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Research Article

Alexiteric activity of Costus pulverulentus C. Presl., Desmodium adscendens (Sw.) DC., Begonia glabra Aubl. and Equisetum bogotense on the poison of Bothrops asper (equis)

[version 1; peer review: 2 not approved]
PUBLISHED 01 Feb 2018
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Abstract

Background: According to the Ecuadorian ancestral knowledge, antivenom treatment can be carried out using medicinal plants; there are in vitro studies in which alexiteric activity has been proven in many plant species through the assay of reduction of indirect hemolytic activity in blood agar plate-phosphatidylcholine. The cases of snake bites "equis" on the Ecuadorian coast represent the largest number of reported ophidian accidents, which usually occur in remote areas of health centers or hospitals, making patient care not timely. The species Costus pulverulentus C. Presl, Desmodium adscendens (Sw.) DC., Begonia glabra Aubl., and Equisetum bogotense are considered plants with antivenom potential (alexiteric) and have been used by various Ecuadorian ethnicities.
Methods: In the present investigation, the indirect anti-hemolytic activity in vitro of dry extracts of these four-plant species was evaluated, as an indicator of alexiteric activity, on three "pools" of Bothrops asper (equis) snake venom provided by the Vivarium of Quito (Quito, Ecuador).  
Results: Alcoholic extracts of the four-species showed neutralizing activity of the venom, with some differences according to the treatment and origin (composition) of the venom. The aqueous extract of B. glabra presented antihemolytic activity, unlike the other species.
Conclusions: We conclude that the alcoholic extracts of the four-species presented activity with some differences according to treatment and origin (composition) of the poison, and the aqueous extract of B. glabra presented anti-hemolytic activity unlike the other species whose activity was null.

Keywords

Bothrops asper alexiteric activity; Desmodium adscendens,Begonia glabra; Costus pulverulentus.

Introduction

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.

Methods

Obtaining plant samples

The plant samples were collected in areas of northwestern Pichincha (Table 1) and species were identified at the National Herbarium of Quito (Quito, Ecuador).

Table 1. Sampling sites with their Universal Transverse Mercator (UTM) coordinates.

SpeciesGeographical
coordinates
(UTM)
Sector
Costuspul
verulentusC.
Presl.
17 N 719392 m E8862 m NKm 113 Vía
Calacalí
Puerto Quito
17 N 719393 m E8861 m N
17 N 719395 m E8855 m N
Begonia
glabra
Aubl.
17 S 747627 m E9979137 m SMindo
17 S 747625 m E9979139 m S
17 S 747623 m E9979139 m S
Desmodium
Adscendens
(Sw.) dc.
17 N 719391 m E8858 m NKm 113
Vía Calacalí
Puerto Quito
17N 719393 m E8855 m N
17N 719393 m E8855 m N
Equisetum
bogotense
Kunt.
17N784560 m E9982670 m SQuito
Mercado de
Nayón

The parts used for the plant species, according to the traditional use of the inhabitants of the area, to be tested are as follows:

  • Costus pulverulentus C. Presl.: rhizomes

  • Desmodium adscendens (Sw.) DC.: whole plant

  • Begonia glabra Aubl.: leaves

  • Equisetum bogotense Kunth.: whole plant

Preparation of extracts

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.

Obtaining the poison of B. asper

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.

303a6564-8291-4da2-bfbb-041c8c6ffcda_figure1.gif

Figure 1. Manual milking and samples of Bothrops asper specimens.

Table 2. Origin of Bothrops asper.

LocationPool of venom
Mindo
Pedro V. Maldonado
Puerto Quito
Sto. Domingo de los Tsáchilas
V1
Esmeraldas
Manabí
V2
BolívarV3

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.

Determination of the Minimum Hemolytic Dose (MHD)

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.

Determination of the indirect antihemolytic activity of the extracts

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.

Statistical analysis

Analysis of variance was performed and after verifying significant differences, the Tukey test was applied using the Infostat/L program, version 11.1.2014, with a significance of 95%.

Results

Minimum hemolytic dose (MHD)

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.

Table 3. Minimum hemolytic dose of Bothrops asper venom from Ecuadorian littoral region.

Source of Bothrops asperPool venom
code
MIDH d(μg/μL)
Mindo, Pedro V. Maldonado,
Puerto Quito,
Santo Domingo
de los Tsáchilas
V122.9
Esmeraldas
Manabí
V26.1
BolívarV322.9

Example photographs of the MHD can be seen in Supplementary File 1.

