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Evaluation of The effects of Anti-Inflammatory Drugs on Local and Systemic manifestations of snakebite: A cross-sectional study. 消炎药对蛇咬伤局部和全身表现影响的评价:一项横断面研究。
Pub Date : 2021-05-25 eCollection Date: 2021-01-01
Gholamali Dorooshi, Zahra Nabi Javid, Rokhsareh Meamar, Ziba Farjzadegan, Maryam Nasri, Nastaran Eizadi-Mood

Although the predominant treatment for snakebite is the antivenom, other treatments are also considered. We studied the effects of single or multiple-doses of anti-inflammatory drugs on local, systemic and laboratory findings of the snakebite victims. In this cross-sectional study, 101 patients (90 male: 89.1%) with snakebite envenomation who were admitted to the Medical Toxicology Center of Khorshid Hospital, Isfahan, Iran, were investigated. One group (35 patients: 34.7%) received a single-dose of anti-inflammatory drugs containing chlorpheniramine (10mg intramuscular injection) with cimetidine (200mg intravenous injection) or ranitidine (50mg intravenous injection) plus hydrocortisone (100mg intravenous injection). The other 55 patients (54.5%) received multiple doses of the same drug combination every 8hr until the symptoms resolved. Local, systemic symptoms and laboratory findings on admission, and during 24hr and 48hr of admission, were recorded. The frequency of the localized signs of inflammation (p=0.03), swelling (p<0.001) and bruising (p<0.001) showed a significant difference between the two treated groups. In addition, the recovery time in the patients who received multiple doses was faster (p<0.001). There was no significant difference in any of the systemic signs, laboratory findings or the outcome between the patients in the various groups during hospitalization. Our data indicate that the administration of multiple doses of anti-inflammatory drugs had a greater effect on reducing local symptoms of snakebite including inflammatory manifestations.

虽然治疗蛇咬伤的主要方法是抗蛇毒血清,但也考虑其他治疗方法。我们研究了单剂量或多剂量抗炎药物对蛇咬伤患者局部、全身和实验室结果的影响。在这项横断面研究中,对伊朗伊斯法罕Khorshid医院医学毒理学中心收治的101例蛇咬中毒患者(90例男性:89.1%)进行了调查。一组(35例,占34.7%)给予氯苯那敏(肌肉注射10mg)联合西咪替丁(静脉注射200mg)或雷尼替丁(静脉注射50mg)加氢化可的松(静脉注射100mg)单剂量抗炎药。其他55例患者(54.5%)每8小时接受相同药物组合的多次剂量,直到症状消退。记录入院时以及入院24小时和48小时的局部、全身症状和实验室结果。局部炎症征象出现的频率(p=0.03),肿胀出现的频率(p=0.03)
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引用次数: 0
Identification and characterisation of novel wasp mastoparans and chemotactic peptides from the venom of social wasp Polistes stigma (Hymenoptera: Vespidae: Polistinae). 蜂群蜂(膜翅目:蜂科:蜂科)柱头毒液中新型乳突蜂和趋化肽的鉴定与特征。
Pub Date : 2021-01-01
Rajaian Pushpabai Rajesh, R Arun, M Masilamani Selvam, Carlton Ranjith Wilson Alphonse, M Rajasekar, Jayaseelan Benjamin Franklin

Polistes stigma is a common social wasp found in continental Southeast Asia. Despite its wide distribution and abundance, hitherto, there are no studies on small or medium molecular weight components of the venom. For the first time, this study has described the amino acid sequences and its post-translation modifications (PTM's) of four wasp-mastoparans (Ps 1524, Ps 1540, Ps 1556 and Ps 1630), three chemotactic peptides (Ps1417, Ps1434 and Ps1474) and one more (Ps1549) lysine rich peptide from the venom of P. stigma. There were 27 mass traces obtained from the crude natural venom, in which the complete amino acid sequences of 8 peptides were solved. Further, single disulphide bonded peptides uncommon in wasp venoms were identified. The mastoparan peptides were rich in hydrophobic residues. In addition, the peptides Ps1549, Ps1630, Ps1434 and Ps1417 were found to have unusual PTM's of C-terminal amidation. This preliminary study comprehends the untapped compounds present in wasp venom that are equally valuable to widely studied venoms of snakes, spiders and cone snails.

