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Antivenom Technology May Be A Treatment Game Changer
Antivenom Technology May Be A Treatment Game Changer
This will be of great significance in sub-Saharan Africa and is reportedly effective against cytotoxic, neurotoxic and cardiotoxic venom. Cytotoxic, neurotoxic and cardiotoxic snakes include Mambas and the Cobra families (Puff Adders, the king of snake bites in Africa, are cardiotoxic) and are the most deadly snakes commonly encountered in Africa. These venoms are the most difficult to treat and time is of the essence in order to save limbs and lives. Since the nanogel can be self administered and does not require refrigeration, treatment can begin within minutes of a strike. This could significantly reduce the amount of tissue, nerve, and blood cell damage - not to mention the loss of life.
Will be interesting to follow this technology.
quote:
New nanogel neutralizes deadly snake venom
According to the World Health Organization, snakes bite an estimated 5 million people each year, killing more than 100,000 of those victims and permanently injuring hundreds of thousands more. Current antivenoms might not be saving lives as efficiently as they could be, given that they're difficult and expensive to produce, distribute and administer. Now, researchers at the University of California, Irvine (UCI) have developed a synthetic alternative with a long shelf-life that can neutralize the venom from several species of snakes.
Although existing antivenom treatments are effective at preventing death or long-term disability like amputation, they aren't easy to make, store or ship. One of the most common ways is to inject a horse or sheep with a non-lethal dose of a venom, wait for the animal to develop antibodies against the toxins, and then harvest and process those antibodies into an antivenom.
That technique is problematic for several reasons. For one, it's expensive, which means that it isn't accessible in the poorer rural areas of the world where the majority of snake bites occur. It also needs to be refrigerated, making storage and shipping tricky, and most antivenoms are only effective against bites from a single species of snake. The UCI team says their synthetic solution could solve all of these issues.
"Current antivenom is very specific to certain snake types," says Jeffrey O'Brien, lead author of the study. "Ours seems to show broad-spectrum ability to stop cell destruction across species on many continents, and that is quite a big deal. Our treatment costs pennies on the dollar and, unlike the current one, requires no refrigeration. It feels pretty great to think this could save lives."
The team's treatment, which they call a "nanodote," is built around a specially-designed polymer nanogel. When injected, nanoparticles in the material absorb the venom by binding to certain protein toxins that are common to several species of deadly snakes. These particles sequester and neutralize the toxins, keeping the poison from attacking red blood cells and causing the serious haemorrhaging that can sometimes be fatal.
Since the nanodote ingredients are easy to obtain, it's much cheaper to produce than the current antidotes, and can sit unrefrigerated for much longer. That means it could be shipped at low-cost to remote areas as part of a standard medical package to treat bites from a variety of snake species.
"The military has platoons in the tropics and sub-Saharan Africa, and there are a variety of toxic snakes where they're traipsing around," says Ken Shea, senior author of the study. "If soldiers are bitten, they don't have a hospital nearby; they've got a medic with a backpack. They need something they can use in the field to at least delay the spread of the venom."
The researchers are preparing for clinical trials and have applied for patents for their treatment. In future, the nanodote could also be modified to work on the venom of spiders, scorpions and bees.
The research was published in the Journal of the American Chemical Society.
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Wow, this is fascinating. I wonder how long it'll be before this becomes readily available?
13 July 2018, 22:07
HannayInteresting indeed. This article discusses the research and the path to commercialization:
Discovery magazine article quote:
Of course, it’ll cost a pretty penny to move the nanodote from the lab bench to clinical trials and eventually to market. It costs an average of $2.6 billion dollars (and more than a decade of work!) to turn a promising compound into a pharmaceutical. So it’s not surprising that the researchers specifically make note of their hunt for private and public funding to continue research and development in the press release. “We have more work to do, and this is why we’re seeking a fairly significant infusion of resources,” senior author Ken Shea stated. It remains to be seen whether the lab will find those resources, and if they do, whether the nanodote can live up to the high hopes of the research team (as with all potential revolutionary treatments, it’s important to keep mind that only about half of reported medical breakthroughs actually hold up to further scrutiny). On behalf of the millions suffering from snakebites worldwide, let’s keep our fingers crossed.
If anyone wants to dig deeper, the original research was published in:
O’Brien, J., S.-H. Lee, S. Onogi and K. J. Shea. 2016. Engineering the Protein Corona of a Synthetic Polymer Nanoparticle for Broad-Spectrum Sequestration and Neutralization of Venomous Biomacromolecules. Journal of the American Chemical Society 138(51): 16604-16607.
https://pubs.acs.org/doi/10.1021/jacs.6b10950
Leopard, Hippo, Croc - Zambezi Valley, Zimbabwe, 2024 Reindeer & Geese, Iceland, 2023 Plains Game, Eastern Cape, 2023 Buff - Zambezi Valley, Zimbabwe, 2022 Muskox-Greenland, 2020 Roe buck and muntjac in England, 2019 Unkomaas Valley, RSA, 2019 Kaokoland, Namibia, 2017 Wild boar hunting in Sweden, 2016 Moose hunting in Sweden, 2014
How to post photos on AR Looks like a looong way off...
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14 July 2018, 00:16
HannayProbably so. It does sound pretty promising, though.
Leopard, Hippo, Croc - Zambezi Valley, Zimbabwe, 2024 Reindeer & Geese, Iceland, 2023 Plains Game, Eastern Cape, 2023 Buff - Zambezi Valley, Zimbabwe, 2022 Muskox-Greenland, 2020 Roe buck and muntjac in England, 2019 Unkomaas Valley, RSA, 2019 Kaokoland, Namibia, 2017 Wild boar hunting in Sweden, 2016 Moose hunting in Sweden, 2014
How to post photos on AR 14 July 2018, 01:34
RookhawkActually, the process should go faster than most medications since the FDA and its equivalents are willing to let you take a great deal of risk with less-proven medications when the alternative is death.
14 July 2018, 01:52
tomahawkerDoes Africa really need more people?
14 July 2018, 03:21
Beretta682Equote:
Originally posted by tomahawker:
Does Africa really need more people?
Maybe we should bring up this deeply intellectual comment whenever we discuss white farmers being killed in South Africa

