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持续的杀手:巨蝮属(物种)毒液对纤维蛋白原的类凝血酶作用的保守性支撑了广泛的抗蛇毒血清交叉反应性。

Consistent Killers: Conservation of Thrombin-Like Action on Fibrinogen by Bushmaster ( Species) Venoms Underpins Broad Antivenom Cross-Reactivities.

作者信息

Jones Lee, Fry Bryan G

机构信息

Adaptive Biotoxicology Lab, School of the Environment, University of Queensland, St. Lucia, QLD 4072, Australia.

出版信息

Toxins (Basel). 2025 May 2;17(5):224. doi: 10.3390/toxins17050224.

DOI:10.3390/toxins17050224
PMID:40423307
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12115765/
Abstract

Snakebite represents a significant public health challenge in Central and South America, with (Bushmaster) species posing unique clinical challenges due to their severe envenomation effects arising from a combination of potent venom and copious venom yields. Using in vitro coagulation assays, we analyzed the coagulotoxic venom effects from four distinct localities: from Surinam and French Guiana and from Costa Rica and Panama. This study examined the venom's impact on human plasma and fibrinogen and evaluated the efficacy of two regionally available antivenoms (PoliVal-ICP and Antivipmyn-Tri) in neutralizing the pathophysiological effects. Our results demonstrated a remarkable consistency in the pseudo-procoagulant venom activity (also known as: thrombin-like) across different species and localities. Antivenom efficacy testing revealed that both the PoliVal-ICP and Antivipmyn-Tri antivenoms effectively neutralized the venom effects across localities for both species, with the ICP antivenom showing the highest neutralization capacity. These toxicology findings highlight the biochemical conservation of venom composition across species which underpins effective cross-neutralization in antivenom treatment.

摘要

蛇咬伤是中美洲和南美洲面临的一项重大公共卫生挑战,由于巨蝮属(矛头蝮)物种的毒液毒性强且产量大,其严重的毒液注入效应带来了独特的临床挑战。我们使用体外凝血试验,分析了来自四个不同地区的具有凝血毒性的毒液效应:来自苏里南和法属圭亚那,以及来自哥斯达黎加和巴拿马。本研究考察了毒液对人血浆和纤维蛋白原的影响,并评估了两种当地可得抗蛇毒血清(PoliVal - ICP和Antivipmyn - Tri)中和病理生理效应的功效。我们的结果表明,不同物种和地区的拟凝血酶毒液活性(也称为:类凝血酶)具有显著的一致性。抗蛇毒血清功效测试显示,PoliVal - ICP和Antivipmyn - Tri抗蛇毒血清均可有效中和两个物种不同地区的毒液效应,其中ICP抗蛇毒血清的中和能力最强。这些毒理学发现凸显了巨蝮属物种毒液成分的生化保守性,这是抗蛇毒血清治疗中有效交叉中和的基础。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/38f8/12115765/ffacdf02e466/toxins-17-00224-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/38f8/12115765/dcb4470d9e0e/toxins-17-00224-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/38f8/12115765/0a4dbecb674b/toxins-17-00224-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/38f8/12115765/ffacdf02e466/toxins-17-00224-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/38f8/12115765/dcb4470d9e0e/toxins-17-00224-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/38f8/12115765/0a4dbecb674b/toxins-17-00224-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/38f8/12115765/ffacdf02e466/toxins-17-00224-g003.jpg

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本文引用的文献

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Trans R Soc Trop Med Hyg. 2025 Aug 8;119(8):954-970. doi: 10.1093/trstmh/trae120.
2
Breaking muscle: neurotoxic and myotoxic effects of Central American snake venoms and the relative efficacies of antivenom and varespladib.肌肉撕裂:中美洲蛇毒的神经毒性和肌肉毒性作用,以及抗蛇毒血清和伐瑞昔布的相对疗效。
BMC Biol. 2024 Oct 23;22(1):243. doi: 10.1186/s12915-024-02044-3.
3
and Venoms In Vitro Investigation: Composition, Procoagulant Effects, Co-Factor Dependency, and Correction Using Antivenoms.
蛇毒的体外研究:组成、促凝作用、辅助因子依赖性以及抗蛇毒血清的纠正作用。
Toxins (Basel). 2023 Oct 16;15(10):614. doi: 10.3390/toxins15100614.
4
The Colombian bushmasters Lachesis acrochorda (García, 1896) and Lachesis muta (Linnaeus, 1766): Snake species, venoms, envenomation, and its management.哥伦比亚响尾蛇 Lachesis acrochorda(García,1896)和 Lachesis muta(Linnaeus,1766):蛇种、毒液、中毒及其管理。
Toxicon. 2023 Jul;230:107152. doi: 10.1016/j.toxicon.2023.107152. Epub 2023 May 11.
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Half a century of research on Bothrops asper venom variation: biological and biomedical implications.半个世纪以来对矛头蝮蛇属蛇毒变异的研究:生物学和生物医学意义。
Toxicon. 2023 Jan 1;221:106983. doi: 10.1016/j.toxicon.2022.106983. Epub 2022 Nov 23.
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When to think about a Lachesis muta envenomation in the Western Brazilian Amazon: Lessons from a case report.当考虑在巴西西部亚马逊地区的拉赫西斯 muta 中毒时:来自一个病例报告的教训。
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Toxins (Basel). 2021 Jan 22;13(2):78. doi: 10.3390/toxins13020078.