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The pharmacological effect of Bothrops neuwiedii pauloensis (jararaca-pintada) snake venom on avian neuromuscular transmission

Abstract

The neuromuscular effects of Bothrops neuwiedii pauloensis (jararaca-pintada) venom were studied on isolated chick biventer cervicis nerve-muscle preparations. Venom concentrations of 5-50 µg/ml produced an initial inhibition and a secondary increase of indirectly evoked twitches followed by a progressive concentration-dependent and irreversible neuromuscular blockade. At venom concentrations of 1-20 µg/ml, the responses to 13.4 mM KCl were inhibited whereas those to 110 µM acetylcholine alone and cumulative concentrations of 1 µM to 10 mM were unaffected. At venom concentrations higher than 50 µg/ml, there was pronounced muscle contracture with inhibition of the responses to acetylcholine, KCl and direct stimulation. At 20-24ºC, the venom (50 µg/ml) produced only partial neuromuscular blockade (30.7 ± 8.0%, N = 3) after 120 min and the initial inhibition and the secondary increase of the twitch responses caused by the venom were prolonged and pronounced and the response to KCl was unchanged. These results indicate that B.n. pauloensis venom is neurotoxic, acting primarily at presynaptic sites, and that enzyme activity may be involved in this pharmacological action.

Chick biventer cervicis; Myotoxicity; Neurotoxicity; Phospholipase A2; Presynaptic action


Braz J Med Biol Res, May 2003, Volume 36(5) 617-624

The pharmacological effect of Bothrops neuwiedii pauloensis (jararaca-pintada) snake venom on avian neuromuscular transmission

C.R. Borja-Oliveira1, A.M. Durigon1, A.C.C. Vallin3, M.H. Toyama2, C. Souccar3, S. Marangoni2 and L. Rodrigues-Simioni1

1Departamento de Farmacologia, Faculdade de Ciências Médicas, and 2Departamento de Bioquímica, Instituto de Biologia, Universidade Estadual de Campinas, Campinas, SP, Brasil

3Departamento de Farmacologia, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, SP, Brasil

References

Correspondence and Footnotes Correspondence and Footnotes Correspondence and Footnotes

Abstract

The neuromuscular effects of Bothrops neuwiedii pauloensis (jararaca-pintada) venom were studied on isolated chick biventer cervicis nerve-muscle preparations. Venom concentrations of 5-50 µg/ml produced an initial inhibition and a secondary increase of indirectly evoked twitches followed by a progressive concentration-dependent and irreversible neuromuscular blockade. At venom concentrations of 1-20 µg/ml, the responses to 13.4 mM KCl were inhibited whereas those to 110 µM acetylcholine alone and cumulative concentrations of 1 µM to 10 mM were unaffected. At venom concentrations higher than 50 µg/ml, there was pronounced muscle contracture with inhibition of the responses to acetylcholine, KCl and direct stimulation. At 20-24ºC, the venom (50 µg/ml) produced only partial neuromuscular blockade (30.7 ± 8.0%, N = 3) after 120 min and the initial inhibition and the secondary increase of the twitch responses caused by the venom were prolonged and pronounced and the response to KCl was unchanged. These results indicate that B.n. pauloensis venom is neurotoxic, acting primarily at presynaptic sites, and that enzyme activity may be involved in this pharmacological action.

Key words: Chick biventer cervicis, Myotoxicity, Neurotoxicity, Phospholipase A2,Presynaptic action

Introduction

Snakes of the genus Bothrops are the most important cause of snakebites in Brazil. The main complications in lethal cases are acute renal failure, shock, acute respiratory failure, and sepsis (1,2). The mechanism of respiratory failure is not clearly understood since Bothrops venoms do not produce apparent signs of neurotoxicity after snakebites. In some cases, respiratory failure was associated with pulmonary edema (1). Nevertheless, Zamuner et al. (3) reported that Bothrops neuwiedii venom caused head drop, loss of balance and respiratory failure in chicks in vivo after injection of a 0.55 mg/kg. The same report described inhibition of the twitch-tension response to B. neuwiedii venom in chick biventer cervicis preparations, but found no decrease in the responses to exogenous acetylcholine or KCl. Subsequently, Borja-Oliveira et al. (4) observed intraspecific variation in the neuromuscular activity of 16 lots of B. neuwiedii venoms in chick nerve-muscle preparations. At low concentrations (5-20 µg/ml), most of the venoms reduced the twitch-tension without completely abolishing the contracture to exogenous acetylcholine, thus suggesting a presynaptic action. The neuromuscular blockade with these venoms varied from 2 to 100% and the electrophoretic profile of the venoms which had the highest neuromuscular potency also had an additional electrophoretic band compared to the other venoms. B.n. pauloensis venom also markedly increased the frequency of miniature end-plate potentials (mepps) and the incidence of giant mepps in the mouse phrenic nerve-diaphragm (Durigon AM, Borja-Oliveira CR, Dal Belo CA, Oshima-Franco Y, Cogo JC, Lapa AJ, Souccar C and Rodrigues-Simioni L, unpublished data). In the present study, we examined the neurotoxic action of one of the most neurotoxic samples of B.n. pauloensis venom screened in chick biventer cervicis preparations.

