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钝尾两头蛇蛇毒致小鼠组织病理学变化及羊源抗蛇毒血清的中和作用。

Histopathological changes of mice tissues in course of the envenomation by the Macrovipera lebetina obtusa venom and the neutralizing effect of the ovine-derived experimental antivenom.

机构信息

Yerevan State University, 1 Alex Manoogian, 0025, Yerevan, Armenia.

Yerevan State Medical University After M. Heratsi, Koryun 2, 0025, Yerevan, Armenia.

出版信息

Toxicon. 2024 Aug 28;247:107821. doi: 10.1016/j.toxicon.2024.107821. Epub 2024 Jun 18.

Abstract

Viper bites pose a significant public health issue in Armenia, even within urban areas, often resulting in clotting disorders, hypofibrinogenemia, and tissue necrosis in humans. This study investigates histopathological changes in various tissues during mice envenomation by West-Asian blunt-nosed viper (Macrovipera lebetina obtusa) venom, as well as the recovery process aided by experimental antivenom derived from sheep. The high venom dose caused substantial damage to the heart, lungs, liver, and kidneys in mice, indicating systemic harm. While antivenom administration can prevent mortality in mice envenomation, it may not fully mitigate histological damage in affected organs. Additionally, the study highlights the importance of timing antivenom administration, as the severity of tissue alterations can vary depending on the duration of envenomation. These findings shed light on antivenom's effects on viper envenomation and stress the need for further research to optimize its timing and dosage for minimizing histological damage and enhancing clinical outcomes.

摘要

在亚美尼亚,毒蛇咬伤是一个重大的公共卫生问题,即使在城市地区也经常导致人类出现凝血障碍、低纤维蛋白原血症和组织坏死。本研究调查了在西亚钝头蝮蛇(Macrovipera lebetina obtusa)毒液对小鼠进行蛇毒攻击时,各种组织的组织病理学变化,以及实验性抗蛇毒血清对其的辅助恢复过程。高剂量的毒液对小鼠的心脏、肺部、肝脏和肾脏造成了严重的损害,表明存在全身性的伤害。尽管抗蛇毒血清的使用可以防止小鼠因蛇毒中毒而死亡,但它可能无法完全减轻受影响器官的组织损伤。此外,该研究还强调了抗蛇毒血清给药时间的重要性,因为组织改变的严重程度可能取决于蛇毒中毒的持续时间。这些发现揭示了抗蛇毒血清对蛇毒中毒的影响,并强调需要进一步研究,以优化其给药时间和剂量,从而最小化组织损伤并改善临床结果。

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