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Nature reviews. Chemistry2022; 6(7); 451-469; doi: 10.1038/s41570-022-00393-7

The chemistry of snake venom and its medicinal potential.

Abstract: The fascination and fear of snakes dates back to time immemorial, with the first scientific treatise on snakebite envenoming, the Brooklyn Medical Papyrus, dating from ancient Egypt. Owing to their lethality, snakes have often been associated with images of perfidy, treachery and death. However, snakes did not always have such negative connotations. The curative capacity of venom has been known since antiquity, also making the snake a symbol of pharmacy and medicine. Today, there is renewed interest in pursuing snake-venom-based therapies. This Review focuses on the chemistry of snake venom and the potential for venom to be exploited for medicinal purposes in the development of drugs. The mixture of toxins that constitute snake venom is examined, focusing on the molecular structure, chemical reactivity and target recognition of the most bioactive toxins, from which bioactive drugs might be developed. The design and working mechanisms of snake-venom-derived drugs are illustrated, and the strategies by which toxins are transformed into therapeutics are analysed. Finally, the challenges in realizing the immense curative potential of snake venom are discussed, and chemical strategies by which a plethora of new drugs could be derived from snake venom are proposed.
Publication Date: 2022-06-10 PubMed ID: 37117308PubMed Central: 7290223DOI: 10.1038/s41570-022-00393-7Google Scholar: Lookup
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Summary

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The research article is about the chemistry of snake venom and its potential use in the development of medicinal drugs.

Understanding Snake Venom Chemistry

In the research, the fascination and fear surrounding snakes is traced back to ancient times, showing the longstanding interest in these creatures and their venom. The focus of the review is the chemistry of snake venom. The venom is a mixture of toxins and this study focuses on these individual toxins regarding:

  • Their molecular structure which determines their chemical properties and thus, their interactions with other substances.
  • Their chemical reactivity, which essentially is how readily they participate in chemical reactions. This is important for understanding how the venom-related toxins can interact with the human body and potentially be useful for medicinal purposes.
  • The target recognition of these toxins, which reveals how these toxins can specifically interact with certain cells or tissues in the body, potentially altering the course of diseases or disorders.

Snake Venom as a Basis for Drug Development

Moving on, the article discusses different drugs that have been developed based on the properties of snake venom. Notably, it illustrates the design process and working mechanisms of these snake-venom-derived drugs. Additionally, the strategies involved in transforming these toxins into useful therapeutics are analyzed. This includes understanding how to neutralize the potentially harmful effects of the toxins while retaining their therapeutic properties.

Challenges and Future Prospects

Nonetheless, the review also highlights the challenges involved in exploiting snake venom for medicinal purposes. These challenges might arise from the complexity of the toxins, the difficulty in procuring the venom, or the challenge in standardizing doses, among others. Despite these challenges, the review emphasizes the immense potential of snake venom in the production of new drugs. This comes with a proposed chemical strategy that could springboard the discovery of a plethora of new drugs, derived from snake venom in the future.

Cite This Article

APA
Oliveira AL, Viegas MF, da Silva SL, Soares AM, Ramos MJ, Fernandes PA. (2022). The chemistry of snake venom and its medicinal potential. Nat Rev Chem, 6(7), 451-469. https://doi.org/10.1038/s41570-022-00393-7

Publication

ISSN: 2397-3358
NlmUniqueID: 101703631
Country: England
Language: English
Volume: 6
Issue: 7
Pages: 451-469

Researcher Affiliations

Oliveira, Ana L
  • Department of Chemistry and Biochemistry, Faculty of Sciences, University of Porto, Porto, Portugal.
  • LAQV/Requimte, University of Porto, Porto, Portugal.
Viegas, Matilde F
  • Department of Chemistry and Biochemistry, Faculty of Sciences, University of Porto, Porto, Portugal.
  • LAQV/Requimte, University of Porto, Porto, Portugal.
da Silva, Saulo L
  • Department of Chemistry and Biochemistry, Faculty of Sciences, University of Porto, Porto, Portugal.
  • LAQV/Requimte, University of Porto, Porto, Portugal.
Soares, Andreimar M
  • Biotechnology Laboratory for Proteins and Bioactive Compounds from the Western Amazon, Oswaldo Cruz Foundation, National Institute of Epidemiology in the Western Amazon (INCT-EpiAmO), Porto Velho, Brazil.
  • Sao Lucas Universitary Center (UniSL), Porto Velho, Brazil.
Ramos, Maria J
  • Department of Chemistry and Biochemistry, Faculty of Sciences, University of Porto, Porto, Portugal.
  • LAQV/Requimte, University of Porto, Porto, Portugal.
Fernandes, Pedro A
  • Department of Chemistry and Biochemistry, Faculty of Sciences, University of Porto, Porto, Portugal. pafernan@fc.up.pt.
  • LAQV/Requimte, University of Porto, Porto, Portugal. pafernan@fc.up.pt.

MeSH Terms

  • Animals
  • Snake Venoms / chemistry
  • Snakes
  • Snake Bites / drug therapy
  • Toxins, Biological / therapeutic use
  • Medicine