Polistes柱头是一种常见的社会黄蜂发现在东南亚大陆。尽管它分布广泛,数量丰富,但迄今为止,还没有对毒液的中小分子量成分的研究。本研究首次描述了4个黄蜂mastoparans (Ps 1524, Ps 1540, Ps 1556和Ps 1630), 3个趋化肽(Ps1417, Ps1434和Ps1474)和1个富含赖氨酸的肽(Ps1549)的氨基酸序列及其翻译后修饰(PTM’s)。从天然蛇毒粗毒液中获得27个质量痕量,其中8个肽段的氨基酸序列得到完整解算。此外,还发现了黄蜂毒液中不常见的单二硫键合肽。乳突肽含有丰富的疏水残基。此外,Ps1549、Ps1630、Ps1434和Ps1417多肽的c端酰胺化PTM异常。这项初步研究了解了黄蜂毒液中未开发的化合物,这些化合物与广泛研究的蛇、蜘蛛和锥螺的毒液同样有价值。
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引用次数: 0
Documentation of a proven Mountain Pitviper (Ovophis monticola) envenomation in Kathmandu, Nepal, with its distribution ranges: implications for prevention and control of pitviper bites in Asia. 尼泊尔加德满都已证实的山Pitviper (Ovophis monticola)中毒的记录及其分布范围:对亚洲Pitviper叮咬的预防和控制的影响。
Pub Date : 2021-01-01
Deb Prasad Pandey, Budhan Chaudhary, Bhola Ram Shrestha

We document inadequately diagnosed coagulopathy (potential to be life threatening) due to Ovophis monticola bite. Although its bites are common in the hills of Nepal, associated envenomations have not been documented elaborately. Herein, we present the clinical and treatment details of a proven O. monticola bite and areas where it may pose the risk of envenomations (suggesting huge populations in Asia to be vulnerable to its bites). Its envenomation was managed symptomatically with several non-evidence-based interventions. Since no specific pitviper antivenom is available in Nepal yet, managing coagulopathy associated to O. monticola envenomation is still challenging. This case emphasizes the need of developing the standard protocol for the diagnosis and management of pitviper bites and study of effectiveness of the available pitviper antivenoms until specific pitviper antivenom is available. Further, the demonstrated distribution localities of this species may have implications for snakebite prevention and designing and distribution of the effective antivenoms.

我们记录了由于蒙提科拉卵蚤咬伤导致的凝血功能障碍诊断不充分(可能危及生命)。虽然它的叮咬在尼泊尔的山上很常见,但相关的毒性还没有详细的记录。在此,我们提出了临床和治疗的细节证明了O. monticola咬伤和区域,它可能会造成中毒的风险(表明在亚洲的大量人口是脆弱的咬伤)。它的中毒是通过几种非循证干预措施对症处理的。由于尼泊尔还没有特定的pitviper抗蛇毒血清,因此管理与O. monticola毒蛇中毒相关的凝血病仍然具有挑战性。本病例强调需要制定诊断和管理pitviper咬伤的标准方案,并研究现有pitviper抗蛇毒血清的有效性,直到特定的pitviper抗蛇毒血清可用。此外,该物种的分布地点可能对预防蛇咬伤以及设计和分配有效的抗蛇毒血清具有重要意义。
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引用次数: 0
Bothrops moojeni venom and its components - an overview. moojeni Bothrops毒液及其成分综述。
Pub Date : 2021-01-01
Fernanda D'Amélio, Hugo Vigerelli, Álvaro Rossan de Brandão Prieto da Silva, Irina Kerkis

Belonging to the Viperidae family, Bothrops moojeni are widely distributed in South America, tropical savanna ecoregion (Cerrado) of Argentina, Bolivia, Brazil, and Paraguay with medical importance in Brazil. Accidents caused by this species have a rapid local action with the development of tissue inflammation, causing erythema, pain, and increased clotting time, which can culminate in gangrene or tissue necrosis. Bothrops moojeni venom has a rich composition that remains underexplored, which is of utmost importance, both for elucidating the envenoming process and the vast library of new bioactive molecules kind of venom can offer. This review aims to analyze which components of the venom have already been characterized towards its structure and biological effect and highlight the pharmacological and biotechnological potential of this venom. Although snake venoms have been studied for their toxic effects for generations, innovative studies address their components as tools for discovering new therapeutic targets and new molecules with pharmacological and biotechnological potential.

