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Wednesday, April 7, 2021

Water pollution

From Wikipedia, the free encyclopedia
 
Raw sewage and industrial waste in the New River as it passes from Mexicali (Mexico) to Calexico, California

Water pollution is the contamination of water bodies, usually as a result of human activities. Water bodies include for example lakes, rivers, oceans, aquifers and groundwater. Water pollution results when contaminants are introduced into the natural environment. For example, releasing inadequately treated wastewater into natural water bodies can lead to degradation of aquatic ecosystems. In turn, this can lead to public health problems for people living downstream. They may use the same polluted river water for drinking or bathing or irrigation. Water pollution is the leading worldwide cause of death and disease, e.g. due to water-borne diseases.

Water pollution can be classified as surface water or groundwater pollution. Marine pollution and nutrient pollution are subsets of water pollution. Sources of water pollution are either point sources or non-point sources. Point sources have one identifiable cause of the pollution, such as a storm drain or a wastewater treatment plant. Non-point sources are more diffuse, such as agricultural runoff. Pollution is the result of the cumulative effect over time. All plants and organisms living in or being exposed to polluted water bodies can be impacted. The effects can damage individual species and impact the natural biological communities they are part of.

The causes of water pollution include a wide range of chemicals and pathogens as well as physical parameters. Contaminants may include organic and inorganic substances. Elevated temperatures can also lead to polluted water. A common cause of thermal pollution is the use of water as a coolant by power plants and industrial manufacturers. Elevated water temperatures decrease oxygen levels, which can kill fish and alter food chain composition, reduce species biodiversity, and foster invasion by new thermophilic species.

Water pollution is measured by analysing water samples. Physical, chemical and biological tests can be conducted. Control of water pollution requires appropriate infrastructure and management plans. The infrastructure may include wastewater treatment plants. Sewage treatment plants and industrial wastewater treatment plants are usually required to protect water bodies from untreated wastewater. Agricultural wastewater treatment for farms, and erosion control at construction sites can also help prevent water pollution. Nature-based solutions are another approach to prevent water pollution. Effective control of urban runoff includes reducing speed and quantity of flow. In the United States, best management practices for water pollution include approaches to reduce the quantity of water and improve water quality.

Introduction

Pollution in the Lachine Canal, Canada

Water is typically referred to as polluted when it is impaired by anthropogenic contaminants. Due to these contaminants it either does not support a human use, such as drinking water, or undergoes a marked shift in its ability to support its biotic communities, such as fish. Natural phenomena such as volcanoes, algae blooms, storms, and earthquakes also cause major changes in water quality and the ecological status of water.

Water pollution is a major global problem. It requires ongoing evaluation and revision of water resource policy at all levels (international down to individual aquifers and wells). It has been suggested that water pollution is the leading worldwide cause of death and diseases. Water pollution accounted for the deaths of 1.8 million people in 2015.

The organization Global Oceanic Environmental Survey (GOES) consider water pollution as one of the main environmental problems that can present a danger for the existence of life on earth in the next decades. One of the main concerns, is that water pollution, heart phytoplankton who produce 70% of oxygen and remove a large part of carbon dioxide on earth. The organization proposes a number of measures for fixing the situation, but they should be taken in the next 10 years for being effective.

India and China are two countries with high levels of water pollution. An estimated 580 people in India die of water pollution related illness (including waterborne diseases) every day. About 90 percent of the water in the cities of China is polluted. As of 2007, half a billion Chinese had no access to safe drinking water.

In addition to the acute problems of water pollution in developing countries, developed countries also continue to struggle with pollution problems. For example, in a report on water quality in the United States in 2009, 44 percent of assessed stream miles, 64 percent of assessed lake acres, and 30 percent of assessed bays and estuarine square miles were classified as polluted.

Types

Surface water pollution

Mean eutrophying emissions (water pollution) of different foods per 100g of protein
Food Types Eutrophying Emissions (g PO43-eq per 100g protein)
Beef
365.3
Farmed Fish
235.1
Farmed Crustaceans
227.2
Cheese
98.4
Lamb and Mutton
97.1
Pork
76.4
Poultry
48.7
Eggs
21.8
Groundnuts
14.1
Peas
7.5
Tofu
6.2

Surface water pollution includes pollution of rivers, lakes and oceans. A subset of surface water pollution is marine pollution.

