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WHO Guidance on Management of Snakebites
GUIDELINES FOR THE MANAGEMENT OF SNAKEBITES 2nd Edition GUIDELINES FOR THE MANAGEMENT OF SNAKEBITES 2nd Edition 1. 2. 3. 4. ISBN 978-92-9022- © World Health Organization 2016 2nd Edition All rights reserved. Requests for publications, or for permission to reproduce or translate WHO publications, whether for sale or for noncommercial distribution, can be obtained from Publishing and Sales, World Health Organization, Regional Office for South-East Asia, Indraprastha Estate, Mahatma Gandhi Marg, New Delhi-110 002, India (fax: +91-11-23370197; e-mail: publications@ searo.who.int). The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. The mention of specific companies or of certain manufacturers’ products does not imply that they are endorsed or recommended by the World Health Organization in preference to others of a similar nature that are not mentioned. Errors and omissions excepted, the names of proprietary products are distinguished by initial capital letters. All reasonable precautions have been taken by the World Health Organization to verify the information contained in this publication. However, the published material is being distributed without warranty of any kind, either expressed or implied. The responsibility for the interpretation and use of the material lies with the reader. In no event shall the World Health Organization be liable for damages arising from its use. -
Venomics of Trimeresurus (Popeia) Nebularis, the Cameron Highlands Pit Viper from Malaysia: Insights Into Venom Proteome, Toxicity and Neutralization of Antivenom
toxins Article Venomics of Trimeresurus (Popeia) nebularis, the Cameron Highlands Pit Viper from Malaysia: Insights into Venom Proteome, Toxicity and Neutralization of Antivenom Choo Hock Tan 1,*, Kae Yi Tan 2 , Tzu Shan Ng 2, Evan S.H. Quah 3 , Ahmad Khaldun Ismail 4 , Sumana Khomvilai 5, Visith Sitprija 5 and Nget Hong Tan 2 1 Department of Pharmacology, Faculty of Medicine, University of Malaya, 50603 Kuala Lumpur, Malaysia; 2 Department of Molecular Medicine, Faculty of Medicine, University of Malaya, 50603 Kuala Lumpur, Malaysia; [email protected] (K.Y.T.); [email protected] (T.S.N.); [email protected] (N.H.T.) 3 School of Biological Sciences, Universiti Sains Malaysia, 11800 Minden, Penang, Malaysia; [email protected] 4 Department of Emergency Medicine, Universiti Kebangsaan Malaysia Medical Centre, 56000 Kuala Lumpur, Malaysia; [email protected] 5 Thai Red Cross Society, Queen Saovabha Memorial Institute, Bangkok 10330, Thailand; [email protected] (S.K.); [email protected] (V.S.) * Correspondence: [email protected] Received: 31 December 2018; Accepted: 30 January 2019; Published: 6 February 2019 Abstract: Trimeresurus nebularis is a montane pit viper that causes bites and envenomation to various communities in the central highland region of Malaysia, in particular Cameron’s Highlands. To unravel the venom composition of this species, the venom proteins were digested by trypsin and subjected to nano-liquid chromatography-tandem mass spectrometry (LC-MS/MS) for proteomic profiling. Snake venom metalloproteinases (SVMP) dominated the venom proteome by 48.42% of total venom proteins, with a characteristic distribution of P-III: P-II classes in a ratio of 2:1, while P-I class was undetected. -
2019 Fry Trimeresurus Genus.Pdf
Toxicology Letters 316 (2019) 35–48 Contents lists available at ScienceDirect Toxicology Letters journal homepage: www.elsevier.com/locate/toxlet Clinical implications of differential antivenom efficacy in neutralising coagulotoxicity produced by venoms from species within the arboreal T viperid snake genus Trimeresurus ⁎ Jordan Debonoa, Mettine H.A. Bosb, Nathaniel Frankc, Bryan Frya, a Venom Evolution Lab, School of Biological Sciences, University of Queensland, St Lucia, QLD, 4072, Australia b Division of Thrombosis and Hemostasis, Einthoven Laboratory for Vascular and Regenerative Medicine, Leiden University Medical Center, Albinusdreef 2, 2333 ZA, Leiden, the Netherlands c Mtoxins, 1111 Washington Ave, Oshkosh, WI, 54901, USA ARTICLE INFO ABSTRACT Keywords: Snake envenomation globally is attributed to an ever-increasing human population encroaching into snake Venom territories. Responsible for many bites in Asia is the widespread genus