Evaluación de la capacidad neutralizante de un antiveneno anticoral polivalente en una preparación neuromuscular

ilustraciones, fotografías acolor

Autores:
Martínez Ramírez, Jhon Edison
Tipo de recurso:
Fecha de publicación:
2022
Institución:
Universidad Nacional de Colombia
Repositorio:
Universidad Nacional de Colombia
Idioma:
spa
OAI Identifier:
oai:repositorio.unal.edu.co:unal/83391
Acceso en línea:
https://repositorio.unal.edu.co/handle/unal/83391
https://repositorio.unal.edu.co/
Palabra clave:
610 - Medicina y salud::615 - Farmacología y terapéutica
Antídotos
Veneno de víboras
Viper Venoms
Antidotes
Micrurus
bloqueo neuromuscular
Veneno
Preparación neuromuscular
Placa neuromotora
Unión neuromuscular
Micrurus
Neuromuscular blockade
Venom
Neuromuscular preparations
Neuromuscular junction
Rights
openAccess
License
Atribución-NoComercial-SinDerivadas 4.0 Internacional
id UNACIONAL2_042c6b217c2a6b62279a177edf6e491e
oai_identifier_str oai:repositorio.unal.edu.co:unal/83391
network_acronym_str UNACIONAL2
network_name_str Universidad Nacional de Colombia
repository_id_str
dc.title.spa.fl_str_mv Evaluación de la capacidad neutralizante de un antiveneno anticoral polivalente en una preparación neuromuscular
dc.title.translated.eng.fl_str_mv Evaluation of the neutralizing capacity of a polyvalent anticoral antivenom in a neuromuscular preparation
title Evaluación de la capacidad neutralizante de un antiveneno anticoral polivalente en una preparación neuromuscular
spellingShingle Evaluación de la capacidad neutralizante de un antiveneno anticoral polivalente en una preparación neuromuscular
610 - Medicina y salud::615 - Farmacología y terapéutica
Antídotos
Veneno de víboras
Viper Venoms
Antidotes
Micrurus
bloqueo neuromuscular
Veneno
Preparación neuromuscular
Placa neuromotora
Unión neuromuscular
Micrurus
Neuromuscular blockade
Venom
Neuromuscular preparations
Neuromuscular junction
title_short Evaluación de la capacidad neutralizante de un antiveneno anticoral polivalente en una preparación neuromuscular
title_full Evaluación de la capacidad neutralizante de un antiveneno anticoral polivalente en una preparación neuromuscular
title_fullStr Evaluación de la capacidad neutralizante de un antiveneno anticoral polivalente en una preparación neuromuscular
title_full_unstemmed Evaluación de la capacidad neutralizante de un antiveneno anticoral polivalente en una preparación neuromuscular
title_sort Evaluación de la capacidad neutralizante de un antiveneno anticoral polivalente en una preparación neuromuscular
dc.creator.fl_str_mv Martínez Ramírez, Jhon Edison
dc.contributor.advisor.none.fl_str_mv Guerrero Pabón, Mario Francisco
dc.contributor.author.none.fl_str_mv Martínez Ramírez, Jhon Edison
dc.contributor.educationalvalidator.none.fl_str_mv Francisco Javier Ruiz Gómez
dc.contributor.researchgroup.spa.fl_str_mv Grupo de Investigaciones en Farmacología Molecular (Farmol)
dc.subject.ddc.spa.fl_str_mv 610 - Medicina y salud::615 - Farmacología y terapéutica
topic 610 - Medicina y salud::615 - Farmacología y terapéutica
Antídotos
Veneno de víboras
Viper Venoms
Antidotes
Micrurus
bloqueo neuromuscular
Veneno
Preparación neuromuscular
Placa neuromotora
Unión neuromuscular
Micrurus
Neuromuscular blockade
Venom
Neuromuscular preparations
Neuromuscular junction
dc.subject.decs.spa.fl_str_mv Antídotos
Veneno de víboras
dc.subject.decs.eng.fl_str_mv Viper Venoms
dc.subject.lemb.eng.fl_str_mv Antidotes
dc.subject.proposal.spa.fl_str_mv Micrurus
bloqueo neuromuscular
Veneno
Preparación neuromuscular
Placa neuromotora
Unión neuromuscular
dc.subject.proposal.eng.fl_str_mv Micrurus
Neuromuscular blockade
Venom
Neuromuscular preparations
Neuromuscular junction
description ilustraciones, fotografías acolor
publishDate 2022
dc.date.issued.none.fl_str_mv 2022-05
dc.date.accessioned.none.fl_str_mv 2023-02-08T20:41:56Z
dc.date.available.none.fl_str_mv 2023-02-08T20:41:56Z
dc.type.spa.fl_str_mv Trabajo de grado - Maestría
dc.type.driver.spa.fl_str_mv info:eu-repo/semantics/masterThesis
dc.type.version.spa.fl_str_mv info:eu-repo/semantics/acceptedVersion
dc.type.content.spa.fl_str_mv Text
dc.type.redcol.spa.fl_str_mv http://purl.org/redcol/resource_type/TM
status_str acceptedVersion
dc.identifier.uri.none.fl_str_mv https://repositorio.unal.edu.co/handle/unal/83391
dc.identifier.instname.spa.fl_str_mv Universidad Nacional de Colombia
dc.identifier.reponame.spa.fl_str_mv Repositorio Institucional Universidad Nacional de Colombia
dc.identifier.repourl.spa.fl_str_mv https://repositorio.unal.edu.co/
url https://repositorio.unal.edu.co/handle/unal/83391
https://repositorio.unal.edu.co/
identifier_str_mv Universidad Nacional de Colombia
Repositorio Institucional Universidad Nacional de Colombia
dc.language.iso.spa.fl_str_mv spa
language spa
dc.relation.references.spa.fl_str_mv Barber, C. M., Isbister, G. K., & Hodgson, W. C. (2013). Alpha neurotoxins. Toxicon, 66, 47–58.