Bothrops moojeni属毒蛇科,广泛分布于南美洲、阿根廷、玻利维亚、巴西和巴拉圭的热带稀树草原生态地区(塞拉多),在巴西具有重要的医学意义。该物种引起的意外事故随着组织炎症的发展具有快速的局部作用,引起红斑、疼痛和凝血时间增加,最终可导致坏疽或组织坏死。Bothrops moojeni毒液具有丰富的成分,但尚未得到充分的研究,这对于阐明毒液的毒性过程和大量新的生物活性分子都是至关重要的。本文旨在分析该毒液的结构和生物学特性,并强调该毒液的药理和生物技术潜力。尽管几代人都在研究蛇毒的毒性作用,但创新研究将其成分作为发现具有药理和生物技术潜力的新治疗靶点和新分子的工具。
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引用次数: 0
The development and evaluation of the efficacy of ovine-derived experimental antivenom immunoserum against Macrovipera lebetina obtusa (MLO) venom. 羊源性实验性抗蛇毒免疫血清抗粗白巨蝰毒的研制及疗效评价。
Pub Date : 2021-01-01
Arsen Kishmiryan, Gevorg Ghukasyan, Lusine Ghulikyan, Anna Darbinyan, Lilia Parseghyan, Armen Voskanyan, Naira M Ayvazyan

Here we describe the processing and development of animal-derived monovalent antibody serum against Macrovipera lebetina obtusa venom by purification and concentration of the immunoglobulins using caprylic acid. We demonstrate that this new viper venom antiserum is pre-clinically effective in neutralizing lethal toxicity and hemorrhagicity of the venom of the Armenian Levantine viper - a significant public health problem in Armenia and a wide region from south-east parts of Europe to south-west Asia. The developed product shows a high capacity to inhibit metalloproteinases and phospholipase activity of venom included in the study in comparison to current specific antivenoms, and following additional experimental approvals, it will be possible to derive the monovalent antivenom satisfying international standards, which will be much cheaper and accessible compared with the current market rivals.

本文介绍了利用辛酸提纯和浓缩免疫球蛋白的方法,制备抗黄大毒蛇蛇毒的动物源性单价抗体血清。我们证明这种新的蛇毒抗血清在临床前有效地中和亚美尼亚黎凡特毒蛇毒液的致命毒性和出血性-这是亚美尼亚和从欧洲东南部到西南亚的广泛地区的一个重大公共卫生问题。与现有的特异性抗蛇毒血清相比,所开发的产品显示出较高的抗蛇毒血清金属蛋白酶和磷脂酶活性的抑制能力,并且随着更多的实验批准,将有可能获得符合国际标准的单价抗蛇毒血清,这将比目前市场上的竞争对手更便宜和更容易获得。
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引用次数: 0
Ticks and the effects of their saliva on growth factors involved in skin wound healing. 蜱及其唾液对皮肤伤口愈合过程中生长因子的影响。
Pub Date : 2020-09-22 eCollection Date: 2020-01-01
Pavlína Bartíková, Mária Kazimírová, Iveta Štibrániová