Trimeresurus. While bites lead to hae- Coagulopathy morrhage, only a few species have had their venoms examined in detail. We found that Trimeresurus venom Fibrinogen causes haemorrhaging by cleaving fibrinogen in a pseudo-procoagulation manner to produce weak, unstable, Antivenom short-lived fibrin clots ultimately resulting in an overall anticoagulant effect due to fibrinogen depletion. The Phylogeny monovalent antivenom ‘Thai Red Cross Green Pit Viper antivenin’, varied in efficacy ranging from excellent neutralisation of T. albolabris venom through to T. gumprechti and T. mcgregori being poorly neutralised and T. hageni being unrecognised by the antivenom. While the results showing excellent neutralisation of some non-T. albolabris venoms (such as T. flavomaculaturs, T. fucatus, and T. macrops) needs to be confirmed with in vivo tests, conversely the antivenom failure T. -
Substrate Thermal Properties Influence Ventral Brightness Evolution In
ARTICLE https://doi.org/10.1038/s42003-020-01524-w OPEN Substrate thermal properties influence ventral brightness evolution in ectotherms ✉ Jonathan Goldenberg 1 , Liliana D’Alba 1, Karen Bisschop 2,3, Bram Vanthournout1 & Matthew D. Shawkey 1 1234567890():,; The thermal environment can affect the evolution of morpho-behavioral adaptations of ectotherms. Heat is transferred from substrates to organisms by conduction and reflected radiation. Because brightness influences the degree of heat absorption, substrates could affect the evolution of integumentary optical properties. Here, we show that vipers (Squa- mata:Viperidae) inhabiting hot, highly radiative and superficially conductive substrates have evolved bright ventra for efficient heat transfer. We analyzed the brightness of 4161 publicly available images from 126 species, and we found that substrate type, alongside latitude and body mass, strongly influences ventral brightness. Substrate type also significantly affects dorsal brightness, but this is associated with different selective forces: activity-pattern and altitude. Ancestral estimation analysis suggests that the ancestral ventral condition was likely moderately bright and, following divergence events, some species convergently increased their brightness. Vipers diversified during the Miocene and the enhancement of ventral brightness may have facilitated the exploitation of arid grounds. We provide evidence that integument brightness can impact the behavioral ecology of ectotherms. 1 Evolution and Optics of Nanostructures group, Department -
Reproductive Biology and Natural History of the White-Lipped Pit Viper (Trimeresurus Albolabris Gray, 1842) in Hong Kong Anne Devan-Song University of Rhode Island
University of Rhode Island DigitalCommons@URI Natural Resources Science Faculty Publications Natural Resources Science 2017 Reproductive Biology and Natural History of the White-lipped Pit Viper (Trimeresurus albolabris Gray, 1842) in Hong Kong Anne Devan-Song University of Rhode Island Paolo Martelli See next page for additional authors Follow this and additional works at: https://digitalcommons.uri.edu/nrs_facpubs Citation/Publisher Attribution Devan-Song, A., Martelli, P., & Karraker, N. E. (2017). Reproductive Biology and Natural History of the White-lipped Pit Viper (Trimeresurus albolabris Gray, 1842) in Hong Kong. Herpetological Conservation and Biology, 12(1), 41-55. Retrieved from http://www.herpconbio.org/Volume_12/Issue_1/Devan-Song_etal_2017.pdf Available at: http://www.herpconbio.org/Volume_12/Issue_1/Devan-Song_etal_2017.pdf This Article is brought to you for free and open access by the Natural Resources Science at DigitalCommons@URI. It has been accepted for inclusion in Natural Resources Science Faculty Publications by an authorized administrator of DigitalCommons@URI. For more information, please contact [email protected]. Authors Anne Devan-Song, Paolo Martelli, and Nancy E. Karraker This article is available at DigitalCommons@URI: https://digitalcommons.uri.edu/nrs_facpubs/115 Herpetological Conservation and Biology 12:41–55. Submitted: 30 September 2015; Accepted: 18 January 2017; Published: 30 April 2017. Reproductive Biology and Natural History of the White-lipped Pit Viper (Trimeresurus albolabris Gray, -
Cfreptiles & Amphibians
