In vitro cellular effects of Montivipera xanthina and Vipera ammodytes meridionalis venoms
Full-length research papers → Herpetology
Authors
Huzeyfe HÜRİYET1, Özgur VATAN1, Nilüfer ÇİNKILIÇ1, Tolga ÇAVAŞ1,*
1. Cell Culture and Genetic Toxicology Laboratory, Department of Biology, Faculty of Sciences and Arts, Bursa Uludag University, 16059 Nilüfer, Bursa, Turkey.
* Corresponding author: T. Çavaş, E-mail: tcavas@uludag.edu.tr
Keywords
<i>Montivipera xanthina</i>, <i>Vipera ammodytes meridionalis</i>, cellular effects, crude venom, <i>in vitro</i>, human lung cancer cells.
Abstract
Snake venoms, composed of diverse bioactive components and shaped by ecological dynamics, exhibit species-specific cellular effects, making them valuable models for studying adaptation and potential toxin-mediated therapeutic mechanisms. In this study, we investigated the in vitro effects of crude venoms from two viperid snake species from Turkey, Montivipera xanthina (Ottoman viper) and Vipera ammodytes meridionalis (Eastern long-nosed viper), on the human non-small-cell lung cancer cell line A549. Protein contents of the venoms were quantified using the Bradford method. Cytotoxicity and DNA damage were evaluated using the XTT and alkaline comet assays. Apoptosis, cell-cycle distribution, and intracellular reactive oxygen species (ROS) production were assessed by flow cytometry and DCFH-DA fluorescence assay. Our results demonstrate that both venoms exert cytotoxic effects on A549 cells, significantly induce DNA strand breaks, and trigger apoptosis, ROS production, and G2/M phase arrest, with V. a. meridionalis venom showing a more substantial impact than M. xanthina venom. These findings underscore the biologically active nature of M. xanthina and V. a. meridionalis venoms and support their further exploration as part of the growing understanding of venom diversity and toxin-mediated cellular effects within Viperidae.
Article history
Received: 22 October 2025 / Accepted: 28 January 2026 / Published online: 15 June 2026 / Printed: 30 June 2026
References
1. Aarti, C., Khusro, A. (2013): Snake venom as anticancer agent: current perspective. International Journal of Pure and Applied Bioscience 1: 24–29.
2. Aird, S.D. (2002): Ophidian envenomation strategies and the role of purines. Toxicon 40: 335–393.
https://doi.org/10.1016/s0041-0101(01)00232-x
3. Al-Asmari, A.K., Riyasdeen, A., Al-Shahrani, M.H., Islam, M. (2016): Snake venom causes apoptosis by increasing reactive oxygen species in colorectal and breast cancer cell lines. OncoTargets and Therapy 9: 6485–6498.
https://doi.org/10.2147/OTT.S115055
4. Almeida, J.R., Resende, L.M., Watanabe, R.K., Carregari, V.C., Huancahuire-Vega, S., Caldeira, C.A.D.S., Coutinho-Neto, A., Soares, A.M., Vale, N., Gomes, P.A.D.C., Marangoni, S., Calderon, L.D.A., Da Silva, S.L. (2017): Snake venom peptides and low mass proteins: molecular tools and therapeutic agents. Current Medicinal Chemistry 24: 3254–3282.
https://doi.org/10.2174/0929867323666161028155611
5. Alves, R.M., Antonucci, G.A., Paiva, H.H., Cintra, A.C., Franco, J.J., Mendonça-Franqueiro, E.P., Dorta, D.J., Giglio, J.R., Rosa, J.C., Fuly, A.L., Dias-Baruffi, M., Soares, A.M., Sampaio, S.V. (2008): Evidence of caspase-mediated apoptosis induced by L-amino acid oxidase isolated from Bothrops atrox snake venom. Comparative Biochemistry and Physiology Part A: Molecular and Integrative Physiology 151: 542–550.
https://doi.org/10.1016/j.cbpa.2008.07.007
6. Arıkan, H., Kumlutaş, Y., Türkozan, O., Baran, İ. (2003): Electrophoretic patterns of some viper venoms from Turkey. Turkish Journal of Zoology 27: 239–242.