Bedoya-Medina, J., Mendivil-Perez, M., Rey-Suarez, P., Jimenez-Del-Rio, M., Núñez, V., & Velez-Pardo, C. (2019). L-amino acid oxidase isolated from Micrurus mipartitus snake venom (MipLAAO) specifically induces apoptosis in acute lymphoblastic leukemia cells mostly via oxidative stress-dependent signaling mechanism. International Journal of Biological Macromolecules, 134, 1052–1062.
Bolívar-Barbosa, J. A., & Rodríguez-Vargas, A. L. (2020). Neurotoxical activity of micrurus snake venom and methods for its analysis. A literature review. Revista Facultad de Medicina, 68(3), 453–462.
Bucaretchi, F., De Capitani, E. M., Vieira, R. J., Rodrigues, C. K., Zannin, M., Da Silva, N. J., Casais-E-Silva, L. L., & Hyslop, S. (2016). Coral snake bites (Micrurus spp.) in Brazil: A review of literature reports. Clinical Toxicology, 54(3), 222–234.
Bulbring, E. (1946). Observations on the isolated phrenic nerve diaphragm preparation of the rat. British Journal of Pharmacology and Chemotherapy, 1, 38–61.
Camargo, T. M., de Roodt, A. R., da Cruz-Höfling, M. A., & Rodrigues-Simioni, L. (2011). The neuromuscular activity of Micrurus pyrrhocryptus venom and its neutralization by commercial and specific coral snake antivenoms. Journal of Venom Research, 2, 24–31.
Campbell, J. A., Lamar, W. W. (2004). The Venomous Reptiles of the Western Hemisphere. In Wilderness & Environmental Medicine ((Vol. 1, N, Vol. 1).
Castillo-Beltrán, M. C., Hurtado-Gómez, J. P., Corredor-Espinel, V., & Ruiz-Gómez, F. J. (2018). A polyvalent coral snake antivenom with broad neutralization capacity. PLoS Neglected Tropical Diseases, 13(3), 1–14.
Chippaux, J. P. (2017). Snakebite envenomation turns again into a neglected tropical disease! Journal of Venomous Animals and Toxins Including Tropical Diseases, 23(1), 1–2.
Ciscotto, P. H. C., Rates, B., Silva, D. A. F., Richardson, M., Silva, L. P., Andrade, H., Donato, M. F., Cotta, G. A., Maria, W. S., Rodrigues, R. J., Sanchez, E., De Lima, M. E., & Pimenta, A. M. C. (2011). Venomic analysis and evaluation of antivenom cross-reactivity of South American Micrurus species. Journal of Proteomics, 74(9), 1810–1825.
Crachi, M. T., Hammer, L. W., & Hodgson, W. C. (1999). A pharmacological examination of venom from the Papuan taipan (Oxyuranus scutellatus canni). Toxicon, 37(12), 1721–1734.
De Abreu, V. A., Leite, G. B., Oliveira, C. B., Hyslop, S., Furtado, M. D. F. D., & Simioni, L. R. (2008). Neurotoxicity of Micrurus altirostris (Uruguayan coral snake) venom and its neutralization by commercial coral snake antivenom and specific antiserum raised in rabbits. Clinical Toxicology, 46(6), 519–527.
Durban, J., Sasa, M., & Calvete, J. J. (2018). Venom gland transcriptomics and microRNA profiling of juvenile and adult yellow-bellied sea snake, Hydrophis platurus, from Playa del Coco (Guanacaste, Costa Rica). Toxicon, 153(August), 96–105.
Dutertre, S., Nicke, A., & Tsetlin, V. I. (2017). Nicotinic acetylcholine receptor inhibitors derived from snake and snail venoms. Neuropharmacology, 127, 196–223.
Floriano, R. S., Schezaro-Ramos, R., Silva, N. J., Bucaretchi, F., Rowan, E. G., & Hyslop, S. (2019). Neurotoxicity of Micrurus lemniscatus lemniscatus (South American coral snake) venom in vertebrate neuromuscular preparations in vitro and neutralization by antivenom. Archives of Toxicology, 93(7), 2065–2086.
Floriano, R. S., Torres-Bonilla, K. A., Rojas-Moscoso, J. A., Dias, L., Rocha, T., Silva, N. J., Hyslop, S., & Rowan, E. G. (2020a). Cardiovascular activity of Micrurus lemniscatus lemniscatus (South American coral snake) venom. Toxicon, 186(August), 58–66.
Ganguly, D. K., Nath, D. N., Ross, H. ‐G, & Vedasiromoni, J. R. (1978). Rat Isolated Phrenic Nerve‐Diaphragm Preparation for Pharmacological Study of Muscle Spindle Afferent Activity: Effect of Oxotremorine. British Journal of Pharmacology, 64(1), 47–52.
Ginsborg, B. L., & Warriner, J. (1960). the Isolated Chick Biventer Cervicis Nerve‐Muscle Preparation. British Journal of Pharmacology and Chemotherapy, 15(3), 410–411.
Gómez-Betancur, I., Gogineni, V., Salazar-Ospina, A., & León, F. (2019). Perspective on the therapeutics of anti-snake venom. Molecules, 24(18), 1–29.
Gopalakrishnakone, P., Inagaki, H., Vogel, C., Mukherjee, A. K., & Rahmy, T. R. (2017). Snake Venoms.
