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Exploring Mycolactone-The Unique Causative Toxin of Buruli Ulcer: Biosynthetic, Synthetic Pathways, Biomarker for Diagnosis, and Therapeutic Potential. 探索真菌内酯-布鲁里溃疡的独特致病毒素:生物合成、合成途径、诊断生物标志物和治疗潜力。
IF 3.9 3区 医学 Q2 FOOD SCIENCE & TECHNOLOGY Pub Date : 2024-12-06 DOI: 10.3390/toxins16120528
Gideon Atinga Akolgo, Kingsley Bampoe Asiedu, Richard Kwamla Amewu
<p><p>Mycolactone is a complex macrolide toxin produced by <i>Mycobacterium ulcerans</i>, the causative agent of Buruli ulcer. The aim of this paper is to review the chemistry, biosynthetic, and synthetic pathways of mycolactone A/B to help develop an understanding of the mode of action of these polyketides as well as their therapeutic potential. The synthetic work has largely been driven by the desire to afford researchers enough (≥100 mg) of the pure toxins for systematic biological studies toward understanding their very high biological activities. The review focuses on pioneering studies of Kishi which elaborate first-, second-, and third-generation approaches to the synthesis of mycolactones A/B. The three generations focused on the construction of the key intermediates required for the mycolactone synthesis. Synthesis of the first generation involves assignment of the relative and absolute stereochemistry of the mycolactones A and B. This was accomplished by employing a linear series of 17 chemical steps (1.3% overall yield) using the mycolactone core. The second generation significantly improved the first generation in three ways: (1) by optimizing the selection of protecting groups; (2) by removing needless protecting group adjustments; and (3) by enhancing the stereoselectivity and overall synthetic efficiency. Though the synthetic route to the mycolactone core was longer than the first generation, the overall yield was significantly higher (8.8%). The third-generation total synthesis was specifically aimed at an efficient, scalable, stereoselective, and shorter synthesis of mycolactone. The synthesis of the mycolactone core was achieved in 14 linear chemical steps with 19% overall yield. Furthermore, a modular synthetic approach where diverse analogues of mycolactone A/B were synthesized via a cascade of catalytic and/or asymmetric reactions as well as several Pd-catalyzed key steps coupled with hydroboration reactions were reviewed. In addition, the review discusses how mycolactone is employed in the diagnosis of Buruli ulcer with emphasis on detection methods of mass spectrometry, immunological assays, RNA aptamer techniques, and fluorescent-thin layer chromatography (f-TLC) methods as diagnostic tools. We examined studies of the structure-activity relationship (SAR) of various analogues of mycolactone. The paper highlights the multiple biological consequences associated with mycolactone such as skin ulceration, host immunomodulation, and analgesia. These effects are attributed to various proposed mechanisms of actions including Wiskott-Aldrich Syndrome protein (WASP)/neural Wiskott-Aldrich Syndrome protein (N-WASP) inhibition, Sec61 translocon inhibition, angiotensin II type 2 receptor (AT2R) inhibition, and inhibition of mTOR. The possible application of novel mycolactone analogues produced based on SAR investigations as therapeutic agents for the treatment of inflammatory disorders and inflammatory pain are discussed. Additionally,
霉菌内酯是一种复杂的大环内酯类毒素,由布路里溃疡的致病菌溃疡分枝杆菌产生。本文旨在回顾霉酚内酯 A/B 的化学、生物合成和合成途径,以帮助人们了解这些多酮化合物的作用模式及其治疗潜力。合成工作主要是为了给研究人员提供足够(≥100 毫克)的纯毒素,以便进行系统的生物学研究,从而了解其极高的生物活性。本综述侧重于 Kishi 的开创性研究,其中阐述了合成真菌内酯 A/B 的第一代、第二代和第三代方法。这三代方法的重点是构建霉菌内酯合成所需的关键中间体。第一代的合成涉及到分配霉菌内酯 A 和 B 的相对和绝对立体化学,是通过使用霉菌内酯核心的 17 个化学步骤的线性系列(总收率为 1.3%)完成的。第二代产品从三个方面对第一代产品进行了重大改进:(1) 优化了保护基的选择;(2) 取消了不必要的保护基调整;(3) 提高了立体选择性和整体合成效率。虽然霉菌内酯核心的合成路线比第一代长,但总收率却显著提高(8.8%)。第三代全合成的具体目标是高效、可扩展、立体选择性和更短的霉菌内酯合成。通过 14 个线性化学步骤合成了霉菌内酯核心,总收率为 19%。此外,还综述了一种模块化合成方法,即通过级联催化和/或不对称反应以及几个 Pd 催化的关键步骤加上氢硼化合反应,合成出不同的霉菌内酯 A/B 类似物。此外,综述还讨论了如何将霉菌内酯用于布路里溃疡的诊断,重点介绍了作为诊断工具的质谱检测方法、免疫学检测方法、RNA 合酶技术和荧光薄层色谱(f-TLC)方法。我们考察了霉菌内酯各种类似物的结构-活性关系(SAR)研究。论文强调了与霉菌内酯相关的多种生物效应,如皮肤溃疡、宿主免疫调节和镇痛。这些作用归因于各种拟议的作用机制,包括威斯科特-阿尔德里希综合征蛋白(WASP)/神经威斯科特-阿尔德里希综合征蛋白(N-WASP)抑制、Sec61转座子抑制、血管紧张素II 2型受体(AT2R)抑制和mTOR抑制。讨论了基于 SAR 研究生产的新型霉菌内酯类似物作为治疗炎症性疾病和炎症性疼痛的药物的可能应用。此外,还探讨了它们作为抗病毒和抗癌药物的治疗潜力。
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引用次数: 0
Biological and Chemical Management of Aspergillus carbonarius and Ochratoxin A in Vineyards. 葡萄庄园碳曲霉和赭曲霉毒素A的生物化学管理。
IF 3.9 3区 医学 Q2 FOOD SCIENCE & TECHNOLOGY Pub Date : 2024-12-06 DOI: 10.3390/toxins16120527
Maria K Iliadi, Maria Varveri, Dimitrios I Tsitsigiannis

