1. Introduction
The image of the scorpion has long been connected to human history, being represented in cults, legends, philosophy and arts, as it is one of the oldest animals on the planet. Dating from the Silurian period, more than 400 million years ago, scorpions are organisms that have long intrigued human beings [
1,
2].
The order Scorpiones is represented by 2200 species and, through taxonomic studies, have been grouped into 20 families and 165 genera of scorpions. The most dangerous, and capable of causing fatal accidents in humans, belong to the Buthidae family, represented by the following genera:
Androctonus and
Leiurus (North Africa and Middle East),
Centruroides (Mexico and the United States) and
Tityus (South America and Trinidad) [
3].
In Brazil, the scorpions
Tityus serrulatus,
T. bahiensis and
T. stigmurus are the animals responsible for serious accidents. Among these, the
T. serrulatus scorpion, popularly known as the “Brazilian yellow scorpion”, is the one with the highest Medical and Scientific relevance in Brazil. It is mainly distributed among the states of Bahia, Goiás (including the Federal District), Paraná, Espírito Santo, Rio de Janeiro, Minas Gerais and São Paulo [
4].
T. serrulatus reproduces by parthenogenesis, and each female is able to generate about 70 offspring during its life. They are commonly found in sewers, cemeteries and wastelands, where they find safe shelter and plenty of food. Therefore, in addition to the potency of its venom, their adaptation to urban centers may explain the significant increase in the number of accidents caused by this scorpion in Brazil [
4,
5,
6].
In this scenario, accidents caused by
T. serrulatus stings are considered a public health problem in Brazil due to its potential to cause severe clinical manifestations, which might bring a prognosis of death, especially on children aged from 0 to 14 years. Although most of the cases have been classified as mild, the biggest concern is related to the high number of cases that are reported annually in Brazil, since scorpion stings represent 41% of all venomous animal accidents, including snakes, spiders, bees and others, as reported in 2016 [
7].
Generally, the
T. serrulatus venom (TsV) is composed of mucus, inorganic salts, lipids, amines, nucleotides, enzymes, kallikrein inhibitors, natriuretic peptides, high molecular weight proteins, peptides, amino acids and neurotoxins [
8]. Current studies carried out by Oliveira and colleagues [
9] involving the transcriptome of the venom glands have shown that more than 30% of the venom is made up of enzymes and, approximately, 40% of peptides. The peptides present in the TsV can be classified as structured—which are stabilized by disulfide bonds—or linear [
8]. The so-called structured peptides have been the most studied components, classified as neurotoxins that interact with ion channels (Na
+ and K
+) and are related to the most serious effects caused by the venom. On the other hand, linear peptides, although found with some abundance in the venom, are still poorly characterized. The peptidomic analysis performed by Rates and colleagues [
10] demonstrated the existence of a great diversity of peptides in the TsV, all of them not yet characterized. Many could not be found in the database, and as this information is scarce, this requires de novo sequencing. Other studies using “omic” techniques have demonstrated the complexity of the venom in relation to linear peptides from post-translational modifications of larger proteins, generating lists with hundreds of components [
11,
12,
13].
Among the linear peptides we have the hypotensins (TsHpt), identified from TsV proteomic analyzes. Both peptides are made up of 25 amino acid residues that contain two consecutive prolines in their C-terminal portion and a punctual difference between TsHpt-I and -II, which is the residue at position 15, being a glutamine in TsHpt-I and a glutamic acid in TsHpt-II. Studies with TsHpt-I, also known as Ts14, showed that this peptide was able to exert hypotensive activity in normotensive Wistar rats by potentiating bradykinin. The hypothesis is that the vasodilation effect is related to the release of NO by an independent mechanism of ACE inhibition [
14].
In order to increase knowledge about hypotensins and their biological activities, the present work demonstrates, for the first time, the interaction of these peptides with human vasopeptidases, ACE (EC 3.4.15.1) and NEP (EC 3.4.24.11), alongside with cellular assays, which were carried out in order to verify the possible action of hypotensins as inflammatory or anti-inflammatory peptides.
