CoordenaÃÃo de AperfeiÃoamento de Pessoal de NÃvel Superior / Some animals present natural resistance to the effects of snake venoms that can be explained by the presence of neutralizing factors in their blood serum. The resistance of South American Didelphis marsupialis, against crotalid venoms, especially of the genus Bothrops, of utmost medical importance in Brazil, has been object of investigation in the last few years. Bothrops erythromelas, known as âjararaca-da-secaâ or âjararaca-malha-de-cascavelâ is responsible for a great deal of snakebites in Northeastern Brazil. The venom of this snake induces acute renal failure (Wen et al., 1989). In this work, we examined the action of the antibothropic factor isolated from Didelphis marsupialis on the renal effects of B. erythromelas venom in the absence of systemic interactions. Isolated kidneys from Wistar rats, weighing 260 to 300g, were perfused with Krebs-Henseleit solution containing 6g% of bovine serum albumin, Bothrops erythromelas venom (10mg/mL), antibothropic factor from Didelphis marsupialis (10mg/mL), antibothropic factor from Didelphis marsupialis (10mg/mL) incubated with Bothrops erythromelas venom (10mg/mL) and antibothropic factor from Didelphis marsupialis (30mg/mL) incubated with Bothrops erythromelas venom (10mg/mL). The parameters studied included perfusion pressure (PP), renal vascular resistance (RVR), glomerular filtration rate (GFR), urinary flow (UF), percent sodium, potassium and chloride tubular transport (%TNa+, %TK+ and %TCl-), and osmotic clearance (Cosm). The control group perfused with albumin was functionally stable for over 120 min. The administration of antibothropic factor from Didephis marsupialis (10Âg/mL) did not modify the functional kidney parameters when compared with control group. The infusion of B. erythromelas venom (10Âg/mL) caused a significant decrease (p< 0,05*) in perfusion pressure and renal vascular resistance at 60, 90 and 120 min. with maximum effect at 90 min. (PP&#8594; ct90 = 108.70 Â 5.1 mmHg vs vBE90 = 65.20 Â 5.6* mmHg) and (RVR&#8594; ct90 = 5.76 Â 0.65 mmHg/mL.g-1.min-1. vs vBE90 = 3.10 Â 0.45* mmHg/mL.g-1.min-1). The glomerular filtration rate decreased at 60 min. and increased at 90 and 120 min (ct120 = 0.72 Â 0.10 mL.g-1.min-1. vs vBE120 = 1.24 Â 0.26* mL.g-1.min-1). After administration of the venom, the urinary flow increased at 90 and 120 min when compared with control group (ct120 = 0.14 Â 0.07 mL.g-1.min-1. vs vBE120 = 0.47 Â 0.08* mL.g-1.min-1). Sodium transport percent decreased at 90 and 120 min. (ct90 = 79.18 Â 0.88% vs vBE90 = 58.35 Â 4.86* %). Potassium transport percent decreased at 90 and 120 min. (ct90 = 67.20 Â4.04% vs vBE90 = 57.32 Â 5.28* %). Chloride transport percent decreased at 60, 90 and 120 min. (ct90 = 77.32 Â 2.22% vs vBE90 = 55.97 Â 5.52* %). The osmotic clearance increased at 90 and 120 min. (ct120 = 0.13 Â 0.01 mL. g-1.min-1 vs vBE120 = 0.42 Â 0.07* mL.g-1.min-1). The antibothropic factor from Didelphis marsupialis (10Âg/mL) incubated with B. erythromelas venom (10Âg/mL) blocked only the effects promoted by venom in the perfusion pressure and in the renal vascular resistance, whereas the highest concentration of the antibothropic factor from Didelphis marsupialis (30Âg/mL) reversed the effects on renal vascular resistance, urinary flow, glomerular filtration rate, percent sodium potassium and chloride tubular transport (%TNa+, %TK+ and %TCl-), and osmotic clearance (Cosm). In conclusion, B. erythromelas venom altered all the renal functional parameters evaluated and the antibothropic factor from D.marsupialis was able to inhibit the effects induced by the venom in rat isolated kidney. / Some animals present natural resistance to the effects of snake venoms that can be explained by the presence of neutralizing factors in their blood serum. The resistance of South American Didelphis marsupialis, against crotalid venoms, especially of the genus Bothrops, of utmost medical importance in Brazil, has been object of investigation in the last few years. Bothrops erythromelas, known as âjararaca-da-secaâ or âjararaca-malha-de-cascavelâ is responsible for a great deal of snakebites in Northeastern Brazil. The venom of this