<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0121-4004</journal-id>
<journal-title><![CDATA[Vitae]]></journal-title>
<abbrev-journal-title><![CDATA[Vitae]]></abbrev-journal-title>
<issn>0121-4004</issn>
<publisher>
<publisher-name><![CDATA[Facultad de Química Farmacéutica, Universidad de Antioquia]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0121-40042011000300008</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[INHIBITORY EFFECTS OF PLANT PHENOLIC COMPOUNDS ON ENZYMATIC AND CYTOTOXIC ACTIVITIES INDUCED BY A SNAKE VENOM PHOSPHOLIPASE A2]]></article-title>
<article-title xml:lang="es"><![CDATA[EFECTOS INHIBITORIOS DE COMPUESTOS FENÓLICOS DE PLANTAS SOBRE LA ACTIVIDAD ENZIMÁTICA Y CITOTOXICA INDUCIDA POR UNA FOSFOLIPASA A2 DE VENENO DE SERPIENTE]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[PEREAÑEZ]]></surname>
<given-names><![CDATA[Jaime A]]></given-names>
</name>
<xref ref-type="aff" rid="A01"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[NÚÑEZ]]></surname>
<given-names><![CDATA[Vitelbina]]></given-names>
</name>
<xref ref-type="aff" rid="A01"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[PATIÑO]]></surname>
<given-names><![CDATA[Arley C]]></given-names>
</name>
<xref ref-type="aff" rid="A01"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[LONDOÑO]]></surname>
<given-names><![CDATA[Mónica]]></given-names>
</name>
<xref ref-type="aff" rid="A01"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[QUINTANA]]></surname>
<given-names><![CDATA[Juan C]]></given-names>
</name>
<xref ref-type="aff" rid="A01"/>
</contrib>
</contrib-group>
<aff id="A01">
<institution><![CDATA[,Universidad de Antioquia Programa de Ofidismo/Escorpionismo ]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2011</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2011</year>
</pub-date>
<volume>18</volume>
<numero>3</numero>
<fpage>295</fpage>
<lpage>304</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0121-40042011000300008&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0121-40042011000300008&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0121-40042011000300008&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Polyphenolic compounds have shown to inhibit toxic effects induced by snake venom proteins. In this work, we demonstrate that gallic acid, ferulic acid, caffeic acid, propylgallate and epigallocatechingallate inhibit the enzymatic activity of a phospholipase A2 (PLA2), using egg yolk as substrate. The IC50 values are between 0.38 &ndash; 3.93 mM. These polyphenolic compounds also inhibit the PLA2 enzymatic activity when synthetic substrate is used. Furthermore, these compounds decreased the cyotoxic effect induced by a myotoxic PLA2; specifically, epigallocatechin gallate exhibited the best inhibitory capacity with 90.92 &plusmn; 0.82%, while ferulic acid showed the lowest inhibitory activity with 30.96 &plusmn; 1.42%. Molecular docking studies were performed in order to determine the possible modes of action of phenolic compounds. All polyphenols showed hydrogen bonds with an active site of enzyme; moreover, epigallocatechingallate presented the strongest binding compared with the other compounds. Additionally, a preliminary structure-activity relationship analysis showed a correlation between the IC50 and the topological polar surface area of each compound (p = 0.0491, r = -0.8079 (-0.9878 to -0.2593)), which indicates the surface area required for each molecule to bind with the majority of the enzyme. Furthermore, our results show that propylgallate and epigallocatechingallate are two novel natural products with anti-myotoxic potential. The topical application of these plant polyphenols at the bite site could lead to prevent myotoxicity; however, further in vivo studies would be necessary to confirm the in vitro results.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Los compuestos fenólicos han mostrado inhibir los efectos tóxicos inducidos por proteínas de veneno de serpiente. En éste trabajo, nosotros demostramos que el ácido gálico, el ácido ferúlico, el ácido cafeico, el propilgalato y el epigalocatequingalato inhiben la actividad enzimática de una fosfolipasa A2 (PLA2) usando yema de huevo como sustrato. Los valores de IC50 están entre 0,38 &ndash; 3,93 mM. Los compuestos mencionados también inhiben la actividad enzimática cuando un sustrato sintético es usado. Además, estos compuestos polifenólicos disminuyen el efecto citotóxico inducido por la fosfolipasa A2 miotóxica, el epigalocatequingalato exhibe la mejor capacidad inhibitoria con 90,92 &plusmn; 0,82%, mientras que el ácido ferúlico muestra la menor actividad inhibitoria con 30,96 &plusmn; 1,42%. Con el fin de determinar los posibles mecanismos de acción de los compuestos fenólicos, realizamos estudios de modelamiento molecular. Todos los polifenoles muestran puentes de hidrogeno con el sitio activo de la enzima; además el epigalocatequingalato presenta una unión más fuerte con la PLA2 que los otros compuestos. Adicionalmente, un análisis preliminar de relación estructura actividad muestra una correlación entre los valores de IC50 y el área superficial polar topológica (p = 0,0491, r = -0,8079 (-0,9878 a -0,2593)), la cual indica el área superficial requerida por cada molécula para unirse a la enzima. Además, nuestros resultados muestran al propilgalato y el epigalocatequingalato como dos nuevos productos naturales con potencial antimiotóxico. La aplicación tópica de estos polifenoles en el sitio de mordedura podría llevar a la prevención de la miotoxicidad; sin embargo, posteriores investigaciones in vivo serían necesarias para confirmar los resultados in vitro.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Snake bite]]></kwd>
