Snake Venom and its Effects on The Body

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2017 11 29 Snake Venom and its Effects on The Body Bosco Xu and Aravind Rajendran Life Science 4M03 Supporting Cast: Curtis M., Harleen K., and Yhameen H. 1 of 26

Outline 1. History and Evolution 2. Interesting Snake/Venom Facts 3. How To Identify Venomous Snakes 4. Fang Structures 5. Classification of Snake Venom 6. Injection Tactics 7. Chemical Make-Up of Venom 8. Factors Determining Venom Quantity 9. Mechanisms of Action (Normal) 10. Mechanisms of Action (Toxins) 11. Determining Venom Toxicity 12. Physiological Effects 13. Use of Snake Venom to Treat Disease 14. Snake Bite Venom Management 15. Snake Venom Immunity 16. Venom Treatment 17. Current and Future Studies 18. Conclusion 2 of 26

History and Evolution Culturally significant Egyptians Atoum Greek Acheloos Hinduism Kaleyeni Christianity Devil Venom genetically ancestral to snakes https://www.pinterest.fr/sbastienque rcy/pith%c3%b4m-pi-atoum-tjekou/ (Boquet, 1979; Fry, 2005; Fry 2012) 3 of 26

Interesting Venom/Snake Facts 8000 venomous snake bites are reported in USA every year (Copperhead Most) India - most affected (35000-50000 deaths/year) Prey includes fish, frogs, snails, lizards, chickens, mice, other snakes Venom is primary offensive weapon Belcher s Sea Snake Bite = Can Kill 1000 Humans (Nielson, n.d; Kang et al., 2011) 4 of 26

More Interesting Venom/Snake Facts (Nielson, n.d; Kang et al., 2011) 5 of 26

How to Identify Venomous Snakes Three families of venomous snakes Atractaspidids o Colubridae family o Lightly toxic venom tissue necrosis Elapids o Neurotoxin (central nervous systems/respiration) Viperids o Hematoxic venom (tissue or blood) Based on colours, triangular head, elliptical pupils, rattles, skin pattern etc. https://1.bp.blogspot.com/- w2pccrkd2xk/ws1i_wekbxi/aaaaaaa APDI/_G2buHWOxc9g0QLU6pck8bGt7 7LLvbFACLcB/s1600/Common%2BVen omous%2bsnakes.jpg (Underwood, 1979; Savage & Slowinski, 1992 and Reed, 2003 ) 6 of 26

Fang Structures Three fang structures Proteroglyphous Elapid Family Fixed to the jaw and cannot fold up Solenoglyphous Viper family Attached to the jaw by a hinge and can be folded up against the roof of the mouth Longest Opisthoglyphous Colubrid family At the back of the mouth (Vonk et al, 2008 and Warrell, 2010) https://upload.wikimedia.org/wi kipedia/commons/thumb/f/ff/cr otalus_skull.jpg/220px- Crotalus_skull.jpg https://upload.wikimedia.org/wiki pedia/commons/thumb/8/87/op hiophagus_hannah_skull.jpg/220p x-ophiophagus_hannah_skull.jpg https://allyouneedisbiolog y.files.wordpress.com/201 5/02/malpolonbo.jpg?w=204&h=176 7 of 26

Classification of Snake Venom Five different types of snake venom: Hemotoxic Venom RBCs or other tissue Hemolysis, disrupts blood clotting etc. Tissue Damage are permanent Myotoxic Venom Muscle tissues or kidney Paralysis, loss muscle contraction etc. Benefits for the snakes to eat and leave the prey flaccid Neurotoxic Venom Nervous system, respiration Vomiting, droopy eyelids etc. Cytotoxic Venom Destroy and attacks the living cells of all sorts Bleeding, swelling etc. Haemorrhagic Envenoming Bleeding in multiple organs (Chang, 1979; Karlssoni, 1979; Ohsaka, 1979 and Russell, 1980 ) 8 of 26

Injection Tactics Purposes of bite Inject the venom into their prey (immobilize and or kill) Defend against attack by potential predators and antagonists Fang Contact Viperid snakes Strike and release targets for both predatory and defensive bites Elapid snakes more inclined to hold after biting more chance to delivery of more venom more sophisticated delivery system spit small fractions of venom for defensive purposes repeatedly https://www.youtube.com/watch?v=srzmesidcde (Malasit et al., 1986 ) 9 of 26

Chemical Make-up of Venom Venom gland = modified version of salivary gland Different toxin encoding genes = different venom Primary constituents: proteins and peptides (aka toxins) Contains 30 to >100 protein toxins Common enzymes Phospholipase A2s (PLA2s) Serine proteinases Metalloproteinases Acetylcholinesterases (AChEs) l-amino acid oxidases (Johnson, 2012; Casewell et al., 2014; Kang et al., 2011) http://www.sundayguardianli ve.com/sites/sundayguardianl ive.com/files/styles/article_pa ge_image_895x550/public/ 10 of 26

Factors Determining Venom Quantity Correlates to snake s size o Increases exponentially with snake size Ranges from 1 mg to 850 mg Accurate assessment of prey before venom injection o Situation + (Size/Type of Target) Uses chemosensory, visual and thermal cues Rattlesnakes increase venom quantity based on target size https://www.youtube.com/watch?v=gymu_wyqxyw (Johnson, 2012; Young, Lee, & Daley, 2002) 11 of 26

