American Journal of Emergency Medicine
Volume 28, Issue 3 , Pages 268-274, March 2010

Protective effects of Y-27632 on acute dichlorvos poisoning in rats

  • Nurullah Gunay, MD

      Affiliations

    • Department of Emergency Medicine, Kayseri Training and Research Hospital, 38010 Kayseri, Turkey
    • Corresponding Author InformationCorresponding author. Tel.: +90 352 3368884x1265; fax: +90 352 3207313.
  • ,
  • Beril Kose, MD

      Affiliations

    • Department of Emergency Medicine, Faculty of Medicine, University of Gaziantep, 27310 Gaziantep, Turkey
  • ,
  • Seniz Demiryurek, PhD

      Affiliations

    • Gaziantep School of Health, Faculty of Medicine, University of Gaziantep, 27310 Gaziantep, Turkey
    • Department of Physiology, Faculty of Medicine, University of Gaziantep, 27310 Gaziantep, Turkey
  • ,
  • Nurdan Ozlu Ceylan, MD

      Affiliations

    • Department of Biochemistry and Clinical Biochemistry, Faculty of Medicine, University of Gaziantep, 27310 Gaziantep, Turkey
  • ,
  • Ibrahim Sari, MD

      Affiliations

    • Department of Pathology, Faculty of Medicine, University of Gaziantep, 27310 Gaziantep, Turkey
  • ,
  • Abdullah T. Demiryurek, PhD

      Affiliations

    • Department of Pharmacology, Faculty of Medicine, University of Gaziantep, 27310 Gaziantep, Turkey

Received 23 July 2008; received in revised form 19 November 2008; accepted 20 November 2008. published online 26 October 2009.

Abstract 

Anticholinesterase poisoning is an important health problem in developing countries, and understanding of its underlying mechanisms is essential for the effective treatment. This study is designed to examine the effects of Y-27632, a selective Rho-kinase inhibitor, on organophosphate-induced cardiac toxicity and mortality in rats. Rats were randomly divided into 4 groups: control (corn oil), dichlorvos (30 mg/kg intraperitoneally), and 1- and 10-mg/kg Y-27632 + dichlorvos groups. After 6 hours of intraperitoneal injection, venous blood and cardiac samples were obtained, biochemical or immunohistochemical analyses were performed, and the intensity of muscle fasciculation was recorded. Serum cholinesterase activities were suppressed with dichlorvos, and these reductions were inhibited with Y-27632 pretreatment. Serum creatine kinase, creatine kinase–MB activities, and myoglobin and N-terminal probrain natriuretic peptide concentrations were not markedly affected with poisoning or Y-27632. Although serum nitric oxide concentrations did not change with dichlorvos, cardiac nitric oxide levels were markedly increased with Y-27632 pretreatment. Cardiac glutathione levels also increased with 1 mg/kg Y-27632. There was no staining for apoptosis, and immunohistochemical analyses of inducible nitric oxide synthase showed no change in cardiac tissue for all of the groups. Both doses of Y-27632 abolished mortality in rats with acute dichlorvos exposure (100% survival). These results show that administration of Rho-kinase inhibitor can produce protective effects against dichlorvos intoxication in rats. These findings may provide new possibilities for the treatment of organophosphate poisoning.

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PII: S0735-6757(08)00811-5

doi:10.1016/j.ajem.2008.11.020

American Journal of Emergency Medicine
Volume 28, Issue 3 , Pages 268-274, March 2010