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Drug Chem Toxicol, 2015; 38(1): 32–36


! 2015 Informa Healthcare USA, Inc. DOI: 10.3109/01480545.2014.900070

RESEARCH ARTICLE

Acute toxicity of some nerve agents and pesticides in rats


Jan Misik1, Ruzena Pavlikova1, Jiri Cabal1, and Kamil Kuca1,2
1
Faculty of Military Health Sciences, University of Defence, Trebesska, Hradec Kralove, Czech Republic and 2Biomedical Research Center, University
Hospital, Sokolska, Hradec Kralove, Czech Republic

Abstract Keywords
Objectives: Highly toxic organophosphorus compounds (V- and G-nerve agents) were originally Chemical warfare agent, G-agents, military
synthesized for warfare or as agricultural pesticides. Data on their acute toxicity are rare and toxicology, organophosphate, V-agents
patchy. Therefore, there is a need for integrated summary comparing acute toxicity of
organophosphates using different administration routes in the same animal model with the History
same methodology. Based on original data, a summary of in vivo acute toxicity of selected
V- and G-nerve agents (tabun, sarin, soman, VX, Russian VX) and organophosphates paraoxon Received 4 July 2013
(POX) and diisopropyl fluorophosphate (DFP) in rats has been investigated. Materials and Revised 10 February 2014
methods: Male Wistar rats were exposed to organophosphates in several administration routes Accepted 18 February 2014
(i.m., i.p., p.o, s.c., p.c.). The acute toxicity was evaluated by the assessment of median lethal Published online 18 March 2014
dose (LD50, mg kg1) 2, 4, and 24 hours post exposure. Results: V-agents were the most toxic
presented with LD50 ranged from 0.0082 mg kg1 (VX, i.m.) to 1.402 mg kg1 (Russian VX, p.o.),
followed by G-agents (LD50 ¼ 0.069 mg kg1/soman, i.m./ – 117.9 mg kg1/sarin, p.c./), organo-
phosphate POX and DFP (LD50 ¼ 0.321 mg kg1/POX, i.m./ – 420 mg kg1/DFP, p.c./). Generally,
i.m. administration was the most toxic throughout all tested agents and ways of administration
(LD50 ¼ 0.0082 mg kg1/VX/ – 1.399 mg kg1/DFP/) whereas p.c. way was responsible for lowest
acute toxicity (LD50 ¼ 0.085 mg kg1/VX/ – 420 mg kg1/DFP/). Conclusion: The acute toxicity of
selected organophosphorus compounds is summarized throughout this study. Although the
data assessed in rats are rather illustrative prediction for human, it presents a valuable
contribution, indicating the toxic potential and harmfulness of organophosphates.

Introduction dermal absorption (Hamilton et al., 2004; Munro et al., 1994;


Sidell, 1997).
Organophosphates (OP) are esters of phosphorus-containing
OP are generally absorbed through the skin, lungs, eyes,
acids originally developed for warfare or as agricultural
and the gastrointestinal tract. They cause their toxic effects
insecticides. OP were developed before and during World War
mainly by inhibition of acetylcholinesterase (AChE, EC
II but still remain a threat. Even the less toxic organophos-
3.1.1.7), an enzyme which plays an essential role in neuro-
phorus pesticides could be misused by terrorist groups as
transmission (Marrs, 1993; Maxwell et al., 2006). G-agents
cheap and relatively easily available weapons of mass
are able to inhibit AChE more rapidly in comparison with
destruction (Greenfield, 2002; Munro et al., 1994). Among
V-agents. On the other hand, V-agents preferentially react
OP, nerve agents represent the most hazardous compounds
with AChE more than with other plasmatic cholinesterases,
(Figure 1). Nerve agents are historically divided into two
resulting in greater toxicity of V-agents (Munro et al., 1994).
groups – G-agents (German) and V-agents (Venom). G-agents
OP-inhibited AChE is not able to cleave the neurotransmitter
(tabun, sarin, soman etc.) are generally known as relatively
acetylcholine (ACh), resulting in accumulation of ACh in the
volatile agents that particularly cause inhalation toxicity.
synaptic junction and over-stimulation of cholinergic recep-
By contrast, V-agents (VX, Russian VX/VR/, VM, Chinese
tors (Watson et al., 2009). According to the type and
VX, etc.) are more viscous with low volatility, able to persist
localization of receptors, peripheral and central muscarinic
in the environment for a long time. Thus, V-agents are more
and nicotinic symptoms are exhibited. Peripheral muscarinic
potent skin penetrants with the major route of intoxication via
symptoms include lacrimation, salivation, diarrhea, miosis
and bradycardia. Peripheral nicotinic symptoms include
tachycardia, hypertension and local muscle fasciculation
leading to central convulsions and paralysis of skeletal
muscles, including respiratory muscles. Other central symp-
Address for correspondence: Prof. Kamil Kuca, Ph.D., Faculty of toms (both muscarinic and nicotinic) are manifested as
Military Health Sciences, University of Defence, Trebesska 1575, 500 01
Hradec Kralove, Czech Republic. Tel: +420 973 253 028. E-mail: anxiety, confusion, tremor, impaired concentration or respira-
kucakam@pmfhk.cz tory depression (Marrs, 1993). The primary cause of death
DOI: 10.3109/01480545.2014.900070 Nerve agents acute toxicity 33

