Immunogenicity of two representative American consensus scorpion neurotoxins from the genera Tityus and Centruroides

TL;DR

This study shows that a designed toxin from the Centruroides genus is more effective at generating antibodies that neutralize scorpion venom than one from the Tityus genus.

Contribution

The novel contribution is the rational design and evaluation of two consensus scorpion toxins for their immunogenicity and antivenom potential.

Findings

rNATx elicited a stronger immune response and neutralized more venom than rSATx.

Anti-rNATx antibodies neutralized up to 3LD50 of Centruroides venoms with 1-1.5 mg.

rNATx may improve antivenom efficacy against scorpion envenomation.

Abstract

Two consensus scorpion toxins derived from venoms of the genera Centruroides (NATx, North America), and Tityus (SATx, South America) were rationally designed and recombinantly expressed in Escherichia coli Origami. Both recombinant proteins were produced as inclusion bodies and subsequently purified and refolded in vitro to obtain biologically active isoforms. The expression yields were approximately 1 mg/L for rNATx and 0.5 mg/L for rSATx. Structural characterization by circular dichroism spectroscopy revealed that rNATx and rSATx exhibited folding patterns typical of scorpion β-toxins. The purified recombinant toxins were used as immunogens to raise polyclonal antibodies in New Zealand rabbits. The resulting antisera were evaluated for their capacity to neutralize isolated toxins and whole scorpion venoms. rNATx elicited a stronger immune response and showed superior immunogenicity compared to rSATx. Notably, 1-1.5 mg of anti-rNATx antibodies were sufficient to neutralize up to 3LD50 of venoms from the most medically relevant Centruroides species in México. On the other hand, approximately 20 mg of anti-rSATx antibodies were required to neutralize only 2LD50 of Tityus venoms. Additionally, T-cell subsets quantified by flow cytometry showed that rNATx is more immunogenic and probably confers improved antivenom efficacy, highlighting its potential application in the development of broad-spectrum antivenoms against scorpion envenomation.

Scorpion stings are considered a neglected health problem in tropical areas, with incidences reaching several hundred or thousands each year. Scorpion sting envenomation causes various symptoms, including pain, dizziness, nausea, vomiting, and in some cases, death. In the American continent, two genera of buthid scorpions are of medical importance: Centruroides and Tityus. Treating scorpion envenomations in American tropical countries involves the use of specific antivenoms; however, their efficacy may vary among scorpion species. In this work, we demonstrate that the de novo design of two scorpion toxins, here named rNATx and rSATx, which are representative of the genera Centruroides and Tiyus, respectively, was able to elicit an immune response in rabbits, whose antibodies were able to neutralize scorpion venoms and native toxins isolated from American buthid scorpions.

Figures

Electrophoretic profile of rNATx and rSATx, including a western blot analysis.a) An SDS-PAGE 15% was carried out, where line 1 represents the molecular weight markers, 2. E. coli without inducer (IPTG), and the lines from 3 to 8 show several E. coli colonies that were induced with IPTG 1 mM, producing the rNATx around 10 kDa. b) A western blot was performed using the same samples previously used; the transfer was incubated with a monoclonal anti-histidine antibody, and bands around 10 kDa were visible using the antibodies. c) An SDS-PAGE 15% was performed, where line 1 corresponds to the molecular weight marker, 2. E. coli cells without inducer and lines 3 to 8 belong to those cells that were supplemented with inducer (1 mM IPTG), expressing the rSATx visualized at 10 kDa. d) A western blot was performed using the previous samples and the transfer was incubated with a monoclonal antibody for His-tag recognition, and bands around 10 kDa showed up, belonging to the expression of rSATx. Boxes indicate the expression and detection of recombinant proteins.

Purification of inclusion bodies by affinity chromatography.After disrupting the cells, both toxins were accumulated in inclusion bodies (IB), a) rNATx, a 15% SDS-PAGE, where line 1 is the molecular weight markers, line 2 and 3 are E. coli without and with IPTG, respectively, line 4 corresponds to the soluble fraction, and line 5 is rNATx IB. b) Affinity purification of rNATx IB, line 1, molecular weight marker, line 2, recirculating proteins, line 3, first wash with 30 mM imidazole, lines 4-14, protein elution using 400 mM imidazole. c) rSATx, a 15% SDS-PAGE, where line 1 is the molecular weight markers, line 2 and 3 are E. coli without and with IPTG, respectively, line 4 corresponds to the soluble fraction, and line 5 is rSATx IB. d) Affinity purification of rSATx IB, line 1, molecular weight marker, line 2, recirculating proteins, line 3, first wash with 30 mM imidazole, lines 4-14, protein elution using 400 mM imidazole. Boxes indicate the expression of recombinant proteins.

