Chemical Warfare Toxicology, Volume 2: Management of Poisoning
CHAPTER 2: Nerve Agents: Catalytic Scavengers as an Alternative Approach for Medical Countermeasures
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Published:06 May 2016
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Special Collection: 2016 ebook collection
Patrick Masson, 2016. "Nerve Agents: Catalytic Scavengers as an Alternative Approach for Medical Countermeasures", Chemical Warfare Toxicology, Volume 2: Management of Poisoning, Franz Worek, John Jenner, Horst Thiermann, Horst Thiermann, John Jenner, Franz Worek
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Organophosphorus agents (OPs) are pesticides (e.g. parathion, malathion, chlorpyrifos and dichlorvos); drugs and pro-drugs (e.g. echothiophate, métrifonate and cyclophosphamide); flame retardants and anti-wear agents [e.g. tricresyl phosphate (TCP)]; and chemical warfare nerve agents (CWNAs). CWNAs include G-agents: tabun, sarin, soman, cyclohexyl-sarin (cyclosarin); V-agents: VX, VR (RVX), CVX; and “Novichoks”: A-230, A-232, A-234.1,2 OP pesticides and all other toxic OPs, excluding classical CWNAs, can be considered as “non-traditional nerve agents” (NTAs). NTAs are potential CWNAs and terrorist threat agents. Highly toxic OPs may result from cytochrome P450 mediated metabolic oxidation of parent thiono-phosphoesters, e.g. paraoxon from parathion,3 or 2-(o-cresyl)-4H-1,3,2-benzodioxaphosphoran-2-one [CBDP; or cresyl-saligenin phosphate (CSP)] by cyclization of tri-ortho-cresyl phosphate (TOCP), a tri-cresyl phosphate (TCP) isomer.4 TCP is a flame retardant and anti-wear agent present in jet engine oils and hydraulic fluids. High temperature pyrolysis of jet fighter engine oils may also lead to toxic OPs such as trimethylolpropane phosphate (TMPP).5 Most OPs are potent irreversible inhibitors of cholinesterases (ChEs) and of many other serine hydrolases. However, TMPP is not an inhibitor of ChEs; it is a GABA antagonist, so toxic that it has been called “the poor man’s nerve agent”, and is also considered as a potential threat.6