Department of Biochemistry, College of Basic Medical Sciences, Nanchang University, Nanchang, Jiangxi Province, China.
Biomed Res Int. 2017;2017:6592820. doi: 10.1155/2017/6592820. Epub 2017 Nov 29.
Snakebite envenomation is a neglected global health problem, causing substantial mortality, disability, and psychological morbidity, especially in rural tropical and subtropical zones. Antivenin is currently the only specific medicine for envenomation. However, it is restricted by cold storage, snakebite diagnosis, and high price. Snake venom phospholipase As (svPLAs) are found in all kinds of venomous snake families (e.g., Viperidae, Elapidae, and Colubridae). Along with their catalytic activity, svPLAs elicit a wide variety of pharmacological effects that play a pivotal role in envenomation damage. Hence, neutralization of the svPLAs could weaken or inhibit toxic damage. Here we overviewed the latest knowledge on the distribution, pathophysiological effects, and inhibitors of svPLAs to elucidate the potential for a novel, wide spectrum antivenom drug targeting svPLAs.
蛇伤中毒是一个被忽视的全球健康问题,特别是在农村热带和亚热带地区,它会导致大量的死亡、残疾和心理疾病。抗蛇毒血清是目前唯一针对中毒的特效药物。然而,它受到冷藏、蛇伤诊断和高价格的限制。蛇毒磷脂酶 A(svPLA)存在于各种毒蛇科(如蝰蛇科、眼镜蛇科和游蛇科)中。除了其催化活性外,svPLA 还引起多种药理学作用,在中毒损伤中起着关键作用。因此,svPLA 的中和作用可以减弱或抑制毒性损伤。本文综述了 svPLA 的分布、病理生理作用和抑制剂的最新知识,以阐明针对 svPLA 的新型广谱抗蛇毒药物的潜力。