7. Avella, I., Damm, M., Di Nicola, M.R., Dresler, J., İğci, N., Kariş, M., Kazemi, S. M., Kreuels, B., Paolino, G., Sarigiannis, Y., Vilcinskas, A., Wüster, W., Lüddecke, T. (2025): The biology and toxinology of blunt-nosed vipers. npj Biodiversity 4: 21.
https://doi.org/10.1038/s44185-025-00090-w
8. Badr, G., Sayed, D., Maximous, D., Mohamed, A.O., Gul, M. (2014): Increased susceptibility to apoptosis and growth arrest of human breast cancer cells treated by a snake venom-loaded silica nanoparticles. Cellular Physiology and Biochemistry 34: 1640–1651.
https://doi.org/10.1159/000366366
9. Barlow, A., Pook, C.E., Harrison, R.A., Wüster, W. (2009): Coevolution of diet and prey-specific venom activity supports the role of selection in snake venom evolution. Proceedings of the Royal Society B: Biological Sciences 276: 2443–2449.
https://doi.org/10.1098/rspb.2009.0048
10. Basumatary, M., Talukdar, A., Sharma, M., Dutta, A., Mukhopadhyay, R., Doley, R. (2024): Exploring the anticancer potential of Cytotoxin 10 from Naja kaouthia venom: mechanistic insights from breast and lung cancer cell lines. Chemico-Biological Interactions 403: 111254.
https://doi.org/10.1016/j.cbi.2024.111254
11. Bittenbinder, M.A., van Thiel, J., Cardoso, F.C., Casewell, N.R., Gutiérrez, J.M., Kool, J., Vonk, F.J. (2024): Tissue damaging toxins in snake venoms: mechanisms of action, pathophysiology and treatment strategies. Communications Biology 7: 358.
https://doi.org/10.1038/s42003-024-06019-6
12. Boda, F., Banfai, K., Garai, K., Curticapean, A., Berta, L., Sipos, E., Kvell, K. (2018): Effect of Vipera ammodytes ammodytes snake venom on the human cytokine network. Toxins 10: 259.
https://doi.org/10.3390/toxins10070259
13. Bradford, M.M. (1976): A rapid and sensitive method for the quantitation of microgram quantities of protein utilizing the principle of protein–dye binding. Analytical Biochemistry 72: 248–254.
https://doi.org/10.1016/0003-2697(76)90527-3
14. Bradshaw, M.J., Saviola, A.J., Fesler, E., Mackessy, S.P. (2016): Evaluation of cytotoxic activities of snake venoms toward breast (MCF-7) and skin cancer (A-375) cell lines. Cytotechnology 68: 687–700.
https://doi.org/10.1007/s10616-014-9820-2
15. Bustillo, S., Van de Velde, A.C., Matzner Perfumo, V., Gay, C.C., Leiva, L.C. (2017): Apoptosis induced by a snake venom metalloproteinase from Bothrops alternatus venom in C2C12 muscle cells. Apoptosis 22: 491–501.
https://doi.org/10.1007/s10495-017-1350-x
16. Cardoso Trento, M.V., de Faria Eleutério, M.W., Silva Abreu, T., Andrade Machado, G.H., Cesar, P.H., Assaid Simão, A., Marcussi, S. (2019): The protective effect exerted by ascorbic acid on DNA fragmentation of human leukocytes induced by Lachesis muta muta venom. Journal of Cellular Biochemistry 120: 3520–3528.
https://doi.org/10.1002/jcb.27628
17. Çelen, Ç., Keçeciler, C., Karış, M., Göçmen, B., Yeşil-Çeliktas, Ö., Nalbantsoy, A. (2018): Cytotoxicity of silica nanoparticles with Transcaucasian nose-horned viper (Vipera ammodytes transcaucasiana) venom on U87MG and SH-SY5Y neuronal cancer cells. Applied Biochemistry and Biotechnology 186: 350–357.
https://doi.org/10.1007/s12010-018-2742-2
18. Chaisakul, J., Hodgson, W.C., Kuruppu, S., Prasongsook, N. (2016): Effects of animal venoms and toxins on hallmarks of cancer. Journal of Cancer 7: 1571–1578.