<kwd lng="en"><![CDATA[phenolic compounds]]></kwd>
<kwd lng="en"><![CDATA[local tissue damage]]></kwd>
<kwd lng="en"><![CDATA[phospholipase A2]]></kwd>
<kwd lng="en"><![CDATA[molecular docking]]></kwd>
<kwd lng="es"><![CDATA[Accidente ofídico]]></kwd>
<kwd lng="es"><![CDATA[compuestos fenólicos]]></kwd>
<kwd lng="es"><![CDATA[daño tisular local]]></kwd>
<kwd lng="es"><![CDATA[fosfolipasa A2]]></kwd>
<kwd lng="es"><![CDATA[modelamiento molecular]]></kwd>
</kwd-group>
</article-meta>
</front><body><![CDATA[ <p align="right"><font face="Verdana, Arial, Helvetica, sans-serif" size="2"> <b>PHARMACOLOGY AND TOXICOLOGY</b></font></p>     <p>&nbsp;</p>     <p align="center"><b><font face="Verdana, Arial, Helvetica, sans-serif" size="4">INHIBITORY EFFECTS OF PLANT PHENOLIC   COMPOUNDS ON ENZYMATIC AND CYTOTOXIC   ACTIVITIES INDUCED BY A SNAKE VENOM PHOSPHOLIPASE A<sub>2</sub></font></b></p>     <p>&nbsp;</p>     <p align="center"><b><font face="Verdana, Arial, Helvetica, sans-serif" size="3"> EFECTOS INHIBITORIOS DE COMPUESTOS FEN&Oacute;LICOS DE PLANTAS SOBRE   LA ACTIVIDAD ENZIM&Aacute;TICA Y CITOTOXICA INDUCIDA POR UNA FOSFOLIPASA A<sub>2</sub> DE VENENO DE SERPIENTE</font></b></p>     <p>&nbsp;</p>     <p>&nbsp;</p>     <p><b><font face="Verdana, Arial, Helvetica, sans-serif" size="2"> Jaime A. PEREA&Ntilde;EZ<sup>1*</sup>; Vitelbina N&Uacute;&Ntilde;EZ<sup>1,2</sup>; Arley C. PATI&Ntilde;O<sup>1</sup>; M&oacute;nica LONDO&Ntilde;O<sup>1</sup>; Juan C. QUINTANA<sup>1</sup></font></b></p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">1 Programa de Ofidismo/Escorpionismo. Universidad de Antioquia. A.A. 1226. Medell&iacute;n, Colombia.</font></p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2"> 2 Escuela de Microbiolog&iacute;a. Universidad de Antioquia. A.A. 1226. Medell&iacute;n, Colombia.</font></p>     ]]></body>
<body><![CDATA[<p><font face="Verdana, Arial, Helvetica, sans-serif" size="2"> * Corresponding autor: <a href="mailto:andres.pereanez@siu.udea.edu.co">andres.pereanez@siu.udea.edu.co</a>.</font></p>     <p>&nbsp;</p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">Received: 23 February 2010    <br> Accepted: 25 April 2011</font></p>     <p>&nbsp;</p> <hr noshade size="1">     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2"><b>ABSTRACT</b></font></p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2"> Polyphenolic compounds have shown to inhibit toxic effects induced by snake venom proteins. In this   work, we demonstrate that gallic acid, ferulic acid, caffeic acid, propylgallate and epigallocatechingallate   inhibit the enzymatic activity of a phospholipase A<sub>2</sub> (PLA<sub>2</sub>), using egg yolk as substrate. The IC50 values   are between 0.38 &ndash; 3.93 mM. These polyphenolic compounds also inhibit the PLA<sub>2</sub> enzymatic activity   when synthetic substrate is used. Furthermore, these compounds decreased the cyotoxic effect induced   by a myotoxic PLA<sub>2</sub>; specifically, epigallocatechin gallate exhibited the best inhibitory capacity with   90.92 &plusmn; 0.82%, while ferulic acid showed the lowest inhibitory activity with 30.96 &plusmn; 1.42%. Molecular   docking studies were performed in order to determine the possible modes of action of phenolic compounds.   All polyphenols showed hydrogen bonds with an active site of enzyme; moreover, epigallocatechingallate   presented the strongest binding compared with the other compounds. Additionally, a preliminary   structure-activity relationship analysis showed a correlation between the IC50 and the topological polar   surface area of each compound (p = 0.0491, r = -0.8079 (-0.9878 to -0.2593)), which indicates the surface   area required for each molecule to bind with the majority of the enzyme. Furthermore, our results show   that propylgallate and epigallocatechingallate are two novel natural products with anti-myotoxic potential.   The topical application of these plant polyphenols at the bite site could lead to prevent myotoxicity;  however, further <i>in vivo</i> studies would be necessary to confirm the <i>in vitro</i> results.