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.
本发明提供了N-烷基
咪唑2-醛
肟,包括阳离子
咪唑鎓和不带电的叔
咪唑醛肟,以及制造和使用它们的组合物和方法,包括重新激活被有机
磷(OP)抑制的人丁酰
胆碱酯酶(hBChE)或
乙酰胆碱酯酶(hAChE)的方法。通过施用本发明的组合物,无活性或共轭的 hBChE-OP 或 hAChE-OP 被重新激活,OP 的周转和失活催化循环完成;在另一个实施方案中,可逆保护 hBChE 和 hAChE 免受 OP 的不可逆失活以及重新激活组织 AChE 的次级机制也有助于提高整体疗效。