RP-HPLC of rNATx and rSATx.a) active isoform and reduced state of rNATx. b) active isoform and reduced state of rSATx. The purification steps were applied using an analytical C18 reversed-phase column (Vydac 214 TP 4.6 x 250 mm, Hesperia, CA, USA) through a linear gradient using solvent A (0.1% trifluoroacetic acid, TFA, in water) and solvent B (0.1% TFA in acetonitrile). The linear gradient started from 20% solvent B for 45 min at a flow rate of 1 mL/min and was monitored with UV detection at 230 nm.

Circular dichroism of recombinant proteins rNATx, rSATx, and rCssII.The secondary structure analysis of active isoforms of rNATx, rSATx, and rCssII of the CD spectra was analyzed according to Micsonai [45].

Antibody recognition of rabbit IgGs to Centruroides and Tityus species.a) EC50 and CI in parentheses for C. tecomanus, C. suffusus, C. limpidus, C. noxius, and rNATx were 0.0042 (0.0039 – 0.0046), 0.0049 (0.0045 – 0.0053), 0.0037 (0.0034 – 0.0040), 0.0042 (0.0039 – 0.0046), 0.0017 (0.0011 – 0.0022), respectively. b) EC50 and CI in parentheses for T. serrulatus. T. jaimei, T. festae, and rSATx were 1.04 (0.94 – 1.27), 1.32 (1.13 – 1.53), 1.39 (1.28 – 1.50), 0.13 (0.12 – 0.14), respectively. c) and d) Venom of the Mexican rattlesnake Crotalus willardi was used as a negative control in each ELISA experiment. Points represent the mean of triplicates.

EC50 values obtained from anti-rNATx and anti-rSATx.a) EC50 values using anti-rNATx against Centruroides scorpion venoms; b) EC50 values using anti-rSATx against Tityus scorpion venoms. Venom of the Mexican rattlesnake C. willardi was used as a negative control. All ELISA assays were made in triplicate, and data were obtained through dose-response analyses.

T-cell immunophenotype analysis. Representative flow-cytometry plots illustrating the T-lymphocyte immunophenotyping strategy.Events were first gated on singlets based on FSC-H versus FSC-A, followed by identification of total leukocytes using SSC versus CD45 expression. CD3 ⁺ T-lymphocytes were subsequently gated, and T-cell subsets were resolved based on CD4 and CD8 expression. Quadrant gating was applied to define CD4 ⁺ , CD8 ⁺ , double-positive (CD4 ⁺ CD8⁺), and double-negative populations. Representative density plots are shown for control conditions and experimental treatments.

Effects of rNATx and rSATx on T-cell absolute counts and subset distribution.Human peripheral blood mononuclear cells (PBMCs) from healthy donors were incubated for 24 h with scorpion toxins rNATx or rSATx at 1, 10, or 20 µg per 200 µL reaction volume. Absolute numbers of total T-cells (CD3⁺) and T-cell subsets (CD4 ⁺ , CD8 ⁺ , and CD4 ⁺ CD8 ⁺ double-positive cells) were determined by flow cytometry using counting beads. Bar graphs represent mean ± SD from triplicate measurements. rSATx exposure did not induce marked changes in total T-cell counts or subset distribution across the concentrations tested.

