Development of small bisquaternary cholinesterase inhibitors as drugs for pre-treatment of nerve agent poisonings

Kamil Kuca,1,2 Jana Zdarova Karasova,2,3 Ondrej Soukup,2 Jiri Kassa,3 Eva Novotna,2 Vendula Sepsova,2,3 Anna Horova,2 Jaroslav Pejchal,3 Martina Hrabinova,2,3 Eva Vodakova,2 Daniel Jun,2,3 Eugenie Nepovimova,1,2 Martin Valis,4 Kamil Musilek1,2 1Department of Chemistry, Faculty of Science, Universit...

Full description

Bibliographic Details
Main Authors: Kuca K, Karasova JZ, Soukup O, Kassa J, Novotna E, Sepsova V, Horova A, Pejchal J, Hrabinova M, Vodakova E, Jun D, Nepovimova E, Valis M, Musilek K
Format: Article
Language:English
Published: Dove Medical Press 2018-03-01
Series:Drug Design, Development and Therapy
Subjects:
Online Access:https://www.dovepress.com/development-of-small-bisquaternary-cholinesterase-inhibitors-as-drugs--peer-reviewed-article-DDDT
_version_ 1819225316413931520
author Kuca K
Karasova JZ
Soukup O
Kassa J
Novotna E
Sepsova V
Horova A
Pejchal J
Hrabinova M
Vodakova E
Jun D
Nepovimova E
Valis M
Musilek K
author_facet Kuca K
Karasova JZ
Soukup O
Kassa J
Novotna E
Sepsova V
Horova A
Pejchal J
Hrabinova M
Vodakova E
Jun D
Nepovimova E
Valis M
Musilek K
author_sort Kuca K
collection DOAJ
description Kamil Kuca,1,2 Jana Zdarova Karasova,2,3 Ondrej Soukup,2 Jiri Kassa,3 Eva Novotna,2 Vendula Sepsova,2,3 Anna Horova,2 Jaroslav Pejchal,3 Martina Hrabinova,2,3 Eva Vodakova,2 Daniel Jun,2,3 Eugenie Nepovimova,1,2 Martin Valis,4 Kamil Musilek1,2 1Department of Chemistry, Faculty of Science, University of Hradec Kralove, 2Biomedical Research Center, University Hospital Hradec Kralove, 3Department of Toxicology and Military Pharmacy, Faculty of Military Health Sciences, University of Defence, 4Department of Neurology, University Hospital Hradec Kralove, Hradec Kralove, Czech Republic Background: Intoxication by nerve agents could be prevented by using small acetylcholinesterase inhibitors (eg, pyridostigmine) for potentially exposed personnel. However, the serious side effects of currently used drugs led to research of novel potent molecules for prophylaxis of organophosphorus intoxication. Methods: The molecular design, molecular docking, chemical synthesis, in vitro methods (enzyme inhibition, cytotoxicity, and nicotinic receptors modulation), and in vivo methods (acute toxicity and prophylactic effect) were used to study bispyridinium, bisquinolinium, bisisoquinolinium, and pyridinium-quinolinium/isoquinolinium molecules presented in this study. Results: The studied molecules showed non-competitive inhibitory ability towards human acetylcholinesterase in vitro that was further confirmed by molecular modelling studies. Several compounds were selected for further studies. First, their cytotoxicity, nicotinic receptors modulation, and acute toxicity (lethal dose for 50% of laboratory animals [LD50]; mice and rats) were tested to evaluate their safety with promising results. Furthermore, their blood levels were measured to select the appropriate time for prophylactic administration. Finally, the protective ratio of selected compounds against soman-induced toxicity was determined when selected compounds were found similarly potent or only slightly better to standard pyridostigmine. Conclusion: The presented small bisquaternary molecules did not show overall benefit in prophylaxis of soman-induced in vivo toxicity. Keywords: AChE inhibitors, prophylaxis, pre-treatment, nerve agents, toxicity, soman
first_indexed 2024-12-23T10:07:40Z
format Article
id doaj.art-b4208817c3c949e5a1ae1fa74faea45a
institution Directory Open Access Journal
issn 1177-8881
language English
last_indexed 2024-12-23T10:07:40Z
publishDate 2018-03-01
publisher Dove Medical Press
record_format Article
series Drug Design, Development and Therapy
spelling doaj.art-b4208817c3c949e5a1ae1fa74faea45a2022-12-21T17:51:03ZengDove Medical PressDrug Design, Development and Therapy1177-88812018-03-01Volume 1250551237140Development of small bisquaternary cholinesterase inhibitors as drugs for pre-treatment of nerve agent poisoningsKuca KKarasova JZSoukup OKassa JNovotna ESepsova VHorova APejchal JHrabinova MVodakova EJun DNepovimova EValis MMusilek KKamil Kuca,1,2 Jana Zdarova Karasova,2,3 Ondrej Soukup,2 Jiri Kassa,3 Eva Novotna,2 Vendula Sepsova,2,3 Anna Horova,2 Jaroslav Pejchal,3 Martina Hrabinova,2,3 Eva Vodakova,2 Daniel Jun,2,3 Eugenie Nepovimova,1,2 Martin Valis,4 Kamil Musilek1,2 1Department of Chemistry, Faculty of Science, University of Hradec Kralove, 2Biomedical Research Center, University Hospital Hradec Kralove, 3Department of Toxicology and Military Pharmacy, Faculty of Military Health Sciences, University of Defence, 4Department of Neurology, University Hospital Hradec Kralove, Hradec