J Arthropod-Borne Dis, March 2021, 15(1): 60–68 S Mojdegani-Fard et al.: The Effect of … 60 http://jad.tums.ac.ir Published Online: March 31, 2021 Original Article The Effect of Different Doses of Mesobuthus eupeus (Scorpionida: Buthidae) Scorpion Venom on the Production of Liver Necrosis in Nmri Mice Sara Mojdegani-Fard 1 ; *Sohrab Imani 1,2 ; Mahmoud Shojaei 1 1 Department of Entomology, Science and Research Branch, Islamic Azad University, Tehran, Iran 2 Department of Parasitology and Toxicology, School of Medicine, Semnan University of Medical Science, Semnan, Iran *Corresponding authors: Dr Sohrab Imani, E-mail: Imanisohrab@gmail.com (Received 27 Nov 2015; accepted 22 Jan 2017) Abstract Background: Scorpion venom has a variety of different components considerably. Some of these compounds are pro- teins such as Phospholipase A2 which is one of the most important. Use of scorpion venom for the treatment of any disease requires an initial study to determine the therapeutic dose or safe dose. Therefore, due to the necessity of study- ing scorpion venom, it is of special importance to study the effects of its dose response in animal tissues. Methods: To determine the inflammatory effects of scorpion’s venom (Mesobuthus eupeus), 50 Nmri mice with an average weight of 24±7g were selected for investigation in two experiments. In first-round 25 of them were divided into 5 groups and were exposed to different doses of venom injection paralleling the control group. Single-injection of vari- ous doses on 25 mice was performed and results were compared. Results: There was a significant differences between the test and control groups (in most groups). Liver necrosis was one of the important symptoms in this study, the severity of which was measured and statistically analyzed. Conclusion: It was determined that 0.05ppm is a safe dose and sub-lethal doses can use for the investigation of thera- peutic effects of venom on cancer, diabetes, dermatitis, and so on. Keywords: Dose-response; Liver necrosis; Nmri mice; Scorpion’s venom Introduction Animal products’ (such as poison, enzyme and so on) usage for treating some diseases have a good background in history, and in re- cent years these components have been drow more attention, and several studies have been done worldwide. In various studies, some re- searches have been investigated on the effects of bees and scorpions' venom on Insulin se- cretion and blood glucose in Wistar male rats. melittin polypeptide- the main component in bee venom- has been stimulated Insulin secre- tion from Langerhans islands in Nmri mice in laboratory conditions. Melittin is recommend- ed as a valuable factor for further studies on β-cell’s plasma membrane which has a role in insulin secretion regulation (1-3). In insulin-resistant mice, direct activation of Phospholipase A2 by Melittin caused Insulin output from Langerhans islands. Phospholipase A2 activation has a role in the compensation for insulin resistance in Langerhans islands (4). Additionally, treatment with honey bee phos- pholipase A2 causes the release of Insulin from cells and Insulin secretion to blood (5). Anti- cancer effects of the compounds of Mesobuthus marthensis scorpion’s venom were evaluated in Iran. It has been shown that venom can in- hibit cancer cell growth significantly and in- duces cell death. It also prevented glioma cell growth by inhibition of their ion canals (6). These animal’s venom substances can act as potential anti-tumor agents. Scorpions with a 300 million years history are one of the old- est animals on the earth and the oldest fossils Copyright © 2020 The Authors. Published by Tehran University of Medical Sciences. This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International license (https://creativecommons.org/licenses/by- nc/4.0/). Non-commercial uses of the work are permitted, provided the original work is properly cited. mailto:Imanisohrab@gmail.com https://creativecommons.org/licenses/by-nc/4.0/ https://creativecommons.org/licenses/by-nc/4.0/ J Arthropod-Borne Dis, March 2021, 15(1): 60–68 S Mojdegani-Fard et al.: The Effect of … 61 http://jad.tums.ac.ir Published Online: March 31, 2021 belong to them as arachnids and arthropods. It is proven by the existence of some basic ana- tomical features such as single nerve chain nodes. In some cultures and human civilization, there are some documents for using natural tox- in for some diseases treatment with the special rank for scorpion’s venom (7). Mesobuthus eu- peus from the family Buthidae is known as a spotted yellow scorpion. Water-soluble com- pounds of Scorpion’s venom with pH from neu- tral to Alkaline generally made of