Nadur-Andrade Nikele, Dale Camila Squarzone, Santos Adriano Silvio Dos, Soares Andreimar M, de Lima Carlos J, Zamuner Stella Regina
Universidade Nove de Julho, São Paulo, SP, Brazil.
Photochem Photobiol Sci. 2014 Nov;13(11):1561-7. doi: 10.1039/c4pp00111g.
The prominent local myotoxic effects induced by Bothrops snake venom are due, in part, to myotoxins. This effect is not neutralized by antivenom, which is the main therapy for victims of snakebite. Two basic myotoxins named MjTX-I and MjTX-II were isolated from Bothrops moojeni venom. Both myotoxins have a Lys-49 phospholipase A2 structure devoid of enzymatic activity, but are highly myonecrotic and edema-inducing. In this study, we analyzed the effect of a low-level laser (LLL) at 685 nm, an energy density of 2.2 J cm(-2), and the irradiation time of 15 s, and a light emitting diode (LED) at 635 or 945 nm at energy densities of 4 and 3.8 J cm(-2), and irradiation times of 41 and 38 s, respectively, applied 30 min and 3 h after edema formation in mice caused by MjTX-I or MjTX-II. MjTX-I or MjTX-II caused a significant edema formation in envenomed paws. LLL and LED irradiation significantly reduced the edema formation by both myotoxins from 1 up to 6 hours after the injection. Both LLL and LEDs were similar in reducing the edema formation induced by myotoxins. The combined photobiostimulation with antivenom had the same effect in reducing edema as treatment with the LLL or LEDs alone. In conclusion, the results of this study indicate that photobiostimulation could be used in association with antivenom therapy for treatment of local effects of Bothrops species venom.
矛头蝮蛇毒所引发的显著局部肌毒性效应,部分归因于肌毒素。这种效应无法被抗蛇毒血清中和,而抗蛇毒血清是蛇咬伤受害者的主要治疗手段。从矛头蝮蛇毒中分离出了两种基本的肌毒素,分别命名为MjTX - I和MjTX - II。这两种肌毒素均具有无酶活性的Lys - 49磷脂酶A2结构,但具有高度的肌坏死和致水肿作用。在本研究中,我们分析了波长685 nm、能量密度2.2 J cm(-2)、照射时间15 s的低强度激光(LLL),以及波长635或945 nm、能量密度分别为4和3.8 J cm(-2)、照射时间分别为41和38 s的发光二极管(LED),在由MjTX - I或MjTX - II导致小鼠水肿形成后30分钟和3小时施加的效果。MjTX - I或MjTX - II在中毒的爪子中引起了显著的水肿形成。在注射后1至6小时,LLL和LED照射均显著减轻了两种肌毒素所致的水肿形成。LLL和LED在减轻肌毒素诱导的水肿形成方面效果相似。光生物刺激与抗蛇毒血清联合使用在减轻水肿方面与单独使用LLL或LED治疗具有相同的效果。总之,本研究结果表明,光生物刺激可与抗蛇毒血清疗法联合用于治疗矛头蝮属蛇毒的局部效应。
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