Acutolysin A
Acutolysin A is a toxin found in the snake Agkistrodon acutus
Structure
The overall fold of Acutolysin A is composed of a twisted β-sheet core flanked by α-helices, forming the characteristic metzincin architecture. Central to this fold is the conserved “Met-turn”, a methionine-containing structural motif that stabilizes the active-site configuration. The three disulfide bonds in AaH I are strategically positioned to maintain this fold under physiological conditions and to resist thermal or proteolytic degradation. These disulfide linkages play a crucial role in preserving the shape of the catalytic cleft, ensuring maximal enzymatic activity even in harsh extracellular environments. At the active site is the HELGHNLGLH metalloproteinase motif, which binds a catalytic zinc ion in a tetrahedral geometry. Three histidine residues coordinate the zinc atom, while the fourth ligand is either a water molecule or hydroxide ion, which acts as the nucleophile in peptide bond hydrolysis. The active-site cleft forms a deep groove that accommodates collagen and laminin fibers, aligning them precisely for cleavage. This structural arrangement explains the exceptional potency of AaH I in degrading basement membranes.Agkistrodon acutus Venom
Common names for this snake include sharp nosed viper, hundred pacer, and snorkel viper. This snake is a pit viper found in the mountains of South Asia. This snake is extremely venomous having a reputation where people can only walk one hundred steps before dying. It is not uncommon for fatalities after being bitten. Bite symptoms include severe local pain and bleeding that may begin almost immediately. This is followed by considerable swelling, blistering, necrosis, and ulceration. Systemic symptoms, which often include heart palpitations, may occur suddenly and relatively soon after the bite. This venom causes people to be forced to amputate limbs and well as mesangiolysis. Mesangiolysis is the process which affects the glomerular mesangium without causing obvious damage to the capillary basement membranes. It is the degeneration and killing of the cells that line the inner layer of the glomerulus, which regulates the globular filtration in the kidney. This causes the kidney to be unable to function, resulting in death. After just two hours when the venom is injected into mice, it causes the mice to start mesangiolysis till their kidneys eventually stop working and they die. This venom contains various anticoagulant and hemorrhagic proteins that interfere with the coagulation process. There are four haemorrhagins with acutolysin A being the most portent haemorrhagic. There is a venom yield of up to 214 mg and values of 0.04 mg/kg IV, 4.0 mg/kg IP and 9.2–10.0 mg/kg SC.Acutolysin A
AaH I is a hemorrhagic toxin which means it causes internal bleeding by damaging blood vessels. AaH I damages the walls of capillaries, causes them to leak blood internally, leading to death. Herrorrhagic toxins are common among other snake venoms as well like rattlesnakes and the western diamondback. There are 5 different types of AaH in Agkistrodon acutus venom, with AaH I being the strongest herrorrhagic one. Its proteolytic activity was sensitive to pH where it was 100 times stronger in weak alkaline conditions at pH 7.5. This is referring to the break down of proteins through the enzyme proteases. Aah I has three disulfide connections at Cys117-Cys197, Cys159-Cys181 and Cys157-Cys164. There is also one calcium ion, zinc ion, and three histidine zinc ligation in the structure. Each member of the metzincins has a zinc ion in its active site. Metzincins family is metalloproteinases that use a zinc ion in the enzymatic reaction. The zinc binding in AaH I is tetrahedral, three imidazole nitrogen atoms of histidine and one oxygen atom. It is unknown whether this oxygen atom is a water molecule or a hydroxide ion. A calcium ion occurs on the surface of the AaH I molecule opposite to the active-site cleft and close to the crossover point of the N-terminal and the C-terminal segment. Its position close to the C terminus, this calcium ion in the multi-domain parent structure could well play an important role in stabilizing and tightening the segment connecting the proteolytic domain with the succeeding disintegrin domain.AaH I exerts its hemorrhagic and tissue-destructive effects primarily through its function as a zinc-dependent metalloproteinase specialized for degrading structural components of the extracellular matrix. The toxin targets the basement membrane of capillaries, which is composed largely of collagen type IV, laminin, nidogen, and heparan sulfate proteoglycans. These proteins form a scaffold that maintains capillary integrity. AaH I cleaves these ECM proteins with high efficiency, and because the toxin shows optimal activity near physiological pH, it functions extremely effectively in blood and tissue microenvironment. The active site of AaH I contains the conserved metalloproteinase motif HELGHNLGLH, where three histidine residues coordinate a catalytic zinc ion. The zinc ion polarizes a bound water molecule, allowing it to act as a potent nucleophile that attacks peptide bonds in substrate proteins. This hydrolytic attack directly destroys the structural proteins that hold endothelial cells in place, leading to rapid disruption of capillary walls. Within minutes of exposure, endothelial cells detach from their underlying basement membrane, causing vascular leakage, red blood cell extravasation, and local hemorrhage.
In addition to basement membrane breakdown, AaH I induces endothelial cell apoptosis. This is not due to direct cytotoxicity but is a secondary effect of losing the cell’s structural anchoring to the ECM, a process known as anoikis. Once endothelial cells detach, capillaries become fragile and prone to rupture under normal blood pressure. This effect explains the extremely rapid onset of local bleeding seen in victims of Agkistrodon acutus bites. AaH I also indirectly enhances hemorrhage by interfering with platelet aggregation, because ECM fragments generated by proteolysis prevent platelets from binding properly to the injury site. This prolongs bleeding and contributes to systemic effects such as hypotension and organ ischemia. When the toxin reaches the kidneys, its proteolytic activity contributes to mesangiolysis, where the supporting mesangial cells of the glomerulus detach and die, ultimately leading to renal failure.