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The ex vivo effects of Bitis arietans venom on the ultrastructure, platelet activity and viscoelastic properties of human blood

Dissertation (MSc (Pharmacology))--University of Pretoria, 2024.

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Other Authors: Strydom, Morne
Format: Thesis
Language:English
Published: University of Pretoria 2025
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access_status_str Open Access
author2 Strydom, Morne
author_browse Strydom, Morne
author_facet Strydom, Morne
collection Thesis
dc_rights_str_mv © 2023 University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria.
description Dissertation (MSc (Pharmacology))--University of Pretoria, 2024.
format Thesis
id oai:repository.up.ac.za:2263/101243
institution University of Pretoria (South Africa)
language English
last_indexed 2026-06-10T12:37:10.603Z
license_str Other — see source repository
provenance_str_mv Harvested via OAI-PMH from UPSpace — University of Pretoria Institutional Repository
publishDate 2025
publishDateRange 2025
publishDateSort 2025
publisher University of Pretoria
publisherStr University of Pretoria
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source_str UPSpace — University of Pretoria Institutional Repository
spelling oai:repository.up.ac.za:2263/101243 The ex vivo effects of Bitis arietans venom on the ultrastructure, platelet activity and viscoelastic properties of human blood Strydom, Morne u18127577@tuks.co.za Bester, Janette Megaw, Christie UCTD Sustainable Development Goals (SDGs) Red blood cells Clotting Snake bites Snake venom Flow cytometry Scanning electron microscopy Thromboelastography Platelets Dissertation (MSc (Pharmacology))--University of Pretoria, 2024. Background: In 2017, venomous snake bites were recognised and categorised as a category A neglected tropical disease (NTD), by the World Health Organization. Statistics show that between 81 000 and 138 000 fatalities occur annually due to snakebite envenomation. Puff Adder snake bites continue to pose a threat to human health as they can have negative effects on the body's physiology, but very little is known about the coagulative changes that its venom induces in humans, other than the cytotoxic and thrombolytic properties of the Puff Adder venom. Objectives: In this analytical, laboratory-based study the effects of Puff Adder venom on blood coagulopathy were studied. The objectives were to examine fibrin fibres, platelets, and red blood cell (RBC) ultrastructure using scanning electron microscopy (SEM), measure platelet activation using flow cytometry and evaluate whole blood (WB) clot kinetics with thromboelastography® (TEG®). Methods: Red blood cell ultrastructural morphology was studied along with platelet activation and clot formation using SEM. Platelet activation was measured using flow cytometry, after which TEG® was used to analyse the viscoelastic properties of whole blood clot kinetics. The WB was exposed to a final venom concentration of 2.0 nanograms/microlitre (ng/μL). Results: This study demonstrated that exposure to snake venom significantly affects red blood cell (RBC) morphology, platelet activation, and clot structure. Echinocytes and membrane blebbing along with platelet-rich aggregates were observed in venom-exposed samples and the viscoelastic profile in venom-treated blood samples indicated hypocoagulation. Decreased interaction between the fibrin fibre network and RBCs was seen in SEM micrographs, along with broken fibrin fibres and “melting” of fibres into each other. Conclusion: The study’s findings confirms that Puff Adder venom interferes with platelet function and affects fibrin clot formation. These insights can improve the understanding of the effect these venoms have on human coagulation, allowing for the creation of a venom profile for identification in snakebite victims. Further research is required into the toxins and their underlying mechanisms that cause these effects. Council for Scientific and Industrial Research (CSIR) National Research Foundation (NRF) Thuthuka Grant (TTK2204072413 ) Pharmacology MSc (Pharmacology) Unrestricted Faculty of Health Sciences SDG-03: Good health and well-being 2025-02-26T16:04:21Z 2025-02-26T16:04:21Z 2024-04 2024-12 Dissertation * A2024 http://hdl.handle.net/2263/101243 https://doi.org/10.25403/UPresearchdata.28491218 en © 2023 University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria. application/pdf University of Pretoria
spellingShingle UCTD
Sustainable Development Goals (SDGs)
Red blood cells
Clotting
Snake bites
Snake venom
Flow cytometry
Scanning electron microscopy
Thromboelastography
Platelets
The ex vivo effects of Bitis arietans venom on the ultrastructure, platelet activity and viscoelastic properties of human blood
title The ex vivo effects of Bitis arietans venom on the ultrastructure, platelet activity and viscoelastic properties of human blood
title_full The ex vivo effects of Bitis arietans venom on the ultrastructure, platelet activity and viscoelastic properties of human blood
title_fullStr The ex vivo effects of Bitis arietans venom on the ultrastructure, platelet activity and viscoelastic properties of human blood
title_full_unstemmed The ex vivo effects of Bitis arietans venom on the ultrastructure, platelet activity and viscoelastic properties of human blood
title_short The ex vivo effects of Bitis arietans venom on the ultrastructure, platelet activity and viscoelastic properties of human blood
title_sort ex vivo effects of bitis arietans venom on the ultrastructure platelet activity and viscoelastic properties of human blood
topic UCTD
Sustainable Development Goals (SDGs)
Red blood cells
Clotting
Snake bites
Snake venom
Flow cytometry
Scanning electron microscopy
Thromboelastography
Platelets
url http://hdl.handle.net/2263/101243
https://doi.org/10.25403/UPresearchdata.28491218