Department of Chemical Engineering, University of Washington, 3781 Okanogan Lane NE, Box 351750, Seattle, WA 98195, USA.
Physiology and Immunology Branch, Research Division, U.S. Army Medical Research Institute of Chemical Defense, Aberdeen Proving Ground, MD 21010, USA.
Sci Transl Med. 2019 Jan 2;11(473). doi: 10.1126/scitranslmed.aau7091.
Nerve agents are a class of organophosphorus compounds (OPs) that blocks communication between nerves and organs. Because of their acute neurotoxicity, it is extremely difficult to rescue the victims after exposure. Numerous efforts have been devoted to search for an effective prophylactic nerve agent bioscavenger to prevent the deleterious effects of these compounds. However, low scavenging efficiency, unfavorable pharmacokinetics, and immunological problems have hampered the development of effective drugs. Here, we report the development and testing of a nanoparticle-based nerve agent bioscavenger (nanoscavenger) that showed long-term protection against OP intoxication in rodents. The nanoscavenger, which catalytically breaks down toxic OP compounds, showed a good pharmacokinetic profile and negligible immune response in a rat model of OP intoxication. In vivo administration of the nanoscavenger before or after OP exposure in animal models demonstrated protective and therapeutic efficacy. In a guinea pig model, a single prophylactic administration of the nanoscavenger effectively prevented lethality after multiple sarin exposures over a 1-week period. Our results suggest that the prophylactic administration of the nanoscavenger might be effective in preventing the toxic effects of OP exposure in humans.
神经毒剂是一类有机磷化合物 (OPs),可阻断神经与器官之间的通讯。由于其具有急性神经毒性,因此在暴露后极难抢救受害者。人们已经付出了大量努力来寻找有效的预防神经毒剂生物清除剂,以防止这些化合物的有害影响。然而,清除效率低、药代动力学不理想和免疫问题阻碍了有效药物的开发。在这里,我们报告了一种基于纳米颗粒的神经毒剂生物清除剂 (nanoscavenger) 的开发和测试,该清除剂在啮齿动物中对 OP 中毒显示出长期保护作用。该纳米清除剂可催化分解有毒 OP 化合物,在 OP 中毒的大鼠模型中表现出良好的药代动力学特征和可忽略不计的免疫反应。在动物模型中,在 OP 暴露之前或之后体内给予纳米清除剂,显示出保护和治疗效果。在豚鼠模型中,单次预防性给予纳米清除剂可有效防止在一周内多次沙林暴露后的致死性。我们的结果表明,预防性给予纳米清除剂可能有效预防人类暴露于 OP 后的毒性作用。