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Nguyen TN, Jeng MJ, Chen NY, Yang CC. Outcomes of wasp and bee stings in Taiwan. Clin Toxicol (Phila) 2023; 61:181-185. [PMID: 36892552 DOI: 10.1080/15563650.2023.2173075] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/10/2023]
Abstract
BACKGROUND The families of Hymenoptera causing commonly poisonous animal stings in Taiwan include Apoidea (bee) and Vespidae (wasp). This study aimed to investigate the epidemiologic, clinical characteristics, and outcomes of the severity of envenomation following wasp or bee stings in Taiwan. METHODS We conducted a retrospective study by identifying all wasp and bee sting-related envenomation reported to the Taiwan National Poison Control Center between January 2001 and November 2021. Data were reviewed and abstracted by two independent reviewers. We then used ordinal logistic regression analysis to find potential predictors of severe wasp and bee sting-related envenomation. RESULTS In Taiwan, bee or wasp stings mainly occur in late summer and autumn. A total of 611 patients were reported to the Taiwan National Poison Control Center with 7.5% resulting in severe or fatal envenomation. Four-hundred and forty-one patients were eligible for the final analysis of the predictors of severity. Logistic regression analysis showed that a greater number of stings, being stung by wasps, older age, and stings over the body were significant predictors for greater severity. The systemic effects following wasp and bee sting included anaphylactic reaction, prolongation of activated partial thromboplastin time, rhabdomyolysis, acute kidney injury, and elevated liver enzymes. CONCLUSIONS Wasps generally inflicted more severe envenomation than bees. Only 7.5% of patients had severe or fatal outcomes. Patients with older age, multiple stings, and/or multiple sites of stings were more likely to have severe outcomes.
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Affiliation(s)
- Thi Ngat Nguyen
- Institute of Emergency and Critical Care Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan.,Department of Tropical Diseases, Cho Ray Hospital, Ho Chi Minh City, Vietnam
| | - Mei-Jy Jeng
- Institute of Emergency and Critical Care Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan.,Department of Pediatrics, Taipei Veterans General Hospital, Taipei, Taiwan
| | - Nai-Yu Chen
- Taiwan National Poison Control Center, Taipei, Taiwan
| | - Chen-Chang Yang
- Taiwan National Poison Control Center, Taipei, Taiwan.,Institute of Environmental and Occupational Health Sciences, College of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan.,Department of Occupational Medicine and Clinical Toxicology, Taipei Veterans General Hospital, Taipei, Taiwan
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2
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Li F, Liu L, Chen D, Zhang Y, Wang M, Zhou D, Peng L, Lin W. Efficacy of Three Renal Replacement Therapy Modalities for the Treatment of Acute Kidney Injury Caused by Wasp Sting. Blood Purif 2021; 51:365-375. [PMID: 34710874 DOI: 10.1159/000514284] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2020] [Accepted: 01/08/2021] [Indexed: 11/19/2022]
Abstract
BACKGROUND/AIM This study mainly aimed to explore the therapeutic effects of 3 renal replacement therapy (RRT) modalities on acute kidney injury (AKI) caused by wasp stings. METHODS A retrospective study from September 2016 to December 2019 was conducted. Thirty-one patients with AKIs caused by wasp sting were selected and divided into 3 groups according to the initial RRT modality received, namely, (1) the intermittent hemodialysis combined with hemoperfusion (IHD + HP) group, (2) the continuous veno-venous hemodiafiltration (CVVHDF) group, and (3) the CVVHDF combined with HP (CVVHDF + HP) group. The laboratory results were measured and analyzed before treatment on the 3rd, 7th, and 14th days of treatment. The renal function outcomes and survival of the patients were investigated at 3 months follow-up. RESULTS The laboratory results of enzyme measures and inflammatory indicators in wasp sting patients increased significantly in the early stage and 3 RRT modalities were effective in reducing these indicators. In addition, continuous RRT modality (CVVHDF and CVVHDF + HP) showed better clearance of myoglobin than IHD + HP. The serum creatinine levels of patients in the 3 groups did not recover to baseline within 14 days after beginning treatment. Nevertheless, the CVVHDF + HP group was better than the CVVHDF group, and CVVHDF was better than the IHD + HP group on the 3rd day. The interleukin (IL)-6 and IL-10 levels in CVVHDF + HP and IHD + HP groups were obviously lower than those in the CVVHDF group on the 3rd day. In the follow-up study, the recovery rate of renal function in CVVHDF and CVVHDF + HP groups was significantly better than that in the IHD + HP group. CONCLUSION Early RRT was effective in the treatment of patients with A KI caused by wasp sting. CVVHDF + HP and CVVHDF modalities were better than the IHD + HP group in venom clearance and renal function recovery.
