Department of Cellular Biology & Pharmacology, Herbert Wertheim College of Medicine, University Park GL 495 D, Florida International University, Miami, Florida.
College of Medicine and Health Sciences, Department of Anatomy and Cellular Biology, Khalifa University, Abu Dhabi, United Arab Emirates.
J Appl Toxicol. 2019 Nov;39(11):1506-1515. doi: 10.1002/jat.3835. Epub 2019 Jul 2.
Organophosphates, useful agents as pesticides, also represent a serious danger due to their high acute toxicity. There is indication that oximes, when administered before organophosphate exposure, can protect from these toxic effects. We have tested at equitoxic dosage (25% of LD ) the prophylactic efficacy of five experimental (K-48, K-53, K-74, K-75, K-203) and two established oximes (pralidoxime and obidoxime) to protect from mortality induced by the organophosphate paraoxon. Mortalities were quantified by Cox analysis and compared with those observed after pretreatment with a strong acetylcholinesterase inhibitor (10-methylacridine) and after the FDA-approved pretreatment compound pyridostigmine. All nine tested substances statistically significantly reduced paraoxon-induced mortality. Best protection was conferred by the experimental oxime K-48, reducing the relative risk of death (RR) to 0.10, which was statistically significantly superior to pyridostigmine (RR = 0.31). The other oximes reduced the RR to 0.13 (obidoxime), 0.20 (K-203), 0.21 (K-74), 0.24 (K-75) and 0.26 (pralidoxime), which were significantly more efficacious than 10-methylacridine (RR = 0.65). These data support the hypothesis that protective efficacy is not primarily due to cholinesterase inhibition and indicate that the tested experimental oximes may be considered promising alternatives to the established pretreatment compound pyridostigmine.
有机磷化合物作为农药非常有用,但由于其高急性毒性,也构成了严重的威胁。有迹象表明,肟类化合物在接触有机磷之前使用,可以防止这些毒性作用。我们以等毒性剂量(LD50 的 25%)测试了五种实验性(K-48、K-53、K-74、K-75、K-203)和两种已建立的肟类化合物(氯解磷定和碘解磷定)预防对氧磷诱导的死亡率的效果。通过 Cox 分析量化死亡率,并与使用强乙酰胆碱酯酶抑制剂(10-甲基吖啶)预处理和美国食品和药物管理局批准的预处理化合物吡啶斯的明预处理后观察到的死亡率进行比较。所有测试的九种物质均能显著降低对氧磷诱导的死亡率。实验性肟类化合物 K-48 的保护作用最好,将死亡的相对风险(RR)降低到 0.10,统计学上明显优于吡啶斯的明(RR=0.31)。其他肟类化合物将 RR 降低到 0.13(碘解磷定)、0.20(K-203)、0.21(K-74)、0.24(K-75)和 0.26(氯解磷定),这些药物比 10-甲基吖啶(RR=0.65)更有效。这些数据支持保护效果主要不是由于胆碱酯酶抑制的假设,并表明测试的实验性肟类化合物可能被认为是现有预处理化合物吡啶斯的明的有前途的替代品。