Provided are N-alkyl imidazole 2-aldoximes, including cationic imidazolium and uncharged tertiary imidazole aldoximes, and compositions and methods for making and using them, including methods for reactivating human butyrylcholinesterase (hBChE) or acetylcholinesterase (hAChE) inhibited by organophosphate (OP). By administration of a composition of the invention, the inactive or conjugated hBChE-OP or hAChE-OP is reactivated and the catalytic cycle of turnover and inactivation of the OP is completed; and in alternative embodiments, secondary mechanisms of reversible protection of hBChE and hAChE from irreversible inactivation by OPs and reactivation of tissue AChE also contribute to overall efficacy.
提供了N-烷基
咪唑-2-醛
肟,包括阳离子
咪唑和不带电的三级
咪唑醛肟,以及制备和使用它们的组合物和方法,包括重新激活被有机
磷酸酯(OP)抑制的人丁酰
胆碱酯酶(hBChE)或
乙酰胆碱酯酶(hAChE)的方法。通过使用本发明的组合物,不活性或结合的hBChE-OP或hAChE-OP被重新激活,完成OP的催化循环和失活;在替代实施方案中,可逆保护hBChE和hAChE免受OP不可逆失活的次要机制以及组织AChE的重新激活也有助于总体功效。