Is a new ‘nanodote’ the next big thing in snakebite treatment? Not yet.

UCI chemistry professor Ken Shea (right) and doctoral student Jeffrey O’Brien have developed a potential new broad-spectrum snake venom antidote. Photo credit: Steve Zylius / UCI
UCI chemistry professor Ken Shea (right) and doctoral student Jeffrey O’Brien (left) have developed a potential new broad-spectrum snake venom antidote. Photo credit: Steve Zylius / UCI

Living in countries like the U.S., Australia, and the U.K., it can be all too easy to forget that snakebites are a serious and neglected global medical problem. It’s estimated that upwards of 4.5 million people are envenomated by snakes every year; about half of them suffer serious injuries including loss of limbs, and more than 100,000 die from such bites.

Much of this morbidity and mortality could be prevented if faster, easier access to the therapeutics that target and inactivate snake venom toxins could be established. But effective antivenoms are difficult to produce, expensive, and usually require storage and handling measures such as refrigeration that simply aren’t possible in the rural, remote areas where venomous snakes take their toll. Seeking to solve many of the issues, a new wave of researchers have begun the search for alternatives, hoping to find stable, cheap, and effective broad-spectrum antidotes to snake venom toxins. One such group at the University of California Irvine recently announced a promising new candidate: a nanogel that can neutralize one of the most dangerous families of protein toxins found in snake venoms.

In a press release published last week, the scientific team—led by chemistry professor Ken Shea—drew attention to their most recent paper unveiling the new possible therapeutic, which was published in the Journal of the American Chemical Society in December with Shea’s Ph.D. student, Jeffrey O’Brien, as lead author. The team dubbed the polymer nanogel material, which consists of readily available acrylamide derivates, a “nanodote.” Continue reading “Is a new ‘nanodote’ the next big thing in snakebite treatment? Not yet.”

Powerful Short Video Highlights The Global Burden of Snakebite

The global problem of snakebite goes unnoticed by most of us in developed countries. We have good access to medical care, abundant antivenom to treat what few dangerous bites occur, and snake species whose venoms are often manageable. In the U.S., for example, bees and wasps kill over ten times as many people as snakes do. But in other countries, snakebite is a real and neglected problem. Worldwide, snakes claim more than one hundred thousands lives annually, and leave countless more disabled and disfigured. This powerful, heartbreaking seven and a half-minute video is one that everyone should see:

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Attacking DNA to Save Snakebitten Limbs

The saw-scaled viper, Echis carinatus, on display in Geneva. Photo c/o Wikimedia
The saw-scaled viper, Echis carinatus, on display in Geneva. Photo from Wikimedia

The moment a viper’s venom enters the body, its enzymatic components set about their nefarious work. Metalloproteases begin the assault by mowing down structurally essential components of blood vessels and tissues, weakening walls and making holes that leech fluid. Capillaries hemmorrhage and the area swells while the proteases keep at their attack, taking out skeletal muscle through mechanisms poorly understood. Phospholipases join in, with their sights set on cell membranes. Some cut apart membrane lipids making lethal holes, while others seem to be just as destructive without enzymatic activity. The end result: muscle tissue dies. Hyaluronidases and serine proteases aid in the efforts, and the helpless tissue succumbs to the venom’s siege.

And that’s not even the worst part. The metalloproteases and phospholipases have other tricks up their sleeves. They don’t just fight their own war on our flesh: they enlist our own immune system to help them do it. The liberation of tumor necrosis factor and immune-stimulating cytokines by metalloproteases and the release of bioactive lipids by phospholipases cause immune cells to rush to the wound. Our body’s forces are trained to kill, usually setting their sights on bacteria and viruses. But without those clear targets, the body’s army gets confused. They can’t tell friend from foe, yet the immune cells fire anyway, blindly attacking an unseen danger. Valiant volleys act as friendly fire, adding to the death toll of innocent tissues.

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What It Feels Like To Die of a Boomslang Bite

The deadly boomslang, the snake fingered in the death of Karl Patterson Schmidt. Photo by William Warby
The deadly boomslang, the species of snake fingered in the death of Karl Patterson Schmidt.
Photo by William Warby

It’s estimated that somewhere between one and five million people are bitten by snakes every year, with around 1/5 of those resulting in death. That number is a lot lower than it once was — several decades ago, antivenoms for deadly snakes were few and far between, so people frequently succumbed to bites. One such victim was American herpetologist Karl P. Schmidt. Continue reading “What It Feels Like To Die of a Boomslang Bite”