Amidine-oximes: reactivators for organophosphate exposure

J Med Chem. 2011 May 12;54(9):3319-30. doi: 10.1021/jm200054r. Epub 2011 Apr 11.

Abstract

A new class of amidine-oxime reactivators of organophosphate (OP)-inhibited cholinesterases (ChE) were designed, synthesized, and tested. These compounds represent a novel group of oximes with enhanced capabilities of crossing the blood-brain barrier. Lack of brain penetration is a major limitation for currently used oximes as antidotes of OP poisoning. The concept described herein relies on a combination of an amidine residue and oxime functionality whereby the amidine increases the binding affinity to the ChE and the oxime is responsible for reactivation. Amidine-oximes were tested in vitro and reactivation rates for OP-BuChE were greater than pralidoxime (2-PAM) or monoisonitrosoacetone (MINA). Amidine-oxime reactivation rates for OP-AChE were lower compared to 2-PAM but greater compared with MINA. After pretreatment for 30 min with oximes 15c and 15d (145 μmol/kg, ip) mice were challenged with a soman model compound. In addition, 15d was tested in a post-treatment experiment (145 μmol/kg, ip, administration 5 min after sarin model compound exposure). In both cases, amidine-oximes afforded 100% 24 h survival in an animal model of OP exposure.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acetylcholinesterase / chemistry
  • Acetylcholinesterase / metabolism
  • Amidines / chemical synthesis*
  • Amidines / chemistry
  • Amidines / pharmacology
  • Animals
  • Blood-Brain Barrier / metabolism
  • Butyrylcholinesterase / chemistry
  • Butyrylcholinesterase / metabolism
  • Chemical Warfare Agents / poisoning
  • Cholinesterase Inhibitors / poisoning*
  • Cholinesterases / chemistry
  • Cholinesterases / metabolism*
  • Enzyme Reactivators / chemical synthesis*
  • Enzyme Reactivators / chemistry
  • Enzyme Reactivators / pharmacology
  • Female
  • Humans
  • Mice
  • Organophosphate Poisoning*
  • Organophosphorus Compounds
  • Oximes / chemical synthesis*
  • Oximes / chemistry
  • Oximes / pharmacology
  • Permeability
  • Recombinant Proteins / chemistry
  • Sarin / poisoning
  • Soman / poisoning
  • Structure-Activity Relationship

Substances

  • 2-(hydroxyimino)-N,N-dimethyl-N'-propylacetimidamide
  • Amidines
  • Chemical Warfare Agents
  • Cholinesterase Inhibitors
  • Enzyme Reactivators
  • N'-ethyl-2-(hydroxyimino)-N,N-dimethylacetimidamide
  • Organophosphorus Compounds
  • Oximes
  • Recombinant Proteins
  • Soman
  • Sarin
  • Acetylcholinesterase
  • Butyrylcholinesterase
  • Cholinesterases
  • cyclohexyl methylphosphonofluoridate