title: Effect of some acetylcholinesterase reactivators on human platelet aggregation in vitro.
abstract: Acetylcholinesterase (AChE) reactivators are employed for the prophylaxis and treatment of intoxications with organophosphorus AChE inhibitors, including nerve agents and pesticides. For the recovery of inhibited enzyme, derivatives from the group of pyridinium or bispyridinium aldoximes (called oximes) are used. Adverse effects of these substances are not well elucidated, because of their narrow and one-shot usage. Owing to this fact, the study evaluated the influence of some currently applied oximes on human platelet aggregation in vitro. The antiplatelet activity of pralidoxime, obidoxime, HI-6, methoxime and HLö 7 was assayed in human platelet rich plasma (2.5 x 10(8) platelets.ml(-1)) at a concentration of 1.35 mM. Arachidonic acid (AA), adenosine diphosphate (ADP), collagen (COL) and thrombin (TR) were used as agonists of platelet aggregation. All tested substances, except pralidoxime and methoxime, caused a significant inhibition of the aggregation process induced by AA, ADP and COL. Of the oximes assayed, none was found to influence TR triggered aggregation. Since reduced platelet aggregation can play an important role as an adverse effect in reactivator administration, further evaluation is needed for the estimation of the real impact of active oximes to the aggregation process in humans.
authors.affiliation: Department of Toxicology, Faculty of Military Health Sciences, Hradec Kralove, Czech Republic.
authors.forename: Daniel
authors.initials: D
authors.lastname: Jun
authors.forename: Kamil
authors.initials: K
authors.lastname: Kuca
authors.forename: Miloslav
authors.initials: M
authors.lastname: Hronek
authors.forename: Lubomir
authors.initials: L
authors.lastname: Opletal
mesh_terms: D000328:Adult; D001792:Blood Platelets / Q000166:cytology / Q000187:drug effects*; D002801:Cholinesterase Reactivators / Q000009:adverse effects* / Q000737:chemistry; D006801:Humans; D066298:In Vitro Techniques; D008297:Male; D015394:Molecular Structure; D010091:Oximes / Q000009:adverse effects* / Q000737:chemistry; D010974:Platelet Aggregation / Q000187:drug effects*
chemical_list: D002801:Cholinesterase Reactivators; D010091:Oximes