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D-A124 786 EFFECT OF TOPICALLY APPLIED D17SOPROPYLFLUOROPHOSPHRTE i/i ON GLUCOSE METABOLISM IN THE RATCU) LETTERMAN ARMY INST OF RESEARCH PRESIDIO OF SAN FRANCISCO CA UCASIFIED G J KLRIN ET AL. DEC 82 LAIR-03 F/G 6280 N UNLSm o n s o o n 5 o n I I E §§000000lfl'1fD

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Page 1: OF TOPICALLY APPLIED D17SOPROPYLFLUOROPHOSPHRTE …~.,d I,,. *1 ABSTRACT A solution of diisopropylfluorophosphate in peanut oil was applied topically on the clipped mid-lumbar region

D-A124 786 EFFECT OF TOPICALLY APPLIED D17SOPROPYLFLUOROPHOSPHRTE i/iON GLUCOSE METABOLISM IN THE RATCU) LETTERMAN ARMY INSTOF RESEARCH PRESIDIO OF SAN FRANCISCO CA

UCASIFIED G J KLRIN ET AL. DEC 82 LAIR-03 F/G 6280 NUNLSm o n s o o n 5 o n I I E§§000000lfl'1fD

Page 2: OF TOPICALLY APPLIED D17SOPROPYLFLUOROPHOSPHRTE …~.,d I,,. *1 ABSTRACT A solution of diisopropylfluorophosphate in peanut oil was applied topically on the clipped mid-lumbar region

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INSTITUTE REPORT NO. 135

EFFECT OF TOPICALLY APPLIED DIISOPROPYIFLUOROPHOSPHATEON GLUCOSE METABOLISM IN THE RAT

GEORGE J. KLAIN, PhDandJAMES J. SCHNEIDER, BS

DIVISION OF CUTANEOUS HAZARDSLETTERMAN ARMY INSTITUTE OF RESEARCH

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DEPARTMENT OF BIOLOGYUNIVERSITY OF SAN FRANCISCO

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Lii DECEMBER 1982

LETTERMAN ARMY INSTITUTE OF RESEARCHPRESIDIO OF SAN FRANCISCO, CALIFORNIA 94129

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Effect of Topically Applied Diisopropyfluorophosphate on Glucose Metabolismin the Rat-Klaln and Schneider

Reproductioa of this document in whole or in part is prohibited except wit the permission of theCommander, Letterman Army Institute of Research, Presidio of San Franciscb, California 94129.However, the Defense Technical Information Center is authorized to reproduce the document forUnited States Government purposes.

Destroy this report when it is no longer needed. Do not return it to the originator.

Citation of trade names in this report does not constitute an official endorsement or approval of theuse of such items.

In conducting the research described in this report, the investigation adhered to the "Guide for theCare and Use of Laboratory Animals," as promulgated by the Committee on Revision of the Guide

*", for Laboratory Animal Facilities and Care, Institute of Laboratory Animal Resources, NationalResearch Council.

This material has been reviewed by Letterman Army Instituteof Research and there is no objection to its presentation and/or publication. The opinions or assertions contained hereinare the private views of ,e author(s) and are not to be con-strued as official or as reflecting the views of the Dep tof the Army or the Department of Defense. (AR 3 )

Ti-fis document has been approved for public relese and sale; its distribution is unlimited.

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7 -E. -

ileaff ladSECUETY CLASSIFICATION OF THIS PAGE (WMonV, BM.Etre)_______s_________

READ DESTUCTIONSREPORT DOCUMENTATION PAGE BEFORE COMPLETING FORM.1. REPORT NUMBER 12. 9OVT ACCESSION 2. RECIPIENT'$ CATALOG NUMBER

Institute Report No. 135 -tA ~ V ' ___________

4. TITLE (id Satdo) S. TYPE OP REPORT & PERIOD COVERED

Effect of topically applied diisopropyl- Finalfluorophosphate on glucose metabolism in the rat Jan 1QR - ny QR

