Preclinical evaluation of the neutralizing ability of a monospecific antivenom for the treatment of envenomings by Bothrops lanceolatus in Martinique

被引:21
作者
Resiere, Dabor [1 ]
Silvia Arias, Ana [2 ]
Villalta, Mauren [2 ]
Rucavado, Alexandra [2 ]
Brouste, Yannick [1 ]
Cabie, Andre [1 ]
Neviere, Remi [1 ]
Cesaire, Raymond [1 ]
Kallel, Hatem [3 ]
Megarbane, Bruno [4 ]
Mehdaoui, Hossein [1 ]
Maria Gutierrez, Jose [2 ]
机构
[1] CHU, Serv Urgences & Reanimat Polyvalente, Fort De France, Martinique, France
[2] Univ Costa Rica, Fac Microbiol, Inst Clodomiro Picado, San Jose, Costa Rica
[3] Cayenne Gen Hosp, Intens Care Unit, Cayenne, French Guiana
[4] Paris Diderot Univ, Lariboisiere Hosp, INSERM 1144, Dept Med & Toxicol Crit Care, F-75010 Paris, France
关键词
Bothrops lanceolatus; Martinique; Toxicity; Antivenom; Bothrofav (R); Neutralization; Preclinical; Hemorrhage; Thrombocytopenia; LANCE SNAKE-VENOM; POLYVALENT ANTIVENOM; FER; METALLOPROTEINASE; EDEMA; ASPER; THROMBOCYTOPENIA; CARIBBAEUS; HEMORRHAGE; INSIGHTS;
D O I
10.1016/j.toxicon.2018.04.010
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
Bothrops lanceolatus is an endemic viperid species in the Lesser Caribbean island of Martinique. Envenomings by this species are characterized by local and systemic effects, among which the development of thrombosis in various organs is the most severe complication. An experimental toxicological characterization of this venom was performed using in vivo mouse tests and various in vitro assays. The venom induced lethal, local and systemic hemorrhagic, edema-forming, myotoxic, thrombocytopenic, proteinase and phospholipase A(2) activities. The preclinical efficacy of a batch of monospecific Bothrofav antivenom currently in use in Martinique was assessed. The antivenom was highly effective in the neutralization of all activities tested, in agreement with its described clinical efficacy. This batch of antivenom showed a higher preclinical efficacy as compared to a previous batch used in the past. (C) 2018 Elsevier Ltd. All rights reserved.
引用
收藏
页码:50 / 55
页数:6
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