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Affiliation(s)
- Fugang Li
- Department of Nephrology, People's Hospital of Jianyang, Jianyang, China.,Central Laboratory, People's Hospital of Jianyang, Jianyang, China
| | - Li Liu
- Department of Nephrology, People's Hospital of Jianyang, Jianyang, China
| | - Dezheng Chen
- Department of Nephrology, People's Hospital of Jianyang, Jianyang, China
| | - Yong Zhang
- Department of Nephrology, People's Hospital of Jianyang, Jianyang, China
| | - Mingli Wang
- Department of Nephrology, People's Hospital of Jianyang, Jianyang, China
| | - Dongmei Zhou
- Department of Nephrology, People's Hospital of Jianyang, Jianyang, China
| | - Li Peng
- Department of Nephrology, People's Hospital of Jianyang, Jianyang, China
| | - Wujun Lin
- Department of Nephrology, People's Hospital of Jianyang, Jianyang, China
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3
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Herrera C, Leza M, Martínez-López E. Diversity of compounds in Vespa spp. venom and the epidemiology of its sting: a global appraisal. Arch Toxicol 2020; 94:3609-3627. [PMID: 32700166 DOI: 10.1007/s00204-020-02859-3] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2020] [Accepted: 05/04/2020] [Indexed: 12/23/2022]
Abstract
Poisonous animals imply a risk to human life, because their venom is a complex mixture of low molecular weight components, peptides and proteins. Hornets use the venom for self-defence, to repel intruders and to capture prey, but they can cause poisoning and allergic reactions to people. In particular, they seem to be a health problem in the countries where they are native due to their sting, which in the most severe cases can lead to severe or fatal systemic anaphylaxis. But this situation is being an emerging problem for new countries and continents because hornet incursions are increasing in the global change scenario, such as in Europe and America. Furthermore, 55 detailed cases of hornet sting were found in 27 papers during the current review where 36.4% died due to, mainly, a multi-organ failure, where renal failure and liver dysfunction were the most common complications. Moreover, the great taxonomic, ecological diversity, geographical distribution and the wide spectrum of pathophysiological symptoms of hornets have been the focus of new research. Considering this, the present systematic review summarizes the current knowledge about the components of Vespa venom and the epidemiology of its sting to serve as reference for the new research focused on the development of techniques for diagnosis, new drugs and treatments of its sting.
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Affiliation(s)
- Cayetano Herrera
- Department of Biology (Zoology), University of the Balearic Islands, Palma, Balearic Islands, Spain
| | - Mar Leza
- Department of Biology (Zoology), University of the Balearic Islands, Palma, Balearic Islands, Spain.