6. PERFORMING O-pRG. PORT NUMBER

7. AUTNOW'a) B. CONTRACT OR GRANT NUMBER(a)

George J. Klain, PhD and James J. Schneider, BS

9. PERFORMING ORGANIZATION NAME AND ADDRESS 10. PROGRAM ELEMENT. PROJECT. TASKAREA A WORK UNIT NUMBERS

Letterman Army Institute of Research EH, WU 249*Presidio of San Francisco, CA 94129 61102A, 3M161102BS10

11. CONTROLLING OFFICE NAME AND ADDRESS 12. REPORT DATE

US Army Medical Research and Development Command IS. eie NUBE9O82GEFort Detrick, MD 21701 20

14L MONITORING AGENCY NAME & AOORESS(ll10emi from Cotal lng 01ffice) 1S. SECURITY CLASS. (af this report)

UnclassfeISO. DECLASSI FIATIN/ OWNGRADING

SCH EDULE

16. DISTRIBUTION STATEMENT (of this Report)

This document has been approved for public release and sale: its distributionis unlimited.

17. DISTRIBUTION STATEMENT (of Me obstract entered In Block 20, It 411ffgvait Item Roe"r)

I&. SUPPLEMENTARY NOTES

IS. KE9Y WORDS (Cantbme an reverse side it nocessmr md idanelt? by block numbe)

diisopropylfluorophosphate, organophosphates, skin intermediary metabolism,* liver, adipose tissue topical application.

DFP - diisopropylfluorophosphate

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.1A solution of DFP in peanut oil was applied to~pically on the clipped mid-unmbar region of rats and two hours later altetations in glucose utilization byskin, liver and adipose tissue preparations were determined. DFP had nodemonstratable effect on glucose oxidation. In contrast, DFP enhanced fattyacid synthesis by 70% over the control values in the skin and by 56 and 92% inthe liver and adipose tissue, respectively. DFP stimulated synthesis. ofcholesterol and sterols by 69% in the liver and doubled and tripled the --

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SECURITY CLASSIFICATION OF THIS PAGE (UMo Date Entered)

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synthesis, respectively, in the skin and adipose tissue. DFP effectson glycogen synthesis appear to be the result of a decreased activity of the keyenzymes in the synthetic pathway. Enhanced synthesis of various lipidcomponents appears to be substrate-induced.

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Page 7: OF TOPICALLY APPLIED D17SOPROPYLFLUOROPHOSPHRTE …~.,d I,,. *1 ABSTRACT A solution of diisopropylfluorophosphate in peanut oil was applied topically on the clipped mid-lumbar region

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ABSTRACT

A solution of diisopropylfluorophosphate in peanut oil wasapplied topically on the clipped mid-lumbar region of rats and twohours later alterations in glucose utilization by skin, liver, andadipose tissue preparations were determined. DFP had nodemonstratable effect on glucose oxidation. In contrast, DFPenhanced fatty acid synthesis by 70% over the control values in theskin and by 56 and 92% in the liver and adipose tissue, respectively.DP stimulated synthesis of cholesterol and sterols by 69% in theliver and doubled and tripled the synthesis, respectively, in theskin and adipose tissue. DP effects on glycogen synthesis appear tobe the result of a decreased activity of the key enzymes in the

synthetic pathway. Enhanced synthesis of various lipid componentsappears to be substrate-induced.

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4.*

ABSTRACT

A solution of diisopropylfluorophosphate in peanut oil wasapplied topically on the clipped mid-lumbar region of rats and twohours later alterations in glucose utilization by skin, liver, andadipose tissue preparations were determined. DFP had nodemonstratable effect on glucose oxidation. In contrast, DFPenhanced fatty acid synthesis by 70% over the control values in theskin and by 56 and 92% in the liver and adipose tissue, respectively.DFP stimulated synthesis of cholesterol and sterols by 69% in theliver and doubled and tripled the synthesis, respectively, in theskin and adipose tissue. DFP effects on glycogen synthesis appear tobe the result of a decreased activity of the key enzymes in thesynthetic pathway. Enhanced synthesis of various lipid componentsappears to be substrate-induced.

