Artículos de revistas
Neurotoxicity Of Micrurus Altirostris (uruguayan Coral Snake) Venom And Its Neutralization By Commercial Coral Snake Antivenom And Specific Antiserum Raised In Rabbits
Registro en:
Clinical Toxicology. , v. 46, n. 6, p. 519 - 527, 2008.
15563650
10.1080/15563650701647405
2-s2.0-46249106845
Autor
De Abreu V.A.
Leite G.B.
Oliveira C.B.
Hyslop S.
Furtado M.D.F.D.
Simioni L.R.
Institución
Resumen
In this work, we studied the neuromuscular blockade caused by Micrurus altirostris venom (0.1-10 μg/mL) in indirect stimulated chick biventer cervicis and mouse phrenic nerve-diaphragm preparations and the ability of commercial antivenom (Instituto Butantan) and antiserum raised in rabbits to neutralize neurotoxicity and lethality in chicks and mice (LD50 0.042 and 0.255 mg/kg), injected i.m. and i.p., respectively, with venom (5 LD50):antivenom or antiserum mixtures (n = 6) of 1:1-1:2.5-1:5-1:10-1:20. The venom caused a complete and irreversible neuromuscular blockade in both preparations, inhibited the acetylcholine and carbachol contractures, without interfering on KCl response. The neuromuscular blockade was not Ca2+ or temperature-dependent and did not affect the response to direct stimulation. Only a venom:antivenom or antiserum ratio of 1:20 neutralized the neuromuscular blockade in vitro and protected chicks and mice against 5 LD50 of venom. Our results indicated that Micrurus altirostris venom interferes with postsynaptic neurotransmission and that commercial antivenom and rabbit antiserum have low efficacy in neutralizing the neurotoxicity and lethality of this venom. Copyright © Informa Healthcare USA, Inc. 46 6 519 527 Campbell, J.A., Lamar, W.W., (2004) The venomous reptiles of the western hemisphere, , Cornell University Press: Ithaca Warrell, D.A., Snakebites in Central and South America: Epidemiology, clinical features and clinical management (2004) Venomous Reptiles of the Western Hemisphere, 2, pp. 709-761. , eds. Campbell, JA & Lamar, WW. Ithaca: Comstock Publishing Associates/Cornell University Press (1998) Manual de diagnóstico e tratamento de acidentes por animais peçonhentos, , Ministério da Saúde do Brasil, Brasília, DF: Fundação Nacional de Saúde Jorge da Silva Jr. N, Bucaretchi F. Mecanismo de ação do veneno elapídico e aspectos clínicos dos acidentes. In: Cardoso JLC, França FOS, Wen FH, Málaque CMS, Haddad Jr. V, eds. Animais peçonhentos no Brasil: Biologia, clínica e terapêutica dos acidentes. São Paulo: Sarvier/FAPESP, 2003 99-107Bucaretchi, F., Hyslop, S., Vieira, R.J., Toledo, A.S., Madureira, P.R., de Capitani, E.M., Bites by coral snakes (Micrurus spp.) in Campinas, state of São Paulo, southeastern Brazil (2006) Rev Inst Med Trop São Paulo, 48, pp. 141-145 Russell, F.E., Snake venom poisoning (1983) New York: Scholium Bolaños, R., Serpientes, venenos y ofidismo en Centroamerica (1984) San José, Costa Rica: Editorial, , Universidad de Costa Rica Jorge da Silva Jr., N., Griffin, P.R., Aird, S.D., Comparative chromatography of Brazilian coral snake (Micrurus) venoms (1991) Comp Biochem Physiol B, 100 (1), pp. 117-126 Alape-Girón, A., Gustafsson, B., Lomonte, B., Thelestam, M., Gutiérrez, J.M., Immunochecimal characterization of Micrurus nigrocinctus venom with monoclonal and polyclonal antibodies (1994) Toxicon, 32, pp. 695-712 Raw I, Guidolin R, Higashi H, Kelen EMA. Antivenins in Brazil: Preparation. In: Tu AT, ed. Handbook of natural toxins. 5. New York: Marcel Dekker, 1991 557-581Bolaños, R., Cerdas, L., Abalos, J.W., Venoms of coral snakes (Micrurus spp): Report on a multivalent antivenin for the Americas (1978) Bull Pan-Am Health Org, 12, pp. 23-27 Berger, B.J., Bhatti, A.R., Snake venoms components and their crossreactivity: A review (1989) Biochem Cell Biol, 67, pp. 597-601 Cohen, P., Seligmann Jr, E.B., Immunologic studies of coral snake venoms (1966) Mem Inst Butantan, 33, pp. 339-347 Higashi, H.G., Guidolin, R., Caricati, C.P., Fernandes, I., Marcelino, J.R., Morais, J.F., Yamagushi, I.K., Takehara, H.A., Antigenic cross-reactivity among components of Brazilian Elapidae snake venoms (1995) Braz J Med Biol Res, 28, pp. 767-771 Melgarejo AR. Serpentes peçonhentas do Brasil. In: Cardoso JLC, França FOS, Wen FH, Málaque CMS, Haddad