| | - Emma Martínez-López
- Area of Toxicology, Department of Health Sciences, Faculty of Veterinary Medicine, University of Murcia, 30100, Murcia, Spain.,Toxicology and Risk Assessment Group, Biomedical Research Institute of Murcia (IMIB-Arrixaca), University of Murcia, 30100, Murcia, Spain
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4
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Freire DO, da Cunha NB, Leite ML, Kostopoulos AGC, da Silva SNB, Souza ACB, Nolasco DO, Franco OL, Mortari MR, Dias SC. Wasp venom peptide, synoeca‐MP, fromSynoeca surinamashows antimicrobial activity against human and animal pathogenic microorganisms. Pept Sci (Hoboken) 2019. [DOI: 10.1002/pep2.24141] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Affiliation(s)
- Daniel O. Freire
- Neuropharmacology Laboratory, Department of Physiological SciencesInstitute of Biological Sciences, University of Brasilia Brasilia Brazil
| | - Nicolau B. da Cunha
- Centro de Análise Proteômicas e Bioquímicas de BrasíliaUniversidade Católica de Brasília Brasília Brazil
| | - Michel L. Leite
- Centro de Análise Proteômicas e Bioquímicas de BrasíliaUniversidade Católica de Brasília Brasília Brazil
| | - Alessandra G. C. Kostopoulos
- Neuropharmacology Laboratory, Department of Physiological SciencesInstitute of Biological Sciences, University of Brasilia Brasilia Brazil
| | - Sheila N. B. da Silva
- Centro de Análise Proteômicas e Bioquímicas de BrasíliaUniversidade Católica de Brasília Brasília Brazil
| | - Adolfo C. B. Souza
- Neuropharmacology Laboratory, Department of Physiological SciencesInstitute of Biological Sciences, University of Brasilia Brasilia Brazil
| | - Diego O. Nolasco
- Centro de Análise Proteômicas e Bioquímicas de BrasíliaUniversidade Católica de Brasília Brasília Brazil
| | - Octávio L. Franco
- Centro de Análise Proteômicas e Bioquímicas de BrasíliaUniversidade Católica de Brasília Brasília Brazil
- S‐Inova Biotech, Pós‐graduação em BiotecnologiaUniversidade Católica Dom Bosco Campo Grande Brazil
| | - Márcia R. Mortari
- Neuropharmacology Laboratory, Department of Physiological SciencesInstitute of Biological Sciences, University of Brasilia Brasilia Brazil
- Universidade de Brasília, Pós‐Graduação em Biologia Animal, Campus Universitário Darcy Ribeiro Brasília Brazil
| | - Simoni C. Dias
- Centro de Análise Proteômicas e Bioquímicas de BrasíliaUniversidade Católica de Brasília Brasília Brazil
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Dantas EMGL, Lima SMF, Cantuária APC, Amorim IA, Almeida JA, Cunha TF, Franco OL, Rezende TMB. Synergistic activity of chlorhexidine and synoeca-MP peptide against Pseudomonas aeruginosa. J Cell Physiol 2019; 234:16068-16079. [PMID: 30740688 DOI: 10.1002/jcp.28265] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2017] [Revised: 01/16/2019] [Accepted: 01/22/2019] [Indexed: 01/24/2023]
Abstract
This study aims to evaluate the in vitro antimicrobial and immunomodulatory activities and cytotoxicity of chlorhexidine (CHX) and synoeca-MP peptide alone or in combination against Pseudomonas aeruginosa. The antimicrobial property was evaluated by the determination of minimal inhibitory concentration, minimum bactericidal concentration, and planktonic bacteria and biofilm inhibition. Immunomodulatory activity was determined by enzyme-linked immunosorbent assay and nitric oxide production by the Griess reaction method. According to the results, synoeca-MP combined with CHX demonstrated antimicrobial effectiveness compared with its isolated use, in addition to immunomodulatory activity (upregulating MPC-1 and tumor necrosis factor-α and downregulating nitric oxide and interleukin-10). In this context, it is expected that the substances, together, could be capable of controlling bacterial infection and dissemination, besides potentiating macrophages' immune response against the studied microorganism. Moreover, reducing the CHX concentration by the addition of synoeca-MP peptide may, in a beneficial way, minimize the undesirable effects of both, CHX and synoeca-MP in a clinical setting.