Goularte, F. C., Cruz-Höfling, M. A., Cogo, J. C., Gutiérrez, J. M., & Rodrigues-Simioni, L. (1995). The ability of specific antivenom and low temperature to inhibit the myotoxicity and neuromuscular block induced by Micrurus nigrocinctus venom. Toxicon, 33(5), 679–689.
Gutiérrez, J. M. (2018). Antivenoms: Life-saving drugs for envenomings by animal bites and stings. Toxicon, 150(May), 11–12.
Gutiérrez, J. M., Solano, G., Pla, D., Herrera, M., Segura, Á., Vargas, M., Villalta, M., Sánchez, A., Sanz, L., Lomonte, B., León, G., & Calvete, J. J. (2017). Preclinical evaluation of the efficacy of antivenoms for snakebite envenoming: State-of-the-art and challenges ahead. Toxins, 9(5), 1–22.
Harris, R. J., Youngman, N. J., Zdenek, C. N., Huynh, T. M., Nouwens, A., Hodgson, W. C., Harrich, D., Dunstan, N., Portes-Junior, J. A., & Fry, B. G. (2020). Assessing the binding of venoms from aquatic elapids to the nicotinic acetylcholine receptor orthosteric site of different prey models. International Journal of Molecular Sciences, 21(19), 1–13.
Harvey, A. L., Harvey, A. L., Barfaraz, A., Thomson, E., Faiz, A., Preston, S., & Venoms, R. (1994). Screening of Snake Venoms for Neurotoxic and Myotoxic Effects Using Simple in Vitro Preparations From Rodents and Chicks. Toxicon, 32(3), 257–265.
Herrera, M., Cássia, R. De, Collaço, D. O., Villalta, M., Segura, Á., Vargas, M., Wright, C. E., Paiva, O. K., Matainaho, T., Jensen, S. D., León, G., Williams, D. J., Rodrigues-simioni, L., & María, J. (2016). Neutralization of the neuromuscular inhibition of venom and taipoxin from the taipan ( Oxyuranus scutellatus ) by F ( ab 0 ) 2 and whole IgG antivenoms. Toxicology Letters, 241, 175–183.
Hodgson, Wayne C., Wickramaratna, J. C. (2002). Animal Toxins of Asia and Australia: In Vitro Neuromuscular Activity Of Snake Venoms. Clinical and Experimental Pharmacology and Physiology, 29, 807–814.
Jorge Da Silva, N., & D. Aird, S. (2001). Prey specificity, comparative lethality and compositional differences of coral snake venoms. In Comparative Biochemistry and Physiology - C Toxicology and Pharmacology (Vol. 128, Issue 3).
Kasturiratne, A., Wickremasinghe, A. R., De Silva, N., Gunawardena, N. K., Pathmeswaran, A., Premaratna, R., Savioli, L., Lalloo, D. G., & De Silva, H. J. (2008). The global burden of snakebite: A literature analysis and modelling based on regional estimates of envenoming and deaths. PLoS Medicine, 5(11), 1591–1604.
Kini, R. M. (2011). Evolution of three-finger toxins - A versatile mini protein scaffold. Acta Chimica Slovenica, 58(4), 693–701.
Kopper, R. A., Harper, G. R., Zimmerman, S., & Hook, J. (2013). Comparison of total protein and phospholipase A2 levels in individual coral snake venoms. Toxicon, 76, 59–62.
León, G., Sánchez, L., Hernández, A., Villalta, M., Herrera, M., Segura, Á., Estrada, R., & Gutiérrez, J. M. (2011). Immune response towards snake venoms. Inflammation and Allergy - Drug Targets, 10(5), 381–398.
Lomonte, B., Rey-Suárez, P., Fernández, J., Sasa, M., Pla, D., Vargas, N., Bénard-Valle, M., Sanz, L., Corrêa-Netto, C., Núñez, V., Alape-Girón, A., Alagón, A., Gutiérrez, J. M., & Calvete, J. J. (2016). Venoms of Micrurus coral snakes: Evolutionary trends in compositional patterns emerging from proteomic analyses. Toxicon, 122, 7–25.
Mendes, G. F., Stuginski, D. R., Loibel, S. M. C., Morais-Zani, K. De, Da Rocha, M. M. T., Fernandes, W., Sant’anna, S. S., & Grego, K. F. (2019). Factors that can influence the survival rates of coral snakes (Micrurus corallinus) for antivenom production. Journal of Animal Science, 97(2), 972–980.
Moraes, F. V., Sousa-e-Silva, M. C. C., Barbaro, K. C., Leitão, M. A., & Furtado, M. F. D. (2003). Biological and immunochemical characterization of Micrurus altirostris venom and serum neutralization of its toxic activities. Toxicon, 41(1), 71–79.
Nirthanan, S., & Gwee, M. C. E. (2004). Three-Finger α-Neurotoxins and the Nicotinic Acetylcholine Receptor, Forty Years On. Journal of Pharmacological Sciences, 94(1), 1–17.
Renjifo, C., Smith, E. N., Hodgson, W. C., Renjifo, J. M., Sanchez, A., Acosta, R., Maldonado, J. H., & Riveros, A. (2012a). Neuromuscular activity of the venoms of the Colombian coral snakes Micrurus dissoleucus and Micrurus mipartitus: An evolutionary perspective. Toxicon, 59(1), 132–142.
Rey-Suárez, P., Núñez, V., Fernández, J., & Lomonte, B. (2016). Integrative characterization of the venom of the coral snake Micrurus dumerilii (Elapidae) from Colombia: Proteome, toxicity, and cross-neutralization by antivenom. Journal of Proteomics, 136, 262–273.