WWW.IRCF.ORG/REPTILESANDAMPHIBIANSJOURNALTABLE OF CONTENTS IRCF REPTILES &IRCF AMPHIBIANS REPTILES • VOL &15, AMPHIBIANS NO 4 • DEC 2008 • 189 24(3):197–200 • DEC 2017 IRCF REPTILES & AMPHIBIANS CONSERVATION AND NATURAL HISTORY TABLE OF CONTENTS FEATURE ARTICLES New. Chasing Bullsnakes Distributional (Pituophis catenifer sayi) in Wisconsin: Records for the On the Road to Understanding the Ecology and Conservation of the Midwest’s Giant Serpent ...................... Joshua M. Kapfer 190 . The Shared History of Treeboas (Corallus grenadensis) and Humans on Grenada: HimalayanA Hypothetical Excursion ............................................................................................................................ White-lipped Pitviper,Robert W. Henderson 198 TrimeresurusRESEARCH ARTICLES septentrionalis Kramer 1977 . The Texas Horned Lizard in Central and Western Texas ....................... Emily Henry, Jason Brewer, Krista Mougey, and Gad Perry 204 . The Knight Anole (Anolis equestris) in Florida (Reptilia: ............................................. Viperidae)Brian J. Camposano, Kenneth L. Krysko, Kevinfrom M. Enge, Ellen M. theDonlan, and MichaelGarhwal Granatosky 212 CONSERVATION ALERT . World’sHimalaya Mammals in Crisis ............................................................................................................................... in Northwestern ..............................India 220 . More Than Mammals ..................................................................................................................................................................... -
The Amphibian and Reptile Diversity of Tràm Chim National Park, Đống Tháp Province, Việt Nam Alex Krohn SIT Study Abroad
SIT Graduate Institute/SIT Study Abroad SIT Digital Collections Independent Study Project (ISP) Collection SIT Study Abroad Spring 2009 The Amphibian and Reptile Diversity of Tràm Chim National Park, Đống Tháp Province, Việt Nam Alex Krohn SIT Study Abroad Follow this and additional works at: https://digitalcollections.sit.edu/isp_collection Part of the Environmental Indicators and Impact Assessment Commons, and the Natural Resources and Conservation Commons Recommended Citation Krohn, Alex, "The Amphibian and Reptile Diversity of Tràm Chim National Park, Đống Tháp Province, Việt Nam" (2009). Independent Study Project (ISP) Collection. 689. https://digitalcollections.sit.edu/isp_collection/689 This Unpublished Paper is brought to you for free and open access by the SIT Study Abroad at SIT Digital Collections. It has been accepted for inclusion in Independent Study Project (ISP) Collection by an authorized administrator of SIT Digital Collections. For more information, please contact [email protected]. The Amphibian and Reptile Diversity of Tràm Chim National Park, Đống Th áp Province, Vi ệt Nam Alex Krohn SIT: Vietnam Mekong Delta Spring 2009 Krohn 1 Table of Contents 1.0 Acknowledgements………..………………………………………….……………3 2.0 Abstract…………...………………………………………………….…..………….4 3.0 Introduction..………………………………………………………………………...5 4.0 Materials and Methods…………………………………..………………….……..8 5.0 Results……..………………………………………………………………..……..12 6.0 Discussion..…………………………………………………………………….….16 6.1 Overall Diversity and its Implications for Conservation………………...……..16 6.2 Natural History Notes………………………………………………………….….21 6.3 Problems and Advice for Future Research………………………………….….24 6.4 Conclusion……………………………………………………..…………….…….26 Table 1………………………………………………………..…………………...……27 Appendix 1……………………………………………………………………..………30 Literature Cited………………………………………………………………………...37 Krohn 2 1.0 Aknowledgements First and foremost I would like to thank everyone at Tram Chim National Park for their help. -
Human-Snake Conflict Patterns in a Dense Urban-Forest Mosaic Landscape
Herpetological Conservation and Biology 14(1):143–154. Submitted: 9 June 2018; Accepted: 25 February 2019; Published: 30 April 2019. HUMAN-SNAKE CONFLICT PATTERNS IN A DENSE URBAN-FOREST MOSAIC LANDSCAPE SAM YUE1,3, TIMOTHY C. BONEBRAKE1, AND LUKE GIBSON2 1School of Biological Sciences, University of Hong Kong, Pokfulam, Hong Kong, China 2School of Environmental Science and Engineering, Southern University of Science and Technology, Shenzhen, China 3Corresponding author, e-mail: [email protected] Abstract.