Alomone.com
Venom Peptides and their Mimetics
as Potential Drugs
Oren Bogin, Ph.D.
Venomous creatures have a sophisticated mechanism for prey capture which includes a vast array of biologically-active compounds, such as enzymes, proteins, peptides and small molecular weight compounds. These substances target an immense number of receptors and membrane proteins with high affinity, selectivity and potency, and can serve as potential drugs or scaffolds for drug design.
channels has been established13 (please refer to the article "Contribution of Ion Channels in
A large number of organisms produce and secrete
Recurrent pain was recently termed the "silent
Pain Sensation" in this Modulator issue). Pain
venoms to defend themselves and to capture
epidemic", since one out of six people in the
signals can be blocked at a number of sites along
prey. Venom is a rich source of biochemically
western world suffers from pain, costing the
the pain pathway (See Figure). The large list of
active enzymes, proteins, peptides and low
American public alone approximately $100
neurotransmitters and receptors identified along
molecular weight substances. Toxins isolated
billion each year in health care, compensation,
the pain pathway indicate that there may be many
from the venom either inhibit or activate a
and litigation.
therapeutic possibilities for the pharmacological
11,12 Chronic pain is associated
vast number of targets such as ion channels,
with conditions such as back injury, migraine
control of the transmission of nociceptive
acetylcholine receptors, acetylcholinesterase,
headaches, arthritis, herpes zoster, diabetic
information to the brain.
membranes, coagulant/anticoagulant pathways,
neuropathy, temporomandibular joint syndrome,
and metalloproteases, with high selectivity
and cancer. Effective treatment options are
Voltage-Gated Ca2+ Channels (VGCC)
and affinity. They can be roughly divided into
limited to opioids (morphine and related drugs)
Ca 2.2 (α1B, N-type) was shown to control
non-peptide and peptide toxins. Non-peptide
and non-steroidal anti-inflammatories (NSAIDs),
transmission at CNS and PNS synapses including
toxins have been isolated from algae, plants,
yet opioids have significant potential side effects,
in the transmission of pain signals at the spinal
dinoflagellate, fish and from higher organisms
and NSAIDs are ineffective for moderate-to-severe
level. A PNS-specific Ca 2.2 splice variant is highly
which accumulate alkaloids through their diet
pain. Pain can be generated by nociceptors
expressed in the superficial layer of the dorsal
as exemplified in toxic frogs. Peptide toxins are
stimulated by thermal, mechanical, chemical or
horn, which is considered to be responsible for
generally synthesized in the venomous ducts of
inflammatory response, and a pivotal role for ion
the nociceptive pathway of the spinal cord.14
poisonous creatures. The majority of the data
Ca 2.2 was found to be up-regulated in the spinal
acquired to date has been from toxins isolated
cord during chronic pain states, along with the
from the venoms of snakes, scorpions, spiders,
Pain pathways and pain signaling
auxiliary α2δ-1 subunit.15,16 Blockers of N-type
marine snails (
Conus genus) and sea anemones.
channels were shown to block Ca2+ influx and thus
Toxins isolated from venomous animals are
the release of substance P in the spinal cord.17
usually small, ranging from 8-70 amino acids,
Furthermore, N-type channels are susceptible to
with relatively small scaffold structures, which are
modulation by µ-opioid peptide receptor agonists,
highly compact and stabilized by either disulfide
such as morphine.18 Recently it was proposed
bonds or by hydrogen bonds made from post-
that T-type and possibly P/Q-Type Ca2+ channels
transational-modified amino acids. In a number
may participate in pain pathways, and may serve
of toxins, the active residues responsible for the
as possible therapeutic targets.14,19,20
toxin activity have been identified, thus enabling
the rational design of small molecular weight compounds or peptomimetics.
1- Voltage-Gated Na+ Channels
2- Voltage-Gated Ca2+ Channels
The pharmaceutical industry has recognized
3- Neuronal Nicotinic Acetylcholine
the enormous potential inherent in these venom
peptides and has begun to exploit the selectivity
and sensitivity fine tuned by evolution. This
Neurotensin Receptor Agonist
review will focus on peptides and toxin mimetics
NMDA Receptor Antagonist
that are currently being evaluated as possible drugs for the treatment of pain, epilepsy,
Pain can be generated by nociceptors from a number of
cardiovascular disorders, cancer and other
stimuli including, heat, cold, mechanosensation, inflammation,
neurological disorders (See Table), (for recent and
injury and pH. Venom toxins intersect pain signaling by inhibiting
comprehensive reviews please refer to references
or stimulating channels and receptors along the pathway. The
possible localization of the pain pathway targets are illustrated above.
