Structural determinants of the hyperalgesic activity of myotoxic Lys49-phospholipase A2

Abstract Background Bothropstoxin-I (BthTx-I) is a Lys49-phospholipase A2 (Lys49-PLA2) from the venom of Bothrops jararacussu, which despite of the lack of catalytic activity induces myotoxicity, inflammation and pain. The C-terminal region of the Lys49-PLA2s is important for these effects; however, the amino acid residues that determine hyperalgesia and edema are unknown. The aim of this study was to characterize the structural determinants for the Lys49-PLA2-induced nociception and inflammation. Methods Scanning alanine mutagenesis in the active-site and C-terminal regions of BthTx-I has been used to study the structural determinants of toxin activities. The R118A mutant was employed as this substitution decreases PLA2 myotoxicity. In addition, K115A and K116A mutants which contribute to decrease cytotoxicity and the K122A mutant which decreases both myotoxicity and cytotoxicity were also used. The H48Q mutant which does not interfere with membrane damage or myotoxic activity was used to evaluate if the PLA2 catalytic site is relevant for the non-catalytic PLA2-induced pain and inflammation. Wistar male rats received intraplantar injections with mutant PLA2. Subsequently, hyperalgesia and edema were evaluated by the paw pressure test and by a plethysmometer. Native and recombinant BthTx-I were used as controls. Results Native and recombinant BthTx-I induced hyperalgesia and edema, which peaked at 2 h. The R118A mutant did not induce nociception or edema. The mutations K115A and K116A abolished hyperalgesia without interfering with edema. Finally, the K122A mutant did not induce hyperalgesia and presented a decreased inflammatory response. Conclusions The results obtained with the BthTx-I mutants suggest, for the first time, that there are distinct residues responsible for the hyperalgesia and edema induced by BthTx-I. In addition, we also showed that cytolytic activity is essential for the hyperalgesic effect but not for edematogenic activity, corroborating previous data showing that edema and hyperalgesia can occur in a non-dependent manner. Understanding the structure-activity relationship in BthTx-I has opened new possibilities to discover the target for PLA2-induced pain.

Articular inflammation induced by an enzymatically-inactive Lys49 phospholipase A2: activation of endogenous phospholipases contributes to the pronociceptive effect

Abstract Background Arthritis is a set of inflammatory conditions that induce aching, stiffness, swelling, pain and may cause functional disability with severe consequences to the patients lives. These are multi-mediated pathologies that cannot be effectively protected and/or treated. Therefore, the aim of this study was to establish a new model of acute arthritis, using a Lys49-PLA2 (Bothrops asper myotoxin II; MT-II) to induce articular inflammation. Methods The articular inflammation was induced by MT-II (10 g/joint) injection into the left tibio-tarsal or femoral-tibial-patellar joints. Cellular influx was evaluated counting total and differential cells that migrated to the joint. The plasma extravasation was determined using Evans blue dye. The edematogenic response was evaluated measuring the joint thickness using a caliper. The articular hypernociception was determined by a dorsal flexion of the tibio-tarsal joint using an electronic pressure-meter test. The mediators involved in the articular hypernociception were evaluated using receptor antagonists and enzymatic inhibitors. Results Plasma extravasation in the knee joints was observed 5 and 15 min after MT-II (10 g/joint) injection. MT-II also induced a polymorphonuclear cell influx into the femoral-tibial-patellar joints observed 8 h after its injection, a period that coincided with the peak of the hyperalgesic effect. Hyperalgesia was inhibited by the pretreatment of the animals with cyclooxygenase inhibitor indomethacin, with type-2 cyclooxygenase inhibitor celecoxib, with AACOCF3 and PACOCF3, inhibitors of cytosolic and Ca2+-independent PLA2s, respectively, with bradykinin B2 receptor antagonist HOE 140, with antibodies against TNF, IL-1, IL-6 and CINC-1 and with selective ET-A (BQ-123) and ET-B (BQ-788) endothelin receptors antagonists. The MT-II-induced hyperalgesia was not altered by the lipoxygenase inhibitor zileuton, by the bradykinin B1 receptor antagonist Lys-(Des-Arg9,Leu8)-bradykinin, by the histamine and serotonin antagonists promethazine and methysergide, respectively, by the nitric oxide inhibitor LNMMA and by the inhibitor of matrix 1-, 2-, 3-, 8- and 9- metalloproteinases GM6001 (Ilomastat). Conclusion These results demonstrated the multi-mediated characteristic of the articular inflammation induced by MT-II, which demonstrates its relevance as a model for arthritis mechanisms and treatment evaluation.