Material and Methods

Venom and reagents

Bothrops neuwiedii pauloensis venom, collected in São Paulo, was provided by the Instituto Butantan (São Paulo, SP, Brazil). d-Tubocurarine chloride was purchased from Abbott Laboratórios do Brasil Ltda. (São Paulo, SP, Brazil) and acetylcholine chloride from Sigma (St. Louis, MO, USA).

Isolated chick biventer cervicis nerve-muscle preparation

The biventer cervicis muscle was removed from chicks as described by Ginsborg and Warriner (5) and mounted under a tension of 0.5 g in a 5 ml organ bath containing aerated (95% O2, 5% CO2) Krebs solution, pH 7.5, 37ºC, of the following composition: 118.6 mM NaCl, 4.69 mM KCl, 1.88 mM CaCl2, 1.17 mM KH2PO4, 1.17 mM MgSO4, 25.0 mM NaHCO3, and 11.65 mM glucose. Indirect (0.1 Hz, 0.2 ms, 6-7 V) and direct (0.1 Hz, 0.2 ms, 50 V) stimulation with a Grass S4 stimulator (Quincy, MA, USA) was used to stimulate the muscle and contractions and contractures were recorded via a force displacement-transducer (BG 25 GM Kulite, Leonia, NJ, USA) coupled to a Gould RS 3400 recorder (Cleveland, OH, USA). The preparations were allowed to stabilize for at least 15 min before the addition of venom (1, 5, 10, 20, 50 or 100 µg/ml). Contractures to exogenously applied submaximal concentrations of 110 µM acetylcholine (for 60 s or cumulative concentrations of 1 µM to 10 mM) and 13.4 mM KCl (for 120-160 s) were obtained in the absence of nerve stimulation prior to the addition of venom and at the end of the experiment, in order to test for the presence of neurotoxic and myotoxic activities (6). Some experiments were done at 20-24ºC or after the addition of 11.7 µM d-tubocurarine.

Statistical analysis

Each experiment was repeated at least three times. The results are reported as the mean ± SEM. The Student t-test was used for statistical analysis of the data, with values of P<0.05 indicating statistical significance.

Results

Effect of B.n. pauloensis venom on the isolated chick biventer cervicis preparation

At 37ºC, B.n. pauloensis venom (1-100 µg/ml) produced a concentration-dependent neuromuscular blockade in indirectly stimulated chick biventer cervicis preparations (Table 1, Figures 1 and 2). In most experiments, the venom (5-50 µg/ml) caused an initial inhibition and a secondary increase of indirectly evoked twitches followed by a progressive neuromuscular blockade (Figures 1 and 2).

The pharmacological effect of Bothrops neuwiedii pauloensis (jararaca-pintada) snake venom on avian neuromuscular transmission. C.R. Borja-Oliveira, A.M. Durigon, A.C.C. Vallin, M.H. Toyama, C. Souccar, S. Marangoni and L. Rodrigues-Simioni. Brazilian Journal of Medical and Biological Research, 36 (5): 617, 2003.

