Characterizing and applying immunoglobulins in snakebite diagnostics: A simple and rapid venom detection assay for four medically important snake species in Southeast Asia

Lee, Louisa Pernee and Tan, Choo Hock and Khomvilai, Sumana and Sitprija, Visith and Chaiyabutr, Narongsak and Tan, Kae Yi (2023) Characterizing and applying immunoglobulins in snakebite diagnostics: A simple and rapid venom detection assay for four medically important snake species in Southeast Asia. International Journal of Biological Macromolecules, 236. ISSN 0141-8130, DOI https://doi.org/10.1016/j.ijbiomac.2023.123727.

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Abstract

Snakebite envenoming is a medical emergency requiring urgent and specific treatment. Unfortunately, snakebite diagnostics are scarce, time-consuming and lacking specificity. Hence, this study aimed to develop a simple, quick and specific snakebite diagnostic assay using animal antibodies. Anti-venom horse immunoglobulin G (IgG) and chicken immunoglobulin Y (IgY) were produced against the venoms of four major medically important snake species in Southeast Asia, i.e., the Monocled Cobra (Naja kaouthia), Malayan Krait (Bungarus candidus), Malayan Pit Viper (Calloselasma rhodostoma), and White-lipped Green Pit Viper (Trimeresurus albolabris). Different capture:detection configurations of double-antibody sandwich enzyme-linked immunosorbent assay (ELISA) were constructed using both immunoglobulins, and the horse IgG:IgG-HRP configuration was found to be most selective and sensitive in detecting the corresponding venoms. The method was further streamlined to develop a rapid immunodetection assay, which is able to produce a visual color change within 30 min for discrimination between different snake species. The study shows it is feasible to develop a simple, quick and specific immunodiagnostic assay using horse IgG, which can be derived directly from antisera prepared for antivenom production. The proof-of-concept indicates it is a sustainable and affordable approach in keeping with on-going antivenom manufacturing activities for specific species in the region.

Item Type: Article
Funders: Universiti Malaya, Malaysia (GPF009C-2018), Universiti Malaya Specialist Centre C.A.RE research fund from Malaysia (PV040-2019)
Uncontrolled Keywords: Snakebite envenoming; Immunodiagnostics; Snakebite diagnostics; Naja kaouthia; Bungarus candidus; Calloselasma rhodostoma; Trimeresurus albolabris; Enzyme -linked immunosorbent assay
Subjects: R Medicine
Divisions: Faculty of Medicine
Depositing User: Ms Zaharah Ramly
Date Deposited: 03 Jul 2023 08:30
Last Modified: 03 Jul 2023 08:30
URI: http://eprints.um.edu.my/id/eprint/38443

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