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Venom peptides in association with standard drugs: a novel strategy for combating antibiotic resistance - an overview. 与标准药物相关的毒液肽:一种对抗抗生素耐药性的新策略-综述。
IF 2.4 3区 医学 Q4 TOXICOLOGY Pub Date : 2020-08-10 eCollection Date: 2020-01-01 DOI: 10.1590/1678-9199-JVATITD-2020-0001
Ashish K Lamiyan, Ramkesh Dalal, Neelima R Kumar

Development of antibiotic resistance that leads to resurgence of bacterial infections poses a threat to disease-free existence for humankind and is a challenge for the welfare of the society at large. Despite research efforts directed towards treatment of pathogens, antibiotics within new improved classes have not emerged for years, a fact largely attributable to the pharmacological necessities compelling drug development. Recent reversion to the use of natural products alone or in combination with standard drugs has opened up new vistas for alternative therapeutics. The success of this strategy is evident in the sudden interest in plant extracts as additives/synergists for treatment of maladies caused by drug-resistant bacterial strains. Animal venoms have long fascinated scientists as sources of pharmacologically active components that can be exploited for the treatment of specific ailments and should be promoted further to clinical trials. In the present review, we outline the scope and possible methods for the applications of animal venoms in combination with commercial antibiotics to offer a better treatment approach against antibiotic-resistant infections.

抗生素耐药性的发展导致细菌感染的死灰复燃,对人类的无病生存构成威胁,对整个社会的福利构成挑战。尽管针对治疗病原体的研究努力,在新的改良类抗生素没有出现多年,这一事实在很大程度上可归因于药理学的必要性迫使药物开发。最近对天然产品单独使用或与标准药物联合使用的回归为替代疗法开辟了新的前景。这一策略的成功体现在人们突然对植物提取物作为添加剂/增效剂用于治疗由耐药菌株引起的疾病产生兴趣。长期以来,动物毒液作为一种可用于治疗特定疾病的药理活性成分的来源一直吸引着科学家,应该进一步推广到临床试验中。在本文中,我们概述了动物毒液与商业抗生素联合应用的范围和可能的方法,以提供更好的治疗抗生素耐药感染的方法。
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引用次数: 2
Phlogiellus bundokalbo spider venom: cytotoxic fractions against human lung adenocarcinoma (A549) cells. 龙舌蜘蛛毒液:对人肺腺癌(A549)细胞的细胞毒性成分。
IF 2.4 3区 医学 Q4 TOXICOLOGY Pub Date : 2020-08-03 DOI: 10.1590/1678-9199-JVATITD-2019-0104
Anna Beatriz R Mayor, Leonardo A Guevarra, Myla R Santiago-Bautista, Librado A Santiago

Background: Spider venom is a potential source of pharmacologically important compounds. Previous studies on spider venoms reported the presence of bioactive molecules that possess cell-modulating activities. Despite these claims, sparse scientific evidence is available on the cytotoxic mechanisms in relation to the components of the spider venom. In this study, we aimed to determine the cytotoxic fractions of the spider venom extracted from Phlogiellus bundokalbo and to ascertain the possible mechanism of toxicity towards human lung adenocarcinoma (A549) cells.

Methods: Spider venom was extracted by electrostimulation. Components of the extracted venom were separated by reversed-phase high performance liquid chromatography (RP-HPLC) using a linear gradient of 0.1% trifluoroacetic acid (TFA) in water and 0.1% TFA in 95% acetonitrile (ACN). Cytotoxic activity was evaluated by the MTT assay. Apoptotic or necrotic cell death was assessed by microscopic evaluation in the presence of Hoechst 33342 and Annexin V, Alexa FluorTM 488 conjugate fluorescent stains, and caspase activation assay. Phospholipase A2 (PLA2) activity of the cytotoxic fractions were also measured.

Results: We observed and isolated six fractions from the venom of P. bundokalbo collected from Aurora, Zamboanga del Sur. Four of these fractions displayed cytotoxic activities. Fractions AT5-1, AT5-3, and AT5-4 were found to be apoptotic while AT5-6, the least polar among the cytotoxic components, was observed to induce necrosis. PLA2 activity also showed cytotoxicity in all fractions but presented no relationship between specific activity of PLA2 and cytotoxicity.

Conclusion: The venom of P. bundokalbo spider, an endemic tarantula species in the Philippines, contains components that were able to induce either apoptosis or necrosis in A549 cells.