Marine pollution

A polluted river draining an abandoned copper mine on Anglesey

One common path of entry by contaminants to the sea are rivers. An example is directly discharging sewage and industrial waste into the ocean. Pollution such as this occurs particularly in developing nations. In fact, the 10 largest emitters of oceanic plastic pollution worldwide are, from the most to the least, China, Indonesia, Philippines, Vietnam, Sri Lanka, Thailand, Egypt, Malaysia, Nigeria, and Bangladesh, largely through the rivers Yangtze, Indus, Yellow, Hai, Nile, Ganges, Pearl, Amur, Niger, and the Mekong, and accounting for "90 percent of all the plastic that reaches the world's oceans."

Large gyres (vortexes) in the oceans trap floating plastic debris. Plastic debris can absorb toxic chemicals from ocean pollution, potentially poisoning any creature that eats it. Many of these long-lasting pieces end up in the stomachs of marine birds and animals. This results in obstruction of digestive pathways, which leads to reduced appetite or even starvation.

There are a variety of secondary effects stemming not from the original pollutant, but a derivative condition. An example is silt-bearing surface runoff, which can inhibit the penetration of sunlight through the water column, hampering photosynthesis in aquatic plants.

Groundwater pollution

Interactions between groundwater and surface water are complex. Consequently, groundwater pollution, also referred to as groundwater contamination, is not as easily classified as surface water pollution. By its very nature, groundwater aquifers are susceptible to contamination from sources that may not directly affect surface water bodies. The distinction of point vs. non-point source may be irrelevant in some situations.

Analysis of groundwater contamination may focus on soil characteristics and site geology, hydrogeology, hydrology, and the nature of the contaminants. Causes of groundwater pollution include: naturally-occurring (geogenic), on-site sanitation systems, sewage, fertilizers and pesticide, commercial and industrial leaks, hydraulic fracturing, landfill leachate.

Categories of pollution sources

Surface water and groundwater have often been studied and managed as separate resources even though they are interrelated. Surface water seeps through the soil and becomes groundwater. Conversely, groundwater can also feed surface water sources. Sources of surface water pollution are generally grouped into two categories based on their origin.

Point sources

Point source pollution at a shipyard in Rio de Janeiro, Brazil.

Point source water pollution refers to contaminants that enter a waterway from a single, identifiable source, such as a pipe or ditch. Examples of sources in this category include discharges from a sewage treatment plant, a factory, or a city storm drain.

The U.S. Clean Water Act (CWA) defines point source for regulatory enforcement purposes. The CWA definition of point source was amended in 1987 to include municipal storm sewer systems, as well as industrial storm water, such as from construction sites.

Non-point sources

Nonpoint source pollution refers to diffuse contamination that does not originate from a single discrete source. This type of pollution is often the cumulative effect of small amounts of contaminants gathered from a large area. A common example is the leaching out of nitrogen compounds from fertilized agricultural lands. Nutrient runoff in storm water from "sheet flow" over an agricultural field or a forest are also cited as examples of non-point source pollution.

Blue drain and yellow fish symbol used by the UK Environment Agency to raise awareness of the ecological impacts of contaminating surface drainage

Contaminated storm water washed off of parking lots, roads and highways, called urban runoff, is sometimes included under the category of non-point sources. This runoff becomes a point source because it is typically channeled into storm drain systems and discharged through pipes to local surface waters.

Contaminants and their sources

The specific contaminants leading to pollution in water include a wide spectrum of chemicals, pathogens, and physical changes such as elevated temperature and discoloration. While many of the chemicals and substances that are regulated may be naturally occurring (calcium, sodium, iron, manganese, etc.) the concentration usually determines what is a natural component of water and what is a contaminant. High concentrations of naturally occurring substances can have negative impacts on aquatic flora and fauna.

Oxygen-depleting substances may be natural materials such as plant matter (e.g. leaves and grass) as well as man-made chemicals. Other natural and anthropogenic substances may cause turbidity (cloudiness) which blocks light and disrupts plant growth, and clogs the gills of some fish species.

Alteration of water's physical chemistry includes acidity (change in pH), electrical conductivity, temperature, and eutrophication. Eutrophication is an increase in the concentration of chemical nutrients in an ecosystem to an extent that increases the primary productivity of the ecosystem. Depending on the degree of eutrophication, subsequent negative environmental effects such as anoxia (oxygen depletion) and severe reductions in water quality may occur, affecting fish and other animal populations.

Pathogens

Poster to teach people in South Asia about human activities leading to the pollution of water sources
 
A manhole cover unable to contain a sanitary sewer overflow.
 
