2007
DOI: 10.1016/j.tox.2006.11.066
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Stoichiometric and catalytic scavengers as protection against nerve agent toxicity: A mini review

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Cited by 192 publications
(148 citation statements)
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References 34 publications
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“…In the absence of oxime reactivation of the inhibited hCE1, it is impossible to experimentally confirm a lack of aging after inhibition by soman or tabun. Additional work to identify an oxime that can reactivate hCE1 might allow this protein to function as a "pseudo-catalytic" scavenger (49).…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…In the absence of oxime reactivation of the inhibited hCE1, it is impossible to experimentally confirm a lack of aging after inhibition by soman or tabun. Additional work to identify an oxime that can reactivate hCE1 might allow this protein to function as a "pseudo-catalytic" scavenger (49).…”
Section: Discussionmentioning
confidence: 99%
“…As such, the use of a human enzyme for such a purpose would be expected to avoid potentially harmful immune responses that may arise from protein-based therapies derived from nonhuman sources. Extensive work has been conducted toward this goal with a recombinant form of BuChE purified from the milk of transgenic goats (49,53). While this enzyme has been shown to confer a level of protection up to 5.5 × LD 50 for VX and soman in guinea pigs (49), it acts purely as a stoichiometric bioscavenger and binds to, but does not catalytically inactivate, nerve agents.…”
Section: Discussionmentioning
confidence: 99%
“…The stoichiometric scavengers are enzymes which bind stoichiometrically and irreversibly to the OPC (such as the cholinesterases themselves), while the catalytic scavengers hydrolyze the molecules of OPCs (such as OPC hydrolases and anhydrases). 134,135 Several enzymes are being evaluated for use as scavengers, such as human serum BChE, recombinant human BChE expressed in the milk of transgenic goats, genetic variants of AChE and human paraoxonase. [134][135][136][137][138] Oximes can be employed for pretreatment, improving the post-treatment by atropine and other oximes 132,139 (see below), but some questions should be addressed for their use, such as timing, duration and achievement of adequate concentrations after administration.…”
Section: Treatment and Antidotes For Nerve Agentsmentioning
confidence: 99%
“…134,135 Several enzymes are being evaluated for use as scavengers, such as human serum BChE, recombinant human BChE expressed in the milk of transgenic goats, genetic variants of AChE and human paraoxonase. [134][135][136][137][138] Oximes can be employed for pretreatment, improving the post-treatment by atropine and other oximes 132,139 (see below), but some questions should be addressed for their use, such as timing, duration and achievement of adequate concentrations after administration. 132,133 The chemotherapy employed for the treatment of intoxication with OPCs includes the use of three types of drugs: 1,3,13,128 (i) an anticholinergic substance, to antagonize the effects of ACh accumulation in the cholinergic receptors; (ii) a central nervous system (CNS) depressor, which acts as an anticonvulsive; and (iii) an oxime to reactivate inhibited AChE.…”
Section: Treatment and Antidotes For Nerve Agentsmentioning
confidence: 99%
“…14 More recently, enzymes that can inactivate OP without being consumed are being investigated for their potential as catalytic bioscavengers. 15 An ideal candidate would be a stable, non-immunogenic or minimally immunogenic, non-toxic enzyme with a long halflife in the circulation that has high catalytic efficiency for OP hydrolysis. 16 Human paraoxonase1 (hPON1) has the potential to become such a candidate.…”
Section: Introductionmentioning
confidence: 99%