</font></p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2"> <b>Key words:</b> Snake bite, phenolic compounds, local tissue damage, phospholipase A<sub>2</sub>, molecular docking. </font></p> <hr noshade size="1">     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2"> <b>RESUMEN</b></font></p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2"> Los compuestos fen&oacute;licos han mostrado inhibir los efectos t&oacute;xicos inducidos por prote&iacute;nas de veneno de   serpiente. En &eacute;ste trabajo, nosotros demostramos que el &aacute;cido g&aacute;lico, el &aacute;cido fer&uacute;lico, el &aacute;cido cafeico,   el propilgalato y el epigalocatequingalato inhiben la actividad enzim&aacute;tica de una fosfolipasa A<sub>2</sub> (PLA<sub>2</sub>)   usando yema de huevo como sustrato. Los valores de IC50 est&aacute;n entre 0,38 &ndash; 3,93 mM. Los compuestos mencionados tambi&eacute;n inhiben la actividad enzim&aacute;tica cuando un sustrato sint&eacute;tico es usado. Adem&aacute;s, estos compuestos polifen&oacute;licos disminuyen el efecto citot&oacute;xico inducido por la fosfolipasa A<sub>2</sub> miot&oacute;xica, el epigalocatequingalato exhibe la mejor capacidad inhibitoria con 90,92 &plusmn; 0,82%, mientras que el &aacute;cido fer&uacute;lico muestra la menor actividad inhibitoria con 30,96 &plusmn; 1,42%. Con el fin de determinar los posibles mecanismos de acci&oacute;n de los compuestos fen&oacute;licos, realizamos estudios de modelamiento molecular. Todos los polifenoles muestran puentes de hidrogeno con el sitio activo de la enzima; adem&aacute;s el epigalocatequingalato presenta una uni&oacute;n m&aacute;s fuerte con la PLA<sub>2</sub> que los otros compuestos. Adicionalmente, un an&aacute;lisis preliminar de relaci&oacute;n estructura actividad muestra una correlaci&oacute;n entre los valores de IC50 y el &aacute;rea superficial polar topol&oacute;gica (p = 0,0491, r = -0,8079 (-0,9878 a -0,2593)), la cual indica el &aacute;rea superficial requerida por cada mol&eacute;cula para unirse a la enzima. Adem&aacute;s, nuestros resultados muestran al propilgalato y el epigalocatequingalato como dos nuevos productos naturales con potencial antimiot&oacute;xico. La aplicaci&oacute;n t&oacute;pica de estos polifenoles en el sitio de mordedura podr&iacute;a llevar a la prevenci&oacute;n de la miotoxicidad; sin embargo, posteriores investigaciones<i> in vivo</i> ser&iacute;an necesarias para confirmar los resultados<i> in vitro</i>.</font></p>     ]]></body>
<body><![CDATA[<p><font face="Verdana, Arial, Helvetica, sans-serif" size="2"> <b>Palabras clave:</b> Accidente of&iacute;dico, compuestos fen&oacute;licos, da&ntilde;o tisular local, fosfolipasa A<sub>2</sub>, modelamiento   molecular.</font></p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2"> <b>Key words:</b> alpha.  </font></p> <hr noshade size="1">     <p>&nbsp;</p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="3"><b>INTRODUCTION</b></font></p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2"> Snakebites represent a relevant public health   issue in many regions of the world, particularly in   tropical and subtropical countries of Africa, Asia,   Latin America and Oceania (1). The pathophysiological   effects observed in ophidian bites combine   the action of several enzymes, proteins and peptides,   which include phospholipases A<sub>2</sub>, hemorrhagic   metalloproteases and other proteolytic enzymes,   coagulant components, neurotoxins, cytotoxins   and cardiotoxins, among others (2). Phospholipases   A<sub>2</sub> (PLA<sub>2</sub>; EC 3.1.1.4) are enzymes that abundantly   occur in snake venoms with crucial action in the   hydrolysis of phospholipids. PLA<sub>2</sub> can also induce   several pharmacological effects such as edema,   modulation of platelet aggregation, as well as neurotoxic,   anticoagulant and myotoxic effects (3, 4). To   explain the susceptibility of a tissue to a particular   PLA<sub>2</sub> enzyme, the presence of ''target sites'' on the   surface of target cells was proposed (3). These target   sites are recognized by specific ''pharmacological   sites'' on PLA<sub>2</sub> molecules. These pharmacological   sites are independent of, but sometimes overlapping with, the active site of the enzyme (3).</font></p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2"> Myotoxic PLA<sub>2</sub>s bind to acceptors in the plasma   membrane (target sites), which might be lipids or   proteins, and which may differ in their affinity   for the PLA<sub>2</sub>s. Upon binding, myotoxic PLA<sub>2</sub>s   disrupt the integrity of the plasma membrane by   catalytically dependent (phosphoipid hydrolysis) or   independent mechanisms (interaction of pharmacological   site with cell membrane). As a consequence,   there is a loss in the control of permeability to ions   and macromolecules. The most critical event is a   prominent Ca<sup>2+</sup> influx, which initiates a complex   series of degenerative events associated with hypercontraction   and mechanical damage of plasma   membrane, activation of calpains and cytosolic   Ca<sup>2+</sup>-dependent PLA<sub>2</sub>s, Z line loss, and mitochondrial   Ca<sup>2+</sup> overload (5). These events occur rapidly,   provoking necrosis in muscle cells. The role of the   catalytic activity in the induction of this effect depends   of a particular enzyme. Therefore, alkylation   of PLA<sub>2</sub> by BPB, which is bound specifically in the   His48 of the catalytic site, abolishes their enzymatic   activity and reduces several pharmacological   activities (anticoagulant, myotoxic, cytotoxic,   edema-forming), suggesting their dependence on   the integrity of this site. However, the effect of this   modification on other pharmacological activities is   less remarkable for some enzymes. These observations   suggest that, despite the evidences of different   sites, hydrolytic activity plays a considerable role in   some biological effects (6).