Ochratoxin A (OTA) is a widely distributed mycotoxin and potent carcinogen produced by several fungal genera, but mainly by Aspergillus carbonarius. Grape contamination occurs in vineyards during the period between veraison and pre-harvest, and it is the main cause of OTA's presence in wine. The aim of the current study was the evaluation of 6 chemical and 11 biological plant protection products (PPPs) and biocontrol agents in commercial vineyards of the two important Greek white wine varieties cv. Malagousia and cv. Savatiano. The PPPs were applied in a 4-year vineyard study as single treatments or/and in combinations as part of IPM systems. Subsequently, nine strains of Aspergillus carbonarius were investigated for their sensitivity against seven active compounds of synthetic fungicides. During the multi-year field trials, various novel management systems, including consortia of biocontrol agents, were revealed to be effective against Aspergillus sour rot and OTA production. However, expected variability was observed in the experimental results, indicating the dynamic character of biological systems and highlighting the possible inconsistency of PPPs' efficacy in a changing environment. Furthermore, the IPM systems developed effectuated an optimized control of A. carbonarius, leading to 100% inhibition of OTA contamination, showing the importance of using both chemical and biological PPPs for disease management and prevention of fungal fungicide resistance. Finally, the majority of A. carbonarius tested strains were found to be sensitive against the pure active compounds used (fludioxonil, azoxystrobin, chlorothalonil, tebuconazole, cyprodinil, pyrimethanil and boscalid), with only a few exceptions of developed resistance towards boscalid.

