Oxime-induced reactivation of organophosphorus (OP)
nerve agent-inhibited
acetylcholinesterase (AChE) is a very important step for the treatment of
nerve agent toxicity. Therefore, extensive efforts are being made to develop more efficient and broad-spectrum
oximes to replace the currently used
oximes 2-PAM or
obidoxime. In the 1970s and 1980s, several H
oximes (such as
HI-6 and
HLo-7) were found to be very potent reactivators of non-aged
soman-inhibited AChE. Later these
oximes were shown to rapidly reactivate GF- and VR-inhibited AChE as well. However, the mechanism for the high potency of these H
oximes is still unknown. In this study, the relationship between the reactivation rate constant of
nerve agent-inhibited rhesus monkey AChE, human AChE and guinea pig AChE and the size of the alkoxyl (OR) group of
nerve agents was analyzed. Results demonstrate that for
nerve agent-inhibited rhesus monkey and human
AChEs, reactivation by H
oximes accelerated as the size of the OR group was increased. But with guinea pig AChE, reactivation by H
oximes declined as the size of the OR group was increased. Reactivation kinetic study using GF- and VR-inhibited wild-type and mutant bovine
AChEs has shown that mutations of Y124Q and W286A particularly reduced reactivation by these H
oximes. Since these 2
amino acid residues are highly conserved in all
AChEs sequenced to date, it is unlikely that the remarkable reduction observed in H
oxime reactivation with guinea pig AChE is caused by a change in these two
amino acid residues.