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New Insights on the Pharmacokinetics of Venoms and Antivenoms

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Abstract

The development of enzyme-linked immunosorbent assays (ELISA) for venoms and antivenoms with high sensitivity has enabled to characterize pharmacokinetics (PK) of venoms and antivenoms, which in turn allowed modeling their absorption, distribution, and elimination, as well as the adequacy of different therapeutic regimes. Pharmacokinetics is the branch of pharmacology dealing with absorption, distribution, and elimination of drugs in the body; it is fundamental to determine the dose and dosing scheme of a drug. ELISA studies provided evidence indicating that antivenoms (in spite of their large molecular size) are quickly and actively extravasated from blood to tissues. ELISA studies have also enabled to show that heterologous antibodies induce production of antibodies able to interact with antivenoms, modifying their PK and reducing their effectiveness. This has been confirmed using high-resolution deconvolution fluorescence microscopy (HRDFM) of fluorescently labeled antivenoms. HRDFM has also provided evidence showing a complex distribution of antivenoms in the body and has shown that mammalian immunoglobulins (IgG) are transported very differently in the body than avian IgYs, which suggests they must have different PK.

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References

  • Amarant T, Burkhart W, LeVine III H, Arocha-Pinango CL, Parikh I. Isolation and complete amino acid sequence of two fibrinolytic proteinases from the toxic Saturnid caterpillar Lonomia achelous. Biochim Biophys Acta. 1991;1079:214–21.

    Article  CAS  PubMed  Google Scholar 

  • Arnon SS, Schechter R, Inglesby TV, Henderson DA, Bartlett JG, Ascher MS, Eitzen E, Fine AD, Hauer J, Layton M, Lillibridge S, Osterholm OT, O’Toole T, Parker G, Perl TM, Russell PK, Swerdlow DL, Tonat K. Botulinum toxin as a biological weapon: medical and public health management. J Am Med Assoc. 2001;285:1059–70.

    Article  CAS  Google Scholar 

  • Avogadro A. Essai d’une manière de déterminer les masses relatives des molécules élémentaires des corps, et les proportions selon lesquelles elles entrent dans ces combinaisons. J Phys. 1811;73:58–76.

    Google Scholar 

  • Batista C, D’Suze G, Gómez F, Zamudio F, Sevcik C, Possani LD. Proteomic analysis of Tityus discrepans scorpion venom and amino acid sequence of novel toxins. Proteomics. 2006;6:3718–27.

    Article  CAS  PubMed  Google Scholar 

  • Binford GJ, Cordes MHJ, Wells MA. Sphingomyelinase D from venoms of Loxosceles spiders: evolutionary insights from cDNA sequences and gene structure. Toxicon. 2005;45:547–60.

    Article  CAS  PubMed  Google Scholar 

  • Blode H, Brett M, Bührens KG, Cawello W, Frick A, Gieschke R, Giese U, Heine PR, Kloft C, Kovar A, Pabst G, Pechstein B, Römer A, Steinsträer A, Terlinden R, Weimann HJ, Würthwein G, Zimmermann H. Collection of terms, symbols, equations, and explanations of common pharmacokinetic and pharmacodynamic parameters and some statistical functions. AGAH Working Group on PK-PD modeling, Association for Applied Human Pharmacology (AGAH). 2004. http://www.agah.eu/fileadmin/_migrated/content_uploads/PK-glossary_PK_working_group_2004.pdf

  • Boyer L. Editorial. Int Immunopharmacol. 2010;10:1317.

    Article  CAS  PubMed  Google Scholar 

  • Cunha RB, Barbaro KC, Muramatsu D, Portaro FCV, Fontes W, de Sousa MV. Purification and characterization of loxnecrogin, a dermonecrotic toxin from Loxosceles gaucho brown spider venom. J Protein Chem. 2003;22:135–46.

    Article  CAS  PubMed  Google Scholar 

  • D’Suze G, Sevcik C, Pérez JF, Fox JW. Isolation and characterization of a potent curarizing polypeptide from the Tityus discrepans scorpion venom. Toxicon. 1997;35:1683–9.

    Article  PubMed  Google Scholar 

  • D’Suze G, Comellas A, Pesce L, Sevcik C, Sanchez-de-León R. Tityus discrepans venom produces a respiratory distress syndrome in rabbits through an indirect mechanism. Toxicon. 1999;37:173–80.