赭曲霉毒素A (Ochratoxin A, OTA)是一种广泛分布的真菌毒素和强致癌物,由几种真菌属产生,但主要由炭黑曲霉产生。葡萄污染发生在葡萄园的版本和收获前期间,这是OTA在葡萄酒中存在的主要原因。本研究的目的是评价6种化学植物保护产品和11种生物植物保护产品和生物防治剂在两个重要的希腊白葡萄酒品种cv的商业葡萄园。马来西亚和cv。Savatiano。在一个为期4年的葡萄园研究中,PPPs作为单一处理或/或作为IPM系统的一部分组合使用。随后,研究了9株碳曲霉对7种合成杀菌剂活性化合物的敏感性。在多年的田间试验中,各种新的管理系统,包括生物防治剂联盟,被证明对酸腐曲霉和OTA的生产有效。然而,在实验结果中观察到预期的变异性,这表明生物系统的动态特征,并突出了ppp在不断变化的环境中功效可能不一致。此外,开发的IPM系统对炭疽弧菌进行了优化控制,对OTA污染的抑制率达到100%,显示了化学和生物PPPs在疾病管理和预防真菌杀菌剂耐药性方面的重要性。最后,大多数炭疽弧菌菌株被发现对所用的纯活性化合物(氟恶菌腈、嘧菌酯、百菌清、戊唑唑、环卫菌腈、嘧菌胺和白藜芦醇)敏感,只有少数例外对白藜芦醇产生了抗性。
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引用次数: 0
Real-Time Observation of Clickable Cyanotoxin Synthesis in Bloom-Forming Cyanobacteria Microcystis aeruginosa and Planktothrix agardhii. 绿绿微囊藻和浮藻蓝藻可点击合成蓝藻毒素的实时观察。
IF 3.9 3区 医学 Q2 FOOD SCIENCE & TECHNOLOGY Pub Date : 2024-12-05 DOI: 10.3390/toxins16120526
Rainer Kurmayer, Rubén Morón Asensio

Recently, the use of click chemistry for localization of chemically modified cyanopeptides has been introduced, i.e., taking advantage of promiscuous adenylation (A) domains in non-ribosomal peptide synthesis (NRPS), allowing for the incorporation of clickable non-natural amino acids (non-AAs) into their peptide products. In this study, time-lapse experiments have been performed using pulsed feeding of three different non-AAs in order to observe the synthesis or decline of azide- or alkyne-modified microcystins (MCs) or anabaenopeptins (APs). The cyanobacteria Microcystis aeruginosa and Planktothrix agardhii were grown under maximum growth rate conditions (r = 0.35-0.6 and 0.2-0.4 (day-1), respectively) in the presence of non-AAs for 12-168 h. The decline of the azide- or alkyne-modified MC or AP was observed via pulse-feeding. In general, the increase in clickable MC/AP in peptide content reached a plateau after 24-48 h and was related to growth rate, i.e., faster-growing cells also produced more clickable MC/AP. Overall, the proportion of clickable MC/AP in the intracellular fraction correlated with the proportion observed in the dissolved fraction. Conversely, the overall linear decrease in clickable MC/AP points to a rather constant decline via dilution by growth instead of a regulated or induced release in the course of the synthesis process.

最近,已经引入了使用点击化学来定位化学修饰的氰肽,即利用非核糖体肽合成(NRPS)中的混杂腺苷化(A)结构域,允许将可点击的非天然氨基酸(non-AAs)掺入其肽产物中。本研究采用脉冲进料的方法对三种不同的非原子酸进行延时实验,以观察叠氮化物或炔修饰的微囊藻毒素(MCs)或anabaenopeptin (APs)的合成或衰减。在非aa存在的条件下,铜绿微囊藻蓝藻和agardhii浮游菌在最大生长速率条件下(r分别为0.35-0.6和0.2-0.4 (d -1))生长12-168 h。通过脉冲饲喂观察叠氮化物或炔改性MC或AP的下降。总的来说,肽含量中可点击MC/AP的增加在24-48 h后达到平台期,这与生长速度有关,即生长速度越快的细胞产生的可点击MC/AP也越多。总的来说,细胞内部分中可点击MC/AP的比例与溶解部分中观察到的比例相关。相反,可点击MC/AP的整体线性下降表明,在合成过程中,通过生长稀释而不是调节或诱导释放,MC/AP的下降是相当恒定的。
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引用次数: 0
Epsilon Toxin from Clostridium perfringens Induces the Generation of Extracellular Vesicles in HeLa Cells Overexpressing Myelin and Lymphocyte Protein. 产气荚膜梭菌Epsilon毒素诱导过表达髓磷脂和淋巴细胞蛋白的HeLa细胞产生细胞外囊泡。
IF 3.9 3区 医学 Q2 FOOD SCIENCE & TECHNOLOGY Pub Date : 2024-12-04 DOI: 10.3390/toxins16120525
Jonatan Dorca-Arévalo, Antonio Santana-Ruiz, Benjamín Torrejón-Escribano, Mireia Martín-Satué, Juan Blasi