背景:蜘蛛毒液是重要药理化合物的潜在来源。先前对蜘蛛毒液的研究报告了具有细胞调节活性的生物活性分子的存在。尽管有这些说法,关于蜘蛛毒液成分的细胞毒性机制的科学证据很少。在本研究中,我们的目的是测定从本多卡波梭中提取的蜘蛛毒液的细胞毒性成分,并确定其对人肺腺癌(A549)细胞的可能毒性机制。方法:采用电刺激法提取蜘蛛毒液。以0.1%三氟乙酸(TFA)水溶液和0.1%三氟乙酸(TFA) 95%乙腈(ACN)水溶液为线性梯度,采用反相高效液相色谱法(RP-HPLC)分离毒液成分。用MTT法测定细胞毒活性。在Hoechst 33342和Annexin V、Alexa FluorTM 488结合荧光染色和caspase激活试验下,通过显微镜观察观察细胞凋亡或坏死的死亡情况。还测定了细胞毒性组分的磷脂酶A2 (PLA2)活性。结果:从南三宝颜省奥罗拉省采集到的白蛉毒液中分离分离了6个部分。其中四个部分显示出细胞毒性活性。AT5-1、AT5-3、AT5-4组均有细胞凋亡作用,而极性最小的AT5-6组则有细胞坏死作用。PLA2活性在各组分均表现出细胞毒性,但PLA2比活性与细胞毒性之间不存在相关性。结论:菲律宾特有的狼蛛P. bundokalbo蜘蛛的毒液含有能够诱导A549细胞凋亡或坏死的成分。
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引用次数: 3
Production of glycosylphosphatidylinositol-anchored proteins for vaccines and directed binding of immunoliposomes to specific cell types. 生产用于疫苗的糖基磷脂酰肌醇锚定蛋白,以及免疫脂质体与特定细胞类型的定向结合。
IF 1.8 3区 医学 Q4 TOXICOLOGY Pub Date : 2020-08-03 DOI: 10.1590/1678-9199-JVATITD-2020-0032
Wesley L Fotoran, Nicole Kleiber, Thomas Müntefering, Eva Liebau, Gerhard Wunderlich

Background: Liposomes are highly useful carriers for delivering drugs or antigens. The association of glycosylphosphatidylinositol (GPI)-anchored proteins to liposomes potentially enhances the immunogenic effect of vaccine antigens by increasing their surface concentration. Furthermore, the introduction of a universal immunoglobulin-binding domain can make liposomes targetable to virtually any desired receptor for which antibodies exist.

Methods: We developed a system for the production of recombinant proteins with GPI anchors and histidine tags and Strep-tags for simplified purification from cells. This system was applied to i) the green fluorescent protein (GFP) as a reporter, ii) the promising Plasmodium falciparum vaccine antigen PfRH5 and iii) a doubled immunoglobulin Fc-binding domain termed ZZ from protein A of Staphylococcus aureus. As the GPI-attachment domain, the C-terminus of murine CD14 was used. After the recovery of these three recombinant proteins from Chinese hamster ovary (CHO) cells and association with liposomes, their vaccine potential and ability to target the CD4 receptor on lymphocytes in ex vivo conditions were tested.

Results: Upon immunization in mice, the PfRH5-GPI-loaded liposomes generated antibody titers of 103 to 104, and showed a 45% inhibitory effect on in vitro growth at an IgG concentration of 600 µg/mL in P. falciparum cultures. Using GPI-anchored ZZ to couple anti-CD4 antibodies to liposomes, we created immunoliposomes with a binding efficiency of 75% to CD4+ cells in splenocytes and minimal off-target binding.

Conclusions: Proteins are very effectively associated with liposomes via a GPI-anchor to form proteoliposome particles and these are useful for a variety of applications including vaccines and antibody-mediated targeting of liposomes. Importantly, the CHO-cell and GPI-tagged produced PfRH5 elicited invasion-blocking antibodies qualitatively comparable to other approaches.