Structural determinants of the hyperalgesic activity of myotoxic Lys49-phospholipase A2

Background Bothropstoxin-I (BthTx-I) is a Lys49-phospholipase A2 (Lys49-PLA2) from the venom of Bothrops jararacussu, which despite of the lack of catalytic activity induces myotoxicity, inflammation and pain. The C-terminal region of the Lys49-PLA2s is important for these effects; however, the amino acid residues that determine hyperalgesia and edema are unknown. The aim of this study was to characterize the structural determinants for the Lys49-PLA2-induced nociception and inflammation. Methods Scanning alanine mutagenesis in the active-site and C-terminal regions of BthTx-I has been used to study the structural determinants of toxin activities. The R118A mutant was employed as this substitution decreases PLA2 myotoxicity. In addition, K115A and K116A mutants - which contribute to decrease cytotoxicity - and the K122A mutant - which decreases both myotoxicity and cytotoxicity - were also used. The H48Q mutant - which does not interfere with membrane damage or myotoxic activity - was used to evaluate if the PLA2 catalytic site is relevant for the non-catalytic PLA2-induced pain and inflammation. Wistar male rats received intraplantar injections with mutant PLA2. Subsequently, hyperalgesia and edema were evaluated by the paw pressure test and by a plethysmometer. Native and recombinant BthTx-I were used as controls. Results Native and recombinant BthTx-I induced hyperalgesia and edema, which peaked at 2 h. The R118A mutant did not induce nociception or edema. The mutations K115A and K116A abolished hyperalgesia without interfering with edema. Finally, the K122A mutant did not induce hyperalgesia and presented a decreased inflammatory response. Conclusions The results obtained with the BthTx-I mutants suggest, for the first time, that there are distinct residues responsible for the hyperalgesia and edema induced by BthTx-I. In addition, we also showed that cytolytic activity is essential for the hyperalgesic effect but not for edematogenic activity, corroborating previous data showing that edema and hyperalgesia can occur in a non-dependent manner. Understanding the structure-activity relationship in BthTx-I has opened new possibilities to discover the target for PLA2-induced pain.(AU)

Articular inflammation induced by an enzymatically-inactive Lys49 phospholipase A2: activation of endogenous phospholipases contributes to the pronociceptive effect

Background Arthritis is a set of inflammatory conditions that induce aching, stiffness, swelling, pain and may cause functional disability with severe consequences to the patient's lives. These are multi-mediated pathologies that cannot be effectively protected and/or treated. Therefore, the aim of this study was to establish a new model of acute arthritis, using a Lys49-PLA2 (Bothrops asper myotoxin II; MT-II) to induce articular inflammation. Methods The articular inflammation was induced by MT-II (10 μg/joint) injection into the left tibio-tarsal or femoral-tibial-patellar joints. Cellular influx was evaluated counting total and differential cells that migrated to the joint. The plasma extravasation was determined using Evans blue dye. The edematogenic response was evaluated measuring the joint thickness using a caliper. The articular hypernociception was determined by a dorsal flexion of the tibio-tarsal joint using an electronic pressure-meter test. The mediators involved in the articular hypernociception were evaluated using receptor antagonists and enzymatic inhibitors. Results Plasma extravasation in the knee joints was observed 5 and 15 min after MT-II (10 μg/joint) injection. MT-II also induced a polymorphonuclear cell influx into the femoral-tibial-patellar joints observed 8 h after its injection, a period that coincided with the peak of the hyperalgesic effect. Hyperalgesia was inhibited by the pretreatment of the animals with cyclooxygenase inhibitor indomethacin, with type-2 cyclooxygenase inhibitor celecoxib, with AACOCF3 and PACOCF3, inhibitors of cytosolic and Ca2+-independent PLA2s, respectively, with bradykinin B2 receptor antagonist HOE 140, with antibodies against TNFα, IL-1β, IL-6 and CINC-1 and with selective ET-A (BQ-123) and ET-B (BQ-788) endothelin receptors antagonists. The MT-II-induced hyperalgesia was not altered by the lipoxygenase inhibitor zileuton, by the bradykinin B1 receptor antagonist Lys-(Des-Arg9,Leu8)-bradykinin, by the histamine and serotonin antagonists promethazine and methysergide, respectively, by the nitric oxide inhibitor LNMMA and by the inhibitor of matrix 1-, 2-, 3-, 8- and 9- metalloproteinases GM6001 (Ilomastat). Conclusion These results demonstrated the multi-mediated characteristic of the articular inflammation induced by MT-II, which demonstrates its relevance as a model for arthritis mechanisms and treatment evaluation.(AU)

