Effect of the metalloproteinase inhibitor batimastat in the systemic toxicity induced by Bothrops asper snake venom: understanding the role of metalloproteinases in envenomation

Toxicon. 2004 Mar 15;43(4):417-24. doi: 10.1016/j.toxicon.2004.01.016.

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.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Blood Coagulation / drug effects*
  • Bothrops*
  • Costa Rica
  • Crotalid Venoms / antagonists & inhibitors*
  • Crotalid Venoms / metabolism
  • Crotalid Venoms / toxicity
  • Dose-Response Relationship, Drug
  • Drug Interactions
  • Factor X / drug effects
  • Factor X / metabolism
  • Hemorrhage / chemically induced
  • Hemorrhage / prevention & control*
  • Histological Techniques
  • Lethal Dose 50
  • Lung / pathology
  • Metalloendopeptidases / antagonists & inhibitors*
  • Mice
  • Phenylalanine / analogs & derivatives*
  • Phenylalanine / metabolism
  • Phenylalanine / pharmacology*
  • Prothrombin / drug effects
  • Prothrombin / metabolism
  • Snake Bites / mortality
  • Snake Bites / physiopathology*
  • Thiophenes / metabolism
  • Thiophenes / pharmacology*
  • Time Factors

Substances

  • Crotalid Venoms
  • Thiophenes
  • Phenylalanine
  • Prothrombin
  • Factor X
  • batimastat
  • Metalloendopeptidases