Full text

1 Introduction

The global incidence of scorpion envenomation is estimated to be up to 1.5 million accidents and 2,600 deaths per year [1,2]. The antivenom used nowadays is considered the unique treatment for scorpion envenoming [3]. Peptides are the most studied scorpion venom toxins because some of them are neurotoxic to humans. Although there are neurotoxins that act on different voltage-gated ion channels, such as Na_v_, K_v_, and Ca_v_, those neurotoxins that affect Na_v_ are considered the main components for triggering envenoming [4]. Neurotoxins that affect Na_v_ can be separated into two groups despite sharing similar three-dimensional structures. The first group delays or changes the Na_v_ inactivation, and the second one changes the opening of Nav to more negative potentials [5]. All these scorpion Na^+^ toxins are peptides of 60–76 amino acids stabilized by four disulfide bonds [6]. That is, two segments of helix plus a triple-sheet are presented; these regions are connected by variable loops, adopting an α/β-structure [7].

In America, one of the two most dangerous genera of scorpions is represented by the Tityus genus, which is distributed in Central and South America [8]. The incidences by Tityus species could reach up to 30–200 cases/100,000 inhabitants in countries including mainly Trinidad and Tobago, Costa Rica, Panama, Colombia, Venezuela, Ecuador, Brazil, and Argentina. T. serrulatus and T. bahiensis have been the most studied venoms in Brazil; however, in recent years, other species that produce acute envenoming are T. asthenes, T. championi, T. festae, T. jaimei, T. discrepans, among others [9]. The geographic distribution of the Tityus species is diverse, and so is their venom. Only three antivenoms are available in South America, whose capability of neutralizing is focused on T. serrulatus (Brazil), T. trivitatus (Brazil, Argentina, and Paraguay), and T. discrepans (Venezuela) [9–13]. Therefore, it is challenging to neutralize all of them with antibodies from an antivenom raised from a single Tityus species venom.

On the other hand, the Centruroides species had a restricted distribution from the southern part of the USA, the Pacific area of Mexico, Central America, and some areas in Venezuela and Colombia [14]. In Mexico, scorpion stings are treated by a specific antivenom that neutralizes several venoms such as C. limpidus, C. noxius, C. suffusus, C. tecomanus, C. infamatus, C. elegans, and C. sculpturatus [15]. Yet, new reports have shown that some Centruroides species containing lethal mammalian toxins require specific single recombinant antibody fragments to be neutralized [16,17]. Centruroides antivenom is produced by Mexican companies that distribute to the USA, Mexico, and Central America [15–17].

Currently, there are no scorpion antivenoms that can successfully neutralize scorpion venoms from different genera. Consequently, strategies have been developed to produce better neutralizing antibodies against medically important scorpion stings. For example, specific toxins have been expressed through heterologous expression systems. Those recombinant toxins, usually obtained in E. coli systems, have been used to raise specific antibodies capable of neutralizing the lethal activity of native toxins and the whole scorpion venoms [18–23]. Recently, in-silico design of consensus animal toxins has been employed to create de novo recombinant antigens for experimental antivenoms to achieve broad-spectrum neutralization of regional or continental animal venoms [24,25].

Here, the design and heterologous expression of two consensus American scorpion toxins, rNATx and rSATx, produce antibodies with a broad spectrum against the venom of species from Centruroides and Tityus, respectively. So, these newly created neurotoxins could be used as immunogens instead of the whole scorpion venom for antibody production, or they could be used to enrich scorpion venoms when used as an immunogen.

2 Materials and methods

2.1 Ethical statement

No experiments with humans were performed. All applicable international, national, and/or institutional guidelines for the care and use of animals were followed, and procedures performed in the present study involving animals were done so by the bioethical standards at the “Instituto de Biotecnología - UNAM” (https://ibt.unam.mx/agrupacion/direccion-22/secretaria-academica-23/comite-de-bioetica-122). In addition, animal management was following the Animal Care guidelines from the Bioethics Committee currently used at the Instituto de Biotecnología, UNAM, which approved and authorized the animal work (Ethical approval CB/IBt/Project #451). Human red blood cells were collected from healthy donors who gave written consent for phlebotomy. This related experiment was approved by the Ethics Committee of the “Facultad de Medicina y Ciencias Biomédicas” of the Universidad Autónoma de Chihuahua under registration number CI-068–19.

LD_50_ values were obtained from published sources and functionally tested in vivo using challenge doses consistent with reported lethality, without performing full LD_50_ recalculations, in order to comply with institutional animal welfare guidelines.

All efforts were made to minimize animal suffering and to use the minimum number of animals necessary to obtain robust data.