References

This article includes 239 references
  1. Holford M, Daly M, King GF, Norton RS. Venoms to the rescue. Science 361, 842–844 (2018).
    pubmed: 30166472doi: 10.1126/science.aa睡google scholar: lookup
  2. Casewell NR, Wüster W, Vonk FJ, Harrison RA, Fry BG. Complex cocktails: the evolutionary novelty of venoms. Trends Ecol. Evol. 28, 219–229 (2013).
    pubmed: 23219381doi: 10.1016/j.tree.2012.10.020google scholar: lookup
  3. King GF. Venoms as a platform for human drugs: translating toxins into therapeutics. Expert Opin. Biol. Ther. 11, 1469–1484 (2011).
    pubmed: 21939428doi: 10.1517/14712598.2011.621940google scholar: lookup
  4. Herzig V et al. Animal toxins — nature’s evolutionary-refined toolkit for basic research and drug discovery. Biochem. Pharmacol. 181, 114096 (2020).
    pubmed: 32535105pmc: 7290223doi: 10.1016/j.bcp.2020.114096google scholar: lookup
  5. Pineda SS et al. Structural venomics reveals evolution of a complex venom by duplication and diversification of an ancient peptide-encoding gene. Proc. Natl Acad. Sci. USA 117, 11399–11408 (2020).
    pubmed: 32398368pmc: 7260951doi: 10.1073/pnas.1914536117google scholar: lookup
  6. Cid-Uribe JI, Veytia-Bucheli JI, Romero-Gutierrez T, Ortiz E, Possani LD. Scorpion venomics: a 2019 overview. Expert Rev. Proteom. 17, 67–83 (2020).
  7. Tasoulis T, Isbister GK. A review and database of snake venom proteomes. Toxins 9, 290 (2017).
    pmc: 5618223doi: 10.3390/toxins9090290google scholar: lookup
  8. Casewell NR et al. Medically important differences in snake venom composition are dictated by distinct postgenomic mechanisms. Proc. Natl Acad. Sci. USA 111, 9205–9210 (2014).
    pubmed: 24927555pmc: 4078820doi: 10.1073/pnas.1405484111google scholar: lookup
  9. Massey DJ et al. Venom variability and envenoming severity outcomes of the Crotalus scutulatus scutulatus (Mojave rattlesnake) from southern Arizona. J. Proteom. 75, 2576–87 (2012).
  10. Casewell NR, Jackson TNW, Laustsen AH, Sunagar K. Causes and consequences of snake venom variation. Trends Pharmacol. Sci. 41, 570–581 (2020).
    pubmed: 32564899pmc: 7116101doi: 10.1016/j.tips.2020.05.006google scholar: lookup
  11. Durban J et al. Integrated venomics and venom gland transcriptome analysis of juvenile and adult Mexican rattlesnakes Crotalus simus, C. tzabcan, and C. culminatus revealed miRNA-modulated ontogenetic shifts. J. Proteome Res. 16, 3370–3390 (2017).
    pubmed: 28731347doi: 10.1021/acs.jproteome.7b00414google scholar: lookup
  12. Pla D et al. Phylovenomics of Daboia russelii across the Indian subcontinent. Bioactivities and comparative in vivo neutralization and in vitro third-generation antivenomics of antivenoms against venoms from India, Bangladesh and Sri Lanka. J. Proteom. 207, 103443 (2019).
  13. Senji Laxme RR et al. Beyond the ‘big four’: venom profiling of the medically important yet neglected Indian snakes reveals disturbing antivenom deficiencies. PLoS Negl. Trop. Dis. 13, e0007899 (2019).
    pubmed: 31805055pmc: 6894822doi: 10.1371/journal.pntd.0007899google scholar: lookup
  14. Chanda A, Kalita B, Patra A, Senevirathne WDST, Mukherjee AK. Proteomic analysis and antivenomics study of Western India Naja naja venom: correlation between venom composition and clinical manifestations of cobra bite in this region. Expert Rev. Proteom. 16, 171–184 (2018).
  15. Tasoulis T, Pukala TL, Isbister GK. Investigating toxin diversity and abundance in snake venom proteomes. Front. Pharmacol. (2022).
  16. Editorial. Snake-bite envenoming: a priority neglected tropical disease. Lancet 390, 2 (2017).
  17. Gutierrez JM et al. Snakebite envenoming. Nat. Rev. Dis. Primers 3, 17063 (2017).
    pubmed: 28905944doi: 10.1038/nrdp.2017.63google scholar: lookup
  18. Williams D. The Global Snake Bite Initiative: an antidote for snake bite. Lancet 375, 89–91 (2010).
    pubmed: 20109867doi: 10.1016/S0140-6736(09)61159-4google scholar: lookup
  19. Kasturiratne A et al. The global burden of snakebite: a literature analysis and modelling based on regional estimates of envenoming and deaths. PLoS Med. 5, 1591–1604 (2008).
  20. McDermott A. Venom back in vogue as a wellspring for drug candidates. Proc. Natl Acad. Sci. USA 117, 10100–10104 (2020).
    pubmed: 32321825pmc: 7229657doi: 10.1073/pnas.2004486117google scholar: lookup
  21. Bordon K et al. From animal poisons and venoms to medicines: achievements, challenges and perspectives in drug discovery. Front. Pharmacol. 11, 1132 (2020).
    pubmed: 32848750pmc: 7396678doi: 10.3389/fphar.2020.01132google scholar: lookup
  22. Almeida JRR et al. Snake venom peptides and low mass proteins: molecular tools and therapeutic agents. Curr. Med. Chem. 24, 3254–3282 (2017).
  23. Fry BG. From genome to “venome”: molecular origin and evolution of the snake venom proteome inferred from phylogenetic analysis of toxin sequences and related body proteins. Genome Res. 15, 403–420 (2005).
    pubmed: 15741511pmc: 551567doi: 10.1101/gr.3228405google scholar: lookup
  24. Ojeda PG et al. Computational studies of snake venom toxins. Toxins 10, 8 (2018).
    doi: 10.3390/toxins10010008google scholar: lookup
  25. Calvete JJ, Sanz L, Angulo Y, Lomonte B, Gutiérrez JM. Venoms, venomics, antivenomics. FEBS Lett. 583, 1736–1743 (2009).
    pubmed: 19303875doi: 10.1016/j.febslet.2009.03.029google scholar: lookup
  26. Modahl CM, Brahma RK, Koh CY, Shioi N, Kini RM. Omics technologies for profiling toxin diversity and evolution in snake venom: impacts on the discovery of therapeutic and diagnostic agents. Annu. Rev. Anim. Biosci. 8, 91–116 (2020).
  27. The Uniprot Consortium. UniProt: the universal protein knowledgebase in 2021. Nucleic Acids Res. 49, 480–489 (2021).
    doi: 10.1093/nar/gkaa1100google scholar: lookup
  28. Simoes-Silva R et al. Snake venom, a natural library of new potential therapeutic molecules: challenges and current perspectives. Curr. Pharm. Biotechnol. 19, 308–335 (2018).
  29. Calvete JJ. Next-generation snake venomics: protein-locus resolution through venom proteome decomplexation. Expert Rev. Proteom. 11, 315–329 (2014).
  30. Brahma RK, McCleary RJR, Kini RM, Doley R. Venom gland transcriptomics for identifying, cataloging, and characterizing venom proteins in snakes. Toxicon 93, 1–10 (2015).
    pubmed: 25448392doi: 10.1016/j.toxicon.2014.10.022google scholar: lookup
  31. Liu L. Comparison of next-generation sequencing systems. J. Biomed. Biotechnol. 2012, 251364 (2012).
    pubmed: 22829749pmc: 3398667doi: 10.1155/2012/251364google scholar: lookup
  32. Gutiérrez JM, Lomonte B. Phospholipases A2: unveiling the secrets of a functionally versatile group of snake venom toxins. Toxicon 62, 27–39 (2013).
    pubmed: 23025922doi: 10.1016/j.toxicon.2012.09.006google scholar: lookup
  33. Dennis EA, Cao J, Hsu YH, Magrioti V, Kokotos G. Phospholipase A2 enzymes: physical structure, biological function, disease implication, chemical inhibition, and therapeutic intervention. Chem. Rev. 111, 6130–6185 (2011).
    pubmed: 21910409pmc: 3196595doi: 10.1021/cr200085wgoogle scholar: lookup
  34. Kang TS et al. Enzymatic toxins from snake venom: structural characterization and mechanism of catalysis. FEBS J. 278, 4544–4576 (2011).
  35. Schaloske RH, Dennis EA. The phospholipase A2 superfamily and its group numbering system. Biochim. Biophys. Acta 1761, 1246–59 (2006).
    pubmed: 16973413doi: 10.1016/j.bbalip.2006.07.011google scholar: lookup
