CCL-2 and CXCL-8: Potential Prognostic Biomarkers of Acute Kidney Injury after a Bothrops atrox Snakebite

In the Brazilian Amazon, the snake Bothrops atrox is the primary cause of snakebites. B. atrox (BaV) venom can cause systemic pathophysiological changes such as acute kidney injury (AKI), which leads to the production of chemokines and cytokines in response to the envenomation. These soluble immunol...

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Main Authors: Juliana Costa Ferreira Neves, Hiochelson Najibe Santos Ibiapina, Fábio Magalhães-Gama, Jacqueline Almeida Gonçalves Sachett, Iran Mendonça Silva, Kerolaine Fonseca Coelho, Eliane Campos Alves, Andréa Monteiro Tarragô, Luiz Carlos de Lima Ferreira, Adriana Malheiro, Wuelton Marcelo Monteiro, Allyson Guimarães Costa
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Mediators of Inflammation
Online Access:http://dx.doi.org/10.1155/2022/8285084
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author Juliana Costa Ferreira Neves
Hiochelson Najibe Santos Ibiapina
Fábio Magalhães-Gama
Jacqueline Almeida Gonçalves Sachett
Iran Mendonça Silva
Kerolaine Fonseca Coelho
Eliane Campos Alves
Andréa Monteiro Tarragô
Luiz Carlos de Lima Ferreira
Adriana Malheiro
Wuelton Marcelo Monteiro
Allyson Guimarães Costa
author_facet Juliana Costa Ferreira Neves
Hiochelson Najibe Santos Ibiapina
Fábio Magalhães-Gama
Jacqueline Almeida Gonçalves Sachett
Iran Mendonça Silva
Kerolaine Fonseca Coelho
Eliane Campos Alves
Andréa Monteiro Tarragô
Luiz Carlos de Lima Ferreira
Adriana Malheiro
Wuelton Marcelo Monteiro
Allyson Guimarães Costa
author_sort Juliana Costa Ferreira Neves
collection DOAJ
description In the Brazilian Amazon, the snake Bothrops atrox is the primary cause of snakebites. B. atrox (BaV) venom can cause systemic pathophysiological changes such as acute kidney injury (AKI), which leads to the production of chemokines and cytokines in response to the envenomation. These soluble immunological molecules act by modulating the inflammatory response; however, the mechanisms associated with the development of AKI are still poorly understood. Here, we characterize the profile of these soluble immunological molecules as possible predictive biomarkers of the development of AKI. The study involved 34 patients who had been victims of snakebites by Bothrops sp. These were categorized into two groups according to the development of AKI (AKI(-)/AKI(+)), using healthy donors as the control (HD). Peripheral blood samples were collected at three-time points: before antivenom administration (T0) and at 24 and 48 hours after antivenom (T1 and T2, respectively). The soluble immunological molecules (CXCL-8, CCL-5, CXCL-9, CCL-2, CXCL-10, IL-6, TNF, IL-2, IL-10, IFN-γ, IL-4, and IL-17A) were quantified using cytometric bead array. Our results demonstrated an increase in CXCL-9, CXCL-10, IL-6, IL-2, IL-10, and IL-17A molecules in the groups of patients who suffered Bothrops snakebites (AKI(-) and AKI(+)) before antivenom administration, when compared to HD. In the AKI(+) group, levels of CXCL-8 and CCL-2 molecules were elevated on admission and progressively decreased during the clinical evolution of patients after antivenom administration. In addition, in the signature analysis, these were produced exclusively by the group AKI(+) at T0. Thus, these chemokines may be related to the initiation and extension of AKI after envenomation by Bothrops and present themselves as two potential biomarkers of AKI at T0.