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A large array of VGCC peptide inhibitors were
structure of ω-Conotoxin CVID against virtual
which are activated by the alkaloid, nicotine.
isolated from the venoms of cone snails, spiders
screening libraries resulting in a cyclic peptide
These pentameric conductance channels for
and snakes. The most selective inhibitors of N-
with D-amino acids having an IC of 20 µM and
Ca2+, K+, and Na+ are formed from a number of
type Ca2+ channels known to date were isolated
apparent selectivity between N- and P/Q- type
homologous subunits, and various combinations
from Conus geographus (ω-Conotoxin GVIA),
VGCC.27 Furthermore, using alkylphenyl ether
of these subunits result in channels which differ
Conus magus (ω-Conotoxin MVIIA), and Conus
based analogues which mimic three key amino
in their pharmacology and tissue distribution.34
catus, (ω-Conotoxin CVID). ω-Conotoxin MVIIA,
acids of the toxins (Arg-10, Leu-11 and Tyr-13),
A class of conotoxins block nAChR and can
a 25 amino acid peptide is a highly potent and
leads to three compounds which have an apparent
differentiate between neuronal, skeletal muscle
selective blocker of N-type VGCC.21 A synthetic
IC of 3 µM.28 These and other experiments
and sub-population isoforms of receptors,
ω-Conotoxin MVIIA analog, PrialtTM (previously
show that it is possible to design smaller entities
termed α- and αΑ- Conotoxins.3,8,35 The latter
called SNX-111 and Ziconotide) initially developed
which are active and selective.
toxins are termed alpha toxins as compared to
by Neurex Corporation and currently being
a similarly acting α-Bungarotoxin, a blocker of
commercialized by Elan Corporation for the
Voltage-Gated Na+ Channels (VGSC)
muscle-type nAChR . Attempts to understand
treatment of severe chronic infl ammatory and
VGSC modulators have been isolated from
the mechanism of the selectivity have been
neuropathic pain associated with cancer and
the venom of a variety of organisms, including
reported.36,37 The α-Conotoxins inhibit the
AIDS.22,23 Although injected intrathecally, it was
spiders, sea anemones, scorpions, and cone
signal transmission at the postsynaptic junction
shown that PrialtTM is about 1000-fold more
snails.1,8 There is a great need for specifi c venom
(neuronal or neuromuscular), by binding to the
potent then morphine, lacking the tolerance
peptides that can discriminate between the
α-subunits of the nAChR, thus blocking the
or addiction usually associated with opiates.24
different VGSCs. A possibly abundant source
binding of acetylcholine and other agonists,
However,PrialtTM administration results in severe
for VGSC modulators was found in the venoms
which in turn inhibits the infl ux of Na+ required
side effects, including hypotension, sedation
of cone snail venoms. Two main classes of
for action potential propagation.
and confusion.25 During December 2004,
conotoxins that affect VGSC are the µ- and δ-
Elan Corporation was granted FDA approval
Conotoxins.3,8 Recently the µ-Conotoxin SmIIIA
α-Conopeptide Vc1.1 (other name ACV1), is a
forPrialtTM (ziconotide intrathecal infusion) for the
toxin was isolated from the venom of Conus
16 amino acid peptide, containing two disulfi de
management of severe chronic pain. ω-Conotoxin
stercusmuscarum, which has been shown to block
bonds. Its sequence was deduced from the
CVID analog, AM336, which is being developed
TTX-R currents in amphibian sympathetic and
nucleotide sequence of the conopeptide gene
by Amrad Corporation, has been in Phase II
sensory neurons.32,33 The authors speculate that
cDNA amplifi ed from mRNA extracted from
clinical trial since 2002 with cancer patients
the irreversible current block in the frog DRG was
the venom duct of Conus victoriae. Vc1.1 was
suffering severe chronic pain. AM336 was shown
by inhibition of Na 1.8 and Na 1.9 channels, while
active as an antagonist of neuronal nAChRs
to inhibit a PNS-specifi c splice variant N-type
the reversible inhibition of frog skeletal muscle is
in receptor binding and functional studies on
VGCC associated with transmitter release from
due to Na 1.4 channel inhibition.32
bovine chromaffi n cells. It also suppressed the
preganglionic nerve terminal and displays a wider
µ-Conotoxin SmIIIA or its mimetics may be an
vascular responses to C-fi ber activation, and
therapeutic index than ω-Conotoxin MVIIA.17,26
attractive toxin for pain treatment.
accelerated the functional recovery of injured
Recently, attempts were made to "convert" the
peripheral nerves in rats. These peripheral
toxin's pivotal binding residues into smaller
Neuronal Nicotinic Acetylcholine Receptors
unmyelinated sensory nerves are involved
molecular weight compounds, which might have
in pain transmission.38 Recently, Metabolic
superior pharmacological qualities in terms of
Nicotinic acetylcholine receptors (nAChRs) are
Pharmaceuticals Ltd., who are developing
formulation, production, metabolic stability
a family of ligand-gated cation channels whose
ACV1 as an analgesic for the treatment
and delivery.27-31 One approach compared the
endogenous ligand is acetylcholine (ACh) and
of chronic neuropathic pain, has begun
rTamapinA Novel Blocker of K 2 (SK; small conductance Ca2+-activated K+) Channels
Tamapin (#RTT-400) is a 31 amino acid peptidyl toxin, isolated from the venom of the Indian red scorpion, Mesobuthus tamulus, and is classified as α-5.4 scorpion toxin family (P59869).1,2 Native Tamapin blocks K 2 channels in pyramidal neurons of the hippocampus as well as in cell lines
expressing distinct K 2 channel subunits. Tamapin displays a remarkable selectivity for K 2.2
(SK2/KCNN2, IC =24pM) versus K 2.1 (SK1/KCNN1, 1750-fold) and K 2.3 (SK3/KCNN3, 70-fold)
channels.3 500nM of rTamapin completely blocked K 2.2 mediated currents in Xenopus oocytes.