</font></p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2"> The therapy for snakebites has been based on the   intravenous administration of equine or ovine antivenoms   (7). However, it has been demonstrated that   this therapy generally has a limited efficacy against   the local tissue damaging activities of venoms (8).   Thus, there is a need to search for inhibitors and   approaches that may be useful to complement conventional   antivenom therapy.</font></p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2"> Plant extracts constitute a rich source of pharmacologically   active compounds, some of which have   been reported to be an alternative to antagonizing   the activity of various crude venoms and purified   toxins (9-11). However, only a few of those chemical   compounds have been isolated and identified as   active components (12-14); from those compounds,   a considerable number has been classified as polyphenols   (15-17), which is a group of chemical   substances found in plants and microorganisms,   characterized by the presence of more than one   phenol unit per molecule. Polyphenols are generally   divided into hydrolyzable tannins (gallic acid esters   of glucose and other sugars) and phenylpropanoids,   such as lignins, flavonoids, and condensed tannins,   among others. These compounds are one of   the most versatile from the plant kingdom, they   present effects such as the inhibition of HIV and   the inhibition of human simplex virus (HSV), as   well as antioxidant, bactericidal, antihelmintic, and   antihepatoxic activities, among others (18).</font></p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2"> Hence, the aim of this study was to demonstrate   the inhibitory ability of the following phenolic   compounds on the enzymatic and cytotoxic   activities of snake venom PLA<sub>2</sub>: gallic acid,   ferulic acid, caffeic acid, propylgallate, and   epigallocatechingallate (shown in <a href="img/revistas/vitae/v18n3/v18n3a08f1.jpg" target="_blank">figure 1</a>). For this   purpose, we tested the inhibitory capacity of these   compounds on PLA<sub>2</sub> from the crotoxin complex   (CB isolated from the Colombian <i>Crotalus durissus   cumanensis</i> rattlesnake). This toxin is responsible for   the neurotoxicity and local/systemic myotoxicity   effects in the snakebite inflicted by this species. In   order to determine the possible mode of action of   these compounds; we have performed molecular   docking studies and preliminary structure-activity   relationship analysis.</font></p>     <p>&nbsp;</p>     ]]></body>
<body><![CDATA[<p><font face="Verdana, Arial, Helvetica, sans-serif" size="3"> <b>MATERIALS AND METHODS</b></font></p>     <p><b><font face="Verdana, Arial, Helvetica, sans-serif" size="2"> Chemicals and reagents</font></b></p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2"> Caffeic acid, ferulic acid, propylgallate, gallic   acid, tannic acid and epigallocatechingallate were   purchased from Sigma and used without further   purification. In all cases, compounds were diluted   in 3% DMSO in PBS. The other reagents used in   this work were purchased from Sigma and Merck,   and their purity level was the highest available. Due   to the capacity of tannic acid to precipitate proteins   and its ability to inhibit snake venom proteins (19-   21), it was used as control for inhibition in all assays,   and the other phenolic compounds were always   compared with it.</font></p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2"> <b>Isolation of PLA<sub>2</sub></b><sub></sub></font></p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2"> <i>Crotalus durissus cumanensis</i> venom was obtained   from four specimens maintained in captivity at   the serpentarium of the Universidad de Antioquia   (Medellin, Colombia). PLA<sub>2</sub> was purified through   molecular exclusion chromatography on Sephadex   G-75 and reverse-phase HPLC on C-18 column   eluted at 1.0 mL/min with a gradient from 0 to 100%   of acetonitrile in 0.1% trifluoroacetic acid (v/v). The   absorbance in the effluent solution was recorded at   wavelength of 280 nm (21).</font></p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2"> <b>Inhibition of the phospholipase A<sub>2</sub> activity   using egg yolk as substrate</b></font></p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2"> PLA<sub>2</sub> activity was assayed according to the   method established by Dole (22), with titration of   free fatty acids released from egg yolk phospholipids,   which were suspended in 1% Triton<sup>&reg;</sup> X-100, 0.1   M Tris-HCl, 0.01 M CaCl<sub>2</sub>, pH 8.5 buffer, using   15 &micro;g/10 &micro;L of PLA<sub>2</sub>. The time of reaction was 15   min at 37&deg;C. The protein sample was selected from   the linear region of activity curves. For inhibition   experiments, 0.5, 1, 2 and 4 mM of each compound   were pre-incubated for 30 min at 37&deg;C before the   PLA<sub>2</sub> activity determination. Results are indicated   as inhibition percentage, where 100% is the activity   induced by PLA<sub>2</sub> alone. Tannic acid was taken as   control for inhibition. The IC50 was determined   from the linear portion of the response dose curves.