Evidence map›Paper›PMID 30069700›Full record

ArticleCellular and molecular life sciences : CMLS2018

Defining the role of post-synaptic α-neurotoxins in paralysis due to snake envenoming in humans.

Anjana Silva, Ben Cristofori-Armstrong, Lachlan D Rash, Wayne C Hodgson, Geoffrey K Isbister

Open access · greenAbstract read
In one paragraph

Article in Cellular and molecular life sciences : CMLS, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
4.5field-weighted citation impact, top 5% 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

32 citing papers in PubMed, 54 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

5 authors at 3 institutions in 3 countries.

Anjana SilvaMonash Venom Group, Department of Pharmacology, Biomedicine Discovery Institute, Monash University, Clayton, VIC, 3800, Australia.
Ben Cristofori-ArmstrongSchool of Biomedical Sciences, University of Queensland, St. Lucia, QLD, 4072, Australia.
Lachlan D RashSchool of Biomedical Sciences, University of Queensland, St. Lucia, QLD, 4072, Australia. l.rash@uq.edu.au.
Wayne C HodgsonMonash Venom Group, Department of Pharmacology, Biomedicine Discovery Institute, Monash University, Clayton, VIC, 3800, Australia. wayne.hodgson@monash.edu.
Geoffrey K IsbisterMonash Venom Group, Department of Pharmacology, Biomedicine Discovery Institute, Monash University, Clayton, VIC, 3800, Australia. geoff.isbister@gmail.com.ORCID http://orcid.org/0000-0003-1519-7419
Discovery Institute · USThe University of Queensland · AUMonash University · AU

Funding

National Health and Medical Research Council 1061041National Health and Medical Research Council 1110343
6 · The paper itself

Abstract

Snake venom α-neurotoxins potently inhibit rodent nicotinic acetylcholine receptors (nAChRs), but their activity on human receptors and their role in human paralysis from snakebite remain unclear. We demonstrate that two short-chain α-neurotoxins (SαNTx) functionally inhibit human muscle-type nAChR, but are markedly more reversible than against rat receptors. In contrast, two long-chain α-neurotoxins (LαNTx) show no species differences in potency or reversibility. Mutant studies identified two key residues accounting for this. Proteomic and clinical data suggest that paralysis in human snakebites is not associated with SαNTx, but with LαNTx, such as in cobras. Neuromuscular blockade produced by both subclasses of α-neurotoxins was reversed by antivenom in rat nerve-muscle preparations, supporting its effectiveness in human post-synaptic paralysis.

Indexed as

Amino Acid SequenceAnimalsAntiveninsHumansNeuromuscular JunctionNeurotoxinsParalysisProteomicsRatsReceptors, NicotinicSequence Homology, Amino AcidSnake BitesSnake VenomsSpecies SpecificitySynaptic TransmissionAntiveninsNeurotoxinsReceptors, NicotinicSnake VenomsNeurotoxicityNicotinic acetylcholine receptorParalysisSnakebiteα-Neurotoxins

Identifiers

PMID30069700
PMCPMC11105319
OpenAlexW2885727107

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.