Indirect antihemolytic activity

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.

Table 4. Reduction in the hemolytic effect of Bothrops asper venom with various plant species.

((++) is 100% inhibition; (+) is lower activity; (-) is zero activity).

SpeciesTreatment
(Vx:E)
Poison
Pool
Extract
aqueousalcoholichexanic
B. glabra1:7V1++++-
V2+++-
V3++-
1:10V1++++-
V2+++-
V3++-
1:20V1+++++
V2++++
V3++-
C. pulverulentus1:7V1-++-
V2---
V3-+-
1:10V1-+-
V2+++-
V3---
1:20V1+++-
V2-+-
V3++-
D. adscendens1:7V1-++-
V2-++-
V3+++-
1:10V1-++-
V2-++-
V3+++-
1:20V1-+++
V2-+++
V3+++-
E. bogotense1:7V1-++-
V2-++-
V3-++-
1:10V1-++-
V2-++-
V3-++-
1:20V1-++-
V2-++-
V3-++-

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.

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.
Dataset 2.Raw data for the MHD for the three pools of venom.

Conclusions

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.

Ethical statement

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).

Data availability

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

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Tapia W, Garzón K, Granda N and Mátyás B. Alexiteric activity of Costus pulverulentus C. Presl., Desmodium adscendens (Sw.) DC., Begonia glabra Aubl. and Equisetum bogotense on the poison of Bothrops asper (equis) [version 1; peer review: 2 not approved]. F1000Research 2018, 7:136 (https://doi.org/10.12688/f1000research.13528.1)
NOTE: If applicable, it is important to ensure the information in square brackets after the title is included in all citations of this article.
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ApprovedThe paper is scientifically sound in its current form and only minor, if any, improvements are suggested
Approved with reservations A number of small changes, sometimes more significant revisions are required to address specific details and improve the papers academic merit.
Not approvedFundamental flaws in the paper seriously undermine the findings and conclusions
Version 1
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PUBLISHED 01 Feb 2018
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Reviewer Report 16 May 2018
Andre Lopes Fuly, Department of Molecular and Cellular Biology, Federal Fluminense University, Niteroi, Brazil 
Not Approved
VIEWS 18
The manuscript reports inhibitory effects of plants against hemolysis induced by the venom of Bothrops asper snakes, and it postulates the use of plants as antivenom. However, the results are too preliminary to mention that such plants could be used to ... Continue reading
CITE
CITE
HOW TO CITE THIS REPORT
Fuly AL. Reviewer Report For: Alexiteric activity of Costus pulverulentus C. Presl., Desmodium adscendens (Sw.) DC., Begonia glabra Aubl. and Equisetum bogotense on the poison of Bothrops asper (equis) [version 1; peer review: 2 not approved]. F1000Research 2018, 7:136 (https://doi.org/10.5256/f1000research.14690.r33719)
NOTE: it is important to ensure the information in square brackets after the title is included in all citations of this article.
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Reviewer Report 07 Mar 2018
Juan J. Calvete, Institute of Biomedicine of Valencia (IBV), Superior Council of Scientific Investigations (CSIC), Valencia, Spain 
Not Approved
VIEWS 19
Authors should provide an overview of the major life-threatening effect of an Ecuadorian bothropic snakebite. Major components of Bothrops snakes, particularly B. asper and B. atrox are myonecrotic and immflamatory phospholipase A2s, hemorrhagic metalloproteases, and thrombin-like enzymes, whose substrates include ... Continue reading
CITE
CITE
HOW TO CITE THIS REPORT
Calvete JJ. Reviewer Report For: Alexiteric activity of Costus pulverulentus C. Presl., Desmodium adscendens (Sw.) DC., Begonia glabra Aubl. and Equisetum bogotense on the poison of Bothrops asper (equis) [version 1; peer review: 2 not approved]. F1000Research 2018, 7:136 (https://doi.org/10.5256/f1000research.14690.r31166)
NOTE: it is important to ensure the information in square brackets after the title is included in all citations of this article.

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Alongside their report, reviewers assign a status to the article:
Approved - the paper is scientifically sound in its current form and only minor, if any, improvements are suggested
Approved with reservations - A number of small changes, sometimes more significant revisions are required to address specific details and improve the papers academic merit.
Not approved - fundamental flaws in the paper seriously undermine the findings and conclusions
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