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Published on: December 1, 2020
Biological Testing of Organophosphorus-Inactivated Acetylcholinesterase Oxime Reactivators Identified via Virtual
Jason A Berberich1, Terry R Stouch2, Sankar Manepalli3,4
1Department of Chemical, Paper and Biomedical Engineering, College of Engineering and Computing, Miami University , 64 P Engineering Building, 650 East High Street, Oxford, Ohio 45056, United States.
Abstract:
There is a pressing need for new therapeutics to reactivate covalently inactivated acetylcholinesterase (AChE) due to exposure to organophosphorus (OP) compounds. Current reactivation therapeutics (RTs) are not broad-spectrum and suffer from other liabilities, specifically the inability to cross the blood-brain-barrier. Additionally, the chemical diversity of available therapeutics is small, limiting opportunities for structure-activity relationship (SAR) studies to aid in the design of more effective compounds. In order to find new starting points for the development of oxime-containing therapeutic reactivators and to increase our base of knowledge, we have employed a combination of computational and experimental procedures to identify additional compounds with the real or potential ability to reactivate AChE while augmenting and complementing current knowledge. Computational methods were used to identify previously uninvestigated oxime-containing molecules. Experimentally, six compounds were found with reactivation capabilities comparable to, or exceeding, those of 2-pralidoxime (2-PAM) against a panel of AChE inactivated by paraoxon, diisopropylfluorophosphate (DFP), fenamiphos, and methamidophos. One compound showed enhanced reactivation ability against DFP and fenamiphos, the least tractable of these OPs to be reactivated.
Insights
New oxime-containing compounds were identified to reactivate acetylcholinesterase (AChE) inhibited by organophosphorus (OP) compounds. These novel therapeutics show promise for treating OP exposure, addressing limitations of current treatments.
Area of Science:
- Medicinal Chemistry
- Neuroscience
- Toxicology
Background:
- Organophosphorus (OP) compounds irreversibly inhibit acetylcholinesterase (AChE), necessitating novel therapeutic reactivators.
- Current reactivation therapeutics (RTs) lack broad-spectrum activity, fail to cross the blood-brain-barrier, and have limited chemical diversity for structure-activity relationship (SAR) studies.
Purpose of the Study:
- To discover new oxime-containing compounds for reactivating AChE inhibited by OP agents.
- To expand the knowledge base and identify novel starting points for therapeutic development.
Main Methods:
- Employed a hybrid approach combining computational screening and experimental validation.
- Computational methods identified novel oxime-containing molecules for investigation.
- Experimental assays evaluated the efficacy of identified compounds against AChE inhibited by various OP agents.
Main Results:
- Six compounds demonstrated AChE reactivation capabilities comparable to or better than 2-pralidoxime (2-PAM).
- Tested compounds were effective against AChE inhibited by paraoxon, diisopropylfluorophosphate (DFP), fenamiphos, and methamidophos.
- One novel compound exhibited superior reactivation against DFP and fenamiphos, challenging OP agents.
Conclusions:
- Identified novel oxime-containing compounds as potential therapeutic reactivators for OP-induced AChE inhibition.
- These findings offer new avenues for developing broader-spectrum and more effective treatments for OP poisoning.
- The study expands the chemical space for oxime-based AChE reactivators, facilitating future SAR studies.
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