    Article  PubMed  Google Scholar 

  • D’Suze G, Moncada S, González C, Sevcik C, Aguilar V, Alagón A. Relationship between plasmatic levels of various cytokines, tumour necrosis factor, enzymes, glucose and venom concentration following Tityus scorpion sting. Toxicon. 2003;41:367–75.

    Article  PubMed  Google Scholar 

  • Dehesa-Davila M, Possani LD. Scorpionism and serotherapy in Mexico. Toxicon. 1994;32:1015–8.

    Article  CAS  PubMed  Google Scholar 

  • Díaz P, D’Suze G, Salazar V, Sevcik C, Shannon JD, Sherman NE, Fox JW. Antibacterial activity of six novel peptides from Tityus discrepans scorpion venom. A fluorescent probe study of microbial membrane Na+ permeability changes. Toxicon. 2009;54:802–17.

    Article  PubMed  Google Scholar 

  • Fabrichny IP, Mondielli G, Conrod S, Martin-Eauclaire MF, Bourne Y, Marchot P. Structural insights into antibody sequestering and neutralizing of Na+-channel α-type modulator from old-world scorpion venom. J Biol Chem. 2012;287:14136–48.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  • Feynman RP. Leighton RB. Sands M. The Feynman Lectures on Physics. Vol. 1. MA: Adison Welsley 1964.

    Google Scholar 

  • Freitas Jr RA. Nanomedicine. Vol. 1: basic capabilities. Georgetown: Landes Biosciences; 1999. Chapter 8, Section 8.2.1.2.

    Google Scholar 

  • Gibaldi M. Perrier D. Pharmacokinetics: Marcel Dekker Inc. 1982 New York.

    Google Scholar 

  • Glazko AJ, Kinkel AW, Alegani WC, Holmes GL. An evaluation of the absorption characteristics of different chloramphenicol preparations in normal human subjects. Clin Pharmacol Ther. 1968;9:472–83.

    CAS  PubMed  Google Scholar 

  • Gutiérrez JM, León G, Lomonte B. Pharmacokinetic-pharmacodynamic relationships of immunoglobulin therapy for envenomation. Clin Pharmacokinet. 2003;42:721–41.

    Article  PubMed  Google Scholar 

  • Harris LJ, Larson SB, Hasel KW, McPherson A. Refined structure of an intact IgG2a monoclonal antibody. Biochemistry. 1997;36:1581–97.

    Article  CAS  PubMed  Google Scholar 

  • Ho M, Silamut K, White NJ, Karbwang J, Looareesuwan S, Phillips RE, Warrell DA. Pharmacokinetics of three commercial antivenoms in patients envenomed by the Malayan pit viper, Calloselasma rhodostoma, in Thailand. Am J Trop Med Hyg. 1990;42:260–6.

    CAS  PubMed  Google Scholar 

  • Ismail M, Abd-Elsalam MA. Pharmacokinetics of 125I-labelled IgG, F(ab’)2 and F(ab) fractions of scorpion and snake antivenins: merits and potential for therapeutic use. Toxicon. 1998;36:1523–8.

    Article  CAS  PubMed  Google Scholar 

  • Ismail M, Abdoulah M, Morad A, Ageel A. Pharmacokinetics of 125I-labelled venom from the scorpion Androctonus amoreuxi (Aud. and Sav.). Toxicon. 1980;18:301–8.

    Article  CAS  PubMed  Google Scholar 

  • Ismail M, Shibl AM, Morad AM, Abdullah ME. Pharmacokinetics of 125I labeled antivenom to the venom from the scorpion Androctonus amoreuxi. Toxicon. 1983;21:47–56.

    Article  CAS  PubMed  Google Scholar 

  • Ismail M, Aly MHM, Abd-Elsalam MA, Morad MA. A three-compartment open pharmacokinetic model can explain variable toxicities of cobra venoms and their alpha toxins. Toxicon. 1996;34:1011–26.

    Article  CAS  PubMed  Google Scholar 

  • Koeleman HA, Van Oudtshoorn MCB. An Evaluation of the biological availability of chloramphenicol. S Afr Med J. 1973;47:94–9.

    CAS  PubMed  Google Scholar 

  • Labeit S, Kolmerer B. Titins: giant proteins in charge of muscle ultrastructure and elasticity. Science. 1995;270:293–6.

