Previously, we established delayed jellyfish envenomation syndrome (DJES) models and proposed that the hemorrhagic toxins in jellyfish tentacle extracts (TE) play a significant role in the liver and kidney
injuries of the experimental model. Further, we also demonstrated that
metalloproteinases are the central toxic components of the jellyfish Cyanea capillata (C. capillata), which may be responsible for the hemorrhagic effects. Thus,
metalloproteinase inhibitors appear to be a promising therapeutic alternative for the treatment of hemorrhagic
injuries in DJES. In this study, we examined the
metalloproteinase activity of TE from the jellyfish C. capillata using zymography analyses. Our results confirmed that TE possessed a
metalloproteinase activity, which was also sensitive to heat. Then, we tested the effect of
metalloproteinase inhibitor
batimastat (BB-94) on TE-induced hemorrhagic
injuries in DJES models. Firstly, using SR-based X-ray microangiography, we found that
BB-94 significantly improved TE-induced hepatic and renal microvasculature alterations in DJES mouse model. Secondly, under
synchrotron radiation micro-computed tomography (SR-μCT), we also confirmed that
BB-94 reduced TE-induced hepatic and renal microvasculature changes in DJES rat model. In addition, being consistent with the imaging results, histopathological and
terminal deoxynucleotidyl transferase-mediated
UTP end labeling (TUNEL)-like staining observations also clearly corroborated this hypothesis, as
BB-94 was highly effective in neutralizing TE-induced extensive
hemorrhage and
necrosis in DJES rat model. Although it may require further clinical studies in the near future, the current study opens up the possibilities for the use of the
metalloproteinase inhibitor,
BB-94, in the treatment of multiple organ hemorrhagic
injuries in DJES.