PMID- 25847302 OWN - NLM STAT- MEDLINE DCOM- 20160203 LR - 20220331 IS - 1879-3150 (Electronic) IS - 0041-0101 (Linking) VI - 100 DP - 2015 Jun 15 TI - A forward to optimization of antivenom therapy: An in vivo study upon the effectiveness of the antivenom against early and delayed nephrotoxicity induced by the venom of the Iranian scorpion Hemiscorpius lepturus in rat. PG - 13-9 LID - S0041-0101(15)00091-4 [pii] LID - 10.1016/j.toxicon.2015.03.023 [doi] AB - The aim of the present in vivo study was to identify the optimal effective dose, the most favorable time and the route of administration of the available polyvalent scorpion antivenom against the toxic effects induced by Hemiscorpius lepturus (H. lepturus) venom in rat. The end point for assessment included measurement of alanin-amino-peptidase (AAP) and N-acetyl-b-d-glucosaminidase (NAG), biochemical urine analysis and histopathological assessment. The results showed that a single subcutaneous 50 mug of the venom produced significant increase in the AAP and NAG enzyme activity, urinary biochemical parameters and induced histopathological structural abnormalities in the renal system. The optimal effective co-administered dose of the antivenom was 0.5 ml, which when administered 1 and 2 h of envenomation by intravenous (IV) and subcutaneous (SC) routes respectively produced significant protection against these toxic effects. Prudently, the significance of these findings need to be assessed in further clinical studies. CI - Copyright (c) 2015 Elsevier Ltd. All rights reserved. FAU - Pipelzadeh, Mohammad Hassan AU - Pipelzadeh MH AD - Department of Pharmacology, Faculty of Medicine and Toxicology Research Center, Jundishapur University of Medical Sciences, Ahvaz, Iran. FAU - Jalali, Amir AU - Jalali A AD - Department of Pharmacology and Toxicology, Faculty of Pharmacy and Toxicology Research Center, Jundishapur University of Medical Sciences, Ahvaz, Iran. Electronic address: amjalali@hotmail.com. FAU - Dezfulian, Abdul Rahman AU - Dezfulian AR AD - Department of Anatomy and Histology, Dezful Medical School, Dezful, Iran. FAU - Khorasgani, Zahra Nazari AU - Khorasgani ZN AD - Department of Pharmacology and Toxicology, Faculty of Pharmacy and Toxicology Research Center, Jundishapur University of Medical Sciences, Ahvaz, Iran. FAU - Sarvestani, Somie AU - Sarvestani S AD - Department of Pharmacology and Toxicology, Faculty of Pharmacy and Toxicology Research Center, Jundishapur University of Medical Sciences, Ahvaz, Iran. FAU - Ghalambor, Amir Hossein AU - Ghalambor AH AD - Department of Pharmacology and Toxicology, Faculty of Pharmacy and Toxicology Research Center, Jundishapur University of Medical Sciences, Ahvaz, Iran. FAU - Azarpanah, Armita AU - Azarpanah A AD - Department of Pharmacology and Toxicology, Faculty of Pharmacy and Toxicology Research Center, Jundishapur University of Medical Sciences, Ahvaz, Iran. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20150403 PL - England TA - Toxicon JT - Toxicon : official journal of the International Society on Toxinology JID - 1307333 RN - 0 (Antivenins) RN - 0 (Biomarkers) RN - 0 (Scorpion Venoms) RN - EC 3.2.1.52 (Acetylglucosaminidase) RN - EC 3.4.- (Peptide Hydrolases) SB - IM MH - Acetylglucosaminidase/urine MH - Animals MH - Antivenins/*administration & dosage/therapeutic use MH - Biomarkers/urine MH - Hemoglobinuria MH - Kidney/drug effects/pathology MH - Male MH - Peptide Hydrolases/urine MH - Proteinuria MH - Rats MH - Rats, Inbred Strains MH - Scorpion Stings/*drug therapy MH - Scorpion Venoms/*toxicity MH - Time Factors OTO - NOTNLM OT - Alanin Amino Peptidase (AAP) OT - Hemiscorpius lepturus OT - In-vivo OT - N-Acetyl-beta-d-Glucosaminidase (NAG) OT - Nephrotoxicity OT - Polyvalent antivenom EDAT- 2015/04/08 06:00 MHDA- 2016/02/04 06:00 CRDT- 2015/04/08 06:00 PHST- 2014/10/17 00:00 [received] PHST- 2015/02/07 00:00 [revised] PHST- 2015/03/31 00:00 [accepted] PHST- 2015/04/08 06:00 [entrez] PHST- 2015/04/08 06:00 [pubmed] PHST- 2016/02/04 06:00 [medline] AID - S0041-0101(15)00091-4 [pii] AID - 10.1016/j.toxicon.2015.03.023 [doi] PST - ppublish SO - Toxicon. 2015 Jun 15;100:13-9. doi: 10.1016/j.toxicon.2015.03.023. Epub 2015 Apr 3.