    Article  CAS  PubMed  Google Scholar 

  • Paniagua D, Jiménez L, Romero C, Vergara I, Calderón A, Benard M, Bernas MJ, Rilo H, de Roodt A, D’Suze G, Witte MH, Boyer L, Alagón A. Lymphatic route of transport and pharmacokinetics of Micrurus fulvius (coral snake) venom in sheep. Lymphology. 2012;45:144–53.

    CAS  PubMed  Google Scholar 

  • Pentel PR, Keyler DE, Gilbertson DG, Ruth G, Pond SM. Pharmacokinetics and toxicity of high doses of antibody Fab fragments in rats. Drug Metab Dispos. 1988;16:141–5.

    CAS  PubMed  Google Scholar 

  • Pépin S, Lutsch C, Grandgeorge M, Lang J, Scherrmann JM. Snake F(ab’)2 antivenom from hyperimmunized horse: pharmacokinetics following intravenous and intramuscular administration. Pharmacol Res. 1995;12:1470–3.

    Article  Google Scholar 

  • Pepin-Covata S, Lutsch C, Grandgeorge M, Lang J, Scherrmann JM. Immunoreactivity and pharmacokinetics of horse anti-scorpion venom F(ab’)2-scorpion venom interactions. Toxicol Appl Pharmacol. 1996a;141:272–7.

    Google Scholar 

  • Pepin-Covata S, Lutsch C, Lang J, Scherrmann JM. Preclinical assessment of immunoreactivity of new purified equine F(ab’)2 against European viper venom. J Pharm Sci. 1996b;87:221–5.

    Article  Google Scholar 

  • Pinheiro CB, Marangoni S, Toyama MH, Polikarpov I. Structural analysis of Tityus serrulatus Ts1 neurotoxin at atomic resolution: insights into interactions with Na+ channels. Acta Crystallogr Sect D. 2003;59:405–15.

    Article  Google Scholar 

  • Quesada L, Sevcik C, Lomonte B, Rojas E, Gutierrez JM. Pharmacokinetics of whole IgG equine antivenom: comparison between normal and envenomed rabbits. Toxicon. 2006;48:255–63.

    Article  CAS  PubMed  Google Scholar 

  • Rivière G, Choumet V, Audebert V, Saboraud A, Debray M, Scherrmann J-M, Bon C. Effect of antivenom on venom pharmacokinetics in experimentally envenomed rabbits: toward an optimization of antivenom therapy. J Pharmacol Exp Ther. 1997;281:1–8.

    PubMed  Google Scholar 

  • Rivière G, Choumet V, Saliou B, Debray M, Bon C. Absorption and elimination of viper antivenom after antivenom administration. J Pharmacol Exp Ther. 1998;285:490–5.

    PubMed  Google Scholar 

  • Russell FE, Walter FG, Bey TA, Fernandez MC. Review article – snakes and snakebite in Central America. Toxicon. 1997;35:1469–522.

    Article  CAS  PubMed  Google Scholar 

  • Sevcik C, VÃzquez H, Salazar V, Diaz P, D'Suze G. Pharmacokinetics and high resolution deconvolution fluorescence study of horse IgG and F(ab’)2 in rabbits. Unpublished.

    Google Scholar 

  • Sevcik C, D’Suze G. Farmacocinética básica del tratamiento con antivenenos. In: D’Suze G, Corzo-Burguete G, Paniagua J, editors. Emergencias por animales ponzoñosos de las Américas. Mexico City: Instituto Bioclón, SA de CV; 2011. p. 249–86. ISBN 978-607-7987-00-0.

    Google Scholar 

  • Sevcik C, D’Suze G, Díaz P, Salazar V, Hidalgo C, Azpúrua H, Bracho N. Modelling Tityus scorpion venom and antivenom pharmacokinetics. Evidence of active immunoglobulin G’s f(ab’)2 extrusion mechanism from blood to tissues. Toxicon. 2004;44:731–4.

    Article  CAS  PubMed  Google Scholar 

  • Sevcik C, Salazar V, Díaz P, D’Suze G. Initial volume of a drug before it reaches the volume of distribution. Pharmacokinetics of F(ab’)2 antivenoms and other drugs. Toxicon. 2007;50:653–65.