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spelling doaj-art-8dabebec709c487aa727205f7b5632ea2025-02-03T05:50:37ZengWileyMediators of Inflammation1466-18612022-01-01202210.1155/2022/8285084CCL-2 and CXCL-8: Potential Prognostic Biomarkers of Acute Kidney Injury after a Bothrops atrox SnakebiteJuliana Costa Ferreira Neves0Hiochelson Najibe Santos Ibiapina1Fábio Magalhães-Gama2Jacqueline Almeida Gonçalves Sachett3Iran Mendonça Silva4Kerolaine Fonseca Coelho5Eliane Campos Alves6Andréa Monteiro Tarragô7Luiz Carlos de Lima Ferreira8Adriana Malheiro9Wuelton Marcelo Monteiro10Allyson Guimarães Costa11Post-graduate Program in Tropical MedicinePost-graduate Program in Tropical MedicinePost-Graduate Program in Basic and Applied ImmunologyPost-graduate Program in Tropical MedicineCarlos Borborema Clinical Research InstitutePost-graduate Program in Tropical MedicinePost-graduate Program in Tropical MedicinePost-Graduate Program in Basic and Applied ImmunologyPost-graduate Program in Tropical MedicinePost-graduate Program in Tropical MedicinePost-graduate Program in Tropical MedicinePost-graduate Program in Tropical MedicineIn the Brazilian Amazon, the snake Bothrops atrox is the primary cause of snakebites. B. atrox (BaV) venom can cause systemic pathophysiological changes such as acute kidney injury (AKI), which leads to the production of chemokines and cytokines in response to the envenomation. These soluble immunological molecules act by modulating the inflammatory response; however, the mechanisms associated with the development of AKI are still poorly understood. Here, we characterize the profile of these soluble immunological molecules as possible predictive biomarkers of the development of AKI. The study involved 34 patients who had been victims of snakebites by Bothrops sp. These were categorized into two groups according to the development of AKI (AKI(-)/AKI(+)), using healthy donors as the control (HD). Peripheral blood samples were collected at three-time points: before antivenom administration (T0) and at 24 and 48 hours after antivenom (T1 and T2, respectively). The soluble immunological molecules (CXCL-8, CCL-5, CXCL-9, CCL-2, CXCL-10, IL-6, TNF, IL-2, IL-10, IFN-γ, IL-4, and IL-17A) were quantified using cytometric bead array. Our results demonstrated an increase in CXCL-9, CXCL-10, IL-6, IL-2, IL-10, and IL-17A molecules in the groups of patients who suffered Bothrops snakebites (AKI(-) and AKI(+)) before antivenom administration, when compared to HD. In the AKI(+) group, levels of CXCL-8 and CCL-2 molecules were elevated on admission and progressively decreased during the clinical evolution of patients after antivenom administration. In addition, in the signature analysis, these were produced exclusively by the group AKI(+) at T0. Thus, these chemokines may be related to the initiation and extension of AKI after envenomation by Bothrops and present themselves as two potential biomarkers of AKI at T0.http://dx.doi.org/10.1155/2022/8285084
spellingShingle Juliana Costa Ferreira Neves
Hiochelson Najibe Santos Ibiapina
Fábio Magalhães-Gama
Jacqueline Almeida Gonçalves Sachett
Iran Mendonça Silva
Kerolaine Fonseca Coelho
Eliane Campos Alves
Andréa Monteiro Tarragô
Luiz Carlos de Lima Ferreira
Adriana Malheiro
Wuelton Marcelo Monteiro
Allyson Guimarães Costa
CCL-2 and CXCL-8: Potential Prognostic Biomarkers of Acute Kidney Injury after a Bothrops atrox Snakebite
Mediators of Inflammation
title CCL-2 and CXCL-8: Potential Prognostic Biomarkers of Acute Kidney Injury after a Bothrops atrox Snakebite
title_full CCL-2 and CXCL-8: Potential Prognostic Biomarkers of Acute Kidney Injury after a Bothrops atrox Snakebite
title_fullStr CCL-2 and CXCL-8: Potential Prognostic Biomarkers of Acute Kidney Injury after a Bothrops atrox Snakebite
title_full_unstemmed CCL-2 and CXCL-8: Potential Prognostic Biomarkers of Acute Kidney Injury after a Bothrops atrox Snakebite
title_short CCL-2 and CXCL-8: Potential Prognostic Biomarkers of Acute Kidney Injury after a Bothrops atrox Snakebite
title_sort ccl 2 and cxcl 8 potential prognostic biomarkers of acute kidney injury after a bothrops atrox snakebite
url http://dx.doi.org/10.1155/2022/8285084
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