Int. J. Mol. Sci. 2013, 14, 16882-16900; doi:10.3390/ijms140816882 OPEN ACCESS International Journal of Molecular Sciences ISSN 1422-0067 www.mdpi.com/journal/ijms Article Oximes: Inhibitors of Human Recombinant Acetylcholinesterase. A Structure-Activity Relationship (SAR) Study Vendula Sepsova 1,†, Jana Zdarova Karasova 2,3, Jan Korabecny 1,3,†, Rafael Dolezal 3,†, Filip Zemek 1, Brian J. Bennion 4,† and Kamil Kuca 3,5,* 1 Department of Toxicology, Faculty of Military Health Sciences, University of Defence, Trebesska 1575, 500 01 Hradec Kralove, Czech Republic; E-Mails:
[email protected] (V.S.);
[email protected] (J.K.);
[email protected] (F.Z.) 2 Department of Public Health, Faculty of Military Health Sciences, University of Defence, Trebesska 1575, 500 01 Hradec Kralove, Czech Republic; E-Mail:
[email protected] 3 University Hospital, Biomedicinal Research Centre, Sokolska 581, 50005 Hradec Kralove, Czech Republic; E-Mail:
[email protected] 4 Biosciences and Biotechnology Division, Lawrence Livermore National Laboratory, 7000 East Ave, Livermore, CA 94550, USA; E-Mail:
[email protected] 5 Center of Advances Studies, Faculty of Military Health Sciences, University of Defence, Trebesska 1575, 500 01 Hradec Kralove, Czech Republic † These authors contributed equally to this work. * Author to whom correspondence should be addressed; E-Mail:
[email protected]; Tel.: +420-495-832-923; Fax: +420-495-518-094. Received: 8 May 2013; in revised form: 1 August 2013 / Accepted: 2 August 2013 / Published: 16 August 2013 Abstract: Acetylcholinesterase (AChE) reactivators were developed for the treatment of organophosphate intoxication. Standard care involves the use of anticonvulsants (e.g., diazepam), parasympatolytics (e.g., atropine) and oximes that restore AChE activity.