snake induces acute renal failure (Wen et al., 1989). In this work, we examined the action of the antibothropic factor isolated from Didelphis marsupialis on the renal effects of B. erythromelas venom in the absence of systemic interactions. Isolated kidneys from Wistar rats, weighing 260 to 300g, were perfused with Krebs-Henseleit solution containing 6g% of bovine serum albumin, Bothrops erythromelas venom (10mg/mL), antibothropic factor from Didelphis marsupialis (10mg/mL), antibothropic factor from Didelphis marsupialis (10mg/mL) incubated with Bothrops erythromelas venom (10mg/mL) and antibothropic factor from Didelphis marsupialis (30mg/mL) incubated with Bothrops erythromelas venom (10mg/mL). The parameters studied included perfusion pressure (PP), renal vascular resistance (RVR), glomerular filtration rate (GFR), urinary flow (UF), percent sodium, potassium and chloride tubular transport (%TNa+, %TK+ and %TCl-), and osmotic clearance (Cosm). The control group perfused with albumin was functionally stable for over 120 min. The administration of antibothropic factor from Didephis marsupialis (10Âg/mL) did not modify the functional kidney parameters when compared with control group. The infusion of B. erythromelas venom (10Âg/mL) caused a significant decrease (p< 0,05*) in perfusion pressure and renal vascular resistance at 60, 90 and 120 min. with maximum effect at 90 min. (PP&#8594; ct90 = 108.70 Â 5.1 mmHg vs vBE90 = 65.20 Â 5.6* mmHg) and (RVR&#8594; ct90 = 5.76 Â 0.65 mmHg/mL.g-1.min-1. vs vBE90 = 3.10 Â 0.45* mmHg/mL.g-1.min-1). The glomerular filtration rate decreased at 60 min. and increased at 90 and 120 min (ct120 = 0.72 Â 0.10 mL.g-1.min-1. vs vBE120 = 1.24 Â 0.26* mL.g-1.min-1). After administration of the venom, the urinary flow increased at 90 and 120 min when compared with control group (ct120 = 0.14 Â 0.07 mL.g-1.min-1. vs vBE120 = 0.47 Â 0.08* mL.g-1.min-1). Sodium transport percent decreased at 90 and 120 min. (ct90 = 79.18 Â 0.88% vs vBE90 = 58.35 Â 4.86* %). Potassium transport percent decreased at 90 and 120 min. (ct90 = 67.20 Â 4.04% vs vBE90 = 57.32 Â 5.28* %). Chloride transport percent decreased at 60, 90 and 120 min. (ct90 = 77.32 Â 2.22% vs vBE90 = 55.97 Â 5.52* %). The osmotic clearance increased at 90 and 120 min. (ct120 = 0.13 Â 0.01 mL. g-1.min-1 vs vBE120 = 0.42 Â 0.07* mL.g-1.min-1). The antibothropic factor from Didelphis marsupialis (10Âg/mL) incubated with B. erythromelas venom (10Âg/mL) blocked only the effects promoted by venom in the perfusion pressure and in the renal vascular resistance, whereas the highest concentration of the antibothropic factor from Didelphis marsupialis (30Âg/mL) reversed the effects on renal vascular resistance, urinary flow, glomerular filtration rate, percent sodium potassium and chloride tubular transport (%TNa+, %TK+ and %TCl-), and osmotic clearance (Cosm). In conclusion, B. erythromelas venom altered all the renal functional parameters evaluated and the antibothropic factor from D.marsupialis was able to inhibit the effects induced by the venom in rat isolated kidney

CoordenaÃÃo de AperfeiÃoamento de Pessoal de NÃvel Superior / A insuficiÃncia renal aguda à uma das complicaÃÃes mais freqÃentes nos envenenamentos ofÃdicos. Contudo, a sua patogÃnese permanece obscura. Em nossos estudos foram avaliados os efeitos renais causados pelas miotoxinas purificadas dos venenos das serpentes Bothrops jararacussu (Bthtx I, Lys 49 e Bthtx II, Asp 49) e Bothrops moojeni (BmTx I, Lys 49), assim como pelas lectinas dos venenos de Bothrops moojeni (BmLec) e Bothrops jararacussu (BJcuL). Tentando avaliar o mecanismo envolvido nos efeitos renais das substÃncias acima mencionadas, foram testados os efeitos da indometacina, um bloqueador inespecÃfico de ciclooxigenase. Adicionalmente, foram avaliados os efeitos inibitÃrios do Tezosentan, um bloqueador de receptor de endotelina, nos efeitos renais causados pela miotoxina I da serpente Bothrops moojeni. Para tanto, as miotoxinas, na dosagem de 5Âg/mL, ou as lectinas, na dosagem de 10Âg/mL foram adicionadas 30 minutos depois do inÃcio dos experimentos. Contudo, a indometacina e o tezosentan foram adicionados no sistema de perfusÃo sempre no inÃcio de cada experimento