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Production of recombinant scorpion antivenoms in E. coli: current state and perspectives

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Scorpion envenomation is a serious health problem in tropical and subtropical zones. The access to scorpion antivenom is sometimes limited in availability and specificity. The classical production process is cumbersome, from the hyper-immunization of the horses to the IgG digestion and purification of the F(ab)′2 antibody fragments. The production of recombinant antibody fragments in Escherichia coli is a popular trend due to the ability of this microbial host to produce correctly folded proteins. Small recombinant antibody fragments, such as single-chain variable fragments (scFv) and nanobodies (VHH), have been constructed to recognize and neutralize the neurotoxins responsible for the envenomation symptoms in humans. They are the focus of interest of the most recent studies and are proposed as potentially new generation of pharmaceuticals for their use in immunotherapy against scorpion stings of the Buthidae family. This literature review comprises the current status on the scorpion antivenom market and the analyses of cross-reactivity of commercial scorpion anti-serum against non-specific scorpion venoms. Recent studies on the production of new recombinant scFv and nanobodies will be presented, with a focus on the Androctonus and Centruroides scorpion species. Protein engineering-based technology could be the key to obtaining the next generation of therapeutics capable of neutralizing and cross-reacting against several types of scorpion venoms. Key points • Commercial antivenoms consist of predominantly purified equine F(ab)′2fragments. • Nanobody-based antivenom can neutralize Androctonus venoms and have a low immunogenicity. • Affinity maturation and directed evolution are used to obtain potent scFv families against Centruroides scorpions.
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Applied Microbiology and Biotechnology (2023) 107:4133–4152
https://doi.org/10.1007/s00253-023-12578-1
MINI-REVIEW
Production ofrecombinant scorpion antivenoms inE. coli: current
state andperspectives
SusanaMaríaAlonsoVillela1 · HazarKraïem‑Ghezal2 · BalkissBouhaouala‑Zahar2,3 · CarineBideaux1 ·
CésarArturoAcevesLara1 · LucFillaudeau1
Received: 29 December 2022 / Revised: 5 May 2023 / Accepted: 9 May 2023 / Published online: 18 May 2023
© The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2023
Abstract
Scorpion envenomation is a serious health problem in tropical and subtropical zones. The access to scorpion antivenom is
sometimes limited in availability and specificity. The classical production process is cumbersome, from the hyper-immuni-
zation of the horses to the IgG digestion and purification of the F(ab)2 antibody fragments. The production of recombinant
antibody fragments in Escherichia coli is a popular trend due to the ability of this microbial host to produce correctly folded
proteins. Small recombinant antibody fragments, such as single-chain variable fragments (scFv) and nanobodies (VHH), have
been constructed to recognize and neutralize the neurotoxins responsible for the envenomation symptoms in humans. They
are the focus of interest of the most recent studies and are proposed as potentially new generation of pharmaceuticals for their
use in immunotherapy against scorpion stings of the Buthidae family. This literature review comprises the current status on
the scorpion antivenom market and the analyses of cross-reactivity of commercial scorpion anti-serum against non-specific
scorpion venoms. Recent studies on the production of new recombinant scFv and nanobodies will be presented, with a focus
on the Androctonus and Centruroides scorpion species. Protein engineering-based technology could be the key to obtain-
ing the next generation of therapeutics capable of neutralizing and cross-reacting against several types of scorpion venoms.
Key points
Commercial antivenoms consist of predominantly purified equine F(ab)2fragments.
Nanobody-based antivenom can neutralize Androctonus venoms and have a low immunogenicity.
Affinity maturation and directed evolution are used to obtain potent scFv families against Centruroides scorpions.
Keywords Antibody fragments· Buthidae scorpions· Scorpion antivenom· Recombinant protein
Introduction
According to the World Health Organization (WHO), scor-
pion envenomation is a neglected health problem, mainly in
tropical and subtropical zones, such as the northern parts of
Africa, Middle-East, Central and South America (Warrell
etal. 2007). About 2.5 billion people live in at-risk zones
(Chippaux and Goyffon 2008), with children under 7years
old and elders over 60years old being the most vulnerable
to the effects of the scorpion venom (Carmo etal. 2015).
From the approximately 1500 species of scorpions in the
world, less than a dozen are responsible for serious enveno-
mation or death in humans (Chippaux and Goyffon 2008).
They all belong to the Buthidae scorpion family, and include
the scorpion genera Androctonus, Buthus, Centruroides,
Leiurus, and Tityus. Most of these scorpions of medical
* Susana María Alonso Villela
salonsovillela@gmail.com
* Balkiss Bouhaouala-Zahar
balkiss.bouhaouala@fmt.utm.tn
1 TBI, Université de Toulouse, CNRS, INRAE, INSA,
Toulouse, France
2 Laboratoire Des Venins Et Molécules Thérapeutiques,
Institut Pasteur de Tunis, Université de Tunis El Manar, 13
Place Pasteur BP74, 1002Tunis, Tunisia
3 Faculté de Médecine de Tunis, Université de Tunis El Manar,
Tunis, Tunisia
Content courtesy of Springer Nature, terms of use apply. Rights reserved.
... They are more thermostable and production is achieved using microbial cell hosts making them a more cost-effective alternative to monoclonal antibodies [3]. The bacteria Escherichia coli has been engineered as the preferred host for the efficient production of antivenom proteins, leveraging its scalability and cost-effectiveness [4,5]. ...
... The bioreactor is assumed to be an infinitely mixed culture without any transfer limitation. The mass balances for biomass, glucose, proteins and volume are given by Eq. (1) - (4). ...
... Additionally, it risks the depletion of snake and scorpion populations in nature. The identification and characterization of specific venom components, such as PLA2, can serve as alternatives to whole venom extraction, reducing the dependency on these traditional practices [49][50][51] . Antivenom production centers typically rely on carefully breeding and maintaining snakes, spiders, and scorpions in captivity to extract venom without euthanizing the animals. ...
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... Whole-cell patch-clamp electrophysiology is a valuable tool for preliminary characterisation of AV efficacy, and it has the advantage of reducing dependence on experimental animals. Production of AV is transitioning towards E. coli-derived manufacturing systems (Alonso Villela et al., 2023), running in tandem with the rise of phage displayselected antibodies (Roncolato et al., 2015), recombinant monoclonal antibodies (Laustsen, 2018), and the recombinant expression of venom toxins as antigens for AV production (Rimbault et al., 2023). Evidently, the dependence on animals throughout the last century of AV development is waning, and efficacy investigations should follow suit. ...
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