Fecal sludge collected from pit latrines is dumped into a river at the Korogocho slum in Nairobi, Kenya.

Disease-causing microorganisms are referred to as pathogens. Pathogens can produce waterborne diseases in either human or animal hosts. Coliform bacteria, which are not an actual cause of disease, are commonly used as a bacterial indicator of water pollution. Other microorganisms sometimes found in contaminated surface waters that have caused human health problems include:

High levels of pathogens may result from on-site sanitation systems (septic tanks, pit latrines) or inadequately treated sewage discharges. Older cities with ageing infrastructure may have leaky sewage collection systems (pipes, pumps, valves), which can cause sanitary sewer overflows. Some cities also have combined sewers, which may discharge untreated sewage during rain storms. Silt (sediment) from sewage discharges also pollutes water bodies.

Muddy river polluted by sediment.

Pathogen discharges may also be caused by poorly managed livestock operations.

Organic, inorganic and macroscopic contaminants

Contaminants may include organic and inorganic substances. Many of the chemical substances are toxic.

A garbage collection boom to reduce pollution in an urban stream in Auckland, New Zealand.

Organic water pollutants include:

Inorganic water pollutants include:

Macroscopic pollution – large visible items polluting the water – may be termed "floatables" in an urban storm water context, or marine debris when found on the open seas, and can include such items as:

  • Trash or garbage (e.g. paper, plastic, or food waste) discarded by people on the ground, along with accidental or intentional dumping of rubbish, that are washed by rainfall into storm drains and eventually discharged into surface waters.
  • Nurdles, small ubiquitous waterborne plastic pellets.
  • Shipwrecks, large derelict ships.
The Brayton Point Power Station in Massachusetts discharges heated water to Mount Hope Bay.

Change in temperature

Thermal pollution is the rise or fall in the temperature of a natural body of water caused by human influence. Thermal pollution, unlike chemical pollution, results in a change in the physical properties of water. A common cause of thermal pollution is the use of water as a coolant by power plants and industrial manufacturers. Elevated water temperatures decrease oxygen levels, which can kill fish and alter food chain composition, reduce species biodiversity, and foster invasion by new thermophilic species. Urban runoff may also elevate temperature in surface waters.

Thermal pollution can also be caused by the release of very cold water from the base of reservoirs into warmer rivers.

Measurement

Environmental scientists preparing water autosamplers.

Water pollution may be analyzed through several broad categories of methods: physical, chemical and biological. Most involve collection of samples, followed by specialized analytical tests. Some methods may be conducted in situ, without sampling, such as temperature. Government agencies and research organizations have published standardized, validated analytical test methods to facilitate the comparability of results from disparate testing events.

Sampling

Sampling of water for physical or chemical testing can be done by several methods, depending on the accuracy needed and the characteristics of the contaminant. Many contamination events are sharply restricted in time, most commonly in association with rain events. For this reason "grab" samples are often inadequate for fully quantifying contaminant levels. Scientists gathering this type of data often employ auto-sampler devices that pump increments of water at either time or discharge intervals.

Sampling for biological testing involves collection of plants and animals from the surface water body. Depending on the type of assessment, the organisms may be identified for biosurveys (population counts) and returned to the water body, or they may be dissected for bioassays to determine toxicity.

Physical testing

Common physical tests of water include temperature, solids concentrations (e.g., total suspended solids (TSS)) and turbidity.

Chemical testing

Water samples may be examined using the principles of analytical chemistry. Many published test methods are available for both organic and inorganic compounds. Frequently used methods include pH, biochemical oxygen demand (BOD), chemical oxygen demand (COD), nutrients (nitrate and phosphorus compounds), metals (including copper, zinc, cadmium, lead and mercury), oil and grease, total petroleum hydrocarbons (TPH), and pesticides.

Biological testing

Biological testing involves the use of plant, animal or microbial indicators to monitor the health of an aquatic ecosystem. They are any biological species or group of species whose function, population, or status can reveal what degree of ecosystem or environmental integrity is present. One example of a group of bio-indicators are the copepods and other small water crustaceans that are present in many water bodies. Such organisms can be monitored for changes (biochemical, physiological, or behavioral) that may indicate a problem within their ecosystem.

Control of pollution

Municipal wastewater treatment

Deer Island Wastewater Treatment Plant serving Boston, Massachusetts and vicinity.

In urban areas of developed countries, municipal wastewater (or sewage) is typically treated by centralized sewage treatment plants. Well-designed and operated systems (i.e., with secondary treatment steps or more advanced treatment) can remove 90 percent or more of the pollutant load in sewage. Some plants have additional systems to remove nutrients and pathogens, but these more advanced treatment steps get progressively more expensive.

