Nonquaternary reactivators for organophosphate-inhibited cholinesterases

J Med Chem. 2012 Jan 12;55(1):465-74. doi: 10.1021/jm201364d. Epub 2011 Dec 29.

Abstract

A new class of amidine-oxime reactivators of organophosphate (OP)-inhibited cholinesterases (ChE) was synthesized and tested in vitro and in vivo. Compared with 2-PAM, the most promising cyclic amidine-oxime (i.e., 12e) showed comparable or greater reactivation of OP-inactivated AChE and OP-inactivated BChE. To the best of our knowledge, this is the first report of a nonquaternary oxime that has, comparable to 2-PAM, in vitro potency for reactivation of Sarin (GB)-inhibited AChE and BChE. Amidine-oximes were tested in vitro, and reactivation rates for OP-inactivated butyrylcholinesterase (BChE) were greater than those for 2-PAM or MINA. Amidine-oxime reactivation rates for OP-inactivated acetylcholinesterase (AChE) were lower compared to 2-PAM but greater compared with MINA. Amidine-oximes were tested in vivo for protection against the toxicity of nerve agent model compounds. (i.e., a model of Sarin). Post-treatment (i.e., 5 min after OP exposure, i.p,) with amidine oximes 7a-c and 12a, 12c, 12e, 12f, and 15b (145 μmol/kg, i.p.) protected 100% of the mice challenged with the sarin model compound. Even at 25% of the initial dose of amidine-oxime (i.e., a dose of 36 μmol/kg, i.p.), 7b and 12e protected 100% of the animals challenged with the sarin nerve agent model compound that caused lethality in 6/11 animals without amidine-oxime.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acetylcholinesterase / metabolism
  • Amidines / chemical synthesis*
  • Amidines / chemistry
  • Amidines / pharmacology
  • Animals
  • Butyrylcholinesterase / metabolism
  • Chemical Warfare Agents / poisoning*
  • Cholinesterase Inhibitors / poisoning*
  • Cholinesterases / metabolism*
  • Enzyme Reactivators / chemical synthesis*
  • Enzyme Reactivators / chemistry
  • Enzyme Reactivators / pharmacology
  • Female
  • Mice
  • Oximes / chemical synthesis*
  • Oximes / chemistry
  • Oximes / pharmacology
  • Poisoning / mortality
  • Poisoning / prevention & control
  • Sarin / poisoning*
  • Structure-Activity Relationship

Substances

  • Amidines
  • Chemical Warfare Agents
  • Cholinesterase Inhibitors
  • Enzyme Reactivators
  • Oximes
  • Sarin
  • Acetylcholinesterase
  • Butyrylcholinesterase
  • Cholinesterases