Rey-Suárez, P., Saldarriaga-Córdoba, M., Torres, U., Marin-Villa, M., Lomonte, B., & Núñez, V. (2019). Novel three-finger toxins from Micrurus dumerilii and Micrurus mipartitus coral snake venoms: Phylogenetic relationships and characterization of Clarkitoxin-I-Mdum. Toxicon, 170(July), 85–93.
Rojas Bárcenas, A. M. (2018). Accidente ofídico en Colombia. Informes de Evento, 1(1), 33.
Rossan, A., Da Silva, B. P., Yamagushi, I. K., Morais, J. F., Higashi, H. G., Raw, I., Ho, P. L., & Silveira de Oliveira, J. (2001). Cross reactivity of different specific Micrurus antivenom sera with homologous and heterologous snake venoms. Toxicon, 39(7), 949–953.
Silva, A., Kuruppu, S., Othman, I., Goode, R. J. A., Hodgson, W. C., & Isbister, G. K. (2017). Neurotoxicity in Sri Lankan Russell’s Viper (Daboia russelii) Envenoming is Primarily due to U1-viperitoxin-Dr1a, a Pre-Synaptic Neurotoxin. Neurotoxicity Research, 31(1), 11–19.
Smith, C. M. (1963). Neuromuscular Pharmacology: Drugs and Muscle Spindles. Annual Review of Pharmacology, 3(1), 223–242.
Souza, J. De, Oshima-franco, Y., & Freitas, N. P. De. (2020). A preparação nervo frênico-diafragma ( camundongos / ratos ) e a técnica miográfica como ferramenta farmacológica.
Su, M. J., Coulter, A. R., Sutherland, S. K., & Chang, C. C. (1983). The presynaptic neuromuscular blocking effect and phospholipase A2 activity of textilotoxin, a potent toxin isolated from the venom of the Australian brown snake, Pseudonaja textilis. Toxicon, 21(1), 143–151.
Tanaka, G. D., Furtado, M. D. F. D., Portaro, F. C. V., Sant’Anna, O. A., & Tambourgi, D. V. (2010). Diversity of Micrurus snake species related to their venom toxic effects and the prospective of antivenom neutralization. PLoS Neglected Tropical Diseases, 4(3), 1–12.
Taylor, P., Salazar, E., Barrios, M., Salazar, A. M., Abad, M. J., Urdanibia, I., Shealy, D., Arocha-Piñango, C. L., & Guerrero, B. (2016). Role of the inflammatory response in the hemorrhagic syndrome induced by the hemolymph of the caterpillar Lonomia achelous. Toxicon, 121, 77–85.
Urdaneta, A. H., Bolaños, F., & Gutiérrez, J. M. (2004). Feeding behavior and venom toxicity of coral snake Micrurus nigrocinctus (Serpentes: Elapidae) on its natural prey in captivity. Comparative Biochemistry and Physiology - C Toxicology and Pharmacology, 138(4), 485–492.
Warrell, D. A. (2010). Snake bite. The Lancet, 375(9708), 77–88.
Whaler, B. C. (1978). Venoms: Chemistry and Molecular Biology. Biochemical Society Transactions, 6(2), 474–476.
WHO. (2017). Annex 5. Guidelines for the production, control and regulation of snake antivenom immunoglobulins Replacement of Annex 2 of WHO Technical Report Series. World Health Organization Technical Report Series, No. 964, 197–388.
WHO. (1981). Progress in the characterization of venoms and standardization of antivenoms.
WHO. (2016). Guidelines for the Production, Control and Regulation of Snake Antivenom Immunoglobulins. October, 89.
Williams, D., Gutiérrez, J. M., Harrison, R., Warrell, D. A., White, J., Winkel, K. D., & Gopalakrishnakone, P. (2010). The Global Snake Bite Initiative: an antidote for snake bite. The Lancet, 375(9708), 89–91.
Zanetti, G., Negro, S., Pirazzini, M., & Caccin, P. (2018). Mouse Phrenic Nerve Hemidiaphragm Assay (MPN). Bio-Protocol, 8(5), 1–12.