—Human expansion and urbanization have caused an escalation in human-wildlife conflicts worldwide. Of particular concern are human-snake conflicts (HSC), which result in over five million reported cases of snakebite annually and significant medical costs. There is an urgent need to understand HSC to mitigate such incidents, especially in Asia, which holds the highest HSC frequency in the world and the highest projected urbanization rate, though knowledge of HSC patterns is currently lacking. Here, we examined the relationships between season, weather, and habitat type on HSC incidents since 2002 in Hong Kong, China, which contains a mixed landscape of forest, dense urban areas, and habitats across a range of human disturbance and forest succession. HSC frequency peaked in the autumn and spring, likely due to increased activity before and after winter brumation. There were no considerable differences between incidents involving venomous and non-venomous species. Dense urban areas had low HSC, likely due to its inhospitable environment for snakes, while forest cover had no discernible influence on HSC. We found that disturbed or lower quality habitats such as shrubland or areas with minimal vegetation had the highest HSC, likely because such areas contain intermediate densities of snakes and humans, and intermediate levels of disturbance. -
Anti-Trimeresurus Albolabris Venom Igy Antibodies
Duan et al. Journal of Venomous Animals and Toxins including Tropical Diseases (2016) 22:23 DOI 10.1186/s40409-016-0078-3 RESEARCH Open Access Anti-Trimeresurus albolabris venom IgY antibodies: preparation, purification and neutralization efficacy Hai-long Duan1, Qi-yi He1, Bin Zhou2, Wen-wen Wang1,BoLi1, Ying-zheng Zhang1, Qiu-ping Deng1, Ying-feng Zhang1 and Xiao-dong Yu1* Abstract Background: Snakebite incidence in southwestern China is mainly attributed to one of the several venomous snakes found in the country, the white-lipped green pit viper Trimeresurus albolabris. Since antivenom produced from horses may cause numerous clinical side effects, the present study was conducted aiming to develop an alternative antivenom antibody (immunoglobulin Y - IgY) from leghorn chickens. Methods: IgY in egg yolk from white leghorn chicken previously injected with T. albolabris venom was extracted by water, precipitated by ammonium sulfate and purified by affinity chromatographic system. IgY was identified by SDS-PAGE, ELISA and Western blot, and its neutralizing assay was conducted on mice. Results: Chickens injected multiple times with T. albolabris venom elicited strong antibody responses, and from their egg yolk IgY was isolated and purified, which exhibited a single protein band on SDS-PAGE and two bands (about 65 and 35 kDa, respectively) under reduced conditions. Immunoblot analysis revealed that these IgY are polyclonal antibodies since they bind with most venom components. In the neutralizing assay, all mice survived while the ratios of IgY/venom reached up to 3.79 (50.0 mg/13.2 mg). Conclusions: IgY antibody response was successfully conducted in white leghorn chicken injected with T. -
The Effect of Green Pit Viper (Trimeresurus Albolabris) Venom on Platelet Morphology by Electron Microscopy
EFFECT OF GREEN PIT VIPER VENOM ON PLATELET MORPHOLOGY THE EFFECT OF GREEN PIT VIPER (TRIMERESURUS ALBOLABRIS) VENOM ON PLATELET MORPHOLOGY BY ELECTRON MICROSCOPY Suphan Soogarun1, Montri Choewbamrungkiat2, Viroj Wiwanitkit3, Jamsai Suwansaksri4, Waykin Nopanitaya5, Paweena Pradniwat1, Attakorn Palasuwan1, Supantitra Chanprasert1, Panchalee Jangprasert1, Pacharaporn Netsupun1 and Wacharin Sirisapsombat1 1Department of Clinical Microscopy, Faculty of Allied Health Sciences, Chulalongkorn Univesity, Bangkok; 2Snake farm, Thai Red Cross,Bangkok; 3Department of Clinical Laboratory Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok; 4Department of Clinical Chemistry, Faculty of Allied Health Sciences, Chulalongkorn University, Bangkok; 5Rajabhat Surat Thani University, Surat Thani,Thailand Abstract. The incidence of venomous snake bites increases every year in Thailand, especially due to green pit viper. After the bite, there is bleeding due to thrombin-like property of the venom. The mean platelet volume has been reported to be decreased in those who have been bitten by this snake. In this study we investigate the effect of green pit viper venom (Trimeresurus albolabris) on platelet volume (MPV), number and morphology of platelets in vitro. The test was carried out by washing platelets in phosphate buffer at pH 7.2 to remove fibrinogen, then the washed platelets were mixed with green pit viper venom. Platelet morphology was exam- ined by scanning electron microscope (SEM).The morphology of platelets was smaller than normal which ranges from 1.1- 1.2 µm. Green pit viper venom can directly effect platelet mor- phology, decreasing platelet volume. INTRODUCTION venom of Trimeresurus albolabris can increase fibrinolytic activity by shortening euglobulin The green pit viper (Trimeresurus albolabris time (Kamnerdnond and Jitprommeta, 2004). -
