TY - JOUR PY - 2014// TI - Mustard Gas Inhalation Injury: Therapeutic Strategy JO - International journal of toxicology A1 - Keyser, Brian M. A1 - Andres, Devon K. A1 - Holmes, Wesley W. A1 - Paradiso, Danielle A1 - Appell, Ashley A1 - Letukas, Valerie A. A1 - Benton, Betty A1 - Clark, Offie E. A1 - Gao, Xiugong A1 - Ray, Prabhati A1 - Anderson, Dana R. A1 - Ray, Radharaman SP - 271 EP - 281 VL - 33 IS - 4 N2 - Mustard gas (sulfur mustard [SM], bis-[2-chloroethyl] sulfide) is a vesicating chemical warfare agent and a potential chemical terrorism agent. Exposure of SM causes debilitating skin blisters (vesication) and injury to the eyes and the respiratory tract; of these, the respiratory injury, if severe, may even be fatal. Therefore, developing an effective therapeutic strategy to protect against SM-induced respiratory injury is an urgent priority of not only the US military but also the civilian antiterrorism agencies, for example, the Homeland Security. Toward developing a respiratory medical countermeasure for SM, four different classes of therapeutic compounds have been evaluated in the past: anti-inflammatory compounds, antioxidants, protease inhibitors and antiapoptotic compounds. This review examines all of these different options; however, it suggests that preventing cell death by inhibiting apoptosis seems to be a compelling strategy but possibly dependent on adjunct therapies using the other drugs, that is, anti-inflammatory, antioxidant, and protease inhibitor compounds.
Language: en
LA - en SN - 1091-5818 UR - http://dx.doi.org/10.1177/1091581814532959 ID - ref1 ER -