Jr. V, eds. Animais Peçonhentos no Brasil: Biologia, clínica e terapêutica dos acidentes. São Paulo: Sarvier/FAPESP, 2003 33-61Moraes, F.V., Sousa-e-Silva, M.V., Barbaro, K.C., Leitão, M.A., Furtado, M.F., Biological and immunochemical characterization of Micrurus altirostris venom and serum neutralization of its toxic activities (2003) Toxicon, 41, pp. 71-79 Ouchterlony, O., Antigen-antibody reactions in gels (1949) Acta Pathol Microbiol Scand, 26, pp. 507-515 Ginsborg, B.L., Warriner, J., The isolated chick biventer cervicis nervemuscle preparation (1960) Br J Pharmacol, 15, pp. 410-411 Harvey, A.L., Barfaraz, A., Thomson, E., Faiz, A., Preston, S., Harris, J.B., Screening of snake venoms for neurotoxic and myotoxic effects using simple in vitro preparations from rodents and chicks (1994) Toxicon, 32, pp. 257-265 Bülbring, E., Observations on the isolated phrenic nerve-diaphragm preparation of the rat (1946) Br J Pharmacol, 1, pp. 38-61 Finney, P.J., (1971) Probit analysis, , 3rd ed. Cambridge: Cambridge University Press Gutiérrez, J.M., Rojas, G., Lomonte, B., Gené, J.A., Chaves, F., (1990) La evaluación de la capacidad neutralizante de los antivenenos em América, , San Juan, Costa Rica: Instituto Clodomiro Picado, Universidad de Costa Rica Vital Brazil, O., Ação neuromuscular da peçonha de Micrurus (1965) O Hospital, 68, pp. 183-224 Goularte, F.C., Cogo, J.C., Gutiérrez, J.M., Rodrigues-Simioni, L., The ability of specific antivenom and low temperature to inhibit the myotoxicity and neuromuscular block induced by Micrurus nigrocinctus venom (1995) Toxicon, 33, pp. 679-689 Serafim, F.G., Reali, M.R., Cruz-Höfling, M.A., Fontana, M.D., Action of Micrurus dumerilii carinicauda coral snake venom on the mammalian neuromuscular junction (2002) Toxicon, 40, pp. 167-174 Cecchini, A.L., Marcussi, S., Silveira, L.B., Borja-Oliveira, C.R., Rodrigues-Simioni, L., Amara, S., Stabeli, R.G., Soares, A.M., Biological and enzymatic activities of Micrurus sp. (coral) snake venoms (2005) Comp Biochem Physiol A. Mol Integr Physiol, 140, pp. 125-134 Vital Brazil, O., Fontana, M.D., Ações pré-juncionais e pós-juncionais da peçonha da cobra coral Micrurus corallinus na junção neuromuscular. (1983) Mem Inst Butantan, 47-48, pp. 13-26 Cruz-Höfling, M.A., Rodrigues-Simioni, L., Vital Brazil, O., Ultrastructural changes in neuromuscular junctions of mouse diaphragm caused by the venom of the coral snake Micrurus corallinus (1983) Mem Inst Butantan, 47-48, pp. 95-105 Vital Brazil, O., Fontana, M.D., Pellegrini Filho, A., Physiophatologie et thérapeutique de l'envenomation espérimentale causée par le venin de Micrurus frontalis (1976) Mem Inst Butantan, 40-41, pp. 221-240 Vital Brazil, O., Fontana, M.D., Heluany, N.F., Laure, C.J., Mode of action of the coral snake Micrurus spixii venom at the neuromuscular junction (1995) J. Nat Toxins, 4, pp. 19-33 Jorge da Silva Jr., N., Aird, S.D., Prey specificity, comparative lethality and compositional differences of coral snake venoms (2001) Comp Biochem Physiol C Toxicol Pharmacol, 128, pp. 425-456 Vital Brazil, O., Vieira, R.J., Neostigmine in the treatment of snake accidents caused by Micrurus frontalis: Report of two cases (1996) Rev Inst Med Trop São Paulo, 38, pp. 61-67 Kitchens, C.S., Van Mierop, L.H.S., Envenomation by the eastern coral snake (Micrurus fulvius fulvius) (1987) JAMA, 258, pp. 1615-1618 Norris, L.M., Dart, R.C., Apparent coral snake envenomation in a patient without visible fang marks (1989) Am J Emerg Med, 7, pp. 402-405 Amuy, E., Alapé-Girón, A., Lomonte, B., Thelestam, M., Gutiérrez, J.M., Development of immunoassays for determination of circulating venom antigens during envenomation by coral snakes (Micrurus species) (1997) Toxicon, 35, pp. 1605-1616 Prieto da Silva, A.R.B., Yamagushi, I.K., Morais, J.F., Higashi, H.G., Raw, I., Ho, P.L., Oliveira, J.S., Cross reactivity of different specific Micrurus antivenom sera with homologous snake venoms (2001) Toxicon, 39, pp. 949-953 de Roodt, A.R., Paniagua-Solis, J.F., Dolab, J.A., Estévez-Ramiréz, J., Ramos-Cerrillo, B., Litwin, S., Dokmetjian, J.C., Alagón, A., Effectiveness of two common antivenoms for North, Central and South American Micrurus envenomations (2004) J Toxicol Clin Toxicol, 42, pp. 171-178