2022
DOI: 10.3390/ph15010066
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FDA-Approved Oximes and Their Significance in Medicinal Chemistry

Abstract: Despite the scientific advancements, organophosphate (OP) poisoning continues to be a major threat to humans, accounting for nearly one million poisoning cases every year leading to at least 20,000 deaths worldwide. Oximes represent the most important class in medicinal chemistry, renowned for their widespread applications as OP antidotes, drugs and intermediates for the synthesis of several pharmacological derivatives. Common oxime based reactivators or nerve antidotes include pralidoxime, obidoxime, HI-6, tr… Show more

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Cited by 51 publications
(37 citation statements)
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“…Oximes are an established class of pharmaceuticals, with several FDA-approved oxime-based therapeutics used as antidotes for organophosphate poisoning, as well as in cephalosporin antibiotics . In addition, oximes and NO are biologically active in plants, serving functions facilitating plant defense, communication, and growth. ,, While the pathways involved in NO signaling in response to stress are still largely unknown, NO has been shown to regulate gene expression and hormonal activity, as well as provide protection under oxidative stress by interacting with reactive oxygen species .…”
Section: Discussionmentioning
confidence: 99%
“…Oximes are an established class of pharmaceuticals, with several FDA-approved oxime-based therapeutics used as antidotes for organophosphate poisoning, as well as in cephalosporin antibiotics . In addition, oximes and NO are biologically active in plants, serving functions facilitating plant defense, communication, and growth. ,, While the pathways involved in NO signaling in response to stress are still largely unknown, NO has been shown to regulate gene expression and hormonal activity, as well as provide protection under oxidative stress by interacting with reactive oxygen species .…”
Section: Discussionmentioning
confidence: 99%
“…The result of such an interaction is the formation of the free enzyme and phosphylated oxime. Pyridine-2-aldoxime (2-PAM) is the only reactivator of AChE approved by the FDA (US Food and Drug Administration), which is most commonly used to treat OP poisoning compared with other oximes (obidoxime, HI-6) [11,12]. Nevertheless, 2-PAM shows a low degree of phosphylated AChE reactivation in the CNS due to limited ability to cross the blood-brain barrier (BBB).…”
Section: Introductionmentioning
confidence: 99%
“…Heterocyclic compounds and, in particular, nitrogen bearing compounds have tremendous values in the field of medicinal chemistry. With a plethora of potential pharmacological activities, nitrogen containing derivatives continue to enthrall scientists worldwide with their therapeutic properties, and this is the reason why heterocyclic compounds are the building blocks of many drugs and pharmaceutical products [ 4 , 5 , 6 , 7 ]. Among the nitrogen containing heterocyclic aromatic scaffolds, quinazolines are considered as privileged compounds.…”
Section: History and Significance Of Quinazolinesmentioning
confidence: 99%