Nature-based solutions are also being used instead of (or in combination with) centralized treatment plants.

Cities with sanitary sewer overflows or combined sewer overflows employ one or more engineering approaches to reduce discharges of untreated sewage, including:

  • utilizing a green infrastructure approach to improve storm water management capacity throughout the system, and reduce the hydraulic overloading of the treatment plant
  • repair and replacement of leaking and malfunctioning equipment
  • increasing overall hydraulic capacity of the sewage collection system (often a very expensive option).

On-site sanitation and safely managed sanitation

Households or businesses not served by a municipal treatment plant may have an individual septic tank, which pre-treats the wastewater on site and infiltrates it into the soil. Improperly designed or installed septic systems can cause groundwater pollution.

Globally, about 4.5 billion people do not have safely managed sanitation as of 2017, according to an estimate by the Joint Monitoring Programme for Water Supply and Sanitation. Lack of access to sanitation often leads to water pollution, e.g. via the practice of open defecation: during rain events or floods, the human feces are moved from the ground where they were deposited into surface waters. Simple pit latrines may also get flooded during rain events. The use of safely managed sanitation services would prevent this type of water pollution.

Industrial wastewater treatment

Dissolved air flotation system for treating industrial wastewater.

Some industrial facilities generate wastewater that is similar to domestic sewage and can be treated by sewage treatment plants. Industries that generate wastewater with high concentrations of organic matter (e.g. oil and grease), toxic pollutants (e.g. heavy metals, volatile organic compounds) or nutrients such as ammonia, need specialized treatment systems. Some industries install a pre-treatment system to remove some pollutants (e.g., toxic compounds), and then discharge the partially treated wastewater to the municipal sewer system. Industries generating large volumes of wastewater typically operate their own treatment systems. Some industries have been successful at redesigning their manufacturing processes to reduce or eliminate pollutants, through a process called pollution prevention.

To remove heat from wastewater generated by power plants or manufacturing plants the following technologies are used:

Riparian buffer lining a creek in Iowa.

Agricultural wastewater treatment

The control of pollution from agricultural activities can be grouped into "Non point source controls" and "Point source controls". With regards to non point sources, sediment (loose soil) washed off fields is the largest source of agricultural pollution in the United States. Farmers may utilize erosion controls to reduce runoff flows and retain soil on their fields. Common techniques include contour plowing, crop mulching, crop rotation, planting perennial crops and installing riparian buffers. Nutrients (nitrogen and phosphorus) are typically applied to farmland as commercial fertilizer, animal manure, or spraying of municipal or industrial wastewater (effluent) or sludge. Nutrients may also enter runoff from crop residues, irrigation water, wildlife, and atmospheric deposition. Farmers can develop and implement nutrient management plans to reduce excess application of nutrients and reduce the potential for nutrient pollution. To minimize pesticide impacts, farmers may use Integrated Pest Management (IPM) techniques (which can include biological pest control) to maintain control over pests, reduce reliance on chemical pesticides, and protect water quality.

Farms with large livestock and poultry operations, such as factory farms, are called "concentrated animal feeding operations" or "feedlots" in the US and are being subject to increasing government regulation. Animal slurries are usually treated by containment in anaerobic lagoons before disposal by spray or trickle application to grassland. Constructed wetlands are sometimes used to facilitate treatment of animal wastes. Some animal slurries are treated by mixing with straw and composted at high temperature to produce a bacteriologically sterile and friable manure for soil improvement. These technologies are referred as "point source controls".

Erosion and sediment control from construction sites

Silt fence installed on a construction site.

Sediment from construction sites is managed by installation of:

Discharge of toxic chemicals such as motor fuels and concrete washout is prevented by use of:

  • spill prevention and control plans, and
  • specially designed containers (e.g. for concrete washout) and structures such as overflow controls and diversion berms.

Control of urban runoff (storm water)

Effective control of urban runoff involves reducing the velocity and flow of storm water, as well as reducing pollutant discharges. Local governments use a variety of storm water management techniques to reduce the effects of urban runoff. These techniques, called best management practices for water pollution (BMPs) in the U.S., may focus on water quantity control, while others focus on improving water quality, and some perform both functions.

Pollution prevention practices include low-impact development techniques, installation of green roofs and improved chemical handling (e.g. management of motor fuels & oil, fertilizers and pesticides). Runoff mitigation systems include infiltration basins, bioretention systems, constructed wetlands, retention basins and similar devices.

