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[异源抗蛇毒血清对巴西矛头蝮蛇毒的交叉中和作用]

[Cross neutralization of bothrops jararacussu venom by heterologous antivenoms].

作者信息

de Roodt A R, Vidal J C, Litwin S, Dokmetjian J C, Dolab J A, Hajos S E, Segré L

机构信息

Instituto Nacional de Producción de Biológicos ANLIS Dr. Carlos G. Malbrán, Ministerio de Salud, Buenos Aires, Argentina.

出版信息

Medicina (B Aires). 1999;59(3):238-42.

Abstract

We have studied the immunochemical cross-reactivity and cross-neutralization of the lethal potency, hemorrhagic, necrotizing, procoagulant and (indirect) hemolytic activities of Bothrops jararacussu venom by the standard antivenoms produced in Argentina. These antivenoms are horse immunoglobulin F (ab')2 fragments from animals immunized with 1) Crotalus durissus terrificus venom (Monovalent Anticrotalic antivenom); 2) Bothrops alternatus and B. neuwiedii venoms (Bivalent Botropic antivenom); 3) B. alternatus, B. neuwiedii, B. jararaca and B. jararacussu venoms (Tetravalent Bothropic, or "Misiones" antivenom) and 4) B. alternatus, B. neuwiedii and C. d. terrificus venoms (Trivalent Botropic-Crotalic antivenom). In preincubation experiments, all the heterologous antivenoms neutralized the toxic and biological activities of B. jararacussu venom with a potency at least as high as the Tetravalent Botropic (i.e. the only homologous) antivenom, in which B. jararacussu venom was included as immunogen. These results suggest the possibility of using heterologous antibothropic antivenoms for the treatment of snake bites by B. jararacussu.

摘要

我们研究了阿根廷生产的标准抗蛇毒血清对巴西矛头蝮蛇毒的致死效力、出血、坏死、促凝和(间接)溶血活性的免疫化学交叉反应性和交叉中和作用。这些抗蛇毒血清是用以下物质免疫动物后获得的马免疫球蛋白F(ab')2片段:1)杜氏响尾蛇毒(单价抗响尾蛇抗蛇毒血清);2)变纹矛头蝮和纽氏矛头蝮蛇毒(双价矛头蝮抗蛇毒血清);3)变纹矛头蝮、纽氏矛头蝮、巴西矛头蝮和巴西矛头蝮蛇毒(四价矛头蝮抗蛇毒血清,即“米西奥内斯”抗蛇毒血清);4)变纹矛头蝮、纽氏矛头蝮和杜氏响尾蛇毒(三价矛头蝮-响尾蛇抗蛇毒血清)。在预温育实验中,所有异源抗蛇毒血清均能中和巴西矛头蝮蛇毒的毒性和生物活性,其效力至少与四价矛头蝮抗蛇毒血清(即唯一的同源抗蛇毒血清,其中巴西矛头蝮蛇毒作为免疫原)相当。这些结果表明,使用异源抗矛头蝮抗蛇毒血清治疗巴西矛头蝮蛇咬伤具有可能性。

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