Epsilon toxin (ETX) from Clostridium perfringens is a pore-forming toxin (PFT) that crosses the blood-brain barrier and binds to myelin structures. In in vitro assays, ETX causes oligodendrocyte impairment, subsequently leading to demyelination. In fact, ETX has been associated with triggering multiple sclerosis. Myelin and lymphocyte protein (MAL) is widely considered to be the receptor for ETX as its presence is crucial for the effects of ETX on the plasma membrane of host cells that involve pore formation, resulting in cell death. To overcome the pores formed by PFTs, some host cells produce extracellular vesicles (EVs) to reduce the amount of pores inserted into the plasma membrane. The formation of EVs has not been studied for ETX in host cells. Here, we generated a highly sensitive clone from HeLa cells overexpressing the MAL-GFP protein in the plasma membrane. We observed that ETX induces the formation of EVs. Moreover, the MAL protein and ETX oligomers are found in these EVs, which are a very useful tool to decipher and study the mode of action of ETX and characterize the mechanisms involved in the binding of ETX to its receptor.

产气荚膜梭菌的Epsilon毒素(ETX)是一种成孔毒素(PFT),可穿过血脑屏障并与髓鞘结构结合。在体外实验中,ETX引起少突胶质细胞损伤,随后导致脱髓鞘。事实上,ETX与引发多发性硬化症有关。髓鞘和淋巴细胞蛋白(Myelin and lymphocyte protein, MAL)被广泛认为是ETX的受体,因为它的存在对ETX对宿主细胞质膜的影响至关重要,参与了孔的形成,导致细胞死亡。为了克服pft形成的孔,一些宿主细胞产生细胞外囊泡(EVs)来减少插入质膜的孔的数量。尚未研究ETX在宿主细胞中的ev形成。在这里,我们从HeLa细胞中产生了一个高敏感的克隆,在质膜中过度表达MAL-GFP蛋白。我们观察到ETX诱导ev的形成。此外,在这些ev中还发现了MAL蛋白和ETX低聚物,这为破译和研究ETX的作用方式以及表征ETX与其受体结合的机制提供了非常有用的工具。
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引用次数: 0
First Report of Accumulation of Lyngbyatoxin-A in Edible Shellfish in Aotearoa New Zealand from Marine Benthic Cyanobacteria. 从海洋底栖蓝藻中积累的lynbyatoxin - a在新西兰Aotearoa食用贝类中的首次报道。
IF 3.9 3区 医学 Q2 FOOD SCIENCE & TECHNOLOGY Pub Date : 2024-12-03 DOI: 10.3390/toxins16120522
Laura Biessy, Jonathan Puddick, Susanna A Wood, Andrew I Selwood, Megan Carbines, Kirsty F Smith

This study reports the first documented accumulation of lyngbyatoxin-a (LTA), a cyanotoxin produced by marine benthic cyanobacteria, in edible shellfish in Aotearoa New Zealand. The study investigates two bloom events in 2022 and 2023 on Waiheke Island, where hundreds of tonnes of marine benthic cyanobacterial mats (mBCMs) washed ashore each summer. Genetic analysis identified the cyanobacterium responsible for the blooms as Okeania sp., a genus typically found in tropical marine ecosystems. Analysis by liquid chromatography-tandem mass spectrometry indicated that the cyanobacteria produced a potent dermatoxin, lyngbyatoxin-a (LTA), and that LTA had accumulated in marine snails, rock oysters and cockles collected near the mats. Snails contained the highest levels of LTA (up to 10,500 µg kg-1). The study also demonstrated that the LTA concentration was stable in composted mats for several months. The presence of LTA in edible species and its stability over time raise concerns about the potential health risks to humans consuming LTA-contaminated seafood. This underlines the need for further studies assessing the risks of human exposure to LTA through seafood consumption, particularly as climate change and eutrophication are expected to increase the frequency of mBCM blooms. The study highlights the need to develop public health risk management strategies for mBCMs.