3. Discussion
Identified from the proteomic analyses on the venom of
Tityus serrulatus (TsV), the hypotensins are peptides made up of 25 amino acid residues that contain two consecutive prolines in their C-terminal portion. Hypotensins are a family of peptides with small structural differences between them, with TsHpt-I being the best-studied member—both the natural molecule and its synthetic counterpart. Tests involving the natural or synthetic TsHpt-I demonstrated that this peptide was able to exert hypotensive activity in normotensive Wistar rats through bradykinin potentiation. The hypothesis about the vasodilation effect is related to NO release, which is a mechanism independent of ACE inhibition [
14].
Focusing on clinical conditions related to blood pressure alterations observed in accidents caused by
T. serrulatus, the present study investigated the possible interaction of TsHpt-I and -II with the metallopeptidases angiotensin converting enzyme (ACE) and neprilysin (NEP). ACE is considered an important molecule in the regulation of blood pressure, as it generates angiotensin II (Ang II) from the cleavage of angiotensin I (Ang I), in addition to degrading bradykinin (Bk) [
17]. NEP also acts to control blood pressure through the excretion of Na
+ and water, as it is capable of degrading natriuretic peptides (ANP, BNP and CNP) [
18,
19]. Thus, both ACE and NEP are known as vasopeptidases. The third vasopeptidase is the endothelin-converting-enzyme I (ECE-1, EC 3.4.24.71), a metallopeptidase capable of releasing endothelin-I (ET-I), a vasoconstrictor peptide, from the big-endothelin [
20].
Regarding TsV, data from the literature describe the presence of an ACE-like one [
9,
21], capable of converting Ang I to Ang II, and degrading Bk. Hence, the presence of this vasopeptidase in TsV may collaborate with the hypertension observed in accidents involving humans. The possible presence of an NEP-like in TsV has also been described, as well as an inhibitor of this metallopeptidase, called [des-Arg1]-Proctolin [
16]. This peptide was characterized as a competitive inhibitor of human NEP, presenting an inhibition constant of 0.94 µM [
16]. Proteomic studies also reported the presence of an ECE-like enzyme in TsV [
9]. Moreover, high levels of ET-I were observed in the sera of patients after envenomation with the scorpion
Androctonus australis hector, indicating that molecules of scorpion venoms also have an effect on the endothelin axis. [
22]. Therefore, the presence of vasopeptidases and their inhibitors in scorpion venoms may contribute to acute changes caused in the cardiovascular system observed in cases of envenomation [
23].
Although the preferred prey of the
Tityus serrulatus scorpion are insects, such as crickets and cockroaches, its venom is dangerous to humans. According to data from proteomics and transcriptomics studies [
9], the toxic effect of TsV in humans may be the result of evolutionarily preserved molecules present in both insects and mammals. This suggestion may explain the presence of ACE-like, ECE-like and NEP-like enzymes in TsV, together with neprilysin inhibitors and hypotensins. [
23].
Interestingly, both hypotensins were able to increase the catalytic activity of ACE, but in different ways. While TsHpt-I activated ACE by 64%, TsHpt-II increased by 46% the hydrolysis of the substrate Abz-RGFK-EDDnp. In fact, in studies on the determination of the hypotensive mechanism of TsHpt-I, ACE activation can also be observed; however, the results were not discussed [
14]. Studies with NEP also indicated different interactions with hypotensins, and results with TsHpt-I showed that this peptide is a non-competitive inhibitor of NEP, with a Ki value of 4.35 µM. As TsHpt-I is the second NEP inhibitor described in the
T. serrulatus venom, it is possible that there is a combined action between hypotensin I and [des-Arg
1]-Proctolin [
16], which may be related to the hypotension caused by the envenomation. In contrast, TsHpt-II displayed a low interaction with NEP, and the different results are, probably, the effect of a single difference between the primary structures of the hypotensins. However, future studies of circular dichroism will be needed to clarify this matter.