https://doi.org/10.7150/jca.15309
19. Chen, J. (2016): The cell-cycle arrest and apoptotic functions of p53 in tumor initiation and progression. Cold Spring Harbor Perspectives in Medicine 6(3): a026104.
https://doi.org/10.1101/cshperspect.a026104
20. Cheng, Y.C., Wang, J.J., Chang, L.S. (2008): B chain is a functional subunit of beta-bungarotoxin for inducing apoptotic death of human neuroblastoma SK-N-SH cells. Toxicon 51: 304–315.
https://doi.org/10.1016/j.toxicon.2007.10.006
21. Costa, S., Coelho, P., Costa, C., Silva, S., Mayan, O., Santos, L.S., Gaspar, J., Teixeira, J.P. (2008): Genotoxic damage in pathology anatomy laboratory workers exposed to formaldehyde. Toxicology 252: 40–48.
https://doi.org/10.1016/j.tox.2008.07.056
22. Costa, T.R., Amstalden, M.K., Ribeiro, D.L., Menaldo, D.L., Sartim, M.A., Aissa, A.F., Antunes, L.M., Sampaio, S.V. (2018): CR-LAAO causes genotoxic damage in HepG2 tumor cells by oxidative stress. Toxicology 404–405: 42–48.
https://doi.org/10.1016/j.tox.2018.05.005
23. de Moura Leão, M.F., Duarte, J.A., Sauzen, P.D., Piccoli, J.D., de Oliveira, L.F., Machado, M.M. (2018): Cytotoxic and genotoxic effects of antihypertensives distributed in Brazil by social programs: are they safe? Environmental Toxicology and Pharmacology 63: 1–5.
https://doi.org/10.1016/j.etap.2018.08.005
24. da Silva, J.R., Castro-Amorim, J., Mukherjee, A.K., Ramos, M.J., Fernandes, P.A. (2025): The application of snake venom in anticancer drug discovery: an overview of the latest developments. Expert Opinion on Drug Discovery 20: 317–335.
https://doi.org/10.1080/17460441.2025.2465364
25. Damm, M., Kariş, M., Petras, D., Nalbantsoy, A., Göçmen, B., Süssmuth, R.D. (2024): Venomics and peptidomics of Palearctic vipers: a clade-wide analysis of seven taxa of the genera Vipera and Montivipera across Türkiye. Journal of Proteome Research 23: 3524–3541.
https://doi.org/10.1021/acs.jproteome.4c00171
26. Díaz, C., Valverde, L., Brenes, O., Rucavado, A., Gutiérrez, J.M. (2005): Characterization of events associated with apoptosis/anoikis induced by snake venom metalloproteinase BaP1 on human endothelial cells. Journal of Cellular Biochemistry 94: 520–528.
https://doi.org/10.1002/jcb.20322
27. Doumanov, J., Mladenova, K., Topouzova-Hristova, T., Stoitsova, S., Petrova, S. (2015): Effects of vipoxin and its components on HepG2 cells. Toxicon 94: 36–44.
https://doi.org/10.1016/j.toxicon.2014.12.009
28. Dowell, N.L., Cahill, E., Carroll, S.B. (2025): Loss of a major venom toxin gene in a Western diamondback rattlesnake population. PLoS ONE 20: e0319316.
https://doi.org/10.1371/journal.pone.0319316
29. Foster, K.A., Oster, C.G., Mayer, M.M., Avery, M.L., Audus, K.L. (1998): Characterization of the A549 cell line as a type II pulmonary epithelial model for drug metabolism. Experimental Cell Research 243: 359–366.
https://doi.org/10.1006/excr.1998.4172
30. Fox, J.W., Serrano, S.M. (2005): Structural considerations of the snake venom metalloproteinases, key members of the M12 reprolysin family of metalloproteinases. Toxicon 45: 969–985.