1. Doorty, K.B. et al. (2001) Toxicon. 39, 137.
2. Rodriguez de la Vega, R.C. and Possani, L.D. (2004), Toxicon, 43, 865.
3. Pedarzani, P. et al. (2002) J. Biol. Chem. 277, 46101.
Activation of rTamapin (#RTT-400) sensitive outward current by
Model structure of Tamapin, based on its homology to
intracellular Ca2+ injection into Xenopus oocytes expressing SK2
scyllatoxin (1SCY). This class of peptides possesses the
(K 2.2) channels. The arrow and vertical bar represents time of
α-KTX-5 family scaffold, which serves as "poreplungers".
intracellular injection and period of toxin perfusion, respectively.
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preclinical and formal safety trials with this
(α -adrenoceptor and muscarinic ACh
Conantokin-G, a 17 amino acid peptide isolated
synthetic conopeptide. According to Metabolic
receptor antagonism), and thus may be useful
from Conus geographus selectively inhibits
Pharmaceuticals, preclinical trials show almost
clinically.39,40
NR2B, while its related isoform, Conantokin-T,
full relief of chronic pain with no apparent side
21 amino acids long, isolated from Conus tulipa,
effects and Phase I clinical trials are set to begin
Neurotensin Receptor Agonist
inhibits both NR2B and NR2A receptors.8,47
in early 2005.
Both Con-G and Con-T lack disulfi de bonds,
Contulakin-G is a novel 16-amino acid
and their structural stability is due to fi ve
conopeptide originally isolated from the venom
Noradrenaline Transporter Inhibitors
post-translationally modifi ed residues of the
of the marine snail Conus geographus.41 Cognetix
Noradrenaline (or norepinephrine) (NE)
nonstandard amino acid γ-carboxyglutamate
Inc. is developing Contulakin-G (CGX-1160) for the
participates in a number of biological pathways
(Gla).48,49 Cognetix Inc. is currently developing
short-term management of post-operative pain.
including the regulation of mood and sleep,
conantokin-G synthetic derivative (CGX-1007)
CGX-1160 interacts with the neurotensin
expression of behavior, alertness and arousal.
as an anti-nociceptive drug and for control of
receptor 1 with 100-fold less potency (than
In episodes of pain, the elevation of NE levels
seizures in intractable epilepsy, and is currently
neurotensin), but is 100-fold more potent as an
in the spinal cord results in an inhibition of pain
in Phase II clinical trials.43
analgesic, suggesting additional modes of action
messages. The norepinephrine transporter (NET)
besides NT binding.1 CGX-1160 has completed
returns noradrenaline to the synapses.
early Phase I safety studies in humans and has demonstrated effi cacy in a broad range of
Among the A- super-family of conotoxins, the
According to the Epilepsy Foundation of America,
preclinical models of acute and chronic pain.
ρ- and χ-Conotoxins are known to modulate the
an estimated 1% of the total population suffers
α -adrenorecetor and neuronal noradrenaline
from epilepsy and seizures, affl icting more than
NMDA Receptor Antagonist
transporter, exemplifi ed by the two Conotoxins
2.3 million Americans, with combined direct and
ρTIA and χMrlA isolated from Conus tulipa and
Glutamate is the major excitatory
indirect costs to the American economy of $12.5
Conus marmoreus, respectively.
billion. Total market volume of anti-epileptic
neurotransmitter in the mammalian CNS. Upon release from presynaptic terminals, glutamate
drugs reaches $1.9 billion a year worldwide, with
The synthetic χMrlA, termed Xen2174, acts by
binds to postsynaptic ionotrophic receptors
a 5% annual growth rate.
