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Snake antivenom: Challenges and alternate approaches
Abstract
Snake envenomation is still a serious threat to many countries in the world. The only mainstay treatment depends on the administration of animal derived immunoglobulin based antivenom. Significant limitations to these antivenoms are a challenge in the treatment of snake envenomation. Many alternate approaches have been explored to overcome the limitations of antivenom. Exploring alternate approaches like use of bioactive components from plant sources, use of peptide and small molecule inhibitors are some aspects taken towards improving the current limitations of antivenom therapy. However, all these alternate approaches also have many drawbacks which should be improved by more in vitro and in vivo experiments. Here, we review some of the limitations of current antivenom therapy and developments as well as drawbacks of these alternate treatment strategies.
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“Current antivenoms, which are antibody-based, have limited efficacy in reversing local tissue damage due to their large size [104], which limits their penetration into deeper tissues or prevents RCD once they have been activated.”
From Role of Regulated Cell Death Pathways in Snakebite Envenomation: Mechanisms, Crosstalk, and Therapeutic Opportunities (2026) · cites this paper as [104]
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Metadata
- Authors
- Alangode, A., Rajan, K., & Nair, B. G.
- Affiliations
- Amrita Vishwa Vidyapeetham (IN)
- Corresponding author
- Nair, Bipin G.
- Venue
- Biochemical Pharmacology
- Publisher
- Elsevier BV
- Published
- 2020-11
- Volume
- 181
- Pages
- 114135
- ISSN
- 0006-2952 (ISSN-L)
- OpenAlex
- W3040064097
- Cited by
- 88
- References
- 92
- Citations by year
- 2026: 17 · 2025: 19 · 2024: 18 · 2023: 14 · 2022: 11 · 2021: 7 · 2020: 1
- FWCI
- 1.18
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Biochemical Pharmacology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Amrita Vishwa Vidyapeetham University
- Topics
- Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Toxicology › Venomous Animal Envenomation and Studies
- Health Sciences › Medicine › Pharmacology (medical) › Healthcare and Venom Research
- Life Sciences › Agricultural and Biological Sciences › Ecology, Evolution, Behavior and Systematics › Amphibian and Reptile Biology
- Keywords
- snake antivenom, snakebite, phytochemicals, peptide inhibitors, small molecule inhibitors, venom toxins
- MeSH terms
- Animals, Antivenins, Humans, Peptides, Snake Bites, Snake Venoms, Snakes, Toxins, Biological, Antibodies, Neutralizing
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