</font></p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2"> <b>Inhibition of phospholipase A<sub>2</sub> activity using   4-nitro-3-octanoyloxy-benzoic acid (4N3OBA)   as substrate</b></font></p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2"> The measurements of the enzymatic activity   using the linear substrate 4N3OBA were performed   according to the method described by Holzer and   Mackessy (23), and adapted for a 96-well ELISA   plate. The standard assay contained 200 &micro;L of buffer   (10 mM Tris-HCl, 10 mM CaCl2, 100 mM NaCl,   pH 8.0), 20 &micro;L of 10 mM of substrate (4NO3BA),   20 &micro;L of the sample (20 &micro;g PLA<sub>2</sub> or 20 &micro;g PLA<sub>2</sub>   + 2 mM of each compound), and 20 &micro;L of water.   The negative control consisted only of buffer. The   inhibitory effect of the molecules on PLA<sub>2</sub> activity   was determined through the co-incubation of the   enzyme with each compound for 30 min at 37&deg;C.   After the incubation period, the sample was added   to the assay and the reaction was monitored at   425 nm for 40 min (at 10 min intervals) at 37&deg;C.   The quantity of chromophore released (4-nitro-   3-hydroxy benzoic acid) was proportional to the   enzymatic activity, and the initial velocity (Vo) was   calculated considering the absorbance measured   right after 20 min. Tannic acid was used as control   for inhibition.</font></p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2"> <b>Inhibition of cytotoxic activity</b></font></p>     ]]></body>
<body><![CDATA[<p><font face="Verdana, Arial, Helvetica, sans-serif" size="2"> Cytotoxic activity of the purified PLA<sub>2</sub> and its   inhibition was assayed on murine myotubes obtained   from C2C12 s keletal muscle myoblast (ATCC   CRL-1772) grown in 96-well plates, as previously   described (24). The toxin alone, or mixed with   compounds at concentrations equi valent to IC50,   obtained from PLA<sub>2</sub> activity inhibition assays, was   incubated for 30 min at 37&deg;C. Then, aliquots of   150 &micro;L (containing 20 &micro;g of toxin + compounds   diluted in Dubelcco's Modified Eagle's Medium)   were applied to the cultures. After 3h at 37&deg;C, a   supernatant aliquot was collected for determination   of lactic dehydrogenase activity (LDH; EC 1.1.1.27)   released from damaged cells using a kinetic assay   (Wiener LDH-P UV). Tannic acid was used as   control for inhibition. Additional controls consisted   of cells incubated with compounds in the absence   of toxins. Results are shown as the percentage of   inhibition, considering toxin and culture medium   to be 100 and 0% of activity, respectively.</font></p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2"> <b>Molecular docking and physicochemical   properties</b></font></p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2"> Molecular docking was carried out using a   Molegro Virtual Docker (MVD) (25). MVD is   based on a differential evolution algorithm; docking   scoring function,<i> E<sub>score</sub></i>; and the solution of the   algorithm takes into account the sum of the intermolecular   interaction energy between the ligand      and the protein (E<sub>inter</sub>), and the intramolecular   interaction energy of the ligand (E<sub>intra</sub>). Compound   structures were built and minimized by means of   ChemSketch 12.0, a software from ACD/Labs and   available at <a href="http://www.acdlabs.com/download/chemsketch/download.html" target="_blank">http://www.acdlabs.com/download/chemsketch/download.html</a>. The structure of PLA<sub>2</sub>   (PDB code 2QOG) from <i>Crotalus durissus terrificus</i>  that showed 57% of homology with the PLA<sub>2</sub> from   <i>C. d. cumanensis</i> (21), which was used in this study,   was uploaded without water molecules. When   necessary, bonds, bond orders, hybridizations, and   hydrogen atoms were added, charges were assigned   (a formal charge of +2 for Ca ion) and flexible torsions   of ligands were detected. Then, an automatic   procedure was used to detect possible binding cavities.   During this process, the maximum number   of cavities was fixed to 5, the grid resolution was   0.80 &Aring;, and the probe size was 1.2 &Aring;; while the   other parameters were set to default. Two cavities   were detected, and the cavity around the catalytic   site (with a volume of approximately 80.38 &Aring;<sup>3</sup>) was   used for docking calculations using the MolDock-   Optimizer as the search algorithm. During docking,   the grid resolution was set to 0.3 &Aring;, while   the binding site radius was set to 14 &Aring;. RMSD   thresholds for multiple cluster poses was set at &lt;   1.00 &Aring;. The docking algorithm was set at a maximum   of 1,500 iterations with a simplex evolution   population size of 50 and a minimum of 10 runs.   