Article ; Online: Phosgene: toxicology, animal models, and medical countermeasures.
Toxicology mechanisms and methods
2021 Volume 31, Issue 4, Page(s) 293–307
Abstract: Phosgene is a gas crucial to industrial chemical processes with widespread production (∼1 million tons/year in the USA, 8.5 million tons/year worldwide). Phosgene's high toxicity and physical properties resulted in its use as a chemical warfare agent ... ...
Abstract | Phosgene is a gas crucial to industrial chemical processes with widespread production (∼1 million tons/year in the USA, 8.5 million tons/year worldwide). Phosgene's high toxicity and physical properties resulted in its use as a chemical warfare agent during the First World War with a designation of CG ('Choky Gas'). The industrial availability of phosgene makes it a compound of concern as a weapon of mass destruction by terrorist organizations. The hydrophobicity of phosgene exacerbates its toxicity often resulting in a delayed toxidrome as the upper airways are moderately irritated; by the time symptoms appear, significant damage has occurred. As the standard of care for phosgene intoxication is supportive therapy, a pressing need for effective therapeutics and treatment regimens exists. Proposed toxicity mechanisms for phosgene based on human and animal exposures are discussed. Whereas intermediary components in the phosgene intoxication pathways are under continued discussion, generation of reactive oxygen species and oxidative stress is a common factor. As animal models are required for the study of phosgene and for FDA approval via the Animal Rule; the status of existing models and their adherence to Haber's Rule is discussed. Finally, we review the continued search for efficacious therapeutics for phosgene intoxication; and present a rapid post-exposure response that places exogenous human heat shock protein 72, in the form of a cell-penetrating fusion protein (Fv-HSP72), into lung tissues to combat apoptosis resulting from oxidative stress. Despite significant progress, additional work is required to advance effective therapeutics for acute phosgene exposure. |
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MeSH term(s) | Animals ; Chemical Warfare Agents/toxicity ; Humans ; Lung/drug effects ; Medical Countermeasures ; Models, Animal ; Phosgene/toxicity |
Chemical Substances | Chemical Warfare Agents ; Phosgene (117K140075) |
Language | English |
Publishing date | 2021-02-27 |
Publishing country | England |
Document type | Journal Article ; Review |
ZDB-ID | 2081252-8 |
ISSN | 1537-6524 ; 1537-6516 ; 1051-7235 |
ISSN (online) | 1537-6524 |
ISSN | 1537-6516 ; 1051-7235 |
DOI | 10.1080/15376516.2021.1885544 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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