VM (nerve agent)

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VM (Nerve Agent)[edit | edit source]

Skeletal structure of VM nerve agent

VM is a nerve agent belonging to the V-series nerve agents, which are a group of highly toxic chemical warfare agents. These agents are known for their ability to disrupt the normal functioning of the nervous system by inhibiting the enzyme acetylcholinesterase.

Chemical Structure and Properties[edit | edit source]

VM is an organophosphorus compound, characterized by its phosphorus-sulfur bond. The skeletal structure of VM is depicted in the image to the right. Like other V-series agents, VM is a liquid at room temperature and is known for its high boiling point and low volatility, making it a persistent threat in contaminated environments.

Mechanism of Action[edit | edit source]

VM, like other nerve agents, exerts its toxic effects by inhibiting the enzyme acetylcholinesterase. This enzyme is crucial for the breakdown of the neurotransmitter acetylcholine in the synaptic cleft. When acetylcholinesterase is inhibited, acetylcholine accumulates, leading to continuous stimulation of muscles, glands, and central nervous system structures. This results in a range of symptoms, including muscle twitching, respiratory failure, and potentially death.

Symptoms of Exposure[edit | edit source]

Exposure to VM can lead to a variety of symptoms, depending on the dose and route of exposure. Common symptoms include:

Treatment[edit | edit source]

The primary treatment for VM exposure involves the administration of atropine and pralidoxime. Atropine works by blocking the effects of acetylcholine at muscarinic receptors, while pralidoxime reactivates acetylcholinesterase by removing the phosphate group attached by the nerve agent. Supportive care, including ventilation and oxygen therapy, may also be necessary.

History and Use[edit | edit source]

The V-series nerve agents, including VM, were developed during the Cold War as part of chemical weapons programs. Due to their high toxicity and persistence, these agents are considered weapons of mass destruction and are banned under the Chemical Weapons Convention.

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Contributors: Prab R. Tumpati, MD