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Applied Microbiology and Biotechnology (2023) 107:4133–4152
https://doi.org/10.1007/s00253-023-12578-1
MINI-REVIEW
Production ofrecombinant scorpion antivenoms inE. coli: current
state andperspectives
SusanaMaríaAlonsoVillela1 · HazarKraïem‑Ghezal2 · BalkissBouhaouala‑Zahar2,3 · CarineBideaux1 ·
CésarArturoAcevesLara1 · LucFillaudeau1
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
etal. 2007). About 2.5 billion people live in at-risk zones
(Chippaux and Goyffon 2008), with children under 7years
old and elders over 60years old being the most vulnerable
to the effects of the scorpion venom (Carmo etal. 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, 1002Tunis, Tunisia
3 Faculté de Médecine de Tunis, Université de Tunis El Manar,
Tunis, Tunisia
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