M. Adler et al., CONTRIBUTION OF DIRECT ACTIONS OF THE OXIME HI-6 IN REVERSING SOMAN-INDUCED MUSCLE WEAKNESS IN THE RAT DIAPHRAGM, European journal of pharmacology. Environmental toxicology and pharmacology section, 270(1), 1994, pp. 9-16
The actions of the bispyridinium oxime HI-6 rbonyl)pyridino]-methoxy]m
ethyl]-2-[(hydroxyimino) methyl]- pyridinium dichloride) were investig
ated in vitro on rat phrenic nerve-hemidiaphragm preparations. Isometr
ic twitch and tetanic tensions were elicited at 37 degrees C with supr
amaximal nerve stimulation at frequencies of 20 and 50 Hz. To approxim
ate normal respiration patterns, trials consisting of 30 successive 0.
55 s trains were alternated with 1.25 s rest periods. Under control co
nditions, the above stimulation pattern generated tensions that were w
ell maintained at both frequencies. In contrast, a marked depression o
f muscle tension was observed in diaphragms removed from rats administ
ered 339 mu g/kg soman (3 LD(50)) and tested in vitro. Addition of HI-
6, 4 h after soman exposure, led to a nearly complete recovery of musc
le tension at 20 Hz. At 50 Hz, muscle tensions still declined especial
ly when trains were elicited at 1.25 and 3 s intervals. The recovery b
y HI-6 observed in this study appears to be mediated by mechanisms unr
elated to acetylcholinesterase reactivation since no increase of enzym
atic activity was detected and the effect was reversed by a brief wash
out in oxime-free physiological solution. The results suggest that the
direct action of HI-6 may play a role in restoring soman-induced diap
hragmatic failure but this effect would be significant primarily under
low use conditions.