Material and methods


Chemicals
Nerve agents tabun (GA, ethyl N,N-dimethylphosphor-
amidocyanidate), sarin (GB, propan-2-yl methyl-
phosphonofluoridate), soman (GD, 3,3-dimethylbutan-2-yl
methylphosphonofluoridate), VX (ethyl ({2-[bis(propan-2-
yl)amino]ethyl}sulfanyl)(methyl)phosphinate) and VR
(N,N-diethyl-2-(methyl-(2-methylpropoxy)phosphoryl)sulfa-
nylethanamine) were obtained from Military facility VOP 072
Zemianske Kostolany (Slovak Republic) and were of 95–98%
purity. Purities of agents were established by acidometric
titration. Agent POX (diethyl 4-nitrophenyl phosphate;
90%) and DFP (bis(propan-2-yl) fluorophosphonate;
90%) were obtained from Sigma Aldrich, Ltd. (Czech
Republic) as well as hexane and propylene glycol used for
dilution of OP. Normal saline (0.9% v/w natrium chloride)
was obtained from Noviko Inc. Stock solutions of OP were
made with propylene glycol (1 mg mL1 for nerve agents,
10 mg mL1 for DFP, POX) on the day of the experiment and
were diluted with normal saline immediately before admin-
istration to animals.
Figure 1. Chemical structure of OP tabun – (GA), (RS)-ethyl N,N-
dimethylphosphoramidocyanidate; sarin – (GB), (RS)-propan-2-yl
methylphosphonofluoridate; soman – (GD), 3,3-dimethylbutan-2-yl Animals
methylphosphonofluoridate; VX – ethyl ({2-[bis(propan-2-yl)ami-
no]ethyl}sulfanyl)(methyl)phosphinate; VR – N,N-diethyl-2-(methyl-(2- Male Wistar [Crl:(WI)BR] rats (body weight 200–220 g) were
methylpropoxy)phosphoryl)sulfanylethanamine; POX – diethyl purchased from laboratory animals supply company Velaz
4-nitrophenyl phosphate; and DFP - bis(propan-2-yl) fluorophosphonate. corp. (Czech Republic) and placed at an approved animal
facility at the FMH. The animals were housed in groups of
6 in an environmentally controlled breeding unit (temperature
in the acute phase of OP poisoning is respiratory failure (Villa
21 ± 1  C, 12/12 h light/dark cycle) with free access to
et al., 2007). As well as acute cholinergic manifestations
standard feed (Cerea corp.) and drinking water. The use of
of OP toxicity, chronic cholinergic and non-cholinergic (non-
animals in this study was approved and supervised by the
specific) symptoms as neurological, locomotive and cognitive
ethical committee of the FMH. All procedures involving
disorders, insomnia, fatigue, headache can occur. These
animals were in accordance with contemporary legislation
symptoms usually develop later (days or weeks after an
of the Czech Republic.
acute cholinergic crisis) as a consequence of interaction
between OP and other enzymes or neurotransmitters, the
Methods
immune system and the metabolism (Abdollahy & Karami-
Mohajery, 2012). Some OP cause a syndrome called Experimental animals were randomly divided into five groups
Organophosphate-Induced Delayed Neuropathy (OPIDN) per five to six individuals for each agent and way of
manifested by chronic neurological and psychological dis- administration. Each group was exposed to five various doses
ability (polyneuropathic disability, motor weakness, paresis, of the single toxic agent. All substances were applied to non-
paralysis, depression etc.). anaesthetized animals in standard volume of 1 ml kg1 body
Besides selected nerve agents, this study investigates the weight via intra-muscular (i.m.), intra-peritoneal (i.p.), sub-
OP insecticide bis(propan-2-yl) fluorophosphonate (diisopro- cutaneous (s.c.) or per-oral (p.o.) administration. Undiluted
pryl fluorophosphate, DFP) and an active metabolite of the toxic agents were administered percutaneously (p.c.). With
OP insecticide parathion diethyl 4-nitrophenyl phosphate regard to expected high toxicity of agent VX, small volumes
(paraoxon, POX) (Figure 1), which act on the same principle were necessary for p.c. administration. Thus, agent VX was
as nerve agents. administrated as a 0.01% hexane solution. Solutions of OP
Although acute toxicity of OP has been extensively were administered i.m. via injection to the muscles of the
investigated (Collins et al., 2013; Munro et al., 1994) there right pelvic limb, i.p. via injection to the abdomen, p.o. via
is a lack of comprehensive studies describing this important gastric tube into the stomach or s.c. via injection under the
toxicological issue. Based on the original data collected front-dorsal skin of the trunk. Percutaneous administration
recently at the Department of Toxicology (Faculty of was performed as a single line via a pipette onto the clipped
Military Health Sciences/FMH/), a summary of selected OP dorsal skin (5  7 cm). Clipping was performed on the day
toxicities under various administration routes is presented before the experiment to avoid skin irritation. Percutaneously
in this study. Identical methodology was used throughout treated animals were fixed on plastic platters and placed in a
the study in order to deliver a reliable comparison of acute fume hood during the experiment. Animals treated by i.m.,
toxicity in the view of the different toxic agents and routes s.c., i.p. and p.o. way were kept in breeding boxes after agent
of administration. administration. The acute toxicity was evaluated by the
34 J. Misik et al. Drug Chem Toxicol, 2015; 38(1): 32–36

