Acetylcholinesterase (AChE) reactivators were developed for the treatment of organophosphate intoxication. Standard care involves the use of anticonvulsants (e.g., diazepam), parasympatolytics (e.g., atropine) and oximes that restore AChE activity. However, oximes also bind to the active site of AChE, simultaneously acting as reversible inhibitors. The goal of the present study is to determine how oxime structure influences the inhibition of human recombinant AChE (hrAChE). Therefore, 24 structurally different oximes were tested and the results compared to the previous eel AChE (EeAChE) experiments. Structural factors that were tested included the number of pyridinium rings, the length and structural features of the linker, and the number and position of the oxime group on the pyridinium ring.

• MeSH
• Acetylcholinesterase chemistry   MeSH
• Cholinesterase Inhibitors chemistry   MeSH
• Catalytic Domain MeSH
• Humans MeSH
• Oximes chemistry   MeSH
• Molecular Docking Simulation MeSH
• Protein Binding MeSH
• Hydrogen Bonding MeSH
• Structure-Activity Relationship MeSH
• Check Tag
• Humans MeSH
• Publication type
• Journal Article MeSH
• Research Support, Non-U.S. Gov't MeSH
• Research Support, U.S. Gov't, Non-P.H.S. MeSH
• Names of Substances
• Acetylcholinesterase MeSH
• Cholinesterase Inhibitors MeSH
• Oximes MeSH

• Keywords
• acetylcholinesterase, antidote, nerve agent, organophosphates, prophylaxis, therapy,
• Publication type
• Journal Article MeSH

Preparation of 1-(4-hydroxy-iminomethylpyridinium)-3-pyridiniumpropane dibromide is described. This compound represents a new acetylcholinesterase (AChE) reactivator, which has no substituents on the second pyridinium ring as found in other commonly used AChE reactivators. The reactivation ability of this reactivator was tested on tabun- and cyclosarin-inhibited AChE. According to the results obtained, the new compound (without substitution and with decreased molecule size) showed increased reactivation potency in case of cyclosarin inhibited AChE. A potent oxime for treatment of tabun and cyclosarin-caused intoxications was thus obtained via slight modification of the reactivator structure (compared to trimedoxime and K027).

• MeSH
• Acetylcholinesterase MeSH
• Humans MeSH
• Organophosphates antagonists & inhibitors   MeSH
• Organophosphorus Compounds antagonists & inhibitors   MeSH
• Oximes chemical synthesis   MeSH
• Pyridinium Compounds chemical synthesis   MeSH
• Cholinesterase Reactivators chemical synthesis   MeSH
• Check Tag
• Humans MeSH
• Publication type
• Journal Article MeSH
• Research Support, Non-U.S. Gov't MeSH
• Names of Substances
• 1-(4-hydroxyiminomethylpyridinium)-3-pyridiniumpropane MeSH Browser
• Acetylcholinesterase MeSH
• cyclohexyl methylphosphonofluoridate MeSH Browser
• Organophosphates MeSH
• Organophosphorus Compounds MeSH
• Oximes MeSH
• Pyridinium Compounds MeSH
• Cholinesterase Reactivators MeSH
• tabun MeSH Browser