本研究首次记录了新西兰奥特亚罗瓦地区可食用贝类中积累的蓝藻毒素-a(LTA),这是一种由海洋底栖蓝藻产生的蓝藻毒素。该研究调查了 2022 年和 2023 年在怀赫科岛发生的两次蓝藻藻华事件,每年夏天都有数百吨海洋底栖蓝藻垫(mBCMs)被冲上岸。通过基因分析,确定了造成蓝藻藻华的蓝藻为 Okeania sp.,该属通常存在于热带海洋生态系统中。液相色谱-串联质谱分析表明,蓝藻会产生一种强效的皮肤毒素--蓝藻毒素-a(LTA),而蓝藻毒素在藻垫附近采集的海螺、岩牡蛎和毛蚶中都有积累。蜗牛体内的 LTA 含量最高(达 10,500 µg kg-1)。研究还表明,堆肥垫中的 LTA 浓度在几个月内都很稳定。可食用物种中 LTA 的存在及其随时间变化的稳定性引起了人们对食用受 LTA 污染的海产品对人体健康的潜在风险的担忧。这强调了进一步研究评估人类通过食用海产品接触 LTA 风险的必要性,尤其是在气候变化和富营养化预计会增加 mBCM 藻华发生频率的情况下。该研究强调了针对间溴氯丙烷制定公共健康风险管理战略的必要性。
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引用次数: 0
Bicistronic Vector Expression of Recombinant Jararhagin-C and Its Effects on Endothelial Cells. 重组Jararhagin-C双链载体的表达及其对内皮细胞的影响。
IF 3.9 3区 医学 Q2 FOOD SCIENCE & TECHNOLOGY Pub Date : 2024-12-03 DOI: 10.3390/toxins16120524
Karla Fernanda Ferraz, Lhiri Hanna De Lucca Caetano, Daniele Pereira Orefice, Paula Andreia Lucas Calabria, Maisa Splendore Della-Casa, Luciana Aparecida Freitas-de-Sousa, Emidio Beraldo-Neto, Sabri Saeed Sanabani, Geraldo Santana Magalhães, Patricia Bianca Clissa

Jararhagin-C (JarC) is a protein from the venom of Bothrops jararaca consisting of disintegrin-like and cysteine-rich domains. JarC shows a modulating effect on angiogenesis and remodeling of extracellular matrix constituents, improving wound healing in a mouse experimental model. JarC is purified from crude venom, and the yield is less than 1%. The aim of this work was to obtain the recombinant form of JarC and to test its biological activity. For this purpose, the bicistronic vector pSUMOUlp1 was used. This vector allowed the expression of the recombinant toxin JarC (rJarC) in fusion with the small ubiquitin-related modifier (SUMO) as well as the SUMO protease Ulp1. After expression, this protease was able to efficiently remove SUMO from rJarC inside the bacteria. rJarC free from SUMO was purified at the expected molecular mass and recognized by polyclonal anti-jararhagin antibodies. In terms of biological activity, both the native and recombinant forms showed no toxicity to the HUVEC cell line CRL1730 and were effective in modulating cell migration activity in the experimental in vitro model. These results demonstrate the successful production of rJarC and the preservation of its biological activity, which may facilitate further investigations into the therapeutic potential of this snake venom-derived protein.