Clinical, behavioral and antinociceptive effects of crotalphine in horses / Efeitos clínico, comportamental e antinociceptivo da crotalfina em equinos

ABSTRACT: Crotalphine is a novel analgesic peptide that acts on kappa opioid and delta receptors, causing powerful analgesia in rats submitted to inflammatory, neuropathic or oncologic models of pain. This study evaluated clinical, behavioral and antinociceptive effects caused by crotalphine in horses, employing 18 Arabian horses and it was divided in three phases. In Phase I, "clinical and behavioral effects", crotalphine did not change the latency to urinate and defecate; did not modify the values of cardiac or respiratory rates, intestinal motility and rectal temperature; and did not cause significant ataxia, head, eye and lip ptosis. In Phase II, "antinociceptive effect on intact skin at scapular or ischial region", crotalphine did not cause significant analgesia. In Phase III, "antinociceptive effect on incised skin at scapular or ischial region", crotalphine promoted effective antinociceptive effects for six hours and inhibited hyperalgesia state for three days in the ischial region of horses submitted to incisional model of inflammatory pain, but crotalphine did not evoke relevant analgesic effect on the scapular region. Concluding, intravenous injection of a single dose of crotalphine (3.8ngkg-1) did not cause important clinical or behavioral changes and promotes antinociceptive effect on incised ischial region for seven days in horses. Moreover, crotalphine did not evoke relevant anti nociceptive effect on the scapular region or in intact skin of horses.

RESUMO: A crotalfina é um novo peptídeo analgésico que atua em receptores opioides kappa e delta, causando analgesia potente em ratos submetidos a modelos de dorinflamatória, neuropática e oncológica. Este estudo avaliou os efeitos clínicos, comportamental e antinociceptivo da crotalfina em equinos, empregou 18 cavalos da raça Puro Sangue Árabe e foi dividido em três fases. Na Fase I, "efeitos clínicos e comportamentais", a crotalfina não alterou a latência para urinar e defecar; não interferiu nos valores de frequência cardíaca ou respiratória, motilidade intestinal etemperatura retal; e não causou ataxia, ptose labial, palpebral ou de cabeça significativas. Na Fase II, "efeito antinociceptivo na pele íntegra da região escapular ou isquiática", a crotalfina não gerou analgesia significativa. Na Fase III, "efeito antinociceptivo na pele incisada da região escapular ou isquiática", a crotalfina promoveu efeito antinociceptivo efetivo por seis horas e inibição da hiperalgesia por três dias na região isquiática de equinos submetidos ao modelo incisional de dor inflamatória, mas não houve analgesia relevante na região escapular. Conclui-se que uma única injeção de crotalfina (3,8ngkg-1) não causa alterações clínicas ou comportamentais importantes e promove efeito antinociceptivo na região isquiática incisionada durante sete dias em equinos. Além disso, a crotalfina não evoca efeito antinociceptivo relevante na região escapular e nem na pele intacta de cavalos.

