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Aging

Definition

The irreversible loss of one alkyl group from the phosphorylated AChE-organophosphate complex, after which oximes can no longer reactivate the enzyme. Aging half-times range from minutes (soman) to many hours (most agricultural OPs).

Mechanism
Irreversible loss of an alkyl group from phosphorylated AChE
Consequence
Oximes can no longer reactivate the enzyme
Fastest agent
Soman, minutes
Slowest agents
Most agricultural organophosphates, many hours

Common questions

Why does aging time matter for treating organophosphate poisoning?+

Oxime antidotes such as pralidoxime only work before the enzyme-inhibitor complex ages, so a fast-aging agent narrows the treatment window dramatically compared with a slow-aging pesticide, where oximes may remain effective for many hours after exposure.

Does aging affect all organophosphates at the same rate?+

No, the aging half-time varies enormously by compound, from minutes for military nerve agents like soman to many hours for common agricultural organophosphates, which is a major reason clinical urgency differs so much between exposure types.

Related terms

Acetylcholinesterase (AChE)
The enzyme that hydrolyses acetylcholine at cholinergic synapses. Inhibition by organophosphates or carbamates causes accumulation of acetylcholine at muscarinic, nicotinic and central...
Anupam Verma Committee
An expert committee constituted by the Ministry of Agriculture in 2013 to review 66 pesticides already banned in other countries but still...
DUMBBELS
Mnemonic for the muscarinic side of the cholinergic toxidrome: Diarrhoea, Urination, Miosis, Bronchospasm and Bronchorrhoea, Bradycardia, Emesis, Lacrimation, Salivation.
Intermediate Syndrome
Proximal muscle and respiratory weakness appearing 24 to 96 hours after acute organophosphate exposure, requiring mechanical ventilation, distinct from the acute cholinergic...
OPIDN
Organophosphate-induced delayed polyneuropathy: a distal sensorimotor neuropathy appearing 2 to 3 weeks after exposure to certain OPs (TOCP, leptophos), mediated by neuropathy...
Phosphine (PH3)
The toxic gas liberated when aluminium phosphide reacts with water or gastric acid. It inhibits mitochondrial cytochrome c oxidase, generates reactive oxygen...

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