jararhain - c (JarC)是一种来自jararaca Bothrops毒液的蛋白质,由崩解素样结构域和富含半胱氨酸的结构域组成。在小鼠实验模型中,JarC显示出对血管生成和细胞外基质成分重塑的调节作用,促进伤口愈合。JarC是从粗毒液中纯化出来的,产率小于1%。本工作的目的是获得JarC的重组形式,并测试其生物活性。为此,我们使用双频矢量pSUMOUlp1。该载体允许重组毒素JarC (rJarC)与小泛素相关修饰物(SUMO)以及SUMO蛋白酶Ulp1融合表达。表达后,该蛋白酶能够有效地去除细菌内部rJarC中的SUMO。从SUMO中分离的rJarC被纯化到预期的分子质量,并被多克隆抗jararhagin抗体识别。在生物活性方面,在体外实验模型中,天然形式和重组形式对HUVEC细胞株CRL1730均无毒性,并能有效调节细胞迁移活性。这些结果证明了rJarC的成功产生和其生物活性的保存,这可能有助于进一步研究这种蛇毒衍生蛋白的治疗潜力。
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引用次数: 0
The Association Between Serum Trimethylamine N-Oxide and Arterial Stiffness in Chronic Peritoneal Dialysis Patients: A Cross-Sectional Study. 慢性腹膜透析患者血清三甲胺n -氧化物与动脉僵硬之间的关系:一项横断面研究。
IF 3.9 3区 医学 Q2 FOOD SCIENCE & TECHNOLOGY Pub Date : 2024-12-03 DOI: 10.3390/toxins16120523
Po-Yu Huang, Yu-Li Lin, Yi-Hsin Chen, Szu-Chun Hung, Hung-Hsiang Liou, Jen-Pi Tsai, Bang-Gee Hsu

Trimethylamine N-oxide (TMAO), a gut microbiome-derived metabolite, participates in the atherogenesis and vascular stiffening that is closely linked with cardiovascular (CV) complications and related deaths in individuals with kidney failure undergoing peritoneal dialysis (PD) therapy. In these patients, arterial stiffness (AS) is also an indicator of adverse CV outcomes. This study assessed the correlation between serum TMAO concentration quantified with high-performance liquid chromatography and mass spectrometry and central AS measured by carotid-femoral pulse wave velocity (cfPWV) in patients with chronic PD. Of the 160 participants included, 23.8% had a cfPWV of ≥10 m/s, which fulfilled the AS criteria. Multivariable logistic regression analysis revealed that TMAO, age, and waist circumference were positively associated with AS. Multivariable stepwise linear regression showed that underlying diabetes, advanced age, waist circumference, systolic blood pressure, and logarithmic-transformed TMAO were independently correlated with cfPWV. The area under the receiver operating characteristic curve for TMAO in differentiating AS from non-AS was 0.737. In conclusion, serum TMAO level was significantly independently correlated with central AS among participants undergoing PD for end-stage kidney failure.

三甲胺n -氧化物(TMAO)是一种肠道微生物衍生的代谢物,参与动脉粥样硬化和血管硬化,这与接受腹膜透析(PD)治疗的肾衰竭患者的心血管(CV)并发症和相关死亡密切相关。在这些患者中,动脉硬度(AS)也是不良心血管结局的一个指标。本研究评估了高效液相色谱和质谱法测定的慢性PD患者血清TMAO浓度与颈-股脉波速度(cfPWV)测定的中心AS之间的相关性。在纳入的160名参与者中,23.8%的cfPWV≥10 m/s,符合AS标准。多变量logistic回归分析显示TMAO、年龄、腰围与AS呈正相关。多变量逐步线性回归显示,潜在糖尿病、高龄、腰围、收缩压和对数转化TMAO与cfPWV独立相关。TMAO在鉴别AS和non-AS时的受试者工作特性曲线下面积为0.737。结论:终末期肾衰竭PD患者血清TMAO水平与中枢性AS显著独立相关。
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引用次数: 0
Age Is Just a Number: Ontogenetic Conservation in Activation of Blood Clotting Factors VII, X, and XII by Caucasus Blunt-Nosed Viper (Macrovipera lebetina obtusa) Venoms. 年龄只是一个数字:高加索钝鼻毒蛇(Macrovipera lebetina obtusa)毒液激活凝血因子VII, X和XII的个体发生保护。
IF 3.9 3区 医学 Q2 FOOD SCIENCE & TECHNOLOGY Pub Date : 2024-12-02 DOI: 10.3390/toxins16120520
Katrina Kempson, Abhinandan Chowdhury, Aude Violette, Rudy Fourmy, Raul Soria, Bryan G Fry