Ausência de efeito antinociceptivo decorrente da administração intravenosa de crotalfina em comparação com morfina, U50-488H ou fenilbutazona em equinos submetidos à estimulação térmica da pele íntegra / Lake of antinociceptive effect caused by intravenous administration of crotalphine em comparision to morphine, U50-488H or phenylbutazone in horses submitted to thermal stimulation of the normal skin

Crotalfina é um novo peptídeo analgésico que atua em receptores opioides kappa e delta promovendo potente analgesia em ratos submetidos a modelos de dor inflamatória, neuropática ou oncológica. Talvez a crotalfina possa ser utilizada para tratar a dor em outras espécies. Assim, o objetivo deste estudo foi avaliar a resposta nociceptiva na região escapular e isquiática de cavalos tratados com crotalfina, morfina, U50-488H ou fenilbutazona e submetidos à estimulação térmica na pele íntegra. Dezoito cavalos da raça Puro Sangue Árabe foram alocados em cinco grupos experimentais: GC (5mL NaCl 0,9%), GCRO (3,8mg.kg-1 crotalfina), GK (160 µg.kg-1 U50-488H), GM (0,1mg.kg-1 morfina) e GF (4,4mg.kg-1 fenilbutazona). Os animais foram submetidos ao modelo de dor inflamatória por meio de estimulação térmica (140°C) e durante 24h avaliou-se a latência para o reflexo do frêmito cutâneo na região escapular (LRFCesc) e isquiática (LRFCisq). O U50-488H apresentou efeito antinociceptivo na região isquiática por duas horas, porém, nos demais momentos do grupo GK, bem como nos grupos GC, GCRO, GM e GF, não foi observado efeito antinociceptivo, visto que a LRFCesc e a LRFCisq na pele íntegra de cavalos não aumentaram em 24 horas de avaliação. Portanto, a crotalfina, a morfina, o U50-488H e a fenilbutazona não produziram efeito antinociceptivo relevante em equinos submetidos à estimulação térmica em pele íntegra.

Crotalphine is a novel analgesic peptide that acts on kappa and delta opioid receptors providing powerful analgesia in rats submitted to inflammatory, neuropathic or oncologic pain model. Maybe crotalphine can be used to treat pain in other species. So, the aim of this study was to evaluate nociceptive response at scapular and isquiatic region of horses treated with crotalphine, morphine, U50-488H or phenylbutazone and submitted to thermal stimulation in complete skin. Eighteen Arabian horses were allocated in five experimental groups: GC (5mL NaCl 0.9%), GCRO (3.8ng.kg-1 crotalphine), GK (160 µg.kg-1 U50-488H), GM (0.1mg.kg-1 morphine) and GP (4.4mg.kg-1 phenylbutazone). Animals were submitted to inflammatory pain model by thermal stimulation (140°C) and during 24h latency to skin twitch at scapular and isquiatic region were evaluated. The U50-488H produced antinociceptive effect at isquiatic region along two hours, but, in other moments of GK and in the other groups there was not antinociceptive effect, because LRFCesc and LRFCisq in complete skin of horses did not increase during 24h evaluation. Thus, crotalphine, morphine, U50-488H and phenylbutazone did not cause relevant antinociceptive effect in horses submitted to thermal stimulation in complete skin.

Maternal exposure to Bothrops jararaca snake venom: effects in mice offsprings / Exposição maternal ao veneno de Bothrops jararaca: efeitos na prole de camundongos

Objective - Bothrops jararaca snake is involved in almost 90% of all reports in the State of São Paulo, Brazil. Little is known about the effect of maternal exposure to B. jararaca snake venom [BjV] on fetal development. This study was designed to investigate the effect of a moderate dose of the venom (1.2 mg/kg sc on either gestation day GD5 or GD12), in pregnant mice and their offspring. Methods - In dams, during pregnancy, it was observed the body weight gain, food and water consumptions. In the last day of pregnancy, dams were submitted to a cesarean and the reproductive performance was measured. Thus, the fetuses body weight, the number of live and dead fetuses as wells as the external, visceral or skeletal alterations were assessed. Results - Results showed that the venom injection on GD5 did not change the dams weight and reproductive parameters, the fetuses weight, but it was observed high incidence of skeletal anomalies such as incomplete skull ossification and supernumerary ribs relative to controls. Dams treated in GD11 showed decreased food ingestion in the day after treatment. Their offspring presented a high incidence of skeletal anomalies such as vertebrae anomalies, sternebrae anomalies and incomplete skull ossification, which might be a sign of craniostenosis, than controls. Conclusions - In conclusion, subcutaneous administration of 1.2mg/kg BjV to pregnant mice either at GD4 or GD12 produced subtle maternal toxicity but a clear fetotoxicity. Whether these observations represent a reaction to treatment and, if so, the underlying mechanisms and their toxicological impact remain to be examined further in future studies.

