New broad-spectrum antivenom achieves a lot with a little

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[cropped] Emerald Gaze: A close encounter with the intense stare of a green mamba (Dendroaspis angusticeps), revealing the intricate scales and vivid hue of this elusive forest predator. Credit: Wolfgang Wüster
[cropped] Emerald Gaze: A close encounter with the intense stare of a green mamba (Dendroaspis angusticeps), revealing the intricate scales and vivid hue of this elusive forest predator. Credit: Wolfgang Wüster

Broad snakebite protection could be achieved with just a few components, according to international researchers who found their experimental antivenom has shown promise in treating mice against some of Africa’s deadliest snakes. The team created the new antivenom by combining engineered proteins called “nanobodies” that target key toxins found in snake venoms. These nanobodies were identified after immunising an alpaca and a llama with venoms from 18 African snake species, including cobras, mambas and a rinkhals. In mice, the antivenom prevented death from bites from 17 of these snake species and reduced tissue damage caused by some of the most harmful venoms. It also performed better than an existing commercial antivenom, Inoserp PAN-AFRICA.

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From: Springer Nature

Biology: New antivenom protects against snake bites (N&V)

An experimental recombinant antivenom to protect against bites from some of Africa’s deadliest snakes—including mambas, cobras, and rinkhals—has shown promise in treating mice. The findings, published in Nature, may contribute to the development of safer and more effective treatments for snakebite victims.

Bites from venomous snakes are a major health problem in sub-Saharan Africa, causing thousands of deaths and serious injuries every year. Current antivenoms are made from animal blood plasma and can be expensive, inconsistent, and sometimes cause adverse reactions. They also often fail to work against all medically relevant snake species or prevent severe tissue damage.

Andreas Laustsen and colleagues created a new antivenom by combining engineered proteins called nanobodies that target key toxins found in snake venoms. These nanobodies were identified after immunizing an alpaca and a llama with venoms from 18 African snake species, including cobras, mambas and a rinkhals. In mice, the antivenom prevented death from bites from 17 of these snake species and reduced tissue damage caused by some of the most harmful venoms. It also performed better than an existing commercial antivenom, Inoserp PAN-AFRICA, in preventing death and skin necrosis across all of the snake species tested but was only partially protective against venom from green and black mambas.

The findings suggest that broad snakebite protection can be achieved with only a few components, challenging the belief that mixtures of a large number of antibodies are needed. Future research will focus on improving the antivenom’s durability and testing its safety in clinical settings, the authors suggest.

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Organisation/s: Technical University of Denmark, Denmark
Funder: Research conducted at MAX IV, a Swedish national user facility, is supported by Vetenskapsrådet (2018-07152), Vinnova (2018-04969) and Formas (2019-02496). K.K. is supported by a grant from the Novo Nordisk Foundation (NNF16OC0020670). A.H.L. is supported by a grant from the European Research Council (ERC) under the European Union’s Horizon 2020 research and innovation programme (850974), a grant from the Villum Foundation (00025302), and a grant from Wellcome (221702/Z/20/Z). M.B.-V. is supported by a Eurotech Postdoctoral fellowship from the European Union’s Horizon 2020 research and innovation programme under the Marie Skłodowska-Curie grant agreement (899987). A.A. has received funding from the Mexican Consejo Nacional de Ciencia y Tecnología, FORDECyT-PRONAII (303045). N.R.C. is supported by grants from Wellcome (221708/Z/20/Z and 223619/Z/21/Z). S.T. is supported by a scholarship from the Anandamahidol Foundation under the Royal Patronage of His Majesty King Bhumibol Adulyadej of Thailand. T.P.J. is supported from the Alliance programme under the EuroTech Universities agreement, as well as under the Marie Sklodowska-Curie grant (713683) (COFUNDfellowsDTU). S. Ainsworth is supported by a grant UK Research and Innovation (MR/S03398X/1) and NC3Rs (NC/X001172/1). S.P.M. is supported by a grant from the National Science Foundation (IOS-2307044). J.P.M. is supported by a grant from the Novo Nordisk Foundation (NNF24OC0088714).
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