Thermal pollution from runoff can be controlled by storm water management facilities that absorb the runoff or direct it into groundwater, such as bioretention systems and infiltration basins. Retention basins tend to be less effective at reducing temperature, as the water may be heated by the sun before being discharged to a receiving stream.

Pharmacology

From Wikipedia, the free encyclopedia

Pharmacology
Constant tempertature bath for isolated organs Wellcome M0013241.jpg
Diagrammatic representation of organ bath used for studying the effect of isolated tissues.
MeSH Unique IDD010600

Pharmacology is a branch of medicine and pharmaceutical sciences concerned with drug or medication action, where a drug may be defined as any artificial, natural, or endogenous (from within the body) molecule which exerts a biochemical or physiological effect on the cell, tissue, organ, or organism (sometimes the word pharmacon is used as a term to encompass these endogenous and exogenous bioactive species). More specifically, it is the study of the interactions that occur between a living organism and chemicals that affect normal or abnormal biochemical function. If substances have medicinal properties, they are considered pharmaceuticals.

The field encompasses drug composition and properties, synthesis and drug design, molecular and cellular mechanisms, organ/systems mechanisms, signal transduction/cellular communication, molecular diagnostics, interactions, chemical biology, therapy, and medical applications and antipathogenic capabilities. The two main areas of pharmacology are pharmacodynamics and pharmacokinetics. Pharmacodynamics studies the effects of a drug on biological systems, and pharmacokinetics studies the effects of biological systems on a drug. In broad terms, pharmacodynamics discusses the chemicals with biological receptors, and pharmacokinetics discusses the absorption, distribution, metabolism, and excretion (ADME) of chemicals from the biological systems.

Pharmacology is not synonymous with pharmacy and the two terms are frequently confused. Pharmacology, a biomedical science, deals with the research, discovery, and characterization of chemicals which show biological effects and the elucidation of cellular and organismal function in relation to these chemicals. In contrast, pharmacy, a health services profession, is concerned with the application of the principles learned from pharmacology in its clinical settings; whether it be in a dispensing or clinical care role. In either field, the primary contrast between the two is their distinctions between direct-patient care, pharmacy practice, and the science-oriented research field, driven by pharmacology.

Etymology

The word pharmacology is derived from Greek φάρμακον, pharmakon, "drug, poison" and -λογία, -logia "study of", "knowledge of" (cf. the etymology of pharmacy). Pharmakon is related to pharmakos, the ritualistic sacrifice or exile of a human scapegoat or victim in Ancient Greek religion.

The modern term pharmacon is used more broadly than the term drug because it includes endogenous substances, and biologically active substances which are not used as drugs. Typically it includes pharmacological agonists and antagonists, but also enzyme inhibitors (such as monoamine oxidase inhibitors). 

History

Naturally derived opium from opium poppies has been used as a drug since before 1100 BCE.
 
Opium's major active constituent, morphine, was first isolated in 1804 and is now known to act as an opioid agonist.

The origins of clinical pharmacology date back to the Middle Ages, with pharmacognosy and Avicenna's The Canon of Medicine, Peter of Spain's Commentary on Isaac, and John of St Amand's Commentary on the Antedotary of Nicholas. Early pharmacology focused on herbalism and natural substances, mainly plant extracts. Medicines were compiled in books called pharmacopoeias. Crude drugs have been used since prehistory as a preparation of substances from natural sources. However, the active ingredient of crude drugs are not purified and the substance is adulterated with other substances.

Traditional medicine varies between cultures and may be specific to a particular culture, such as in traditional Chinese, Mongolian, Tibetan and Korean medicine. However much of this has since been regarded as pseudoscience. Pharmacological substances known as entheogens may have spiritual and religious use and historical context.

In the 17th century, the English physician Nicholas Culpeper translated and used pharmacological texts. Culpeper detailed plants and the conditions they could treat. In the 18th century, much of clinical pharmacology was established by the work of William Withering. Pharmacology as a scientific discipline did not further advance until the mid-19th century amid the great biomedical resurgence of that period. Before the second half of the nineteenth century, the remarkable potency and specificity of the actions of drugs such as morphine, quinine and digitalis were explained vaguely and with reference to extraordinary chemical powers and affinities to certain organs or tissues. The first pharmacology department was set up by Rudolf Buchheim in 1847, in recognition of the need to understand how therapeutic drugs and poisons produced their effects. Subsequently, the first pharmacology department in England was set up in 1905 at University College London.

