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7 protocols using paraoxon

1

Pharmacological Reagent Preparation Protocol

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Paraoxon was purchased from Chem Service (West Chester, PA). Pilocarpine hydrochloride and pyridine-2-aldoxime methochloride (2-PAM) were purchased from Sigma Aldrich (St. Louis, MO). Diazepam (Hospira, Lake Forest, IL) was purchased as a stock solution dissolved in 0.9% saline from the University of Washington Medical Center Pharmacy. SR141716 was obtained from the NIDA Drug Supply Program (Bethesda, MD) and was prepared in pharmasolve/cremophor RH40 (pharmasolve: cremophor RH40: drug, 1:9:40). CP55940 was obtained from the NIDA Drug Supply Program and was prepared in a vehicle solution consisting of cremophor RH40: ethanol: saline (1:1:18). All drugs except for SR141716 and CP55940 were made as stock solutions in 0.9% saline.
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2

Plasma Biomarkers of Oxidative Stress

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The rate of PON-1 enzyme activity was determined in the blood plasma from the patients using paraoxon and diazoxon as substrates (Chem Service, Inc., West Chester, PA). The plasma level of interleukin (IL)-6 was calculated using the sandwich-ELISA kit (cat. no. c-Kit Elisa LS-F25956) purchased from the Bioassay Technology Laboratory, Birmingham, UK. The levels of other biochemical parameters were evaluated from collected blood samples.
Beyond these biochemical parameters the other important clinical parameters including ferric-reducing ability of plasma (FRAP) and the plasma malondialdehyde (MDA) were also evaluated.
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3

Evaluation of Nerve Agent and Pesticide Toxicity

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The five CWNAs evaluated were tabun (GA; O-ethyl N,N-dimethyl phosphoramidocyanidate), sarin (GB; O-isopropyl methylphosphonofluoridate), soman (GD; O-pinacolyl methylphosphonofluoridate), cyclosarin (GF, cyclohexyl methylphosphonofluoridate), and VX (O-ethyl S-(2-diisopropylaminoethyl) methylphosphonothiolate). They were obtained from the U.S. Army Edgewood Chemical Biological Center (Aberdeen Proving Ground, MD). The purity values of the CWNAs were >98.5 percent as determined by gas chromatography. Chlorpyrifos oxon (purity ≥98 percent) and paraoxon (purity ≥98 percent) were purchased from Chem Service, Inc, West Chester, PA. Phorate oxon (purity ≥97.1 percent) was synthesized at Battelle’s Analytical Chemistry Development Department (Columbus, OH). GB, GD, GF, and VX were diluted in 0.9 percent saline; GA and phorate oxon were diluted in multisol (a biocompatible solution of 48.5 percent water, 40 percent propylene glycol, 10 percent ethanol, and 1.5 percent benzyl alcohol, all v/v); and Chlorpyrifos oxon and paraoxon were diluted in ethanol (99.96 percent), with the dosing solution concentration of each pesticide being limited to that which would allow the total volume of ethanol injected to be no more than 0.06 percent (v/w) of the body mass.
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4

Paraoxon Inoculation Preparation

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Paraoxon (99.1% pure) was obtained from ChemService Inc. (West Chester, PA), diluted in sterile water to obtain a stock solution of 1 mg/ml and maintained at RT protected from light. Inoculation doses were prepared 12–24 h prior to use in 1 ml in PBS, pH 6.8 at 0.7 mg/ml.
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5

Cytochrome P450 Enzyme Assay Protocol

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Recombinant human acetylcholinesterase, superoxide dismutase, horseradish peroxidase, NADPH, menadione, acetylthiocholine chloride, 5,5′-dithiobis(2-nitrobenzoic acid), 7-ethoxyresorufin, tetraisopropyl pyrophosphoramide, and coumarin were purchased from Sigma (St. Louis, MO). Parathion, paraoxon, and diethylthiophosphate were from Chem Service Inc. (West Chester, PA). Amplex Red reagent was from Molecular Probes (Eugene, OR). Recombinant human CYPs (CYP1A1, CYP1A2, CYP1B1, CYP2A6, CYP2B6, CYP2C8, CYP2C9, CYP2C19, CYP2D6, CYP2E1, CYP3A4, CYP3A5 and CYP 3A7), and pooled human liver microsomes were purchased from BD Gentest (Woburn, MA). Recombinant human CPR, Vivid P450 substrates, 7-ethoxy-methyloxy-3-cyanocoumarin (EOMCC) and 7-benzyloxy-methyloxy-3-cyanocoumarin (BOMCC), 7-methoxy-4-trifluoromethyl coumarin and dibenzylfluorescein were from Life Technologies (Grand Island, NY). Glucose-6-phosphate and Glucose-6-phosphate dehydrogenase were from Roche Diagnostic (Indianapolis, IN).
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6

Paraoxon Dilution and Dosing Protocol

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Paraoxon (99.1% pure) was obtained from ChemService Inc. (West Chester, PA), diluted in sterile water to obtain a stock solution of 1 mg/ml and maintained at RT protected from light. Doses were prepared (2 ml in PBS pH 6.8) at 12–24 hr prior to use. Handling of Px and loading of syringes were performed in a biological safety cabinet.
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7

Characterization of OP Toxicants

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Figure 1 shows the chemical structures of the three OP toxicants studied. Paraoxon (O,O’-diethyl-p-nitrophenyl phosphate; PO) (98.6% purity by HPLC) was purchased from ChemService (West Chester, PA). A 10 mM stock solution of Paraoxon was prepared in 100% dry ethanol and kept desiccated under nitrogen at −80°C until use.
Diisopropylfluorophosphate (2-[fluoro(propan-2-yloxy)phosphoryl]oxypropane; DFP) (99% purity by NMR) was kindly provided by Derik Heiss at Battelle Memorial Institute (Columbus, OH) and stored as provided at −80°C25 . Echothiophate iodide (2-diethoxyphosphorylsulfanylethyl(trimethyl)azanium; EthP) was originally obtained from Wyeth Ayerst and was a kind gift from Dr. Oksana Lockridge (University of Nebraska, Omaha, NE)26 (link),27 (link). Butyrylthiocholine iodide and all other chemicals and reagents were purchased from Sigma-Aldrich (St. Louis, MO).
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