Evidence map›Paper›PMID 32019865›Full record

ArticleThe Journal of biological chemistry2020

Rational design, synthesis, and evaluation of uncharged, "smart" bis-oxime antidotes of organophosphate-inhibited human acetylcholinesterase.

Lukas Gorecki, Oksana Gerlits, Xiaotian Kong, Xiaolin Cheng, Donald K Blumenthal, Palmer Taylor, Carlo Ballatore, Andrey Kovalevsky, Zoran Radić

Erratum issuedOpen access · hybridAbstract read
In one paragraph

Article in The Journal of biological chemistry, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
3.9field-weighted citation impact, top 6% of its field
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

18 citing papers in PubMed, 42 citations in OpenAlex.

  1. Article
  2. From Mechanisms to Materials: Oximate Reactivity and Emerging Strategies for Organophosphate Detoxification.Chemphyschem : a European journal of chemical physics and physical chemistry · 2026
    Review
  3. Article
  4. Article
  5. Article
  6. Acetylcholinesterase: Structure, dynamics, and interactions with organophosphorus compounds.Protein science : a publication of the Protein Society · 2025
    Review
  7. Article
  8. Article
  9. Identification ofMolecules (Basel, Switzerland) · 2025
    Article
  10. Article
  11. Article
  12. Review
  13. FDA-Approved Oximes and Their Significance in Medicinal Chemistry.Pharmaceuticals (Basel, Switzerland) · 2022
    Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 5 institutions in 1 country.

Lukas GoreckiSkaggs School of Pharmacy and Pharmaceutical Sciences, University of California San Diego, La Jolla, California 92093-0751.
Oksana GerlitsBredesen Center, University of Tennessee, Knoxville, Tennessee 37996.
Xiaotian KongDivision of Medicinal Chemistry and Pharmacognosy, College of Pharmacy, Ohio State University, Columbus, Ohio 43210.
Xiaolin ChengDivision of Medicinal Chemistry and Pharmacognosy, College of Pharmacy, Ohio State University, Columbus, Ohio 43210.
Donald K BlumenthalDepartment of Pharmacology and Toxicology, University of Utah, Salt Lake City, Utah 84112.
Palmer TaylorSkaggs School of Pharmacy and Pharmaceutical Sciences, University of California San Diego, La Jolla, California 92093-0751.
Carlo BallatoreSkaggs School of Pharmacy and Pharmaceutical Sciences, University of California San Diego, La Jolla, California 92093-0751.
Andrey KovalevskyNeutron Scattering Division, Oak Ridge National Laboratory, Oak Ridge, Tennessee 37831.
Zoran RadićSkaggs School of Pharmacy and Pharmaceutical Sciences, University of California San Diego, La Jolla, California 92093-0751. Electronic address: zradic@ucsd.edu.
University of California San Diego · USThe Ohio State University · USOak Ridge National Laboratory · USUniversity of Tennessee at Knoxville · USUniversity of Utah · US

Funding

Accelerated AChE Reactivator Design by Mechanistic Neutron Scattering StudiesU01NS083451 · NINDS · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI RADIC, ZORAN · 2014 to 2018
$3.4M
Overlay independent X-ray data analysis for enhanced oxime OP-ChE reactivationR21NS098998 · NINDS · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI RADIC, ZORAN · 2016 to 2017
$310k
NINDS NIH HHS R21 NS098998NINDS NIH HHS U01 NS083451
6 · The paper itself

Abstract

Organophosphate (OP) intoxications from nerve agent and OP pesticide exposures are managed with pyridinium aldoxime-based therapies whose success rates are currently limited. The pyridinium cation hampers uptake of OPs into the central nervous system (CNS). Furthermore, it frequently binds to aromatic residues of OP-inhibited acetylcholinesterase (AChE) in orientations that are nonproductive for AChE reactivation, and the structural diversity of OPs impedes efficient reactivation. Improvements of OP antidotes need to include much better access of AChE reactivators to the CNS and optimized orientation of the antidotes' nucleophile within the AChE active-center gorge. On the basis of X-ray structures of a CNS-penetrating reactivator, monoxime RS194B, reversibly bound to native and venomous agent X (VX)-inhibited human AChE, here we created seven uncharged acetamido bis-oximes as candidate antidotes. Both oxime groups in these bis-oximes were attached to the same central, saturated heterocyclic core. Diverse protonation of the heterocyclic amines and oxime groups of the bis-oximes resulted in equilibration among up to 16 distinct ionization forms, including uncharged forms capable of diffusing into the CNS and multiple zwitterionic forms optimal for reactivation reactions. Conformationally diverse zwitterions that could act as structural antidote variants significantly improved

Indexed as

AcetamidesAcetylcholinesteraseAntidotesCentral Nervous SystemCholinesterase InhibitorsCholinesterase ReactivatorsCrystallography, X-RayHumansKineticsOrganophosphatesOrganophosphorus CompoundsOximesProtein ConformationStructure-Activity RelationshipAcetamidesAcetylcholinesteraseAntidotesCholinesterase InhibitorsCholinesterase ReactivatorsOrganophosphatesOrganophosphorus CompoundsOximesRS194Bacetylcholinesterase (AChE)aliphatic bis-oximecrystal structuredrug designenzyme structuremolecular modelingorganophosphate intoxicationoxime reactivationstructure-functionuncharged oxime antidote

Identifiers

PMID32019865
PMCPMC7105318
OpenAlexW3005258313

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.