Table 1. Acute toxicity of OP NA and pesticides in male Wistar rats under various ways of administration (i.m., s.c., i.p., p.o, p.c.). 2, 4 and 24 h
median lethal doses (LD50) and confidence limits are shown. There is no time variability if a single data is shown (LD50 ¼ 2hLD50 ¼ 4hLD50 ¼ 24hLD50).
Values of LD50 published previously by other studies are given (ref.) with cross-references stated below. Detailed experimental conditions of referred
studies as strain, sex and age of experimental animals as well as purity of tested compounds and confident limits of LD50 are not included.

LD50 (mg kg1)


Administration TABUN SARIN SOMAN VX VR POX DFP
2h
i.m. 0.183 0.096 0.069 0.0082 0.0153 0.321 1.399
(0.161–0.208) (0.093–0.099) (0.063–0.075) (0.0072–0.0092) (0.0099–0.0239) (0.241–0.387) (1.19–1.50)
24h
0.0141
(0.0116–0.0182)
ref. 0.14,5,6), 0.1017)
s.c. 0.270 0.11 0.12 0.0119 0.0159 0.429 1.58
(0.240–0.310) (0.101–0.120) (0.103–0.139) (0.0084–0.0157) (0.0138–0.0213) (0.35–0.44) (1.255–1.92)
ref. 0.1621), 0.2802) 0.11), 0.1252) 0.07–0.161), 0.1168), 0.0121), 0.0162) 0.4311)
0.112,9,14), 0.0810)
2h 2h
i.p. 0.602 0.51 0.117 0.0456 0.063 1.276 3.20
(0.495–1.239) (0.406–0.638) (0.10–0.126) (0.0363–0.0573) (0.0529–0.0852) (0.812–2.006) (2.19–4.27)
24h 24h
0.565 0.472
(0.434–1.198)
ref. 0.71612) 7.813)
2h
p.o. 3.6 0.67 0.37 0.189 1.402 (1.0–1.58) 2.519 3.331
(2.69–4.82) (0.59–0.77) (0.30–0.44) (0.169–0.213) (2.203–2.881) (3.00–3.80)
24h
0.122
(0.112–0.134)
ref. 1.063) 0.13)
4h 4h 4h 4h
p.c. 83.0 117.9 9.987 40.150 40.50 450  420
24h 24h 24h 24h
(53.97–117.0) (89.39–155.6) (7.165–13.91) 0.0849 0.392 4.373 300.0
(0.079–0.10) (0.327–0.466) (1.588–8.843) (203.6–429.0)
ref. 181), 12.63) 2.5 1,3)
0.13)

