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Inhalation toxicity of soman vapor in non-anesthetized rats: A preliminary assessment of inhaled bronchodilator or steroid therapy
Authors:Michael W Perkins  Benjamin WongAshley Rodriguez  Jennifer L DevorakDerron A Alves  Gleeson MurphyAlfred M Sciuto
Institution:Analytical Toxicology Division, Medical Toxicology Branch, United States Army Medical Research Institute of Chemical Defense, 3100 Ricketts Point Road, Aberdeen Proving Ground, MD 21010, United States
Abstract:Respiratory toxicity, injury and treatment following vapor inhalational exposure to the chemical warfare nerve agent (CWNA) soman (GD) were examined in non-anesthetized rats. This study exposed male Sprague–Dawley rats (250–300 g) to 520, 560, 600, 825 or 1410 mg × min/m3 of soman in a customized head-out inhalation system. Signs of CWNA-induced cholinergic crises were observed in all soman-exposed animals. The LCt50 of vaporized soman as determined by probit analysis was 593.1 mg × min/m3. All animals exposed to 825 and 1410 mg × min/m3 developed severe convulsions and died within 4–8 min post-exposure. Edema measured by wet/dry weight ratio of the left lung lobe increased in a dose-dependent manner in all soman-exposed animals. Bronchoalveolar lavage (BAL) fluid and blood acetylcholinesterase (AChE) activities were inhibited dose-dependently in soman-exposed groups at 24 h. A significant increase in total BAL protein was observed in soman-exposed animals at all doses. AChE activity was inhibited in lung and whole brain tissues in all soman-exposed animals. Histopathological analysis of the lungs of animals exposed to 600 mg × min/m3 of soman revealed prominent morphological changes including alveolar histiocytosis, hemorrhage and inflammation consisting of neutrophilic exudate. Exposure of animals to 600 mg × min/m3 of soman followed by treatment with two actuations for 10 s of Combivent (21 μg of ipratropium bromide and 120 μg of albuterol sulfate) and Symbicort (80 μg budesonide and 4.5 μg formoterol) by inhalation into a modified metered dose inhaler (MDI) 10 min post-exposure resulted in increased minute volume, but did not decrease mortality. These results indicate that inhalation exposure to soman vapor causes acute respiratory toxicity and injury in untreated, un-anesthetized rats and that inhalation treatment with Combivent or Symbicort did improve the respiratory outcomes, but did not influence lethality.
Keywords:AChE  acetylcholinesterase  CWNA  chemical warfare nerve agent  BAL  bronchoalveolar lavage  BALC  bronchoalveolar lavage cells  BALF  bronchoalveolar lavage fluid  ATC  acetylthiocholine iodide  DFP  diisopropyl fluorophosphate  DTP  4  4&prime  -dithidiopyridine  2-PAM  2-pralidoxime  i  m    intramuscular  i  p    intraperitoneal  SLPM  standard liters per minute  s  c    subcutaneous  GD  soman  PFH  perfluorohexane  ATCH  acetylthiocholine iodide  PBS  phosphate buffered saline  LCt50  lethal concentration measured in mg   ×     min/m3 of a vapor exposure to cause death in 50% of the exposed population multiplied by the time the individual is exposed  MDI  metered dose inhaler  MV  minute volume
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