https://doi.org/10.1016/j.toxicon.2005.02.012
31. Georgieva, D.N., Risch, M., Kardas, A., Buck, F., von Bergen, M., Betzel, C. (2008): Comparative analysis of the venom proteomes of Vipera ammodytes ammodytes and Vipera ammodytes meridionalis. Journal of Proteome Research 7: 866-886.
https://doi.org/10.1021/pr070376c
32. Goranova, Y., Stoykova, S., Samnaliev, I., Atanasov, V. (2020): Effect of vipoxin (Vipera ammodytes meridionalis) and its components on neuromuscular transmission. Interdisciplinary Toxicology 13: 21–27.
https://doi.org/10.2478/intox-2020-0003
33. Gutiérrez, J.M., Escalante, T., Rucavado, A., Herrera, C. (2016): Hemorrhage caused by snake venom metalloproteinases: a journey of discovery and understanding. Toxins 8: 93.
https://doi.org/10.3390/toxins8040093
34. Harris, R.J., Zdenek, C.N., Nouwens, A., Sweeney, C., Dunstan, N., Fry, B.G. (2020): A symmetry or asymmetry: functional and compositional comparison of venom from the left and right glands of the Indochinese spitting cobra (Naja siamensis). Toxicon X 7: 100050.
https://doi.org/10.1016/j.toxcx.2020.100050
35. Hempel, B.F., Damm, M., Göçmen, B., Karış, M., Oğuz, M.A., Nalbantsoy, A., Süssmuth, R.D. (2018): Comparative venomics of the Vipera ammodytes transcaucasiana and Vipera ammodytes montandoni from Turkey provides insights into kinship. Toxins 10: 23.
https://doi.org/10.3390/toxins10010023
36. Hiu, J.J., Yap, M.K.K. (2020): Cytotoxicity of snake venom enzymatic toxins: phospholipase A₂ and L-amino acid oxidase. Biochemical Society Transactions 48: 719–731.
https://doi.org/10.1042/BST20200110
37. Holding, M.L., Strickland, J.L., Rautsaw, R.M., Hofmann, E.P., Mason, A.J., Hogan, M.P., Nystrom, G.S., Ellsworth, S.A., Colston, T.J., Borja, M., Castañeda-Gaytán, G.I., Grünwald, C.I., Jones, J.M., Freitas-de-Sousa, L.A., Vial, V.L., Margres, M.J., Hingst-Zaher, E., Junqueira-de-Azevedo, I.L.M., Parkinson, C.L. (2021): Phylogenetically diverse diets favor more complex venoms in North American pitvipers. Proceedings of the National Academy of Sciences 118: e2015579118.
https://doi.org/10.1073/pnas.2015579118
38. İğci, N., Nalbantsoy, A., Erkan, L.G., Akça, G.Y., Yalçın, H.T., Yalçın, M., Göçmen, B. (2016): Screening of cytotoxic, anti-angiogenic, anti-tumorigenic, and antimicrobial activities of Anatolian Vipera ammodytes (nose-horned viper) venom. Turkish Journal of Biochemistry 41: 483–491.
https://doi.org/10.1515/tjb-2016-0195
39. Jablonski, D., Zerzán, D., Çiçek, K. (2015): Scorpions as prey for Ottoman viper, Montivipera xanthina: the first record from southwestern Anatolia, Turkey. Biharean Biologist 9: 78–79.
40. Kerkkamp, H., Bagowski, C., Kool, J., van Soolingen, B., Vonk, F.J., Vlecken, D. (2018): Whole snake venoms: cytotoxic, anti-metastatic and antiangiogenic properties. Toxicon 150: 39–49.
https://doi.org/10.1016/j.toxicon.2018.05.004
41. Kini, R.M., Evans, H.J. (1989): A model to explain the pharmacological effects of snake venom phospholipases A2. Toxicon 27: 613–635.
https://doi.org/10.1016/0041-0101(89)90013-5
42. Koh, C.Y., Kini, R.M. (2012): From snake venom toxins to therapeutics: cardiovascular examples. Toxicon 59: 497–506.
https://doi.org/10.1016/j.toxicon.2011.03.017
43. Kurkute, P.P., Jadhav, A., Pandit, S.V. (2023): Anticancer potential and cytotoxic activity of NN-32, a snake venom peptide, against A549 lung cancer cell line. International Journal of Peptide Research and Therapeutics 29: 67.
