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Snake Venom Components as Therapeutic Drugs in Ischemic Heart Disease
1Plateforme de Physiologie et Physiopathologie Cardiovasculaires (P2C), Laboratoire des Biomolécules, Venins et Applications Théranostiques (LR20IPT01), Institut Pasteur de Tunis, Université Tunis El Manar, Tunis 1068, Tunisia.
Insights
Snake venom toxins show promise for treating ischemic heart disease (IHD) and related conditions like hypertension. This review explores their molecular mechanisms and therapeutic potential for cardiovascular drug development.
Area of Science:
- Cardiovascular Pharmacology
- Toxicology
- Drug Discovery
Background:
- Ischemic heart disease (IHD), including myocardial infarction (MI), is a primary global cause of mortality.
- While reperfusion limits MI size, it can worsen ischemic myocardial injury, highlighting the need for novel therapeutic strategies.
- Snake venoms are a rich source of bioactive molecules with significant cardiovascular applications.
Purpose of the Study:
- To review the potential of snake venom toxins in developing treatments for IHD.
- To explore their application in managing related conditions such as hypertension and atherosclerosis.
- To summarize their molecular mechanisms, pharmacological properties, and therapeutic targets.
Main Methods:
- Literature review of existing research on snake venom toxins and cardiovascular diseases.
- Analysis of biological effects at the molecular level.
- Examination of pharmacological properties, mechanisms of action, and molecular pathways.
Main Results:
- Snake venom-derived compounds, like captopril, have already led to successful cardiovascular drugs.
- Various toxins exhibit diverse pharmacological activities relevant to IHD, hypertension, and atherosclerosis.
- Molecules are in different stages of development, from approved drugs to preclinical candidates.
Conclusions:
- Snake venom toxins represent a promising avenue for novel therapeutic agents against IHD.
- Further research into these toxins can yield new drug candidates for cardiovascular diseases.
- Understanding their molecular targets and pathways is crucial for effective drug development.
Abstract:
Ischemic heart disease (IHD), especially myocardial infarction (MI), is a leading cause of death worldwide. Although coronary reperfusion is the most straightforward treatment for limiting the MI size, it has nevertheless been shown to exacerbate ischemic myocardial injury. Therefore, identifying and developing therapeutic strategies to treat IHD is a major medical challenge. Snake venoms contain biologically active proteins and peptides that are of major interest for pharmacological applications in the cardiovascular system (CVS). This has led to their use for the development and design of new drugs, such as the first-in-class angiotensin-converting enzyme inhibitor captopril, developed from a peptide present in Bothrops jararaca snake venom. This review discusses the potential usefulness of snake venom toxins for developing effective treatments against IHD and related diseases such as hypertension and atherosclerosis. It describes their biological effects at the molecular scale, their mechanisms of action according to their different pharmacological properties, as well as their subsequent molecular pathways and therapeutic targets. The molecules reported here have either been approved for human medical use and are currently available on the drug market or are still in the clinical or preclinical developmental stages. The information summarized here may be useful in providing insights into the development of future snake venom-derived drugs.
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