As hypotensins demonstrated new activities in vitro, cytotoxicity and possible pro- or anti-inflammatory actions were investigated in order to increase our knowledge of these molecules. Both hypotensins have immunomodulatory potential, with pro-inflammatory effects on murine peritoneal macrophages, when used at a concentration of 100 µg/mL. Interestingly, at this concentration, both hypotensins did not exert cytotoxic activity on the tested cells, which makes the two molecules even more interesting, due to their pharmacological potential for the long-term development of new immunostimulants and/or adjuvants. Pucca and collaborators [
24] demonstrated the pro-inflammatory effect of three peptides derived from the TsV venom on a strain of murine macrophages, with increased production of IL-6. Similar to the results presented in this work, the effects were subtle compared to LPS, although significant in relation to the negative control. In our study, we observed increased TNF production in the presence of both peptides and increased IL-6 production in the presence of TsHpt-II. As for the mechanism of molecules as hypotensives, it is important to emphasize that both TNF and IL-6 induce vasodilation, and its massive release can even lead to shock.
Cassini-Vieira and colleagues suggested an anti-inflammatory role for TsHpt-I from
T. serrulatus venom, based on its ability to reduce neutrophil infiltration and TNF production in a murine model of sponge implant-induced inflammation. On the other hand, increased macrophage infiltration was observed in this model, indicating a pro-inflammatory role, which demonstrates the need for further studies on the mechanisms of action of TsHpt-I [
25].
Interestingly, both treatments with both peptides promoted a significant increase in the phagocytic index, demonstrating that the pro-inflammatory action of these peptides also affects the macrophages’ biological function. This phenomenon is interesting, considering the possible development of immunomodulators. It is known that adjuvant and/or immunostimulant molecules generally induce a pro-inflammatory environment that favors the activation of antigen-presenting cells and, consequently, the development of adaptive immunity against specific antigens. Increased macrophages’ phagocytic capacity by hypotensins may reflect increased microbicidal activity and/or antigen presentation. The anti-candida and anti-biofilm activities of TistH, a hypotensin present in the venom of the
Tityus stigmurus scorpion, were recently described and confirmed [
26], but functional antigen presentation assays are needed to deepen our knowledge of the immunomodulatory action of these peptides.
Despite the biotechnological potential of hypotensins, the activities already described for these peptides, and the new results showed in the present work, indicate that both molecules do not have a specific target or mechanisms of action. Considering that they are multifunctional toxins present in the Tityus serrulatus venom, new studies aiming at drug development should be very carefully carried out in order to minimize unexpected effects.
5. Material and Methods
5.1. Reagents
The synthetic peptides TsHpt-I and TsHpt-II were obtained by the solid-phase peptide synthesis method, and purchased from GenOne Biotechnologies (Rio de Janeiro, Brazil). Angiotensin Converting Enzyme (ACE) from rabbit lung, RPMI 1640 medium, LPS from E. coli 0127:B8, Trypan Blue, Giemsa stain and glutaraldehyde solution were purchased from Sigma-Aldrich (St. Louis, MO, USA). Neprilysin and the Fluorescence Resonance Energy Transfer (FRET) substrates, Abz-FRK (Dnp) P-OH and Abz-RGFK (Dnp)-OH, were provided by Prof. Adriana Carmona, from the Department of Biophysics of UNIFESP-EPM, São Paulo, SP, Brazil. Acetonitrile and TFA used in RP-HPLC were acquired from J. T. Baker (Avantor, Radnor, PA, USA). Fetal cow serum (FCS) and penicillin and streptomycin antibiotics were purchased from Cultilab (Campinas, SP, Brazil). Tetrazolium salt 3-(4,5-dimethylthiazol-2-yl)-2,5- diphenyltetrazolium bromide (MTT) was purchased from Invitrogen (Waltham, MA, USA). DMSO was purchased from Merck (Darmstadt, Germany). BD Cytometric Bead Array Mouse Inflammation Kit was purchased from BD Biosciences (San Jose, CA, USA). The Saccharomyces cerevisiae suspension was obtained from washing and adjusting the concentration of bread yeast (Fleischmann – Petrópolis, RJ, Brazil) in RPMI.