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* 4

PREFACE

An affiliation program between Letterman Army Institute ofResearch (LAIR) and the University of San Francisco (USF) wasestablished in 1980. Under this program qualified students from USFactively participate in research conducted at LAIR and their effortsare credited toward their course work at the University. Some of thedata presented in this report were used by James J. Schneider inpartial fulfillment of the requirement for graduate research inBiology 220 at USF.

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TABLE OF CONTENTS

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I!J

Effect of Topically Applied Diisopropylfluorophosphate on Glucose

Metabolism in the Rat--Klain and Schneider

Organophosphate compounds (OPC) are known to disrupt nervoussystem function in animals and humans. A biocidal activity, firstrecognized in 1937, led to their development in Germany during WorldWar II as potential warfare agents, e.g., the nerve gases soman,sarin and tabun (1). More recently OPC less toxic to humans havebeen developed and used widely as pest control agents, e.g.,malathion and parathion. Their toxic properties appear related to anability to inhibit serine proteases and cholinesterase throughout thecentral and peripheral nervous systems (2,3). All OPC share similarchemical structures and pharmacological actions. They differ mainlyin regard to potency and use (4).

It is generally accepted that OPC are readily absorbed throughthe skin following topical application. As a rule, these compounds

do not irritate the skin and their absorption may therefore remainundetected until systemic symptoms appear, despite the fact "hat theyproduce local cholinergic symptoms such as sweating, pilomotoractivity, vasodilation, and fasciculations in muscles underlying thearea of absorption. All of these symptoms may be explained by localinhibition of cholinesterases. Percutaneous absorption is arelatively slow process, which-suggests that there may beconsiderable inactivation of OPC, particularly of readilyhydrolyzable substances, before they reach the blood stream. Enzymesare present in the skin capable of hydrolyzing OPC (5). It seemslikely that the marked differences between percutaneous andintravenous toxicities are at least partly due to such detoxifyingmechanisms. Absorption is slowed down by the stratum corneum. Minorinjuries to the skin reduce this resistance to absorption and mayresult in a considerable increase in toxicity. In intact skin there

. may also be transfollicular absorption of OPC. Exposure levels thatare toxic but too low to threaten life produce a variety of signs andsymptoms in humans, including miosis, muscular fasciculations, andapprehension (2,6). These acute manifestations are usuallyaccompanied by marked desynchronization of the electroencephalogram(7). At higher dose levels, OPC can produce convulsions, muscularparalysis, and death (2). Symptomatic recovery from OPC exposure isnormally completed within 2 to 9 weeks, at which time the erythrocyte

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cholinesterase level usually has returned to normal (8). There seem.* to be no qualitative differences in gross symptomatology between

percutaneous administration and slow, continuous intravenousinfusion; the sequence in which the various symptoms appear seems tobe the same and there are no differences in gross anatomicalpathology. Sustained low-level administration of OPC can producesymptoms and signs not seen following single exposures to the samedose level. For example, subjects given daily injections ofdiisopropylfluorophosphate (DFP) showed the additional symptoms ofinsomnia, excessive dreaming, visual hallucination and tremor (9).However, these symptom usually disappear shortly after cessation ofexposure (9,10).

Biochemical alterations underlying the signs and symptoms of OPC

poisoning are sketchy and remain to be defined. Stahl et al (11):. reported that shortly after administration of DFP or paraoxon several

lysozomal enzymes are affected only slightly, but there is anincrease in the activity of plasma beta-glucuronidase. Subsequently,Mandell and Stahl (12) found that the elevation of beta-glucuronidasein the plasma was liver dependent and unaffected by puromycinpretreatment. Thus, the pool of hepatic glucuronidase serves asprecursor to plasma enzyme. Since glucuronidase response to OPC isnot altered by atropine nor mimicked by neostigmine, it appears thatOPC act via some mechanism other than elevation of acetylcholinelevels. Other reports (3-15) show that DFP inhibits proteinsynthesis in the spinal ganglia and in cultured neuroblastoma cellsand reduces the activity of liver testosterone hydroxylase.