dc.rights.coar.fl_str_mv http://purl.org/coar/access_right/c_abf2
dc.rights.license.spa.fl_str_mv Atribución-NoComercial-SinDerivadas 4.0 Internacional
dc.rights.uri.spa.fl_str_mv http://creativecommons.org/licenses/by-nc-nd/4.0/
dc.rights.accessrights.spa.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv Atribución-NoComercial-SinDerivadas 4.0 Internacional
http://creativecommons.org/licenses/by-nc-nd/4.0/
http://purl.org/coar/access_right/c_abf2
eu_rights_str_mv openAccess
dc.format.extent.spa.fl_str_mv 88 páginas
dc.format.mimetype.spa.fl_str_mv application/pdf
dc.publisher.spa.fl_str_mv Universidad Nacional de Colombia
dc.publisher.program.spa.fl_str_mv Bogotá - Ciencias - Maestría en Ciencias - Farmacología
dc.publisher.faculty.spa.fl_str_mv Facultad de Ciencias
dc.publisher.place.spa.fl_str_mv Bogotá, Colombia
dc.publisher.branch.spa.fl_str_mv Universidad Nacional de Colombia - Sede Bogotá
institution Universidad Nacional de Colombia
bitstream.url.fl_str_mv https://repositorio.unal.edu.co/bitstream/unal/83391/1/license.txt
https://repositorio.unal.edu.co/bitstream/unal/83391/2/1030581957.2022.pdf
https://repositorio.unal.edu.co/bitstream/unal/83391/3/1030581957.2022.pdf.jpg
bitstream.checksum.fl_str_mv eb34b1cf90b7e1103fc9dfd26be24b4a
488053040fcc3802cfd5e37507a9b259
2f8c69fca0058158539e5496ed0de055
bitstream.checksumAlgorithm.fl_str_mv MD5
MD5
MD5
repository.name.fl_str_mv Repositorio Institucional Universidad Nacional de Colombia
repository.mail.fl_str_mv repositorio_nal@unal.edu.co
_version_ 1814089714342297600
spelling Atribución-NoComercial-SinDerivadas 4.0 Internacionalhttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccesshttp://purl.org/coar/access_right/c_abf2Guerrero Pabón, Mario Franciscoab5ee54c43da4b4b657356c0e0296aa6Martínez Ramírez, Jhon Edison363fae61eab9c15feecfd4a86eb19308Francisco Javier Ruiz GómezGrupo de Investigaciones en Farmacología Molecular (Farmol)2023-02-08T20:41:56Z2023-02-08T20:41:56Z2022-05https://repositorio.unal.edu.co/handle/unal/83391Universidad Nacional de ColombiaRepositorio Institucional Universidad Nacional de Colombiahttps://repositorio.unal.edu.co/ilustraciones, fotografías acolorEl veneno de las serpientes de coral, del género Micrurus, es conocido por generar un efecto neurotóxico. Este efecto es similar entre las diferentes especies de este género, sin embargo, aún no se conoce completamente la eficacia de la neutralización cruzada de los antivenenos. En el presente estudio evaluamos los efectos de los venenos de tres serpientes de coral colombianas, de las especies M. lemniscatus, M, medemi y M, sangilensis. Determinando la capacidad de inhibir la neurotransmisión, en una preparación de nervio frénico y diafragma de ratas Wistar. Se evaluaron los efectos del veneno a dosis de 1, 10 y 50 µg/ml y se evaluó la capacidad neutralizante del antiveneno anticoral polivalente (AAP) del Instituto Nacional de Salud (INS), frente a la dosis de 10 µg/ml de cada especie. Los 3 venenos generaron bloqueos neuromusculares dependientes de las dosis en comparación con los controles. Siendo el veneno de M. lemniscatus el que tuvo una actividad neurotóxica más rápida, seguido de M. sangilensis y finalmente de M. medemi. Así mismo los 3 venenos fueron neutralizados con éxito por el AAP del INS. Siendo el veneno de M. medemi el que más porcentaje de neutralización tuvo, seguido del veneno de M, sangilensis y finalmente del veneno de M, lemniscatus. Demostrando así que el AAP del INS tiene una capacidad neutralizante y polivalente. A pesar de ser fabricado con venenos de serpientes de coral distintas a las involucradas en este estudio. (Texto tomado de la fuente)Coral snake’s venoms of the genus Micrurus are characterized by peripheral paralysis neurotoxicity. A similar neurotoxic effect is induced by the venom of most members of this genus, yet the efficaciousness of cross species venom/anti-venom treatment has not been thoroughly investigated. In this study we evaluated the effects of the venom of three Colombian coral snakes, species M. lemniscatus, M. medemi, and M. sangilensis, and its ability to inhibit neurotransmission in the phrenic nerve and diaphragm of Wistar rats. Venom effects were evaluated in doses of 1, 10, and 50 µg / ml. Further, the neutralizing capacity of the polyvalent anticoral antivenom (PAA) of the National Institute of Health (NIH) was evaluated against a venom dose of 10 µg / ml of each species. All 3 venoms generated a significant, dose-dependent, neuromuscular block compared to controls with M. lemniscatus exhibiting the fastest neurotoxic response followed by M. sangilensis, and M. medemi. Finally, the NIH PAA was able to completely neutralize M. medemi and partially neutralize both M. sangilensis and M. lemniscatus. Thus, we have demonstrated that the INS AAP has neutralizing and polyvalent capacity despite being manufactured with venoms from coral snakes not involved in this study.El Departamento Administrativo de Ciencia, Tecnología e Innovación Minciencias, es la entidad