Ticks are unique hematophagous arthropods and possess an astounding array of salivary molecules that ensure their unnoticed and prolonged attachment to the host skin. Furthermore, ticks are very effective vectors of a diverse spectrum of pathogens. In order to feed, tick chelicerae cut the host epidermis and their hypostome penetrates through the layers of the skin. As a result of laceration of the skin and rupturing blood vessels, a pool of blood is formed in the dermis, serving for intermittent blood sucking and secretion of saliva. Cutaneous injury caused by tick mouthparts should normally elicit wound healing, a complex biological process coordinated by interaction among different host cells, numerous signalling pathways and by a variety of soluble factors including growth factors. Growth factors, endogenous signalling proteins involved in various biological events, are key players in all phases of the skin repair process. Maintaining feeding site integrity by overcoming sequential phases of wound healing is particularly important for ixodid ticks and is governed by bioactive molecules in their saliva. Tick saliva is a complex mixture of proteins, peptides, and non-peptide molecules and its composition depends on the feeding phase, tick developmental stage, gender and/or the presence/absence of microbial agents. In addition to already demonstrated anti-haemostatic, anti-cytokine and anti-chemokine activities, anti-growth factors activities were also detected in saliva of some tick species. In consequence of counteracting host defences by ticks, tick-borne pathogens can be transmitted to and disseminated in the host. Elucidation of the complex interplay between ticks - pathogens - host cutaneous immunity could lead to improved vector and pathogens control strategies. Additionally, tick saliva bioactive molecules have a promising therapeutic perspective to cure some human diseases associated with dysregulation of specific cytokines/growth factors and alterations in their signalling pathways.

蜱虫是一种独特的食血节肢动物,拥有一系列惊人的唾液分子,确保它们不被注意并长期附着在宿主皮肤上。此外,蜱是多种病原体的有效载体。为了取食,蜱虫切破寄主的表皮,它们的假设体穿透皮肤层。由于皮肤撕裂和血管破裂,在真皮层形成血液池,用于间歇性吸血和分泌唾液。蜱虫口器引起的皮肤损伤通常会引发伤口愈合,这是一个复杂的生物过程,由不同宿主细胞、众多信号通路和包括生长因子在内的多种可溶性因子相互作用协调。生长因子是参与多种生物事件的内源性信号蛋白,在皮肤修复过程的各个阶段都起着关键作用。通过克服伤口愈合的顺序阶段来维持进食部位的完整性对伊蚊蜱来说尤为重要,这是由其唾液中的生物活性分子控制的。蜱虫唾液是蛋白质、多肽和非肽分子的复杂混合物,其组成取决于摄食阶段、蜱虫发育阶段、性别和/或微生物制剂的存在与否。除已证实的抗止血、抗细胞因子和抗趋化因子活性外,在一些蜱类的唾液中也检测到抗生长因子活性。由于蜱对抗宿主的防御,蜱传病原体可以传播到宿主并在宿主中传播。阐明蜱-病原体-宿主皮肤免疫之间复杂的相互作用有助于改进媒介和病原体控制策略。此外,蜱虫唾液生物活性分子在治疗一些与特定细胞因子/生长因子失调及其信号通路改变相关的人类疾病方面具有很好的治疗前景。
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引用次数: 0
Entomotoxicity of jaburetox: revisiting the neurotoxic mechanisms in insects. jaburetox的昆虫毒性:重新审视昆虫的神经毒性机制。
Pub Date : 2020-09-15 eCollection Date: 2020-01-01
Yuri Correia Barreto, Maria Eduarda Rosa, Ana Paula Zanatta, Bruna Trindade Borges, Stephen Hyslop, Lúcia Helena Vinadé, Cháriston André Dal Belo

Ureases are metalloenzymes that hydrolyze urea to ammonia and carbamate. The main urease isoforms present in the seeds of Canavalia ensiformis (jack bean urease - JBU and canatoxin) exert a variety of biological activities. The insecticidal activity of JBU is mediated, at least in part, by jaburetox (Jbtx), a recombinant peptide derived from the JBU amino acid sequence. In this article, we review the neurotoxicity of Jbtx in insects. The insecticidal activity of Jbtx has been investigated in a variety of insect orders and species, including Blattodea (the cockroaches Blatella germânica, Nauphoeta cinerea, Periplaneta americana e Phoetalia pallida), Bruchidae (Callosobruchus maculatus - cowpea weevil), Diptera (Aedes aegypti - mosquito), Hemiptera (Dysdercus peruvianus - cotton stainer bug; Oncopeltus fasciatus - large milkweed bug, and the kissing bugs Rhodnius prolixus and Triatoma infestans), Lepidoptera (Spodoptera frugiperda - fall army worm) and Orthoptera (Locusta migratoria - locust). In N. cinerea, the injection of Jbtx induces marked alteration of locomotor and grooming behavior, whereas in T. infestans Jbtx causes leg paralysis, an extension of the proboscis and abnormal antennal movements. Electromyographical analysis showed that Jbtx causes complete neuromuscular blockade in P. pallida. The same treatment in N. cinerea and L. migratoria causes a decrease in the action potential firing rate. Jbtx forms membrane pore-channels compatible with cations in bilipid membranes. A study using B. germanica voltage-gated sodium (Nav1.1) channels that were heterologously expressed in Xenopus laevis oocytes correlated the entomotoxicity of Jbtx with the activation of these channels. Taken together, these findings demonstrate the potential of this peptide as a natural pesticide.