This study examined the pathophysiological effects of venoms from neonate and adult specimens of the viperid snake Macrovipera lebetina obtusa, focusing on their ability to activate various blood clotting factors in human plasma. All venoms exhibited strong procoagulant properties. In concentration-response tests, the clotting potency of the neonate venoms fell within the range of their parents' maximum clotting velocities and areas under the curve. Intriguingly, females were more potent than males within each age group, but this requires a larger sample size to confirm. Antivenom neutralization efficacy was equipotent across age groups. The venoms potently activated Factor X (FX) robustly, consistent with previous knowledge of this genus. For the first time, the ability to activate Factors VII (FVII) and XII (FXII) was identified in this genus, with FXII exhibiting particularly strong activation. The study found no significant ontogenetic variation in procoagulant venom potency on human plasma, convergent with the Daboia genus, the other large-bodied lineage within the Palearctic viperid clade. However, the activation of FXII and FVII reveals previously undocumented pathways in the procoagulant activity of these venoms, contributing to the broader understanding of venom evolution and its clinical impacts. These findings have implications for venom biodiscovery and the development of antivenoms, highlighting the complexity of clotting factor activation beyond traditional investigations that have myopically focused upon FX and prothrombin pathways, thereby underscoring the importance of exploring additional clotting factors.

本研究考察了蝰蛇(Macrovipera lebetina obtusa)新生儿和成年标本毒液的病理生理效应,重点研究了它们激活人体血浆中各种凝血因子的能力。所有毒液都具有很强的促凝血特性。在浓度-反应试验中,新生毒液的凝血效力在其亲代最大凝血速度和曲线下面积的范围内。耐人寻味的是,在每个年龄组中,雌性比雄性更强,但这需要更大的样本量来证实。各年龄组的抗蛇毒血清中和效力相当。毒液能强效激活因子 X(FX),这与之前对该属的了解一致。研究首次发现了该毒属具有激活因子 VII (FVII) 和 XII (FXII) 的能力,其中 FXII 的激活能力尤为强大。研究发现,人血浆中的促凝血毒液效力在个体发育过程中没有明显变化,这与古北界蝰蛇支系中的另一个大体系--Daboia属趋同。然而,FXII 和 FVII 的激活揭示了这些毒液促凝活性中以前未记录的途径,有助于更广泛地了解毒液的演变及其临床影响。这些发现对毒液的生物发现和抗蛇毒血清的开发具有重要意义,凸显了凝血因子活化的复杂性,超越了传统研究中只关注 FX 和凝血酶原途径的局限,从而强调了探索其他凝血因子的重要性。
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引用次数: 0
Antivenom Administration After Rattlesnake Envenoming in Arizona Does Not Directly Diminish Pain. 亚利桑那州响尾蛇中毒后的抗蛇毒血清治疗不能直接减轻疼痛。
IF 3.9 3区 医学 Q2 FOOD SCIENCE & TECHNOLOGY Pub Date : 2024-12-02 DOI: 10.3390/toxins16120521
Vance G Nielsen, Darien L Stratton, Tyler M Hoelscher, Hannah L Nakamura, Matthew M Cornelison, William F Rushton, Geoffrey T Smelski

The onset, progression, and severity of pain following rattlesnake envenomation are highly variable between patients. Pain can be severe and persistent, seemingly refractory to opioid analgesics. The ability of antivenom to directly relieve pain has not been well studied. We reviewed poison center charts of rattlesnake envenomations between 1 January 2018, and 31 December 2022. Demographic data as well as details of antivenom usage and pain severity were collected. Patients were coded in one of three categories: without pain (Pain 0), well controlled pain (Pain 1), and opioid refractory pain (Pain 2). A total of 289 patients met the inclusion criteria, with 140 receiving Anavip antivenom and 149 receiving Crofab. Patient characteristics were different between both cohorts. There were no significant differences in the number of Anavip vials used between the Pain 1 and Pain 2 groups. However, patients in the Crofab Pain 2 group received more antivenom compared to Pain 1. Importantly, Pain 3 patients were treated with the highest amount of antivenom in both the Crofab and Anavip cohorts. Despite the higher doses of antivenom used, these patients also experienced the greatest pain. These data suggest that antivenom alone may have minimal analgesic benefits.