Pharmacology developed in the 19th century as a biomedical science that applied the principles of scientific experimentation to therapeutic contexts. The advancement of research techniques propelled pharmacological research and understanding. The development of the organ bath preparation, where tissue samples are connected to recording devices, such as a myograph, and physiological responses are recorded after drug application, allowed analysis of drugs' effects on tissues. The development of the ligand binding assay in 1945 allowed quantification of the binding affinity of drugs at chemical targets. Modern pharmacologists use techniques from genetics, molecular biology, biochemistry, and other advanced tools to transform information about molecular mechanisms and targets into therapies directed against disease, defects or pathogens, and create methods for preventative care, diagnostics, and ultimately personalized medicine.

Divisions

The discipline of pharmacology can be divided into many sub disciplines each with a specific focus.

Systems of the body

A variety of topics involved with pharmacology, including neuropharmacology, renal pharmacology, human metabolism, intracellular metabolism, and intracellular regulation.

Pharmacology can also focus on specific systems comprising the body. Divisions related to bodily systems study the effects of drugs in different systems of the body. These include neuropharmacology, in the central and peripheral nervous systems; immunopharmacology in the immune system. Other divisions include cardiovascular, renal and endocrine pharmacology. Psychopharmacology is the study of the use of drugs that affect the psyche, mind and behavior (e.g. antidepressants) in treating mental disorders (e.g. depression). It incorporates approaches and techniques from neuropharmacology, animal behavior and behavioral neuroscience, and is interested in the behavioral and neurobiological mechanisms of action of psychoactive drugs. The related field of neuropsychopharmacology focuses on the effects of drugs at the overlap between the nervous system and the psyche.

Pharmacometabolomics, also known as pharmacometabonomics, is a field which stems from metabolomics, the quantification and analysis of metabolites produced by the body. It refers to the direct measurement of metabolites in an individual's bodily fluids, in order to predict or evaluate the metabolism of pharmaceutical compounds, and to better understand the pharmacokinetic profile of a drug. Pharmacometabolomics can be applied to measure metabolite levels following the administration of a drug, in order to monitor the effects of the drug on metabolic pathways. Pharmacomicrobiomics studies the effect of microbiome variations on drug disposition, action, and toxicity. Pharmacomicrobiomics is concerned with the interaction between drugs and the gut microbiome. Pharmacogenomics is the application of genomic technologies to drug discovery and further characterization of drugs related to an organism's entire genome. For pharmacology regarding individual genes, pharmacogenetics studies how genetic variation gives rise to differing responses to drugs.[citation needed] Pharmacoepigenetics studies the underlying epigenetic marking patterns that lead to variation in an individual's response to medical treatment.

Clinical practice and drug discovery

A toxicologist working in a lab.

Pharmacology can be applied within clinical sciences. Clinical pharmacology is the basic science of pharmacology focusing on the application of pharmacological principles and methods in the medical clinic and towards patient care and outcomes. An example of this is posology, which is the study of how medicines are dosed.

Pharmacology is closely related to toxicology. Both pharmacology and toxicology are scientific disciplines that focus on understanding the properties and actions of chemicals. However, pharmacology emphasizes the therapeutic effects of chemicals, usually drugs or compounds that could become drugs, whereas toxicology is the study of chemical's adverse effects and risk assessment.

Pharmacological knowledge is used to advise pharmacotherapy in medicine and pharmacy.

Drug discovery

Drug discovery is the field of study concerned with creating new drugs. It encompasses the subfields of drug design and development. Drug discovery starts with drug design, which is the inventive process of finding new drugs. In the most basic sense, this involves the design of molecules that are complementary in shape and charge to a given biomolecular target. After a lead compound has been identified through drug discovery, drug development involves bringing the drug to the market. Drug discovery is related to pharmacoeconomics, which is the sub-discipline of health economics that considers the value of drugs. Pharmacoeconomics evaluates the cost and benefits of drugs in order to guide optimal healthcare resource allocation. The techniques used for the discovery, formulation, manufacturing and quality control of drugs discovery is studied by pharmaceutical engineering, a branch of engineering. Safety pharmacology specialises in detecting and investigating potential undesirable effects of drugs.

Drug discovery cycle schematic
The image above contains clickable links
The drug discovery cycle.