selectivity binding to NET and abolishing its
NMDA, kainite and AMPA. Glutamate acting on
ability to transport NE from the synapse back
NMDA receptors is responsible for the initiation of
NMDA Receptor Antagonist
into the nerve ending. Xen2174, developed by
CNS sensitization and hyperexcitability of spinal
NMDA receptors have been shown to participate
Xenome Ltd, has recently entered Phase I clinical
cord neurons upon nerve injury.42,43 Non-specifi c
in a number of CNS malfunctions. CGX-1007 (see
trials (intrathecal) for relieving nociceptive
NMDA antagonists relieve injury–induced pain,
above) is currently in Phase II clinical trials as
and neuropathic pain, while ρTIA is currently in
but have pronounced side effects.43,44,45,50
an anticonvulsant and for intractable epilepsy
preclinical trials.3 Preclinical trial of Xen2174
(when delivered directly into the central nervous
in experimental animal pain models show no
Conantokins were identifi ed as a group of
system). The Phase I, randomized, double blind,
side effects and a high therapeutic index. Both
peptides that competitively inhibit glutamate
placebo-controlled trial involved intravenous
ρTIA and χMrlA lack the common and often
activation, especially through NR2B or NR2B
delivery of single, escalating doses of CGX-1007
therapeutically limiting pharmacology of α -
and NR2A subunits of NMDA receptors, and can
in healthy, normal subjects to determine safety
adrenoceptor antagonists (α -adrenoceptor
discriminate between the different NMDA receptor
of the compound when administered to the
and Na+ channel inhibition) and NET inhibitors
types in the human brain.7,8,43,46
systemic circulation. The results of the Phase I
rStromatoxin-1A Novel Blocker of K 2 K+ Channels
Stromatoxin-1 (ScTx-1) (#RTS-350) is a 34 amino acid peptide that belongs to the structural inhibitor cysteine knot spider peptide family. Electrophysiological recordings on COS cell expressing voltage-dependent K+ channels show that this toxin acts as a gating modifier. Native ScTx-1 blocked K 2.1, K 2.2, K 2.1/9.3
and K 4.2, with IC of 12.7nM, 21.4nM, 7.2nM and 1.2nM, respectively. No activity on K 4.1 and K 4.3 was observed.
Model structure of ScTx-1, based on its homology to Hanatoxin1 (1DLH), SGTx (1LA4) and ω-Grammotoxin SIA (1KOZ). This class of peptides possesses the scaffold of structural inhibitor cysteine knot spider peptide family, which was shown to function as a gating modifi er.
rStromatoxin-1 (#RTS-350) inhibition of K 2.1 channels expressed in
Xenopus oocytes. Left: current responses to 100 ms depolarization to 0 mV from holding potential of –100 mV, delivered every 10 seconds before (red) and during application of 670 nM rScTx-1. Right: time course of amplitude inhibition. The horizontal bars indicate the periods of rScTx-1 perfusion.
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trial demonstrated that CGX-1007 was safe, with
jaracusa) developed by Bristol-Myers Squibb.52
from the venom of the Malaysian pit viper
no clinically remarkable drug-related adverse
(Agkistrodon rhodostoma) is in late Phase III trials
experiences observed. Recently it was shown
Platelet Aggregation and Blood Clotting
by Neurobiological Industries Inc. for use in the
that although considered NR2B-specifi c, CGX-
Inhibitors (inhibitors of platelet glycoprotein IIb/
treatment of heparin-induced thrombocytopenia
1007 is less specifi c or acts differently, than the
(defi cit of platelets). Researchers found that
investigational CI-1041 compound, in corneal
Schering-Plough and Millennium Pharmaceuticals
blood failed to clot in animals bitten by these
kindled rats and in an NMDA receptor mediated
have been granted FDA approval for Integrilin®
snakes. ViprinexTM removes fi brinogen from the
excitatory postsynaptic currents model (N-
(Eptifi batide), a synthetic analog of barbourin,
blood, improving blood fl ow, a useful property
for the treatment of severe cardiovascular
that also has potential for the treatment of stroke.
Stroke, Neuroprotection and
diseases, namely, anticoagulation in patients with acute coronary syndrome (ACS) and for
Fibrin Thrombolytic Agent
Cardiovascular Disorders
patients without ACS undergoing percutaneous
Nuvelo Inc. is currently evaluating Alfi meprase, a
coronary intervention (angioplasty). Integrilin®
synthetic version of fi brolase, a protein isolated
is a heptapeptide derived from a protein found in
Stroke and myocardial ischemia affect more than
from the venom of the southern copperhead viper
the venom of the southeastern pygmy rattlesnake
65 million people in the United States and are
(Agkistrodon contortrix), as an anticoagulant for
(Sistrurus miliarius barbouri ).53 Integrilin® acts
the leading cause of death. Stroke is the leading
the treatment of ischemic stroke and catheter
as a parenteral platelet receptor glycoprotein
cause of adult disability. Each year more than
occlusion. Alfi meprase, now in Phase II, was
IIb IIIa (GPIIb-IIIa) inhibitor and blocks platelet
700,000 Americans suffer a stroke, and one
shown to directly degrade fi brin, producing a
aggregation, a crucial event in thrombosis.
in fi ve of them die. The total market volume of
rapid dissolution of blood clots. Furthermore,
cardiovascular disorders drugs is estimated to be
Alfi meprase is currently in Phase II for catheter
Aggrastat® (Tirofi ban), developed by Merck,
around $60 billion a year worldwide.51
is also a GPIIb-IIIa inhibitor, however this drug was modeled on the structure of Echistatin,
Angiotensin Converting Enzyme (ACE)
Thrombin Inhibitors
a derivative of the anticoagulant found in the
ACE is an essential enzyme required for
venom of the African saw-scaled viper (Echis
AstraZeneca is seeking FDA approval for ExantaTM
production of angiotensin, associated with
carinatus). Aggrastat® was the fi rst GPIIb-IIIa
(Ximelagatran) for treatment of patients with
hypertension due to vasoconstriction. Anti-
inhibitor to be launched, but it is only approved
atrial fi brillation and patients at risk for blood
hypertensive effect is achieved by inhibiting ACE.