背景:脂质体是输送药物或抗原的非常有用的载体。糖基磷脂酰肌醇(GPI)锚定蛋白与脂质体的结合可提高疫苗抗原的表面浓度,从而增强其免疫原性。此外,引入通用的免疫球蛋白结合域可使脂质体靶向存在抗体的几乎任何所需受体:方法:我们开发了一种系统,用于生产带有 GPI 锚、组氨酸标签和 Strep 标签的重组蛋白,以简化从细胞中的纯化。该系统适用于 i) 作为报告基因的绿色荧光蛋白(GFP),ii) 有前景的恶性疟原虫疫苗抗原 PfRH5,iii) 金黄色葡萄球菌蛋白 A 中被称为 ZZ 的双倍免疫球蛋白 Fc 结合域。作为 GPI 连接域,使用了小鼠 CD14 的 C 端。从中国仓鼠卵巢(CHO)细胞中回收这三种重组蛋白并与脂质体结合后,在体外条件下测试了它们的疫苗潜力和靶向淋巴细胞 CD4 受体的能力:结果:小鼠免疫后,PfRH5-GPI-负载脂质体产生的抗体滴度为 103 至 104,在恶性疟原虫培养物中,IgG 浓度为 600 µg/mL 时,对体外生长有 45% 的抑制作用。利用 GPI-anchored ZZ 将抗 CD4 抗体与脂质体结合,我们制备出的免疫脂质体与脾细胞中 CD4+ 细胞的结合率高达 75%,且脱靶结合率极低:蛋白质通过 GPI-anchor 与脂质体非常有效地结合,形成蛋白脂质体颗粒,这些颗粒可用于疫苗和抗体介导的脂质体靶向等多种应用。重要的是,CHO 细胞和 GPI 标记的 PfRH5 所产生的入侵阻断抗体的质量与其他方法相当。
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引用次数: 0
Streamlined downstream process for efficient and sustainable (Fab')2 antivenom preparation. 简化下游流程,实现高效、可持续的 (Fab')2 抗蛇毒血清制备。
IF 2.4 3区 医学 Q4 TOXICOLOGY Pub Date : 2020-07-27 eCollection Date: 2020-01-01 DOI: 10.1590/1678-9199-jvatitd-2020-0025
Tihana Kurtović, Marija Brgles, Maja Lang Balija, Stephanie Steinberger, Dora Sviben, Martina Marchetti-Deschmann, Beata Halassy

Background: Antivenoms are the only validated treatment against snakebite envenoming. Numerous drawbacks pertaining to their availability, safety and efficacy are becoming increasingly evident due to low sustainability of current productions. Technological innovation of procedures generating therapeutics of higher purity and better physicochemical characteristics at acceptable cost is necessary. The objective was to develop at laboratory scale a compact, feasible and economically viable platform for preparation of equine F(ab')2 antivenom against Vipera ammodytes ammodytes venom and to support it with efficiency data, to enable estimation of the process cost-effectiveness.

Methods: The principle of simultaneous caprylic acid precipitation and pepsin digestion has been implemented into plasma downstream processing. Balance between incomplete IgG breakdown, F(ab')2 over-digestion and loss of the active drug's protective efficacy was achieved by adjusting pepsin to a 1:30 substrate ratio (w/w) and setting pH at 3.2. Precipitation and digestion co-performance required 2 h-long incubation at 21 °C. Final polishing was accomplished by a combination of diafiltration and flow-through chromatography. In vivo neutralization potency of the F(ab')2 product against the venom's lethal toxicity was determined.

Results: Only three consecutive steps, performed under finely tuned conditions, were sufficient for preservation of the highest process recovery with the overall yield of 74%, comparing favorably to others. At the same time, regulatory requirements were met. Final product was aggregate- and pepsin-free. Its composition profile was analyzed by mass spectrometry as a quality control check. Impurities, present in minor traces, were identified mostly as IgG/IgM fragments, contributing to active drug. Specific activity of the F(ab')2 preparation with respect to the plasma was increased 3.9-fold.

Conclusion: A highly streamlined mode for production of equine F(ab')2 antivenom was engineered. In addition to preservation of the highest process yield and fulfillment of the regulatory demands, performance simplicity and rapidity in the laboratory setting were demonstrated. Suitability for large-scale manufacturing appears promising.

