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Discovery of New Classes of Compounds that Reactivate Acetylcholinesterase Inhibited by Organophosphates
Authors:Dr Francine S Katz  Dr Stevan Pecic  Dr Timothy H Tran  Dr Ilya Trakht  Laura Schneider  Dr Zhengxiang Zhu  Dr Long Ton‐That  Dr Michal Luzac  Viktor Zlatanic  Shivani Damera  Dr Joanne Macdonald  Prof?Dr Donald W Landry  Prof?Dr Liang Tong  Prof?Dr Milan N Stojanovic
Affiliation:1. Department of Medicine/Division of Experimental Therapeutics, Columbia University Medical Center, New York, NY, USA;2. Department of Biological Sciences, Columbia University, New York, NY, USA;3. Genecology Research Centre, Inflammation and Healing Research Cluster, School of Science and Engineering, University of the Sunshine Coast, Sippy Downs, QLD, Australia;4. Departments of Biomedical Engineering and Systems Biology, Columbia University, New York, NY, USA
Abstract:Acetylcholinesterase (AChE) that has been covalently inhibited by organophosphate compounds (OPCs), such as nerve agents and pesticides, has traditionally been reactivated by using nucleophilic oximes. There is, however, a clearly recognized need for new classes of compounds with the ability to reactivate inhibited AChE with improved in vivo efficacy. Here we describe our discovery of new functional groups—Mannich phenols and general bases—that are capable of reactivating OPC‐inhibited AChE more efficiently than standard oximes and we describe the cooperative mechanism by which these functionalities are delivered to the active site. These discoveries, supported by preliminary in vivo results and crystallographic data, significantly broaden the available approaches for reactivation of AChE.
Keywords:drug discovery  high-throughput screening  medicinal chemistry  neurological agents  structure–  activity relationships
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