encargada de promover las políticas públicas para fomentar la ciencia, la tecnología y la innovación en Colombia por medio del Proyecto 2104777-58348, Contrato 686 de 2018 COLCIENCIAS-INS: “Caracterización bioquímica y biológica del veneno de las corales colombianas Micrurus medemi, Micrurus sangilensis y Micrurus lenmiscatus y su neutralización con el antiveneno anticoral polivalente producido por el INS” que permitió el desarrollo y culminación de este proyecto de tesis.Instituto Nacional de Salud, permitió el uso de instalaciones, reactivos, animales de laboratorio y uso de salas del bioterio de barrera ABSL2 para el entrenamiento y desarrollo de pruebas preliminares para el desarrollo y culminación de este proyecto de tesis.La Universidad Nacional de Colombia, permitió el uso de instalaciones, reactivos, animales de laboratorio y uso de salas del bioterio para el entrenamiento y desarrollo de pruebas preliminares para el desarrollo y culminación de este proyecto de tesis.MaestríaMagister en Ciencias – Farmacología88 páginasapplication/pdfspaUniversidad Nacional de ColombiaBogotá - Ciencias - Maestría en Ciencias - FarmacologíaFacultad de CienciasBogotá, ColombiaUniversidad Nacional de Colombia - Sede Bogotá610 - Medicina y salud::615 - Farmacología y terapéuticaAntídotosVeneno de víborasViper VenomsAntidotesMicrurusbloqueo neuromuscularVenenoPreparación neuromuscularPlaca neuromotoraUnión neuromuscularMicrurusNeuromuscular blockadeVenomNeuromuscular preparationsNeuromuscular junctionEvaluación de la capacidad neutralizante de un antiveneno anticoral polivalente en una preparación neuromuscularEvaluation of the neutralizing capacity of a polyvalent anticoral antivenom in a neuromuscular preparationTrabajo de grado - Maestríainfo:eu-repo/semantics/masterThesisinfo:eu-repo/semantics/acceptedVersionTexthttp://purl.org/redcol/resource_type/TMBarber, C. M., Isbister, G. K., & Hodgson, W. C. (2013). Alpha neurotoxins. Toxicon, 66, 47–58.Bedoya-Medina, J., Mendivil-Perez, M., Rey-Suarez, P., Jimenez-Del-Rio, M., Núñez, V., & Velez-Pardo, C. (2019). L-amino acid oxidase isolated from Micrurus mipartitus snake venom (MipLAAO) specifically induces apoptosis in acute lymphoblastic leukemia cells mostly via oxidative stress-dependent signaling mechanism. International Journal of Biological Macromolecules, 134, 1052–1062.Bolívar-Barbosa, J. A., & Rodríguez-Vargas, A. L. (2020). Neurotoxical activity of micrurus snake venom and methods for its analysis. A literature review. Revista Facultad de Medicina, 68(3), 453–462.Bucaretchi, F., De Capitani, E. M., Vieira, R. J., Rodrigues, C. K., Zannin, M., Da Silva, N. J., Casais-E-Silva, L. L., & Hyslop, S. (2016). Coral snake bites (Micrurus spp.) in Brazil: A review of literature reports. Clinical Toxicology, 54(3), 222–234.Bulbring, E. (1946). Observations on the isolated phrenic nerve diaphragm preparation of the rat. British Journal of Pharmacology and Chemotherapy, 1, 38–61.Camargo, T. M., de Roodt, A. R., da Cruz-Höfling, M. A., & Rodrigues-Simioni, L. (2011). The neuromuscular activity of Micrurus pyrrhocryptus venom and its neutralization by commercial and specific coral snake antivenoms. Journal of Venom Research, 2, 24–31.Campbell, J. A., Lamar, W. W. (2004). The Venomous Reptiles of the Western Hemisphere. In Wilderness & Environmental Medicine ((Vol. 1, N, Vol. 1).Castillo-Beltrán, M. C., Hurtado-Gómez, J. P., Corredor-Espinel, V., & Ruiz-Gómez, F. J. (2018). A polyvalent coral snake antivenom with broad neutralization capacity. PLoS Neglected Tropical Diseases, 13(3), 1–14.Chippaux, J. P. (2017). Snakebite envenomation turns again into a neglected tropical disease! Journal of Venomous Animals and Toxins Including Tropical Diseases, 23(1), 1–2.Ciscotto, P. H. C., Rates, B., Silva, D. A. F., Richardson, M., Silva, L. P., Andrade, H., Donato, M. F., Cotta, G. A., Maria, W. S., Rodrigues, R. J., Sanchez, E., De Lima, M. E., & Pimenta, A. M. C. (2011). Venomic analysis and evaluation of antivenom cross-reactivity of South American Micrurus species. Journal of Proteomics, 74(9), 1810–1825.Crachi, M. T., Hammer, L. W., & Hodgson, W. C. (1999). A pharmacological examination of venom from the Papuan taipan (Oxyuranus scutellatus canni). Toxicon, 37(12), 1721–1734.De Abreu, V. A., Leite, G. B., Oliveira, C. B., Hyslop, S., Furtado, M. D. F. D., & Simioni, L. R. (2008). Neurotoxicity of Micrurus altirostris (Uruguayan coral snake) venom and its neutralization by commercial coral snake antivenom and specific antiserum raised in rabbits. Clinical Toxicology, 46(6), 519–527.Durban, J., Sasa, M., & Calvete, J. J. (2018). Venom gland transcriptomics and microRNA profiling of juvenile and adult yellow-bellied sea snake, Hydrophis platurus, from Playa del Coco (Guanacaste, Costa Rica). Toxicon, 153(August), 96–105.Dutertre, S., Nicke, A., & Tsetlin, V. I. (2017). Nicotinic acetylcholine receptor inhibitors derived from snake and snail venoms. Neuropharmacology, 127, 