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Novel brain‐penetrating oximes for reactivation of cholinesterase inhibited by sarin and VX surrogates
Author(s) -
Chambers Janice E.,
Meek Edward C.,
Chambers Howard W.
Publication year - 2016
Publication title -
annals of the new york academy of sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.712
H-Index - 248
eISSN - 1749-6632
pISSN - 0077-8923
DOI - 10.1111/nyas.13053
Subject(s) - sarin , cholinesterase , chemistry , pharmacology , nerve agent , acetylcholinesterase , biochemistry , medicine , enzyme
Current oxime reactivators for organophosphate‐inhibited cholinesterase (ChE) do not effectively cross the blood–brain barrier and therefore cannot restore brain ChE activity in vivo . Our laboratories have studied highly relevant sarin and VX surrogates, which differ from their respective nerve agents only in the leaving group and thereby leave ChE phosphylated with the same chemical moiety as sarin and VX. Our laboratories have developed novel substituted phenoxyalkyl pyridinium oximes that lead to reduced ChE inhibition in the brains of rats challenged with a high sublethal dosage of the sarin surrogate, whereas 2‐PAM did not, using a paradigm designed to demonstrate brain penetration. In addition, treatment of rats with these novel oximes is associated with attenuation of seizure‐like behavior compared to rats treated with 2‐PAM, providing additional evidence that the oximes penetrate the blood–brain barrier. Further, some of the oximes provided 24‐h survival superior to 2‐PAM, and shortened the duration of seizure‐like behavior when rats were challenged with lethal dosages of the sarin and VX surrogates, providing additional support for the conclusion that these oximes penetrate the brain.