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Snakebites affect about 1.8 million people annually. The current standard of care involves antibody-based antivenoms, which can be difficult to access and are generally not effective against local tissue injury, the primary cause of morbidity. Here, we used a pooled whole-genome CRISPR knockout screen to define human genes that, when targeted, modify cell responses to spitting cobra venoms. A large portion of modifying genes that conferred resistance to venom cytotoxicity was found to control proteoglycan biosynthesis, including EXT1, B4GALT7, EXT2, EXTL3, XYLT2, NDST1, and SLC35B2, which we validated independently. This finding suggested heparinoids as possible inhibitors. Heparinoids prevented venom cytotoxicity through binding to three-finger cytotoxins, and the US Food and Drug Administration–approved heparinoid tinzaparin was found to reduce tissue damage in mice when given via a medically relevant route and dose. Overall, our systematic molecular dissection of cobra venom cytotoxicity provides insight into how we can better treat cobra snakebite envenoming.

In Medicago truncatulahigh rates of somatic embryo formation can be induced in the Jemalong genotype 2HA by application of the hormones auxin and cytokinin. Biosynthesis of the stress-related hormone ethylene is also necessary for somatic embryogenesis (SE) and is most likely a response to wounding and the presence of auxin in the medium. We have demonstrated that expression of a gene designated Mt SOMATIC EMBRYO RELATED FACTOR 1(MtSERF1) induced by ethylene, in the presence of auxin plus cytokinin, is essential for SE. The promoter region of this transcription factor, a member of the ERF sub-family of the AP2/ERF super family, contains putative binding sites for auxin and cytokinin in addition to ethylene. An additional finding was the presence of WUSCHEL (WUS) binding sites in the MtSERF1promoter region, which is discussed. Here we also discuss the Medicago data in the context of embryogenesis studies in Arabidopsis and suggest that MtSERF1 has a key developmental role, possibly in conjunction with WUS, in regulating downstream genes required for the initiation of SE.Addendum to: Mantiri FR, Kurdyukov S, Lohar DP, Sharopova N, Saeed NA, Wang X-D, VandenBosch KA, Rose RG. The transcription factor MtSERF1 of the ERF subfamily identified by transcriptional profiling is required for somatic embryogenesis induced by auxin plus cytokinin in Medicago truncatula. Plant Physiol 2008; 146:1622-36.