Toxins (Mechanism of Action) - Normal http://www.dummies.com/educati on/science/understanding-thetransmission-of-nerve-impulses/ (Gong et al., 2008) 12 of 26

Toxins (Mechanism of Action) - Normal https://universe-review.ca/i10-88-connsynapse.jpg (Rossetto et al., 2008) 13 of 26

Toxins (Mechanism of Action) - Neurotoxins (Fasciculins) Target is Acetylcholinesterase Acetylcholine NOT broken down Overstimulation of postsynaptic neuron Causes tetany (involuntary muscle contraction) NORMAL FASCICULIN https://sites.google.com/a/mac alester.edu/nerveagents/home/acetylcholineand-vx (Lauridsen et al, 2016) 14 of 26

Toxins (Mechanism of Action) - Neurotoxins (Dendrotoxins/α-neurotoxins) Dendrotoxins α-neurotoxins Target is K+ channels Action Potentials NOT completed No relay of message Causes paralysis of nerves (Laustsen et al, 2015; Lauridsen et al, 2017) https://www.epilepsyresearch.org.uk/about -epilepsy/background-to-seizures/ Target is nicotinic acetylcholine receptors Antagonistic Acetylcholine cannot bind Causes paralysis of nerves 15 of 26

Toxins (Mechanism of Action) - Cytotoxins (Phospholipases) Hydrolyze phospholipids Several physiological systems affected Integrity of the membrane lost Cell membrane ruptures https://en.wikipedia.org/wi ki/snake_venom#neurotox ins (Valdez-Cruz et al, 2007) 16 of 26

Toxins (Mechanism of Action) - Cytotoxins (Hemotoxins) Causes hemolysis http://www.zo.utexas.edu/facul ty/sjasper/images/malariarbc.j pg Induce excess blood coagulation Result is vast internal bleeding Death (Most Deadly Snake Toxin) (Tang et al, 2016) http://www.newhealthguide.org/inte rnal-bleeding-symptoms.html 17 of 26

Determining Venom Toxicity LD-50 test Find the required dose that will kill half of the population of species Not considered a biological constant http://www.occupyforanimals.net/uploads/7/7/3/5/7 735203/1065327.jpg?362 http://trinities.org/blog/wp-content/uploads/1-person-in-2- natures.png (Elli, 2017; Kini & Evans, 1990) 18 of 26

Physiological Effects Different species, different symptoms Common Symptoms: Swelling and redness Pain around the area Difficulty breathing Nausea Blurred vision Sweating Salivating Numbness Interference in platelet aggregation https://www.mesotheliomalawyercenter.org/site/wpcontent/uploads/2013/05/symptoms.jpg (Elli, 2017; Kini & Evans, 1990) 19 of 26

Use of Snake Venoms to Treat Disease Venoms consist of: Use in cancer Complex proteins, peptides, enzymes, etc. Inhibit cell proliferation and promote cell death Occur because of increased/decreased expression of proteins that control the cell cycle, apoptosis induced cancer cells, etc. Create drugs involved with: Thrombin inhibition, blood thin, etc. http://news.mit.edu/sites/mi t.edu.newsoffice/files/image s/2012/20121003154740-0_0.jpg (Elli, 2017; Kini & Evans, 1990) 20 of 26

Snake Bite Venom Management https://www.offgridweb.com/preparation/infographic-snakebite-first-aid/ Common hazard in some places of the world Snake bite venom management: 1. First aid 2. Hospital emergency care 3. History and physical examination 4. Laboratory tests 5. Targeted therapy (anti-snake venom) (Ahmed et al., 2008) 21 of 26

Snake Venom Immunity Immunoglobulins from immunizing horses with snake venom Antivenom created from horse serum Sole effective antidote Steve Ludwin snake venom immunity? (www.cnn.com/.../snake-venom-self-immunization-steveludwin-...) http://uk.businessinsider.com/a-man-who-injects-himselfwith-snake-venom-says-it-is-keeping-him-young-and-couldsave-thousands-of-lives-2016-7 (Ahmed et al., 2008; Froissart, 2017) 22 of 26

Venom Treatment (1868 case) Man bitten by venomous snake in 1868 Surgeon ties ligature & cuts site of bite Pours ammonia on wound site Meanwhile, patient drinks brandy Patient (somehow) survives Injects ammonia into vein of bitten arm Applies mustard poultice to abdomen, hand, feet (Hobbins, 2017) 23 of 26

Other Traditional Venom Treatments http://www.iflscience.com/editors-blog/10-survival-myths-thatmight-get-you-killed/ http://web.ecs.baylor.edu/faculty/newberry/myweb/gtx%20os%20 files/f05%20student%20pages/morehousebasinger/harvey%207.htm Suction Ligature Medicinal plants (Vitis vinifera L) http://www.uniprot.org/taxonomy/29760 (Hobbins, 2017; Gupta & Peshin, 2012 24 of 26

Current and Future Studies Venom used in pharmaceutical research (Fox and Serrano, 2007) 25 of 26

Conclusion Venom is a defence mechanism/offensive weapon Venom quantity increases with snake's size + prey size/type Different Toxin, target different body components/processes (action potentials, red blood cells, etc.) Different snake bites = different physiological effects https://www.factslides.com/s-snake Venom as cancer treatment (inhibit cell proliferation/promote)cell death Snake bite can be treated: o First aid o o o Emergent Care Targeted Therapy Anti-venom Treatment 26 of 26

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