Kralove, Czech Republic Background: Intoxication by nerve agents could be prevented by using small acetylcholinesterase inhibitors (eg, pyridostigmine) for potentially exposed personnel. However, the serious side effects of currently used drugs led to research of novel potent molecules for prophylaxis of organophosphorus intoxication. Methods: The molecular design, molecular docking, chemical synthesis, in vitro methods (enzyme inhibition, cytotoxicity, and nicotinic receptors modulation), and in vivo methods (acute toxicity and prophylactic effect) were used to study bispyridinium, bisquinolinium, bisisoquinolinium, and pyridinium-quinolinium/isoquinolinium molecules presented in this study. Results: The studied molecules showed non-competitive inhibitory ability towards human acetylcholinesterase in vitro that was further confirmed by molecular modelling studies. Several compounds were selected for further studies. First, their cytotoxicity, nicotinic receptors modulation, and acute toxicity (lethal dose for 50% of laboratory animals [LD50]; mice and rats) were tested to evaluate their safety with promising results. Furthermore, their blood levels were measured to select the appropriate time for prophylactic administration. Finally, the protective ratio of selected compounds against soman-induced toxicity was determined when selected compounds were found similarly potent or only slightly better to standard pyridostigmine. Conclusion: The presented small bisquaternary molecules did not show overall benefit in prophylaxis of soman-induced in vivo toxicity. Keywords: AChE inhibitors, prophylaxis, pre-treatment, nerve agents, toxicity, somanhttps://www.dovepress.com/development-of-small-bisquaternary-cholinesterase-inhibitors-as-drugs--peer-reviewed-article-DDDTAChE inhibitorsprophylaxispre-treatmentnerve agentstoxicitysoman
spellingShingle Kuca K
Karasova JZ
Soukup O
Kassa J
Novotna E
Sepsova V
Horova A
Pejchal J
Hrabinova M
Vodakova E
Jun D
Nepovimova E
Valis M
Musilek K
Development of small bisquaternary cholinesterase inhibitors as drugs for pre-treatment of nerve agent poisonings
Drug Design, Development and Therapy
AChE inhibitors
prophylaxis
pre-treatment
nerve agents
toxicity
soman
title Development of small bisquaternary cholinesterase inhibitors as drugs for pre-treatment of nerve agent poisonings
title_full Development of small bisquaternary cholinesterase inhibitors as drugs for pre-treatment of nerve agent poisonings
title_fullStr Development of small bisquaternary cholinesterase inhibitors as drugs for pre-treatment of nerve agent poisonings
title_full_unstemmed Development of small bisquaternary cholinesterase inhibitors as drugs for pre-treatment of nerve agent poisonings
title_short Development of small bisquaternary cholinesterase inhibitors as drugs for pre-treatment of nerve agent poisonings
title_sort development of small bisquaternary cholinesterase inhibitors as drugs for pre treatment of nerve agent poisonings
topic AChE inhibitors
prophylaxis
pre-treatment
nerve agents
toxicity
soman
url https://www.dovepress.com/development-of-small-bisquaternary-cholinesterase-inhibitors-as-drugs--peer-reviewed-article-DDDT
work_keys_str_mv AT kucak developmentofsmallbisquaternarycholinesteraseinhibitorsasdrugsforpretreatmentofnerveagentpoisonings
AT karasovajz developmentofsmallbisquaternarycholinesteraseinhibitorsasdrugsforpretreatmentofnerveagentpoisonings
AT soukupo developmentofsmallbisquaternarycholinesteraseinhibitorsasdrugsforpretreatmentofnerveagentpoisonings
AT kassaj developmentofsmallbisquaternarycholinesteraseinhibitorsasdrugsforpretreatmentofnerveagentpoisonings
AT novotnae developmentofsmallbisquaternarycholinesteraseinhibitorsasdrugsforpretreatmentofnerveagentpoisonings
AT sepsovav developmentofsmallbisquaternarycholinesteraseinhibitorsasdrugsforpretreatmentofnerveagentpoisonings
AT horovaa developmentofsmallbisquaternarycholinesteraseinhibitorsasdrugsforpretreatmentofnerveagentpoisonings
AT pejchalj developmentofsmallbisquaternarycholinesteraseinhibitorsasdrugsforpretreatmentofnerveagentpoisonings
AT hrabinovam developmentofsmallbisquaternarycholinesteraseinhibitorsasdrugsforpretreatmentofnerveagentpoisonings
AT vodakovae developmentofsmallbisquaternarycholinesteraseinhibitorsasdrugsforpretreatmentofnerveagentpoisonings
AT jund developmentofsmallbisquaternarycholinesteraseinhibitorsasdrugsforpretreatmentofnerveagentpoisonings
AT nepovimovae developmentofsmallbisquaternarycholinesteraseinhibitorsasdrugsforpretreatmentofnerveagentpoisonings
AT valism developmentofsmallbisquaternarycholinesteraseinhibitorsasdrugsforpretreatmentofnerveagentpoisonings
AT musilekk developmentofsmallbisquaternarycholinesteraseinhibitorsasdrugsforpretreatmentofnerveagentpoisonings