2.2 Venoms and toxins

Venoms from Tityus jaimei and T. festae were kindly donated by CIIMET from the Universidad de Panamá. T. serrulatus venom was donated by Dr. Lourival Possani from the “Instituto de Biotecnología – UNAM”, and all the Centruroides venoms were purchased through the Octolab (México). All the samples were dried and then dissolved in phosphate buffer (pH 7.0). They were centrifuged for 10 min at 17,600 g, and the soluble phase was transferred to a clean tube. The toxins Ts1 and Cn2 were isolated from the venoms as previously described [26].

2.3 Animals

CD-1 mice (18–20 g) and New Zealand rabbits (1.8-2 kg) were used and provided by the “Instituto de Biotecnología” Animal House. They were under controlled environments and under veterinary supervision. All the animals received food and water ad libitum. Animal handling was always conducted to minimize suffering and discomfort, aiming to optimize animal welfare during research in accordance with Mexican legislation on the use of laboratory animals (Norma Oficial Mexicana, 1999, NOM-062-ZOO-1999).

2.4 Consensus sequence design

Neurotoxin primary structures were selected from the National Center for Biotechnology Information website (https://www.ncbi.nlm.nih.gov/pubmed) and the Uniprot protein database (http://www.uniprot.org). Once the structures were chosen, the neurotoxins with the lower median lethal dose and higher medical relevance were selected to create a consensus scorpion toxin by multiple sequence alignments using the Jalview software and the T-COFFEE online server. When amino acid positions with indeterminations existed, the most relevant amino acid was chosen according to its immunogenicity index established by Kolaskar and Tongaonkar [27].

2.5 Bacterial strains, plasmids, and enzymes

For cloning and vector amplification, E. coli XL1-Blue was used, and E. coli Origami was selected for protein expression of rNATx and rSATx. Plasmid pQE30 (Qiagen, CA, USA) was chosen for the cloning step of each recombinant toxin. The enzymes utilized in this communication were Taq polymerase, T4 DNA ligase, Factor Xa (FXa) as a protease, and restriction enzymes. All of them were acquired from New England Biolabs (NEB, MA, USA).

2.6 rNATx and rSATx vector construction

The NATx and SATx amino acid sequences were used to create their respective DNA sequences by reverse translation with the help of the Bioinformatics server (http://www.bioinformatics.org). After this step, each DNA sequence was optimized through the preferential codon usage of E. coli (http://www.kazusa.or.jp/codon). Four overlapping synthetic oligonucleotides were designed to link each recombinant consensus toxins. The respective oligonucleotides were synthesized by the “Unidad de Síntesis y Secuenciación de DNA” from the “Instituto de Biotecnología”. Furthermore, some restriction sites were added, including BamH1 and PstI forward (rNATx-Up1) and reverse (rNATx-Lw4), respectively. Having the opportunity of removing the His-tag added by the vector used, a sequence for protease Factor Xa (ATCGAGGGAAGG) was introduced after the BamH1 site. The rNATx gene was assembled in vitro by “oligonucleotide overlapping extension” using the Polymerase Chain Reaction (PCR). For the assembly of the entire gene, the four overlapping oligonucleotides were mixed in a single reaction using the following concentrations: rNATx-Up1 (0.4 pmol/μL), rNATx-Lw4 (0.4 pmol/μL), rNATx-Up2 (0.1 pmol/μL), rNATx Lw-3 (0.1 pmol/μL), and Vent-Pol (NEB) was added. The PCR reaction was conducted at 61 °C during 30 cycles; the product of this reaction was run on a 0.1% agarose gel stained with GelRed dye (Biotium) and detected using ultraviolet (UV) light. After the previous step, the amplified DNA was purified from the agarose gel using the PCR Product Purification (Roche).