背景:抗蛇毒血清是治疗蛇咬伤的唯一有效方法。由于目前生产的抗蛇毒血清可持续性较低,其可用性、安全性和有效性方面的许多缺点正变得越来越明显。有必要进行技术创新,以可接受的成本生产出纯度更高、理化特性更好的治疗药物。我们的目标是在实验室规模上开发一个紧凑、可行且经济上可行的平台,用于制备针对蝰蛇毒液的马 F(ab')2 抗蛇毒血清,并提供效率数据支持,以估算工艺的成本效益:方法:在血浆下游处理过程中采用了辛酸沉淀和胃蛋白酶消化同时进行的原理。通过将胃蛋白酶的底物比例(w/w)调整为 1:30,并将 pH 值设定为 3.2,实现了 IgG 不完全分解、F(ab')2 过度消化和活性药物保护效力损失之间的平衡。沉淀和消化的共同作用需要在 21 °C 下培养 2 小时。最后通过重滤和流动层析完成抛光。测定了 F(ab')2 产物对毒液致死毒性的体内中和效力:结果:在微调的条件下,只需连续进行三个步骤,就能保持最高的工艺回收率,总产率高达 74%,与其他方法相比毫不逊色。与此同时,还满足了法规要求。最终产品不含聚合体和胃蛋白酶。作为质量控制检查,对其成分进行了质谱分析。经鉴定,杂质含量极低,主要为 IgG/IgM 片段,属于活性药物。与血浆相比,F(ab')2 制剂的特异性活性提高了 3.9 倍:结论:我们设计出了一种高度简化的马 F(ab')2 抗蛇毒血清生产模式。结论:我们设计出了一种高度简化的马 F(ab')2 抗血清生产模式。除了能保持最高的工艺产量和满足监管要求外,该模式还能在实验室环境中实现简单、快速的性能。大规模生产的适用性似乎很有希望。
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引用次数: 0
Cytotoxic and anticancer properties of the Malaysian mangrove pit viper (Trimeresurus purpureomaculatus) venom and its disintegrin (purpureomaculin). 马来西亚红树林坑蝰(Trimeresurus purpureomaculatus)毒液及其分解素(purpureomaculin)的细胞毒性和抗癌特性。
IF 2.4 3区 医学 Q4 TOXICOLOGY Pub Date : 2020-07-17 eCollection Date: 2020-01-01 DOI: 10.1590/1678-9199-JVATITD-2020-0013
Choo Hock Tan, Jia Lee Liew, Suerialoasan Navanesan, Kae Shin Sim, Nget Hong Tan, Kae Yi Tan

Background: The Asiatic pit vipers from the Trimeresurus complex are medically important venomous snakes. These pit vipers are often associated with snakebite that leads to fatal coagulopathy and tissue necrosis. The cytotoxic venoms of Trimeresurus spp.; however, hold great potential for the development of peptide-based anticancer drugs.

Methods: This study investigated the cytotoxic effect of the venom from Trimeresurus purpureomaculatus, the mangrove pit viper (also known as shore pit viper) which is native in Malaysia, across a panel of human cancer cell lines from breast, lung, colon and prostate as well as the corresponding normal cell lines of each tissue.

Results: The venom exhibited dose-dependent cytotoxic activities on all cell lines tested, with median inhibition concentrations (IC50) ranging from 0.42 to 6.98 µg/mL. The venom has a high selectivity index (SI = 14.54) on breast cancer cell line (MCF7), indicating that it is significantly more cytotoxic toward the cancer than to normal cell lines. Furthermore, the venom was fractionated using C18 reversed-phase high-performance liquid chromatography and the anticancer effect of each protein fraction was examined. Fraction 1 that contains a hydrophilic low molecular weight (approximately 7.5 kDa) protein was found to be the most cytotoxic and selective toward the breast cancer cell line (MCF7). The protein was identified using liquid chromatography-tandem mass spectrometry as a venom disintegrin, termed purpureomaculin in this study.

Conclusion: Taken together, the findings revealed the potent and selective cytotoxicity of a disintegrin protein isolated from the Malaysian T. purpureomaculatus venom and suggested its anticancer potential in drug discovery.

