BACKGROUND Bothrops envenomation is a common medical emergency in tropical areas and is characterized by local and systemic complications,such as edema,coagulopathy,and tissue necrosis.Cardiovascular manifestations ar...BACKGROUND Bothrops envenomation is a common medical emergency in tropical areas and is characterized by local and systemic complications,such as edema,coagulopathy,and tissue necrosis.Cardiovascular manifestations are rare and poorly documented,contributing to the complexity of its clinical management.CASE SUMMARY We described a rare cardiac complication in a 65-year-old female patient,who initially presented with mild Bothrops envenomation.She experienced localized edema and erythema but with a lack of systemic symptoms.During the evaluation we detected asymptomatic sinus bradycardia and QTc prolongation(523 milliseconds)that progressed to severe arrhythmias that required implantation of a permanent pacemaker.Management included the administration of polyvalent antiphonic serum,fresh frozen plasma transfusions,and intensive care unit monitoring.Imaging and laboratory studies ruled out ischemic,metabolic,or electrolytic etiologies for the cardiac alterations.The patient recovered favorably after the intervention and was discharged without further complications.CONCLUSION This case underscored the need for cardiac monitoring after snakebite envenomation as well as further research on venom-induced cardiotoxic mechanisms.展开更多
Bothrops envenomation is complex and provokes prominent local tissue damage and systemic disturbances,but little is known about their effects on the male reproductive system.After intratesticular injection,the bioacti...Bothrops envenomation is complex and provokes prominent local tissue damage and systemic disturbances,but little is known about their effects on the male reproductive system.After intratesticular injection,the bioactive peptide fraction(Bj-PF)obtained from Bothrops jararaca snake venom changes the structure of different stages of the seminiferous epithelium cycle in adult mice.For the first time,we investigated whether local envenomation of Bj-PF induces toxicological effects on the male reproductive system,particularly on the seminiferous epithelium and Sertoli cells.Male adult mice were treated with 0.24 mg.kg^(-1) by intramuscular(i.m.)injection for 24 h.The testes samples were collected for morphological and morphometric evaluation.The toxicological effects of Bj-PF were also analyzed on mitochondrial metabolism and nitrite(NO2)production in 15P-1 Sertoli cell culture.Bj-PF changed the structure and function of the seminiferous epithelium,particularly the disruption of the epithelium and the presence of degenerated germ cells in the adluminal compartment,but there were no alterations in the basal compartment.Bj-PF increased the thickness of the seminiferous epithelium and decreased the lumen diameter of the tubule.Semiquantitative histological assessment of the degree of tubule degeneration revealed that Bj-PF also increased the number of hypospermatogenic tubules compared to control.Bj-PF reduced NO2 levels in 15P-1 Sertoli cells without changing the mitochondrial metabolism.Overall,the fact that Bj-PF alters the structure and function of the seminiferous epithelium suggests that bioactive peptides found in B.jararaca snake venom can have toxicological effects on the reproductive systems of affected male mice,providing new insight into the biological characteristics of snake venom and therapeutic strategies for envenomation inflammation.展开更多
Purpose: To evaluate the antibacterial activity of Bothrops jararaca venom against bacterial clinical isolates. Methods: Antibacterial activity of Bothrops jararaca venom was evaluated through agar diffusion method ag...Purpose: To evaluate the antibacterial activity of Bothrops jararaca venom against bacterial clinical isolates. Methods: Antibacterial activity of Bothrops jararaca venom was evaluated through agar diffusion method against the following bacteria: Acinetobacter baumannii, Oxacillinase-producing Acinetobacter baummanii, extended-spectrum β-lactamase-producing (ESBL) Enterobacter aerogenes, Escherichia coli, Escherichia coli ESBL, Klebsiella pneumoniae, Klebsiella pneumoniae ESBL, Proteus mirabilis, Pseudomonas aeruginosa, metallo β-lactamase-producing Pseudomonas aeruginosa, Staphylococcus aureus, oxacillin resistant Staphylococus aureus (ORSA), Staphylococcus epidermidis, and oxacillin resistant Staphylococus epidermidis.?Minimum inhibitory concentration was determined through microdilution plate protocol. Results: The venom presented antibacterial activity against all tested bacteria. More pronounced results were observed to Gram- positive bacteria, especially against ORSA. Conclusion: The present study evidenced the great antibacterial potential of Bothrops jararaca venom showing promising results even with resistant bacterial clinical isolates.展开更多