For the SATx, four overlapping oligonucleotides were designed to assemble the rSATx gene. Furthermore, two recognition sites for BamH1 and PstI were also added to oligonucleotides forward (rSATx-Up1) and reverse (rSATx-Lw4), respectively. An extra sequence for Factor Xa (ATCGAGGGAAGG) was included after adding the BamHi site to obtain a mature toxin with no fusion tag (rSATx-Up1). The gene for rSATx toxin was assembled in vitro by “oligonucleotide overlapping extension” using the Polymerase Chain Reaction (PCR). To complete the entire sequence of rSATx, four oligonucleotides were mixed and added in the same reaction following the next concentrations: rSATx-Up1 (0.4 pmol/μL), rSATx-Lw4 (0.4 pmol/μL), rSATx-Lw2 (0.1 pmol/μL), rSATx-Up3 (0.1 pmol/μL), and Vent-Pol. The amplification by PCR was conducted at 60 °C for 30 cycles. The final product obtained by PCR was run in an agarose 0.1% gel stained with GelRed® dye (Biotium) and revealed under ultraviolet (UV) light.

The assembled genes (rNATx and rSATx) previously amplified were digested with BamHI and PstI enzymes. They were run and extracted from agarose gels (1.2%) and were ligated to the pQE30 vector, which had been previously cut with the same enzymes used. Each recombinant vector was independently transformed in E. coli XL1-Blue cells using heat shock, and cells were plated in LB agar containing 100 μg/mL ampicillin. Several colonies were picked up for DNA sequencing (pQE-Fwd (GAGCGGATAACAATTATAA) and pQE-Rev (GGTCATTACTGGATCTAT)). For those colonies for which DNA amplification was expected, they were cultured in LB medium containing ampicillin, and their plasmids were purified and again sequenced.

2.7 Expression and purification of native and recombinant proteins

Once the genes were linked to pQE30, they were expressed. The transformed cells using each vector (pQE30:rNATx and pQE30:rSATx), the cells that were able to produce the rNATx and rSATx, were grown in Luria-Bertani LB media. The cells were incubated at 37 °C until they reached 0.6 absorbance units (AU) measured at 600 nM. Once the bacterial cultures reached the desired UAs, the media were supplemented with 1 mM isopropyl-β-D-thiogalactopyranoside (IPTG) for 18 h at 16 °C. After the expression time was completed, the culture media were centrifuged (30 min, 9,800 g, in a JA-14 rotor); the pellets were reconstituted with washing buffer (0.05 M Tris-HCl, pH 8.0), and the cells were broken using a One-Shot Cell disruptor (Constant Systems, Northants, United Kingdom). The products obtained after disrupting the cells were centrifuged again (22,000 g for 20 min). The soluble fraction was discarded, and the insoluble fraction with IBs was kept.

The insoluble fractions were rinsed with washing buffer, and then, they were centrifuged again for 20 min at 18,000 g in a JA-20 rotor. The supernatant obtained was discarded and the IB present in the insoluble fraction was dissolved with 0.05 M Tris-HCl (pH 8.0) plus 6 M GndHCl. The products previously obtained were centrifuged at 18,000 g in a JA-20 rotor to discard the insoluble materials. The supernatant where the recombinant toxins were concentrated were used to carry out an affinity column chromatography Ni-NTA (Ni-nitrolotriasic acid) which was performed according to manufacturer’s instructions (Qiagen, CA, USA), the buffers used: buffer A (6 M GndHCl in a 0.05 M Tris-HCl pH 8.0 buffer) and buffer B (6 M GndHCl in 0.5 M Tris-HCl pH 8.0 plus 400 mM imidazole). A second step of protein purification consisted of Reversed-Phase High Performance Liquid Chromatography (RP-HPLC) using an analytical C_18_ reversed-phase column (Vydac 214 TP 4.6 x 250 mm, Hesperia, CA, USA). The gradient used was a linear one that consisted of solvent A (0.1% trifluoroacetic acid, TFA in water) and solvent B (0.1% TFA in acetonitrile). The gradient used was a linear one that consisted of solvent A (0.1% trifluoroacetic acid, TFA, in water) and solvent B (0.1% TFA in acetonitrile). The gradient was from 20 to 60% of solvent B in 65 min at a flow rate of 1 mL/min. The protein elution was monitored at 230 nm (UV detection). Buffers salts, including GndHCl were eliminated, and the eluted recombinant toxins (rNATx and rSATx) were vacuum dried through a Speed Vac Savant. To isolated native toxins as Ts1 from either Centruroides or Tityus venoms, 2 mg of dried venom was fractioned using the same RP-HPLC protocols.