Animals have a capacity to adapt to sublethal levels of OPC.Rats, for example, adapt to reduced levels of acetylcholine esterasewhen treated chronically with octamethyl pyrophosphoramide (16, 17),O,O-diethyl-S-2(ethyl thio-ethyl)-phosphorodithioate (18), DFP (19),and paraoxon (20), and are thus able to tolerate exposure of several.times the acute LD 5 dose over a prolonged period. The adaptiveprocess is uiknown5%ut may involve changes in the presynaptic

mobilization and storage of acetylcholine (21). Alternatively, theremay be enough functional acetyloholinesterase present for the animalto survive or the functional pool of the enzyme may be preferentiallyrecovered in these animals. More recently Sterri et al (22) foundthat injections of sublethal doses of soman in rats led to toleranceof chronic LD doses which were markedly higher than the acute dose(22). It has5been proposed that the tolerance to soman may be linked

to the storage of the lipid soluble compound in adipose tissue orbinding of soman to plasma or liver proteins. Thus, storage depots

6 may bind soman before it reaches the acetylcholinesterase indifferent tissues and, *n subsequent gradual release from the depotssoman, may be rapidly Nydrolysed so that only small quantities ofsoman reach he ace- .holinesterase in the nervous tissue.

2

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.4i

It is evident from the foregoing observations that metabolicalterations induced by OPC in the skin and other tissues are notfully understood. Consequently, there is a demand for more completemetabolic data on the toxic effects of OPC as well as the metabolicfactors involved in the protective reactions against such substances.Due to logistical and administrative problems it was not be possibleto use agents such as soman or other nerve agents; instead DFP, areadily available organophosphate, was used as a model compound formore toxic substances. DFP belongs to the sue class ofcholinesterase inhibitors as soman or sarin and exhibits an identicaltype of toxicity via the same mechanism (2). In fact, mostexperimental work is accomplished on DFP and extrapolated to the more

* toxic agents.

Accordingly, in the present study we determined the effect oftopically applied DFP on glucose metabolism in the skin, liver andadipose tissue. Glucose was selected because it is ubiquitous in itsdistribution and is metabolized throughout the body. The carbonatoms from glucose can be incorporated into most metabolic pools andthe pathways are well known.

METHODS

Adult male rats weighing approximately 350 gm were used in thisstudy. Prior to experimentation the mid-lumbar region of the backwas closely clipped and an area of 2x2 cm was outlined on the skin.DFP was mixed with peanut oil (100 mg/ml) and using an Eppendorfmicrosyringe, four 100 p1 aliquots of the DFP solution weresuccessively spread over the o~tlined area. In this fashion 400pgof DFP was applied over a 4 cm area of the skin. Control animalswere treated with four 100 p1 aliquots of peanut oil. Visualobservations indicated that the skin readily absorbed the quantity ofpeanut oil applied to the skin. No apparent signs of DFP toxicitywere observed. The rats were decapitated two hours following theapplication of DFP or peanut oil. The central portion of the treatedskin plus the liver and epididymal fat pads were excised and cooledin ice-cold saline. The skin was finely minced with a pair ofscissors and liver slices were prepared with a Stadie-Riggsmicrotome, whereas the fat pads were bisected laterally. After beingweighed on a torsion balance, approximately 100-mg samples of eachtissue were incubated in 25 ml Erlenmeyer flasks containing 3.0 mg ofKrebe-Ringer bicarbofl~te buffer (pH 7.4) and 30 pmoles of glucosewith 0.25 uCi of U-C "-glucose. The flasks were gassed for 1 minutewith 95% 0 : 5% CO2 and stoppered with a rubber stopper from which aplastic welwas suspended. All flasks were incubated in a Dubnoffshaker for 2 hours at 37 C at 100 strokes/minute. At the end of theincubation periods 0.2 ml of hyamine hydroxide was introduced in theplastic well by means of a 20-gauge, 2.5 cm needle inserted throughthe rubber stopper. In addition, 0.5 ml of I M sulfuric acid was

