N-acetyl-L-Cysteine as prophylaxis against sulfur mustard.

Sulfur mustard (HD) is a blister agent targeting the eyes, respiratory system, skin, and possibly other organs. Extensive exposure can destroy the immune system by destruction of bone marrow cells. There is no antidote for HD or effective treatment other than rapid decontamination. Clinical trials h...

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Publicado en:Military Medicine Vol. 170; no. 1; pp. 52 - 57
Autores principales: Bobb AJ, Arfsten DP, Jederberg WW, Bobb, Andrew J, Arfsten, Darryl P, Jederberg, Warren W
Formato: pictorial Journal Article
Publicado: Oxford University Press / USA Jan2005
Acceso en línea:Ver este registro en EBSCOhost
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        atl: N-acetyl-L-Cysteine as prophylaxis against sulfur mustard.
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          Bobb AJ
          Arfsten DP
          Jederberg WW
          Bobb, Andrew J
          Arfsten, Darryl P
          Jederberg, Warren W
        affil: Naval Health Research Center Detachment, Toxicology, 2729 R Street, Building 837, Area B, Wright Patterson AFB, OH 45433-7903, USA
      sug:
        subj:
          Acetylcysteine Therapeutic Use
          Chemical Warfare Agents Adverse Effects
          Mustard Compounds Adverse Effects
          Chemoprevention
      ab: Sulfur mustard (HD) is a blister agent targeting the eyes, respiratory system, skin, and possibly other organs. Extensive exposure can destroy the immune system by destruction of bone marrow cells. There is no antidote for HD or effective treatment other than rapid decontamination. Clinical trials have demonstrated activity for N-acetyl-L-cysteine (NAC) against a number of significant human pathologies involving free radicals, and animal and tissue studies have suggested efficacy for NAC as a chemoprotectant against many toxic chemicals. Among these are studies demonstrating that NAC significantly reduces the effects of HD and HD simulants, both in cultured cells and animals. Given the historical effectiveness of HD, the lack of any effective treatment, the demonstrated chemoprotective properties of NAC, its low toxicity, the lack of regulatory controls, and the data supporting efficacy against HD effects, we suggest daily oral administration of the maximum safe dose of NAC to personnel entering combat zones.
      pubtype: Academic Journal
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        pictorial
        Journal Article
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    language: English
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