title: Effects of K074 and pralidoxime on antioxidant and acetylcholinesterase response in malathion-poisoned mice.
abstract: The organophosphorus (OP) pesticide malathion is a highly neurotoxic compound and its toxicity is primarily caused by the inhibition of acetylcholinesterase (AChE), leading to cholinergic syndrome. Although oximes have been used as potential antidotal treatments in malathion poisoning because of their potential capability to reactivate the inhibited enzyme, the clinical experience with the clinically available oximes (e.g. pralidoxime) is disappointing and their routine use has been questioned. In the present study, we investigated the potency of pralidoxime and K074 in reactivating AChE after acute exposure to malathion, as well as in preventing malathion-induced changes in oxidative-stress related parameters in mice. Malathion (1.25 g/kg, s.c.) induced a significant decrease in cortico-cerebral, hippocampal and blood AChE activities at 24h after exposure. Oxime treatments (1/4 of LD(50), i.m., 6h after malathion poisoning) showed that pralidoxime significantly reversed malathion-induced blood AChE inhibition, although no significant effects were observed after K074 treatment. Interestingly, both oximes tested were unable to reactivate the cortico-cerebral and hippocampal enzymes after intramuscular or intracerebroventricular injection (1/4 of LD(50), 6h after malathion poisoning). Biochemical parameters related to oxidative stress (cerebro-cortical and hippocampal glutathione peroxidase, glutathione reductase and catalase activities, as well as lipid peroxidation) were not affected in animals treated with malathion, oximes or atropine alone. However, pralidoxime and K074, administered intramuscularly 6h after malathion poisoning, were able to increase the endogenous activities of these antioxidant enzymes in the prefrontal cortex and hippocampus. Taken together, the results presented herein showed that pralidoxime (the most common clinically used oxime) and the recently developed oxime K074, administered 6h after malathion poisoning, were unable to reactivate the inhibited AChE in mouse prefrontal cortex and hippocampus. However, only pralidoxime significantly reversed the blood AChE inhibition induced by malathion poisoning. This indicates that peripheral and central AChE activities are not necessarily correlated after the treatment of OP compounds and/or oximes, which should be taken into account in the diagnosis and management of OP-exposed humans. In addition, considering that the available treatments to malathion poisoning appear to be ineffective, the present study reinforce the need to search for potential new AChE reactivators able to efficiently reactivate the brain and blood AChEs after malathion poisoning.
authors: Departamento de Bioquímica, Centro de Ciências Biológicas, Universidade Federal de Santa Catarina, 88040900, Florianópolis, Santa Catarina, Brazil. alessandraantunes@hotmail.com
authors: Alessandra Antunes
authors: AA
authors: dos Santos
authors: Danúbia Bonfanti
authors: DB
authors: dos Santos
authors: Renata Pietsch
authors: RP
authors: Ribeiro
authors: Dirleise
authors: D
authors: Colle
authors: Kaite Cristiane
authors: KC
authors: Peres
authors: Júlia
authors: J
authors: Hermes
authors: Anderson Machado
authors: AM
authors: Barbosa
authors: Alcir Luiz
authors: AL
authors: Dafré
authors: Andreza Fabro
authors: AF
authors: de Bem
authors: Kamil
authors: K
authors: Kuca
authors: Marcelo
authors: M
authors: Farina
mesh_terms: D000110:Acetylcholinesterase / Q000097:blood / Q000378:metabolism*; D000818:Animals; D000931:Antidotes / Q000494:pharmacology* / Q000633:toxicity; D000975:Antioxidants / Q000378:metabolism*; D001921:Brain / Q000187:drug effects* / Q000201:enzymology; D002073:Butanes / Q000494:pharmacology* / Q000633:toxicity; D002374:Catalase / Q000378:metabolism; D002800:Cholinesterase Inhibitors / Q000506:poisoning*; D002801:Cholinesterase Reactivators / Q000494:pharmacology* / Q000633:toxicity; D058851:GPI-Linked Proteins / Q000097:blood / Q000378:metabolism; D005979:Glutathione Peroxidase / Q000378:metabolism; D005980:Glutathione Reductase / Q000378:metabolism; D007306:Insecticides / Q000506:poisoning*; D007928:Lethal Dose 50; D015227:Lipid Peroxidation / Q000187:drug effects; D008294:Malathion / Q000506:poisoning*; D008297:Male; D051379:Mice; D018384:Oxidative Stress / Q000187:drug effects; D010091:Oximes / Q000494:pharmacology* / Q000633:toxicity; D011041:Poisoning / Q000188:drug therapy / Q000201:enzymology; D011220:Pralidoxime Compounds / Q000494:pharmacology* / Q000633:toxicity; D011726:Pyridinium Compounds / Q000494:pharmacology* / Q000633:toxicity; D013997:Time Factors
chemical_list: C515196:1,4-bis(4-hydroxyiminomethylpyridinium)butane dibromide; D000931:Antidotes; D000975:Antioxidants; D002073:Butanes; D002800:Cholinesterase Inhibitors; D002801:Cholinesterase Reactivators; D058851:GPI-Linked Proteins; D007306:Insecticides; D010091:Oximes; D011220:Pralidoxime Compounds; D011726:Pyridinium Compounds; D002374:Catalase; D005979:Glutathione Peroxidase; D005980:Glutathione Reductase; D000110:Acetylcholinesterase; C548245:Ache protein, mouse; C028797:pralidoxime; D008294:Malathion