 

At concentrations of 5-20 µg/ml, the venom irreversibly blocked twitches evoked by field stimulation within 120 min, without inhibiting acetylcholine-induced contractures, at 37ºC (Figures 1 and 3Figure 3. Effect of Bothrops neuwiedii pauloensis venom on muscle contractions induced by 13.4 mM KCl and 110 µM acetylcholine (ACh) in the chick biventer cervicis preparations after 120-min incubation compared to the responses observed in Krebs controls (100%). Data are reported as means ± SEM for 3-6 experiments per concentration. The preparations were incubated with venom at the concentrations and temperatures indicated on the histogram. The triangles on the X-axis indicate that the venom totally blocked the response to the agonist. *P<0.05 compared to the corresponding control (Krebs solution alone) (Student t-test).). At 20 µg/ml, the venom produced complete blockade without affecting the responses to cumulative concentrations of acetylcholine (1, 3, 10 and 30 µM,and 0.1, 0.3, 1, 3 and 10 mM, respectively) obtained before and after the venom addition (data not shown). The contractions induced by KCl were completely blocked at venom concentrations >10 µg/ml (Figures 1D and 3Figure 3. Effect of Bothrops neuwiedii pauloensis venom on muscle contractions induced by 13.4 mM KCl and 110 µM acetylcholine (ACh) in the chick biventer cervicis preparations after 120-min incubation compared to the responses observed in Krebs controls (100%). Data are reported as means ± SEM for 3-6 experiments per concentration. The preparations were incubated with venom at the concentrations and temperatures indicated on the histogram. The triangles on the X-axis indicate that the venom totally blocked the response to the agonist. *P<0.05 compared to the corresponding control (Krebs solution alone) (Student t-test).). At the same concentrations (>10 µg/ml), the venom also caused muscle contractures, the extent of which was concentration dependent (Figures 1 and 2). Higher venom concentrations (50-100 µg/ml) abolished the response to acetylcholine (Figures 2 and 3Figure 3. Effect of Bothrops neuwiedii pauloensis venom on muscle contractions induced by 13.4 mM KCl and 110 µM acetylcholine (ACh) in the chick biventer cervicis preparations after 120-min incubation compared to the responses observed in Krebs controls (100%). Data are reported as means ± SEM for 3-6 experiments per concentration. The preparations were incubated with venom at the concentrations and temperatures indicated on the histogram. The triangles on the X-axis indicate that the venom totally blocked the response to the agonist. *P<0.05 compared to the corresponding control (Krebs solution alone) (Student t-test).).

At 20-24ºC, the venom (50 µg/ml) produced only partial blockade (30.7 ± 8.0%, N = 3) after 120 min (Figures 3Figure 3. Effect of Bothrops neuwiedii pauloensis venom on muscle contractions induced by 13.4 mM KCl and 110 µM acetylcholine (ACh) in the chick biventer cervicis preparations after 120-min incubation compared to the responses observed in Krebs controls (100%). Data are reported as means ± SEM for 3-6 experiments per concentration. The preparations were incubated with venom at the concentrations and temperatures indicated on the histogram. The triangles on the X-axis indicate that the venom totally blocked the response to the agonist. *P<0.05 compared to the corresponding control (Krebs solution alone) (Student t-test). and 4). Under these conditions, the initial inhibition and the secondary increase of the twitch responses produced by the venom were prolonged and pronounced and the response to KCl was unchanged, whereas the contractions to acetylcholine were partially inhibited (30 ± 14% inhibition, N = 3, P<0.05; Figures 3Figure 3. Effect of Bothrops neuwiedii pauloensis venom on muscle contractions induced by 13.4 mM KCl and 110 µM acetylcholine (ACh) in the chick biventer cervicis preparations after 120-min incubation compared to the responses observed in Krebs controls (100%). Data are reported as means ± SEM for 3-6 experiments per concentration. The preparations were incubated with venom at the concentrations and temperatures indicated on the histogram. The triangles on the X-axis indicate that the venom totally blocked the response to the agonist. *P<0.05 compared to the corresponding control (Krebs solution alone) (Student t-test). and 4).

The twitches elicited by direct muscle stimulation in curarized (11.7 µM d-tubocurarine) preparations at 37ºC were not significantly depressed by 90-min incubation with low venom concentrations (<20 µg/ml) (Figure 5A). At 50 µg/ml, the venom caused partial blockade (60 ± 7% inhibition, N = 3, P<0.05) of directly evoked contractions (Figure 5B).