Mike
Mike, or take advantage of the "Ignore" function on this site.
14 July 2018, 10:30
georgeldHow many of you guys, including PH's have
been among, or around folks that have actually been snake bit?
George
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14 July 2018, 10:51
fulvioYours Truly has, it wasn't nice nor am I looking forward to an encore.

This is very similar to the technology that is used to reduce the excess protein (e.g. non-antibody) and protein nitrogen content in conventional antivenin, when it is blood plasma and before it is packaged.
I worked at the South African Institute for Medical research briefly in 1980, and then at the Transvaal Snake Park. In those days, equine antivenin was extremely affordable, as the Wyeth Polyvalent was in the 'States - under $20 a vial in the '70s.
Of course, there can be complications from serum sickness reaction and anaphylactic shock, but I cannot understand WHY antivenin has now become unaffordable.
FWIW, while all venoms are a mixture of cytotoxic and neurotoxic (and sometimes cardiotoxic) fractions, in Africa the Elapids (cobras, mambas and their relatives) have a CHIEFLY neurotoxic venom, the spitting cobras excepted. The Viperids, such as the puff adder possess a mainly cytotoxic venom.
A very good source for reference material is the African Snakebite Institute, which has a lot of good information, downloads, apps, &c.
Interesting. What is your take on Struan Sutherland's treatment protocols? Looks like Johan Marais treatment recommendations follow along the same lines.
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14 July 2018, 17:51
tomahawkerquote:
Originally posted by Beretta682E:
quote:
Originally posted by tomahawker:
Does Africa really need more people?
Maybe we should bring up this deeply intellectual comment whenever we discuss white farmers being killed in South Africa

Mike
How bout more mambas?
The deadliest animal on the African continent are Culicidae - causing an estimated 600,000 deaths each year.
Snakes deaths only account for an estimated 30,000 deaths each year.
___________________
Just Remember, We ALL Told You So.
15 July 2018, 15:11
muttleysgoneA vaccine for dogs already exists that at least partially immunizes them against snakebite from pit vipers such as rattlesnakes and copperheads. Since I bird hunt in an area that has such snakes, I am in the process of having my dog immunized. Apparently the vaccine helps to prevent damage and does not interfere with a later injection of antivenin. While this is not about Africa I thought some readers of this thread might be interested.
https://www.petinsurance.com/h...d-ebiz-BL0002-fbwall
Most of my money I spent on hunting and fishing. The rest I just wasted
Yes, very much so.
quote:
Originally posted by Opus1:
Interesting. What is your take on Struan Sutherland's treatment protocols? Looks like Johan Marais treatment recommendations follow along the same lines.
16 July 2018, 13:34
Paul TruccoloI wish someone would come up with something like this for Australia.
Damn snakes ! Ruined many a day for me.
I've had them in my swag, under my tent, poking their heads out from under the hood of my truck, in the shower etc etc etc.
I hate them but tolerate them as I understand their place in the system. Any found in my camp were re-located to a safer (for them) place.
Now that I hunt a lot with a dog snakes are enemy number one.
17 July 2018, 07:19
lavacaI think this antivenom is incredible. Let's us let up on snakes a bit.
I actually love snakes in general, but I was raised in South Texas and taught to kill every rattlesnake I saw. I did that for years.
Hope I never kill another snake. This antivenom makes that possible. Total Win/Win.
I had exactly the same live, let live attitude until I started encountering a lot of Cobras especially the Zebra Cobra. They are aggressive like our southern Cottonmouths but unlike Cottonmouths they have an affinity for hunting indoors. Both snakes die on sight regardless where I find them.
Mamba's don't bother me too much as they are shy comparatively speaking and will generally choose to escape if given the opportunity. But Mambas around camp sites must go. The risk isn't worth it as they are too damn deadly.
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18 July 2018, 03:12
jdollarLive and let live is great- until the one you let live 75 yards out of camp bites someone in camp a day later.....
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18 July 2018, 04:46
cropdusterI kill ever rattle snake I can . In 74 years of living in south Texas bet I could fill up a pickup full of the ones I have killed. But I never kill any other snake.

There is nothing as permanent as a good temporary repair.
18 July 2018, 07:00
lavacaOpus, yeah, I can see being a little less charitable toward cottonmouths at times.
24 July 2018, 07:38
Texas Blue DevilWe just returned from Zambia today. While driving in some long grass, we saw a black mamba. The mamba reared up about 6 feet to the top of the grass right in front of the truck. The trackers in the back of the truck flipped out. I don't blame them.
We were a solid 4+ hours from Lusaka. If you were bitten by a mamba, you'd obviously be in big trouble.
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