ether, chloroform
    and carbonic acid in iatrogenic
    deaths.
       Iatrogenic:   From the Greek iatros (ιατρός) for
       doctor
         Modern Toxicology
   1890s-1900s
    – Discovery of vital amines (vitamins) led to
      the wide-spread usage of bioassays to
      determine whether these new chemicals
      were beneficial.
    – Development of neurotoxicity field due to
      the production of bootleg liquor by-
      products (methanol & lead).
    – Toxicology of metals due to the
      production of ‘the bomb’.
         Modern Toxicology
   Post World War II
    – Discovery of organophosphates (OPs) as
      cholinesterase inhibitors.
    – Today used as non-bioaccumulating
      pesticides
   Production of quinine as an
    antimalarial.
    – Based on derivative of chincona bark
    – First use of non-human primates
   Discovery of mixed-function oxidases
    (MFOs)
    – Prelude to latter work on P450s
        Modern Toxicology
 Two   major discoveries (1948):
 – Paper chromatography for chemical
   separation.
 – Use of blood and urine for testing
   presence of various chemical
   metabolites (biomarkers).
      Modern Toxicology
 Formalizationof the experimental
 program for the testing of food,
 drug and cosmetic safety in 1955.
 – Updated by the FDA in 1982.
 – Basically states that any chemical
   found to be carcinogenic in lab
   animals or humans cannot be added
   to the US food supply.
      Modern Toxicology
 Toxicology  and Applied
  Pharmacology started around
  1958—First journal dedicated to
  toxicology.
 Textbook of Toxicology published
  in 1959.
 Society of Toxicology (SOT)
  founded in 1965.
      Modern Toxicology
 Major   events in the 1960s:
 – Thalidomide babies
 – Silent Spring by Rachel Carson
    Highlightedthe ecological effects of
    pesticide usage
 – Equipment available for detecting
   parts per billion (ppb)
 – Genetic assays for point mutations
   (Ames assay)
          Modern Toxicology
 In   the 1970s:
  – “Discovery” of Love Canal as a
    major dumping site for toxic
    chemicals.
  – Push for toxicology to consider
    exposures to complex mixtures.
        Recallthat this shift had already taken
        place once—move from mixtures to the
        toxicon. Now a movement back to
        mixtures.
            Currently
 Now a unique and separate
 discipline
 – Offered at many graduate schools
 – “Surprisingly, courses in toxicology
   are now being offered in several
   liberal arts undergraduate schools
   as part of their biology and
   chemistry curricula.” (p 10)
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