Development of medication is a vital concern to medicine, but also has strong economical and political implications. To protect the consumer and prevent abuse, many governments regulate the manufacture, sale, and administration of medication. In the United States, the main body that regulates pharmaceuticals is the Food and Drug Administration; they enforce standards set by the United States Pharmacopoeia. In the European Union, the main body that regulates pharmaceuticals is the EMA, and they enforce standards set by the European Pharmacopoeia.

The metabolic stability and the reactivity of a library of candidate drug compounds have to be assessed for drug metabolism and toxicological studies. Many methods have been proposed for quantitative predictions in drug metabolism; one example of a recent computational method is SPORCalc. A slight alteration to the chemical structure of a medicinal compound could alter its medicinal properties, depending on how the alteration relates to the structure of the substrate or receptor site on which it acts: this is called the structural activity relationship (SAR). When a useful activity has been identified, chemists will make many similar compounds called analogues, to try to maximize the desired medicinal effect(s). This can take anywhere from a few years to a decade or more, and is very expensive. One must also determine how safe the medicine is to consume, its stability in the human body and the best form for delivery to the desired organ system, such as tablet or aerosol. After extensive testing, which can take up to six years, the new medicine is ready for marketing and selling.

Because of these long timescales, and because out of every 5000 potential new medicines typically only one will ever reach the open market, this is an expensive way of doing things, often costing over 1 billion dollars. To recoup this outlay pharmaceutical companies may do a number of things:

  • Carefully research the demand for their potential new product before spending an outlay of company funds.
  • Obtain a patent on the new medicine preventing other companies from producing that medicine for a certain allocation of time.

The inverse benefit law describes the relationship between a drugs therapeutic benefits and its marketing.

When designing drugs, the placebo effect must be considered to assess the drug's true therapeutic value.

Drug development uses techniques from medicinal chemistry to chemically design drugs. This overlaps with the biological approach of finding targets and physiological effects.

Wider contexts

Pharmacology can be studied in relation to wider contexts than the physiology of individuals. For example, pharmacoepidemiology concerns the variations of the effects of drugs in or between populations, it is the bridge between clinical pharmacology and epidemiology. Pharmacoenvironmentology or environmental pharmacology is the study of the effects of used pharmaceuticals and personal care products (PPCPs) on the environment after their elimination from the body. Human health and ecology are intimately related so environmental pharmacology studies the environmental effect of drugs and pharmaceuticals and personal care products in the environment.

Drugs may also have ethnocultural importance, so ethnopharmacology studies the ethnic and cultural aspects of pharmacology.

Emerging fields

Photopharmacology is an emerging approach in medicine in which drugs are activated and deactivated with light. The energy of light is used to change for shape and chemical properties of the drug, resulting in different biological activity. This is done to ultimately achieve control when and where drugs are active in a reversible manner, to prevent side effects and pollution of drugs into the environment.

Theory of pharmacology

A trio of dose response curves. Dose response curves are studied extensively in pharmacology.

The study of chemicals requires intimate knowledge of the biological system affected. With the knowledge of cell biology and biochemistry increasing, the field of pharmacology has also changed substantially. It has become possible, through molecular analysis of receptors, to design chemicals that act on specific cellular signaling or metabolic pathways by affecting sites directly on cell-surface receptors (which modulate and mediate cellular signaling pathways controlling cellular function).

Chemicals can have pharmacologically relevant properties and effects. Pharmacokinetics describes the effect of the body on the chemical (e.g. half-life and volume of distribution), and pharmacodynamics describes the chemical's effect on the body (desired or toxic).

Systems, receptors and ligands

The cholinergic synapse. Targets in synapses can be modulated with pharmacological agents. In this case, cholinergics (such as muscarine) and anticholinergics (such as atropine) target receptors; transporter inhibitors (such as hemicholinium) target membrane transport proteins and anticholinesterases (such as sarin) target enzymes.

Pharmacology is typically studied with respect to particular systems, for example endogenous neurotransmitter systems. The major systems studied in pharmacology can be categorised by their ligands and include acetylcholine, adrenaline, glutamate, GABA, dopamine, histamine, serotonin, cannabinoid and opioid.

Molecular targets in pharmacology include receptors, enzymes and membrane transport proteins. Enzymes can be targeted with enzyme inhibitors. Receptors are typically categorised based on structure and function. Major receptor types studied in pharmacology include G protein coupled receptors, ligand gated ion channels and receptor tyrosine kinases.

Pharmacology

Pharmacodynamics is defined as how the body reacts to the drugs. Pharmacology models include the Hill equation, Cheng-Prusoff equation and Schild regression. Pharmacodynamics theory often investigates the binding affinity of ligands to their receptors.