  36. Ferraz CR et al. Multifunctional toxins in snake venoms and therapeutic implications: from pain to hemorrhage and necrosis. Front. Ecol. Evol. 7, 218 (2019).
    doi: 10.3389/fevo.2019.00218google scholar: lookup
  37. Kini RM, Koh CY. Snake venom three-finger toxins and their potential in drug development targeting cardiovascular diseases. Biochem. Pharmacol. 181, 114105 (2020).
    pubmed: 32579959doi: 10.1016/j.bcp.2020.114105google scholar: lookup
  38. Fry BG et al. Molecular evolution and phylogeny of elapid snake venom three-finger toxins. J. Mol. Evol. 57, 110–129 (2003).
    pubmed: 12962311doi: 10.1007/s00239-003-2461-2google scholar: lookup
  39. Kini RM, Doley R. Structure, function and evolution of three-finger toxins: mini proteins with multiple targets. Toxicon 56, 855–867 (2010).
    pubmed: 20670641doi: 10.1016/j.toxicon.2010.07.010google scholar: lookup
  40. Olaoba OT, Karina dos Santos P, Selistre-de-Araujo HS, Ferreira de Souza DH. Snake venom metalloproteinases (SVMPs): a structure–function update. Toxicon X 7, 100052 (2020).
    pubmed: 32776002pmc: 7399193doi: 10.1016/j.toxcx.2020.100052google scholar: lookup
  41. Gutiérrez JM, Escalante T, Rucavado A, Herrera C. Hemorrhage caused by snake venom metalloproteinases: a journey of discovery and understanding. Toxins 8, 93 (2016).
    pubmed: 27023608pmc: 4848620doi: 10.3390/toxins8040093google scholar: lookup
  42. Takeda S. ADAM and ADAMTS family proteins and snake venom metalloproteinases: a structural overview. Toxins 8, 155 (2016).
    pmc: 4885070doi: 10.3390/toxins8050155google scholar: lookup
  43. Ullah A et al. Thrombin-like enzymes from snake venom: structural characterization and mechanism of action. Int. J. Biol. Macromol. 114, 788–811 (2018).
  44. Hiu JJ, Yap MKK. Cytotoxicity of snake venom enzymatic toxins: phospholipase A(2) and L-amino acid oxidase. Biochem. Soc. Trans. 48, 719–731 (2020).
    pubmed: 32267491pmc: 7200639doi: 10.1042/BST20200110google scholar: lookup
  45. Tan KK, Bay BH, Gopalakrishnakone P. L-amino acid oxidase from snake venom and its anticancer potential. Toxicon 144, 7–13 (2018).
    pubmed: 29407871doi: 10.1016/j.toxicon.2018.01.015google scholar: lookup
  46. Paloschi MV. An update on potential molecular mechanisms underlying the actions of snake venom L-amino acid oxidases (LAAOs). Curr. Med. Chem. 25, 2520–2530 (2018).
  47. Ullah A. Structure–function studies and mechanism of action of snake venom L-amino acid oxidases. Front. Pharmacol. 11, 110 (2020).
    pubmed: 32158389pmc: 7052187doi: 10.3389/fphar.2020.00110google scholar: lookup
  48. Inagaki H. Snake Venoms. (Springer, 2017).
  49. Markland FS, Swenson S. Snake venom metalloproteinases. Toxicon 62, 3–18 (2013).
    pubmed: 23000249doi: 10.1016/j.toxicon.2012.09.004google scholar: lookup
  50. Serrano SM, Maroun RC. Snake venom serine proteinases: sequence homology vs. substrate specificity, a paradox to be solved. Toxicon 45, 1115–1132 (2005).
    pubmed: 15922778doi: 10.1016/j.toxicon.2005.02.020google scholar: lookup
  51. Serrano SM. The long road of research on snake venom serine proteinases. Toxicon 62, 19–26 (2013).
    pubmed: 23010164doi: 10.1016/j.toxicon.2012.09.003google scholar: lookup
  52. Arlinghaus FT, Eble JA. C-type lectin-like proteins from snake venoms. Toxicon 60, 512–519 (2012).
    pubmed: 22781131doi: 10.1016/j.toxicon.2012.03.001google scholar: lookup
  53. Morita T. Structures and functions of snake venom CLPs (C-type lectin-like proteins) with anticoagulant-, procoagulant-, and platelet-modulating activities. Toxicon 45, 1099–1114 (2005).
    pubmed: 15922777doi: 10.1016/j.toxicon.2005.02.021google scholar: lookup
  54. Lu Q, Navdaev A, Clemetson JM, Clemetson KJ. Snake venom C-type lectins interacting with platelet receptors. Structure–function relationships and effects on haemostasis. Toxicon 45, 1089–1098 (2005).
    pubmed: 15876445doi: 10.1016/j.toxicon.2005.02.022google scholar: lookup
  55. Vink S. Natriuretic peptide drug leads from snake venom. Toxicon 59, 434–445 (2012).
    pubmed: 21147145doi: 10.1016/j.toxicon.2010.12.001google scholar: lookup
  56. Sridharan S, Kini RM, Richards AM. Venom natriuretic peptides guide the design of heart failure therapeutics. Pharmacol. Res. 155, 104687 (2020).
    pubmed: 32057893doi: 10.1016/j.phrs.2020.104687google scholar: lookup
  57. Munawar A. Snake venom peptides: tools of biodiscovery. Toxins 10, 474 (2018).
    pmc: 6266942doi: 10.3390/toxins10110474google scholar: lookup
  58. Laustsen AH, Lomonte B, Lohse B, Fernández J, Gutiérrez JM. Unveiling the nature of black mamba (Dendroaspis polylepis) venom through venomics and antivenom immunoprofiling: identification of key toxin targets for antivenom development. J. Proteom. 119, 126–142 (2015).
  59. Damm M, Hempel BF, Nalbantsoy A, Süssmuth RD. Comprehensive snake venomics of the Okinawa Habu pit viper, Protobothrops flavoviridis, by complementary mass spectrometry-guided approaches. Molecules 23, 1893 (2018).
    pmc: 6222445doi: 10.3390/molecules23081893google scholar: lookup
  60. Coronado MA et al. Structure of the polypeptide crotamine from the Brazilian rattlesnake Crotalus durissus terrificus. Acta Crystallogr. D 69, 1958–1964 (2013).
    pubmed: 24100315pmc: 3792641doi: 10.1107/S0907444913018003google scholar: lookup
  61. Falcao CB, Radis-Baptista G. Crotamine and crotalicidin, membrane active peptides from Crotalus durissus terrificus rattlesnake venom, and their structurally-minimized fragments for applications in medicine and biotechnology. Peptides 126, 170234 (2020).
  62. Slotta KH, Fraenkel-Conrat H. Two active proteins from rattlesnake venom. Nature 13, 213–213 (1938).
    doi: 10.1038/142213a0google scholar: lookup
  63. Berg OG, Gelb MH, Tsai MD, Jain MK. Interfacial enzymology: the secreted phospholipase A(2)-paradigm. Chem. Rev. 101, 2613–54 (2001).
    pubmed: 11749391doi: 10.1021/cr990139wgoogle scholar: lookup
  64. Tsai YC, Yu BZ, Wang YZ, Chen J, Jain MK. Desolvation map of the i-face of phospholipase A2. Biochim. Biophys. Acta 1758, 653–665 (2006).
    pubmed: 16730646doi: 10.1016/j.bbamem.2006.04.003google scholar: lookup
  65. Bahnson BJ. Structure, function and interfacial allosterism in phospholipase A2: insight from the anion-assisted dimer. Arch. Biochem. Biophys. 433, 96–106 (2005).
    pubmed: 15581569doi: 10.1016/j.abb.2004.08.013google scholar: lookup
  66. Scott DL et al. Interfacial catalysis: the mechanism of phospholipase A2. Science 250, 1541–1546 (1990).
    pubmed: 2274785pmc: 3443688doi: 10.1126/science.2274785google scholar: lookup
  67. Sérgio S, Ramos MJ, Lim C, Fernandes PA. Relationship between enzyme/substrate properties and enzyme efficiency in hydrolases. ACS Catal. 5, 5877–5887 (2015).
    doi: 10.1021/acscatal.5b00923google scholar: lookup
  68. Sousa SF et al. Activation free energy, substrate binding free energy, and enzyme efficiency fall in a very narrow range of values for most enzymes. ACS Catal. 10, 8444–8453 (2020).
    doi: 10.1021/acscatal.0c01947google scholar: lookup
  69. Resende LM et al. Structural, enzymatic and pharmacological profiles of AplTX-II — a basic sPLA2 (D49) isolated from the Agkistrodon piscivorus leucostoma snake venom. Int. J. Biol. Macromol. 175, 572–585 (2021).
  70. Lomonte B, Rangel J. Snake venom Lys49 myotoxins: from phospholipases A(2) to non-enzymatic membrane disruptors. Toxicon 60, 520–30 (2012).
    pubmed: 22781132doi: 10.1016/j.toxicon.2012.02.007google scholar: lookup
