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ch 13 toxicology

QuestionAnswer
Which drug is listed as causing nonimmune-mediated (nonallergic) idiosyncratic hepatotoxicity? Isoniazid, an antituberculosis drug with nonimmune-mediated effects.
Which of the following is an example of an immune-mediated idiosyncratic hepatotoxicity drug? Halothane, an anesthetic linked to allergic reactions in the liver.
What is a key factor in the pathogenesis of idiosyncratic liver injury? Enhanced individual susceptibility with failure to adapt to drug reactions.
How does ethanol exposure contribute to mitochondrial damage? It shifts the bioactivation/detoxification balance, accumulating acetaldehyde.
Nucleoside analog reverse transcriptase inhibitors can cause what type of mitochondrial damage? They often cause miscoding or early termination of polypeptides.
What happens to mitochondrial DNA (mtDNA) due to its reduced repair capacity? It is more vulnerable to miscoding (mutation) than nuclear DNA
What is one observation indicating the role of sinusoidal immune cells in liver injury? Pretreatments that activate/inactivate Kupffer cells modulate damage.
What additional concept does the danger hypothesis add to the hapten hypothesis? Damaged cells release cytokines that generate costimulatory signals.
According to the hapten hypothesis, what presents reactive metabolites to th cells APCs (antigen-presenting cells) with MHC II molecules effectively.
What is the consequence if liver injury is too severe and cell proliferation is inhibited? The dose-responsive regeneration capacity is exceeded quickly.
Carbon tetrachloride exposure primarily leads to what cellular disturbance? Disturbances of Ca ++ homeostasis and necrotic cell death.
Created by: aceofspades08
 

 



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