Marcelo Larami Santoro

Dr. Marcelo Larami Santoro

orcid

Research Focus & Metrics

Academic Career Length

34Years (1993-Present)

(Calculated once Scilit publication data is synced: current year − year of first publication + 1)

Representative Publications

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1 December 2010 in Toxicon
Verified
Journal Article
Closed access
TAThatiane C. Antunes
Thatiane C. Antunes
KYKarine M. Yamashita
Karine M. Yamashita
KBKatia C. Barbaro
Katia C. Barbaro
MSMitiko Saiki
Mitiko Saiki
MSMarcelo Larami Santoro
Marcelo Larami Santoro

1 June 2008 in Toxicon
Verified
Journal Article
Closed access
MSMarcelo Larami Santoro
Marcelo Larami Santoro
ISIda S. Sano-Martins
Ida S. Sano-Martins
Hui FanHui Fan
Hui Fan
JCJoão L.C. Cardoso
João L.C. Cardoso
RTR. David G. Theakston
R. David G. Theakston
DWDavid A. Warrell
David A. Warrell

1 May 2007 in Biochimica et Biophysica Acta (BBA) - General Subjects
Verified
Journal Article
Closed access
MPMaría Elisa Peichoto
María Elisa Peichoto
PTP. Teibler
P. Teibler
Stephen MackessyStephen Mackessy
Stephen Mackessy
LLL. Leiva
L. Leiva
OAO. Acosta
O. Acosta
MSMarcelo Larami Santoro
Marcelo Larami Santoro

1 December 2011 in Toxicon
Verified
Journal Article
Closed access
CMCeila M.S. Malaque
Ceila M.S. Malaque
MSMarcelo Larami Santoro
Marcelo Larami Santoro
JCJoão Luiz C. Cardoso
João Luiz C. Cardoso
MCMayra R. Conde
Mayra R. Conde
CNChristina T.G. Novaes
Christina T.G. Novaes
Hui FanHui Fan
Hui Fan

15 May 2014 in PLOS Neglected Tropical Diseases
Verified
Journal Article
Open access
PDF file
KYKarine M Yamashita
Karine M Yamashita
AAAndré F Alves
André F Alves
KBKatia C Barbaro
Katia C Barbaro
MSMarcelo Larami Santoro
Marcelo Larami Santoro
Bleeding tendency, coagulopathy and platelet disorders are recurrent manifestations in snakebites occurring worldwide. We reasoned that by damaging tissues and/or activating cells at the site of the bite and systemically, snake venom toxins might release or decrypt tissue factor (TF), resulting in activation of blood coagulation and aggravation of the bleeding tendency. Thus, we addressed (a) whether TF and protein disulfide isomerase (PDI), an oxireductase involved in TF encryption/decryption, were altered in experimental snake envenomation; (b) the involvement and significance of snake venom metalloproteinases (SVMP) and serine proteinases (SVSP) to hemostatic disturbances. Crude Bothrops jararaca venom (BjV) was preincubated with Na2-EDTA or AEBSF, which are inhibitors of SVMP and SVSP, respectively, and injected subcutaneously or intravenously into rats to analyze the contribution of local lesion to the development of hemostatic disturbances. Samples of blood, lung and skin were collected and analyzed at 3 and 6 h. Platelet counts were markedly diminished in rats, and neither Na2-EDTA nor AEBSF could effectively abrogate this fall. However, Na2-EDTA markedly reduced plasma fibrinogen consumption and hemorrhage at the site of BjV inoculation. Na2-EDTA also abolished the marked elevation in TF levels in plasma at 3 and 6 h, by both administration routes. Moreover, increased TF activity was also noticed in lung and skin tissue samples at 6 h. However, factor VII levels did not decrease over time. PDI expression in skin was normal at 3 h, and downregulated at 6 h in all groups treated with BjV. SVMP induce coagulopathy, hemorrhage and increased TF levels in plasma, but neither SVMP nor SVSP are directly involved in thrombocytopenia. High levels of TF in plasma and TF decryption occur during snake envenomation, like true disseminated intravascular coagulation syndrome, and might be implicated in engendering bleeding manifestations in severely-envenomed patients. Although the abundance of reports about hemostatic disturbances in snakebites, few studies have addressed how crude snake venoms evoke blood coagulation disturbances in vivo. Snake venoms contain several components that disturb hemostasis, and the prevailing model claims that coagulation disturbances observed in patients are triggered directly by those toxins. However, taking into account the physiological mechanisms that activate the coagulation cascade, tissue factor might also be generated and decrypted during snake envenomation. We investigated herein if tissue factor and protein disulfide isomerase, an enzyme that controls the encryption/decryption of tissue factor, were altered during experimental envenomation in rats. We observed increased activity/expression of tissue factor at the site of venom injection, as well as in lungs, and decreased expression of protein disulfide isomerase at the site of venom injection. Moreover, tissue factor levels were raised in plasma, demonstrating thereby that this via may be crucial to activate blood coagulation in patients, especially in those more severely envenomed. We also noticed that snake venom metalloproteinases accounted for most fibrinogen consumption. Our results clarify the mechanisms that activate blood coagulation during envenomation, evidencing that true intravascular coagulation syndrome, due to increased tissue factor expression, might occur during snake envenomation in human beings.

1 August 2008 in Toxicon
Verified
Journal Article
Closed access
MMMarília B. Malta
Marília B. Malta
MLMarcela S. Lira
Marcela S. Lira
SSSabrina L. Soares
Sabrina L. Soares
GRGuilherme C. Rocha
Guilherme C. Rocha
IKIrene Knysak
Irene Knysak
KBKatia C. Barbaro
Katia C. Barbaro