  71. Fernández J et al. Muscle phospholipid hydrolysis by Bothrops asper Asp49 and Lys49 phospholipase A2 myotoxins — distinct mechanisms of action. FEBS J. 280, 3878–3886 (2013).
    pubmed: 23763831doi: 10.1111/febs.12386google scholar: lookup
  72. Almeida JR et al. CoaTx-II, a new dimeric Lys49 phospholipase A2 from Crotalus oreganus abyssus snake venom with bactericidal potential: insights into its structure and biological roles. Toxicon 120, 147–58 (2016).
    pubmed: 27530662doi: 10.1016/j.toxicon.2016.08.007google scholar: lookup
  73. Almeida JR et al. Harnessing snake venom phospholipases A(2) to novel approaches for overcoming antibiotic resistance. Drug Dev. Res. 80, 68–85 (2019).
    pubmed: 30255943doi: 10.1002/ddr.21456google scholar: lookup
  74. Almeida JR et al. A novel synthetic peptide inspired on Lys49 phospholipase A2 from Crotalus oreganus abyssus snake venom active against multidrug-resistant clinical isolates. Eur. J. Med. Chem. 149, 248–256 (2018).
    pubmed: 29501945doi: 10.1016/j.ejmech.2018.02.055google scholar: lookup
  75. Kwong PD, McDonald NQ, Sigler PB, Hendrickson WA. Structure of β2-bungarotoxin — potassium channel binding by kunitz modules and targeted phospholipase action. Structure 3, 1109–1119 (1995).
    pubmed: 8590005doi: 10.1016/S0969-2126(01)00246-5google scholar: lookup
  76. Rowan EG. What does β-bungarotoxin do at the neuromuscular junction?. Toxicon 39, 107–118 (2001).
    pubmed: 10936627doi: 10.1016/S0041-0101(00)00159-8google scholar: lookup
  77. Doley R, Kini RM. Protein complexes in snake venom. Cell. Mol. Life Sci. 66, 2851–2871 (2009).
    pubmed: 19495561doi: 10.1007/s00018-009-0050-2google scholar: lookup
  78. Kini RM, Koh CY. Metalloproteases affecting blood coagulation, fibrinolysis and platelet aggregation from snake venoms: definition and nomenclature of interaction sites. Toxins 8, 284 (2016).
    pmc: 5086644doi: 10.3390/toxins8100284google scholar: lookup
  79. Sanchez EF, Flores-Ortiz RJ, Alvarenga VG, Eble JA. Direct fibrinolytic snake venom metalloproteinases affecting hemostasis: structural, biochemical features and therapeutic potential. Toxins 9, 392 (2017).
    pmc: 5744112doi: 10.3390/toxins9120392google scholar: lookup
  80. Bledzka K, Smyth SS, Plow EF. Integrin αIIbβ3 from discovery to efficacious therapeutic target. Circ. Res. 112, 1189–1200 (2013).
    pubmed: 23580774pmc: 3711133doi: 10.1161/CIRCRESAHA.112.300570google scholar: lookup
  81. Takeda S, Igarashi T, Mori H. Crystal structure of RVV-X: an example of evolutionary gain of specificity by ADAM proteinases. FEBS Lett. 581, 5859–5864 (2007).
    pubmed: 18060879doi: 10.1016/j.febslet.2007.11.062google scholar: lookup
  82. Lingott T, Schleberger C, Gutiérrez JM, Merfort I. High-resolution crystal structure of the snake venom metalloproteinase BaP1 complexed with a peptidomimetic: Insight into inhibitor binding. Biochemistry 48, 6166–6174 (2009).
    pubmed: 19485419doi: 10.1021/bi9002315google scholar: lookup
  83. Akao PK et al. Structural studies of BmooMPα-I, a non-hemorrhagic metalloproteinase from Bothrops moojeni venom. Toxicon 55, 361–368 (2010).
    pubmed: 19706302doi: 10.1016/j.toxicon.2009.08.013google scholar: lookup
  84. Boldrini-França J et al. Beyond hemostasis: a snake venom serine protease with potassium channel blocking and potential antitumor activities. Sci. Rep. 10, 4476 (2020).
    pubmed: 32161292pmc: 7066243doi: 10.1038/s41598-020-61258-xgoogle scholar: lookup
  85. Mackessy SP. Toxins and Hemostasis. (Springer, 2010).
  86. Vaiyapuri S, Thiyagarajan N, Hutchinson EG, Gibbins JM. Sequence and phylogenetic analysis of viper venom serine proteases. Bioinformation 8, 763–772 (2012).
  87. Kurtović T et al. VaSP1, catalytically active serine proteinase from Vipera ammodytes ammodytes venom with unconventional active site triad. Toxicon 77, 93–104 (2014).
    pubmed: 24269689doi: 10.1016/j.toxicon.2013.11.007google scholar: lookup
  88. Sousa SF et al. Application of quantum mechanics/molecular mechanics methods in the study of enzymatic reaction mechanisms. Wiley Interdisc. Rev. Mol. Sci. 7, 1281 (2017).
  89. Chung LW et al. The ONIOM method and its applications. Chem. Rev. 115, 5678–5796 (2015).
    pubmed: 25853797doi: 10.1021/cr5004419google scholar: lookup
  90. Amaro RE, Mulholland AJ. Multiscale methods in drug design bridge chemical and biological complexity in the search for cures. Nat. Rev. Chem. 2, 148 (2018).
    doi: 10.1038/s41570-018-0148google scholar: lookup
  91. Himo F. Recent trends in quantum chemical modeling of enzymatic reactions. J. Am. Chem. Soc. 139, 6780–6786 (2017).
    pubmed: 28493715doi: 10.1021/jacs.7b02671google scholar: lookup
  92. Estevão-Costa MI, Sanz-Soler R, Johanningmeier B, Eble JA. Snake venom components in medicine: from the symbolic rod of Asclepius to tangible medical research and application. Int. J. Biochem. Cell Biol. 104, 94–113 (2018).
    pubmed: 30261311doi: 10.1016/j.biocel.2018.09.011google scholar: lookup
  93. Marsh NA. Diagnostic uses of snake venom. Haemostasis 31, 211–217 (2001).
    pubmed: 11910187
  94. Francischetti IMB, Gil MR. Transfusion Medicine and Hemostasis. (Elsevier, 2019).
  95. Schmidtko A, Lötsch J, Freynhagen R, Geisslinger G. Ziconotide for treatment of severe chronic pain. Lancet 375, 1569–1577 (2010).
    pubmed: 20413151doi: 10.1016/S0140-6736(10)60354-6google scholar: lookup
  96. Miljanich GP. Ziconotide: neuronal calcium channel blocker for treating severe chronic pain. Curr. Med. Chem. 11, 3029–3040 (2004).
    pubmed: 15578997doi: 10.2174/0929867043363884google scholar: lookup
  97. Rocha ESM, Beraldo WT, Rosenfeld G. Bradykinin, a hypotensive and smooth muscle stimulating factor released from plasma globulin by snake venoms and by trypsin. Am. J. Physiol. 156, 261–273 (1949).
  98. Ferreira SH. A bradykinin-potentiating factor (BPF) present in the venom of Bothrops jararaca. Br. J. Pharmacol. Chemother. 24, 163–169 (1965).
  99. Ferreira SH, Bartelt DC, Greene LJ. Isolation of bradykinin-potentiating peptides from Bothrops jararaca venom. Biochemistry 9, 2583–2593 (1970).
    pubmed: 4317874doi: 10.1021/bi00815a005google scholar: lookup
  100. McCleary RJR, Kini RM. Non-enzymatic proteins from snake venoms: a gold mine of pharmacological tools and drug leads. Toxicon 62, 56–74 (2013).
    pubmed: 23058997doi: 10.1016/j.toxicon.2012.09.008google scholar: lookup
  101. Ferreira SH, Greene LJ, Alabaster VA, Bakhle YS, Vane JR. Activity of various fractions of bradykinin potentiating factor against angiotensin-I converting enzyme. Nature 225, 379–380 (1970).
    pubmed: 4312128doi: 10.1038/225379a0google scholar: lookup
  102. Cushman DW, Ondetti MA. History of the design of captopril and related inhibitors of angiotensin converting enzyme. Hypertension 17, 589–592 (1991).
    pubmed: 2013486doi: 10.1161/01.HYP.17.4.589google scholar: lookup
  103. Bryan J. From snake venom to ACE inhibitor — the discovery and rise of captopril. Pharm. J. 282, 455–456 (2009).
  104. Patchett AA. The chemistry of enalapril. Br. J. Clin. Pharmacol. 18, 201–207 (1984).
  105. Acharya KR, Sturrock ED, Riordan JF, Ehlers MRW. ACE revisited: a new target for structure-based drug design. Nat. Rev. Drug Discov. 2, 891–902 (2003).
    pubmed: 14668810pmc: 7097707doi: 10.1038/nrd1227google scholar: lookup
  106. Acharya G, Wang W, Vavilala DT, Mukherji M, Lee CH. Advanced Drug Delivery. (Wiley, 2014).
  107. Lazarovici P, Marcinkiewicz C, Lelkes PI. From snake venom’s disintegrins and C-type lectins to anti-platelet drugs. Toxins 11, 303 (2019).