The ligand configurations with minor <i>E<sub>score</sub></i> were   chosen, and a visual inspection of the interactions   at the active site was performed and recorded. In   order to perform a preliminary structure-activity   relationship study, several physicochemical properties   of each compound were obtained from Molinspiration   by means of the ''Calculation of Molecular   Properties and Drug-likeness'' tool, available at   <a href="http://www.molinspiration.com/cgi-bin/properties" target="_blank">http://www.molinspiration.com/cgi-bin/properties</a>.</font></p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2"> <b>Statistical analysis</b></font></p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2"> In order to determine the IC50 of each compound   in the inhibition of PLA<sub>2</sub> activity assay, the   lineal portion of dose-response curve was used, and   a simple lineal regression analysis was performed.   To determine the significant differences between   compounds and tannic acid in the same assay, a   two-way ANOVA was performed, followed by a   Bonferron's test. To determine the significant differences   between compounds and tannic acid in   the cytotoxicity inhibition assay, an ANOVA was   performed, followed by a Dunnett's test, and a difference   was considered significant when p &lt; 0.05.   A non-parametric correlation was carried out using   the Spearman method between the TPSA (Topological   Polar Surface Area) and the PLA<sub>2</sub> inhibition   of each compound. In all cases, results are shown   as the mean &plusmn; SEM of n indicated in each case.</font></p>     <p>&nbsp;</p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="3"> <b>RESULTS AND DISCUSSION</b></font></p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2"> Myonecrosis is a commonly found in snakebites,   and it is caused by PLA<sub>2</sub>, one of the most important   and abundant muscle damaging components present   in snake venoms. The action of these enzymes   over membrane phospholipids includes the release   of fatty acids such as the arachidonic acid, which is   a precursor of pro-inflammatory eicosanoids (26);   moreover, such degradation can lead to destabilization   of the phospholipids bilayer (4).</font></p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2"> Recently, we demonstrated that the PLA<sub>2</sub> used   in this study exhibited the above mentioned effects,   among others (21). This enzyme is a component   of the crotoxin complex of the Colombian <i>Crotalus   durissus cumanensis</i> rattlesnake venom, which is a   heterodimeric complex that is formed by a basic   PLA<sub>2</sub> known as CB, and an acidic nonenzymatic   component known as crotapotin, which increases   the pharmacological activity of PLA<sub>2</sub> (acting as   chaperone protein for the enzyme, preventing the   binding of PLA<sub>2</sub> to non-specific sites) (27, 28).   Crotoxin is responsible for neurotoxicity, renal   failure, edema, and local and systemic myotoxicity   in cases of snakebites inflicted by the South American   <i>Crotalus durissus</i> rattlesnake (29). However,   CB alone also induces these effects, and it belongs   to the group IIA PLA<sub>2</sub>s, which shares the general   characteristics shown in <a href="img/revistas/vitae/v18n3/v18n3a08f1.jpg" target="_blank">figure 1F</a>: the structure is   formed by three long &alpha; helixes (two of which are antiparallel),   two &beta; wings and a calcium-binding loop   (<a href="img/revistas/vitae/v18n3/v18n3a08f1.jpg" target="_blank">figure 1F</a>). These proteins have a variable length   ranging from 119 to 134 amino acids. Their antiparallel   &alpha; helixes (residues 37-57 and 90-109, respectively)   define the hydrophobic channel, with the assistance of   the N-terminal helix (residues 1-12). This region leads   the substrate to the active site, which is formed by four   residues: His48, Asp49, Tyr52 and Asp99; from   which, the combination of Asp49 with Tyr28, Gly30   and Gly32 forms the calcium-binding loop, which   is responsible of coordinating the Ca<sup>2+</sup> required   during catalysis. In addition, there is an interfacial   binding surface, which mediates the adsorption of   the enzyme onto the lipid-water interface of the   phospholipids membrane bilayer (3, 30).</font></p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">  Tannins, the secondary metabolites of plants,   are mostly water-soluble phenolic compounds that   can produce the common phenolic reactions and   can precipitate alkaloids, gelatin, and other proteins   (18). According to their structures, tannins are   categorized as hydrolysable tannins, condensed   tannins, or complex tannins (18). Hydrolysable   tannins are the esters of the 3, 4, 5-trihydroxyl   benzoic acid (gallic acid), which are esterified to   a core polyol, and the galloyl groups may be further   esterified or oxidatively cross-linked to form   more complex structures. The implication of the   enzymatic activity is a key step in the induction   of myonecrosis, inflammation and neurotoxicity   induced by PLA<sub>2</sub> (5, 31, 32). As it is shown   in <a href="#f2">figure 2</a>, tannic acid (control for inhibition)   showed an excellent inhibitory capacity of PLA<sub>2</sub>   activity (IC50 = 0.59 mM). Likewise, epigallotechingallate   exhibited similar inhibitory activity   (IC50 = 0.38 mM). In addition, this compound   did not reveal significant differences with respect to   tannic acid (control for inhibition) at the concentrations   used. At the highest concentration used, gallic   acid and its derivative, propylgallate, did not exhibit   significant differences with respect to control for   inhibition. They presented the following IC50   values: 1.84 mM and 1.84 mM, respectively.</font></p>        ]]></body>
