Abstract

Diisopropylfluorophosphate (DFP), an organophosphate nerve agent (OPNA), exposure causes status epilepticus (SE) and epileptogenesis. In this study, we tested the protective effects of saracatinib (AZD0530), a Src kinase inhibitor, in mixed-sex or male-only Sprague Dawley rats exposed to 4–5 mg/kg DFP followed by 2 mg/kg atropine and 25 mg/kg 2-pralidoxime. Midazolam (3 mg/kg) was given to the mixed-sex cohort (1 h post-DFP) and male-only cohort (~30 min post-DFP). Saracatinib (20 mg/kg, oral, daily for 7 days) or vehicle was given two hours later and euthanized eight days or ten weeks post-DFP. Brain immunohistochemistry (IHC) showed increased microgliosis, astrogliosis, and neurodegeneration in DFP-treated animals. In the 10-week post-DFP male-only group, there were no significant differences between groups in the novel object recognition, Morris water maze, rotarod, or forced swim test. Brain IHC revealed significant mitigation by saracatinib in contrast to vehicle-treated DFP animals in microgliosis, astrogliosis, neurodegeneration, and nitro-oxidative stressors, such as inducible nitric oxide synthase, GP91phox, and 3-Nitrotyrosine. These findings suggest the protective effects of saracatinib on brain pathology seem to depend on the initial SE severity. Further studies on dose optimization, including extended treatment regimen depending on the SE severity, are required to determine its disease-modifying potential in OPNA models.

Highlights

  • Organophosphate nerve agents (OPNAs) pose significant threats to both military and civilian populations

  • We explore the therapeutic potential of saracatinib (SAR, known as AZD0530), a Src family tyrosine kinase (SFKs) inhibitor, following epileptic insult by the OPNA, DFP

  • There were no differences in the initial status epilepticus (SE) severity between animals that were used to treat with SAR or VEH or for either sex, nor were there sex differences (Figure 2A)

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Summary

Introduction

Organophosphate nerve agents (OPNAs) pose significant threats to both military and civilian populations. OPNAs include a wide array of molecules, including G-series agents such as Soman (GD), Sarin (GB), and cyclosarin (GF), V-series agents such as VX and VG, GV series, and Novichok [7,8] These NAs cause cholinergic toxicity through the irreversible inhibition of acetylcholinesterase (AChE), accumulation of acetylcholine (ACh) at the synapses, and overactivation of ACh receptors [9,10,11]. This leads to a wide variety of symptoms, such as bronchoconstriction, salivation, lacrimation, bradycardia, gastrointestinal distress, and convulsions [12,13,14].

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