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研究毒液引起的死亡率和发病率的原因确定了新的治疗机会。

Research into the Causes of Venom-Induced Mortality and Morbidity Identifies New Therapeutic Opportunities.

机构信息

Department of Studies and Research in Biochemistry, Tumkur University, Tumakuru, India.

Department of Studies in Biochemistry, University of Mysore, Mysuru, India.

出版信息

Am J Trop Med Hyg. 2019 May;100(5):1043-1048. doi: 10.4269/ajtmh.17-0877.

DOI:10.4269/ajtmh.17-0877
PMID:30675839
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6493937/
Abstract

Snakebite primarily affects rural subsistent farming populations in underdeveloped and developing nations. The annual number of deaths (100,000) and physical disabilities (400,000) of snakebite victims is a societal tragedy that poses a significant added socioeconomic burden to the society. Antivenom therapy is the treatment of choice for snakebite but, as testified by the continuing high rates of mortality and morbidity, too many rural tropical snakebite victims fail to access effective treatment. Here, we advocate for more basic research to better understand the pathogenesis of systemic and local envenoming and describe how research outcomes can identify novel snakebite therapeutic strategies with the potential to be more accessible and affordable to victims than current treatment.

摘要

蛇伤主要影响欠发达和发展中国家的农村自给农业人口。每年因蛇伤而死亡(10 万人)和身体残疾(40 万人)的人数是一个社会悲剧,给社会带来了巨大的额外社会经济负担。抗蛇毒血清治疗是蛇伤的首选治疗方法,但正如持续高死亡率和发病率所证明的那样,太多的农村热带蛇伤受害者无法获得有效治疗。在这里,我们主张进行更多的基础研究,以更好地了解全身性和局部中毒的发病机制,并描述研究结果如何确定新的蛇伤治疗策略,这些策略有可能比当前的治疗方法更容易获得和负担得起。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1481/6493937/772629a96d51/tpmd170877f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1481/6493937/d281bea01049/tpmd170877f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1481/6493937/6a6703f75dc9/tpmd170877f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1481/6493937/772629a96d51/tpmd170877f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1481/6493937/d281bea01049/tpmd170877f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1481/6493937/6a6703f75dc9/tpmd170877f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1481/6493937/772629a96d51/tpmd170877f3.jpg

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本文引用的文献

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2
Pros and cons of different therapeutic antibody formats for recombinant antivenom development.用于重组抗蛇毒血清开发的不同治疗性抗体形式的利弊。
Toxicon. 2018 May;146:151-175. doi: 10.1016/j.toxicon.2018.03.004. Epub 2018 Mar 10.
3
Preclinical antivenom-efficacy testing reveals potentially disturbing deficiencies of snakebite treatment capability in East Africa.
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PLoS Negl Trop Dis. 2017 Oct 18;11(10):e0005969. doi: 10.1371/journal.pntd.0005969. eCollection 2017 Oct.
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Melatonin inhibits snake venom and antivenom induced oxidative stress and augments treatment efficacy.褪黑素可抑制蛇毒和抗蛇毒血清诱导的氧化应激并提高治疗效果。
Acta Trop. 2017 May;169:14-25. doi: 10.1016/j.actatropica.2017.01.004. Epub 2017 Jan 12.
5
NETosis and lack of DNase activity are key factors in Echis carinatus venom-induced tissue destruction.嗜中性粒细胞胞外诱捕网形成(NETosis)和缺乏脱氧核糖核酸酶(DNase)活性是锯鳞蝰蛇毒液诱导组织破坏的关键因素。
Nat Commun. 2016 Apr 19;7:11361. doi: 10.1038/ncomms11361.
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Snake bite--the neglected tropical disease.蛇咬伤——被忽视的热带病。
Lancet. 2015 Sep 19;386(9999):1110. doi: 10.1016/S0140-6736(15)00247-0.
7
Snakebite is Under Appreciated: Appraisal of Burden from West Africa.蛇咬伤未得到充分重视:对西非负担的评估。
PLoS Negl Trop Dis. 2015 Sep 23;9(9):e0004088. doi: 10.1371/journal.pntd.0004088. eCollection 2015 Sep.
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Lupeol derivative mitigates Echis carinatus venom-induced tissue destruction by neutralizing venom toxins and protecting collagen and angiogenic receptors on inflammatory cells.羽扇豆醇衍生物通过中和毒液毒素以及保护炎症细胞上的胶原蛋白和血管生成受体,减轻锯鳞蝰蛇毒液诱导的组织破坏。
Biochim Biophys Acta. 2015 Dec;1850(12):2393-409. doi: 10.1016/j.bbagen.2015.09.011. Epub 2015 Sep 21.
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Adverse reactions to snake antivenom, and their prevention and treatment.蛇抗毒血清的不良反应及其预防和治疗。
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