Figure 1.
Effect of low concentrations of Bothrops neuwiedii pauloensis venom (1, 5 and 10 µg/ml) on chick biventer cervicis nerve-muscle preparations at 37ºC. A, Concentration-time response curves for the neuromuscular blocking activity of the venom compared to Krebs solution alone (control). Each point represents the mean ± SEM of 3-6 experiments. B, Twitch-tension responses by a control (Krebs solution alone) preparation. C and D, Venom-treated preparations (5 and 10 µg/ml, respectively). B.n. pauloensis venom was added (arrow) after allowing the preparations to stabilize for 15 min. Note the contracture induced by 10 µg of venom/ml. The responses to exogenous 110 µM acetylcholine (triangles) and 13.4 mM KCl (circles) were obtained before and after the addition of venom. These results are representative of 3-6 experiments per venom concentration. *P<0.05 compared to the control preparations (Student t-test).

Figure 2.
Effect of high concentrations (50-100 µg/ml) of Bothrops neuwiedii pauloensis venom on chick biventer cervicis preparations at 37ºC. A, Concentration-time response curves for the neuromuscular blocking activity of the venom compared to Krebs solution alone (control). Each point represents the mean ± SEM of 3-6 experiments. B and C, Venom-treated preparations (50 and 100 µg/ml, respectively). B.n. pauloensis venom was added (arrow) after allowing the preparations to stabilize for 15 min. Note that the contractions induced by the venom were concentration dependent. The responses to exogenous 110 µM acetylcholine (triangles) and 13.4 mM KCl (circles) were obtained before and after the addition of venom. These results are representative of 3-4 experiments per venom concentration. *P<0.05 compared to the control preparations (Student t-test).

Figure 4.
Effect of Bothrops neuwiedii pauloensis venom (50 µg/ml) on chick biventer cervicis preparations at 20-24ºC compared to 37ºC. A, Concentration-time response curves for the neuromuscular blocking activity of the venom compared to Krebs solution alone (control) are shown. Each point represents the mean ± SEM of 3-6 experiments. B, Venom-treated preparations (50 µg/ml) at 37ºC. C, A low incubation temperature (20-24ºC) prevented the neuromuscular action of the venom (50 µg/ml). B.n. pauloensis venom was added (arrow) after allowing the preparations to stabilize for 15 min. The responses to exogenous 110 µM acetylcholine (triangles) and 13.4 mM KCl (circles) were obtained before and after the addition of venom. These results are representative of 3-4 experiments. *P<0.05 compared to the control preparations (Student t-test).

Figure 5.
Effect of Bothrops neuwiedii pauloensis venom on the twitches elicited by direct muscle stimulation. A and B, Venom-treated chick biventer cervicis preparations at 20 and 50 µg/ml, respectively (arrow, time zero). Direct stimulation (D) was applied after treatment with d-tubocurarine (7.3 µM d-Tc) and after several washes (W) with Krebs solution. These results are representative of 3 and 5 experiments for A and B, respectively.

Discussion

In Brazil, the snakes of the genera Crotalus and Micrurus are the only ones that produce signs of peripheral neurotoxicity after snakebites, such as palpebral ptosis and respiratory paralysis. Nevertheless, Bothrops snakebites may also produce respiratory failure associated with pulmonary edema in some cases (1).

Zamuner et al. (3) reported the neurotoxic action of B. neuwiedii venom in chicks in vivo and in vitro. In isolated chick nerve-muscle preparations, B. neuwiedii venom (10-50 µg/ml) completely blocked neuromuscular transmission without depressing the response to acetylcholine. These results suggested a presynaptic site of action for this venom. However, not all B. neuwiedii venoms exhibit significant neurotoxicity on isolated neuromuscular preparations (4).

The present report describes the neuromuscular activity of the venom of one of the most toxic subspecies of B. neuwiedii, B.n. pauloensis, screened by Borja-Oliveira et al. (4). This venom produced concentration-dependent neuromuscular blockade in chick biventer cervicis preparations. Complete blockade at a low concentration (5 µg/ml) was not accompanied by inhibition of the responses to KCl and acetylcholine. These observations indicate that at low concentrations the venom had no inhibitory effect on postsynaptic acetylcholine receptors and its action was not dependent on myotoxicity.

At high concentrations (>10 µg/ml), the venom has a myotoxic effect, including the inhibition of KCl-induced contractures, pronounced muscle contracture and the partial inhibition of contractions in response to direct muscle stimulation in curarized preparations. Recently, Soares et al. (7) reported the effect of B. neuwiedii venom and a Lys49 myotoxic phospholipase A2 homologue from this venom, namely BnSP-7, on chick biventer cervicis preparations. The phospholipase A2 BnSP-7 inhibited the twitch-tension and KCl-induced contractures only at high concentrations. In addition, both BnSP-7 and the crude venom released creatine kinase from the mouse gastrocnemius muscle and induced a dose-dependent edema.

