Evidence map›Paper›PMID 26633987›Full record

ArticleEvidence-based complementary and alternative medicine : eCAM2015

The Triterpenoid Betulin Protects against the Neuromuscular Effects of Bothrops jararacussu Snake Venom In Vivo.

Miriéle Cristina Ferraz, Jhones Luiz de Oliveira, Joel Reis de Oliveira Junior, José Carlos Cogo, Márcio Galdino Dos Santos, Luiz Madaleno Franco, Pilar Puebla, Helena Onishi Ferraz, Humberto Gomes Ferraz, Marisa Maria Teixeira da Rocha and 3 more

Open access · hybridAbstract read
In one paragraph

Article in Evidence-based complementary and alternative medicine : eCAM, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
39.8field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 373 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 8 institutions in 2 countries.

Miriéle Cristina FerrazPost-Graduate Program in Pharmaceutical Sciences and Pharmacy Course, University of Sorocaba (UNISO), Rodovia Raposo Tavares, Km 92,5, 18023-000 Sorocaba, SP, Brazil.
Jhones Luiz de OliveiraPost-Graduate Program in Pharmaceutical Sciences and Pharmacy Course, University of Sorocaba (UNISO), Rodovia Raposo Tavares, Km 92,5, 18023-000 Sorocaba, SP, Brazil.
Joel Reis de Oliveira JuniorPost-Graduate Program in Pharmaceutical Sciences and Pharmacy Course, University of Sorocaba (UNISO), Rodovia Raposo Tavares, Km 92,5, 18023-000 Sorocaba, SP, Brazil.
José Carlos CogoSerpentarium of the Center for Nature Studies and Institute for Research and Development (IP&D), Vale do Paraíba University (UNIVAP), Avenida Shishima Hifumi 291, 12244-000 São José dos Campos, SP, Brazil.
Márcio Galdino Dos SantosPost-Graduate Program in Environmental Sciences, Tocantins Federal University, Avenida NS15, ALC NO14, 109 Norte, 77001-090 Palmas, TO, Brazil.
Luiz Madaleno FrancoPharmacy Course, Methodist University of Piracicaba (UNIMEP), Rodovia do Açúcar, Km 156, 13423-170 Piracicaba, SP, Brazil.
Pilar PueblaDepartment of Pharmaceutical Chemistry, Salamanca University, Campus "Miguel de Unamuno", 37007 Salamanca, Spain.
Helena Onishi FerrazPharmacy Course, Federal University of São Paulo (UNIFESP), Rua Prof. Artur Riedel 275, 09972-270 Diadema, SP, Brazil.
Humberto Gomes FerrazDepartment of Pharmacy, Faculty of Pharmaceutical Sciences, University of São Paulo (USP), Avenida Prof. Lineu Prestes 580, 05434-070 São Paulo, SP, Brazil.
Marisa Maria Teixeira da RochaLaboratory of Herpetology, Instituto Butantan, Avenida Vital Brasil 1500, 05503-900 São Paulo, SP, Brazil.
Stephen HyslopDepartment of Pharmacology, Faculty of Medical Sciences, State University of Campinas (UNICAMP), Rua Tessália Vieira de Camargo 126, Cidade Universitária Zeferino Vaz, 13083-870 Campinas, SP, Brazil.
Arturo San FelicianoDepartment of Pharmaceutical Chemistry, Salamanca University, Campus "Miguel de Unamuno", 37007 Salamanca, Spain.
Yoko Oshima-FrancoPost-Graduate Program in Pharmaceutical Sciences and Pharmacy Course, University of Sorocaba (UNISO), Rodovia Raposo Tavares, Km 92,5, 18023-000 Sorocaba, SP, Brazil.
Universidade de Sorocaba · BRUniversidad de Salamanca · ESUniversidade de São Paulo · BRInstituto Butantan · BRMethodist University of Piracicaba · BRUniversidade do Vale do Paraíba · BRUniversidade Estadual de Campinas (UNICAMP) · BRUniversidade Federal do Tocantins · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We confirmed the ability of the triterpenoid betulin to protect against neurotoxicity caused by Bothrops jararacussu snake venom in vitro in mouse isolated phrenic nerve-diaphragm (PND) preparations and examined its capability of in vivo protection using the rat external popliteal/sciatic nerve-tibialis anterior (EPSTA) preparation. Venom caused complete, irreversible blockade in PND (40 μg/mL), but only partial blockade (~30%) in EPSTA (3.6 mg/kg, i.m.) after 120 min. In PND, preincubation of venom with commercial bothropic antivenom (CBA) attenuated the venom-induced blockade, and, in EPSTA, CBA given i.v. 15 min after venom also attenuated the blockade (by ~70% in both preparations). Preincubation of venom with betulin (200 μg/mL) markedly attenuated the venom-induced blockade in PND; similarly, a single dose of betulin (20 mg, i.p., 15 min after venom) virtually abolished the venom-induced decrease in contractility. Plasma creatine kinase activity was significantly elevated 120 min after venom injection in the EPSTA but was attenuated by CBA and betulin. These results indicate that betulin given i.p. has a similar efficacy as CBA given i.v. in attenuating the neuromuscular effects of B. jararacussu venom in vivo and could be a useful complementary measure to antivenom therapy for treating snakebite.

Identifiers

PMID26633987
PMCPMC4655057
OpenAlexW2134248292

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.