2.8 Electrophoretic analysis and western blotting

Qualitative analysis of recombinant toxins expression rNATx and rSATx was performed using SDS-PAGE under reducing conditions [28]. The gels were stained with Coomassie Brilliant Blue R-250. Protein samples were separated by SDS-PAGE and transferred to a membrane (polyvinyl difluoride) using 400 mA for an hour in a semi-dry system. After the blotting process, the membrane was blocked with TBST (150 mM NaCl, 10 mM Tris, 0.5% Tween 20, pH 8.0) supplemented with non-fat milk (5%) for 2 h at room temperature. Once the blocking was completed, the buffer previously used was removed, and the membrane was washed three times with TBST. A second step of incubation was required, where the membrane was submerged in anti-histidine monoclonal antibody coupled to horseradish alkaline peroxidase (1:2000) for 1 h at room temperature. After finishing, the membrane was washed three times with TBST to remove the free antibodies. The membrane was revealed by BCIP/NBT (Invitrogen, Waltham, MA, USA) according to the manufacturer’s protocols.

2.9 Mass spectrometry analysis

The molecular masses of the recombinant and native toxins were determinized using a mass spectrometry analyzer where 500 pmol of each recombinant toxins were reconstituted in 50% acetonitrile with 1% acetic acid in a final volume of 5 μL. the samples were injected into a Thermo Scientific LCQ Fleet ion trap mass spectrometer (San Jose, CA, USA) using a Surveyor MS syringe pump delivery system. The eluate flow rate of 10 μL/min was reduced, with only 5% of the total sample (0.5 μL/min) directed into the nanospray source. The spray voltage was adjusted to 1.5 kV, and the capillary temperature was kept at 150°C. The fragmentation source was operated with a collision energy of around 25–35 V, a normalized collision energy of 35–45% (arbitrary units), and wideband scanning was activated. All spectra were acquired in positive-ion mode. Data acquisition and deconvolution were carried out using Xcalibur on a Windows NT PC.

2.10 Circular dichroism

The secondary structure of each recombinant proteins rSATx and rNATx was carried out by Chirascan spectropolarimeter (Applied Photophysics, Leatherhead, UK). All data obtained from the recombinant proteins were recorded within a wavelength ranging from 190 to 250 nm at 20°C in 0.1 cm-path quartz cells. Data were taken and registered every 1 mm at 50 nm/min. Each protein was prepared in a final concentration of 0.6 mg/mL. The CD values obtained correspond to the mean of three recordings. All CD spectra were deconvoluted employing the Beta Structure Selection webserver (BeStSel).

2.11 Biological activities

The neurotoxic activity of rNATx and rSATx was assayed by intracranial administration in mice (18–20 g) following Pedigo et al. [29]. Mice were divided in two groups (water as control and toxin) with three mice in each group and 3 μg/ mouse were administrated through the skull at a final volume of 5 μL within a puncture point 2 mm lateral to bregma using a syringe with a truncated 27-gauge needle in a fixed tube, it penetrated the brain only 3 mm from the top of the skull. The two groups were monitored for 48 h after control or sample administration.

2.12 Animal immunization

To reach an immune response, groups of rabbits (n = 2) were hyperimmunized subcutaneously with around 10 mg of rSATx and rNATx. The hyperimmunization started administering 0.02 mg up to reach 0.64 mg weekly for each recombinant toxin mixed either with aluminum hydroxide or Incomplete Freund’s Adjuvant. The immunization period varied between the toxin groups due to the variation in the immune response generated by them. That is, six months for rSATx and four months for rNATx. After the immunization schedule finished, the serum of rabbits was collected, and the antibodies were purified from plasma through acid precipitation using 5% caprylic acid according to standard procedures [30]. The antibodies were freeze-dried (50 mg/mL), and they were kept at -20 °C and labeled as ready-to-use.