196–223.Floriano, R. S., Schezaro-Ramos, R., Silva, N. J., Bucaretchi, F., Rowan, E. G., & Hyslop, S. (2019). Neurotoxicity of Micrurus lemniscatus lemniscatus (South American coral snake) venom in vertebrate neuromuscular preparations in vitro and neutralization by antivenom. Archives of Toxicology, 93(7), 2065–2086.Floriano, R. S., Torres-Bonilla, K. A., Rojas-Moscoso, J. A., Dias, L., Rocha, T., Silva, N. J., Hyslop, S., & Rowan, E. G. (2020a). Cardiovascular activity of Micrurus lemniscatus lemniscatus (South American coral snake) venom. Toxicon, 186(August), 58–66.Ganguly, D. K., Nath, D. N., Ross, H. ‐G, & Vedasiromoni, J. R. (1978). Rat Isolated Phrenic Nerve‐Diaphragm Preparation for Pharmacological Study of Muscle Spindle Afferent Activity: Effect of Oxotremorine. British Journal of Pharmacology, 64(1), 47–52.Ginsborg, B. L., & Warriner, J. (1960). the Isolated Chick Biventer Cervicis Nerve‐Muscle Preparation. British Journal of Pharmacology and Chemotherapy, 15(3), 410–411.Gómez-Betancur, I., Gogineni, V., Salazar-Ospina, A., & León, F. (2019). Perspective on the therapeutics of anti-snake venom. Molecules, 24(18), 1–29.Gopalakrishnakone, P., Inagaki, H., Vogel, C., Mukherjee, A. K., & Rahmy, T. R. (2017). Snake Venoms.Goularte, F. C., Cruz-Höfling, M. A., Cogo, J. C., Gutiérrez, J. M., & Rodrigues-Simioni, L. (1995). The ability of specific antivenom and low temperature to inhibit the myotoxicity and neuromuscular block induced by Micrurus nigrocinctus venom. Toxicon, 33(5), 679–689.Gutiérrez, J. M. (2018). Antivenoms: Life-saving drugs for envenomings by animal bites and stings. Toxicon, 150(May), 11–12.Gutiérrez, J. M., Solano, G., Pla, D., Herrera, M., Segura, Á., Vargas, M., Villalta, M., Sánchez, A., Sanz, L., Lomonte, B., León, G., & Calvete, J. J. (2017). Preclinical evaluation of the efficacy of antivenoms for snakebite envenoming: State-of-the-art and challenges ahead. Toxins, 9(5), 1–22.Harris, R. J., Youngman, N. J., Zdenek, C. N., Huynh, T. M., Nouwens, A., Hodgson, W. C., Harrich, D., Dunstan, N., Portes-Junior, J. A., & Fry, B. G. (2020). Assessing the binding of venoms from aquatic elapids to the nicotinic acetylcholine receptor orthosteric site of different prey models. International Journal of Molecular Sciences, 21(19), 1–13.Harvey, A. L., Harvey, A. L., Barfaraz, A., Thomson, E., Faiz, A., Preston, S., & Venoms, R. (1994). Screening of Snake Venoms for Neurotoxic and Myotoxic Effects Using Simple in Vitro Preparations From Rodents and Chicks. Toxicon, 32(3), 257–265.Herrera, M., Cássia, R. De, Collaço, D. O., Villalta, M., Segura, Á., Vargas, M., Wright, C. E., Paiva, O. K., Matainaho, T., Jensen, S. D., León, G., Williams, D. J., Rodrigues-simioni, L., & María, J. (2016). Neutralization of the neuromuscular inhibition of venom and taipoxin from the taipan ( Oxyuranus scutellatus ) by F ( ab 0 ) 2 and whole IgG antivenoms. Toxicology Letters, 241, 175–183.Hodgson, Wayne C., Wickramaratna, J. C. (2002). Animal Toxins of Asia and Australia: In Vitro Neuromuscular Activity Of Snake Venoms. Clinical and Experimental Pharmacology and Physiology, 29, 807–814.Jorge Da Silva, N., & D. Aird, S. (2001). Prey specificity, comparative lethality and compositional differences of coral snake venoms. In Comparative Biochemistry and Physiology - C Toxicology and Pharmacology (Vol. 128, Issue 3).Kasturiratne, A., Wickremasinghe, A. R., De Silva, N., Gunawardena, N. K., Pathmeswaran, A., Premaratna, R., Savioli, L., Lalloo, D. G., & De Silva, H. J. (2008). The global burden of snakebite: A literature analysis and modelling based on regional estimates of envenoming and deaths. PLoS Medicine, 5(11), 1591–1604.Kini, R. M. (2011). Evolution of three-finger toxins - A versatile mini protein scaffold. Acta Chimica Slovenica, 58(4), 693–701.Kopper, R. A., Harper, G. R., Zimmerman, S., & Hook, J. (2013). Comparison of total protein and phospholipase A2 levels in individual coral snake venoms. Toxicon, 76, 59–62.León, G., Sánchez, L., Hernández, A., Villalta, M., Herrera, M., Segura, Á., Estrada, R., & Gutiérrez, J. M. (2011). Immune response towards snake venoms. Inflammation and Allergy - Drug Targets, 10(5), 381–398.Lomonte, B., Rey-Suárez, P., Fernández, J., Sasa, M., Pla, D., Vargas, N., Bénard-Valle, M., Sanz, L., Corrêa-Netto, C., Núñez, V., Alape-Girón, A., Alagón, A., Gutiérrez, J. M., & Calvete, J. J. (2016). Venoms of Micrurus coral snakes: Evolutionary trends in compositional patterns emerging from proteomic analyses. Toxicon, 122, 7–25.Mendes, G. F., Stuginski, D. R., Loibel, S. M. C., Morais-Zani, K. De, Da Rocha, M. M. T., Fernandes, W., Sant’anna, S. S., & Grego, K. F. (2019). Factors that can influence the survival rates of coral snakes (Micrurus corallinus) for antivenom production. Journal of Animal Science, 97(2), 972–980.Moraes, F. V., Sousa-e-Silva, M. C. C., Barbaro, K. C., Leitão, M. A., & Furtado, M. F. D. (2003). Biological and immunochemical characterization of Micrurus altirostris venom and serum neutralization of its toxic activities. Toxicon, 41(1), 