Trimeresurus Purpureomaculatus) Venom and Its Disintegrin (Purpureomaculin
RESEARCH OPEN ACCESS ISSN 1678-9199 www.jvat.org Cytotoxic and anticancer properties of the Malaysian mangrove pit viper (Trimeresurus purpureomaculatus) venom and its disintegrin (purpureomaculin) 1,* 1 2 2 3 3 Choo Hock Tan , Jia Lee Liew , Suerialoasan Navanesan , Kae Shin Sim , Nget Hong Tan , Kae Yi Tan 1Department of Pharmacology, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia. 2Institute of Biological Sciences, Faculty of Science, University of Malaya, Kuala Lumpur, Malaysia. 3Department of Molecular Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia. Abstract Background: The Asiatic pit vipers from the Trimeresurus complex are medically important venomous snakes. These pit vipers are often associated with snakebite that leads to fatal coagulopathy and tissue necrosis. The cytotoxic venoms of Trimeresurus Keywords: spp.; however, hold great potential for the development of peptide-based anticancer drugs. Shore pit viper Methods: This study investigated the cytotoxic effect of the venom fromTrimeresurus Trimeresurus purpureomaculatus purpureomaculatus, the mangrove pit viper (also known as shore pit viper) which is Disintegrin native in Malaysia, across a panel of human cancer cell lines from breast, lung, colon and prostate as well as the corresponding normal cell lines of each tissue. Selective cytotoxicity Results: The venom exhibited dose-dependent cytotoxic activities on all cell lines tested, Anti-neoplastic activity with median inhibition concentrations (IC50) ranging from 0.42 to 6.98 µg/mL. The venom has a high selectivity index (SI = 14.54) on breast cancer cell line (MCF7), indicating that it is significantly more cytotoxic toward the cancer than to normal cell lines. Furthermore, the venom was fractionated using C18 reversed-phase high-performance liquid chromatography and the anticancer effect of each protein fraction was examined. -
A New Species of Green Pit Viper of the Genus Trimeresurus Lacépède, 1804 (Reptilia: Serpentes: Viperidae) from the Nicobar Archipelago, Indian Ocean 1S.R
Offcial journal website: Amphibian & Reptile Conservation amphibian-reptile-conservation.org 14(3) [Taxonomy Section]: 169–176 (e264). urn:lsid:zoobank.org:pub:6CC8A3EA-F9AE-4057-BD4F-E4975CAC50DA A new species of green pit viper of the genus Trimeresurus Lacépède, 1804 (Reptilia: Serpentes: Viperidae) from the Nicobar Archipelago, Indian Ocean 1S.R. Chandramouli, 2Patrick D. Campbell, and 3,*Gernot Vogel 1Department of Ecology and Environmental Sciences, School of Life Sciences, Pondicherry University, Puducherry - 605014, INDIA 2Department of Life Sciences, Darwin Centre, Natural History Museum, Cromwell Road, South Kensington, London SW7 5BD, England, UNITED KINGDOM 3Society for South East Asian Herpetology, Im Sand-3, Heidelberg, GERMANY Abstract.—A new species of green pit viper of the genus Trimeresurus, in the T. albolabris complex, is described from Car Nicobar Island of the Nicobar Archipelago, Indian Ocean. The new species, Trimeresurus davidi sp. nov., can be distinguished from all other members of this group by the following characteristics: medium to large body size (277–835 mm SVL); dorsal scales in a series of 21–25:21–23:15–17 rows; nasal partly fused with the frst supralabial; 166–179 ventrals, 58–70 subcaudals; one preocular; 2–3 postoculars; 10–12 supralabials; 12–15 infralabials; two internasals usually in contact with each other; 11–14 cephalic scales; verdant green dorsal and ventral color, absence of white ventrolateral stripes along the sides of the body; males with a white supralabial streak, bordered by a reddish tinge above; a pair of white and red stripes along the sides of the tail in both sexes; a reddish brown colored tail and a greenish iris.