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Table 1 Chemical agents and surrogates commonly employed to model Gulf War era exposures

From: Chemical exposures and suspected impact on Gulf War Veterans

Author

Model

Agent of exposure

Type of chemical

Duration of exposure/concentration

Target system/organ studied

Symptomatic model targets

Results

Koo et al. [11]

Rat

CORT

DFP

CORT – simulate organic stress reaction

DFP – OP; sarin nerve agent surrogate

CORT in drinking water (200 mg/L in 0.6% EtOH) for 4 d, followed by a single injection of DFP (1.5 mg/kg, i.p.)

Evaluation of cerebral cortex

Neuroinflammation, cognitive impairment, sickness behavior

CORT exacerbates the neuroinflammatory response of DFP

Miller et al. [12]

Mouse

CPO

DFP

PHY

CORT

CPO, PHY, DFP as surrogates for AChEIs

CPO (8 mg/kg), DFP (4 mg/kg), or PHY (0.5 mg/kg) was administered in the morning and returned to their home cage. CORT was given in the drinking water (400 mg/L in 1.2% EtOH) for 4 d prior to AChEI or vehicle exposure

Whole brain tissue

Neuroinflammation and general GWI symptomology

CORT blunts the impact of irreversible AChEI on AChE in the brain while exacerbating DFP and CPO neuroinflammatory response

O’Callaghan et al. [13]

Mouse

CORT

DFP

DEET

DEET is a common insecticide that was possibly overused in the GW

Mice were dosed once per day for 14 d with PB [2 mg/(kg·d), s.c.] and DEET [30 mg/(kg·d), s.c]. On days 8 – 15, mice received CORT in the drinking water (200 mg/L in 1.2% ethanol, EtOH). Finally, on day 15, mice were treated with a single injection of either DFP (4 mg/kg, i.p.) or saline

Frontal cortex

Hippocampus

Striatum

Hypothalamus

Olfactory bulbs

Cerebellum

Neuroinflammation and sickness behavior

Mice exposed to DFP and CORT had a 300-fold exacerbated neuroinflammatory response compared to DFP alone

Murray et al. [14]

Mouse

PB

CPF

DEET

GW-related exposures to model prophylaxis, insecticides, and insect repellent

Mice were exposed daily for 2 weeks followed by RNA sequencing analysis of hippocampal tissue

Hippocampus

Neuronal health and cognition

Exposures resulted in enhanced gene expression profiles related to inflammation while decreasing expression of genes positively regulating neuronal health

Michalovicz et al. [15]

Mouse

Propranolol

Beta blocker

20 mg/kg in saline with CORT (200 mg/L in drinking water) or after exposure to CORT

Whole brain tissue

Neuroinflammation

Propranolol reduced mRNA expression of inflammatory cytokines such as TNF-α, CCL2, IL-1β in both the hippocampus and the cortex in the GWI model compared to normal healthy mice

Zakirova et al. [16]

Mouse

PB

Permethrin

Nerve agent prophylaxis and pesticide

Daily injections for 10 d followed by cognitive and immunohistochemical staining at day 18 and at 5 months

Hippocampus

Cerebral cortex

Cognitive impairment and astrogliosis

Exposure agents had little to no effect in the short term (18 d). At 5 months, treated animals exhibited cognitive impairments and astrogliosis

Patterson et al. [17]

Mouse

DFP

CORT

Model for OP exposure and stress

CORT (200 mg/L) in drinking water for 7 d followed by DFP (1 mg/kg) on day 8

Intestinal tissue

Gastrointestinal dysfunction and neuroinflammation

Exposure to DFP reduces the expression of the intestinal tight junctions occludin

Jang et al. [18]

Mouse

CPF

Metabolite of CPO

Chronic treatment: mice were injected with 3 mg/kg of CPF for 14 d. Single dose treatment: mice were injected with 3 mg/kg of CPF

Whole brain

Plasma

Skin toxicity and inflammation

CPF increased the levels of ROS in a human skin keratinocyte cell line (HaCaT)

  1. CORT Corticosterone, DFP Diisopropyl fluorophosphate, CPO Chlorpyrifos oxon, PHY Physostigmine, DEET N,N-diethyl-meta-toluamide, CPF Chlorpyrifos, PB Pyridostigmine bromide, AChE Acetylcholine esterase, AChEI Acetylcholine esterase inhibitor, GWI Gulf War Illness, GW Gulf War, OP Organophosphate, IL Interleukin, TNF-α Tumor necrosis factor-alpha, CCL2 CC Chemokine ligand 2, EtOH Ethanol, ROS Reactive oxygen species