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Affiliation(s)
- Elaine M G L Dantas
- Programa de Pós-Graduação em Ciências da Saúde, Faculdade de Ciências da Saúde, Universidade de Brasília, Brasília, Federal District, Brazil.,Curso de Odontologia, Escola de Saúde, Universidade Católica de Brasília, Campus 1, Brasília, Federal District, Brazil.,Centro de Análises Proteômicas e Bioquímicas, Programa de Pós-Graduação em Ciências Genômicas e Biotecnologia, Escola de Saúde, Universidade Católica de Brasília, Campus Avançado Asa Norte, Brasília, Federal District, Brazil
| | - Stella M F Lima
- Curso de Odontologia, Escola de Saúde, Universidade Católica de Brasília, Campus 1, Brasília, Federal District, Brazil.,Centro de Análises Proteômicas e Bioquímicas, Programa de Pós-Graduação em Ciências Genômicas e Biotecnologia, Escola de Saúde, Universidade Católica de Brasília, Campus Avançado Asa Norte, Brasília, Federal District, Brazil
| | - Ana Paula C Cantuária
- Programa de Pós-Graduação em Ciências da Saúde, Faculdade de Ciências da Saúde, Universidade de Brasília, Brasília, Federal District, Brazil
| | - Ingrid A Amorim
- Centro de Análises Proteômicas e Bioquímicas, Programa de Pós-Graduação em Ciências Genômicas e Biotecnologia, Escola de Saúde, Universidade Católica de Brasília, Campus Avançado Asa Norte, Brasília, Federal District, Brazil
| | - Jeeser A Almeida
- Programa de Pós-Graduação em Saúde e Desenvolvimento na Região Centro-Oeste, Universidade Federal de Mato Grosso do Sul, Campo Grande, Mato Grosso do Sul, Brazil
| | - Tássio F Cunha
- Curso de Odontologia, Escola de Saúde, Universidade Católica de Brasília, Campus 1, Brasília, Federal District, Brazil
| | - Octávio L Franco
- Centro de Análises Proteômicas e Bioquímicas, Programa de Pós-Graduação em Ciências Genômicas e Biotecnologia, Escola de Saúde, Universidade Católica de Brasília, Campus Avançado Asa Norte, Brasília, Federal District, Brazil.,Programa de Doutorado da Rede Centro-Oeste, Universidade de Brasília, Campus Universitário Darcy Ribeiro, Brasília, Federal District, Brazil.,S-Inova Biotech, Pós-Graduação em Biotecnologia, Universidade Católica Dom Bosco, Campo Grande, Mato Grosso do Sul, Brazil
| | - Taia M B Rezende
- Programa de Pós-Graduação em Ciências da Saúde, Faculdade de Ciências da Saúde, Universidade de Brasília, Brasília, Federal District, Brazil.,Curso de Odontologia, Escola de Saúde, Universidade Católica de Brasília, Campus 1, Brasília, Federal District, Brazil.,Centro de Análises Proteômicas e Bioquímicas, Programa de Pós-Graduação em Ciências Genômicas e Biotecnologia, Escola de Saúde, Universidade Católica de Brasília, Campus Avançado Asa Norte, Brasília, Federal District, Brazil
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6
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Gong J, Yuan H, Gao Z, Hu F. Wasp venom and acute kidney injury: The mechanisms and therapeutic role of renal replacement therapy. Toxicon 2019; 163:1-7. [PMID: 30880185 DOI: 10.1016/j.toxicon.2019.03.008] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2018] [Revised: 03/07/2019] [Accepted: 03/11/2019] [Indexed: 01/02/2023]
Abstract
Stinging accidents involving wasp venom are a notable cause of acute kidney injury (AKI) in Asia. However, very little attention has been paid to the understanding of the mechanisms involved in this type of AKI. The aims of this review are to explore the evidence for the mechanisms and the therapeutic role of renal replacement therapy of wasp venom and AKI. A systematic literature search was conducted using PubMed for the association among wasp venom and AKI. Wasp venom is a complex mixture of biologically active components, including enzymes, amines, and peptides. Wasp venom may induce local anaphylaxis reactions as well as systemic reactions such as AKI. AKI may develop as a result of direct nephrotoxic effects of the venom or secondary intravascular hemolysis and/or rhabdomyolysis. Histopathological features of renal biopsies predominantly include acute tubular necrosis and acute interstitial nephritis. Renal replacement therapy, which includes intermittent hemodialysis, hemoperfusion, plasmapheresis, continuous renal replacement therapy, and peritoneal dialysis, has been used to treat severe AKI cases induced by wasp stings. Continuous renal replacement therapy appears to provide more benefit than intermittent hemodialysis in the treatment of wasp sting-induced AKI. In this review, we summarize the existing evidence of the mechanisms and treatment for venom-induced AKI, with a particular emphasis on the role of renal replacement therapy in the management of severe AKI following massive wasp stings.