for use with heparin and aspirin for the treatment
clots. The orally active thrombin inhibitor was
Capoten® (captopril) is a small molecular mimetic
designed based on a cobra venom peptide. It
compound derived from a toxin found in the
is already on sale in Europe as a treatment to
venom of the Brazilian arrowhead viper (Bothrops
ViprinexTM (Ancrod), a compound isolated
prevent blood clotting after orthopedic surgery.55
rSlotoxinA Novel Blocker of K 1.1 (BK ) K+ Channels
rSlotoxin (#RTS-410) is a 37 amino acid peptide toxin isolated from Centruroides noxius. Native Slotoxin blocks the Maxi K+ (BK or slo,
KCNMA1, K 1.1) channels. Slotoxin blocks differentially channels formed
by the α1 subunit alone and channels formed by the α1 combined with
auxiliary β subunits. In Xenopus oocytes expressing hSlo (α1 alone), K
was calculated to be 1.5 nM and the block is complete and reversible. With the additional co-expression of either the β1 or β4 subunits, the block becomes irreversible or causes the channel to be almost insensitive to the
Model structure of Slotoxin, based on its Homology to Hongotoxin (1hlyA). This class of peptides possesses the α-KTX-1 family scaffold, which serves as "pore-plungers".
The effect of 100 nM rSlotoxin (#RTS-410) on heterologously expressed BK currents (mSlo, RNA injected to Xenopus oocytes). Lower: time course of current amplitude changes upon application of the toxin (bars represent the time of toxin perfusionUpper: An example of current response to 100 ms depolarization to +20 mV (from holding potential of –100 mV) before (red) and during (black) perfusion of 100 nM toxin.
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Delucemine (NPS 1506) is a compound being
Chlorotoxin is a 36-amino acid peptide that
developed by NPS Pharmaceuticals as a means
Current estimates by the American Cancer
was originally isolated from the venom of the
of protecting brain cells in ischaemia victims.
Society indicate that approximately 1.3 million
Leiurus quinquestriatus scorpion as a putative
Its structure was based on a spider venom
individuals in the U.S. were diagnosed with
Cl- channel inhibitor.58 It was later found that
toxin.56,57 Phase I clinical trials with delucemine
cancer and there were about 500,000 cancer
Chlorotoxin could inhibit invasiveness of glioma
are currently underway in patients suffering from
related deaths in 2002. Approximately $10 billion
cells in vitro. This inhibition was attributed to the
stroke and acute depression. NPS 1506 blocks
is spent on cancer drugs annually and cancer drug
ability of Chlorotoxin to block an unidentified
NMDA receptors on neurons, thus preventing
expenditures account for roughly 8% of total U.S.
Cl- channel that was putatively involved in the
excessive Ca2+ influx during ischaemia.
process of regulatory volume decrease, a key step
Synthetic/modified venom peptides
Voltage-Gated Ca2+
Severe chronic inflammatory and
Conus magus
neuropatic pain associated with
(SNX-111, Ziconotide)
Voltage-Gated Ca2+
Severe chronic pain associated
Amrad Corporation
ω-Conotoxin CVID
Conus catus
Chronic neuropathic pain, and
α-Conotoxin Vc1.1
Conus victoriae
Neuronal Nicotinic
acceleration of recovery of injured Preclinical
Acetylcholine Receptors
χ-Conotoxin χMrlA
Conus marmoreus
Nociceptive and neuropathic pain
transporter (NET)
Conus tulipa
α -adrenoreceptor
Nociceptive and neuropathic pain
Short-term management of post-
Cognetix Inc.
Conus geographus
Neurotensin Receptor agonist
Nociceptive pain and control of
Cognetix Inc.
Conus tulipa
seizures in intractable epilepsy
TransMolecular Inc.
Chronic monotherapy and pharmaceutical sensitizer co-
TransMolecular Inc.