5.2. Interactions of Hypotensins with Vasopeptidases ACE and NEP
For ACE assays, 10 µM of each peptide was incubated with 3.0 ng of peptidase and 10 µM of Abz-FRK (Dnp) P-OH substrate, in Tris HCl 100 mM, NaCl 50 mM and ZnCl2 10 µM, pH 7.0 buffer. For NEP, 10 µM of TsHpt-I or -II was incubated with 1.5 ng of peptidase, 3.5 µM Abz-RGFK (Dnp)-OH in Tris HCl 50 mM, pH 7.5 buffer. All reactions occurred at 37 °C, in a final volume of 100 µL, in a Victor 3 fluorimeter (Perkin–Elmer, Waltham, MA, USA) adjusted for excitation and emission readings at 320 and 420 nm, respectively, for 15 min (one reader per minute). Results were obtained in triplicate and analyzed using GraFit 5 (Erithacus software, East Grinstead, West Sussex, UK).
5.3. Stability Test of the Synthetic Peptides
The synthetic peptides TsHpt-I and TsHpt-II (30 µM) were incubated with ACE (3.0 ng), in Tris HCl 100 mM, NaCl 50 mM and ZnCl2 10 µM, pH 7.0 buffer, and NEP (1.5 ng), in Tris HCl 50 mM, pH 7.5 buffer, at 37 °C for 4 h. Samples containing only the synthetic peptides were used as the negative control. After incubation, samples were analyzed by reverse phase chromatography on RP-HPLC (Shimadzu, Kyoto, Japan), using a Restek Ultra C-18 column (5 µm, 250 × 4.6 mm). Solvents used were 0.1% TFA in water (solvent A), and acetonitrile plus solvent A (9:1) as solvent B. Separations were performed at a flow rate of 1 mL/min and a 20–60% gradient of solvent B over 20 min. In all cases, elution was followed by the measurement of ultraviolet absorption (214 nm).
5.4. Characterization of TsHpt-I as a NEP Inhibitor
To determine the inhibition constant (Ki) of TsHpt-I over NEP, four concentrations of Abz-RGFK (Dnp)-OH (4 µM, 6 µM, 8 µM and 10 µM) and 3 µM and 4 µM of TsHpt-I were tested using 1.5 ng of peptidase in 100 µL of final volume of Tris HCl pH 7.5. The Km value of the substrate used was determined to be 14 µM [
27]. Controls without the TsHpt-I were also performed in all assays. The reactions were monitored as described above (item 5.2). The Lineweaver–Burk plot was constructed (1/V × 1/(S)) according to the presented mechanism. The Ki was calculated as described by Segel [
28]. All assays were performed in triplicate.
5.5. Cell Assays
5.5.1. Murine Peritoneal Macrophages Obtainment
Male young, between 8 and 12 weeks of age and weighing between 20 and 22 g, BALB/c mice adults were used. Mice were obtained from the Central Animal Facility of the Butantan Institute and housed in the Laboratory of Immunochemistry bioterium, Butantan Institute. The mice were kept in boxes lined with shavings, containing 3 animals per box, under natural light, full-time ventilation and exhaustion, filtered water and commercial feed ad libitum. After a period of 2 to 3 days of acclimatization of the animals, they were euthanized in a CO2 chamber. All experimental procedures involving animals were in accordance with the ethical principles in animal research adopted by the Brazilian Society of Animal Science and the National Brazilian Legislation no.11.794/08. Animal care and experimental procedures were approved by the Institutional Committee for the Care and Use of Laboratory Animals from Butantan Institute (CEUAIB protocol number 5396310517, approved on 21 June 2017).