mucus, Oli- gopeptides, nucleotides, amino acids, and other organic compounds also from some enzymes such as phospholipase, hyaluronidase and some molecules with relatively low molecular weight like serotonin, histamine, protease inhibitors and histamine releasers (8). high molecular weight compounds such as hyaluronidase and phos- pholipase A2 can stimulate immune responses. In this study, the effects of different sub- lethal doses of M. eupeus venom was used to check for necrotic responses and other effects on Nmri hepatic cells. Materials and Methods Scorpion collection was conducted using black light at night time from July to October 2015 in the suburbs of Omidiyeh and Aghajari Cities in Khuzestan Province, Iran. Out of about 1500 collected scorpions, 362 M. eupeus scor- pions have been identified. This scorpion with a yellow body and a size of about 6cm with 3–5 rows of dark longitudinal spots in the dor- sal region of the pre-abdomen is called the spotted yellow scorpion. Venom extracting was performed by an elec- troshock device by electrodes attaching to the scorpion’s body and venom gland. A weak elec- trical current has passed through the scor-pion’s body in a short time causing shock. As a re- sult, it leads to the excretion of venom, which was collected by holding a micro-tube at the end of the sting. Usually, the voltages used were 6 to 7.5 volts, depending on the size of the scor- pion. After extracting, the venom was dried us- ing a freeze-dryer and stored in the refrigera- tor at 2–4 °C (9). In this study, a total of 50 non-infected adult male Nmri mice weighing 24±7g were random- ly divided into 10 experimental groups includ- ing treatment and control groups under differ- ent doses of venom. They were kept in animal house of the Islamic Azad University of Teh- ran, Science and Research Unit under the fol- lowing conditions: 12/12h daylight/ darkness, temperature around 22±2 °C, adequate humid- ity and freely used the usual dry diet with wa- ter (9, 10). The research was conducted in two stages of experimentation as follows: The first stage: Studying the effects of M. eupeus scorpion venom: During this stage, injections were performed 6 times in the groin and each time at intervals of one day, and the mice were anesthetized with diethyl ether and dissected one day after the last injection, and the liver and some other organs were studied. 1) Control group: used the usual dry diet with water and healthy mice received sterile distilled water by injection equivalent to the volume of injected venom. Sterile distilled water was al- so used to dissolve the venom. The treatment groups were received different doses as follows: 2) The first group received a dose of 0.5ppm 3) The second group received a dose of 0.2ppm 4) The third group received a dose of 0.1ppm 5) The fourth group received a dose of 0.05ppm The Second stage: Investigation of the effects of M. eupeus scorpion venom: At this stage, the mice were injected at a set dose at one stage, and the next day they were dissected and their livers were removed. At this stage, the same number of mice with the same grouping was considered. 1) Control group: operated by the method of the previous control group. 2) The first group received a dose of 1ppm 3) The second group received a dose of 0.4ppm 4) The third group received a dose of 0.2ppm 5) The fourth group received a dose of 0.1ppm J Arthropod-Borne Dis, March 2021, 15(1): 60–68 S Mojdegani-Fard et al.: The Effect of … 62 http://jad.tums.ac.ir Published Online: March 31, 2021 After removal of the organs, fixing, and tis- sue preparation, staining was performed by Eo- sin-Harris hematoxylin staining method for liv- er tissue. The slides prepared in this way were examined by light microscope with 40X mag- nification and necrosis spots were identified in them. The area and size of the spots and their frequency in 100 fields of view were measured by an image analyzer and Leica Qwin software. Results At the first round of experiment by four sub- lethal doses, we observed that three of them had visible symptoms associated with liver necro- sis except for the 0.05ppm (Table 1). At the highest dose, in addition to being more frequent, it showed a completely different pattern in terms of color intensity with other samples. Table 2 shows the frequency of stains in terms of ne- crosis severity. In this case, the color intensity of the stains is considered and according to the quality of the stains, which were sometimes very dark and sometimes very light, they are divid- ed into three categories: mild, moderate, and severe. Table 2 shows the number of color in- tense spot and severe necrosis observed in each