Abstract

Phoneutria nigriventer spider accidental envenomation provokes neurotoxic manifestations, which when critical, results in epileptic-like episodes. In rats, P. nigriventer venom (PNV) causes blood-brain barrier breakdown (BBBb). The PNV-induced excitotoxicity results from disturbances on Na+, K+ and Ca2+ channels and glutamate handling. The vascular endothelial growth factor (VEGF), beyond its angiogenic effect, also, interferes on synaptic physiology by affecting the same ion channels and protects neurons from excitotoxicity. However, it is unknown whether VEGF expression is altered following PNV envenomation. We found that adult and neonates rats injected with PNV showed immediate neurotoxic manifestations which paralleled with endothelial occludin, β-catenin, and laminin downregulation indicative of BBBb. In neonate rats, VEGF, VEGF mRNA, and Flt-1 receptors, glutamate decarboxylase, and calbindin-D28k increased in Purkinje neurons, while, in adult rats, the BBBb paralleled with VEGF mRNA, Flk-1, and calbindin-D28k increases and Flt-1 decreases. Statistically, the variable age had a role in such differences, which might be due to age-related unequal maturation of blood-brain barrier (BBB) and thus differential cross-signaling among components of the glial neurovascular unit. The concurrent increases in the VEGF/Flt-1/Flk-1 system in the cerebellar neuron cells and the BBBb following PNV exposure might imply a cytokine modulation of neuronal excitability consequent to homeostatic perturbations induced by ion channels-acting PNV neuropeptides. Whether such modulation represents neuroprotection needs further investigation.

Highlights

  • Accidents with venomous animals have been considered a neglected health public issue

  • Our studies have shown that the Phoneutria nigriventer venom induces blood-brain barrier breakdown through increased vesicular transcellular transport [3] followed by upregulation of the glycoprotein P (P-gp) efflux protein and by impairment

  • vascular endothelial growth factor (VEGF) and P. nigriventer venom (PNV) have in common to act on blood-brain barrier (BBB)-enhanced permeability, interfere in ion channels physiology, affect synaptic plasticity, and disturb glutamatergic transmission

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Summary

Introduction

Accidents with venomous animals have been considered a neglected health public issue. Accidents caused by Phoneutria nigriventer, popularly known as the armed spider, are common in Southeast Brazil. The majority of them only cause pain, intense sudoresis, and local inflammation. Accidents graded as severe (less than 0.5%) cause in addition cramps, tremors, blurred yellow vision, tachypnea, cardiovascular alterations, priapism, and convulsion and rarely death, those symptoms appearing to be more severe in children [1, 2]. Experimental studies in rats showed that the clinical symptoms of envenomation paralleled those of humans. Our studies have shown that the Phoneutria nigriventer venom induces blood-brain barrier breakdown through increased vesicular transcellular transport [3] followed by upregulation of the glycoprotein P (P-gp) efflux protein and by impairment

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