https://doi.org/10.1007/s10989-023-10527-0
44. Leonardi, A., Sajevic, T., Pungerčar, J., Križaj, I. (2019): Comprehensive study of the proteome and transcriptome of the venom of the most venomous European viper: discovery of a new subclass of ancestral snake venom metalloproteinase precursor-derived proteins. Journal of Proteome Research 18: 2287–2309.
https://doi.org/10.1021/acs.jproteome.9b00120
45. Lewińska, A., Jarosz, P., Czech, J., Rzeszutek, I., Bielak-Żmijewska, A., Grabowska, W., Wnuk, M. (2015): Capsaicin-induced genotoxic stress does not promote apoptosis in A549 human lung and DU145 prostate cancer cells. Mutation Research/Genetic Toxicology and Environmental Mutagenesis 779: 23–34.
https://doi.org/10.1016/j.mrgentox.2015.02.003
46. Li, L., Huang, J., Lin, Y. (2018): Snake venoms in cancer therapy: past, present and future. Toxins 10: 346.
https://doi.org/10.3390/toxins10090346
47. Lieber, M., Smith, B., Szakal, A., Nelson-Rees, W., Todaro, G. (1976): A continuous tumor-cell line from a human lung carcinoma with properties of type II alveolar epithelial cells. International Journal of Cancer 17: 62–70.
https://doi.org/10.1002/ijc.2910170110
48. Lopes-de-Souza, L., Costal-Oliveira, F., Stransky, S., Fonseca de Freitas, C., Guerra-Duarte, C., Braga, V.M.M., Chávez-Olórtegui, C. (2019): Development of a cell-based in vitro assay as a possible alternative for determining bothropic antivenom potency. Toxicon 170: 68–76.
https://doi.org/10.1016/j.toxicon.2019.09.010
49. Marcussi, S., Santos, P.R., Menaldo, D.L., Silveira, L.B., Santos-Filho, N.A., Mazzi, M.V., Da Silva, S.L., Stábeli, R.G., Antunes, L.M., Soares, A.M. (2011): Evaluation of the genotoxicity of Crotalus durissus terrificus snake venom and its isolated toxins on human lymphocytes. Mutation Research 724: 59–63.
https://doi.org/10.1016/j.mrgentox.2011.06.004
50. Marcussi, S., Stábeli, R.G., Santos-Filho, N.A., Menaldo, D.L., Silva Pereira, L.L., Zuliani, J.P., Calderon, L.A., Da Silva, S.L., Antunes, L.M., Soares, A.M. (2013): Genotoxic effect of Bothrops snake venoms and isolated toxins on human lymphocyte DNA. Toxicon 65: 9–14.
https://doi.org/10.1016/j.toxicon.2012.12.020
51. Marinho, A.D., da Silva, E.L., Portilho, A.J. de S., de Oliveira, L.L.B., Bezerra, E.C.A., Nogueira, B.M.D., Leitão-Araújo, M., Machado-Alves, M.L., Correa Neto, C., Ferreira, R.S. Jr., Moreira-Nunes, C. de F.A., de Moraes, M.E.A., Jorge, R.J.B., Montenegro, R.C. (2024): Three snake venoms from Bothrops genus induced apoptosis and cell cycle arrest in K562 human leukemic cell line. Toxicon 238: 107547.
https://doi.org/10.1016/j.toxicon.2023.107547
52. Markland, F.S. (1998): Snake venoms and the hemostatic system. Toxicon 36: 1749–1800.
https://doi.org/10.1016/S0041-0101(98)00126-3
53. Modahl, C.M., Mrinalini, Frietze, S., Mackessy, S.P. (2018): Adaptive evolution of distinct prey-specific toxin genes in the Amazon puffing snake (Spilotes sulphureus). Proceedings of the Royal Society B: Biological Sciences 285: 20182684.
