Hipernocicepção induzida por veneno de serpentes Bothrops jararaca: uma revisão de literatura

Abstract

Since the beginning of humanity, man has experienced the subjectivity and complexity of pain, an essential phenomenon for the preservation of physical integrity. Pain processing occurs by transmission, transduction, modulation and perception of stimuli capable of activating nociceptors. There are many substances that activate nociceptors, among them are animal venoms, such by snakes, which have a highly complex composition. In Brazil, the most important snakes belong to the genus Bothrops. Conventional treatment with antivenom is effective against systemic symptoms, but not very effective in controlling local lesions, such as edema and pain. The main actions of Bothrops venoms are in hemostasis and inflammation, the latter condition being responsible for causing the sensitization of nociceptors. Some venom substances are involved in inflammation and hypernociception, including jararhagin, a metalloprotease present in Bothrops jararaca venom (BjV). Through a literature review, we seek to understand the mechanisms that leads to hypernociception caused by BjV. The scientific literature regarding the mediation of pain induced by BjV is scarce, even more so in relation to sex differences, a variable little considered in the genesis and treatment of the lesions observed after envenomation by these snakes. Thus, further studies are needed to elucidate the mechanisms involved in hypernociception resulting from the Bothrops jararaca snakebites, with the aim of mapping this phenomenon and, in the future, seeking complementary therapies to the conventional one in the treatment of these symptoms.