<body><![CDATA[<p align="center"><a name="f2"></a><img src="img/revistas/vitae/v18n3/v18n3a08f2.jpg"></p>     <p>&nbsp;</p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2"> Contrastively, the cinnamic acid derivatives, ferulic   acid and caffeic acid showed the lowest inhibitory   ability. They exhibited significant differences   with respect to tannic acid (control for inhibition)   at all the concentrations used (p &gt; 0.05). Additionally,   these compounds presented the following IC50   values: 3.93 mM and 1.40 mM, respectively.</font></p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2"> Similarly, all compounds inhibited PLA<sub>2</sub> activity   when the synthetic substrate (4N3OBA) was used.   However, as it is shown in <a href="img/revistas/vitae/v18n3/v18n3a08t1.jpg" target="_blank">table 1</a>, epigallocatechingallate   presented the best inhibitory ability, while   ferulic acid exhibited the lowest inhibitory capacity.</font></p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">  Due to the abundance of the PLA<sub>2</sub> in the venom   of viperids/crotalids, and to the large amount of   venom injected during snakebite accidents, these   myotoxins are undoubtedly central to the development   of myotoxicity, which occurs in two clinical   patterns: local and systemic myotoxicity (33). The   action of PLA<sub>2</sub> may result in irreversible lesions   and even amputation of the affected limb (29).   Additionally, it has been demonstrated that antivenoms   generally have a limited efficacy against   the local tissue damaging activities of venoms (7).   Thus, there is a need to search for inhibitors and   approaches that may be useful to complement   conventional antivenom therapy. The use of cell   cultures, such as rodent lines of skeletal muscle   myoblasts/myotubes to evaluate miotoxicity of   these PLA<sub>2</sub> enzymes, appears to correlate well   with their <i>in vivo</i> myotoxic activity (24). This correlation   was used to demonstrate the inhibitory   capacity of phenolic compounds on the cytotoxic   activity induced by PLA<sub>2</sub>. As it is shown in <a href="#f3">figure   3</a>, all compounds showed significant differences   with respect to Tannic acid (control for inhibition).</font></p>       <p align="center"><a name="f3"></a><img src="img/revistas/vitae/v18n3/v18n3a08f3.jpg"></p>     <p>&nbsp;</p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2"> However, the best inhibitory capacity was shown   by epigallocatechingallate, with an inhibition of   90.92 &plusmn; 0.82 %. The lowest inhibitory activity   was presented by ferulic acid with 30.96 &plusmn; 1.42 %;   whereas, gallic acid, propylgallate and caffeic acid   exhibited inhibition levels of 75.20 &plusmn; 0.75%, 41.34   &plusmn; 1.45%, and 56.50 &plusmn; 0.57%, respectively. At the   concentration used, all compounds did not show   cytotoxic effect on myotubes (data not show).</font></p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2"> The non-selective precipitation on snake venom   proteins and the chelating property of cofactors   required by these enzymes are two possible modes   of action attributed to polyphenols, especially those   with complex structures (15, 16, 34, 35). However,   by means of molecular docking studies it has been   demonstrated that polyphenols (such as chlorogenic   acid, curcumin, 1,3,5-trihydroxy benzene,   1,3-dihydroxy benzene and 2,4,6-trihydroxy acetophenone)   inhibit PLA<sub>2</sub> by interacting with the   enzyme active site (36, 37). In order to explain the   differences among the inhibitory effects induced   by the polyphenols used in this study, a molecular   docking analysis was performed. As it is shown in   <a href="img/revistas/vitae/v18n3/v18n3a08f4.jpg" target="_blank">figure 4</a>, all compounds could be perfectly adjusted   in the active site of PLA<sub>2</sub>. In addition, all polyphenols   showed a H-bonding interaction with Asp49.   This bond could promote the destabilization of the   calcium coordination, and it could cause a displacement   of this cation from the calcium binding loop,   which is essential for the enzymatic activity since it   helps to polarize the sn2 ligation of the glycerophospholipids   that will be hydrolyzed (27, 37). With the   exception of propylgallate, all inhibitors presented a   hydrogen bond with His48 that blocks water activation,   which is important for a further basic general   catalysis mechanism involved in hydrolysis of glicerophospholipids   (30, 38). Additional H-bonding   interactions were shown between caffeic acid and   Cys29, and among epigallocatechingallate, Ala23   and Ala102. Moreover, the propylgallate carbonated   side chain showed hydrophobic interactions with   Leu6 and Phe5. Finally, as it is exposed in <a href="img/revistas/vitae/v18n3/v18n3a08t2.jpg" target="_blank">table 2</a>,   MolDock score values showed that epigallocatechingallate   presented the strongest interaction energy,   whereas gallic acid presented the least E<sub>score</sub> (<a href="img/revistas/vitae/v18n3/v18n3a08t2.jpg" target="_blank">table 2</a>).   