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Viper venom toxins

Molecular classification
Phospholipase A2, Snake venom metalloproteinase, Snake venom serine protease, C-type lectin-like protein, Disintegrin, L-amino acid oxidase
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Overview

Viper venom toxins represent a complex mixture of bioactive proteins and peptides that serve as the primary pathological agents in snakebite envenomation by the Viperidae family [2, 3]. These toxins include major enzyme families such as phospholipases A2 (PLA2s), snake venom metalloproteinases (SVMPs), and serine proteases, which collectively induce hemotoxicity, tissue necrosis, and coagulopathy in victims [1, 2]. While these toxins share significant structural homology across related species, geographic and evolutionary pressures lead to substantial variation in their functional epitopes and enzymatic potency [1]. In a therapeutic context, these toxins are the primary targets for antivenoms, which consist of purified antibodies or antibody fragments designed to neutralize venom activity [3]. Recent drug development has also focused on broad-spectrum small molecule inhibitors, such as varespladib for PLA2s and marimastat for SVMPs, to provide more stable and geographically versatile treatments for snakebite [4]. Understanding the diversity and homology of these toxins is critical for addressing the global challenge of antivenom efficacy and the high morbidity associated with ophitoxicoses [2, 3].

Other names
Homologous venom toxins from related viper species and geographic variantsViperid toxinsSnake venom proteinsViper venom antigens
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Mechanism of action

Antivenoms utilize polyclonal antibodies to bind and neutralize the toxic enzymatic and non-enzymatic sites of venom proteins, preventing their interaction with host physiological targets [1, 2]. Small molecule inhibitors like varespladib act as competitive inhibitors of specific toxin families, such as phospholipase A2, by binding to the active site and blocking catalytic activity [4].

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Biological functions

ProteolysisHemolysisHemotoxicityCytotoxicityPlatelet aggregation inhibitionAnticoagulation
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Disease associations

Snakebite envenomationCoagulopathyHemorrhageLocal tissue necrosisSystemic toxicity
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Safety considerations

AnaphylaxisSerum sicknessGeographic variation in venom composition leading to poor antivenom cross-reactivityBatch-to-batch variability in antivenom potencyLimited shelf life and cold chain requirements for antivenoms
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Interacting drugs

Crotalidae Polyvalent Immune Fab (CroFab)

5 more in the full profile.

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Biomarkers

Prothrombin time (PT)International Normalized Ratio (INR)Fibrinogen levelsPlatelet countCreatine kinase (CK)Venom antigen levels (ELISA)

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