na dosagem de 10Âg/mL. Os efeitos renais foram comparados com um grupo controle, onde os rins foram perfundidos somente com a soluÃÃo de Krebs-Henseleit modificada. Bthtx I, BthtxII e BmLec aumentaram a pressÃo de perfusÃo (C120= 110,28  3,09, Bthtx I120 = 171,20  6,3 *, Bthtx II120 = 175,50  7,20 * e BmLec120 = 152,50  2,10 *), a resistÃncia vascular renal (C120= 5,46  0,54, Bthtx I120= 8,62  0,37 *, Bthtx II120= 8,90  0,36 * e BmLec120= 7,77  0,30*), o fluxo urinÃrio (C120= 0,143  0,008, Bthtx I120= 0,326  0,048*, e Bthtx II120= 0,373  0,085*, BmLec120= 0,085  0,007* ), o ritmo de filtraÃÃo glomerular (C120= 0,678  0,065, Bthtx I120= 0,855  0,133 *, Bthtx II120= 1,224  0,282*, BmLec120=1,037  0,055*) e a excreÃÃo de sÃdio potÃssio e cloreto (ENa+, EK+, ECl-). PorÃm, diminuÃram os percentuais dos transportes tubulares de sÃdio (C120= 79,76  0,56, Bthtx I120= 62,23  4,12*, Bthtx II120= 70,96  2,93* e BmLec60= 77,25  1,36*) e potÃssio (C60= 66,38  3,31, Bthtx I60= 55,79  5,57 *, Bthtx II60= 50,86  6,16* e BmLec60= 59,78  3,49). A indometacina foi capaz de bloquear os efeitos causados pela miotoxina I da B. jararacussu e lectina da B. moojeni, mas reverteu parcialmente os efeitos causados pelas miotoxinas II e lectina da B. jararacussu e miotoxina I da B. moojeni. O tezosentan, por sua vez, bloqueou os efeitos causados pela miotoxina I da B. moojeni. Foi concluÃdo que prostaglandinas estÃo envolvidas nas alteraÃÃes renais promovidas pelas substÃncias isoladas das serpentes B. jararacussu e B. moojeni, enquanto que endotelina seria o principal mediador nas alteraÃÃes renais causadas pela miotoxina I da B. moojeni. / Acute renal failure is one of the most common systemic complications after snakebite. However, its pathogenesis remains obscure. In this study, we evaluated the renal effects of Bothrops jararacussu myotoxins I and II (Bthtx-I Lys 49 and BthtxII, Asp 49), Bothrops moojeni myotoxin I and the lectins from Bothrops moojeni and Bothrops jararacussu. Attempting to investigate the mechanisms involved in the renal effects of the mentioned toxins, we tested indomethacin, an unespecific cyclooxigenase inhibitor. Additionally, tezosentan, an endothelin receptor blocker, was used to evaluate the role of endothelin in the renal effects of Bothrops moojeni myotoxin I. All myotoxins (5 Âg/mL) and lectins (10Âg /mL) were added to the perfusion system 30 min after the beginning of each perfusion. Indomethacin (10Âg/mL) and tezosentan (10 Âg /mL) were always added 30 minutes before the tested substances. The renal effects were compared against a control group, where kidneys were perfused only with the modified Krebs-Henseleit solution. Myotoxins from Bothrops jararacussu and the lectin from Bothrops moojeni increased the perfusion pressure (C120= 110.28  3.09, Bthtx I120= 171.20  6.3 * ,Bthtx II120= 175.50  7.20 * and BmLec120= 152.50  2.10 *), the renal vascular resistance (C120= 5.46  0.54, Bthtx I120= 8.62  0.37 *, Bthtx II120= 8.90  0.36 * and BmLec120= 7.77  0.30*), the urinary flow (C120= 0.143  0.008, Bthtx I120= 0.326  0.048*, and Bthtx II120= 0.373  0.085* ), the glomerular filtration rate (C120= 0.678  0.065, Bthtx I120= 0.855  0.133 *, Bthtx II120= 1.224  0.282* and BmLec120= 1.037  0.055*) and the sodium, potassium and chloride excretion. On the other hand, the same substances decreased the percent of renal tubular transport of sodium (C120= 79.76  0.56, Bthtx I120= 62.23  4.12*, Bthtx II120= 70.96  2.93* and BmLec60= 77.25  1.36*), potassium (C60= 66.38  3.31, Bthtx I60= 55.79  5.57 *, Bthtx II60= 50.86  6.16* and BmLec60= 59.78  3.49*). Indomethacin inhibited the renal effects induced by Bothrops jararacussu myotoxin I and Bothrops moojeni lectin, but partially blocked the effects promoted by myotoxin II and the lectin of Bothrops jararacussu, and the effects of myotoxin I of Bothrops moojeni. Tezosentan inhibited the renal effects induced by B. moojeni myotoxin I. In conclusion, prostaglandins are involved in the renal alterations induced by myotoxins and lectins purified from the snake venoms of Bothrops jararacussu and Bothrops moojeni. In addition, endothelin is the main mediator of the renal alterations promoted by Bothrops moojeni myotoxin I