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Myotoxins from Bothrops asper and Crotalus durissus are specialized venom proteins that induce rapid and severe skeletal muscle damage. In B. asper, the primary non-enzymatic myotoxins are Lys49 phospholipase A2 (PLA2) homologues, such as Myotoxin II, which lack catalytic activity but disrupt cell membranes through a direct physical mechanism involving their C-terminal cationic and hydrophobic residues (Lomonte et al., 2009, PMID: 19162151). In C. durissus, the venom contains crotamine, a small basic myotoxin that targets voltage-gated sodium channels, leading to muscle fasciculations and necrosis (Ogni et al., 2016, PMID: 27153457). These proteins are critical targets for therapeutic intervention because they are responsible for the permanent tissue loss and disability often associated with snakebites (Gutiérrez et al., 2017, PMID: 28914610). While traditional antivenoms are the standard of care, their effectiveness against local myonecrosis is limited by the speed of toxin action, prompting research into small-molecule inhibitors like varespladib or heparin-like polyanions that can neutralize these toxins more rapidly at the site of envenomation (Bryan-Quirós et al., 2019, PMID: 31108907).
Neutralization of toxic activity through antibody binding (antivenom) or competitive inhibition of membrane-binding sites by small molecules or polyanions.
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