administered drug cocktails for
Southern copperhead viper
Thrombolytic agent
and catheter occlusion
Pivotal Biosciences/
Southern copperhead viper
University of Southern
Gila monster (Heloderma
Type-2 diabetes and related
Amylin Pharmaceuticals
Glucagon-like peptide-1
metabolic disorders
Peptomimetics or small molecular weight derivatives
Brazilian arrowhead viper
Angiotensin Converting
Bristol-Myers Squibb
Capoten® (Captopril)
Schering-Plough Millennium
Acute coronary syndrome
Southeastern pygmy
Platelet glycoprotein IIb/
(ACS) and for patients without
rattlesnake (Sistrurus
(COR Therapeutics)
IIIa receptor Inhibitors
ACS undergoing percutaneous
coronary intervention
Approved for use
Platelet glycoprotein IIb/
with heparin and
Aggrastat® (Tirofiban)
African saw-scaled viper
Acute coronary syndrome (ACS)
IIIa receptor Inhibitors
Neurobiological Industries
Malaysian pit viper
ViprinexTM (Ancrod)
thrombocytopenia
Thrombin inhibitors
Atrial fibrillation and blood
clotting after orthopedic surgery
(www.astrazeneca.com )
Protection of brain cells from
NPS Pharmaceuticals
Delucemine (NPS 1506)
Spider venom toxin
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in cell migration. Interestingly, Chlorotoxin was
the venom of the southern copperhead viper
Furthermore, GLP-1 like peptides share structural
found to bind specifi cally to glioma cell lines and
(Agkistrodon contortrix), binds to integrins on
homology to α-Latrotoxin, isolated from the
primary cultures, but not to normal brain cells.59,60
the surface of cancer cells and inhibits tumor
venom of the black widow spider and might
Positive staining towards the labled-Chlorotoxin
growth and metastasis, while no cytotoxic effect
have potential in the treatment of Alzheimer's
was found in other solid tumor cell lines,
on human breast cancer cells is observed.62 PB2
including non-small cell lung carcinoma, breast,
(Contortrostatin), is cytostatic, ‘freezing' tumor
prostate, melanoma, and colon cancers. Recent
cells rather than killing them.63 It is presently in
Immunosuppressants and
studies have shown that contrary to the original
preclinical research for the treatment of breast
hypothesis, the specifi c target of Chlorotoxin
cancer by Pivotal Biosciences and the University
Autoimmune Disorders
on the surface of glioma cells might be matrix
of Southern California.
metalloproteinase-2 (MMP-2) protein and not a
The existence and participation of the
Cl- channel.61 Recently TransMolecular Inc. has
voltage-dependent K+ channel K 1.3 and the
initiated Phase II clinical trials with its iodinated
Ca2+-activated intermediate K+ channel IKCa1
Chlorotoxin derivate TM-601(131I-Chlorotoxin)
Glucagon-Like Peptide-1 (GLP-1)
(K 3.1) in T-lymphocyte activation is well
for the treatment of brain tumors. TM-701, a
established.1,9 Furthermore, a marked elevation
Glucagon-Like Peptide-1 is an insulinotopic
derivative of TM-601, shares the same mechanism
of K 1.3 is reported in encephalitogenic T-cells,
hormone secreted from endocrine cells of the
of action, but is used without a radioisotope. TM-
which mediate demyelination of axons in the
small and large intestine in a nutrient-dependent
701 is being developed as a chronic monotherapy
brain and spinal cord, the hallmark of multiple
manner. GLP-1 stimulates insulin secretion and
and pharmaceutical sensitizer when administered
sclerosis.66 The use of specifi c blockers for
modulates gastric emptying to slow the entry of
with commonly used drug cocktails for treating
K channels might have therapeutic potential
ingested sugars into the bloodstream. The GLP-
for treatment of autoimmune disease, and as
cancer and is currently in preclinical trials. Other
1 related peptide is a peptide initially derived
immunosuppressents for transplantations. In
derivatives of TM-601 are being tested for use in
from the salivary secretions of the Gila monster
in vitro studies, the use of peptidyl toxins has
in vivo imaging and diagnostic test kits.
(Heloderma suspectum), a large venomous
indicated that blockage of K 1.3 inhibits T-cell
lizard. Amylin Pharmaceuticals is developing
activation, suggesting that K 1.3 may be a target
a synthetic version of Exenatide (synthetic
for immunosuppression.9 This concept was
Integrins are a family of cell surface proteins,
exendin-4), a 39 amino acid peptide, currently in
verifi ed by in vivo experiments on peripheral T-
found on many cell types that mediate
Pre-Phase III for use in treating type-2 diabetes
cells of mini-swine using Margatoxin as specifi c
interactions between cells, and between
and related metabolic disorders. Diabetic animal
K 1.3 toxin.67,68 Side effects of Margatoxin
cells and their surroundings. Specifi c integrin
models have demonstrated that Exenatide is
administration have been observed, mainly in
isoforms are upregulated during tumor growth.71
biologically active when administered via oral,
the enteric nervous system which is expected
Contortrostatin, a protein extracted from
sublingual, pulmonary, tracheal and nasal routes.
for all non-specifi c K 1.3 toxins.1,9 Furthermore,
Anti-K 1.3 Extracellular and K 1.3 - Extracellular-FITC
K 1.3 belongs to the Shaker family of voltage-
central role of K 1.3 in regulating the initiation of an
channel. The antibody can be obtained in a purified
dependent K+ channels. The channel is widely
immune response, the channel has been recognized as
format (#APC-101) or labeled with fluorescein
expressed in the brain, lung and osteoclasts and
a potential target for immunosuppressant drugs. The
(#APC-101F). The antibodies have been tested
in several cell populations of hematopoietic origin.
central role of K 1.3 in immune system cells created a
successfully in flow cytometry, immunocytochemistry
It is in these cells (particularly T lymphocytes) that
real need for a specific antibody that would be able to
and western blot applications.
