Involvement of von Willebrand factor and botrocetin in the thrombocytopenia induced by Bothrops jararaca snake venom

PLoS Negl Trop Dis. 2021 Sep 3;15(9):e0009715. doi: 10.1371/journal.pntd.0009715. eCollection 2021 Sep.

Abstract

Patients bitten by snakes consistently manifest a bleeding tendency, in which thrombocytopenia, consumption coagulopathy, mucous bleeding, and, more rarely, thrombotic microangiopathy, are observed. Von Willebrand factor (VWF) is required for primary hemostasis, and some venom proteins, such as botrocetin (a C-type lectin-like protein) and snake venom metalloproteinases (SVMP), disturb the normal interaction between platelets and VWF, possibly contributing to snakebite-induced bleedings. To understand the relationship among plasma VWF, platelets, botrocetin and SVMP from Bothrops jararaca snake venom (BjV) in the development of thrombocytopenia, we used (a) Wistar rats injected s.c. with BjV preincubated with anti-botrocetin antibodies (ABA) and/or Na2-EDTA (a SVMP inhibitor), and (b) VWF knockout mice (Vwf-/-) injected with BjV. Under all conditions, BjV induced a rapid and intense thrombocytopenia. In rats, BjV alone reduced the levels of VWF:Ag, VWF:CB, high molecular weight multimers of VWF, ADAMTS13 activity, and factor VIII. Moreover, VWF:Ag levels in rats that received BjV preincubated with Na2-EDTA and/or ABA tended to recover faster. In mice, BjV caused thrombocytopenia in both Vwf-/- and C57BL/6 (background control) strains, and VWF:Ag levels tended to decrease in C57BL/6, demonstrating that thrombocytopenia was independent of the presence of plasma VWF. These findings showed that botrocetin present in BjV failed to affect the extent or the time course of thrombocytopenia induced by envenomation, but it contributed to decrease the levels and function of plasma VWF. Thus, VWF alterations during B. jararaca envenomation are an ancillary event, and not the main mechanism leading to decreased platelet counts.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Blood Platelets / metabolism
  • Bothrops / metabolism*
  • Crotalid Venoms / metabolism
  • Crotalid Venoms / toxicity*
  • Female
  • Humans
  • Male
  • Metalloproteases / metabolism
  • Metalloproteases / toxicity
  • Mice
  • Mice, Inbred C57BL
  • Mice, Knockout
  • Rats
  • Rats, Wistar
  • Snake Bites / complications*
  • Snake Venoms / enzymology
  • Snake Venoms / metabolism
  • Snake Venoms / toxicity*
  • Thrombocytopenia / blood
  • Thrombocytopenia / etiology*
  • Thrombocytopenia / genetics
  • Thrombocytopenia / metabolism*
  • von Willebrand Factor / genetics
  • von Willebrand Factor / metabolism*

Substances

  • Crotalid Venoms
  • Snake Venoms
  • von Willebrand Factor
  • botrocetin
  • Metalloproteases

Grants and funding

This study was supported by the São Paulo Research Foundation (FAPESP, www.fapesp.br), grants # 2013/25177-0 (MLS), 2013/20239-8 (CMT), 2018/26015-8 (ATS), 2013/07467-1 (SMTS), and 2019/07618-6 (MLS); Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq, www.cnpq.br), grants # 305245/2015-5 (MLS) and 312469/2018-7 (MLS); and Fundação Butantan (www.fundacaobutantan.org.br). CZA, VGMM, IL, and KCB received no specific funding for this work. The funders had no role in the study design, data collection and analysis, decision to publish, or preparation of the manuscript.