背景:来自Trimeresurus群的亚洲蝮蛇是医学上重要的毒蛇。这些蝮蛇通常与蛇咬伤有关,导致致命的凝血功能障碍和组织坏死。三叶蝉属的细胞毒性毒液;然而,基于肽的抗癌药物具有巨大的发展潜力。方法:本研究调查了马来西亚本地的红树林坑毒蛇(也称为岸坑毒蛇)Trimeresurus purpureomaculatus的毒液对人类乳腺癌、肺癌、结肠癌和前列腺细胞系以及各组织相应的正常细胞系的细胞毒性作用。结果:该毒液对所有细胞系均表现出剂量依赖性的细胞毒活性,中位抑制浓度(IC50)范围为0.42 ~ 6.98µg/mL。该毒液对乳腺癌细胞系(MCF7)具有较高的选择性指数(SI = 14.54),表明其对乳腺癌的细胞毒性明显高于对正常细胞系的细胞毒性。采用C18反相高效液相色谱法对蛇毒进行分离,检测各蛋白组分的抗癌作用。含有亲水低分子量(约7.5 kDa)蛋白的组分1被发现对乳腺癌细胞系(MCF7)具有最大的细胞毒性和选择性。采用液相色谱-串联质谱法鉴定该蛋白为一种毒液崩解素,本研究将其命名为purpureomaculin。结论:上述研究结果揭示了从马来西亚T. purpureomaculatus毒液中分离的一种崩解素蛋白具有强效和选择性的细胞毒性,并提示其在药物开发中的抗癌潜力。
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引用次数: 6
Suppression of cardiomyocyte functions by β-CTX isolated from the Thai king cobra (Ophiophagus hannah) venom via an alternative method. 从泰国眼镜王蛇(Ophiophagus hannah)毒液中分离的β-CTX通过另一种方法抑制心肌细胞功能。
IF 2.4 3区 医学 Q4 TOXICOLOGY Pub Date : 2020-07-17 eCollection Date: 2020-01-01 DOI: 10.1590/1678-9199-JVATITD-2020-0005
Tuchakorn Lertwanakarn, Montamas Suntravat, Elda E Sanchez, Worakan Boonhoh, R John Solaro, Beata M Wolska, Jody L Martin, Pieter P de Tombe, Kittipong Tachampa

Background: Beta-cardiotoxin (β-CTX), the three-finger toxin isolated from king cobra (Ophiophagus hannah) venom, possesses β-blocker activity as indicated by its negative chronotropy and its binding property to both β-1 and β-2 adrenergic receptors and has been proposed as a novel β-blocker candidate. Previously, β-CTX was isolated and purified by FPLC. Here, we present an alternative method to purify this toxin. In addition, we tested its cytotoxicity against different mammalian muscle cell types and determined the impact on cardiac function in isolated cardiac myocyte so as to provide insights into the pharmacological action of this protein.

Methods: β-CTX was isolated from the crude venom of the Thai king cobra using reverse-phased and cation exchange HPLC. In vitro cellular viability MTT assays were performed on mouse myoblast (C2C12), rat smooth muscle (A7r5), and rat cardiac myoblast (H9c2) cells. Cell shortening and calcium transient dynamics were recorded on isolated rat cardiac myocytes over a range of β-CTX concentration.

Results: Purified β-CTX was recovered from crude venom (0.53% w/w). MTT assays revealed 50% cytotoxicity on A7r5 cells at 9.41 ± 1.14 µM (n = 3), but no cytotoxicity on C2C12 and H9c2 cells up to 114.09 µM. β-CTX suppressed the extend of rat cardiac cell shortening in a dose-dependent manner; the half-maximal inhibition concentration was 95.97 ± 50.10 nM (n = 3). In addition, the rates of cell shortening and re-lengthening were decreased in β-CTX treated myocytes concomitant with a prolongation of the intracellular calcium transient decay, indicating depression of cardiac contractility secondary to altered cardiac calcium homeostasis.

Conclusion: We present an alternative purification method for β-CTX from king cobra venom. We reveal cytotoxicity towards smooth muscle and depression of cardiac contractility by this protein. These data are useful to aid future development of pharmacological agents derived from β-CTX.

