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矛头蝮蛇蛇毒和磷脂酶 A2 的肾和心血管效应。

Renal and cardiovascular effects of Bothrops marajoensis venom and phospholipase A2.

机构信息

Department of Physiology and Pharmacology, Faculty of Medicine, Federal University of Ceará, Fortaleza, Ceará, Brazil.

出版信息

Toxicon. 2010 Jun 1;55(6):1061-70. doi: 10.1016/j.toxicon.2009.12.004. Epub 2009 Dec 28.

Abstract

Bothrops marajoensis is found in the savannah of Marajó Island in the State of Pará and regions of Amapá State, Brazil. The aim of the work was to study the renal and cardiovascular effects of the B. marajoensis venom and phospholipase A(2) (PLA(2)). The venom was fractionated by Protein Pack 5PW. N-terminal amino acid sequencing of sPLA(2) showed amino acid identity with other lysine K49 sPLA(2)s of snake venom. B. marajoensis venom (30 microg/mL) decreased the perfusion pressure, renal vascular resistance, urinary flow, glomerular filtration rate and sodium tubular transport. PLA(2) did not change the renal parameters. The perfusion pressure of the mesenteric bed did not change after infusion of venom. In isolated heart, the venom decreased the force of contraction and increased PP but did not change coronary flow. In the arterial pressure, the venom and PLA(2) decreased mean arterial pressure and cardiac frequency. The presence of atrial flutter and late hyperpolarisation reversed, indicating QRS complex arrhythmia and dysfunction in atrial conduction. In conclusion, B. marajoensis venom and PLA(2) induce hypotension and bradycardia while simultaneously blocking electrical conduction in the heart. Moreover, the decrease in glomerular filtration rate, urinary flow and electrolyte transport demonstrates physiological changes to the renal system.

摘要

矛头蝮分布于巴西帕拉州马拉若岛的热带稀树草原以及阿马帕州的部分地区。本研究旨在探讨矛头蝮蛇毒及其磷脂酶 A2(PLA2)对肾脏和心血管系统的影响。采用 Protein Pack 5PW 对蛇毒进行了分级分离。sPLA2 的 N 端氨基酸序列与其他蛇毒中的赖氨酸 K49 sPLA2 具有氨基酸同源性。30 μg/mL 的矛头蝮蛇毒可降低灌注压、肾血管阻力、尿流量、肾小球滤过率和钠转运。PLA2 并未改变肾脏参数。输注蛇毒后肠系膜床的灌注压并未发生改变。在离体心脏中,蛇毒降低了收缩力,增加了 PP,但并未改变冠脉流量。在动脉压方面,蛇毒和 PLA2 降低了平均动脉压和心率。心房颤动和晚期去极化的出现表明存在 QRS 波群心律失常和心房传导功能障碍。综上,矛头蝮蛇毒及其 PLA2 可诱发低血压和心动过缓,同时还会阻断心脏的电传导。此外,肾小球滤过率、尿流量和电解质转运的减少表明肾脏系统发生了生理性变化。

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