响尾蛇中毒后疼痛的发作、进展和严重程度在患者之间有很大差异。疼痛可能是严重和持续的,似乎对阿片类镇痛药难治。抗蛇毒血清直接缓解疼痛的能力尚未得到很好的研究。我们回顾了2018年1月1日至2022年12月31日响尾蛇中毒的中毒中心图表。收集了人口统计数据以及抗蛇毒血清使用和疼痛严重程度的详细信息。患者分为三类:无疼痛(疼痛0)、控制良好的疼痛(疼痛1)和阿片类药物难治性疼痛(疼痛2)。共有289例患者符合纳入标准,其中140例接受Anavip抗蛇毒血清治疗,149例接受Crofab治疗。两组患者的特征不同。在疼痛1组和疼痛2组之间,使用Anavip小瓶的数量没有显著差异。然而,与疼痛1组相比,Crofab Pain 2组的患者接受了更多的抗蛇毒血清。重要的是,在Crofab组和Anavip组中,Pain 3组患者接受了最高剂量的抗蛇毒血清治疗。尽管使用了更高剂量的抗蛇毒血清,但这些患者也经历了最大的痛苦。这些数据表明,单独使用抗蛇毒血清可能只有最小的止痛效果。
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引用次数: 0
The Role of Snake Venom Proteins in Inducing Inflammation Post-Envenomation: An Overview on Mechanistic Insights and Treatment Strategies. 蛇毒蛋白在中毒后诱导炎症中的作用:机制见解和治疗策略综述。
IF 3.9 3区 医学 Q2 FOOD SCIENCE & TECHNOLOGY Pub Date : 2024-12-02 DOI: 10.3390/toxins16120519
Sudharshan Rao, Nisha Reghu, Bipin Gopalakrishnan Nair, Muralidharan Vanuopadath

The intricate combination of organic and inorganic compounds found in snake venom includes proteins, peptides, lipids, carbohydrates, nucleotides, and metal ions. These components work together to immobilise and consume prey through processes such as paralysis and hypotension. Proteins, both enzymatic and non-enzymatic, form the primary components of the venom. Based on the effects they produce, venom can be classified as neurotoxic, hemotoxic, and cytotoxic. Studies have shown that, after envenomation, proteins in snake venom also contribute significantly to the induction of inflammatory responses which can either have systemic or localized consequences. This review delves into the mechanisms by which snake venom proteins trigger inflammatory responses, focusing on key families such as phospholipase A2, metalloproteinases, serine proteases, C-type lectins, cysteine-rich secretory proteins, and L-amino acid oxidase. In addition, the role of venom proteins in activating various inflammatory pathways, including the complement system, inflammasomes, and sterile inflammation are also summarized. The available therapeutic options are examined, with a focus on antivenom therapy and its side effects. In general, this review offers a comprehensive understanding of the inflammatory mechanisms that are triggered by snake venom proteins and the side effects of antivenom treatment. All these emphasize the need for effective strategies to mitigate these detrimental effects.

在蛇毒中发现的有机和无机化合物的复杂组合包括蛋白质、多肽、脂质、碳水化合物、核苷酸和金属离子。这些成分共同作用,通过麻痹和低血压等过程使猎物无法移动并消耗它们。酶和非酶的蛋白质构成了毒液的主要成分。根据它们产生的作用,毒液可分为神经毒性、血液毒性和细胞毒性。研究表明,在蛇毒中毒后,蛇毒中的蛋白质也会显著促进炎症反应的诱导,炎症反应可能会产生全身或局部后果。本文从磷脂酶A2、金属蛋白酶、丝氨酸蛋白酶、c型凝集素、富含半胱氨酸的分泌蛋白和l -氨基酸氧化酶等关键家族出发,对蛇毒蛋白引发炎症反应的机制进行了深入探讨。此外,本文还综述了毒液蛋白在激活各种炎症途径中的作用,包括补体系统、炎性小体和无菌炎症。检查可用的治疗方案,重点是抗蛇毒血清治疗及其副作用。总的来说,这篇综述提供了一个全面的了解由蛇毒蛋白引发的炎症机制和抗蛇毒血清治疗的副作用。所有这些都强调需要有效的战略来减轻这些有害影响。
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