背景:β-心脏毒素(β-CTX)是一种从眼镜王蛇(Ophiophagus hannah)毒液中分离出来的三指毒素,具有β-阻滞剂活性,这表明它具有负时变性和与β-1和β-2肾上腺素能受体的结合特性,已被提出作为一种新的β-阻滞剂候选物质。以前,β-CTX是通过FPLC分离纯化的。在这里,我们提出了一种净化这种毒素的替代方法。此外,我们还测试了其对不同哺乳动物肌肉细胞类型的细胞毒性,并在分离的心肌细胞中测定了其对心功能的影响,从而深入了解该蛋白的药理作用。方法:采用反相高效液相色谱法和阳离子交换高效液相色谱法从泰国眼镜王蛇粗毒液中分离得到β-CTX。对小鼠成肌细胞(C2C12)、大鼠平滑肌细胞(A7r5)和大鼠心肌细胞(H9c2)进行体外细胞活力MTT测定。在β-CTX浓度范围内,记录了离体大鼠心肌细胞的细胞缩短和钙瞬态动力学。结果:从蛇毒中纯化得到β-CTX (0.53% w/w)。MTT实验显示,在9.41±1.14µM (n = 3)时,A7r5细胞有50%的细胞毒性,而在114.09µM时,C2C12和H9c2细胞无细胞毒性。β-CTX呈剂量依赖性抑制大鼠心肌细胞缩短的延长;半最大抑制浓度为95.97±50.10 nM (n = 3)。此外,β-CTX处理心肌细胞的细胞缩短和再延长率降低,同时细胞内钙瞬态衰变延长,表明心脏收缩力的抑制是由心脏钙稳态改变引起的。结论:建立了一种从眼镜王蛇毒中提取β-CTX的纯化方法。我们揭示了这种蛋白对平滑肌的细胞毒性和心脏收缩性的抑制。这些数据有助于未来β-CTX衍生药物的开发。
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引用次数: 6
Erratum: Antiproliferative activity of marine stingray Dasyatis sephen venom on human cervical carcinoma cell line. 海洋黄貂鱼毒对人宫颈癌细胞系的抗增殖活性。
IF 2.4 3区 医学 Q4 TOXICOLOGY Pub Date : 2020-07-10 eCollection Date: 2020-01-01 DOI: 10.1590/s40409-015-0036-5er

[This corrects the article DOI: 10.1186/s40409-015-0036-5.].

[这更正了文章DOI: 10.1186/s40409-015-0036-5]。
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引用次数: 0
Clinical assessment and pathophysiology of Bothrops venom-related acute kidney injury: a scoping review. 两栖类毒液相关急性肾损伤的临床评估和病理生理学:范围综述。
IF 1.8 3区 医学 Q4 TOXICOLOGY Pub Date : 2020-07-10 eCollection Date: 2020-01-01 DOI: 10.1590/1678-9199-JVATITD-2019-0076
Polianna Lemos Moura Moreira Albuquerque, José Hicaro Hellano Gonçalves Lima Paiva, Alice Maria Costa Martins, Gdayllon Cavalcante Meneses, Geraldo Bezerra da Silva, Nicholas Buckley, Elizabeth De Francesco Daher

Bothrops are one of the most common medically important snakes found in Latin America. Its venom is predominantly hemotoxic and proteolytic, which means that local lesion (edema and redness) and hemorrhagic symptoms are recurrent in envenoming by this snake. Although hemorrhage is usually the major cause of death, snakebite-related acute kidney injury is another potentially fatal clinical complication that may lead to chronic kidney disease. The present review highlights the main studies on Bothrops venom-related acute kidney injury, including observational, cross-sectional, case-control and cohort human studies available up to December 2019. The following descriptors were used according to Medical Subject Headings (MeSH): on Medline/Pubmed and Google Scholar "acute kidney injury" or "kidney disease" and "Bothrops"; on Lilacs and SciELO "kidney disease" or "acute kidney injury" and "Bothrops". Newcastle-Ottawa quality assessment scale was used to appraise the quality of the cross-sectional and cohort studies included. The selection of more severe patients who looked for health care units and tertiary centers is a risk of bias. Due to the methodological heterogeneity of the studies, a critical analysis of the results was performed based on the hypothesis that the design of the included studies influences the incidence of acute kidney injury. Fifteen human studies (total participants 4624) were included according to stablished criteria. The coagulation abnormalities (hemorrhagic symptoms, abnormal fibrinogen and activated partial thromboplastin time) were associated with acute kidney injury in the most recent studies reported. The findings observed in this review provide up-to-date evidence about the acute kidney injury pathogenesis following Bothrops syndrome. Studies pointed out that coagulation abnormalities comprise the major pathway for acute kidney injury development. This review may improve patient management by primary healthcare providers, allowing earlier diagnosis and treatment of Bothrops venom-related acute kidney injury.