Since the blockade of the responses to indirect stimulation and to KCl as well as the incidence of contractures were temperature dependent, enzyme activity may be involved in the neuromuscular action of B.n. pauloensis venom. B. neuwiedii venom contains phospholipases (7-11) and the venom used in the present study had significant phospholipase A2 activity (Borja-Oliveira CR, Kassab BH, Durigon AM, Soares AM, Toyama MH, Novello JC, Giglio JR, Marangoni S and Rodrigues-Simioni L, unpublished results). The data available do not permit us to identify the putative enzyme.

The neuromuscular action produced by B.n. pauloensis venom is consistent with the available data about phospholipase A2 neurotoxins. Crotoxin, the main neurotoxin of Crotalus durissus terrificus venom, causes a triphasic change (depression, facilitation and final blockade) of acetylcholine release by the nerve terminals (12-15), similar to that observed with other snake ß-neurotoxins, such as ß-bungarotoxin (16-18), notexin (19), taipoxin (20,21), and textilotoxin (22,23). In mouse hemi-diaphragm nerve-muscle preparations, by reducing the external Ca2+ concentration, ß-bungarotoxin classically produces an initial transient inhibition of twitches (phase 1) followed by a prolonged facilitatory phase (phase 2) and finally a blocking phase (phase 3). The facilitatory effect of these toxins on mammalian nerve-muscle preparations is independent of phospholipase A2 activity. Indeed, the increase in the number of twitches produced by B.n. pauloensis venom was present at 20-24ºC, although the neuromuscular blocking action (phase 3) was inhibited. The third phase (complete and irreversible inhibition of neurotransmission) produced by ß-neurotoxins depends on temperature and on the presence of Ca2+ in the medium and is probably due to phospholipase A2-mediated destruction of membrane phospholipids in motor nerve terminals. The enzymatic activity of ß-neurotoxins is not significantly correlated with their toxicity (24), but is obligatory for the full expression of neurotoxic activity since its inhibition prevents lethality (25).

22. Su MJ, Coulter AR, Sutherland SK & Chang CC (1983). The presynaptic neuromuscular blocking effect and phospholipase A2 activity of textilotoxin, a potent toxin isolated from the venom of the Australian brown snake, Pseudonaja textilis. Toxicon, 21: 143-151.

23. Barnett D, Howden MEH & Spence I (1979). Pre- and postsynaptic neurotoxins in the venom of the common brown snake (Pseudonaja t. textilis). Proceedings of the Australian Physiological and Pharmacological Society, 10: 240P (Abstract).

24. Lambeau G, Barhanin J, Schweitz H, Qar J & Lazdunski M (1989). Identification and properties of very high affinity brain membrane-binding sites for a neurotoxic phospholipase from the taipan venom. Journal of Biological Chemistry, 264: 11503-11510.

25. Jeng TW & Fraenkel-Conrat H (1978). Chemical modification of histidine and lysine residues of crotoxin. FEBS Letters, 87: 291-296.

Acknowledgments

The authors thank Gildo Bernardo Leite for technical assistance, and Instituto Butantan for providing the venom sample.

Address for correspondence: L. Rodrigues-Simioni, Departamento de Farmacologia, FCM, UNICAMP, Caixa Postal 6111, 13083-970 Campinas, SP, Brasil. Fax: +55-19-3289-2968. E-mail: simioni@obelix.unicamp.br

Research supported by FAPESP, CNPq, CAPES and FAEP-UNICAMP. Received July 3, 2002. Accepted November 5, 2002.

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  • Figure 3. Effect of Bothrops neuwiedii pauloensis venom on muscle contractions induced by 13.4 mM KCl and 110 µM acetylcholine (ACh) in the chick biventer cervicis preparations after 120-min incubation compared to the responses observed in Krebs controls (100%). Data are reported as means ± SEM for 3-6 experiments per concentration. The preparations were incubated with venom at the concentrations and temperatures indicated on the histogram. The triangles on the X-axis indicate that the venom totally blocked the response to the agonist. *P<0.05 compared to the corresponding control (Krebs solution alone) (Student t-test).
  • Correspondence and Footnotes

  • Publication Dates

    • Publication in this collection
      22 Apr 2003
    • Date of issue
      May 2003
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