Abstract:
The life-threatening medical issues associated with snakebites have been a public health
concern for decades at the global level. The Black mamba, D. polylepis, is one of the many
venomous snakes found in Kenya. According to the Kenyan Ministry of Health data,
15,000 snakebites occur annually. For snakebites, antivenom immunotherapy is still the
preferred course of action and different antivenoms are needed to treat the venom of
different snake species. Traditionally, antivenoms for treatment are produced from horse
or sheep but have complicated and expensive production issues. Alternative production
approaches, such as using immunoglobulin Y (IgY) antibodies derived from chicken egg
yolks, may overcome disadvantages with traditional antivenom manufacturing
techniques. In many tropical and subtropical nations such as Kenya, diagnosis of snakebite
in the health facilities is imperative. For the purpose of determining which species caused
the bite, it is critical to detect and measure snake venom in the blood of envenomed
patients. The study presents the generation of IgY antibodies, and development of an
enzyme-linked immunosorbent assay (ELISA) against D. polylepis. In this current study,
D. polylepis specific IgY polyclonal antibodies were purified from the egg yolks of
chickens immunized with D. polylepis venom. These antibodies were subsequently
assessed for their in-vivo neutralizing capacity vis-à-vis commercial antivenoms, PANAF
Premium and VINS. Additionally, the study sought to develop a sensitive ELISA
prototype for detection of D. polylepis venom in Kenya using generated chicken-based
IgY polyclonal antibodies. The IgY antibodies were purified by ammonium sulfate
precipitation and affinity-chromatography, with quality and specificity determined by
sodium dodecyl sulfate polyacrylamide gel electrophoresis (SDS-PAGE) and ELISA.
Furthermore, serum samples containing specific chicken-based IgY antibodies previously
raised against D. polylepis venom toxins were used in the assay development. ELISA
parameters were optimized, and developed assay assessed for applicability. The LD50 of
D. polylepis was 0.54 mg/kg in chicks (via intramuscular route), and 0.34 mg/kg in mice
(via intraperitoneal route), respectively. Pool of extracted IgY yielded 2.8 mg/mL
concentration. Purified IgY under non-reducing and reducing conditions on SDS-PAGE
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exhibited a single-protein band of about 183 kDa and two bands (67 kDa and 25 kDa),
respectively. The minimum-edematogenic dose was 0.05 µg. Anti-D. polylepis IgY
antibodies and two antivenoms demonstrated the capacity to neutralize the toxic activities
of D. polylepis venom. The median effective dose (ED50) for lethality neutralization were
41.36, 35.41 and 46.60 µL/3LD50, and for edema were 80±11.55, 60±18.26, 90±8.16
µL/6MED, respectively for IgY antibodies, VINS and PANAF antivenoms. There was no
statistical differences among their neutralizing efficacies (P value = 0.320-0.859) The
limit of detection (LoD) of the ELISA for neurotoxic venoms was 0.01 µg/mL. The
developed assay identified venoms in blood of BALB/c mice and, distinguished D.
polylepis venom from that of other snake species, as well as neurotoxic and cytotoxic
venoms. This developed assay would be useful in helping physicians to diagnose and
manage snakebite cases. The development of an effective IgY antibodies with higher titer
represents a significant step towards antivenom production against D. polylepis. Diversity
of the IgY antibodies development to capture other medically important snake venoms,
molecularly characterize IgY, and development of venom detection kits with quick
turnaround times based on liquid or lateral flow tests approach are recommend