Medication is said to have a narrow or wide therapeutic index, certain safety factor or therapeutic window. This describes the ratio of desired effect to toxic effect. A compound with a narrow therapeutic index (close to one) exerts its desired effect at a dose close to its toxic dose. A compound with a wide therapeutic index (greater than five) exerts its desired effect at a dose substantially below its toxic dose. Those with a narrow margin are more difficult to dose and administer, and may require therapeutic drug monitoring (examples are warfarin, some antiepileptics, aminoglycoside antibiotics). Most anti-cancer drugs have a narrow therapeutic margin: toxic side-effects are almost always encountered at doses used to kill tumors.

The effect of drugs can be described with Loewe additivity.

Pharmacokinetics

Pharmacokinetics is the study of the bodily absorption, distribution, metabolism, and excretion of drugs.

When describing the pharmacokinetic properties of the chemical that is the active ingredient or active pharmaceutical ingredient (API), pharmacologists are often interested in L-ADME:

  • Liberation – How is the API disintegrated (for solid oral forms (breaking down into smaller particles), dispersed, or dissolved from the medication?
  • Absorption – How is the API absorbed (through the skin, the intestine, the oral mucosa)?
  • Distribution – How does the API spread through the organism?
  • Metabolism – Is the API converted chemically inside the body, and into which substances. Are these active (as well)? Could they be toxic?
  • Excretion – How is the API excreted (through the bile, urine, breath, skin)?

Drug metabolism is assessed in pharmacokinetics and is important in drug research and prescribing.

Administration, drug policy and safety

Drug policy

In the United States, the Food and Drug Administration (FDA) is responsible for creating guidelines for the approval and use of drugs. The FDA requires that all approved drugs fulfill two requirements:

  1. The drug must be found to be effective against the disease for which it is seeking approval (where 'effective' means only that the drug performed better than placebo or competitors in at least two trials).
  2. The drug must meet safety criteria by being subject to animal and controlled human testing.

Gaining FDA approval usually takes several years. Testing done on animals must be extensive and must include several species to help in the evaluation of both the effectiveness and toxicity of the drug. The dosage of any drug approved for use is intended to fall within a range in which the drug produces a therapeutic effect or desired outcome.

The safety and effectiveness of prescription drugs in the U.S. are regulated by the federal Prescription Drug Marketing Act of 1987.

The Medicines and Healthcare products Regulatory Agency (MHRA) has a similar role in the UK.

Medicare Part D is a prescription drug plan in the U.S.

The Prescription Drug Marketing Act (PDMA) is an act related to drug policy.

Prescription drugs are drugs regulated by legislation.

Societies and education

Societies and administration

The International Union of Basic and Clinical Pharmacology, Federation of European Pharmacological Societies and European Association for Clinical Pharmacology and Therapeutics are organisations representing standardisation and regulation of clinical and scientific pharmacology.

Systems for medical classification of drugs with pharmaceutical codes have been developed. These include the National Drug Code (NDC), administered by Food and Drug Administration; Drug Identification Number (DIN), administered by Health Canada under the Food and Drugs Act; Hong Kong Drug Registration, administered by the Pharmaceutical Service of the Department of Health (Hong Kong) and National Pharmaceutical Product Index in South Africa. Hierarchical systems have also been developed, including the Anatomical Therapeutic Chemical Classification System (AT, or ATC/DDD), administered by World Health Organization; Generic Product Identifier (GPI), a hierarchical classification number published by MediSpan and SNOMED, C axis. Ingredients of drugs have been categorised by Unique Ingredient Identifier.

Education

The study of pharmacology overlaps with biomedical sciences and is the study of the effects of drugs on living organisms. Pharmacological research can lead to new drug discoveries, and promote a better understanding of human physiology. Students of pharmacology must have a detailed working knowledge of aspects in physiology, pathology, and chemistry. Modern pharmacology is interdisciplinary and relates to biophysical and computational sciences, and analytical chemistry. A pharmacist needs to be well-equipped with knowledge on pharmacology for application in pharmacy practice and pharmaceutical research. Whereas, pharmacologists usually work in a laboratory setting. Pharmacological research is important in academic research (medical and non-medical), private industrial positions, science writing, scientific patents and law, consultation, biotech and pharmaceutical employment, the alcohol industry, food industry, forensics/law enforcement, public health, and environmental/ecological sciences. Pharmacology is often taught to pharmacy and medicine students as part of a Medical School curriculum.

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