两栖类是拉丁美洲最常见的重要医疗用蛇类之一。它的毒液主要具有血液毒性和蛋白溶解性,这意味着在被这种蛇咬伤后,局部病变(水肿和发红)和出血症状会反复出现。虽然出血通常是死亡的主要原因,但与蛇咬伤相关的急性肾损伤是另一种潜在的致命临床并发症,可能导致慢性肾病。本综述重点介绍了截至2019年12月有关两栖类蛇毒相关急性肾损伤的主要研究,包括观察性、横断面、病例对照和队列人类研究。根据医学主题词表(MeSH)使用了以下描述符:在Medline/Pubmed和谷歌学术上使用 "急性肾损伤 "或 "肾脏疾病 "和 "两栖类";在Lilacs和SciELO上使用 "肾脏疾病 "或 "急性肾损伤 "和 "两栖类"。纽卡斯尔-渥太华质量评估量表用于评价纳入的横断面研究和队列研究的质量。选择在医疗单位和三级中心就诊的重症患者有可能存在偏倚。由于研究方法的异质性,我们根据所纳入研究的设计会影响急性肾损伤发生率这一假设,对研究结果进行了批判性分析。根据既定标准,共纳入了 15 项人类研究(总参与人数为 4624 人)。在最新报告的研究中,凝血异常(出血症状、纤维蛋白原异常和活化部分凝血活酶时间)与急性肾损伤有关。本综述中观察到的结果提供了有关博德罗普斯综合征急性肾损伤发病机制的最新证据。研究指出,凝血异常是急性肾损伤发生的主要途径。本综述可改善初级医疗保健提供者对患者的管理,从而更早地诊断和治疗与博思罗毒液相关的急性肾损伤。
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引用次数: 0
Chronic venous ulcers: a review on treatment with fibrin sealant and prognostic advances using proteomic strategies. 慢性静脉溃疡:纤维蛋白密封剂治疗的回顾和使用蛋白质组学策略的预后进展。
IF 2.4 3区 医学 Q4 TOXICOLOGY Pub Date : 2020-06-22 DOI: 10.1590/1678-9199-JVATITD-2019-0101
Luciana Patricia Fernandes Abbade, Rui Seabra Ferreira, Lucilene Delazari Dos Santos, Benedito Barraviera

Venous ulcers are the main causes of chronic lower-limb ulcers. The healing difficulties encourage the research and development of new products in order to achieve better therapeutic results. Fibrin sealant is one of these alternatives. Besides being a validated scaffold and drug delivery system, it possesses excellent healing properties. This review covered the last 25 years of the literature and showed that the fibrin sealant is used in various clinical situations to promote the healing of different types of ulcers, especially chronic ones. These are mostly venous in origin and usually does not respond to conventional treatment. Commercially, only the homologous fibrin sealants obtained from human blood are available, which are highly efficient but very expensive. The heterologous fibrin sealant is a non-commercial experimental low-cost product and easily produced due to the abundance of raw material. The phase I/II clinical trial is already completed and showed that the product is safe and promisingly efficacious for the treatment of chronic venous ulcers. In addition, clinical proteomic strategies to assess disease prognosis have been increasingly used. By analyzing liquid samples from the wounds through proteomic strategies, it is possible to predict before treatment which ulcers will evolve favorably and which ones will be difficult to heal. This prognosis is only possible by evaluating the expression of isolated proteins in exudates and analysis using label-free strategies for shotgun. Multicentric clinical trials will be required to evaluate the efficacy of fibrin sealant to treat chronic ulcers, as well as to validate the proteomic strategies to assess prognosis.

静脉溃疡是慢性下肢溃疡的主要原因。治疗的困难鼓励了新产品的研究和开发,以达到更好的治疗效果。纤维蛋白密封剂就是其中一种替代品。除了作为一种经过验证的支架和药物输送系统外,它还具有优异的愈合性能。这篇综述涵盖了过去25年的文献,并表明纤维蛋白密封胶在各种临床情况下用于促进不同类型溃疡的愈合,特别是慢性溃疡。这些大多起源于静脉,通常对常规治疗无效。商业上,只有从人类血液中提取的同源纤维蛋白密封剂可用,这种密封剂效率很高,但价格昂贵。异种纤维蛋白密封胶是一种非商业的实验性低成本产品,原料丰富,易于生产。I/II期临床试验已经完成,并表明该产品对慢性静脉溃疡的治疗是安全且有希望有效的。此外,评估疾病预后的临床蛋白质组学策略已被越来越多地使用。通过蛋白质组学策略分析伤口的液体样本,可以在治疗前预测哪些溃疡会发展良好,哪些溃疡难以愈合。这种预后只能通过评估渗出液中分离蛋白的表达和使用无标记策略进行分析来实现。需要多中心临床试验来评估纤维蛋白密封剂治疗慢性溃疡的疗效,以及验证蛋白质组学策略来评估预后。
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引用次数: 21
Toxicological effects of bioactive peptide fractions obtained from Bothrops jararaca snake venom on the structure and function of mouse seminiferous epithelium. 蛇毒生物活性肽对小鼠精胚上皮结构和功能的毒理学影响。
IF 2.4 3区 医学 Q4 TOXICOLOGY Pub Date : 2020-06-22 DOI: 10.1590/1678-9199-JVATITD-2020-0007
Carlos Alberto-Silva, Celline Sampaio Franzin, Joyce Meire Gilio, Rodrigo Simão Bonfim, Samyr Machado Querobino

