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Haematotoxicity & Local
Toxicity
Dr. Sarita Sharma
Assistant Professor
Department Of Pharmacology
Haematotoxicity
 Hematotoxicity essentially affects two basic homeostatic
functions:
(1)RBC-mediated
oxygen transport
(2)
the production of red and
white blood cells
and platelets.
Basic Hematopoiesis: The Formation Of Blood Cells &
Their Differentiation
MOA of Haematotoxicity
RBC-mediated
oxygen transport fails
the production of red and
white blood cells & platelets.
HYPOXIA Bone marrow suppression
Tissue respiration impaired
Anaerobic Respiration
1) RBC: Oxygen transport fails
2) WBC: Impaired defence and
Immune system
3) Platelets: Impaired coagulation
mechanism
Acidosis & Cells damage
 blood toxicities that were commonly encountered in
occupational settings such as
1. benzene-induced bone marrow suppression, Acute
Leukemia
2. aniline and nitrobenzene induced methemoglobinemia,
3. hydrogen sulfide–induced effects.
4. carbon monoxide (impairment of oxygen transport)
 Exposure to hydrogen sulfide can be a significant industrial
concern in the refining of petroleum products and the
biological degradation of Grain, corn etc.
 As for the number of workers affected, benzene and
hydrogen sulfide probably constitute the most significant
risk factors for toxicity
 dapsone (used to treat leprosy) and primaquine (used to
treat malaria) can produce a fatal hemolytic anemia in
certain genetically predisposed individuals (those with a
deficiency in glucose-6-phosphate dehydrogenase).
Local Toxicity
Introduction:
 The skin is the largest organ in the body and is continually
exposed to external stimuli, such as chemical and
environmental substances.
 Cutaneous toxicity can be broadly classified according to
the mechanism of onset, namely:
1)Contact dermatitis:
damage resulting from
contact with a substance
(irritant dermatitis,
allergic contact
dermatitis, chemical
burns)
2)Photosensitivity:
caused by combined
effects of a substance &
ultraviolet light
(phototoxic dermatitis,
photoallergy contact
dermatitis);
3) Contact urticaria:
chemical-induced acne;
pigmentary disturbance;
drug rash;
hair disturbance;
nail disturbance; or
tumor-induced.
Skin carcinogenesis
 Some photoirritants, such as 8-methoxypsoralen, have
been associated with UV-induced skin carcinogenesis.
 p53 is a protein that causes cell cycle arrest, apoptosis, or
 senescence that is crucial in the process of tumor
suppression in several cell types
DMBA/TPA two-stage skin carcinogenesis model, the absence of p53 in
stratified epithelia leads to the appearance of a higher number of tumors that
grow faster and become malignant more frequently than tumors arising in
mice with the wild type p53 genotype
Haematotoxicity & Local Toxicity.pptx

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Haematotoxicity & Local Toxicity.pptx

  • 1. Haematotoxicity & Local Toxicity Dr. Sarita Sharma Assistant Professor Department Of Pharmacology
  • 2. Haematotoxicity  Hematotoxicity essentially affects two basic homeostatic functions: (1)RBC-mediated oxygen transport (2) the production of red and white blood cells and platelets.
  • 3. Basic Hematopoiesis: The Formation Of Blood Cells & Their Differentiation
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  • 5. MOA of Haematotoxicity RBC-mediated oxygen transport fails the production of red and white blood cells & platelets. HYPOXIA Bone marrow suppression Tissue respiration impaired Anaerobic Respiration 1) RBC: Oxygen transport fails 2) WBC: Impaired defence and Immune system 3) Platelets: Impaired coagulation mechanism Acidosis & Cells damage
  • 6.  blood toxicities that were commonly encountered in occupational settings such as 1. benzene-induced bone marrow suppression, Acute Leukemia 2. aniline and nitrobenzene induced methemoglobinemia, 3. hydrogen sulfide–induced effects. 4. carbon monoxide (impairment of oxygen transport)
  • 7.  Exposure to hydrogen sulfide can be a significant industrial concern in the refining of petroleum products and the biological degradation of Grain, corn etc.  As for the number of workers affected, benzene and hydrogen sulfide probably constitute the most significant risk factors for toxicity
  • 8.  dapsone (used to treat leprosy) and primaquine (used to treat malaria) can produce a fatal hemolytic anemia in certain genetically predisposed individuals (those with a deficiency in glucose-6-phosphate dehydrogenase).
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  • 13. Introduction:  The skin is the largest organ in the body and is continually exposed to external stimuli, such as chemical and environmental substances.  Cutaneous toxicity can be broadly classified according to the mechanism of onset, namely:
  • 14. 1)Contact dermatitis: damage resulting from contact with a substance (irritant dermatitis, allergic contact dermatitis, chemical burns) 2)Photosensitivity: caused by combined effects of a substance & ultraviolet light (phototoxic dermatitis, photoallergy contact dermatitis); 3) Contact urticaria: chemical-induced acne; pigmentary disturbance; drug rash; hair disturbance; nail disturbance; or tumor-induced.
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  • 18. Skin carcinogenesis  Some photoirritants, such as 8-methoxypsoralen, have been associated with UV-induced skin carcinogenesis.  p53 is a protein that causes cell cycle arrest, apoptosis, or  senescence that is crucial in the process of tumor suppression in several cell types
  • 19. DMBA/TPA two-stage skin carcinogenesis model, the absence of p53 in stratified epithelia leads to the appearance of a higher number of tumors that grow faster and become malignant more frequently than tumors arising in mice with the wild type p53 genotype