https://doi.org/10.1098/rspb.2018.1003
54. Moridikia, A., Zargan, J., Sobati, H.R., Goodarzi, H.R., Hajinourmohamadi, A. (2018): Anticancer and antibacterial effects of Iranian viper (Vipera latifii) venom: an in vitro study. Journal of Cellular Physiology 233: 6790–6797.
https://doi.org/10.1002/jcp.26428
55. Munawar, A., Trusch, M., Georgieva, D., Spencer, P., Frochaux, V., Harder, S., Arni, R.K., Duhalov, D., Genov, N., Schlüter, H., Betzel, C. (2011): Venom peptide analysis of Vipera ammodytes meridionalis (Viperinae) and Bothrops jararacussu (Crotalinae) demonstrates subfamily-specificity of the peptidome in the family Viperidae. Molecular BioSystems 7: 3298–3307.
https://doi.org/10.1039/c1mb05309d
56. Nalbantsoy, A., Erel, S.B., Köksal, C., Göçmen, B., Yıldız, M.Z., Karabay Yavaşoğlu, N.U. (2013): Viper venom-induced inflammation with Montivipera xanthina (Gray, 1849) and the anti-snake venom activities of Artemisia absinthium L. in rat. Toxicon 65: 34–40.
https://doi.org/10.1016/j.toxicon.2012.12.017
57. Nalbantsoy, A., İğci, N., Göçmen, B., Mebert, K. (2016): Cytotoxic potential of Wagner’s viper (Montivipera wagneri) venom. North-Western Journal of Zoology 12: 286–291.
58. Nalbantsoy, A., Hempel, B.F., Petras, D., Heiss, P., Göçmen, B., İğci, N., Yıldız, M.Z., Süssmuth, R.D. (2017): Combined venom profiling and cytotoxicity screening of the Radde’s mountain viper (Montivipera raddei) and Mount Bulgar viper (Montivipera bulgardaghica) with potent cytotoxicity against human A549 lung carcinoma cells. Toxicon 135: 71–83.
https://doi.org/10.1016/j.toxicon.2017.06.008
59. Ochoa-Mosquera, J., Montoya-Gómez, A., Jiménez-Charris, E. (2024): Snake venom toxins as potential therapeutic agents in the treatment of prostate cancer. Molecular Biology Reports 51: 1153.
https://doi.org/10.1007/s11033-024-09970-z
60. Olaoba, O.T., Karina dos Santos, P., Selistre-de-Araujo, H.S., Ferreira de Souza, D.H. (2020): Snake venom metalloproteinases (SVMPs): a structure-function update. Toxicon X 7: 100052.
https://doi.org/10.1016/j.toxcx.2020.100052
61. Park, M.H., Son, D.J., Kwak, D.H., Song, H.S., Oh, K.W., Yoo, H.S., Lee, Y.M., Song, M.J., Hong, J.T. (2009): Snake venom toxin inhibits cell growth through induction of apoptosis in neuroblastoma cells. Archives of Pharmacal Research 32: 1545–1554.
https://doi.org/10.1007/s12272-009-2106-0
62. Qiao, Z., Jones, L., Bourke, L.A., Seneci, L., Chowdhury, A., Violette, A., Fourmy, R., Soria, R., Aldridge, M., Fry, B.G. (2024): Tiny but mighty: Vipera ammodytes meridionalis (Eastern long-nosed viper) ontogenetic venom variations in procoagulant potency and the impact on antivenom efficacies. Toxins 16: 396.
https://doi.org/10.3390/toxins16090396
63. Ramesh, D., Bakkannavar, S.M., Kumar, G., Bhat, V.R. (2025): Exploring snake venom-derived molecules for cancer treatment: challenges and opportunities. Journal of Applied Pharmaceutical Science 15: 8–22.
https://doi.org/10.7324/JAPS.2025.220739
64. Rayapati, A., Vemulapati, B., Chanda, C. (2024): Cobra (Naja naja) venom L-amino acid oxidase (NNLAAO70) induces apoptosis and secondary necrosis in human lung epithelial cancer cells. Journal of Biosciences 49: 43.