Background: Pathogenesis of Bothrops envenomations is complex and despite numerous studies on the effects of this snake venom on various biological systems, relatively little is known about such effects on the male reproductive system. In the present study, the toxicological outcomes of the low molecular weight fraction (LMWF) of B. jararaca snake venom - containing a range of bioactive peptides - were investigated on the dynamics and structure of the seminiferous epithelium and 15P-1 Sertoli cells viability.

Methods: LMWF (5 µg/dose per testis) venom was administered in male Swiss mice by intratesticular (i.t.) injection. Seven days after this procedure, the testes were collected for morphological and morphometric evaluation, distribution of claudin-1 in the seminiferous epithelium by immunohistochemical analyses of testes, and the nitric oxide (NO) levels were evaluated in the total extract of the testis protein. In addition, the toxicological effects of LMWF and crude venom (CV) were analyzed on the 15P-1 Sertoli cell culture.

Results: LMWF induced changes in the structure and function of the seminiferous epithelium without altering claudin-1 distribution. LMWF effects were characterized especially by lost cells in the adluminal compartment of epithelium (spermatocytes in pachytene, preleptotene spermatocytes, zygotene spermatocytes, and round spermatid) and different stages of the seminiferous epithelium cycle. LMWF also increased the NO levels in the total extract of the testis protein and was not cytotoxic in concentrations and time tested in the present study. However, CV showed cytotoxicity at 10 μg/mL from 6 to 48 h of treatment.

Conclusions: The major finding of the present study was that the LMWF inhibited spermatozoa production; principally in the spermiogenesis stage without altering claudin-1 distribution in the basal compartment. Moreover, NO increased by LMWF induce open of complexes junctions and release the germ cells of the adluminal compartment to the seminiferous tubule.

背景:Bothrops蛇毒的发病机制是复杂的,尽管有许多研究表明这种蛇毒对各种生物系统的影响,但对男性生殖系统的影响知之甚少。在本研究中,研究了含有一系列生物活性肽的贾拉拉卡蛇毒低分子量组分(LMWF)对精系上皮的动力学和结构以及15P-1支持细胞活力的毒理学结果。方法:雄性瑞士小鼠睾丸内注射LMWF(5µg/剂/睾丸)毒液。术后7 d,收集睾丸进行形态学和形态计量学评价,免疫组化分析睾丸精系上皮中claudin-1的分布,检测睾丸蛋白总提取物中一氧化氮(NO)水平。此外,还分析了LMWF和粗毒液(CV)对15P-1 Sertoli细胞的毒理学效应。结果:小分子低分子量水分子诱导精细胞上皮结构和功能发生改变,但不改变claudin-1的分布。LMWF影响的主要特征是上皮腔室的细胞丢失(粗线精母细胞、前细线精母细胞、合子精母细胞和圆形精细胞中的精母细胞)和精原上皮周期的不同阶段。LMWF还增加了睾丸蛋白总提取物中的NO水平,并且在本研究中测试的浓度和时间上没有细胞毒性。但在处理6 ~ 48 h时,10 μg/mL的CV表现出细胞毒性。结论:本研究的主要发现是低分子脂肪对精子产生有抑制作用;主要发生在精子发生阶段,而不改变基室中claudin-1的分布。此外,低分子wf增加的NO诱导复合物连接打开,将输卵管腔室的生殖细胞释放到精小管中。
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引用次数: 7
期刊
Journal of Venomous Animals and Toxins Including Tropical Diseases
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