    Article  CAS  PubMed  Google Scholar 

  • Sevcik C, Díaz P, D’Suze G. On the presence of antibodies against bovine, equine and poultry immunoglobulins in human IgG preparations, and its implications on antivenom production. Toxicon. 2008;51:10–6.

    Article  CAS  PubMed  Google Scholar 

  • Sevcik C, D’Suze G, Salazar V, Díaz P, Vázquez H. Horse IgG- and ostrich IgY-F(ab’)2 groups have different affinities for mice erythrocytes and lymphocytes. Implications for avian immunoglobulin therapeutic usefulness. Toxicon. 2012;60:1215–21.

    Article  CAS  PubMed  Google Scholar 

  • Sevcik C, Salazar V, Díaz P, D’Suze G, Vázquez H. High resolution fluorescence microscopy evidence on the transport of immunoglobulins. Differences between mammalian IgG, F(ab’)2 and avian IgY. Toxicon. 2013;63:7–18.

    Article  CAS  PubMed  Google Scholar 

  • Silveira PV, Nishioka Sde A. Venomous snake bite without clinical envenoming (‘dry-bite’). A neglected problem in Brazil. Trop Geogr Med. 1995;47:82–5.

    CAS  PubMed  Google Scholar 

  • Smith LA. Botulism and vaccines for its prevention. Vaccine. 2009;27 Suppl 4:D33–9.

    Article  CAS  PubMed  Google Scholar 

  • Südhof TC. α-Latrotoxin and its receptors: neurexins and CIRL/Latrophilins. Ann Rev Neurosci. 2001;24:933–62.

    Article  PubMed  Google Scholar 

  • Tambourgi DV, Magnoli FC, van den Berg CW, Morgan BP, de Araujo PS, Alves EW, Da Silva WD. Sphingomyelinases in the venom of the spider Loxosceles intermedia are responsible for both dermonecrosis and complement-dependent hemolysis. Biochem Biophys Res Commun. 1998;251:366–73.

    Article  CAS  PubMed  Google Scholar 

  • Theakston RD, Lloyd-Jones MJ, Reid HA. Micro-ELISA for detecting and assaying snake venom and venom-antibody. Lancet. 1977;24:639–42.

    Article  Google Scholar 

  • Thygerson AL, Gulli B, Krohmer JR. First aid, CPR, and AED. 5th ed. Boston: Jones & Bartlett Publishers; 2006. p. 120.

    Google Scholar 

  • Vázquez H, Chávez-Haro A, García-Ubbelohde W, Mancilla-Nava R, Paniagua-Solís J, Alagón A, Sevcik C. Pharmacokinetics of a F(ab’)2 scorpion antivenom in healthy human volunteers. Toxicon. 2005;46:797–805.

    Article  PubMed  Google Scholar 

  • Vázquez H, Chávez-Haro A, García-Ubbelohde W, Paniagua-Solís J, Alagón A, Sevcik C. Pharmacokinetics of a F(ab’)2 scorpion antivenom administered intramuscularly in healthy human volunteers. Int Immunopharmacol. 2010a;10:1318–24.

    Article  PubMed  Google Scholar 

  • Vázquez H, Olvera F, Paniagua-Solís J, Alagón A, Sevcik C. Pharmacokinetics in rabbits and anti-sphingomyelinase D neutralizing power of Fab, F(ab’)2, IgG and IgG(T) fragments from hyper immune equine plasma. Int Immunopharmacol. 2010b;10:447–54.

    Article  PubMed  Google Scholar 

  • Vázquez H, Olvera F, Alagón A, Sevcik C. Production of anti-horse antibodies induced by IgG, F(ab’)2, and Fab applied repeatedly to rabbits. Effect on antivenom pharmacokinetics. Toxicon. 2013;74:208–14.

    Article  Google Scholar 

  • White J. Ophidian envenomation a South Australian perspective. Rec Adelaide Child Hosp. 1982;2:311–421.

    Google Scholar 

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Sevcik, C., D’Suze, G. (2014). New Insights on the Pharmacokinetics of Venoms and Antivenoms. In: Gopalakrishnakone, P., Ferroni Schwartz, E., Possani, L., Rodríguez de la Vega, R. (eds) Scorpion Venoms. Springer, Dordrecht. https://doi.org/10.1007/978-94-007-6647-1_19-1

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  • DOI: https://doi.org/10.1007/978-94-007-6647-1_19-1

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