Neuromuscular junction is the main target for snakebites, which venoms act depending on the snake genus for paralyzing the prey (neurotoxicity) or for facilitating the digestion processes of the victim (myotoxicity...Neuromuscular junction is the main target for snakebites, which venoms act depending on the snake genus for paralyzing the prey (neurotoxicity) or for facilitating the digestion processes of the victim (myotoxicity), and also as a defense mechanism against predators. In the present study, a mouse neuromuscular apparatus was used for testing the hexane fraction of Casearia gossypiosperma plant, that showed the better antiophidian ability than dichloromethane, ethyl acetate and methanol fractions, against the irreversible paralysis induced by two, Bothrops jararacussu (Bjssu, 40 μg/mL) and Crotalus durissus terrificus (Cdt, 10 μg/mL) snake venoms. All fractions were obtained by liquid-liquid partition from the C. gossypiosperma hydroalcoholic lyophilized extract. The preliminary chromatographic profile of this plant showed phenols and flavonols as active constituents, whereas hexane fraction expressed mainly 13-sitosterol and quercetin. In spite of hexane fraction protection (≌95% and 48% against Bjssu and Cdt, respectively), isolately, only quercetin protected against the blockade-induced by Bjssu venom (65.5%). This study showed that hexane fraction acts against these snake venoms by a synergistic phytocomplex mechanism.展开更多
Phenolic compounds from Dipteryx alata Vogel were assayed against the in vitro neurotoxic effect induced by Bothrops jararacussu (Bjssu) venom. Mutagenicity was assessed by the Ames test using Salmonella typhimurium s...Phenolic compounds from Dipteryx alata Vogel were assayed against the in vitro neurotoxic effect induced by Bothrops jararacussu (Bjssu) venom. Mutagenicity was assessed by the Ames test using Salmonella typhimurium strains TA98, TA97a, TA100, and TA102, in experiments with and without metabolic activation. Anti-bothropic activity was obtained by using mouse phrenic nerve-diaphragm (PND) preparation and myographic technique. Control experiments with physiological Tyrode solution were used for keeping the PND preparations alive (n = 4). Concentrations of phe-nolic compounds were as follow: protocatechuic and vanillic acids (200 μg/mL, n = 4), vanillin (50 μg/mL, n = 4). These compounds were used alone or pre-incubated with the venom (40 μg/mL), 30 min prior the addition to the organ bath (n = 4). Phenolic compounds significantly inhibited the neuromuscular blockade of Bjssu in the following order of potency: vanillic acid > protocatechuic = vanillin. Vanillic acid added 10 min after the Bjssu venom was also able to avoid the venomblockade evolution. The mutagenicity assay indicated that all phytochemicals were unable to in-crease the number of revertants, demonstrating the absence of mutagenic activity. This study demonstrated both the safety and therapeutical potential of the three phenolic compounds as novel complementary anti-bothropic agents.展开更多
文摘BACKGROUND Bothrops envenomation is a common medical emergency in tropical areas and is characterized by local and systemic complications,such as edema,coagulopathy,and tissue necrosis.Cardiovascular manifestations are rare and poorly documented,contributing to the complexity of its clinical management.CASE SUMMARY We described a rare cardiac complication in a 65-year-old female patient,who initially presented with mild Bothrops envenomation.She experienced localized edema and erythema but with a lack of systemic symptoms.During the evaluation we detected asymptomatic sinus bradycardia and QTc prolongation(523 milliseconds)that progressed to severe arrhythmias that required implantation of a permanent pacemaker.Management included the administration of polyvalent antiphonic serum,fresh frozen plasma transfusions,and intensive care unit monitoring.Imaging and laboratory studies ruled out ischemic,metabolic,or electrolytic etiologies for the cardiac alterations.The patient recovered favorably after the intervention and was discharged without further complications.CONCLUSION This case underscored the need for cardiac monitoring after snakebite envenomation as well as further research on venom-induced cardiotoxic mechanisms.
基金supported by the State of São Paulo Research Foundation(FAPESP)the Coordination for the Improvement of Higher Education Personnel(CAPES)(Finance Code 001).