References for Table 1: 1) John et al. 2009 2) Shih & McDonough 1999 3) Munro et al. 1994 4) Damodaran et al. 2003 5) Jones et al. 2000 6) Khan et al.
2000 7) Abdel-Rahman et al. 2002 8) Maxwell et al. 1987 9) Shih 1990 10) Myhrer et al. 2005 11) Villa et al. 2007 12) Mehrani et al. 2008 13) Nieminen
et al. 1991 14) Langston et al. 2012

assessment of median lethal dose (LD50, mg kg1) and


confidence limit which was calculated by probit analysis
of deaths occurring within 2, 4 and 24 h respectively.
LD50 values were assessed 4 and 24 h in the groups of
p.c. administered V-agents and pesticides with regard to
slow action of these agents. Exposed animals that survived
24 h were euthanized in 100% CO2 atmosphere.

Results
The summary of acute toxicity of nerve agents and pesticides
expressed as LD50 is shown in Table 1. Rats intoxicated with
OP showed typical signs of intoxication followed by recovery
or death, depending on the kind of agent, the dose applied and
the route of administration. Cholinergic signs were observed
in G-agent groups at first, followed by V-agents and
pesticides. Local fasciculation of muscles usually occurred
as the first sign. In i.m. treated groups, local fasciculation Figure 2. Shift of OP acute toxicity (24hLD50) in relation to way of
administration. Ways of administration are sentenced in descending
usually started several min (2.5–3.5 min, soman; 7.5–9.5 min, order according to expected toxic effect.
VX) post-exposure. Local fasciculation expanded gradually
according to the applied dose and the route of administration,
leading to strong central convulsions that ended in respiratory The LD50 varied from 0.0082 mg kg1 (VX, i.m.) to
crisis (apnoea) and death when the lethal dose was applied. 300 mg kg1 (DFP, p.c.). V-agents (VX, VR) were the most
Ataxia, mastication, salivation, miosis, and piloerection were toxic in all types of administration, followed by G-agents.
also observed throughout all treated groups. Agent DFP was the less toxic in comparison with other tested
The acute toxicity was assessed at 3 time points -2, 4 and OP, except p.o. administration which was more toxic than
24 h post-exposure. Deaths usually occurred within first two h administration of nerve agent tabun via the same way (3.3
and the LD50 remained identical till 24 h post-exposure. There versus 3.6 mg kg1). In general, rats were most sensitive to
was a time difference between 2 h and 24 h LD50 in i.p. i.m. administration related to better system availability in
administered G-agents tabun and sarin and V-agents VX and comparison with other ways of administration (Figure 2). As
VR under p.o. and i.m. administration, respectively (Table 1). expected, the toxicity decreased dependent on the route
DOI: 10.3109/01480545.2014.900070 Nerve agents acute toxicity 35