脲酶是将尿素水解成氨和氨基甲酸酯的金属酶。菜豆种子中存在的主要脲酶异构体(豆荚脲酶- JBU和菜豆毒素)发挥着多种生物活性。JBU的杀虫活性至少部分是由JBU氨基酸序列衍生的重组肽jaburetox (Jbtx)介导的。本文就Jbtx对昆虫的神经毒性作一综述。研究了Jbtx对多种昆虫目和种类的杀虫活性,包括小蠊科(蟑螂蠊蠊、灰小蠊、美洲大蠊和白大蠊)、斑小蠊科(斑小蠊-豇豆象鼻虫)、双翅目(埃及伊蚊-蚊子)、半翅目(秘鲁大蠊-棉染虫);筋膜蝽——大型乳草虫、吻蝽(Rhodnius prolixus and Triatoma infestans)、鳞翅目(Spodoptera frugiperda - fall army worm)和直翅目(Locusta migratoria -蝗虫)。在cinerea中,注射Jbtx会引起运动和梳理行为的显著改变,而在T. infestans中,Jbtx会导致腿部瘫痪,长鼻和异常的触角运动。肌电图分析显示,Jbtx引起苍白藻神经肌肉完全阻断。同样的处理在灰桫椤和移栖桫椤中引起动作电位放电率的降低。Jbtx在脂质膜上形成与阳离子相容的膜孔通道。利用德国小蠊电压门控钠(Nav1.1)通道在非洲爪蟾卵母细胞中异种表达的研究表明,Jbtx的昆虫毒性与这些通道的激活有关。综上所述,这些发现证明了这种肽作为天然杀虫剂的潜力。
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引用次数: 0
Cordia salicifolia and Lafoensia pacari plant extracts against the local effects of Bothrops jararacussu and Philodryas olfersii snake venoms. 水杨花和拉芬花植物提取物对黄鼠狼和黄鼠狼蛇毒局部作用的研究。
Pub Date : 2020-07-20 eCollection Date: 2020-01-01
Raphael Schezaro-Ramos, Rita C Collaço, José C Cogo, Cháriston A Dal-Belo, Léa Rodrigues-Simioni, Thalita Rocha, Priscila Randazzo-Moura

Philodryas olfersii produces similar local effects to Bothrops jararacussu snakebite, which can induce misidentification and bothropic antivenom administration. Antivenom therapy is effective, but has its limitations regarding local damage. Since plants are used in folk medicine to treat snakebite victims, we evaluated the protective properties of Cordia salicifolia and Lafoensia pacari extracts against Philodryas olfersii and Bothrops jararacussu venoms. Preparations pretreated with both extracts inhibited > 90% the B. jararacussu venom-induced neuromuscular blockade, and 52% to 81% the P. olfersii venom-induced blockade. C. salicifolia inhibited the myonecrosis promoted by both venoms; however, L. pacari prevented only the myofilaments hypercontraction. Regarding haemorrhagic activity, C. salicifolia was more effective against B. jararacussu venom, while L. pacari was more effective against P. olfersii venom. On the other hand, for oedema-forming activity the results were the opposite. Considering that both extracts prevented (to different levels) the main manifestations of both snakebites (local symptoms), we endorse further studies involving these plants as coadjuvant in snakebite therapeutics.

