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The benefit of combination of oximes for the neuroprotective efficacy of antidotal treatment of sarin-poisoned rats.

Abstract
The potency of the oxime HI-6 and two combinations of oximes (HI-6 + trimedoxime, HI-6 + K203) to reduce sarin-induced acute neurotoxic signs and symptoms was evaluated in this study. Sarin-induced neurotoxicity and the neuroprotective effects of atropine alone or in combination with HI-6 alone and HI-6 combined with trimedoxime or K203 in rats poisoned with sarin at a sublethal dose (108 μg/kg i.m.; 90% of LD(50) value) were monitored by a functional observatory battery (FOB) 24 h following sarin administration. The results indicate that both mixtures of oximes combined with atropine were able to survive sarin-poisoned rats 24 h following sarin administration while two non-treated sarin-poisoned rats and one sarin-poisoned rat treated with atropine alone or with atropine in combination with the oxime HI-6 died within 24 h following sarin poisoning. All types of antidotal treatment were able to decrease sarin-induced neurotoxic signs and symptoms but not completely. While atropine alone and atropine in combination with the oxime HI-6 were able to eliminate some sarin-induced neurotoxic signs and symptoms, the neuroprotective efficacy of both combinations of oximes with atropine was slightly higher. Thus, both tested combinations of oximes in combination with atropine bring a small benefit for the neuroprotective efficacy of antidotal treatment of acute sarin poisonings.
AuthorsJiri Kassa, Gabriela Kunesova
JournalToxicology mechanisms and methods (Toxicol Mech Methods) Vol. 22 Issue 4 Pg. 260-7 (May 2012) ISSN: 1537-6524 [Electronic] England
PMID22149934 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • 1-(4-carbamoylpyridinium)-4-(4-hydroxyiminomethylpyridinium)but-2-ene
  • Antidotes
  • Chemical Warfare Agents
  • Cholinesterase Inhibitors
  • Cholinesterase Reactivators
  • Neuroprotective Agents
  • Oximes
  • Pyridinium Compounds
  • Trimedoxime
  • Atropine
  • Sarin
  • asoxime chloride
Topics
  • Animals
  • Antidotes (administration & dosage, therapeutic use)
  • Atropine (chemistry)
  • Chemical Warfare Agents (poisoning, toxicity)
  • Cholinesterase Inhibitors (poisoning, toxicity)
  • Cholinesterase Reactivators (administration & dosage, therapeutic use)
  • Drug Therapy, Combination
  • Male
  • Molecular Structure
  • Neuroprotective Agents (therapeutic use)
  • Oximes (administration & dosage, chemistry, therapeutic use)
  • Pyridinium Compounds (administration & dosage, chemistry, therapeutic use)
  • Rats
  • Rats, Wistar
  • Sarin (poisoning, toxicity)
  • Trimedoxime (administration & dosage, chemistry, therapeutic use)

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