Evidence map›Paper›PMID 27140636›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2016

Structure of a prereaction complex between the nerve agent sarin, its biological target acetylcholinesterase, and the antidote HI-6.

Anders Allgardsson, Lotta Berg, Christine Akfur, Andreas Hörnberg, Franz Worek, Anna Linusson, Fredrik J Ekström

Abstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed.

  1. Article
  2. Acetylcholinesterase: Structure, dynamics, and interactions with organophosphorus compounds.Protein science : a publication of the Protein Society · 2025
    Review
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Synthesis,Journal of enzyme inhibition and medicinal chemistry · 2020
    Article
  14. 1-(3-Biomolecules · 2020
    Article
  15. Article
  16. Article
  17. The structural and biochemical impacts of monomerizing human acetylcholinesterase.Protein science : a publication of the Protein Society · 2019
    Article
  18. Article
  19. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Anders AllgardssonDepartment of CBRN Defence and Security, Swedish Defence Research Agency, SE-90182 Umea, Sweden;
Lotta BergDepartment of Chemistry, Umeå University, SE-90187 Umea, Sweden;
Christine AkfurDepartment of CBRN Defence and Security, Swedish Defence Research Agency, SE-90182 Umea, Sweden;
Andreas HörnbergSP Processum AB, SE-891 22 Ornskoldsvik, Sweden;
Franz WorekDepartment of Toxicological Enzymology, Bundeswehr Institute of Pharmacology and Toxicology, 80937 Munich, Germany.ORCID 0000-0003-3531-3616
Anna LinussonDepartment of Chemistry, Umeå University, SE-90187 Umea, Sweden; anna.linusson@umu.se freeks@foi.se.
Fredrik J EkströmDepartment of CBRN Defence and Security, Swedish Defence Research Agency, SE-90182 Umea, Sweden; anna.linusson@umu.se freeks@foi.se.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Organophosphorus nerve agents interfere with cholinergic signaling by covalently binding to the active site of the enzyme acetylcholinesterase (AChE). This inhibition causes an accumulation of the neurotransmitter acetylcholine, potentially leading to overstimulation of the nervous system and death. Current treatments include the use of antidotes that promote the release of functional AChE by an unknown reactivation mechanism. We have used diffusion trap cryocrystallography and density functional theory (DFT) calculations to determine and analyze prereaction conformers of the nerve agent antidote HI-6 in complex with Mus musculus AChE covalently inhibited by the nerve agent sarin. These analyses reveal previously unknown conformations of the system and suggest that the cleavage of the covalent enzyme-sarin bond is preceded by a conformational change in the sarin adduct itself. Together with data from the reactivation kinetics, this alternate conformation suggests a key interaction between Glu202 and the O-isopropyl moiety of sarin. Moreover, solvent kinetic isotope effect experiments using deuterium oxide reveal that the reactivation mechanism features an isotope-sensitive step. These findings provide insights into the reactivation mechanism and provide a starting point for the development of improved antidotes. The work also illustrates how DFT calculations can guide the interpretation, analysis, and validation of crystallographic data for challenging reactive systems with complex conformational dynamics.

Indexed as

AcetylcholinesteraseAntidotesCholinesterase ReactivatorsCrystallography, X-RayKineticsMolecular ConformationNerve AgentsOximesPyridinium CompoundsSarinAcetylcholinesteraseAntidotesasoxime chlorideCholinesterase ReactivatorsNerve AgentsOximesPyridinium CompoundsSarinacetylcholinesterasecrystallographydensity functional theorynerve agentreactivation

Identifiers

PMID27140636
PMCPMC4878515

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.