在局部产生类似的效果,可引起误认和Bothrops jararacussu抗蛇毒血清给药。抗蛇毒血清治疗是有效的,但对于局部损伤有其局限性。由于植物在民间医学中被用于治疗蛇咬伤受害者,我们评估了水杨花和拉芬沙提取物对蛇咬伤受害者的保护作用。两种提取物预处理后的制剂对黄颡鱼毒诱导的神经肌肉阻断的抑制作用> 90%,对P. olfersii毒液诱导的神经肌肉阻断的抑制作用为52% ~ 81%。水杨花对两种毒液引起的肌坏死均有抑制作用;而柏卡菌仅能抑制肌丝的过度收缩。在出血活性方面,水杨花对黄颡鱼毒有较好的抑制作用,而白颡鱼毒对黄颡鱼毒有较好的抑制作用。另一方面,对于水肿形成活性,结果正好相反。考虑到这两种提取物(在不同程度上)预防了两种蛇咬伤的主要表现(局部症状),我们支持将这些植物作为蛇咬伤治疗的辅助剂进行进一步的研究。
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引用次数: 0
Snakebite in the wake of COVID-19 - what's next? 2019冠状病毒病后的蛇咬伤——接下来会发生什么?
Pub Date : 2020-07-15 eCollection Date: 2020-01-01
Bethany Moos
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引用次数: 0
Snake C-type lectin-like proteins inhibit nicotinic acetylcholine receptors. 蛇c型凝集素样蛋白抑制烟碱乙酰胆碱受体。
Pub Date : 2020-07-06 eCollection Date: 2020-01-01
Elena V Kryukova, Catherine A Vulfius, Rustam H Ziganshin, Tatyana V Andreeva, Vladislav G Starkov, Victor I Tsetlin, Yuri N Utkin

Venoms of viperid snakes affect mostly hemostasis, while C-type lectin-like proteins (CTLPs), one of the main components of viperid venoms, act as anticoagulants, procoagulants, or agonists/antagonists of platelet activation. However, we have shown earlier that CTLPs from the saw-scaled viper Echis multisquamatus, called emunarecins EM1 and EM2, were able to inhibit nicotinic acetylcholine receptors (nAChRs) in neurons of a pond snail (Lymnaea stagnalis). Here we analysed the structure of the emunarecins by mass spectrometry and report that EM1 and EM2 inhibit fluorescent α-bungarotoxin binding to both muscle-type nAChRs from Torpedo californica and human neuronal α7 nAChRs. EM1 at 23µM and EM2 at 9µM almost completely prevented fluorecsent α-bungarotoxin binding to muscle-type nAChRs. Interaction with human neuronal α7 nAChR was weaker; EM1 at the concentration of 23µM blocked the α-bungarotoxin binding only by about 40% and EM2 at 9µM by about 20%. The efficiency of the EM2 interaction with nAChRs was comparable to that of a non-conventional toxin, WTX, from Naja kaouthia cobra venom. Together with the data obtained earlier, these results show that CTLPs may represent new nAChR ligands.

毒蛇毒液的主要作用是止血,而c型凝集素样蛋白(C-type lectin-样protein, CTLPs)是毒蛇毒液的主要成分之一,具有抗凝剂、促凝剂或血小板活化激动剂/拮抗剂的作用。然而,我们之前已经证明,来自锯鳞蝰Echis multisquamatus的CTLPs,称为emunarerecins EM1和EM2,能够抑制池塘蜗牛神经元中的尼古丁乙酰胆碱受体(nAChRs)。本研究通过质谱分析了emunarerecins的结构,并报道了EM1和EM2抑制荧光α-bungarotoxin与加利福尼亚鱼雷肌肉型nachr和人类神经元α7 nachr的结合。23µM的EM1和9µM的EM2几乎完全阻止了荧光α-兔毒素与肌型nachr的结合。与人神经元α7 nAChR的相互作用较弱;EM1浓度为23µM时,阻断α-虫毒结合的能力约为40%,EM2浓度为9µM时,阻断α-虫毒结合的能力约为20%。EM2与nAChRs相互作用的效率与来自Naja kaouthia眼镜蛇毒液的非常规毒素WTX相当。结合先前获得的数据,这些结果表明CTLPs可能代表新的nAChR配体。
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引用次数: 0
期刊
Journal of Venom Research
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