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亚马逊地区导致人类中毒最重要的蛇类:毒液组学如何促进对蛇生物学和临床毒素学的认识。

, the most important snake involved in human envenomings in the amazon: How venomics contributes to the knowledge of snake biology and clinical toxinology.

作者信息

Monteiro Wuelton Marcelo, Contreras-Bernal Jorge Carlos, Bisneto Pedro Ferreira, Sachett Jacqueline, Mendonça da Silva Iran, Lacerda Marcus, Guimarães da Costa Allyson, Val Fernando, Brasileiro Lisele, Sartim Marco Aurélio, Silva-de-Oliveira Sâmella, Bernarde Paulo Sérgio, Kaefer Igor L, Grazziotin Felipe Gobbi, Wen Fan Hui, Moura-da-Silva Ana Maria

机构信息

Escola Superior de Ciências da Saúde, Universidade do Estado do Amazonas, Manaus, Brazil.

Instituto de Pesquisa Clínica Carlos Borborema, Fundação de Medicina Tropical Dr. Heitor Vieira Dourado, Manaus, Brazil.

出版信息

Toxicon X. 2020 Apr 23;6:100037. doi: 10.1016/j.toxcx.2020.100037. eCollection 2020 Jun.

Abstract

snakes are mostly endemic of the Amazon rainforest and is certainly the South American pit viper responsible for most of the snakebites in the region. The composition of venom is significantly known and has been used to trace the relevance of the venom phenotype for snake biology and for the impacts in the clinics of human patients involved in accidents by . However, in spite of the wide distribution and the great medical relevance of snakes, taxonomy is not fully resolved and the impacts of the lack of taxonomic resolution on the studies focused on venom or envenoming are currently unknown. venom presents different degrees of compositional variability and is generally coagulotoxic, inducing systemic hematological disturbances and local tissue damage in snakebite patients. Antivenoms are the effective therapy for attenuating the clinical signs. This review brings a comprehensive discussion of the literature concerning snakes encompassing from snake taxonomy, diet and venom composition, towards clinical aspects of snakebite patients and efficacy of the antivenoms. This discussion is highly supported by the contributions that venomics and antivenomics added for the advancement of knowledge of snakes, their venoms and the treatment of accidents they evoke.

摘要

蛇大多原产于亚马逊雨林,无疑是南美洲蝰蛇中导致该地区大多数蛇咬伤事件的罪魁祸首。毒液的成分已广为人知,并已被用于探究毒液表型与蛇类生物学的相关性,以及对涉及意外事故的人类患者临床的影响。然而,尽管蛇分布广泛且具有重大医学相关性,但其分类学尚未完全解决,目前尚不清楚缺乏分类学分辨率对专注于毒液或蛇咬伤研究的影响。蛇的毒液呈现出不同程度的成分变异性,通常具有凝血毒性,会在蛇咬伤患者中引发全身性血液学紊乱和局部组织损伤。抗蛇毒血清是减轻临床症状的有效疗法。本综述全面讨论了有关蛇的文献,涵盖从蛇类分类学、饮食和毒液成分到蛇咬伤患者的临床方面以及抗蛇毒血清的疗效。毒液组学和抗毒液组学为推进对蛇、其毒液以及它们引发的事故治疗的认识所做的贡献,为这一讨论提供了有力支持。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67f0/7285970/1dbe0eba170a/gr1.jpg

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