    pmc: 6563238doi: 10.3390/toxins11050303google scholar: lookup
  108. Topol EJ, Byzova TV, Plow EF. Platelet GPIIb-IIIa blockers. Lancet 353, 227–231 (1999).
    pubmed: 9923894doi: 10.1016/S0140-6736(98)11086-3google scholar: lookup
  109. Lang SH et al. Treatment with tirofiban for acute coronary syndrome (ACS): a systematic review and network analysis. Curr. Med. Res. Opin. 28, 351–370 (2012).
    pubmed: 22292469doi: 10.1185/03007995.2012.657299google scholar: lookup
  110. Barrett JS et al. Pharmacokinetics and pharmacodynamics of MK-383, a selective nonpeptide platelet glycoprotein-IIb/IIIa receptor antagonist, in healthy men. Clin. Pharmacol. Ther. 56, 377–388 (1994).
    pubmed: 7955799doi: 10.1038/clpt.1994.152google scholar: lookup
  111. Gan ZR, Gould RJ, Jacobs JW, Friedman PA, Polokoff MA. Echistatin — a potent platelet-aggregation inhibitor from the venom of the viper Echis carinatus. J. Biol. Chem. 263, 19827–19832 (1988).
    pubmed: 3198653doi: 10.1016/S0021-9258(19)77710-2google scholar: lookup
  112. Hartman GD. Non-peptide fibrinogen receptor antagonists. 1. Discovery and design of exosite inhibitors. J. Med. Chem. 35, 4640–4642 (1992).
    pubmed: 1469694doi: 10.1021/jm00102a020google scholar: lookup
  113. Van Drie JH. Computer-aided drug design: the next 20 years. J. Comput. Aided Mol. Des. 21, 591–601 (2007).
    pubmed: 17989929doi: 10.1007/s10822-007-9142-ygoogle scholar: lookup
  114. Scarborough RM et al. Design of potent and specific integrin antagonists — peptide antagonists with high specificity for glycoprotein-IIb–IIIa. J. Biol. Chem. 268, 1066–1073 (1993).
    pubmed: 8419315doi: 10.1016/S0021-9258(18)54042-4google scholar: lookup
  115. Scarborough RM et al. Barbourin — a GPIIb–IIIa-specific integrin antagonist from the venom of Sistrurus m. barbouri. J. Biol. Chem. 266, 9359–9362 (1991).
    pubmed: 2033037doi: 10.1016/S0021-9258(18)92826-7google scholar: lookup
  116. Scarborough RM. Development of eptifibatide. Am. Heart J. 138, 1093–1104 (1999).
    pubmed: 10577440doi: 10.1016/S0002-8703(99)70075-Xgoogle scholar: lookup
  117. O’Shea JC, Tcheng JE. Eptifibatide: a potent inhibitor of the platelet receptor integrin glycoprotein IIb/IIIa. Expert Opin. Pharmacother. 3, 1199–1210 (2002).
    pubmed: 12150697doi: 10.1517/14656566.3.8.1199google scholar: lookup
  118. Masuda HB. Batroxobin accelerated tissue repair via neutrophil extracellular trap regulation and defibrinogenation in a murine ischemic hindlimb model. PLoS ONE 14, e0220898 (2019).
    pubmed: 31419236pmc: 6697371doi: 10.1371/journal.pone.0220898google scholar: lookup
  119. Vu TT. Batroxobin binds fibrin with higher affinity and promotes clot expansion to a greater extent than thrombin. J. Biol. Chem. 288, 16862–16871 (2013).
    pubmed: 23612970pmc: 3675619doi: 10.1074/jbc.M113.464750google scholar: lookup
  120. Waheed H, Moin SF, Choudhary MI. Snake venom: from deadly toxins to life-saving therapeutics. Curr. Med. Chem. 24, 1874–1891 (2017).
  121. Gazerani P, Cairns BE. Venom-based biotoxins as potential analgesics. Expert Rev. Neurother. 14, 1261–1274 (2014).
    pubmed: 25234848doi: 10.1586/14737175.2014.962518google scholar: lookup
  122. Lin F, Reid PF, Qin Z-H. Cobrotoxin could be an effective therapeutic for COVID-19. Acta Pharmacol. Sin. 41, 1258–1260 (2020).
    pubmed: 32843715pmc: 7445445doi: 10.1038/s41401-020-00501-7google scholar: lookup
  123. Pérez-Peinado C et al. Hitchhiking with nature: snake venom peptides to fight cancer and superbugs. Toxins 12, 255 (2020).
    pmc: 7232197doi: 10.3390/toxins12040255google scholar: lookup
  124. Li BX et al. In vitro assessment and phase I randomized clinical trial of anfibatide, a snake-venom-derived anti-thrombotic agent targeting human platelet GPIbα. Sci. Rep. 11, 11663 (2021).
    pubmed: 34083615pmc: 8175443doi: 10.1038/s41598-021-91165-8google scholar: lookup
  125. Gao Y et al. Crystal structure of agkisacucetin, a GPIb-binding snake C-type lectin that inhibits platelet adhesion and aggregation. Proteins 80, 1707–1711 (2012).
    pubmed: 22447656doi: 10.1002/prot.24060google scholar: lookup
  126. Jackson SP. The growing complexity of platelet aggregation. Blood 109, 5087–5095 (2007).
    pubmed: 17311994doi: 10.1182/blood-2006-12-027698google scholar: lookup
  127. Guo Y et al. Balancing the expression and production of a heterodimeric protein: recombinant agkisacutacin as a novel antithrombotic drug candidate. Sci. Rep. 5, 11730 (2015).
    pubmed: 26144864pmc: 4491848doi: 10.1038/srep11730google scholar: lookup
  128. Tasima LJ et al. Crotamine in Crotalus durissus: distribution according to subspecies and geographic origin, in captivity or nature. J. Venom. Anim. Toxins Incl. Trop. Dis. 26, 20190053 (2020).
  129. Moreira LA et al. Acute toxicity, antinociceptive, and anti-inflammatory activities of the orally administered crotamine in mice. Naunyn Schmiedebergs Arch. Pharmacol. 394, 1703–1711 (2021).
    pubmed: 34014349doi: 10.1007/s00210-021-02103-4google scholar: lookup
  130. Nicastro G et al. Solution structure of crotamine, a Na+ channel affecting toxin from Crotalus durissus terrificus venom. Eur. J. Biochem. 270, 1969–1979 (2003).
  131. Kerkis A et al. Crotamine is a novel cell-penetrating protein from the venom of rattlesnake Crotalus durissus terrificus. FASEB J. 18, 1407–1409 (2004).
    pubmed: 15231729doi: 10.1096/fj.03-1459fjegoogle scholar: lookup
  132. Hayashi MAF et al. Cytotoxic effects of crotamine are mediated through lysosomal membrane permeabilization. Toxicon 52, 508–517 (2008).
    pubmed: 18662711doi: 10.1016/j.toxicon.2008.06.029google scholar: lookup
  133. Kerkis A, Hayashi MAF, Yamane T, Kerkis I. Properties of cell penetrating peptides (CPPs). IUBMB Life 58, 7–13 (2006).
    pubmed: 16540427doi: 10.1080/15216540500494508google scholar: lookup
  134. Pereira A et al. Crotamine toxicity and efficacy in mouse models of melanoma. Expert Opin. Investig. Drugs 20, 1189–1200 (2011).
    pubmed: 21834748doi: 10.1517/13543784.2011.602064google scholar: lookup
  135. Campeiro JD et al. Oral treatment with a rattlesnake native polypeptide crotamine efficiently inhibits the tumor growth with no potential toxicity for the host animal and with suggestive positive effects on animal metabolic profile. Amino Acids 50, 267–278 (2018).
    pubmed: 29235017doi: 10.1007/s00726-017-2513-3google scholar: lookup
  136. Mancin AC et al. The analgesic activity of crotamine, a neurotoxin from Crotalus durissus terrificus (South American rattlesnake) venom: a biochemical and pharmacological study. Toxicon 36, 1927–37 (1998).
    pubmed: 9839677doi: 10.1016/S0041-0101(98)00117-2google scholar: lookup
  137. de Carvalho Porta L et al. Biophysical and pharmacological characterization of a full-length synthetic analog of the antitumor polypeptide crotamine. J. Mol. Med. 98, 1561–1571 (2020).
    pubmed: 32895732doi: 10.1007/s00109-020-01975-ygoogle scholar: lookup
  138. Mambelli-Lisboa NC, Sciani JM, Silva ARBP, Kerkis I. Co-localization of crotamine with internal membranes and accentuated accumulation in tumor cells. Molecules 23, 968 (2018).
    pmc: 6017820doi: 10.3390/molecules23040968google scholar: lookup
  139. Park JY et al. Antinociceptive and anti-inflammatory effects of recombinant crotamine in mouse models of pain. Toxins 13, 707 (2021).
    pubmed: 34679000pmc: 8538437doi: 10.3390/toxins13100707google scholar: lookup
