Snake envenomation (ophitoxemia) of domestic animals in Croatia - risk factors Maja Lang Balija 1,Marija Brgles 1, Beata Halassy 1

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1 st Scientific andprofessional Meeting onreptiles"reptilia Faculty of Veterinary Medicine, University of Zagreb Zagreb, May 25 th -26 th, 2018 Snake envenomation (ophitoxemia) of domestic animals in Croatia - risk factors Maja Lang Balija 1,Marija Brgles 1, Beata Halassy 1 1 University of Zagreb, Centre for Research and Knowledge Transfer in Biotehnology AntiTox New 20624 (Beata Halassy)

Snake bite envenomation (gr.ophitoxemia) is the term that characterizes the clinical spectrum of snake bite envenomation. envenomation is a neglected public health problemin humane and veterinary medicine medical importance snake family in Europe: family Viperidae, subfamily Viperinae head details long-nosed viper, nose horned viper head details meadow viper, Orsini s viper head details European viper, common viper

Venomous snakes in Croatia Common name Species/subspecies Subspecies in Croatia Distribution in Croatia Conservation status nose-horned viper Vipera ammodytes L. V.a. ammodytes V.a. meridionalis V.a. montadoni V.a.transcaucasiana V.a.ammodytes thewholemediterraneanpart, Gorski Kotar, Lika, Kordun, SW Croatia -southslopesof Žumberak and Samobor hills, Medvednica, Strahinjščica, Ivanščica and Kalnik, Croatian Zagorje and Istria; Islands- only confirmedon Krk, Pag, Vir, Brač, Hvar, Korčula and Mljet NT 1 common European adder Vipera berus L. V.b. berus V.b. bosniensis V.b.sachalinensis V.b.nikolskii V.b. berus V.b. bosniensis the mountainous regions of Gorski Kotarand probably on the Velika and Mala Kapela the lowlands of Croatia, in the lowlands of the large rivers(sava, Drava, Mura and the Danube) LC 2 LC meadowviper, (Ursini's viper) Vipera ursini B. V.u. macrops V.u. graeca V.u. moldavica V.u. rakosiensis V. ursinii ssp. (Cro) strictlylimited locations: South Velebit, Poštak, Lisac, Dinara, Troglav and Kamešnica EN 3, VU 4 / endemic 1 NT - nearthreatenedspecies 2 LC - last concern species 3 EN - endangered species 4 VU - vulnerable species

Vipera ammodytes L. the largest and most medically important snake of southern Europe Description: subspecies in Croatia Vipera ammodytes ammodytes(vaa) max.totallength 85 cm (male > female, max. 110 cm) characteristic: a single soft and flexible horn on the snout (in Vaa it points diagonally forward) colour pattern -form light grey to black and from yellow to dark brown with typical darker zig-zag dorsal pattern Habitat: dry, rocky hillsides with sparse vegetation, woodlands may be found from 0-1800 m a.s.l. Feeding: lizards, mammals, birds Reproduction: mating (april may), eggs hatching (august-october) ovoviviparous

Vipera berus L. the most widespread and medically important snake in Europe Description: subspecies in Croatia Vipera berus berus(vbb)andvipera berus bosniensis (Vbbos) max.total length 60-70 cm (male < female) characteristic: white supralabial scale colour pattern -form verylight coloredspecimenswith darker zig-zag dorsal pattern to melanistic individuals Habitat: Vbb- rocky hillsides from 800-1600 m a.s.l. Vbbos wethabitatsin the lowlands of the largerivers(0-400 m a.s.l.) Feeding: lizards, mammals, frogs, newts, and salamanders Reproduction: mating (april may), eggs hatching (august-october) ovoviviparous

Vipera ursinii L. the smallest viper in Europe; it is not medically important Description: subspecies in Croatia V. ursinii ssp. (CRO) yetundescribed subspecies - endemic max.total length 50 cm (male < female) characteristic: looks like common adder with difference snout colour pattern -gray, tan, or yellowish with a dark undulating dorsal stripe Habitat: strictly limited locations on from 1000-1800 m a.s.l. Feeding: crickets, locusts, lizards Reproduction: mating (april may), eggs hatching (august-october) ovoviviparous

Lethaltoxicity (LD50in μg), hemorrhagic activity (MHD in μg), average amount of venom yield, and fang length of venomous snake in of Croatia V. ammodytes ammodytes V. ursinii ssp. (CRO) V. berus berus V. berus bosniensis LD 50 (µg) 4,4-13,7 1 37,01 ±0,05 (n=3) 2 11,1 12,9 3 9,15 11,1 4 MHD (µg) 21,6-42,8 34,12 ±4,75 (n=4) > 12 > 50 fang lenth(mm) 8-12 2-2,5 4-6 4-6 venom yield (mg) 10-45 0,5-4 4-10 4-10 1 depending on the geografical location (as determined by HALASSY et al, 2011.) 2 measured only for the collection sample from the Poštak 3 measured for in house standard of the Institute of Immunology Inc., Zagreb 4 measured only for pooled samples of venom from location Šumeće, Slavonski Brod

Major proteins family in viper venom Enzymes from Snake Venom : secreted phospholipases A 2 (spla 2 ) groups IA, IIA metalloproteinases(svmps) serine proteases L-amino acid oxidase(laao) acetylcholinesterase Catalytically inactive : disintegrin vascular endothelium growth factor-vegf cystein rich protein-crisp etc. 139 protein dots, only 38 identified Georgieva D et al. Journal of Proteome Research 2008; 7: 866-886.

Comparison of different snake venoms from Croatia kda 260 160 Vaa VuCRO Vbb Vbbos 110 80 60 nuklease, L-amino acid oxidase LAAO P-III metalloproteinases 50 40 30 20 15 10 1 2 3 4 5 serine proteases CRISP P-I metalloproteinases PLA2, C-type lectin disintegrin, myotoxin Line: 1. molecularweightstandards(kda) 2. V. ammodytes ammodytes(vaa) 3. V. ursinii ssp.var. Croatia (VuCRO) 4. V. berus berus(vbb) 5. V. berus bosniensis (Vbbos) Protein identification by mass spectrometry(peptide massfingerprintandms/ms); each lane contains 40 µg of venom; SDS-PAGE of venoms was performed under reducing conditions (basic protein families are marked according to Maskessy, S.P. (2010))

Data fromministry of Environment and Energy, Directorate for nature protection - damages claims caused by protected species region perpetrator 2015 2016 2017 Damages claims Lika-Senj Country nose-horned viper 0 1 1 2 Zadar region nose-horned viper 7 0 6 13 Total score 7 1 7 15

Survey results epidemiological study of the occurrence of snake bites in domestic and companion animals in Croatia Zlatar Buzet Zagreb Samobor Lukavec Čakovec Bjelovar Čađavica Stari Mikanovci Rovinj Kukuruzari(Hrv. Kostajnica) Brinje Gospić animals number dog 59 sheep 14 cat 4 cow 1 Zadar Split legend: Vbb vs Vbbos border without the incidence of bites the incidence of bites horse 1

Conclusion: the clinical picture of snake venom envenomation in domestic animals is difficult to detect most medically important snake in Europe is V. berus berus, but thenose-hornedviperisthe most dangerousand medically important snake in SouthEurope (Croatia), both for human and for veterinary medicine the questionnaire showed there is no evidence of snake bite by Vipera berus in Croatia there is no published dataor casereportof Vipera ammodytes snake bite in domestic or companion animals

thankyou for your attention mlbalija@unizg.hr