Programa de Pós-graduação em Ciências da Saúde: Biomedicina e Medicina, Instituto de Ensino e Pesquisa da Santa Casa de Belo Horizonte, Grupo Santa Casa de Belo Horizonte, Belo Horizonte, Minas Gerais, Brazil.
PLoS Negl Trop Dis. 2013 Apr 25;7(4):e2198. doi: 10.1371/journal.pntd.0002198. Print 2013.
The frequency of accidental spider bites in Brazil is growing, and poisoning due to bites from the spider genus Phoneutria nigriventer is the second most frequent source of such accidents. Intense local pain is the major symptom reported after bites of P. nigriventer, although the mechanisms involved are still poorly understood. Therefore, the aim of this study was to identify the mechanisms involved in nociception triggered by the venom of Phoneutria nigriventer (PNV).
METHODOLOGY/PRINCIPAL FINDINGS: Twenty microliters of PNV or PBS was injected into the mouse paw (intraplantar, i.pl.). The time spent licking the injected paw was considered indicative of the level of nociception. I.pl. injection of PNV produced spontaneous nociception, which was reduced by arachnid antivenin (ArAv), local anaesthetics, opioids, acetaminophen and dipyrone, but not indomethacin. Boiling or dialysing the venom reduced the nociception induced by the venom. PNV-induced nociception is not dependent on glutamate or histamine receptors or on mast cell degranulation, but it is mediated by the stimulation of sensory fibres that contain serotonin 4 (5-HT4) and vanilloid receptors (TRPV1). We detected a kallikrein-like kinin-generating enzyme activity in tissue treated with PNV, which also contributes to nociception. Inhibition of enzymatic activity or administration of a receptor antagonist for kinin B2 was able to inhibit the nociception induced by PNV. PNV nociception was also reduced by the blockade of tetrodotoxin-sensitive Na(+) channels, acid-sensitive ion channels (ASIC) and TRPV1 receptors.
CONCLUSION/SIGNIFICANCE: Results suggest that both low- and high-molecular-weight toxins of PNV produce spontaneous nociception through direct or indirect action of kinin B2, TRPV1, 5-HT4 or ASIC receptors and voltage-dependent sodium channels present in sensory neurons but not in mast cells. Understanding the mechanisms involved in nociception caused by PNV are of interest not only for better treating poisoning by P. nigriventer but also appreciating the diversity of targets triggered by PNV toxins.
在巴西,意外被蜘蛛咬伤的频率正在增加,而被 Phoneutria nigriventer 属蜘蛛咬伤导致的中毒是此类意外的第二大常见原因。被 P. nigriventer 咬伤后主要的症状是剧烈的局部疼痛,但相关的发生机制仍知之甚少。因此,本研究旨在鉴定 Phoneutria nigriventer(PNV)毒液引发疼痛的相关机制。
方法/主要发现:将 20μL 的 PNV 或 PBS 注射到小鼠足部(皮内,i.pl.)。通过观察小鼠舔注射部位的时间来评估疼痛程度。皮内注射 PNV 可引发自发性疼痛,这种疼痛可被蜘蛛抗蛇毒血清(ArAv)、局部麻醉剂、阿片类药物、对乙酰氨基酚和安乃近减轻,但吲哚美辛不能减轻。毒液煮沸或透析处理后可降低毒液诱导的疼痛。PNV 诱导的疼痛不依赖于谷氨酸或组氨酸受体,也不依赖于肥大细胞脱颗粒,但它是由感觉纤维的刺激介导的,这些纤维包含 5-羟色胺 4(5-HT4)和香草酸受体(TRPV1)。我们在经 PNV 处理的组织中检测到一种类似激肽释放酶的酶活性,该酶也参与疼痛的产生。抑制酶活性或给予激肽 B2 受体拮抗剂均可抑制 PNV 诱导的疼痛。PNV 诱导的疼痛也可通过阻断河豚毒素敏感的 Na+通道、酸敏感离子通道(ASIC)和 TRPV1 受体来减轻。
结论/意义:结果表明,PNV 的低分子量和高分子量毒素均通过感觉神经元而非肥大细胞中存在的激肽 B2、TRPV1、5-HT4 或 ASIC 受体和电压依赖性钠通道的直接或间接作用产生自发性疼痛。了解 PNV 引发疼痛的机制不仅对更好地治疗 P. nigriventer 中毒有意义,而且对理解 PNV 毒素触发的多种作用靶点也有帮助。