1. Effect of the metalloproteinase inhibitor batimastat in the systemic toxicity induced by Bothrops asper snake venom: understanding the role of metalloproteinases in envenomation.
- Author
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Rucavado A, Escalante T, and Gutiérrez JM
- Subjects
- Animals, Costa Rica, Crotalid Venoms metabolism, Crotalid Venoms toxicity, Dose-Response Relationship, Drug, Drug Interactions, Factor X drug effects, Factor X metabolism, Hemorrhage chemically induced, Histological Techniques, Lethal Dose 50, Lung pathology, Mice, Phenylalanine metabolism, Prothrombin drug effects, Prothrombin metabolism, Snake Bites mortality, Thiophenes metabolism, Time Factors, Blood Coagulation drug effects, Bothrops, Crotalid Venoms antagonists & inhibitors, Hemorrhage prevention & control, Metalloendopeptidases antagonists & inhibitors, Phenylalanine analogs & derivatives, Phenylalanine pharmacology, Snake Bites physiopathology, Thiophenes pharmacology
- Abstract
The peptidomimetic hydroxamate metalloproteinase inhibitor batimastat (BB-94) was assessed for its ability to neutralize the systemic effects (lethality, hemorrhage and coagulopathy) induced by the venom of Bothrops asper, the most important snake from a medical standpoint in Central America. Batimastat inhibited lethality when a venom challenge dose of two LD(50)s was used by intraperitoneal and intravenous routes, with ED(50)s of 250 and 22 microM, respectively. With a challenge dose of three LD(50)s, lethality was not abrogated, but a conspicuous and dose-dependent delay in the time of death was observed in mice injected with mixtures of venom plus batimastat. Upon incubation with 500 microM batimastat, venom LD(50) increased 2.86-fold (intraperitoneal route) and 2.37-fold (intravenous route), when compared with LD(50) of venom alone. Batimastat also inhibited the hemorrhagic effect induced by venom in the lungs after intravenous injection. Moreover, batimastat exerted a significant inhibition of in vitro coagulant and in vivo defibrinogenating effects of venom, evidencing that metalloproteinases play a key role in the coagulopathy characteristic of B. asper envenomation. The remaining uninhibited coagulant effect is due to serine proteinases, i.e. thrombin-like enzymes, since this effect was completely abrogated by the combination of batimastat and PMSF. Our results stress the view that metalloproteinases play a relevant role in the systemic pathophysiology of B. asper envenomation and that metalloproteinase inhibitors may become a therapeutic alternative in this pathology.
- Published
- 2004
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