Toxikologie HS12FS13

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Toxikologie HS12FS13 Vetsuisse-Fakultät der Universitäten Zürich und Bern Fachbereich Pharmakologie und Toxikologie Toxikologie Ein Begleittext zur Vorlesung für die Studierenden der Veterinärmedizin Felix R. Althaus – Jacqueline Kupper – Hanspeter Nägeli HS 2012 / FS 2013 Toxikologie II 2 Vorwort Das vorliegende Manuskript dient als Grundlage für die Vorlesung. Es ist ein „Drehbuch“, die dazugehörige Vorlesung der „Film“. Das oberste Ziel dieser Lehrveranstaltung ist die Schulung des pharmakologischen Denkens für die Therapiegestaltung. Für die Vorlesung stehen Ihnen weitere Informationsquellen zur Verfügung: • Das Tierarzneimittelkompendium Schweiz Enthält die Arzneimittelinformationen zu sämtlichen in der Schweiz registrierten Tier- arzneimitteln; wird von unserem Institut jährlich herausgegeben. Als „elektronisches“ Kompendium mit vielen computerunterstützten Suchmöglichkeiten ist es auch unter www.vetpharm.uzh.ch abrufbar. • Pharmakotherapie bei Haus- und Nutztieren W. Löscher, F.R. Ungemach & R. Kroker, Parey in Medizin Verlage Stuttgart, 7. Auflage, 623 Seiten, 2006, ISBN: 978-3-8304-4160-1 (Neuauflage erscheint 20. Okt. 2010). Nachschlagewerk für Arzneimittel-informationen; als Lehrbuch weniger geeignet, da pharmakologische Ausbildung vorausgesetzt wird. • Lehrbuch der Pharmakologie und Toxikologie für Veterinärmediziner H.H. Frey & W. Löscher (Hrsg.), Enke Verlag Stuttgart, 3. Auflage, 672 Seiten, 2010, ISBN: 978-3-8304-1079-9. • Pharmakologie und Toxikologie K. Aktories, U. Förstermann, F. Hofmann & K. Starke, Elsevier Urban & Fischer, München. 10. Auflage, 1248 Seiten, 2009, ISBN: 978-3-437-42522-6. Als Lehrbuch sehr gut geeignet, obwohl humanmedizinisch ausgerichtet. Das vorliegende Vorlesungsmanuskript ist auch als pdf-file auf unserer Institutsseite verfügbar: www.vpt.uzh.ch Zürich und Bern 2012 Felix R. Althaus Jacqueline Kupper Hanspeter Naegeli Toxikologie II 3 Inhaltsverzeichnis 1 Historisches zum Begriff Gift .......................................................................................... 7 2 Definition von Giften ........................................................................................................ 8 3 Bedeutung und Arbeitsgebiete der Toxikologie ........................................................... 9 3.1 Klinische Toxikologie ................................................................................................ 9 3.2 Rückstandstoxikologie .............................................................................................. 9 3.3 Umwelttoxikologie .................................................................................................. 10 4 Mechanismen der Toxizität ........................................................................................... 10 4.1 Toxikokinetik ........................................................................................................... 10 4.2 Toxikodynamik ....................................................................................................... 11 4.3 Giftwirkung durch reaktive Metaboliten .................................................................. 12 4.4 Die Bildung von freien Radikalen ........................................................................... 16 4.5 Die antioxidativen Schutzsysteme der Zelle: das Glutathionsystem ...................... 18 5 Die Reaktionsmuster der Zelle ...................................................................................... 20 5.1 Reparaturmechanismen und ihre Koordination mit andern Zellfunktionen ............ 20 5.2 Wie stirbt eine Zelle: Nekrose versus Apoptose ..................................................... 22 5.3 Karzinogenese ....................................................................................................... 25 6 Teratogenese .................................................................................................................. 27 7 Endokrine Disruptoren .................................................................................................. 27 8 Die Bestimmung einer toxischen Wirkung .................................................................. 28 8.1 Die akute Toxizität .................................................................................................. 29 8.2 Subakute Toxizität .................................................................................................. 30 8.3 Subchronische Toxizität ......................................................................................... 30 8.4 Chronische Toxizität ............................................................................................... 30 8.5 Reproduktionstoxikologie und Teratogenesetests ................................................. 30 8.6 Mutagene und karzinogene Wirkung ...................................................................... 32 9 Die Kosten von Toxizitätstests ..................................................................................... 35 10 Die toxikologische Basis behördlicher Schutzmassnahmen ................................... 35 11 Das Chemikalienrecht (http://www.cheminfo.ch) ....................................................... 38 11.1 Die wichtigsten Punkte des Chemikaliengesetzes ................................................. 38 11.2 Gefahrensymbole und -bezeichnung ..................................................................... 39 11.3 Verbotene Stoffe .................................................................................................... 39 12 Die Giftklassen .............................................................................................................. 39 13 Gesetzliche Grundlagen für die Beurteilung von Rückständen in vom Tier stammenden Lebensmitteln ......................................................................................... 40 Toxikologie II 4 13.1 Die Festlegung von Toleranzen (engl.: Tolerance Levels) .................................... 41 13.2 Die Festlegung von Absetzfristen .......................................................................... 42 14 Umwelttoxikologie ......................................................................................................... 45 14.1 Akkumulation ......................................................................................................... 45 14.2 Biodegradierbarkeit ................................................................................................ 47 14.3 Langzeitwirkungen ................................................................................................. 49 14.4 ‚Endocrine Disruptors‘ – Hormonaktive Chemikalien ............................................. 50 14.5 Resistenzbildung und "substitute pests" ................................................................ 52 15 Erkennung und Management von Vergiftungen ........................................................ 53 16 Diagnostische Richtlinien ............................................................................................ 54 16.1 Anamnese .............................................................................................................. 54 16.2 Klinische Untersuchung ......................................................................................... 55 16.3 Analytik .................................................................................................................. 55 16.4 Amtliche Probeerhebungen ................................................................................... 56 17 Therapeutische Richtlinien .......................................................................................... 57 17.1 Erhaltung der Vitalfunktionen ................................................................................. 57 17.2 Dekontamination .................................................................................................... 58 17.3 Förderung der Giftausscheidung ........................................................................... 60 17.4 Weitere symptomatische Massnahmen ................................................................. 60 17.5 Antidottherapie ....................................................................................................... 61 18 Die wichtigsten Tiervergiftungen ................................................................................. 65 19 Insekticide und Akaricide ............................................................................................. 65 19.1 Amitraz ................................................................................................................... 66 19.2 Avermectine und Milbemycine ............................................................................... 66 19.3 Carbamate und Organophosphate ........................................................................ 68 19.4 Chlorierte cyclische Kohlenwasserstoffe ............................................................... 70 19.5 Nicotin .................................................................................................................... 73 19.6 Pyrethroide ............................................................................................................. 74 20 Rodenticide .................................................................................................................... 75 20.1 Bromethalin ............................................................................................................ 76 20.2 α-Chloralose .........................................................................................................
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