  140. Schweitz H, Vigne P, Moinier D, Frelin C, Lazdunski M. A new member of the natriuretic peptide family is present in the venom of the green mamba (Dendroaspis angusticeps). J. Biol. Chem. 267, 13928–13932 (1992).
    pubmed: 1352773doi: 10.1016/S0021-9258(19)49658-0google scholar: lookup
  141. Volpe M, Rubattu S, Burnett J. Natriuretic peptides in cardiovascular diseases: current use and perspectives. Eur. Heart J. 35, 419–425 (2014).
    pubmed: 24227810doi: 10.1093/eurheartj/eht466google scholar: lookup
  142. O’Connor CMM et al. Effect of nesiritide in patients with acute decompensated heart failure. N. Engl. J. Med. 365, 32–43 (2011).
    pubmed: 21732835doi: 10.1056/NEJMoa1100171google scholar: lookup
  143. Matsue Y et al. Carperitide is associated with increased in-hospital mortality in acute heart failure: a propensity score-matched analysis. J. Card. Fail. 21, 859–864 (2015).
  144. Ichiki T, Dzhoyashvili N, Burnett JC Jr. Natriuretic peptide based therapeutics for heart failure: cenderitide. A novel first-in-class designer natriuretic peptide. Int. J. Cardiol. 281, 166–171 (2019).
    pubmed: 29941213doi: 10.1016/j.ijcard.2018.06.002google scholar: lookup
  145. Kawakami R et al. A human study to evaluate safety, tolerability, and cyclic GMP activating properties of cenderitide in subjects with stable chronic heart failure. Clin. Pharmacol. Ther. 104, 546–552 (2018).
    pubmed: 29226471pmc: 5995613doi: 10.1002/cpt.974google scholar: lookup
  146. Diochot S et al. Black mamba venom peptides target acid-sensing ion channels to abolish pain. Nature 490, 552–557 (2012).
    pubmed: 23034652doi: 10.1038/nature11494google scholar: lookup
  147. Yoder N, Yoshioka C, Gouaux EG. Gating mechanisms of acid-sensing ion channels. Nature 555, 397–401 (2018).
    pubmed: 29513651pmc: 5966032doi: 10.1038/nature25782google scholar: lookup
  148. Wemmie JA, Taugher RJ, Kreple CJ. Acid-sensing ion channels in pain and disease. Nat. Rev. Neurosci. 14, 461–471 (2013).
    pubmed: 23783197pmc: 4307015doi: 10.1038/nrn3529google scholar: lookup
  149. Schroeder CI et al. Chemical synthesis, 3D structure, and ASIC binding site of the toxin mambalgin-2. Angew. Chem. Int. Ed. 53, 1017–1020 (2014).
    doi: 10.1002/anie.201308898google scholar: lookup
  150. Mourier G et al. Mambalgin-1 pain-relieving peptide, stepwise solid-phase synthesis, crystal structure, and functional domain for acid-sensing ion channel 1a Inhibition. J. Biol. Chem. 291, 2616–2629 (2015).
    pubmed: 26680001pmc: 4742732doi: 10.1074/jbc.M115.702373google scholar: lookup
  151. Diochot S et al. Analgesic effects of mambalgin peptide inhibitors of acid-sensing ion channels in inflammatory and neuropathic pain. Pain 157, 552–559 (2016).
  152. Verkest C et al. Effects of systemic inhibitors of acid-sensing ion channels 1 (ASIC1) against acute and chronic mechanical allodynia in a rodent model of migraine. Br. J. Pharmacol. 175, 4154–4166 (2018).
    pubmed: 30079481pmc: 6177611doi: 10.1111/bph.14462google scholar: lookup
  153. Sun DM et al. Structural insights into human acid-sensing ion channel 1a inhibition by snake toxin mambalgin1. eLife 9, 57096 (2020).
    doi: 10.7554/eLife.57096google scholar: lookup
  154. Salinas M et al. Mambalgin-1 pain-relieving peptide locks the hinge between α4 and α5 helices to inhibit rat acid-sensing ion channel 1a. Neuropharmacology 185, 108453 (2021).
  155. Yacoub T. Antimicrobials from venomous animals: an overview. Molecules 25, 2402 (2020).
    pmc: 7287856doi: 10.3390/molecules25102402google scholar: lookup
  156. Siniavin AE et al. Snake venom phospholipase A2s exhibit strong virucidal activity against SARS-CoV-2 and inhibit the viral spike glycoprotein interaction with ACE2. Cell Mol. Life Sci. 78, 7777–7794 (2021).
    pubmed: 34714362pmc: 8554752doi: 10.1007/s00018-021-03985-6google scholar: lookup
  157. Santos-Filho NA et al. Antibacterial activity of the non-cytotoxic peptide (p-BthTX-I)2 and its serum degradation product against multidrug-resistant bacteria. Molecules 22, 1898 (2017).
    pmc: 6150245doi: 10.3390/molecules22111898google scholar: lookup
  158. Freire MCLC et al. Non-toxic dimeric peptides derived from the bothropstoxin-I are potent SARS-CoV-2 and papain-like protease inhibitors. Molecules 26, 4896 (2021).
    pubmed: 34443484pmc: 8401042doi: 10.3390/molecules26164896google scholar: lookup
  159. Domling A, Gao L. Chemistry and biology of SARS-CoV-2. Chem 6, 1283–1295 (2020).
    pubmed: 32529116pmc: 7243793doi: 10.1016/j.chempr.2020.04.023google scholar: lookup
  160. Yang J et al. Freely accessible chemical database resources of compounds for in silico drug discovery. Curr. Med. Chem. 26, 7581–7597 (2019).
  161. Mendez D et al. ChEMBL: towards direct deposition of bioassay data. Nucleic Acids Res. 47, 930–940 (2019).
    doi: 10.1093/nar/gky1075google scholar: lookup
  162. Sterling T, Irwin JJ. ZINC 15-ligand discovery for everyone. J. Chem. Inf. Model. 55, 2324–2337 (2015).
    pubmed: 26479676pmc: 4658288doi: 10.1021/acs.jcim.5b00559google scholar: lookup
  163. van Hilten N et al. Virtual compound libraries in computer-assisted drug discovery. J. Chem. Inf. Model. 59, 644–651 (2019).
    pubmed: 30624918doi: 10.1021/acs.jcim.8b00737google scholar: lookup
  164. Schneider G. Automating drug discovery. Nat. Rev. Drug Discov. 17, 97–113 (2018).
    pubmed: 29242609doi: 10.1038/nrd.2017.232google scholar: lookup
  165. Warkentin TE, Greinacher A, Koster A. Bivalirudin. Thromb. Haemost. 99, 830–9 (2008).
    pubmed: 18449412doi: 10.1160/TH07-10-0644google scholar: lookup
  166. Barnett A. Exenatide. Expert Opin. Pharmacother. 8, 2593–2608 (2007).
    pubmed: 17931093doi: 10.1517/14656566.8.15.2593google scholar: lookup
  167. King GF. Venoms to Drugs: Venom as a Source for the Development of Human Therapeutics. 37–79 (Royal Society of Chemistry, 2015).
  168. Kini RM. Toxins in thrombosis and haemostasis: potential beyond imagination. J. Thromb. Haemost. 9, 195–208 (2011).
  169. Santos R et al. A comprehensive map of molecular drug targets. Nat. Rev. Drug Discov. 16, 19–34 (2017).
    pubmed: 27910877doi: 10.1038/nrd.2016.230google scholar: lookup
  170. Kini RM, Evans HJ. A model to explain the pharmacological effects of snake venom phospholipases A2. Toxicon 27, 613–35 (1989).
    pubmed: 2665186doi: 10.1016/0041-0101(89)90013-5google scholar: lookup
  171. Kini RM. Excitement ahead: structure, function and mechanism of snake venom phospholipase A2 enzymes. Toxicon 42, 827–840 (2003).
    pubmed: 15019485doi: 10.1016/j.toxicon.2003.11.002google scholar: lookup
  172. Croll TI, Sammito MD, Kryshtafovych A, Read RJ. Evaluation of template-based modeling in CASP13. Proteins Struct. Funct. Bioinform. 87, 1113–1127 (2019).
    doi: 10.1002/prot.25800google scholar: lookup
  173. Alford RF et al. The Rosetta all-atom energy function for macromolecular modeling and design. J. Chem. Theory Comput. 13, 3031–3048 (2017).
    pubmed: 28430426pmc: 5717763doi: 10.1021/acs.jctc.7b00125google scholar: lookup
  174. Das R, Baker D. Macromolecular modeling with Rosetta. Annu. Rev. Biochem. 77, 363–382 (2008).
  175. Wang Y, Virtanen J, Xue Z, Zhang Y. I-TASSER-MR: automated molecular replacement for distant-homology proteins using iterative fragment assembly and progressive sequence truncation. Nucleic Acids Res. 45, 429–434 (2017).
    doi: 10.1093/nar/gkx349google scholar: lookup
  176. Webb B, Sali A. Comparative protein structure modeling using MODELLER. Curr. Protoc. Bioinformatics 54, 5.6.1–5.6.37 (2020).
