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Publication : Snake venom rhodocytin induces plasma extravasation via toxin-mediated interactions between platelets and mast cells.

First Author  Nakamura Y Year  2019
Journal  Sci Rep Volume  9
Issue  1 Pages  15958
PubMed ID  31685912 Mgi Jnum  J:323500
Mgi Id  MGI:6718117 Doi  10.1038/s41598-019-52449-2
Citation  Nakamura Y, et al. (2019) Snake venom rhodocytin induces plasma extravasation via toxin-mediated interactions between platelets and mast cells. Sci Rep 9(1):15958
abstractText  Venomous snakebites can induce local tissue damage, including necrosis of soft tissues, haemorrhage, blistering and local swelling associated with plasma extravasation, which can lead to lethal complications such as hypovolemic shock. However, the details of the underlying mechanisms remain unknown. In this study, we showed that intradermal treatment of mice with venom rhodocytin from the Malayan viper Calloselasma rhodostoma induced plasma extravasation, dependent on C-type lectin-like receptor 2 (CLEC-2) on platelets. Rhodocytin-induced plasma extravasation also relied on mast cells and histamine. In vitro co-culture of rhodocytin-activated platelets with mast cells induced histamine release from mast cells in an ATP/P2X7-dependent manner. Consistent with this, blockade or deficiency of P2X7 in mast cells suppressed rhodocytin-induced plasma extravasation in the skin. Together, these findings indicate that rhodocytin induces plasma extravasation by triggering platelet activation via CLEC-2, followed by activation of mast cells and histamine release via the ATP/P2X7 pathway. These results reveal a previously unrecognized mechanism by which snake venom increases vascular permeability via complex venom toxin-mediated interactions between platelets and mast cells.
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