3

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injected into the incubation medium and iqubation was continued foran additional 60 minutes. The liberated 'CO was absorbed in thehyamine solution. The plastic wells were removed and placed directlyinto scintillation vials containing 10 ml of aqueous scintillationcounting solution (ACS). The tissues were taken out of theincubation flasks, rinsed several times in normal saline and placedinto test tubes containing 10 ml of chloroform and methanol (2:1).The tubes were stoppered and the tissues were extracted overnight.The tissues were then removed from their respective extraction flasksand the lipid extracts were washed three times with "salty" wash asdescribed by Folch et al (23). The washed samples were nextsaponified for 1 hour at 60 C in 6 ml ethanolic KOH (3 gm KOH in 95ml ethanol and 5 ml water). Nonsaponifiable lipids were removed byextraction with petroleum ether followed by evaporation to drynessunder nitrogen in scintillation vials. The remaining saponifiedlipids were acidified with HC1 and partitioned between water andpetroleum ether. The fatty acids in the petroleum ether fractionwere placed in scintillation vials and evaporated to dryness undernitrogen. A 0.2 ml aliquot 9f the aqueous fraction yas used tomeasure glyceride-glycerol- 'C. All the foregoing C lipidfractions were dissolved in 10 ml of aqueous scintillation countingsolution (ASC) to allow measurement of their radioactivity in aPackard scintillation spectrometer.

Tissue glycogen was isolated from the defatted skin, liver slicesor fat pads by digesti,1- in hot 30% KOH followed by precipitation andwashing in ethanol. After centrifugation, the supernatant layer wasdiscarded and the glycogen was dissolved in 2 ml of hot water. Oneml aliquots were transfered to s tillation vials, 10 ml of ACSfluid containing 4 gn of Cabosil (Packard Instrument Comp) wereadded and radioactivity determined as above. The results wereexpressed as nanomoles of glucose carbon incorporated into eachmetabolite per gram of tissue in one hour. There were eight rats ineach treatment group. The significance of difference between meanswas established by the Student t test. Differences between meanswere considered significant when P<0.05.

.4

........

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.11

RESULTS

* The data obtained in this study are summarized in Table 1. DFPhad no effect on glucose oxidation or glycerol synthesis in any ofthe tissues examined. Compared to the controls, DFP decreasedglycogen synthesis in the liver by approximately 66% and by about 46%in adipose tissue. DFP had no effect on glycogen synthesis in theskin. DFP stimulated fatty acids synthesis in the skin byapproximately 70% and in the liver and adipose tissue by 56 and 92%,respectively. When compared to the corresponding controls DFPdoubled and tripled the synthesis of nonsaponifiable lipids, in theskin and adipose tissue, respectively, and enhanced the synthesis inthe liver by 69%.

TABLE I

EFFECT OF DIISOPROPYLFLUOROPHOSPHATE ON GLUCOSEMETABOLISM IN THE RAT SKIN, LIVER AND ADIPOSE TISSUE

TISSUEMETABOLITE TREATMENT SKIN LIVER ADIPOSEC02 Control 3,740+220e 10,120+1,130 401+51

DFP 3,440+300 9,130+980 .334+33

GLYCOGEN Control 80+34 620+48 95+15DFP 62+28 21C+60+ 49_9+

FATTY ACIDS Control 230+25 290+25 240+25DFP 390+35+ 45C+65 46C+18

GLYCERIDE- Control 440+35 480+30 111+10GLYCEROL DFP 450+52 45045 165_18

NONSAPONIFI- Control 209+38 180+20 63+8ABLE LIPIDS DFP 43052+ 350'35 + 195+31+

Values are nanomoles glucose utilized/gm tissue/hr, mean + SE fromeight rats.

+Indicates significant difference from control values, P<0.05, same

metabolite, same tissue.

