Pain-related scorpion species. Scorpion species of medical importance are circled in red, those that are harmless to humans are circled in blue. Red drop: scorpions with highly painful stings; pink drop: scorpions whose sting is mildly painful. Tx: presence of pro-algic toxins in the venom; Tx: presence of antinociceptive toxins in the venom; Tx: presence of toxins having an effect only on pain-related channels.

Pain-related scorpion species. Scorpion species of medical importance are circled in red, those that are harmless to humans are circled in blue. Red drop: scorpions with highly painful stings; pink drop: scorpions whose sting is mildly painful. Tx: presence of pro-algic toxins in the venom; Tx: presence of antinociceptive toxins in the venom; Tx: presence of toxins having an effect only on pain-related channels.

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Abstract Pain is a common symptom induced during envenomation by spiders and scorpions. Toxins isolated from their venom have become essential tools for studying the functioning and physiopathological role of ion channels, as they modulate their activity. In particular, toxins that induce pain relief effects can serve as a molecular basis for the d...

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... more than 1.2 million stings a year and more than 3250 deaths, scorpionism is a major public health problem in subtropical areas worldwide [5] despite the fact that less than 25 species are considered dangerous to humans. The "Old Word" (Africa) species of medical interest belong to Andoctonus, Buthus, Hottentota, Leiurus genera while "New World" (America) species are part of Centruroides and Tityus genera, all in the Buthid family ( Figure 1). Severe envenomation in humans primarily occurs in tropical regions and during hot seasons (North and Sub-Saharan Africa, Middle East, Asia, Latin America), with stings inoculating a few microliters of venom. ...

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... One of the remarkable aspects of animal peptides is the diversity in their sources and structures. Venomous creatures, such as snakes, spiders [40,41], and cone snails, are wellknown for producing peptides with potent bioactivities, including antinociceptive effects [42]. Additionally, peptides derived from insects or the skin secretions of amphibians have also shown promise in pain modulation. ...
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... Nine subtypes of sodium channels (Nav1.1ÀNav1.9) encoded by the genes SCN1A-SCN5A and SCN8A-SCN11A are known (Bennett et al., 2019;de Lera Ruiz and Kraus, 2015;Díaz-García and Varela, 2020;Diochot, 2021), and they can to expressed in different cells type of the central nervous system (CNS; Nav1.1, Nav1.2, Nav1.3, Nav1.5, and Nav1.6) and the peripheral nervous system (PNS; Nav1.7, Nav1.8, and Nav1.9) (Candenas et al., 2006;Lai and Jan, 2006;Pappalardo et al., 2016;Vacher et al., 2008;Wang et al., 2017), as well as skeletal (Nav 1.4) and cardiac muscle (Nav1.1, ...
... In neurons, these channels contribute to the electrical properties membrane, determine the frequency and the shape of the action potential waveform, control the strength of synaptic contacts between neurons, and set and maintain resting membrane potentials. The Kv1.1, Kv2, Kv3, Kv4, Kv7, K Ca 1, K Ca 2, K ir 3, K 2P 2, K 2P 3, K 2P 4, and K 2P9 channels are localized differentially in the somatic nervous system, axonal, presynaptic terminal, and dendritic membranes (Alexander et al., 2021;Conte Camerino et al., 2007;Diochot, 2021;Judge et al., 2007). ...
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Chapter
For almost as long as the ion channels in our brains have powered conscious thought, we have been fascinated by venoms and toxins. Initially thought of as magical, now we are understanding their true power and utility in drug discovery. A diverse range of venoms and toxins have been used to decipher the properties of ion channels and as a result hold a key functional place as positive controls in many assays. Such control toxins include tetrodotoxin, protoxin and charybdotoxin that are found in diverse species. The latest advances in computational chemistry and structural biology, such as cryogenic electron microscopy and free energy perturbation, are opening our drug discovery gaze to the atomic interactions of toxins and ion channels. Coupled with advances in ion channel screening and peptide biochemistry, we are on the verge of a new wave of toxin discovery and clinical application. These toxins also tackle challenging drug targets that are in desperate need of new chemical modalities. This chapter details the advances in toxin drug discovery though clinical development and new understanding of licensed drugs that feeds back to improve further therapeutic opportunities.