VG (nerve agent)
Overview
VG, also known as nerve agent VG, is a chemical compound that belongs to the class of organophosphates. It is a potent acetylcholinesterase inhibitor, which disrupts the normal function of the nervous system by preventing the breakdown of the neurotransmitter acetylcholine. This leads to an accumulation of acetylcholine in the synaptic cleft, causing continuous stimulation of muscles, glands, and central nervous system functions.
Chemical Properties
VG is structurally similar to other nerve agents such as VX and Sarin. It is characterized by its phosphorus-sulfur bond and the presence of a thioether group. The chemical formula for VG is C7H16NO2PS, and it is typically a colorless to yellowish liquid at room temperature.
Mechanism of Action
VG acts by irreversibly binding to the active site of the enzyme acetylcholinesterase. This enzyme is responsible for the hydrolysis of acetylcholine into choline and acetic acid, a process that is crucial for terminating synaptic transmission. Inhibition of acetylcholinesterase by VG results in the accumulation of acetylcholine, leading to overstimulation of cholinergic receptors throughout the body.
Symptoms of Exposure
Exposure to VG can result in a range of symptoms due to its effects on the autonomic nervous system and somatic nervous system. These symptoms include:
- Miosis (constriction of the pupils)
- Bronchoconstriction and respiratory distress
- Muscle twitching and fasciculations
- Seizures
- Bradycardia (slow heart rate)
- Hypotension (low blood pressure)
Treatment
The primary treatment for VG exposure involves the administration of atropine and pralidoxime. Atropine acts as a muscarinic antagonist, blocking the effects of excess acetylcholine at muscarinic receptors. Pralidoxime reactivates acetylcholinesterase by cleaving the bond between the enzyme and the nerve agent, if administered promptly.
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Contributors: Prab R. Tumpati, MD