of administration – i.m.4s.c.4i.p.4p.o.4p.c. – except especially in the most potent G-agent soman. When lethal
V-agents (p.c.4p.o.). Based on different routes of adminis- doses of soman were applied, rapid manifestation of AChE
tration, the less physiological sensitivity was found in inhibition occurred in several minutes (fasciculation, central
POX whereas sarin was the most sensitive. The difference convulsions) followed by respiratory crisis and death.
between the most (i.m.) and the least (p.c.) sensitive Velocity of soman-induced signs can be explained by the
route of administration varied more than a thousand times high lipophilia of soman (logKow ¼ 1.824; Czerwinski et al.,
in sarin-treated groups (Figure 2). 1998) and therefore easy passage of soman through the blood-
brain barrier, followed by a strong central effect (Joosen
2009). Moreover, spontaneous (or therapeutic) reactivation
Discussion
of soman is limited due to rapid aging of inhibited AChE
As anticipated, the route of administration was demonstrated (Kassa, 2002; Talbot et al., 1988). All these characteristics
as an important factor causing substantial differences in contribute to a rapid progression of soman poisoning.
individual OP toxicity. Generally, i.m. administration was the Majority of symptoms occurred in first few h after soman
most toxic in all cases, resulting from avoidance of the administration and survival of this period was accompanied
intestinal tract and thus first pass metabolism in the liver by successive reduction of cholinergic signs. Therefore,
(Karalliede et al., 2003). Even so, oral and especially dermal survival to 24 h after survival to 2 h was due to the relative
exposition led to the highest values of LD50. The upper skin absence of further symptoms or their lowered intensity in the
surface consisting of a hydrophobic layer of cornified intervening period. This may help explain the fact that
epidermocytes (stratum corneum), represents a principal all LD50 was consistent across all time points and routes
barrier preventing permeation of xenobiotics (Elias, 1983). of administration in soman poisoning. A similar effect was
Lipophilic OP overcome the stratum corneum gradually and found in the rest of G-agents, except for a mild time difference
tend to form depots in the subcutaneous adipose tissue. OP between i.p. LD50 (Table 1).
could be subsequently released from such depots to the G-agents had a lower tendency to permeate through the
systemic circulation, thus inducing a delayed toxic effect skin due to high volatility. Accordingly, the difference
(Bjarnason et al., 2008; Chilcott et al., 2005). In the case of between i.m. and dermal toxicity was substantial, varying
oral administration, OP are destroyed (hydrolyzed) in the more than a thousand times. Obtained toxicities of G-agents
gastric acid environment, and moreover the gastrointestinal were in accordance with published data for s.c. administration
tract acts also as a natural barrier. Thus, higher lethal doses of soman, tabun and sarin (Table 1), whereas p.c. adminis-
were recorded via p.c. and p.o. administration. tered tabun and soman were substantially less toxic in the
Acute toxicity of OP descended in the order V-agents4 present study (83 versus 18 mg kg1 in tabun, 117.9 versus
G-agents4pesticides. Variable toxico-kinetics and toxico- 2.5 mg kg1 in sarin, Table 1). Nevertheless, the major route
dynamics of particular OP depends mainly on different of exposure to volatile G-agents in real conditions is expected
AChE-inhibiting potencies, aging rates and lipophilia (Joosen, to be through inhalation (Greenfield et al., 2002; Shih &
2009; Marrs, 1993). High lipophlilia is usually presented by McDonough, 1999) which was not used in this study. Vapors
efficacious bio-distribution and easier penetration through the and aerosols, the most common form of G-agents, cause local
biological barriers such as skin or blood-brain barrier. In this effects to the eyes and respiratory system within seconds
study, highly lipophilic VX (logKow ¼ 2.09) was the most (Sidell, 1997). Median lethal concentration (LCt50, mg min1
toxic agent represented by the values of 24hLD50 within the m3) in rats was found to be 450 and 220 mg min1 m3 for
range of 0.008–0.122 mg kg1 via all tested administration tabun and sarin, respectively (Sidell, 1997). Collins et al.
routes. The data obtained here match formerly reported VX (2013) found inhalational LD50 for G-agents sarin and soman
toxicity (Table 1). Agent VR, a structural isomer of VX, was to be 0.167 and 0.154 mg kg1, respectively.
the second most toxic compound among tested substances and POX and DFP were in general less potent than nerve
routes of administration, except p.o. route (Figure 2). Extreme agents. Their effect was rather slow, similar to that of
toxicity of V-agents is also caused by preferential reaction V-agents, manifested with cholinergic signs starting in tens
with AChE, contrary to G-agents which are more prone to be of minutes or h after administration. On the other hand,
hydrolyzed by other cholinesterases (Munro et al., 1994). lipophilic and low-volatile POX was proved to be a slow
Although VX was the most potent OP, manifestation of but potent skin-permeant characterized by dermal toxicity
cholinergic signs occurred relatively late, even several h post- even higher than the toxicity of the most potent G-agent
exposure (p.c.). This is most likely due to a slow tissue soman. Also the oral toxicity of both pesticides was higher
penetration rate and tendency of VX to form depots. Delayed than the oral toxicity of the less potent G-agent tabun.
systemic distribution with maximal plasma levels several h In comparison with published data, an identical LD50
after VX administration is typical (Van der Schans et al., for s.c. administered POX was achieved in a study of Villa
2003). In this study, V-agents exhibited strong affinity to et al. (2007).
skin and their dermal toxicity was even higher than oral A summary of selected OP acute toxicity exposure was
toxicity, as has been previously reported for some OP investigated in rats. Despite there is a multifactorial influence
pesticides (Karalliede et al., 2003). The difference was on experimental assessment of OP toxicity as a potential
distinctive in VR where dermal toxicity was more than source of inter-laboratory variability (Karalliede et al., 2003),
three times higher than oral toxicity. good agreement with published data was achieved throughout
Although G-agents were less toxic in comparison to this study. Substantial difference was found in dermally-
V-agents, manifestation of toxic signs was usually more rapid administered G-agents, tabun and sarin, which were several
36 J. Misik et al. Drug Chem Toxicol, 2015; 38(1): 32–36

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