Preventive measures are increasingly relevant to medical practice. Preconditioning, a preemptive therapy that administers mildly harmful stimuli to induce endogenous protective mechanisms before major injury, has been shown to minimize injury in many animal models. Given the elective nature of most neurosurgical procedures, the surgical brain injury (SBI) rodent model provides an ideal platform for preconditioning. Our work shows that preconditioning with Crotalus rattlesnake venom, known for its hemorrhagic and inflammatory effects, mitigates some harmful effects of SBI. We have identified two proteins of interest in Crotalus venom: snake venom metalloproteinase (SVMP), an enzyme with hemorrhagic effects, and phospholipase A2 (PLA2), an enzyme upstream to cyclooxygenase-2 (COX-2) in the inflammatory cascade. We have found that preconditioning Crotalus venom increases endogenous fibrinogen, decreases perioperative hemorrhage, attenuates COX-2 activity, and reduces postoperative brain edema. Further understanding of these enzymes may yield a novel, preventive approach to reducing perioperative hemorrhage and edema in elective neurosurgical procedures.
School of Medicine
Zhang, John H.
Doctor of Philosophy (PhD)
Year Degree Awarded
Date (Title Page)
Library of Congress/MESH Subject Headings
Crotalid Venoms - Therapeutic Use; Crotalus - Metabolism; Brain Injuries - Surgery; Brain Edema - Drug Therapy; Postoperative Hemorrhage; Neuroprotective Agents; Phospholipases - Antagonist & Inhibitors; Matrix Mettaloproteinase Inhibitors
Subject - Local
Preconditioning; Endogenous Protective Mechanisms; Surgical Brain Injury Rodent Model; Endogenous Fibrinogen; Perioperative Hemorrhage; Postoperative Brain Edema
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Kim, Cherine Hee-Sun, "Crotalus Snake Venom Preconditioning to Prevent Surgical Brain Injury" (2015). Loma Linda University Electronic Theses, Dissertations & Projects. 224.
Loma Linda University Electronic Theses and Dissertations
Loma Linda University. Del E. Webb Memorial Library. University Archives