“…Since then, they were developed as CWAs (e.g., nerve agents such as VX, VE, VG, and VM), but also as agricultural pesticides (e.g., malathion, parathion, diazinon, fenthion, dichlorvos, trichlorfon, chlorpyrifos, dimethoate, triazophos, and ethion), flame retardants (e.g., triphenyl phosphate), therapeutics to elevate ACh levels (e.g., echothiophate and diisopropyl fluorophosphate, DFP), and veterinary medications. Similar to carbamates, OPs react with the active site of ChEs and other serine esterases due to the structural resemblance to their substrates (Nachon et al, 2011). The phosphorylated enzyme can be reactivated at a considerably slower rate than the carbamylated enzyme, and certain OPs can further undergo dealkyl ation following their interaction with the enzyme, which completely blocks its reactivation (known as aging; Taylor, 1996;Wandhammer et al, 2013) (Figure 52.2A).…”