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Development of a new polyspecific antivenom for snakebite envenoming in Sri Lanka: analysis of its preclinical efficacy as compared to a currently available antivenom

 

Tallennettuna:
Bibliografiset tiedot
Tekijät: Villalta, Mauren, Sánchez, Andrés, Herrera, María, Vargas, Mariángela, Segura, Álvaro, Cerdas, Maykel, Estrada, Ricardo, Gawarammana, Indika, Keyler, Dan. E., McWhorter, Kimberly, Malleappah, Roy, Alape-Girón, Alberto, León, Guillermo, Gutierrez, José María
Aineistotyyppi: artículo original
Julkaisupäivä:2016
Kuvaus:A new whole IgG, freeze-dried, polyspecific antivenom was prepared from the plasma of horses immunized with the venoms of the snakes Daboia russelii, Echis carinatus, Hypnale hypnale, and Naja naja from Sri Lanka. The preclinical neutralizing ability of this antivenom against several toxic and enzymatic activities of these four venoms was analyzed, and compared with that of a batch of VINS antivenom (India) being currently used in Sri Lanka. The activities tested were: lethality, hemorrhagic, in vitro coagulant, proteinase and phospholipase A2. Both antivenoms neutralized, to a different extent, these activities of the venom of D. russelii, E. carinatus, and N. naja. In general, the polyspecific Sri Lankan antivenom was more effective than the Indian antivenom in the neutralization of the venoms of D. russelii and E. carinatus, whereas the Indian antivenom showed a higher efficacy against the venom of N. naja. Regarding H. hypnale, the new Sri Lankan antivenom was effective in the neutralization of all activities tested, whereas the Indian antivenom neutralized lethality but not hemorrhagic, coagulant, proteinase and PLA2 activities, in agreement with the fact that this venom is not included in the immunization mixture for this antivenom. Results suggest that the new polyspecific Sri Lankan antivenom has a satisfactory preclinical neutralizing profile and compares favorably with the Indian antivenom. This is ready to be tested in a clinical trial to evaluate its efficacy and safety in human victims of snakebite envenomings by D. russelii, E. carinatus and H. hypnale in Sri Lanka.
Maa:Kérwá
Organisaatio:Universidad de Costa Rica
Repositorio:Kérwá
Kieli:Inglés
OAI Identifier:oai:kerwa.ucr.ac.cr:10669/104719
Linkit:https://www.sciencedirect.com/science/article/pii/S0041010116303002?via%3Dihub
https://hdl.handle.net/10669/104719
https://doi.org/10.1016/j.toxicon.2016.10.007
Sanahaku:Snake venoms
Sri Lanka
Antivenoms
Neutralization
Daboia russelii
Echis carinatus