Safety and Efficacy of New Oximes to Reverse Low Dose Diethyl-Paraoxon-Induced Ventilatory Effects in Rats.


Journal

Molecules (Basel, Switzerland)
ISSN: 1420-3049
Titre abrégé: Molecules
Pays: Switzerland
ID NLM: 100964009

Informations de publication

Date de publication:
03 Jul 2020
Historique:
received: 07 06 2020
revised: 30 06 2020
accepted: 02 07 2020
entrez: 9 7 2020
pubmed: 9 7 2020
medline: 27 3 2021
Statut: epublish

Résumé

Oximes are used in addition to atropine to treat organophosphate poisoning. However, the efficiency of oximes is still a matter of debate. In vitro experiments suggested than new oximes are more potent than the commercial oximes. However, the antidotal activity of new oximes has not been assessed in vivo. The aim of this work was to assess the safety and efficiency of new oximes compared to pralidoxime in a rat model of diethyl paraoxon-induced non-lethal respiratory toxicity. Safety study of oximes showed no adverse effects on ventilation in rats. KO-33, KO-48, KO-74 oximes did not exhibit significant antidotal effect in vivo. In contrast, KO-27 and BI-6 showed evidence of antidotal activity by normalization of respiratory frequency and respiratory times. KO-27 became inefficient only during the last 30 min of the study. In contrast, pralidoxime demonstrated to be inefficient at 30 min post injection. Inversely, the antidotal activity of BI-6 occurred lately, within the last 90 min post injection. This study showed respiratory safety of new oximes. Regarding, the efficiency, KO-27 revealed to be a rapid acting antidote toward diethylparaoxon-induced respiratory toxicity, meanwhile BI-6 was a late-acting antidote. Simultaneous administration of these two oximes might result in a complete and prolonged antidotal efficiency.

Sections du résumé

BACKGROUND BACKGROUND
Oximes are used in addition to atropine to treat organophosphate poisoning. However, the efficiency of oximes is still a matter of debate. In vitro experiments suggested than new oximes are more potent than the commercial oximes. However, the antidotal activity of new oximes has not been assessed in vivo.
METHODS METHODS
The aim of this work was to assess the safety and efficiency of new oximes compared to pralidoxime in a rat model of diethyl paraoxon-induced non-lethal respiratory toxicity.
RESULTS RESULTS
Safety study of oximes showed no adverse effects on ventilation in rats. KO-33, KO-48, KO-74 oximes did not exhibit significant antidotal effect in vivo. In contrast, KO-27 and BI-6 showed evidence of antidotal activity by normalization of respiratory frequency and respiratory times. KO-27 became inefficient only during the last 30 min of the study. In contrast, pralidoxime demonstrated to be inefficient at 30 min post injection. Inversely, the antidotal activity of BI-6 occurred lately, within the last 90 min post injection.
CONCLUSION CONCLUSIONS
This study showed respiratory safety of new oximes. Regarding, the efficiency, KO-27 revealed to be a rapid acting antidote toward diethylparaoxon-induced respiratory toxicity, meanwhile BI-6 was a late-acting antidote. Simultaneous administration of these two oximes might result in a complete and prolonged antidotal efficiency.

Identifiants

pubmed: 32635368
pii: molecules25133056
doi: 10.3390/molecules25133056
pmc: PMC7411965
pii:
doi:

Substances chimiques

Antidotes 0
Cholinesterase Inhibitors 0
Oximes 0
Paraoxon Q9CX8P80JW

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

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Auteurs

Maya Kayouka (M)

Bioactive Molecules Research Laboratory, Faculty of Sciences, Section II, Lebanese University, Beirut, Lebanon.

Pascal Houzé (P)

Laboratoire de Toxicologie Biologique, GH Lariboisière-St Louis-F. Widal, Assistance Publique-Hôpitaux de Paris (AP-HP), 75010 Paris, France.
Unité de Technologies Chimiques et Biologiques pour la Santé (UTCBS), CNRS UMR8258-U1022, Faculté de Pharmacie Paris Descartes, Université de Paris, 75006 Paris, France.

Marc Lejay (M)

Département d'Anesthésie-Réanimation-SAMU de Paris, Hôpital Universitaire Necker-Enfants Malades, 75015 Paris, France.

Frederic J Baud (FJ)

Département d'Anesthésie-Réanimation-SAMU de Paris, Hôpital Universitaire Necker-Enfants Malades, 75015 Paris, France.
EA 7323, Pharmacologie et évaluations thérapeutiques chez l'enfant et la femme enceinte, Université de Paris, F-75006 Paris, France.

Kamil Kuca (K)

Department of Chemistry, Faculty of Science, University of Hradec Kralove, Hradec Kralove 50003, Czech Republic.

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Classifications MeSH