文摘Bothrops envenomation is complex and provokes prominent local tissue damage and systemic disturbances,but little is known about their effects on the male reproductive system.After intratesticular injection,the bioactive peptide fraction(Bj-PF)obtained from Bothrops jararaca snake venom changes the structure of different stages of the seminiferous epithelium cycle in adult mice.For the first time,we investigated whether local envenomation of Bj-PF induces toxicological effects on the male reproductive system,particularly on the seminiferous epithelium and Sertoli cells.Male adult mice were treated with 0.24 mg.kg^(-1) by intramuscular(i.m.)injection for 24 h.The testes samples were collected for morphological and morphometric evaluation.The toxicological effects of Bj-PF were also analyzed on mitochondrial metabolism and nitrite(NO2)production in 15P-1 Sertoli cell culture.Bj-PF changed the structure and function of the seminiferous epithelium,particularly the disruption of the epithelium and the presence of degenerated germ cells in the adluminal compartment,but there were no alterations in the basal compartment.Bj-PF increased the thickness of the seminiferous epithelium and decreased the lumen diameter of the tubule.Semiquantitative histological assessment of the degree of tubule degeneration revealed that Bj-PF also increased the number of hypospermatogenic tubules compared to control.Bj-PF reduced NO2 levels in 15P-1 Sertoli cells without changing the mitochondrial metabolism.Overall,the fact that Bj-PF alters the structure and function of the seminiferous epithelium suggests that bioactive peptides found in B.jararaca snake venom can have toxicological effects on the reproductive systems of affected male mice,providing new insight into the biological characteristics of snake venom and therapeutic strategies for envenomation inflammation.
文摘Purpose: To evaluate the antibacterial activity of Bothrops jararaca venom against bacterial clinical isolates. Methods: Antibacterial activity of Bothrops jararaca venom was evaluated through agar diffusion method against the following bacteria: Acinetobacter baumannii, Oxacillinase-producing Acinetobacter baummanii, extended-spectrum β-lactamase-producing (ESBL) Enterobacter aerogenes, Escherichia coli, Escherichia coli ESBL, Klebsiella pneumoniae, Klebsiella pneumoniae ESBL, Proteus mirabilis, Pseudomonas aeruginosa, metallo β-lactamase-producing Pseudomonas aeruginosa, Staphylococcus aureus, oxacillin resistant Staphylococus aureus (ORSA), Staphylococcus epidermidis, and oxacillin resistant Staphylococus epidermidis.?Minimum inhibitory concentration was determined through microdilution plate protocol. Results: The venom presented antibacterial activity against all tested bacteria. More pronounced results were observed to Gram- positive bacteria, especially against ORSA. Conclusion: The present study evidenced the great antibacterial potential of Bothrops jararaca venom showing promising results even with resistant bacterial clinical isolates.
文摘Neuromuscular junction is the main target for snakebites, which venoms act depending on the snake genus for paralyzing the prey (neurotoxicity) or for facilitating the digestion processes of the victim (myotoxicity), and also as a defense mechanism against predators. In the present study, a mouse neuromuscular apparatus was used for testing the hexane fraction of Casearia gossypiosperma plant, that showed the better antiophidian ability than dichloromethane, ethyl acetate and methanol fractions, against the irreversible paralysis induced by two, Bothrops jararacussu (Bjssu, 40 μg/mL) and Crotalus durissus terrificus (Cdt, 10 μg/mL) snake venoms. All fractions were obtained by liquid-liquid partition from the C. gossypiosperma hydroalcoholic lyophilized extract. The preliminary chromatographic profile of this plant showed phenols and flavonols as active constituents, whereas hexane fraction expressed mainly 13-sitosterol and quercetin. In spite of hexane fraction protection (≌95% and 48% against Bjssu and Cdt, respectively), isolately, only quercetin protected against the blockade-induced by Bjssu venom (65.5%). This study showed that hexane fraction acts against these snake venoms by a synergistic phytocomplex mechanism.
文摘Phenolic compounds from Dipteryx alata Vogel were assayed against the in vitro neurotoxic effect induced by Bothrops jararacussu (Bjssu) venom. Mutagenicity was assessed by the Ames test using Salmonella typhimurium strains TA98, TA97a, TA100, and TA102, in experiments with and without metabolic activation. Anti-bothropic activity was obtained by using mouse phrenic nerve-diaphragm (PND) preparation and myographic technique. Control experiments with physiological Tyrode solution were used for keeping the PND preparations alive (n = 4). Concentrations of phe-nolic compounds were as follow: protocatechuic and vanillic acids (200 μg/mL, n = 4), vanillin (50 μg/mL, n = 4). These compounds were used alone or pre-incubated with the venom (40 μg/mL), 30 min prior the addition to the organ bath (n = 4). Phenolic compounds significantly inhibited the neuromuscular blockade of Bjssu in the following order of potency: vanillic acid > protocatechuic = vanillin. Vanillic acid added 10 min after the Bjssu venom was also able to avoid the venomblockade evolution. The mutagenicity assay indicated that all phytochemicals were unable to in-crease the number of revertants, demonstrating the absence of mutagenic activity. This study demonstrated both the safety and therapeutical potential of the three phenolic compounds as novel complementary anti-bothropic agents.