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Evaluation of protective ointments used against dermal effects of nitrogen mustard, a vesicant warfare agent
Levent Kenar1, Turan Karayilanoğlu, Altan Yuksel
1Department of NBC Defense, Gulhane Military Medical Academy, 06018 Ankara, Turkey.
Abstract:
Mustard, a vesicant warfare agent, has cytotoxic, mutagenic, and cytostatic effects via alkylation of DNA and inhibition of DNA replication. Since symptoms appear following a latent period, it can cause some subacute and chronic effects to occur and delay in the treatment. Therefore, the main approach should be the use of protective preparation to reduce the skin toxicity. Thus, this study was conducted in guinea pigs (350-400 g) shaved in areas of 10 x 10 cm. Mechlorethamine HCl (100 mg), a nitrogen mustard derivative, in ethanol was applied by spraying on hairless regions where previously prepared pharmaceutical topical formulations were medicated before. The experimental regions of the animals were kept preserved from environmental factors. Forty-eight hours after the application of the protective ointments and mechlorethamine consecutively, skin-damaging effects were macroscopically evaluated in terms of erythema formation, ulceration, necrosis, and inflammation occurrences. Then, punch biopsy was performed from these damaged sites for histopathological evaluation. Although numerous topical formulations were prepared and tested for protection, according to microscopic examination of the pathologic sections, tissue specimen treated with the ointment containing the mixture of zinc oxide, zinc chloride, dimethylpolysiloxane in a base of petroleum jelly was determined as being the most effective protective against skin injury caused by the vesicant agent.
Insights
This study identified an effective topical ointment for protecting skin against mechlorethamine HCl, a nitrogen mustard agent. The formulation containing zinc oxide, zinc chloride, and dimethylpolysiloxane in petroleum jelly showed the best protective properties against vesicant-induced skin injury.
Area of Science:
- Toxicology
- Dermatology
- Chemical Warfare Agents
Background:
- Mustard agents are vesicant warfare agents with cytotoxic effects.
- Delayed symptom onset necessitates protective measures to mitigate skin toxicity.
- Topical formulations are crucial for reducing skin damage from vesicant exposure.
Purpose of the Study:
- To evaluate the efficacy of various topical pharmaceutical formulations in protecting against mechlorethamine HCl-induced skin injury.
- To identify the most effective protective agent against vesicant skin toxicity.
Main Methods:
- Guinea pigs were used as a model system for testing topical formulations.
- Mechlorethamine HCl was applied to shaved skin areas previously treated with pharmaceutical formulations.
- Macroscopic and histopathological evaluations were performed 48 hours post-application to assess skin damage.
Main Results:
- Multiple topical formulations were tested for their protective capabilities against mechlorethamine HCl.
- The ointment containing zinc oxide, zinc chloride, and dimethylpolysiloxane in a petroleum jelly base demonstrated superior protective effects.
- Histopathological examination confirmed the significant protective efficacy of this specific formulation.
Conclusions:
- A topical ointment comprising zinc oxide, zinc chloride, and dimethylpolysiloxane in petroleum jelly is highly effective in preventing skin damage from mechlorethamine HCl.
- This formulation represents a promising protective preparation against vesicant-induced skin injuries.
- Further research may explore clinical applications for such protective agents.
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