Peritoneal exudate cells (BALB/c naïve mice, n = 6) were collected by two washes with 5 mL of RPMI medium. The cells obtained were washed twice with RMPI medium, at 400 g, for 10 min, at 18 °C, and resuspended in R10 medium (RPMI + 10% fetal cow serum). After counting in a Neubauer chamber, in the presence of Trypan blue, the cell concentration was adjusted to 2 × 106 cells/mL. Cells were distributed into 96-well culture plates (2 × 105 cells/100 µL/well) and incubated for 2 h at 37 °C and 5% CO2. After incubation, non-adherent cells were discarded, and adherent cells (macrophages) were resuspended in R10 medium containing the respective tested stimuli, at different concentrations, in triplicates, in a final volume of 200 µL/well. Cells resuspended in R10 medium were used as a negative control, and cells stimulated with LPS (5 µg/mL) as a positive control. Cells were then incubated for 24 h at 37 °C and 5% CO2. After this period, the culture supernatants were collected and stored at −80 °C, for subsequent dosage of cytokines, and cell viability was determined by MTT assay.
5.5.2. Effect of Hypotensins on the Cell Viability and Production of Inflammatory Mediators by Murine Peritoneal Macrophages Stimulated In Vitro with Hypotensins
After a 24-h period of incubation of cells with hypotensins (10 µg/mL, 50 µg/mL and 100 µg/mL), MTT assays were performed, consisting of the addition of 100 µL of R10 containing 0.5 mg/mL of tetrazolium salt 3-(4.5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) in all wells, followed by a new incubation, under the same conditions, for 4 h. Then, the supernatants were discarded, and 100 µL/well of DMSO were added to dissolve the formed crystals. Absorbance was determined in a spectrophotometer at 540 nm. Cell viability was calculated based on the absorbances of the samples and the negative control (cells cultivated only with R10).
The concentration of pro- and anti-inflammatory cytokines (IL-6, IL-10, IL-12p70, IFN-α, MCP-1 and TNF) in the samples incubated with both hypotensins (10 µg/mL, 50 µg/mL and 100 µg/mL) was determined by the CBA method (BD Cytometric Bead Array Mouse Inflammation Kit), according to the manufacturer’s instructions. The samples were acquired in a BD FACSCanto II flow cytometer, and the data were analyzed using BD FCAP Array version 3.0 software.
5.5.3. Effect of TsHpt-I and -II on Phagocytic Function of Murine Peritoneal Macrophages
Peritoneal macrophages from naïve BALB/c mice (n = 6) were obtained as described above (item 5.5.1). Cells were distributed in 24-well culture plates (5 × 105 cells/500 µL/well), with glass coverslips inside, and incubated for 2 h at 37 °C and 5% CO2. After incubation, non-adherent cells were discarded, and adherent cells (macrophages) were stimulated in vitro with hypotensins, in duplicate, at a concentration of 100 µg/mL, for 24 h at 37 °C and 5% CO2. After this period, the culture supernatants were discarded, and the cells were incubated for 1 h with a suspension of Saccharomyces cerevisiae at a concentration of 1.5 × 106 yeasts/mL/well. Coverslips were washed 10 times with PBS, fixed with 0.5% glutaraldehyde and stained by Giemsa. Phagocytosis was evaluated by immersion optical microscopy (1000×) and quantified by counting approximately 200 cells per cover slip. The percentage of phagocytic cells and the average number of internalized yeasts per phagocytic cell were calculated. The phagocytic index was obtained by multiplying the two values (percentage × mean) and represents the total phagocytic capacity of each cell population.
5.6. Statistical Analysis
The results were statistically analyzed using the GraphPad Prism 5 program, using the one-way ANOVA test followed by Tukey’s post-test. Results with a p-value < 0.05 were considered significant.