Keywords
Bothrops asper alexiteric activity; Desmodium adscendens,Begonia glabra; Costus pulverulentus.
Bothrops asper alexiteric activity; Desmodium adscendens,Begonia glabra; Costus pulverulentus.
Ophidic accident is defined as injury resulting from the bite of a poisonous snake that causes toxic effects on the victim. Snake venom is a complex mixture of protein-enzymatic substances and non-protein substances that produce pain, edema, and drop in blood pressure, hemolysis, proteolysis and alterations in blood coagulation1. It can be considered a public health problem both by the effects they generate and by the complications derived from inopportune treatment, causing disability or even death of the patient.
In Ecuador, 1953 cases were reported during the year 2016 and 313 cases have been reported between January and March 20172. In the littoral region, the most common species is Bothrops asper (equis), while Bothrops atrox (pitalala) is the most common in the Amazon region3.
In traditional medicine, many plants have been used to combat the effects of venomous snake bites; they are called alexiteric because they are used to mitigate the effects of the venom of poisonous animals4. Indirect anti hemolytic activity of Equisetum bogotense Kunth has shown a reduction in the hemolytic effect induced by B. asper venom5. The species Costus pulverulentus C. Presl, Desmodium adscendens (Sw.) DC., Begonia glabra Aubl. and Equisetum bogotense, listed in the book "Useful Plants of Ecuador"6, are considered plants with antiophidic potential.
The present study evaluated the anti-hemolytic effect in vitro, used as an indicator of alexiteric activity, of these plant species to contribute in the search for solutions to the problem triggered by ophidian accidents.
The plant samples were collected in areas of northwestern Pichincha (Table 1) and species were identified at the National Herbarium of Quito (Quito, Ecuador).
The parts used for the plant species, according to the traditional use of the inhabitants of the area, to be tested are as follows:
Plant samples were dried in an oven at 37 degree C for 48 h, and then were ground to a particle size of 5 mm from which extracts were prepared by maceration with solvents of increasing polarity (n-hexane < alcohol < water). Hexane extract: 25 g of dried plant material was macerated with 350 mL of n-hexane at room temperature for 48 h. Then it was filtered and concentrated to dryness in rotary evaporator at 40 degree C and stored in an amber vial. The dry residue of this extraction was used to obtain the following alcoholic extract. Alcoholic extract: The dry residue from the previous extraction was macerated with 350 mL of absolute ethyl alcohol at room temperature for 48 h. Then it was filtered and concentrated to dryness in rotary evaporator at 40 degree C and stored in an amber vial. The dry residue of this extraction was used to obtain the following aqueous extract. Aqueous extract: The dry residue from the previous extraction was macerated with 350 mL of distilled water at room temperature for 48 h. Then it was filtered and concentrated to dryness in a water bath at 40 degree C and stored in an amber vial.
The sample of poison was obtained by manual milking of specimens in captivity (Figure 1), carried out by the staff of the Herpetological Foundation "Gustavo Orcés" (Vivarium of Quito, Quito, Ecuador). These specimens corresponded to three "pools" of B. asper venom from of the Ecuadorian coast, according to the specifications in Table 2.
Location | Pool of venom |
---|---|
Mindo Pedro V. Maldonado Puerto Quito Sto. Domingo de los Tsáchilas | V1 |
Esmeraldas Manabí | V2 |
Bolívar | V3 |
The pools of venom were stored in a vacuum desiccator protected from light and refrigerated at 4°C until the tests were carried out in the laboratories of the Life Sciences Area of the Universidad Politécnica Salesina, Campus Giron- Quito.
The technique described in 7 was followed. Briefly, on a Petri dish containing blood-phosphatidylcholine agar that was prepared by mixing 1% agar, 0.1 mm CaCl2, 0.33% egg yolk and 1.2% washed erythrocytes8, 15 µL of each dilution of venom, in physiological saline (4.76%, 2.44%, 1.23%, 0.62% v/v), was sown. The petri dishes were incubated for 20 h at 37°C. The halo of hemolysis was measured in mm. The lowest dose of venom that generated a 10 mm halo was taken as MHD.
The technique described in 8 was followed. Briefly, plant extract (1.6µg/mL) was pre-incubated with the MHD of the ophidian venom (ratios of 1: 7; 1:10; 1:20; poison: extract) for 30 minutes at 37°C. µL. 15 µL of this mixture was plated on a 6 mm-diameter petri plate containing blood-agar-phosphatidylcholine and incubated for 20 h at 37°C. The test was carried out in triplicate for each extract and for each concentration.