microscopic field by 40X magnitude. As the concentration increased, the surface area of the spots initially increased, but was not an abso- lute trend, so that at concentrations of 0.5 to 1ppm, the surface area of the spots did not in- crease, but their intensity increased in terms of turbidity (Fig. 2). also the tables and diagrams show that at the highest concentration, severe spots were not seen, but the frequency of spots in this concentration was much higher than other concentrations and statistically, the dif- ference was significant. There is a 99% prob- ability with other concentrations (Figs. 3–6). In the second period of experiments, as shown in Table 3, signs of liver necrosis were observed in all doses. As observed in the ex- periments of the first stage, an increase in the size of the spots was seen with an increase in dose, but this was not an absolute trend. Also, in Figure 3, the frequency of data is given so that at higher doses the size of the spots is smaller but their number and amount of staining is increased, as shown in Table 4, at the dose of 1ppm the highest number of se- vere spots were seen and Figure 4 is compar- ing the number of color intensity of necrotic stains in sub-lethal dose of Mesobuthus eupeus venom on Nmri liver tissue in the first round of test As shown in Figure 1, no signs of necrosis were observed in the liver tissue sample of the control group, but in other images in Figure 2, in the liver tissue of mice receiving sub-lethal doses (0.1, 0.2, 0.4, 0.5 and 1ppm), necrosis is observed with a change in the size of the spots along with a change in the intensity of their staining. In images A and B, the spot level was larger, and in images C and D, the area was smaller and the color intensity was different. Fig. 1. Liver image of healthy mice receiving sterile distilled water equivalent to the volume of the injected toxin J Arthropod-Borne Dis, March 2021, 15(1): 60–68 S Mojdegani-Fard et al.: The Effect of … 63 http://jad.tums.ac.ir Published Online: March 31, 2021 Table 1. Average area of necrotic stains in sub-lethal doses of Mesobuthus eupeus venom on Nmri hepatic tissue in the first round The intensity of the color of stains Dose (ppm)/ number of necrotic stain Control 0.5 0.2 0.1 0.05 0 118.924 29.41 26.185 0 Table 2. Number of Color intense spot and severe necrosis in sub-lethal doses of Mesobuthus eupeus venom on Nmri hepatic tissue in the first round The intensity of the color of stains Dose (ppm)/ number of necrotic stain Control 0.5 0.2 0.1 0.05 Mild 0 7 2 2 0 Moderate 0 23 2 0 0 Severe 0 0 0 0 0 Table 3. Average area of necrotic stains in sub-lethal doses of Mesobuthus eupeus venom on Nmri hepatic tissue in the second period The intensity of the color of stains Dose (ppm)/ number of necrotic stain Control 1 0.4 0.2 0.1 0 75.518 93.781 60.738 31.176 Fig. 2. Symptoms of liver necrosis due to effect of sub-lethal dose of scorpion venom of Mesobuthus eupeus changes in the images of A–D represent the different intensity of staining J Arthropod-Borne Dis, March 2021, 15(1): 60–68 S Mojdegani-Fard et al.: The Effect of … 64 http://jad.tums.ac.ir Published Online: March 31, 2021 Table 4. Number of Color intense spot and severe necrosis in sub-lethal doses of Mesobuthus eupeus venom on Nmri hepatic tissue in the second period The intensity of the color of stains Dose (ppm)/ number of necrotic stain Control 1 0.4 0.2 0.1 Mild 0 1 0 1 0 Moderate 0 4 2 3 3 Severe 0 26 4 1 0 Fig. 3. Comparing the average area (μm2) of necrotic stains in sub-lethal doses (ppm) of Mesobuthus eupeus venom on Nmri liver tissue in the first round Fig. 4. Comparing the number of color intensity of necrotic stains in sub-lethal dose (ppm) of Mesobuthus eupeus ven- om on Nmri liver tissue in the first round of test J Arthropod-Borne Dis, March 2021, 15(1): 60–68 S Mojdegani-Fard et al.: The Effect of … 65 http://jad.tums.ac.ir Published Online: March 31, 2021 Fig. 5. Comparing the average area (μm2) of necrotic spots in sub-lethal doses (ppm) of Mesobuthus eupeus venom on Nmri liver tissue in the second round Fig. 6. Comparing the number of color intensity of necrotic stains in sub-lethal doses (ppm) of Mesobuthus eupeus venom on Nmri liver tissue in the second round of test J Arthropod-Borne Dis, March 2021, 15(1): 60–68 S Mojdegani-Fard et al.: The Effect of … 66 http://jad.tums.ac.ir Published Online: March 31, 2021 Discussion Phospholipase A2 is an important cause of inflammation in tissues (5). During 2005, some researcher used sub lethal doses of cobra ven- om and examined its effect on normal tissues as well as cancerous tissues such as skin, liv- er, kidney and heart tissue in animal