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1.
Sci Rep ; 13(1): 21662, 2023 12 08.
Artigo em Inglês | MEDLINE | ID: mdl-38066189

RESUMO

Snakebite envenoming is a global public health issue that causes significant morbidity and mortality, particularly in low-income regions of the world. The clinical manifestations of envenomings vary depending on the snake's venom, with paralysis, haemorrhage, and necrosis being the most common and medically relevant effects. To assess the efficacy of antivenoms against dermonecrosis, a preclinical testing approach involves in vivo mouse models that mimic local tissue effects of cytotoxic snakebites in humans. However, current methods for assessing necrosis severity are time-consuming and susceptible to human error. To address this, we present the Venom Induced Dermonecrosis Analysis tooL (VIDAL), a machine-learning-guided image-based solution that can automatically identify dermonecrotic lesions in mice, adjust for lighting biases, scale the image, extract lesion area and discolouration, and calculate the severity of dermonecrosis. We also introduce a new unit, the dermonecrotic unit (DnU), to better capture the complexity of dermonecrosis severity. Our tool is comparable to the performance of state-of-the-art histopathological analysis, making it an accessible, accurate, and reproducible method for assessing dermonecrosis in mice. Given the urgent need to address the neglected tropical disease that is snakebite, high-throughput technologies such as VIDAL are crucial in developing and validating new and existing therapeutics for this debilitating disease.


Assuntos
Mordeduras de Serpentes , Peçonhas , Humanos , Camundongos , Animais , Mordeduras de Serpentes/terapia , Antivenenos/farmacologia , Saúde Global , Necrose
2.
PLoS Negl Trop Dis ; 15(12): e0009880, 2021 12.
Artigo em Inglês | MEDLINE | ID: mdl-34855751

RESUMO

The Middle East and Northern Africa, collectively known as the MENA region, are inhabited by a plethora of venomous animals that cause up to 420,000 bites and stings each year. To understand the resultant health burden and the key variables affecting it, this review describes the epidemiology of snake, scorpion, and spider envenomings primarily based on heterogenous hospital data in the MENA region and the pathologies associated with their venoms. In addition, we discuss the venom composition and the key medically relevant toxins of these venomous animals, and, finally, the antivenoms that are currently in use to counteract them. Unlike Asia and sub-Saharan Africa, scorpion stings are significantly more common (approximately 350,000 cases/year) than snakebites (approximately 70,000 cases/year) and present the most significant contributor to the overall health burden of envenomings, with spider bites being negligible. However, this review also indicates that there is a substantial lack of high-quality envenoming data available for the MENA region, rendering many of these estimates speculative. Our understanding of the venoms and the toxins they contain is also incomplete, but already presents clear trends. For instance, the majority of snake venoms contain snake venom metalloproteinases, while sodium channel-binding toxins and potassium channel-binding toxins are the scorpion toxins that cause most health-related challenges. There also currently exist a plethora of antivenoms, yet only few are clinically validated, and their high cost and limited availability present a substantial health challenge. Yet, some of the insights presented in this review might help direct future research and policy efforts toward the appropriate prioritization of efforts and aid the development of future therapeutic solutions, such as next-generation antivenoms.


Assuntos
Picadas de Escorpião/fisiopatologia , Venenos de Escorpião/análise , Mordeduras de Serpentes/fisiopatologia , Venenos de Serpentes/análise , África do Norte , Animais , Antivenenos/uso terapêutico , Humanos , Oriente Médio , Picadas de Escorpião/tratamento farmacológico , Escorpiões , Mordeduras de Serpentes/tratamento farmacológico , Mordeduras de Serpentes/terapia , Serpentes
3.
Biochemistry ; 60(20): 1573-1577, 2021 05 25.
Artigo em Inglês | MEDLINE | ID: mdl-33955225

RESUMO

Enzyme-catalyzed reactions sometimes display curvature in their Eyring plots in the absence of denaturation, indicative of a change in activation heat capacity. However, the effects of pH and (de)protonation on this phenomenon have remained unexplored. Herein, we report a kinetic characterization of the thermophilic pyrimidine nucleoside phosphorylase from Geobacillus thermoglucosidasius across a two-dimensional working space covering 35 °C and 3 pH units with two substrates displaying different pKa values. Our analysis revealed the presence of a measurable activation heat capacity change ΔCp⧧ in this reaction system, which showed no significant dependence on medium pH or substrate charge. Our results further describe the remarkable effects of a single halide substitution that has a minor influence on ΔCp⧧ but conveys a significant kinetic effect by decreasing the activation enthalpy, causing a >10-fold rate increase. Collectively, our results present an important piece in the understanding of enzymatic systems across multidimensional working spaces where the choice of reaction conditions can affect the rate, affinity, and thermodynamic phenomena independently of one another.


Assuntos
Bacillaceae/metabolismo , Fosforilases/metabolismo , Purina-Núcleosídeo Fosforilase/química , Catálise , Temperatura Alta , Concentração de Íons de Hidrogênio , Cinética , Pentosiltransferases/química , Fosforilases/fisiologia , Pirimidina Fosforilases/química , Especificidade por Substrato , Condutividade Térmica , Termodinâmica
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