The effect of soman, a powerful organophosphorus (OP) cholinesterase inhibitor, was investigated in the central nervous system (CNS) of Wistar rats by neurohistology, histochemical mapping of acetylcholinesterase (AChE), and biochemical determination of cholinesterase (ChE) activity. Rats were poisoned by one lethal or sublethal subcutaneous (s.c.) injection or by several less strong weekly doses. When the acute cholinergic action of the OP led to severe respiratory failure and to repeated or prolonged convulsions, the surviving rats exhibited neuronal changes similar to those of hypoxic encephalopathy. In one case chronic intoxication gave rise to these symptoms and lesions after the fourth injection. The histochemical data showed that lesioned gray structures were generally poor in AChE. The enzymatic inhibition was quick and strong, but differed from one structure to another. ChE recovery was rapid until about 96 h after poisoning, the time course depending on the structure, but was incomplete even after 8 days. An attempt to correlate the initial level of ChE inhibition with the severity of the symptoms was not very conclusive. Our data suggest that the encephalopathy comes at least in part from complex hypoxic factors produced by the cholinergic crisis. The sequelae of slight hypoxic encephalopathy could account for some nervous long-term effects in men acutely poisoned by OP and surviving owing to mechanical ventilation.

1. The dispositions of the acetylcholinesterase reactivators: 2PAM-I, TMB4 and R665, labelled with 14C on the oxime group, have been studied in normal rats and rats poisoned by the organophosphates Soman and A4. 2. For all three compounds, radioactivity was eliminated mostly in the urine (60-90% dose in 24 h). Faecal elimination was low (5.8-17.2% in 72 h). 3. All three compounds concentrated in kidney, but only 2PAM-I and R665 concentrated in liver. TMB4 and R665 concentrated in mucopolysaccharide-containing tissues such as cartilage and intervertebral disc. Other tissues were weakly and uniformly labelled. Soman poisoning does not modify the kinetic parameters of both compounds, but A4 poisoning increases 2PAM-I tissue concentration. 4. Chromatography of urine and plasma showed only unchanged 2PAM-I, TMB4 and R665 in both healthy and poisoned animals. Despite the high concentration of 2PAM-I and R665 in liver, these oximes are not metabolized.

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Die Titelverbindungen (I) wurden durch Reaktion stöchiometrischer Mengen von Cysteamin oder Methylcysteamin mit Ge‐ bzw. Si‐chloriden in Gegenwart von NEt3 oder mit Dimethylaminogermanen oder ‐silanen in THF dargestellt.

The cardiovascular effects of two organophosphorus, paraoxon and soman, as well as of antidotes advocated in the treatment of these intoxications have been investigated using a computerized analysis of arterial blood pressure in conscious unrestrained rats. Intravenous administration of paraoxon as well as of soman produced a marked, sustained and dose-related increase in blood pressure associated with a bradycardia. Pyridostigmine, a quaternary carbamate, neither altered blood pressure nor heart rate. Benzodiaxepines, such as diazepam or loprazolam, and atropine induced a dose-dependent tachycardia while pralidoxime decreased heart rate. A complete therapeutic scheme including the intravenous administration of pyridostigmine 10 min. before a postpoisoning therapy made of pralidoxime, diazepam and atropine induced a transient tachycardia, which was followed, after a return to control values, by a second and more stable tachycardia concurrently to a slight hypertension. Postpoisoning therapy alone suppressed the pressor effect of soman within a few minutes after its administration. Afterwards, this therapy reduced the importance of the cardiovascular effects produced by soman. Pyridostigmine pretreatment decreased the protection afforded by postpoisoning therapy in soman-intoxicated rats. These results show that postpoisoning therapy with pralidoxime, diazepam and atropine has a noteworthy efficacy against cardiovascular manifestations of soman intoxications in the rat.