Nevertheless, this is a contradictory result, because   gallic acid was the second more potent compound   in the inhibition assays.</font></p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">  The best inhibitory ability of epigallocatechingallate   on enzymatic and cytotoxic effects of PLA<sub>2</sub>   could be explained by its physicochemical properties,   which are presented in <a href="img/revistas/vitae/v18n3/v18n3a08t1.jpg" target="_blank">table 1</a>. TPSA is the sum of   the contributions to the molecular (usually van der   Waals) surface area of polar atoms, such as oxygen,   nitrogen and their attached hydrogens (39). TPSA   indicates the surface area required to bind with the   majority of the target receptor (PLA<sub>2</sub> in this case). As   it is shown in <a href="#f5">figure 5</a>, when a non-parametric correlation   analysis between TPSA and IC50 values was   performed, a significant correlation was observed   (p = 0.0491, r = -0.8079 (-0.9878 to -0.2593)). Similar   results were obtained with other polyphenolic   compounds (flavonoids and isoflavones) for inhibiting   telomerase and aromatase (40). The H bond donors   and acceptors pattern of epigallocatechingallate is   undoubtedly another property that should be considered.   These donors and acceptors are known to   play an important role in the contribution of water   solubility by donning/accepting hydrogen bonds from   water molecules and adding polarity to the structures.   They also play an important role in drug-receptor interactions.   Epigallocatechingallate has a great capacity   of forming hydrogen bond interactions, providing a   high affinity for PLA<sub>2</sub> (as it is shown in <a href="img/revistas/vitae/v18n3/v18n3a08t2.jpg" target="_blank">table 2</a>, E<sub>inter</sub>   value). Therefore, this compound showed the lowest   interaction energy (affinity) for the enzyme. And, this   molecule also has four rotatable bonds, which may   give more number of degrees of freedom for interacting   with the PLA<sub>2</sub>, therefore, it has more possibilities   to form a stable complex. In fact, this is supported by   the highest value of internal energy shown by epigallocatechingallate   (<a href="img/revistas/vitae/v18n3/v18n3a08t2.jpg" target="_blank">table 2</a>).</font></p>       ]]></body>
<body><![CDATA[<p align="center"><a name="f5"></a><img src="img/revistas/vitae/v18n3/v18n3a08f5.jpg"></p>     <p>&nbsp;</p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2"> Polyphenolic compounds, such as f lavonoids,   have already been reported to be PLA<sub>2</sub> inhibitors   (41). Polyphenols (such as rosmarinic acid, aristolochic   acid and &alpha;-tocoferol (vitamin E)) have   also inhibited PLA<sub>2</sub>s from snake venoms (17, 42,   43). Moreover, ferulic acid, caffeic acid and gallic   acid have shown an inhibitory ability against the   activities induced by whole snake venoms (15, 44).   However, these compounds had not been evaluated   on purified PLA<sub>2</sub>s. Furthermore, from the results   of this study, it can be concluded that propylgallate   and epigallocatechingallate are two novel natural   products with anti-myotoxic potential.</font></p>     <p>&nbsp;</p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="3"> <b>CONCLUSIONS</b></font></p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2"> The use of plant extracts and other substances   in different forms (poultices, steams, baths, among   others) at the bite site is a common strategy used   in the traditional medicine of several countries (10,   11). However, the efficacy of some of these practices   have not been evaluated in controlled assays.   In this study, some polyphenols that are present   in different plants demonstrated to inhibit various   activities induced by snake venom PLA<sub>2</sub>. The topical   application of these plant polyphenols directly   at the bite site should produce, to some extent, the   desired anti-venom effects, particularly the prevention   of myotoxicity, which generally cannot be   cured through the administration of antivenom.   However, further <i>in vivo</i> investigation is be necessary   to confirm the <i>in vitro</i> results.</font></p>     <p>&nbsp;</p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="3"> <b>ACKNOWLEDGEMENTS</b></font></p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2"> The authors would like to thank Paola Rey Suarez   for her technical help in general. We are also   very grateful to Dr. Rene Thomsen for granting   us a trail license for the Molegro Virtual Docker,   University of Aarhus, Denmark. This project was   partly supported by Universidad de Antioquia and   COLCIENCIAS (project 393-2006).</font></p>     <p>&nbsp;</p>     ]]></body>
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