  177. Jumper J et al. Highly accurate protein structure prediction with AlphaFold. Nature 596, 583–589 (2021).
    pubmed: 34265844pmc: 8371605doi: 10.1038/s41586-021-03819-2google scholar: lookup
  178. Lensink MF, Nadzirin N, Velankar S, Wodak SJ. Modeling protein–protein, protein–peptide, and protein–oligosaccharide complexes: CAPRI. Proteins 88, 916–938 (2020).
    pubmed: 31886916doi: 10.1002/prot.25870google scholar: lookup
  179. Moreira IS, Fernandes PA, Ramos MJ. Protein–protein docking dealing with the unknown. J. Comput. Chem. 31, 317–342 (2010).
    pubmed: 19462412
  180. Simões ICM et al. Properties that rank protein–protein docking poses with high accuracy. Phys. Chem. Chem. Phys. 20, 20927–20942 (2018).
    pubmed: 30067268doi: 10.1039/C8CP03888Kgoogle scholar: lookup
  181. Moreira IS, Martins JM, Coimbra JTS, Ramos MJ, Fernandes PA. A new scoring function for protein–protein docking that identifies native structures with unprecedented accuracy. Phys. Chem. Chem. Phys. 17, 2378–2387 (2015).
    pubmed: 25490550doi: 10.1039/C4CP04688Agoogle scholar: lookup
  182. Quignot C et al. InterEvDock2: an expanded server for protein docking using evolutionary and biological information from homology models and multimeric inputs. Nucleic Acids Res. 46, 408–416 (2018).
    doi: 10.1093/nar/gky377google scholar: lookup
  183. Kozakov D et al. The ClusPro web server for protein-protein docking. Nat. Protoc. 12, 255–278 (2017).
    pubmed: 28079879pmc: 5540229doi: 10.1038/nprot.2016.169google scholar: lookup
  184. Park T, Baek M, Lee H, Seok C. GalaxyTongDock: symmetric and asymmetric ab initio protein–protein docking web server with improved energy parameters. J. Comput. Chem. 40, 2413–2417 (2019).
    pubmed: 31173387doi: 10.1002/jcc.25874google scholar: lookup
  185. Zundert GCP et al. The HADDOCK2.2 web server: user-friendly integrative modeling of biomolecular complexes. J. Mol. Biol. 428, 720–725 (2016).
    pubmed: 26410586doi: 10.1016/j.jmb.2015.09.014google scholar: lookup
  186. Moreira IS, Fernandes PA, Ramos MJ. Hot spots — a review of the protein–protein interface determinant amino-acid residues. Proteins Struct. Funct. Bioinform. 68, 803–812 (2007).
    doi: 10.1002/prot.21396google scholar: lookup
  187. Martins SA et al. Computational alanine scanning mutagenesis: MM-PBSA vs TI. J. Chem. Theory Comput. 9, 1311–1319 (2013).
    pubmed: 26587593doi: 10.1021/ct4000372google scholar: lookup
  188. Simões ICM, Costa IPD, Coimbra JTS, Ramos MJ, Fernandes PA. New parameters for higher accuracy in the computation of binding free energy differences upon alanine scanning mutagenesis on protein–protein interfaces. J. Chem. Inf. Model. 57, 60–72 (2017).
    pubmed: 27936711doi: 10.1021/acs.jcim.6b00378google scholar: lookup
  189. Geng C, Xue LC, Roel-Touris J, Bonvin AMJJ. Finding the ΔΔG spot: are predictors of binding affinity changes upon mutations in protein–protein interactions ready for it?. Wiley Interdiscip. Rev. Mol. Sci. 9, 1410 (2019).
  190. Barlow KA et al. Flex ddG: Rosetta ensemble-based estimation of changes in protein–protein binding affinity upon mutation. J. Phys. Chem. B 122, 5389–5399 (2018).
    pubmed: 29401388pmc: 5980710doi: 10.1021/acs.jpcb.7b11367google scholar: lookup
  191. Kortemme T, Baker D. A simple physical model for binding energy hot spots in protein–protein complexes. Proc. Natl Acad. Sci. USA 99, 14116–21 (2002).
    pubmed: 12381794pmc: 137846doi: 10.1073/pnas.202485799google scholar: lookup
  192. Sribar J et al. The neurotoxic secreted phospholipase A2 from the Vipera a. ammodytes venom targets cytochrome c oxidase in neuronal mitochondria. Sci. Rep. 9, 283 (2019).
    pubmed: 30670719pmc: 6342964doi: 10.1038/s41598-018-36461-6google scholar: lookup
  193. Meenakshisundaram R, Sweni S, Thirumalaikolundusubramanian P. Hypothesis of snake and insect venoms against human immunodeficiency virus: a review. AIDS Res. Ther. 6, 25 (2009).
    pubmed: 19922674pmc: 2784795doi: 10.1186/1742-6405-6-25google scholar: lookup
  194. Fenard D et al. Secreted phospholipases A2, a new class of HIV inhibitors that block virus entry into host cells. J. Clin. Invest. 104, 611–618 (1999).
    pubmed: 10487775pmc: 408539doi: 10.1172/JCI6915google scholar: lookup
  195. Muller VDM et al. Crotoxin and phospholipases A2 from Crotalus durissus terrificus showed antiviral activity against dengue and yellow fever viruses. Toxicon 59, 507–15 (2012).
    pubmed: 21723310doi: 10.1016/j.toxicon.2011.05.021google scholar: lookup
  196. Ahmed NK, Tennant KD, Markland FS, LACZ JP. Biochemical characteristics of fibrolase, a fibrinolytic protease from snake venom. Haemostasis 20, 147–154 (1990).
    pubmed: 1696922
  197. Boldrini-Franca J, Pinheiro-Junior EL, Arantes EC. Functional and biological insights of rCollinein-1, a recombinant serine protease from Crotalus durissus collilineatus. J. Venom. Anim. Toxins Incl. Trop. Dis. 25, 147118 (2019).
  198. Funk C, Gmür J, Herold R, Straub PW. Reptilase-R — a new reagent in blood coagulation. Br. J. Haematol. 21, 43–52 (1971).
  199. Graziano F et al. Autologous fibrin sealant (Vivostat(R)) in the neurosurgical practice. Part I: intracranial surgical procedure. Surg. Neurol. Int. 6, 77 (2015).
    pubmed: 25984391pmc: 4429333doi: 10.4103/2152-7806.156871google scholar: lookup
  200. Graziano F, Maugeri R, Basile L, Meccio F, Iacopino DG. Aulogous fibrin sealant (Vivostat(R)) in the neurosurgical practice. Part II: vertebro-spinal procedures. Surg. Neurol. Int. 7, 77–82 (2016).
    doi: 10.4103/2152-7806.174894google scholar: lookup
  201. Koivula K, Rondinelli S, Nasman J. The three-finger toxin MTα is a selective α2B-adrenoceptor antagonist. Toxicon 56, 440–447 (2010).
    pubmed: 20466015doi: 10.1016/j.toxicon.2010.05.001google scholar: lookup
  202. Barnwal B et al. Ringhalexin from Hemachatus haemachatus: a novel inhibitor of extrinsic tenase complex. Sci. Rep. 6, 25935 (2016).
    pubmed: 27173146pmc: 4865804doi: 10.1038/srep25935google scholar: lookup
  203. Banerjee Y et al. Biophysical characterization of anticoagulant hemextin AB complex from the venom of snake Hemachatus haemachatus. Biophys. J. 93, 3963–76 (2007).
    pubmed: 17704148pmc: 2084224doi: 10.1529/biophysj.106.100164google scholar: lookup
  204. Chanda C, Sarkar A, Sistla S, Chakrabarty D. Anti-platelet activity of a three-finger toxin (3FTx) from Indian monocled cobra (Naja kaouthia) venom. Biochem. Biophys. Res. Commun. 441, 550–554 (2013).
    pubmed: 24183721doi: 10.1016/j.bbrc.2013.10.125google scholar: lookup
  205. Fernandez-Gomez R et al. Growth inhibition of Trypanosoma cruzi and Leishmania donovani infantum by different snake venoms — preliminary identification of proteins from Cerastes cerastes venom which interact with the parasites. Toxicon 32, 875–882 (1994).
    pubmed: 7985193doi: 10.1016/0041-0101(94)90366-2google scholar: lookup
  206. Costa Torres AF et al. Antibacterial and antiparasitic effects of Bothrops marajoensis venom and its fractions: phospholipase A2 and L-amino acid oxidase. Toxicon 55, 795–804 (2010).
    pubmed: 19944711doi: 10.1016/j.toxicon.2009.11.013google scholar: lookup
  207. Sakurai Y et al. Anticoagulant activity of M-LAO, L-amino acid oxidase purified from Agkistrodon halys blomhoffii, through selective inhibition of factor IX. Biochim. Biophys. Acta 1649, 51–57 (2003).
    pubmed: 12818190doi: 10.1016/S1570-9639(03)00157-2google scholar: lookup
