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Summary Toxicology and Development (2026)

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Summary of the Toxicology and Development course of the minor Biomedical Topics in Healthcare at the VU. This summary was created based on the slides with additional clarifications.

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Toxicology and development (AB_1026)


Lecture 1: Kickoff
Dose reponse curves: the dose makes the poison. Everything can be toxic, but it depends on
the dose; low doses may cause no effect, while higher doses can cause stronger effects.

LD50: the dose at which 50% of the population dies

Duration of exposure:

1. Acute: <24 hours
2. Sub- acute: up to 28 days
3. Sub- chronic: 1-3 months
4. Chronic: >3 months

Frequency of exposure:

1. Peak exposure: one short high dose
2. Constant exposure
3. Repeated (pulse) exposure: multiple separate doses over time

Toxicokinetic: what does the organism do with the chemical?

 ADME: absorption, distribution, metabolism and elimination

Toxicodynamic: what does the chemical do to the organism?

Lecture 2: Introduction to toxicology part 1
Minamata disease: release of methylmercury into industrial wastewater -> chemical
bioaccumulated in shellfish/ fish -> eaten by the local population -> ataxia, muscle weakness,
microcephaly and cognitive disabilities.

Diethylstilbestrol (DES) syndrome: exposure to DES during pregnancy to prevent
miscarriages -> malformation syndrome in children and grandchildren of women who were
exposed (reproductive tract malformation, decreased fertility and increased risk of cervical
cancer).

Thalidomide/ softenon: drug to prevent morning sickness, but teratogenic -> amelia (absence
of limbs) or phocomelia (shortened limbs).

Toxic effects:

1. Systemic toxicity: substance is absorbed and distributed throughout the whole body,
but mainly affects one or two organs, called the target organs of toxicity.
2. Organ specific toxicity: specific target organs are affected

, Toxicology and development (AB_1026)

Distribution: accumulation (result: more than average distribution) + barriers (result: less than
average distribution, examples: brain + placenta)

1. Brain: blood- brain barrier, a protective barrier which limits what can move from the
blood into the brain.
 Made of tightly joined endothelial cells,
surrounded by astrocytes and ATP-
dependent transporters.
- Not a complete barrier: small
molecules and lipid- soluble
substances can pass!
2. The placenta: not a real ‘barrier’, but
prevents many harmful substances from
passing from mother to child
- Not a complete barrier: many lipid-
soluble substances can pass!

Biotransformation: an enzymatic change to the structure of a molecule that alters its activity

 Goal: make it less toxic (detoxification), but sometimes it becomes more toxic
(bioactivation)!

Excretion: most common (urine and faeces), alternative (exhalation and sweat)

Reproductive toxicity: damage to the male or female reproductive organs

Hepatoxicity: toxicity to the liver, bile duct and gall bladder

Nephrotoxicity: toxicity to the kidney

Neurotoxicity: damage to the cells of the central nervous system, as well as the peripheral
nervous system

1. Neuronopathy: primary damage to the neuron cell body
- Aluminum: degeneration in brain cortex
- Arsenic: axonal degeneration in peripheral nervous system
- Methanol: ganglion cell degeneration
2. Axonopathy: primary damage to the axon
- Acrylamide: progressive axonal degeneration
3. Myelopathy: primary damage to the myelin sheath or supporting glial cells
4. Synaptic signaling damage: interference with neurotransmission

Immunotoxicity: toxicity of the immune system

 Hypersensitivity: immune system becomes too active = allergies
 Immunodeficiency: immune system becomes weakened = infections
 Uncontrolled proliferation: immune cells grow uncontrollably = leukemia

Respiratory toxicity: any effect on the upper respiratory system and lower respiratory system

Blood and cardiac toxicity: toxicity directly on cells in the circulating blood, bone marrow and
heart

, Toxicology and development (AB_1026)


Lecture 3: Introduction to toxicology part 2
Concentration- response relationships:

1. Concentration increases -> response of the endpoint decreases
- Survival: higher concentration -> less survival
- Enzyme activity: higher concentration -> less enzyme activity
2. Concentration increases -> response of the endpoint increases
- Mortality: higher concentration -> more mortality
- Enzyme inhibition: higher concentration -> more enzyme inhibition




LD50/ LC50: the dose/ concentration at which 50% of the population dies

ED50/ EC50: the dose/ concentration which causes 50% of the maximum effect

ED10/ EC10: the dose/ concentration which causes 10% of the maximum effect

NOEC (no observed effect concentration): highest dose where no effect is seen

LOEC (lowest observed effect concentration): lowest dose where an effect first appears

= The lower the endpoint value, the more toxic the chemical!

Use of the concentration response curve:

1. Forward use: from dose to response -> to predict an effect size and to predict a risk
2. Backward use: from response to dose -> to define the toxicity of the chemical

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