5

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* DISCUSSION

Glucose metabolism in the cell begins with the phosphorylation ofglucose to form glucose-6-P. The latter can be metabolized via threemetabolic routes. By the Embden - Neyerhof pathway, glucose-6-P, viafructose-6-P and fructose-i,6-diP, is cleaved to produce two triose5 phosphate molecules, dihydroxyacetonephosphate and glyceraldehyde-3-P.The former can be converted to glycerol via a-glycero-P and thelatter to pyruvate and then to lactate or the intermediates andproducts of the tricarboxylic cycle. In the cycle some of the carboncan be oxidized to CO2 . Pyruvate, via acetyl CoA and acetoacetate,can be used in the synthesis of fatty acids, cholesterol, and othersterols. In the second rote, glucose-6-P can be metabolized via thepentose cycle. In the cycle, glucose-6-P is irreversiblydecarboxylated. Lastly, the phosphate groups from glucose-6-P can betransferred to carbon 1, and the glucose-I-P formed reacts withuridine triphosphate to form uridine diphosphate glucose. The glucoseresidue is then transferred from the nucleotide onto the end of anuncompleted chain in the glycogen molecule to increase the length ofthis chain by one glucose residue. This reaction, considered therate-limiting step for glycogenesis is catalyzed by the enzymeglycogen synthetase. The cleavage of the sugar-phosphate bondprovides the driving force for the synthesis of the 1,4 glucosidicbond. As the chain length of the polymer is increased to between 12and 18 residues, the branching enzyme is activated and a glycosalresidue is transferred from the 1,4 to the 1,6 linkage. Glycogenmetabolism is under control of a complex and dual reciprocal enzymecascade system involving glycogen synthetase and phosphorylase. Bothenzymes are interconverted by a phosphorylation - dephosphorylationreaction sequence involving separate phosphoprotein kinases andphosphatases (24). The biological polarity is reversed in the twoenzyme systems; that is phosphorylation activates phosphorylase andinactivates synthetase, whereas dephosphorylation inactivatesphosphorylase and activates synthetase. In the process ofphosphorylation the terminal phosphate of ATP is covalently bound byesterification with the hydroxyl group of a serine residue.

DFP and other cholinesterase inhibitors react covalently with theserine hydroxyl in the active site of the enzyme, preventing theenzymatic hydrolysis of acetylcholine. A number of other serineenzymes, in addition to acetylcholinesterase are inactivated byreaction with DFP. Among these are chymotrypsin, trypsin, alkalinephosphatase, phosphoglucomutase, and others (25). A marked reductionin glycogen synthesis by DFP observed in our study suggests that theorganophosphate affects the activity of glycogen synthetase, the keyenzyme in the synthetic pathway. The mechanism by which DFP affectsthe activity of glycogen synthetase may be similar to that proposedfor serine enzymes. As shown in Table 1, DFP did not significantlyalter glycogen synthesis in the skin. This may be be due to the large

6

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standard errors in the two treatment groups. Our study shows that DFPhas no effect on glucose oxidation. The experimental techniquesemployed in this study did not allow us to determine the relativecontributions of the tricarboxylic acid cycle and the pentosephosphate cycle to the total production of CO2.

Lipid synthesis occurs via a series of reactions involving theconversion of glucose into pyruvate, followed by theintramitochondrial formation of acetyl-CoA. Since acetyl-CoA cannotdiffuse into the cytoplasm for fatty acids synthesis, it condenseswith oxaloacetate to form citrate. Citrate passes into the cytoplasmwhere the citrate cleavage enzyme transforms it intoextramitochondrial oxaloacetate and acetyl-CoA for lipid synthesis.The extramitochondrial oxaloacetate can be converted into malate viaNAD-malate dehydrogenase and then into pyruvate via NADP-malatedehydrogenase in the cytoplasm. An important aspect of these pathwaysis the formation of NADPH for the reductive synthesis of fatty acidsvia the coupling of the two malate dehydrogenases. Since thesynthesis of long-chain fatty acids requires large amounts of NADPH,additional NADPH is provided by glucose oxidation through the pentosephosphate pathway involving glucose-6-P and 6-phosphogluconatedehydrogenase. As DIP in our study did not stimulate glucoseoxidation, it appears that the enhanced fatty acids synthesis is theresult of an increased flux of glucose carbons over the fatty acidsynthetic pathways. However, other regulatory mechanisms could beinvolved. Prominent among these are various metabolites andlong-chain fatty-acyl-CoA or convalent modification of the key enzymesthrough a phosphorylation-dephosphorylation cycle.