models (rabbit), The results showed an increase in the synthesis of nucleic acids and a concentration of 25μg/ml was introduced as a therapeutic dose that prevents the increase in the production of nucleic acids and can be used in the treatment of cancerous tissues (10). In some studies, the inhibitory effect of frac- tion 3 anticancer peptide of the scorpion venom of Botus martensi crush on liver cancer cells and its mechanism of action at different concen- trations and at different times were investigated. They found that fraction 3 of the anti-cancer peptide of scorpion venom induces apoptosis endothelial in a dose-dependent manner. After 12 hours of treatment with different concen- trations of 5, 10, 50, 100 and 200mg/l of scor- pion venom, the rates of apoptosis were report- ed 6.1±3.0%, 15.3±4.9%, 48.5±5.2%, 66.7±6.5% and 91.2±6.9%, respectively. The results showed that fraction 3 of the anti-cancer peptide of scor- pion venom was able to inhibit human liver can- cer cells by inducing G2 apoptosis (11) In addition, other studies investigated the ef- fect of the SV-1 fraction of scorpion venom on the growth of SKOV3 ovarian cancer cells. The results showed that SV-1 could significantly in- hibit the growth of SKOV3 ovarian cancer cells at concentrations of 200, 400 and 800mg/l. Inhibition rates were reported at 29.87%, 48.11% and 67.77%, respectively. Therefore, they suggested that SV-1 could inhibit the pro- liferation and growth of SKOV3 ovarian can- cer cells and that changes in the cell cycle and apoptosis may be important mechanisms of SV-1 inhibitory effects (12). Necrosis, apoptosis, nuclear caryolysis, shrinkage of the cytoplasm, increase in cy- toplasmic vacuoles and mitochondrial destruc- tion are the results of the effects of animal ven- om that may be seen in various tissues (13). In Cuba, the native scorpion species Rhopalu- rus junceus has been used in traditional medi- cine to treat cancer. The researchers found a range of scorpion venom concentrations (0.1, 0.25, 0.5, 0.75 and 1mg/ml) in a panel of hu- man tumor epithelial cell lines (Hela, SiHa, Hep- 2, NCI H292, A549, MDA-MB- 231, MDA- MB-468, HT-29) used hematopoietic cells and normal cells and compared the results. Only epithelial cancer cells showed a significant re- duction in viability (IC50) of 0.6–1mg/ml and showed no effect on normal cells and hemato- poietic cells. Hela cells also showed little ef- fect on apoptosis. Among tumor cell types, A549 was the most sensitive. Necrosis caused by scorpion venom with acridine orange/ eth- idium bromide fluorescent dye showed de- creased expression of apoptosis-related genes. They concluded that the scorpion's venom has selective toxicity against epithelial cancer cells. In general, we should know that scorpion venom fractions act selectively, and those com- pounds that inhibit the progression and prolif- eration of cancer cells by inducing apoptosis have no effect on normal cells. Therefore, it does not pose a risk to the person because it only targets cancer cells (15). Necrosis studies agree the data of this study according to some others study (10, 12, 14). In this study, the number of spots did not show a significant increase with increasing dose from 0 to 0.4ppm, while increasing the number of necrosis spots increased from 0.5ppm to 1. The area of the spots increased with changes in dose from 0 to 0.5ppm (Figs. 3, 4) and did not show a significant change in the dose range of 0.5 to 1ppm (Figs. 5, 6). The intensity of necrosis spots in the dose range of 0 to 0.4ppm did not show a significant increase, while with a dose increase of 0.5 to 1ppm, a significant increase was observed. J Arthropod-Borne Dis, March 2021, 15(1): 60–68 S Mojdegani-Fard et al.: The Effect of … 67 http://jad.tums.ac.ir Published Online: March 31, 2021 Conclusion In the current study, the 0.05ppm of scor- pion’s venom of the doses used is a threshold dose for the appearance of symptoms. Signs began from the above dose and no other symp- toms were noticed seen in the lower doses. In the field of scorpion’s venom dose-response and its impacts on nucleic acid’s synthesis Fur- ther studies are strongly recommended for more explanation. Acknowledgements The authors would like to highly appreci- ate Dr H Sameni, Faculty of Medical Sciences for cooperation to the observation of micro- scopic slides and provide useful comments. This study was a part of PhD project of Sara Mo- jdegani-Fard at Department of Entomology, Sci- ence and Research Branch, Islamic Azad Uni- versity, Tehran, Iran. The authors declare that there is no conflict of interests. References 1. 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