  208. Adade CM et al. Crovirin, a snake venom cysteine-rich secretory protein (CRISP) with promising activity against trypanosomes and Leishmania. PLoS Negl. Trop. Dis. 8, 3252 (2014).
  209. Badari JC, Díaz-Roa A, Rocha MMT, Mendonça RZ, Silva Junior PID. Patagonin-CRISP: antimicrobial activity and source of antimicrobial molecules in Duvernoy’s gland secretion (Philodryas patagoniensis snake). Front. Pharmacol. 11, 586705 (2021).
    pubmed: 33603660pmc: 7884886doi: 10.3389/fphar.2020.586705google scholar: lookup
  210. Tadokoro T, Modahl CM, Maenaka K, Aoki-Shioi N. Cysteine-rich secretory proteins (CRISPs) from venomous snakes: an overview of the functional diversity in a large and underappreciated superfamily. Toxins 12, 175 (2020).
    pmc: 7150914doi: 10.3390/toxins12030175google scholar: lookup
  211. Assafim M et al. Exploiting the antithrombotic effect of the (pro)thrombin inhibitor bothrojaracin. Toxicon 119, 46–51 (2016).
    pubmed: 27179421doi: 10.1016/j.toxicon.2016.05.007google scholar: lookup
  212. Shen DK et al. Ca2+-induced binding of anticoagulation factor II from the venom of Agkistrodon acutus with factor IX. Biopolymers 97, 818–824 (2012).
    pubmed: 22806501doi: 10.1002/bip.22078google scholar: lookup
  213. Zhang Y et al. Anticoagulation factor I, a snaclec (snake C-type lectin) from Agkistrodon acutus venom binds to FIX as well as FX: Ca2+ induced binding data. Toxicon 59, 718–723 (2012).
    pubmed: 22445822doi: 10.1016/j.toxicon.2012.03.006google scholar: lookup
  214. Rabelo LFG et al. Alternagin-C, a disintegrin-like protein from Bothrops alternatus venom, attenuates inflammation and angiogenesis and stimulates collagen deposition of sponge-induced fibrovascular tissue in mice. Int. J. Biol. Macromol. 140, 653–660 (2019).
  215. Gilchrist IC. Platelet glycoprotein IIb/IIIa inhibitors in percutaneous coronary intervention: focus on the pharmacokinetic–pharmacodynamic relationships of eptifibatide. Clin. Pharmacokinet. 42, 703–720 (2003).
  216. Lucena SE et al. Anti-invasive and anti-adhesive activities of a recombinant disintegrin, r-viridistatin 2, derived from the Prairie rattlesnake (Crotalus viridis viridis). Toxicon 60, 31–9 (2012).
    pubmed: 22465495doi: 10.1016/j.toxicon.2012.03.011google scholar: lookup
  217. Kuo YJ, Chung CH, Huang TF. From discovery of snake venom disintegrins to a safer therapeutic antithrombotic agent. Toxins 11, 372 (2019).
    pmc: 6669693doi: 10.3390/toxins11070372google scholar: lookup
  218. Cesar PHS, Braga MA, Trento MVC, Menaldo DL, Marcussi S. Snake venom disintegrins: an overview of their interaction with integrins. Curr. Drug Targets 20, 465–477 (2019).
  219. Calvete JJ. The continuing saga of snake venom disintegrins. Toxicon 62, 40–49 (2013).
    pubmed: 23010163doi: 10.1016/j.toxicon.2012.09.005google scholar: lookup
  220. Ciolek J et al. Green mamba peptide targets type-2 vasopressin receptor against polycystic kidney disease. Proc. Natl Acad. Sci. USA 114, 7154–7159 (2017).
    pubmed: 28630289pmc: 5502595doi: 10.1073/pnas.1620454114google scholar: lookup
  221. Colombo AL et al. Effects of the natural peptide crotamine from a South American rattlesnake on Candida auris, an emergent multidrug antifungal resistant human pathogen. Biomolecules 9, 205 (2019).
    pmc: 6627186doi: 10.3390/biom9060205google scholar: lookup
  222. El Chamy Maluf S et al. Inhibition of malaria parasite Plasmodium falciparum development by crotamine, a cell penetrating peptide from the snake venom. Peptides 78, 11–16 (2016).
  223. Dal Mas C et al. Anthelmintic effects of a cationic toxin from a South American rattlesnake venom. Toxicon 116, 49–55 (2016).
    pubmed: 26713409doi: 10.1016/j.toxicon.2015.11.021google scholar: lookup
  224. Macedo SRA et al. Biodegradable microparticles containing crotamine isolated from Crotalus durissus terrificus display antileishmanial activity in vitro. Pharmacology 95, 78–86 (2015).
    pubmed: 25633844doi: 10.1159/000371391google scholar: lookup
  225. Mackessy SP. Handbook of Venoms and Toxins of Reptiles. (CRC, 2021).
  226. Salvador GHM, dos Santos JI, Lomonte B, Fontes MRM. Crystal structure of a phospholipase A2 from Bothrops asper venom: insights into a new putative “myotoxic cluster”. Biochimie 133, 95–102 (2017).
    pubmed: 28034717doi: 10.1016/j.biochi.2016.12.015google scholar: lookup
  227. Murakami MT et al. Inhibition of myotoxic activity of Bothrops asper myotoxin II by the anti-trypanosomal drug suramin. J. Mol. Biol. 350, 416–426 (2005).
    pubmed: 15961104doi: 10.1016/j.jmb.2005.04.072google scholar: lookup
  228. Kalita B, Mackessy SP, Mukherjee AK. Proteomic analysis reveals geographic variation in venom composition of Russell’s viper in the Indian subcontinent: implications for clinical manifestations post-envenomation and antivenom treatment. Expert Rev. Proteomics 15, 837–849 (2018).
    pubmed: 30247947doi: 10.1080/14789450.2018.1528150google scholar: lookup
  229. Favaloro EJ. The Russell viper venom time (RVVT) test for investigation of lupus anticoagulant (LA). Am. J. Hematol. 94, 1290–1296 (2019).
    pubmed: 31379004doi: 10.1002/ajh.25606google scholar: lookup
  230. Chen HS, Tsai HY, Wang YM, Tsai IH. P-III hemorrhagic metalloproteinases from Russell’s viper venom: cloning, characterization, phylogenetic and functional site analyses. Biochimie 90, 1486–1498 (2008).
    pubmed: 18554518doi: 10.1016/j.biochi.2008.05.012google scholar: lookup
  231. Nakayama D, Ben Ammar Y, Miyata T, Takeda S. Structural basis of coagulation factor V recognition for cleavage by RVV-V. FEBS Lett. 585, 3020–3025 (2011).
    pubmed: 21871889doi: 10.1016/j.febslet.2011.08.022google scholar: lookup
  232. You WK et al. Functional characterization of recombinant batroxobin, a snake venom thrombin-like enzyme, expressed from Pichia pastoris. FEBS Lett. 571, 67–73 (2004).
    pubmed: 15280019doi: 10.1016/j.febslet.2004.06.060google scholar: lookup
  233. Sousa LF et al. Functional proteomic analyses of Bothrops atrox venom reveals phenotypes associated with habitat variation in the Amazon. J. Proteom. 159, 32–46 (2017).
  234. Núñez V et al. Snake venomics and antivenomics of Bothrops atrox venoms from Colombia and the Amazon regions of Brazil, Perú and Ecuador suggest the occurrence of geographic variation of venom phenotype by a trend towards paedomorphism. J. Proteom. 73, 57–78 (2009).
  235. Calvete JJ et al. Snake population venomics and antivenomics of Bothrops atrox: paedomorphism along its transamazonian dispersal and implications of geographic venom variability on snakebite management. J. Proteom. 74, 510–527 (2011).
  236. Kohlhoff M et al. Exploring the proteomes of the venoms of the Peruvian pit vipers Bothrops atrox, B. barnetti and B. pictus. J. Proteom. 75, 2181–2195 (2012).
  237. Hatakeyama DM et al. Venom complexity of Bothrops atrox (common lancehead) siblings. J. Venom. Anim. Toxins Incl. Trop. Dis. 26, 20200018 (2020).
  238. Wallnoefer HG, Lingott T, Gutiérrez JM, Merfort I, Liedl KR. Backbone flexibility controls the activity and specificity of a protein–protein interface: specificity in snake venom metalloproteases. J. Am. Chem. Soc. 132, 10330–10337 (2010).
    pubmed: 20617834doi: 10.1021/ja909908ygoogle scholar: lookup
  239. Camacho E, Escalante T, Remans K, Gutiérrez JM, Rucavado A. Site mutation of residues in a loop surrounding the active site of a PI snake venom metalloproteinase abrogates its hemorrhagic activity. Biochem. Biophys. Res. Commun. 512, 859–863 (2019).
    pubmed: 30929924doi: 10.1016/j.bbrc.2019.03.152google scholar: lookup