Objetivo - O veneno de Bothrops jararaca está envolvido em quase 90% dos casos de envenenamento do Estado de São Paulo, Brasil. Pouco se sabe sobre o efeito no desenvolvimento fetal quando no caso de envenenamento materno. Este estudo examinou, em camundongas prenhes e sua prole, os efeitos do envenenamento por uma dose moderada do veneno de B. jararaca (1,2 mg/kg sc no 5° (GD5) e 11°(GD11) da gestação. Métodos - Anotou-se durante a gestação o ganho de peso corporal e o consumo de água e comida materno; no último dia de gestação, as mães foram submetidas a uma cesariana e a performance reprodutiva foi avaliada. Para tanto, anotou-se o peso dos fetos, o número de fetos vivos e mortos, assim como examinou-se a presença de alterações externas, esqueléticas, e viscerais. Resultados - Os resultados mostraram que a injeção do veneno no GD5 não alterou o peso materno, o consumo de água e ração, o peso dos fetos e os parâmetros reprodutivos, tendo sido observada alta incidência de anomalias esqueléticas tais como ossificação do crânio incompleta e costelas supranumerárias em relação aos controles. O envenenamento no GD11 promoveu decréscimo na ingestão de alimentos no dia subsequente ao tratamento. Neste caso, a prole apresentou alta incidência de anomalias esqueléticas tais como anomalias vertebrais, do esterno e ossificação incompleta do crânio, ou seja, craniostenose. Conclusões - O envenenamento moderado pelo veneno da B. jararaca em camundongas prenhas tanto no GD5 como no GD11 produziram efeitos sutís ao nível materno, porém nos fetos, apareceram severas alterações. Estudos futuros deverão ser feitos para entender os mecanismos subjacentes a este envenenamento durante a gestação.

Efeitos embriotóxicos do veneno de serpentes Crotalus durissus terrificus / Embriotoxic effects of Crotalus durissus terrificus snake venom

Introdução - A atividade neurotóxica, miotóxica e coagulante do veneno das serpentes Crotalus durissus terrificus (VCdt) são responsáveis pelas altas taxas de mortalidade observada em acidentes envolvendo estas serpentes. Estes acidentes, quando ocorrem na gravidez, podem levar ao aborto devido à interferência com a homeostasia materna e/ou à embrioletalidade, por efeito direto do veneno. Materiais e Métodos - Este trabalho estudou os efeitos tóxicos do VCdt, administrado nas doses de 75 mg/kg ou 200 mg/kg por via subcutânea em camundongas no terceiro dia da sua gestação (período de pré-implantação). O grupo controle foi tratado da mesma forma que os experimentais, porém com solução salina. No último dia da gestação as fêmeas foram submetidas a eutanásia e observadas as possíveis malformações ósseas e viscerais de sua prole. Resultados e Conclusão - Os resultados mostraram que a administração da menor dose do VCdt não causou alterações significantes no desenvolvimento ósseo e visceral dos animais. No entanto, quando expostos a maior dose este promoveu aumento significante das anomalias e malformações, sugerindo que o envenenamento com esta dose no período inicial da gestação altera o desenvolvimento normal da prole de camundongos.

Introduction - The neurotoxic, myotoxic and coagulant activities of Crotalus durissus terrificus snake venom (VCdt) are responsible for the mortality rates observed in accidents involving the rattlesnake. Accidents during women pregnancy are a challenge, since animal venoms could led to pregnancy interruption as a consequence of maternal homeostasis disorder and/or a direct embryotoxic effect of the venom. Materials and Methods - In order to evaluate the possible embryotoxic effects of VCdt, doses of 75 mg/kg or 200 mg/kg of the venom were administered by subcutaneous route at day 3 of mice pregnancy (preimplantation period). The control group received saline in the same volume and during the same period as their respective experimental groups. The animals were submitted to euthanasia at term. Results and Conclusion - The treatment of the females during the preimplantation period did not cause significant changes in fetuses development, but the higher dose of the venom increased the number of anomalies or malformations of the fetuses.These results suggest that the VCdt in the higher dose (200 mg/kg) altered the normal development of the concept after implantation.