K 1.3 function has centered a lot of attention. It was
work in flow cytometry applications.
found that K 1.3 is the main channel responsible for
maintaining the resting potential in quiescent cells
Alomone has now developed an anti-K 1.3 antibody
and regulating the Ca2+ signaling that is indispensable
directed against a specific extracellular epitope of the
for normal T lymphocyte activation. Based on the
Western blotting of human Jurkat T cells:1. Anti-K 1.3 (extracellular)
antibody (#APC-101) (1:500). 2. Anti-K 1.3 (extracellular)
Flow cytometry analysis of Jurkat T-cells.
antibody, preincubated with
the control peptide antigen.
Anti-K 1.3 extracellular-FITC (#APC-101-F)
(0.5 µl per 1 x 106 cells)
Modulator No.19 Spring 2005 www.alomone.com
Modulator No.19 Spring 2005 www.alomone.com
high serum concentrations of Margatoxin caused
50. LoGrasso, P. and McKelvy, J. (2003) Curr. Opin. Chem. Biol. 7, 452.
transient hyperactivity in pigs, indicating possible
51. http://www.innovations-report.de.
1. Lewis, R.J. and Garcia, M.L. (2003) Nat. Rev. Drug. Discov. 2, 790.
effects on K 1.1 and K 1.2 channels in the
52. Cushman, D.W. and Ondetti, M.A. (1999) Nat. Med. 5, 1110.
2. Aneiros, A. and Garateix, A. (2004) J. Chromatogr. B Analyt.
brain. Stichodactyla toxin (ShK), a toxin isolated
53. Rossi, M.L. and Zavalloni, D. (2004) Mini. Rev. Med. Chem. 4, 703.
Technol. Biomed. Life. Sci. 803, 41.
54. Bennett, J.S. (2001) Annu. Rev. Med. 52, 161.
form the venom of sea anemone Stichdactyla
3. Livett, B.G. et al. (2004) Curr. Med. Chem. 11, 1715.
55. Steinmetzer, T. and Sturzebecher, J. (2004) Curr. Med. Chem. 11,
helianthus, has relatively similar affinities
4. Alonso, D. et al. (2003) Mini. Rev. Med. Chem. 3, 785.
towards K 1.3 and K 1.1.69,72 A ShK mutant, ShK-
5. Rajendra, W. et al. (2004) Toxicon. 44, 1.
56. Mueller, A.L. et al. (1999) Ann. N. Y. Acad. Sci. 890, 450.
Dap22 co-administered with TRAM-34, inhibitor of
6. Rajendra, W. et al. (2004) Brain. Res. Brain. Res. Rev. 45, 125.
57. Lorber, A. et al. (2000) J. Neurosurg. Anesthesiol. 12, 345.
IKCa1, was tested in experimental autoimmune
7. Shen G.S. et al. (2000) Drug Discov. Today, 5, 98.
58. DeBin, J.A. et al. (1991) Toxicon 29, 1403.
encephalomyelitis (EAE) animals (a model for
8. Terlau, H. and Olivera, B.M. (2004) Physiol. Rev. 84, 41.
59. Soroceanu, L. et al. (1999) J. Neurosci. 19, 5942.
multiple sclerosis), and was shown to effectively
9. Vianna-Jorge, R. and Suarez-Kurtz, G. (2004) Biodrugs 18, 329.
60. Soroceanu, L. et al. (1998) Cancer Res. 58, 4871.
prevent lethal EAE.9,66
10. Ault, A. (2004) The Scientist. 19, 43.
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11. Loeser, J. D. et al. (2001) Bonica's Management of Pain
62. Swenson, S. et al. (2004) Mol. Cancer Ther. 3, 499.
(Lippincott, Philadelphia).
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12. Palmer, K.T. et al. (2000) B.M.J. 320, 1577.
64. Holz, G.G. and Habener, J.F (1998) Comp. Biochem. Physiol. B.
13. Julius, D. and Basbaum, A.I. (2001) Nature. 413, 203.
121, 177.
It is estimated that between 500 to 700 conus
14. Altier, C. and Zamponi, G.W. (2004) Trends Pharmacol. Sci. 25,
65. Perry, T. and Greig, N.H. (2002) J. Alzheimers Dis. 4, 487.
species exist, each possessing between
66. Beeton, C. et al. (2001) Proc. Natl. Acad. Sci. USA. 98, 13942.
50-200 conopeptides in their venom. Thus,
15. Luo, Z.D. et al. (2001) J. Neurosci. 21, 1868.
67. Koo, G.C. et al. (1997) J. Immunol. 158, 5120.
theoretically, over 50,000 pharmacologically
16. Cizkova, D. et al. (2001) Exp. Brain. Res. 147, 456.
68. Shah, K. et al. (2003) Cell. Immunol. 221, 100.
active components can be found in the conus
17. Smith, M.T. et al. (2002) Pain 96, 119.
69. Kalman, K et al. (1998) J. Biol. Chem. 273, 32697.
genus venoms, whereas only a small fraction has
18. Connor, M. et al. (1999) Br.J. Pharmacol. 128, 1561.
70. http://bio.ijs.si/ist.htm.
