Progress and Challenges in the Field of Snakebite Envenoming Therapeutics

 

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Autores: Gutiérrez, José María, Casewell, Nicholas R., Laustsen, Andreas Hougaard
Formato: artículo original
Fecha de Publicación:2024
Descrição:Snakebite envenoming kills and maims hundreds of thousands of people every year, especially in the rural settings of tropical regions. Envenomings are still treated with animal-derived antivenoms, which have prevented many lives from being lost but which are also medicines in need of innovation. Strides are being made to improve envenoming therapies, with promising efforts made toward optimizing manufacturing and quality aspects of existing antivenoms, accelerating research and development of recombinant antivenoms based on monoclonal antibodies, and repurposing of small-molecule inhibitors that block key toxins. Here, we review the most recent advances in these fields and discuss therapeutic opportunities and limitations for different snakebite treatment modalities. Finally, we discuss challenges related to preclinical and clinical evaluation, regulatory pathways, large-scale manufacture, and distribution and access that need to be addressed to fulfill the goals of the World Health Organization's global strategy to prevent and control snakebite envenoming.
País:Kérwá
Recursos:Universidad de Costa Rica
Repositorio:Kérwá
Idioma:Inglés
OAI Identifier:oai:kerwa.ucr.ac.cr:10669/104641
Acesso em linha:https://hdl.handle.net/10669/104641
https://doi.org/10.1146/annurev-pharmtox-022024-033544
Palavra-chave:snakebite envenoming
snake venom toxins
antivenom
recombinant antivenom
monoclonal antibodies
small-molecule inhibitors