The synthesis of nonsaponifiable lipids is initiated by thecondensation of acetyl-CoA and acetoacetyl-CoA to form3-hydroxymethylglutaryl-CoA. In the cytosol,hydroxymethylglutaryl-CoA reductase converts the product tomevalonate, a precursor of cholesterol. This is the rate-limitingstep in cholesterol synthesis. The various positions of thecholesterol molecule can be enzymatically hydroxylated leading to theeventual formation of pregnenolone and other steroids. Essentialelements in the regulation of cholesterogenesis and steroidogenesisare complex and not fully understood. Cellular compartmentalizationbetween the cytosol and mitochondrial turnover of the key enzymes plussubstrate induction and feedback inhibition could be some of theregulatory mechanisms in the synthetic pathways, The kinetic form ofthe key enzymes may also be changed by interaction with otherproteins. Such interactions may modify the enzyme's activity forsubstrate, its velocity, or its capacity for regulation by allostericmodifiers. The precise mechanism by which DFP enhances cholesterol

* synthesis is unknown. At present, the best understood action of DFPis the phosphorylation of specific intracellular proteins.Phosphorylation of various proteins, both membrane-bound and soluble,

7

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. 4

will result in enzyme activation, enzyme deactivation, alterations inm-RNA, alterations in enzyme synthesis, and changes in membranep-rmo-ibility, dopendlng on the npecit'ic protein that Isphosphorylated. Before any or all of these possibilities can be• determined, more work on the intracellular protein kinases and theirsubstrates will be required.

CONCLUSIONS

Topical application of DFP induces marked alterations in glucoseutilization in the tissues examined, i.e. liver, skin, and adiposetissue. A decrease in hepatic and adipose tissue glycogen synthesisappears to be due to the red -ction of the glycogen synthetaseactivity. Enhanced synthesis of lipide appears to besubstrate-induced. However, other biochemical mechanisms may accountat least in part, for DFP effects. These may include enhancedglycogenolysis and gluconeogensis, changes in the synthesis of variouscofactors, and hormonal interactions.

RECOMMENDATIONS

eThe effects of DFP on the activity of hepaticsynthetase-phosphorylase complex needs to be evaluated.

oMetabolic effects of organophosphates on muscle intermediarymetabolism should be examined.

*The mechanism by which DFP enhances synthesis of various lipidcomponents needs to be determined.

0The effect of DFP on the flow of glucose carbons via the Krebscycle and the phosphate shunt should be described.

oDFP effects on glycogen synthesis in the skin need to bereevaluated.

,'=8

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REFERENCES

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2. KOELLE, G.B. Anticholinesterase agents. In: The PharmacologicalBasis of Therapeutics, edited by L.S. Goodman and A. Gilman. NewYork. Mcillan Company, 1970. p 442

3. DAVIES, D.R., P. HOLLAND, and J. RURENS. The relationship betweenthe chemical structure and neurotoxicity of alkyl organophosphatecompounds. Brit J Pharmacol 15:271-278, 1969

4. CASIDS, J.E., and R.L. BARON. Recognition and overview of theorganophosphate induced delayed neurotoxicity problem. In:Pesticide Induced Delayed Neurotoxicity, edited by R.L. Baron. USEnvironmental Protection Agency, Research Triangle Park, NorthCarolina 1974. pp 7-23

5. FREDERIKSSON, T. Studies on the percutaneous absorption of sarinand two allied organophosphorus cholinesterase inhibitors. Acta?erm Venereol. Suppl 41 38:1-83, 1958

6. WADIA, R., S. SADAGOPAU, R.B. AMIN, and H.V. SADRE-SAIR.Neurological manifestation of organophosphorous insecticide

poisoning. J Neurol Neurosurg Psychiat 37:841-847, 1974

7. BURCHFIEL, J.L., F.H. DUFFY, and N. SIN. Persistent effect ofsarin and dieldrin upon the primate electroencophalogram. ToxicolAppl Pharmacol 35:365-379, 1976