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Affiliation(s)
- Jianhua Gong
- Department of Nephrology, Xiangyang Central Hospital, Affiliated Hospital of Hubei University of Arts and Science, Xiangyang, 441000, Hubei, China
| | - Hai Yuan
- Department of Nephrology, Xiangyang Central Hospital, Affiliated Hospital of Hubei University of Arts and Science, Xiangyang, 441000, Hubei, China
| | - Zhao Gao
- Department of Nephrology, Xiangyang Central Hospital, Affiliated Hospital of Hubei University of Arts and Science, Xiangyang, 441000, Hubei, China
| | - Fengqi Hu
- Department of Nephrology, Xiangyang Central Hospital, Affiliated Hospital of Hubei University of Arts and Science, Xiangyang, 441000, Hubei, China.
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7
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Gomes FMM, Paniago CK, Freire DO, Souza ACB, Lima MR, Oliveira-Júnior NG, Franco OL, Mortari MR. Anxiolytic-like effect of a novel peptide isolated from the venom of the social wasp Synoeca surinama. Toxicon 2016; 122:39-42. [PMID: 27664832 DOI: 10.1016/j.toxicon.2016.09.015] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2016] [Revised: 09/16/2016] [Accepted: 09/20/2016] [Indexed: 01/04/2023]
Abstract
Pathological anxiety is among the most common psychiatric illnesses, but current treatment is highly limited. In this study, we investigated the potential anxiolytic-like effects of a peptide isolated from Synoeca surinama venom. Rats treated with this peptide spent more time exploring the open arms of elevated plus maze, which indicates an anxiolytic-like profile for this peptide. This study is the first to show the pharmacological use of S. surinama venom in the treatment of anxiety.
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Affiliation(s)
- Flávia M M Gomes
- Neuropharmacology Laboratory, Department of Physiological Sciences, Institute of Biological Sciences, University of Brasília, Brasília, Brazil.
| | - Cássia K Paniago
- Neuropharmacology Laboratory, Department of Physiological Sciences, Institute of Biological Sciences, University of Brasília, Brasília, Brazil.
| | - Daniel O Freire
- Neuropharmacology Laboratory, Department of Physiological Sciences, Institute of Biological Sciences, University of Brasília, Brasília, Brazil.
| | - Adolfo C B Souza
- Neuropharmacology Laboratory, Department of Physiological Sciences, Institute of Biological Sciences, University of Brasília, Brasília, Brazil.
| | - Marcos R Lima
- Neuropharmacology Laboratory, Department of Physiological Sciences, Institute of Biological Sciences, University of Brasília, Brasília, Brazil; Evolutionary Ecology Laboratory, Department of Animal and Plant Biology, Biological Sciences Center, State University of Londrina, Londrina, Brazil.
| | - Nelson G Oliveira-Júnior
- S-Inova Biotech, Post-Graduation on Biotechnology, Dom Bosco Catholic University, Campo Grande, Brazil; Center for Biochemical and Proteomics Analyses, Catholic University of Brasília, Brasília, Brazil.
| | - Octavio L Franco
- S-Inova Biotech, Post-Graduation on Biotechnology, Dom Bosco Catholic University, Campo Grande, Brazil; Center for Biochemical and Proteomics Analyses, Catholic University of Brasília, Brasília, Brazil.
| | - Márcia R Mortari
- Neuropharmacology Laboratory, Department of Physiological Sciences, Institute of Biological Sciences, University of Brasília, Brasília, Brazil.
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