71–79.Nirthanan, S., & Gwee, M. C. E. (2004). Three-Finger α-Neurotoxins and the Nicotinic Acetylcholine Receptor, Forty Years On. Journal of Pharmacological Sciences, 94(1), 1–17.Renjifo, C., Smith, E. N., Hodgson, W. C., Renjifo, J. M., Sanchez, A., Acosta, R., Maldonado, J. H., & Riveros, A. (2012a). Neuromuscular activity of the venoms of the Colombian coral snakes Micrurus dissoleucus and Micrurus mipartitus: An evolutionary perspective. Toxicon, 59(1), 132–142.Rey-Suárez, P., Núñez, V., Fernández, J., & Lomonte, B. (2016). Integrative characterization of the venom of the coral snake Micrurus dumerilii (Elapidae) from Colombia: Proteome, toxicity, and cross-neutralization by antivenom. Journal of Proteomics, 136, 262–273.Rey-Suárez, P., Saldarriaga-Córdoba, M., Torres, U., Marin-Villa, M., Lomonte, B., & Núñez, V. (2019). Novel three-finger toxins from Micrurus dumerilii and Micrurus mipartitus coral snake venoms: Phylogenetic relationships and characterization of Clarkitoxin-I-Mdum. Toxicon, 170(July), 85–93.Rojas Bárcenas, A. M. (2018). Accidente ofídico en Colombia. Informes de Evento, 1(1), 33.Rossan, A., Da Silva, B. P., Yamagushi, I. K., Morais, J. F., Higashi, H. G., Raw, I., Ho, P. L., & Silveira de Oliveira, J. (2001). Cross reactivity of different specific Micrurus antivenom sera with homologous and heterologous snake venoms. Toxicon, 39(7), 949–953.Silva, A., Kuruppu, S., Othman, I., Goode, R. J. A., Hodgson, W. C., & Isbister, G. K. (2017). Neurotoxicity in Sri Lankan Russell’s Viper (Daboia russelii) Envenoming is Primarily due to U1-viperitoxin-Dr1a, a Pre-Synaptic Neurotoxin. Neurotoxicity Research, 31(1), 11–19.Smith, C. M. (1963). Neuromuscular Pharmacology: Drugs and Muscle Spindles. Annual Review of Pharmacology, 3(1), 223–242.Souza, J. De, Oshima-franco, Y., & Freitas, N. P. De. (2020). A preparação nervo frênico-diafragma ( camundongos / ratos ) e a técnica miográfica como ferramenta farmacológica.Su, M. J., Coulter, A. R., Sutherland, S. K., & Chang, C. C. (1983). The presynaptic neuromuscular blocking effect and phospholipase A2 activity of textilotoxin, a potent toxin isolated from the venom of the Australian brown snake, Pseudonaja textilis. Toxicon, 21(1), 143–151.Tanaka, G. D., Furtado, M. D. F. D., Portaro, F. C. V., Sant’Anna, O. A., & Tambourgi, D. V. (2010). Diversity of Micrurus snake species related to their venom toxic effects and the prospective of antivenom neutralization. PLoS Neglected Tropical Diseases, 4(3), 1–12.Taylor, P., Salazar, E., Barrios, M., Salazar, A. M., Abad, M. J., Urdanibia, I., Shealy, D., Arocha-Piñango, C. L., & Guerrero, B. (2016). Role of the inflammatory response in the hemorrhagic syndrome induced by the hemolymph of the caterpillar Lonomia achelous. Toxicon, 121, 77–85.Urdaneta, A. H., Bolaños, F., & Gutiérrez, J. M. (2004). Feeding behavior and venom toxicity of coral snake Micrurus nigrocinctus (Serpentes: Elapidae) on its natural prey in captivity. Comparative Biochemistry and Physiology - C Toxicology and Pharmacology, 138(4), 485–492.Warrell, D. A. (2010). Snake bite. The Lancet, 375(9708), 77–88.Whaler, B. C. (1978). Venoms: Chemistry and Molecular Biology. Biochemical Society Transactions, 6(2), 474–476.WHO. (2017). Annex 5. Guidelines for the production, control and regulation of snake antivenom immunoglobulins Replacement of Annex 2 of WHO Technical Report Series. World Health Organization Technical Report Series, No. 964, 197–388.WHO. (1981). Progress in the characterization of venoms and standardization of antivenoms.WHO. (2016). Guidelines for the Production, Control and Regulation of Snake Antivenom Immunoglobulins. October, 89.Williams, D., Gutiérrez, J. M., Harrison, R., Warrell, D. A., White, J., Winkel, K. D., & Gopalakrishnakone, P. (2010). The Global Snake Bite Initiative: an antidote for snake bite. The Lancet, 375(9708), 89–91.Zanetti, G., Negro, S., Pirazzini, M., & Caccin, P. (2018). Mouse Phrenic Nerve Hemidiaphragm Assay (MPN). Bio-Protocol, 8(5), 1–12.Ministerio de Ciencia Tecnología e InnovaciónBibliotecariosEstudiantesInvestigadoresMaestrosPersonal de apoyo escolarProveedores de ayuda financiera para estudiantesPúblico generalReceptores de fondos federales y solicitantesResponsables políticosLICENSElicense.txtlicense.txttext/plain; charset=utf-85879https://repositorio.unal.edu.co/bitstream/unal/83391/1/license.txteb34b1cf90b7e1103fc9dfd26be24b4aMD51ORIGINAL1030581957.2022.pdf1030581957.2022.pdfTesis de Maestría en Ciencias - Farmacologíaapplication/pdf3785118https://repositorio.unal.edu.co/bitstream/unal/83391/2/1030581957.2022.pdf488053040fcc3802cfd5e37507a9b259MD52THUMBNAIL1030581957.2022.pdf.jpg1030581957.2022.pdf.jpgGenerated Thumbnailimage/jpeg4685https://repositorio.unal.edu.co/bitstream/unal/83391/3/1030581957.2022.pdf.jpg2f8c69fca0058158539e5496ed0de055MD53unal/83391oai:repositorio.unal.edu.co:unal/833912023-08-16 23:03:39.226Repositorio Institucional Universidad Nacional de Colombiarepositorio_nal@unal.edu.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