8. BOWERS, N.B., E. GOODMAN, and V.M. SINS. Some behavioral changesin man following anticholinesterase administration. J Nerv KentDie 138:383-389, 1964

9. GROB, D., A.M. HARVEY, D.R. LANGWORTHY, and J.L. LILIENTHAL. Theadministration of diisopropylfluorophosphate (DFP) to man: III.Effect of the central nervous system with special reference to theelectrical activity of the brain. Bull John Hopkins Hoop81 :257-266, 1947

10. HOLMES, J.H., and N.D. GAON. Observations on acute and multipleexposure of anticholinesterase agents. Trans Am Clin ClimatolAssoc 68:86-101, 1956

11. STAHL, P., B. HANDELL, J.S. RODMAN, and S. LANG. Selectivoeffects of DFP and paraoxon on serum B-glucuronidase. (Abstract)Fed Proc 34:858, 1975

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12. MANDELL, B., and P. STAHL. Effects of dilsopropyl-phosphorofluoride on rat liver microsomal and lysosomal

* B-glucuronidase. Biochem. J 164:549-556, 1977

13. PORCELLATI, G. Biochemical aspects of protein metabolism duringnerve degeneration and regeneration: Protides of the BiologicalFluids, Volume 13, edited by H. Peeters. New York. Elsevier PubiCo, pp 115-126

14. HARVEY, J.J., and R.P. SHARMA. Organophosphate cytotoxicity: Theeffects on protein metabolism in cultured neuroblastoma. cells. JEnviron Pathol and Toxicol 3:424-436, 1980

15. DONOVAN, M.P., L.G. Schein, and J.A. Thomas. Effects ofpesticides on metabolism of steroid hormone by rodent livermicroscomes. J Environ Patbol and Toxicol 2:247-254, 1978

16. RIDER, J.A., L.E. ELLINWOOD, and J.M. COON. Production oftolerance in the rat to octamethyl pyrophosphoramide (OMPA). ProcSoc Exp Bio Ned 81 :455-459, 1952

17. BARNES, J.K., and F.A. DENTZ. The reaction of rats to dietscontaining octamethyl pyrophosphoramide (Schradan) and

* O0,O-diethyl-s-ethylmercaptothaiol and thiophosphate (Systox).Brit J Inaustr Med 11:11-19, 1954

18. STAVINOHA, V.B., L.C. RYAN, and P.W. SMITH. Biochemical effectsof an organophosphorus cholinesterase inhibitor on the rat brain.Ann NY Acad Sci 160:378-382, 1969

19. GLOW, P.H., S. ROSE, and A. RICHARDSON. The effects of acute andchronic treatment with diisopropylfluorophosphate oncholinesterase activity of some tissues of the rat. Aust J ExpBiol Ned Sci 44:73-86, 1966

20. WICKER, L., P.L. NOSLEY, and W.D. DETTBARN. Central Cholinergicmechanisms underlying adaptation to reduced cholinesteraseactivity. Biochem Pharmacol 26:633:637, 1977

21. RUSSELL, R.W., D.H. OVERSTEET, C.W. COTHAN, V.0. CARSON, L.CHURCHILL, F.W. DALGLISH, and D.J. VASQUES. Experimental tests ofhypotheses about neurochemical mechanisms underlying behavioraltolerance to the anticholinesterase, diisopropylfluorophosphate.J Pharmocol Exp Ther 192:73-85, 1975

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repetitive injection of sublethal dose. in rat. Acts, Pharmacol* Toxicol 46:1-7, 1980

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23. FOLCH J., X. LEES, and G.H. SLOANE-STANLEY. A simple method forthe isolation and purification of total lipids from animal tissue.J Biol Chou 226:497-509, 1957

-. 4. CHOCK, P.B., S.G. RHEE, and E.R. STADTNAN. Interconvertibleenzyme cascades in cellular regulation. Ann Rev Bichem49:813-843, 1980

A25. KOSHLAND, D.E., JR. Correlation of structure and function in* enzymes action. Science 142:1533-1541, 1963

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