65. Resiere, D., Mehdaoui, H., Neviere, R. (2022): Inflammation and oxidative stress in snakebite envenomation: a brief descriptive review and clinical implications. Toxins 14: 802.
https://doi.org/10.3390/toxins14110802
66. Rigoni, M., Paoli, M., Milanesi, E., Caccin, P., Rasola, A., Bernardi, P., Montecucco, C. (2008): Snake phospholipase A₂ neurotoxins enter neurons, bind specifically to mitochondria, and open their transition pores. Journal of Biological Chemistry 283: 34013–34020.
https://doi.org/10.1074/jbc.m803243200
67. Roman-Ramos, H., Ho, P.L. (2024): Current technologies in snake venom analysis and applications. Toxins 16: 458.
https://doi.org/10.3390/toxins16110458
68. Rokyta, D.R., Lemmon, A.R., Margres, M.J., Aronow, K. (2012): The venom-gland transcriptome of the eastern diamondback rattlesnake (Crotalus adamanteus). BMC Genomics 13: 312.
https://doi.org/10.1186/1471-2164-13-312
69. Sawan, S., Yaacoub, T., Hraoui-Bloquet, S., Sadek, R., Hleihel, W., Fajloun, Z., Karam, M. (2017): Montivipera bornmuelleri venom selectively exhibits high cytotoxic effects on keratinocyte cancer cell lines. Experimental and Toxicologic Pathology 69: 173–178.
https://doi.org/10.1016/j.etp.2017.01.001
70. Scudiero, D.A., Shoemaker, R.H., Paull, K.D., Monks, A., Tierney, S., Nofziger, T.H., Currens, M.J., Seniff, D., Boyd, M.R. (1988): Evaluation of a soluble tetrazolium/formazan assay for cell growth and drug sensitivity in culture using human and other tumor cell lines. Cancer Research 48: 4827–4833.
71. Shebl, R.I., Mohamed, A.F., Ali, A.E., Amin, M.A. (2012): Cerastes cerastes and Vipera lebetina snake venoms apoptotic–stimulating activity to human breast cancer cells and related gene modulation. Journal of Cancer Science & Therapy 4: 317–323.
https://doi.org/10.4172/1948-5956.1000161
72. Siigur, J., Siigur, E. (2022): Biochemistry and toxicology of proteins and peptides purified from the venom of Vipera berus berus. Toxicon X 15: 100131.
https://doi.org/10.1016/j.toxcx.2022.100131
73. Silva, M.A., Lopes, D.S., Teixeira, S.C., Gimenes, S.N., Azevedo, F.V., Polloni, L., Borges, B.C., da Silva, M.S., Barbosa, M.J., Oliveira Júnior, R.J., Elias, M.C., da Silva, C.V., Yoneyama, K.A., de Melo Rodrigues, V., Rodrigues, R.S. (2018): Genotoxic effects of BnSP-6, a Lys-49 phospholipase A₂ (PLA₂) homologue from Bothrops pauloensis snake venom, on MDA-MB-231 breast cancer cells. International Journal of Biological Macromolecules 118: 311–319.
https://doi.org/10.1016/j.ijbiomac.2018.06.082
74. Singh, N.P., McCoy, M.T., Tice, R.R., Schneider, E.L. (1988): A simple technique for quantitation of low levels of DNA damage in individual cells. Experimental Cell Research 175: 184–191.
https://doi.org/10.1016/0014-4827(88)90265-0
75. Sjakste, N., Gajski, G. (2023): A review on genotoxic and genoprotective effects of biologically active compounds of animal origin. Toxins 15(2): 165.
https://doi.org/10.3390/toxins15020165
76. Smith, C.F., Nikolakis, Z.L., Ivey, K., Perry, B.W., Schield, D.R., Balchan, N.R., Parker, J., Hansen, K.C., Saviola, A.J., Castoe, T.A., Mackessy, S.P. (2023): Snakes on a plain: biotic and abiotic factors determine venom compositional variation in a wide-ranging generalist rattlesnake. BMC Biology 21: 136.
https://doi.org/10.1186/s12915-023-01626-x
77. Song, J.K., Jo, M.R., Park, M.H., Song, H.S., An, B.J., Song, M.J., Han, S.B., Hong, J.T. (2012): Cell growth inhibition and induction of apoptosis by snake venom toxin in ovarian cancer cells via inactivation of nuclear factor κB and signal transducer and activator of transcription 3. Archives of Pharmacal Research 35: 867–876.