been studied to date.8 Furthermore, the exact
19. Matthews, E.A and Dickenson, A.H. (2001), Pain. 92, 235.
71. Guo, W. and Giancotti, F.G. (2004) Nat. Rev. Mol. Cell. Biol. 10, 816.
20. Fukuizumi, T. et al. (2003) Life Sci. 73, 2873.
venom composition of other venomous creatures
72. Middleton, R.E. et al (2003) Biochemistry. 42, 13698.
21. Olivera, B.M. et al. (1987) Biochemistry. 26, 2086.
are planned to be sequenced in the Venom
22. Staats, P.S. et al. (2004) J. Am. Med. Assoc. 291, 63.
Genome project.70 The precise protein-protein
23. Wermeling, D. et al. (2003) J. Clin. Pharmacol. 43, 624.
interactions between the venom peptides and the
24. Scott, D.A. et al. (2002) Eur. J. Pharmacol. 451, 279.
different channels might enlighten the possible
25. Penn, R.D and Paice, J.A. (2000) Pain 85, 291.
selectivity issues that, in turn, might enable the
26. Adams, D.J. et al. (2003) J. Biol. Chem. 278, 4057.
design of more potent and selective toxins and
27. Schroeder, C.I. et al (2004) Mol. Devers. 8, 127.
of new small molecules with higher selectivities
28. Menzler, S. et al. (2000) Bioorg. Med. Chem. Lett. 10, 345.
for new and safer drugs. Taken together, it seems
29. Flinn, J. P. et al. (1999) Eur. J. Biochem. 262, 447.
that nature has evolved the venoms into a huge
30. Baell, J. B. et al. (2002) J. Comput. Aided Mol. Des. 15, 1119.
31. Pallaghy, P.K. and Norton, R.S. (2000) Biopolymers. 54, 173.
pharmacological library of active pharmaceuticals
32. West, P.J. et al. (2002) Biochemistry. 41, 15388.
with high selectivities and affinities, which
33. Keizer , D.W. et al. (2003) J. Biol. Chem. 278, 46805.
could be explored as therapeutics or serve as
34. Lloyd, G.K. and Williams, M. (2000) J. Pharmacol. Exp. Ther. 292,
Anti-K 1.3 extracellular
a template for drug design. The mechanism
Anti-K 1.3 extracellular FITC
of action of each toxin family is different, thus
Anti-K 3.1 (SK4)
35. Nicke, A. et al. (2004) Eur. J. Biochem. 271, 2305.
each needs to be evaluated for its therapeutic
36. Millard, E.L. et al. (2004) Eur. J. Biochem. 271, 2320.
potential. In conclusion, the large number of
37. Dutertre, S. and Lewis R.J. (2004) Eur. J. Biochem. 271, 2327.
venom components may possibly serve as drug
38. Sandall, D.W. et al. (2003) Biochemistry 42, 6904.
libraries, diagnostic tools, and for target specific
39. Sharpe, I.A. et al. (2003) J. Biol. Chem. 278, 40317.
research tools.
40. Sharpe, I.A. et al. (2001) Nat. Neurosci. 4, 902.
41. Craig, A.G. et al. (1999) J. Biol. Chem. 274, 13752.
42. Sotgiu, M.L. and Biella, G. (2000) Neurosci. Lett. 283, 153.
43. Malmberg, A.B. et al. (2003) Pain. 101, 109.
ω-Conotoxin GVIA
ω-Conotoxin MVIIA
44. Barton, M.E. et al. (2004) Epilepsy Res. 59, 13.
I would like to thank Dr. Maria L. Garcia, Merck
ω-Conotoxin SVIB
45. Barton, M.E. and While, H.S. (2004) Epilepsy Res. 59, 1.
Research Laboratories, Rahway, N.J., USA and
ω-Grammotoxin SIA
46. Ragnarsson, L. et al. (2000) J. Neurochem. 81, 765.
Dr. Bruce G. Livett, University of Melbourne,
47. Klein, R.C. et al. (2001) J. Biol. Chem. 276, 26860.
Parkville, Victoria, Australia, for their help and
48. Rigby, A.C. et al. (1997) Biochemistry 36, 6906.
Stichodactyla Toxin (ShK)
critical reviews of this manuscript.
49. Skjaebaek, N. et al. (1997) J. Biol. Chem. 272, 2291.
Modulator No.19 Spring 2005 www.alomone.com
Modulator No.19 Spring 2005 www.alomone.com
Source: http://www.alomone.com/upload/newsletters/modulator%2019%20papers/venom%20peptides%20and%20their%20mimetics%20as%20potential%20drugs.pdf
E DEL LAMBRUSCO 20/21 - 27/28 dell'Amministrazione insieme e senza paura sono Fabio Franceschini, Vostro nuovo Sindaco dal 26 maggio scorso. Partiamo con qualche dato personale. Portate pazienza ma non tutti mi conoscono bene e prometto che questa sarà la prima e ultima volta che vi assillerò con sciocchezze personali. Dunque, sono nato il 17 marzo 1963 a Modena, dal 1994 sono sposato con Mariella ed ho
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