Table 3 shows the values obtained for the minimum dose hemolytic (MIDH) poison of B. asper from different areas of the Ecuadorian coastal region. It is shown that pool V2, from Esmeraldas an Manabí province, presents greater hemolytic activity compared with V1 and V3, from the Northwest of the Pichincha and Bolivar provinces, respectively. These two pools have the same activity; however, must consider that the three poisons are mixtures obtained from specimen captive males and females, adults and young from each of the above locations.
Source of Bothrops asper | Pool venom code | MIDH d(μg/μL) |
---|---|---|
Mindo, Pedro V. Maldonado, Puerto Quito, Santo Domingo de los Tsáchilas | V1 | 22.9 |
Esmeraldas Manabí | V2 | 6.1 |
Bolívar | V3 | 22.9 |
Example photographs of the MHD can be seen in Supplementary File 1.
Table 4 shows the results, assigning the sign (+), for the treatment that reduced the diameter of hemolysis produced by the MHD of each pool by 100%. The alcoholic extract of E. bogotense has very good inhibitory activity of the hemolytic effect produced by the venom of B. asper, which has also been shown in previous research on Bothrops atrox (Yarlequé amp; et al., 2012). However, in the case of B. glabra, its aqueous extract as well as its alcoholic extract is also effective. This shows that this plant is the most effective species of all tested.
((++) is 100% inhibition; (+) is lower activity; (-) is zero activity).
The alcoholic extracts of E. bogotense and D. adscendens present antihemolytic activity in all treatments and for the three pools of venom, which shows they are the most active species against the hemolytic effect of Bothrops asper venom. Neither the aqueous nor the hexane extract of these two species demonstrate this activity.
The aqueous and alcoholic extracts of B. glabra show antihemolytic activity for all the treatments. In particular, the aqueous extract is effective against the anti-hemolytic effect of V1 and V2 and the alcoholic only against V2. However, no extract of B. glabra demonstrated efficacy against the V3 pool. The species with the least alexiteric activity is C. pulverulentus, although it is active in front of the pool V1.
Although there are differences in activity according to extracts, plant species and origin of venom, the four evaluated plant species could be used in the prevention of the symptoms of a bothrophic accident. Taking into account their ancestral use, namely their consumption, this may be a preventive measure against the effects of Bothrops asper venom in the absence of adequate and timely professional medical treatment.
All efforts were made to ameliorate any suffering to the animals following the protocol described by the World Health Organization9 in accordance with the Ecuadorian code of practice for the care and use of animals for scientific purposes of the Ministry of Environment of Ecuador. Our experiments were approved by the Ministry of Environment of Ecuador (research permit number: No. 07-2014-IC-FAU-FLO-DPAP-MA).
Dataset 1. The minimum hemolytic dose raw data for the four plant species against the three pools of venom. The antihemolytic activity percentages for all extracts of plant species, and concentrations of the three venom pools. DOI, 10.5256/f1000research.13528.d19150110
Dataset 2: Raw data for the MHD for the three pools of venom. DOI, 10.5256/f1000research.13528.d19150211
Supplementary File 1: Examples of photographs of the results. MIDH in V1, MIDH in V2, MIDH in V3, Treatment V1-extract aqueous E. bogotense Kunth., Treatment V2-extracto aqueous D. adscendens (Sw.) DC., Treatment V3-extract aqueous C. pulverulentus C. Presl, Treatment V1-extracto alcoholic E. bogotense Kunth., Treatment V2-extracto alcoholic D. adscendens (Sw.) DC., Treatment V3-extract alcoholic de C. pulverulentus C. Presl, Treatment V1-extract hexane B. glabra Aubl., Treatment V2-extract hexane de B. glabra Aubl., Treatment V3-extract hexane E. bogotense Kunth.
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Is the work clearly and accurately presented and does it cite the current literature?
No
Is the study design appropriate and is the work technically sound?
No
Are sufficient details of methods and analysis provided to allow replication by others?
Yes
If applicable, is the statistical analysis and its interpretation appropriate?
Not applicable
Are all the source data underlying the results available to ensure full reproducibility?
Yes
Are the conclusions drawn adequately supported by the results?
No
Competing Interests: No competing interests were disclosed.
Reviewer Expertise: toxinology, natural products, coagulation, platelet aggregation
Is the work clearly and accurately presented and does it cite the current literature?
Partly
Is the study design appropriate and is the work technically sound?
No
Are sufficient details of methods and analysis provided to allow replication by others?
Yes
If applicable, is the statistical analysis and its interpretation appropriate?
Partly
Are all the source data underlying the results available to ensure full reproducibility?
Partly
Are the conclusions drawn adequately supported by the results?
No
Competing Interests: No competing interests were disclosed.
Reviewer Expertise: Snake venomics and antivenomics
Alongside their report, reviewers assign a status to the article:
Invited Reviewers | ||
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1 | 2 | |
Version 1 01 Feb 18 |
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