https://doi.org/10.1007/s12272-012-0512-1
78. Stransky, S., Costal-Oliveira, F., Lopes-de-Souza, L., Guerra-Duarte, C., Chávez-Olórtegui, C., Braga, V.M.M. (2018): İn vitro assessment of cytotoxic activities of Lachesis muta muta snake venom. PLoS Neglected Tropical Diseases 12: e0006427.
https://doi.org/10.1371/journal.pntd.0006427
79. Sunagar, K., Moran, Y. (2015): The rise and fall of an evolutionary innovation: contrasting strategies of venom evolution in ancient and young animals. PLoS Genetics 11: e1005596.
https://doi.org/10.1371/journal.pgen.1005596
80. Suzergoz, F., Igci, N., Cavus, C., Yildiz, M., Coskun, M.B., Gocmen, B. (2016): İn vitro cytotoxic and proapoptotic activities of Anatolian Macrovipera lebetina obtusa (Dwigubski, 1832) crude venom on cultured K562 human myelogenous leukemia cells. International Journal of Hematology and Oncology 26: 37–46.
81. Suzuki, K., Nakamura, M., Hatanaka, Y., Kayanoki, Y., Tatsumi, H., Taniguchi, N. (1997): Induction of apoptotic cell death in human endothelial cells treated with snake venom: Implication of intracellular reactive oxygen species and protective effects of glutathione and superoxide dismutases. Journal of Biochemistry 122: 1260–1264.
https://doi.org/10.1093/oxfordjournals.jbchem.a021890
82. Tanjoni, I., Weinlich, R., Della-Casa, M.S., Clissa, P.B., Saldanha-Gama, R.F., de Freitas, M.S., Barja-Fidalgo, C., Amarante-Mendes, G.P., Moura-da-Silva, A.M. (2005): Jararhagin, a snake venom metalloproteinase, induces a specialized form of apoptosis (anoikis) selective to endothelial cells. Apoptosis 10: 851–861.
https://doi.org/10.1007/s10495-005-2945-1
83. Uetz, P., Freed, P, Aguilar, R., Reyes, F., Kudera, J., Hošek, J. (eds.) (2026): The Reptile Database,
http://www.reptile-database.org accessed 14.01.2026.
84. Valdés-Arellanes, M., Ortega-Hernández, G., Cervantes-Santos, D.M., Rendón-Barrón, M.J., Madrigal-Santillán, E.O., Morales-González, J.A., Paniagua-Pérez, R., Madrigal-Bujaidar, E., Álvarez-González, I. (2021): In vivo genotoxic cytotoxic evaluation of venom obtained from species Ophryacus cope. Toxin Reviews 41: 1115-1123.
https://doi.org/10.1080/15569543.2021.1975752
85. Waheed, H., Moin, S.F., Choudhary, M.I. (2017): Snake venom: From deadly toxins to life-saving therapeutics. Current Medicinal Chemistry 24: 1874–1891.
https://doi.org/10.2174/0929867324666170605091546
86. Xu, H., Bittenbinder, M.A., Slagboom, J., Casewell, N.R., Jennings, P., Kool, J. (2026): Profiling cytotoxicity of nanofractionated elapid snake venoms in human cell lines representing different tissues. Journal of Pharmaceutical Analysis 16: 101398.
https://doi.org/10.1016/j.jpha.2025.101398
87. Yalçın, H.T., Özen, M.O., Göçmen, B., Nalbantsoy, A. (2014): Effect of Ottoman viper (Montivipera xanthina (Gray, 1849)) venom on various cancer cells and on microorganisms. Cytotechnology 66: 87–94.
https://doi.org/10.1007/s10616-013-9540-z
88. Zona Rubio, D.C., Aragón, D.M., Almeida Alves, I. (2025): Innovations in snake venom-derived therapeutics: a systematic review of global patents and their pharmacological applications. Toxins 17: 136.
https://doi.org/10.3390/toxins17030136