Toxins 2016, 8(1), 19; https://doi.org/10.3390/toxins8010019
Experimental Assays to Assess the Efficacy of Vinegar and Other Topical First-Aid Approaches on Cubozoan (Alatina alata) Tentacle Firing and Venom Toxicity
Angel A. Yanagihara 1,2,†,*
, Christie Wilcox 1,†, Rebecca King 2, Kikiana Hurwitz 2,3 and Ann M. Castelfranco 2
, Christie Wilcox 1,†, Rebecca King 2, Kikiana Hurwitz 2,3 and Ann M. Castelfranco 2
1
Department of Tropical Medicine, Medical Microbiology and Pharmacology, John A. Burns School of Medicine, University of Hawaii at Manoa, Honolulu, HI 96822, USA
2
Békésy Laboratory of Neurobiology, Pacific Biosciences Research Center, School of Ocean and Earth Science and Technology, University of Hawaii at Manoa, Honolulu HI 96822, USA
3
Department of Natural Sciences, Brigham Young University-Hawaii, Honolulu, HI 96717, USA
†
These authors contributed equally to this work.
*
Author to whom correspondence should be addressed.
Academic Editor: Irina Vetter
Received: 30 October 2015 / Revised: 28 December 2015 / Accepted: 4 January 2016 / Published: 11 January 2016
(This article belongs to the Section Animal Venoms)
Abstract
Despite the medical urgency presented by cubozoan envenomations, ineffective and contradictory first-aid management recommendations persist. A critical barrier to progress has been the lack of readily available and reproducible envenomation assays that (1) recapitulate live-tentacle stings; (2) allow quantitation and imaging of cnidae discharge; (3) allow primary quantitation of venom toxicity; and (4) employ rigorous controls. We report the implementation of an integrated array of three experimental approaches designed to meet the above-stated criteria. Mechanistically overlapping, yet distinct, the three approaches comprised (1) direct application of test solutions on live tentacles (termed tentacle solution assay, or TSA) with single image- and video-microscopy; (2) spontaneous stinging assay using freshly excised tentacles overlaid on substrate of live human red blood cells suspended in agarose (tentacle blood agarose assays, or TBAA); and (3) a “skin” covered adaptation of TBAA (tentacle skin blood agarose assay, or TSBAA). We report the use and results of these assays to evaluate the efficacy of topical first-aid approaches to inhibit tentacle firing and venom activity. TSA results included the potent stimulation of massive cnidae discharge by alcohols but only moderate induction by urine, freshwater, and “cola” (carbonated soft drink). Although vinegar, the 40-year field standard of first aid for the removal of adherent tentacles, completely inhibited cnidae firing in TSA and TSBAA ex vivo models, the most striking inhibition of both tentacle firing and subsequent venom-induced hemolysis was observed using newly-developed proprietary formulations (Sting No More™) containing copper gluconate, magnesium sulfate, and urea. View Full-TextKeywords:
jellyfish; venom; sting; first aid; hemolysis; cubozoan; Alatina alata; vinegar; Sting No More™; copper gluconate
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Yanagihara, A.A.; Wilcox, C.; King, R.; Hurwitz, K.; Castelfranco, A.M. Experimental Assays to Assess the Efficacy of Vinegar and Other Topical First-Aid Approaches on Cubozoan (Alatina alata) Tentacle Firing and Venom Toxicity. Toxins 2016, 8, 19.
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