Aliesterases , nerve

The use of the subchronic rat study for developing an oral RfD for GD is complicated by the fact that rodents have a mnch lower RBC-AChE activity level compared to hnmans (ElUn, 1981, see Table 1). By itself, this could cause rats to be relatively more sensitive than hnmans to anticholinesterase compounds however, the lower RBC-ChE activity may be offset by the presence of aliesterase in rat blood. Aliesterase, which is not present in hnmans (Cohen et al., 1971), is known to bind to and thereby rednce the toxicity of cholinesterase inhibitors (Fonnnm and Sterri, 1981). Other species differences, snch as the rates of aging of the nerve agent-ChE complex, the rates of synthesis of plasma cholinesterase in the liver, and the levels of AChE in various parts of the nervous system (see Ivanov et al., 1993) may also resnlt in differences in species sensitivities. There are insufficient data to determine the relative snsceptibilities of humans and rodents to GD therefore, for the pnrpose of this assessment, the EPA method will be followed which assumes that humans may be as mnch as ten times more sensitive to a chemical than laboratory animals. 

Sarin was involved in terrorist attacks in Japan (Okumura et al, 2003 Okudera, 2002). The increase in sympathetic and parasympathetic tone results in tachycardia, ST-segment modulation (Abraham et al, 2001), and arrhythmia. Inhibition of cholinesterase within the neuroeffector junction also affects nerve impulse transmission by direct action. Direct action on muscarinic or nicotinic ACh receptors (Somani et al, 1992) is observed when the blood level of sarin exceeds the micromolar level. Sarin inhibits RBC-AChE 80-100% as well as plasma-BChE between 30 and 50% (Grob and Harvey, 1958). It also binds to aliesterase, an enzyme that contributes to ester-link hydrolysis. 

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