TY - JOUR PY - 2021// TI - Toxicology of blister agents: is melatonin a potential therapeutic option? JO - Diseases (Basel, Switzerland) A1 - Romero, Alejandro A1 - Ramos, Eva A1 - López-Muñoz, Francisco A1 - De Los Ríos, Cristóbal A1 - Egea, Javier A1 - Gil-Martín, Emilio A1 - Pita, René A1 - Torrado, Juan J. A1 - Serrano, Dolores R. A1 - Juberias, Antonio SP - e27 EP - e27 VL - 9 IS - 2 N2 - Blister or vesicant chemical warfare agents (CWAs) have been widely used in different military conflicts, including World War I and the Iran-Iraq War. However, their mechanism of action is not fully understood. Sulfur and nitrogen mustard exert toxic effects not only through the alkylation of thiol-bearing macromolecules, such as DNA and proteins, but also produce free radicals that can develop direct toxic effects in target organs such as the eyes, skin, and respiratory system. The lack of effective treatments against vesicant CWAs-induced injury makes us consider, in this complex scenario, the use and development of melatonin-based therapeutic strategies. This multifunctional indoleamine could facilitate neutralization of the oxidative stress, modulate the inflammatory response, and prevent the DNA damage, as well as the long-term health consequences mediated by vesicant CWAs-induced epigenetic mechanisms. In this context, it would be essential to develop new galenic formulations for the use of orally and/or topically applied melatonin for the prophylaxis against vesicant CWAs, as well as the development of post-exposure treatments in the near future.
Language: en
LA - en SN - 2079-9721 UR - http://dx.doi.org/10.3390/diseases9020027 ID - ref1 ER -