2.13 Enzyme-linked immunosorbent assay

Antibodies raised against both recombinant toxins were tested through enzyme-linked immunosorbent assay (ELISA). This assay aimed to determine if the antibodies previously produced could bind to lethal toxins presented in crude venoms of Centruroides and Tityus scorpions. Promptly, flat-bottom 96 MicroWell poly-styrene microtiter plates (Maxisorp Nunc, Merck KGaA, Darmstadt, Germany) were filled with 100 μL/well at 5 μg/mL using recombinant toxins or crude venom in carbonate/bicarbonate stock solution at pH 9.5 and incubated for 2 h at 37°C. After the incubation step, wells were emptied and washed three times with 200 μL/well of washing buffer containing 50 mM Tris-HCl, 150 mM NaCl, 0.05% Tween 20, and pH 8. After this, wells were supplemented with 150 μL/well of blocking buffer (50 mM Tris-HCl, 5 mg/mL gelatin, 0.2% Tween 20, and pH 8) and incubated for 2 h at 37°C. After the blocking cycle, wells were washed again with the same washing solution previously used. Antibodies anti-rNATx or anti-rSATx were mixed with saline buffer (50 mM Tris-HCl, 0.5 M NaCl, 1 mg/mL gelatin, 0.05% Tween 20, and pH 8). Different amounts of antibodies were used depending on the assay; for instance, 5 μg of anti-rNATx was used to recognize rNATx and whole venoms of Centruroides scorpions. In the case of anti-rSATx, 50 and 250 μg was required to recognize rSATx and whole venoms of Tityus scorpions, respectively. Antibodies were placed in the first well (150 μL) and serially diluted 1:3 from wells 2–11; well 12 corresponded to a blank well with saline buffer. Plates were incubated with each antibody, incubated for 1 h at 37°C and washed three times with washing buffer. A peroxidase-conjugated goat anti-rabbit (5 x 10^-4^ μg/mL, Zymed, Thermo Fisher Scientific Inc., Waltham, MA) was used as a secondary antibody capable of recognizing the first antibody. Then 100 μL/well of this antibody was used and incubated for 1 h at 37°C and washed three times with washing buffer. Finally, 100 μL/well of peroxidase was supplied with a soluble solution BM Blue POD substrate (Merk KGaA, Darmstadt, Germany) and incubated for 10 min at room temperature. Once the time ended, the reaction was blocked with 100 μL/well SDS 5%. The absorbance of each well was measured at 450 nm and analyzed using dose-response analysis in Prism 6.0 (GraphPad, Inc., San Diego, CA) [31].

2.14 In vivo neutralization test

Mice CD-1 strain weighing around 18–20 g were injected intravenously (IV) using the tail vein. The samples used in this assay consisted of mixing IgGs obtained from rabbits with venom or native toxins. The experiments followed the guidelines of Animal Welfare, using the minimum number of animals. For neutralization tests, 3LD_50_ of whole venoms of C. limpidus, C. tecomanus, C. suffusus, and C. noxius were incubated with anti-rNATx, whereas T. jaimei, T. festae, and T. serrulatus were incubated with anti-rSATx. Venoms and antibodies were incubated for 30 min at 37 °C, and they were administered by the IV route. The animals, after administration, were observed for 48 h.

2.15 Peripheral blood mononuclear cells (PBMCs) isolation

Human healthy PBMCs were isolated from whole blood by using the Ficoll-Paque method reported by the reagent provider (GE-Healthcare Bio-Sciences AB, Uppsala, Sweden). Fresh PBMCs were maintained in complete RPMI-1640 media (cRPMI), supplemented with penicillin/streptomycin antibiotics (GIBCO, Life Technologies, Co.) and 10% AB serum**..** The racial/ethnic distribution of the donors was as follows: Female Latine (36 years), Female Latine (31 years), and Female Latine (30 years). Donors ranged in age from 30 to 36 years, with a mean age of 32.3 years.

2.16 PBMCs stimulation with scorpion toxins

The experiment was standardized for each treatment with 500,000 cells (PBMCs) in 200 μL volume, on cRPMI media for 24 h incubation, at 37°C in a CO2 atmosphere. Scorpion toxins were resuspended in supplemented media RPMI-1640. All of them were assayed at 1, 10, and 20 μg/200 μL reaction volume. As negative controls, PBMCs were maintained in cRMPI media without stimuli. All experiments were done in triplicate using PBMCs obtained from healthy donors.

2.17 T-cell immunophenotype and absolute cell count

T-cell subsets were determined using BD Multitest CD3/CD4/CD8/CD45 (Ref 340499, Becton Dickinson, NJ), and absolute cell count was carried out using BD Counting beads (Ref 355925, Becton Dickinson, NJ). Sample preparation and analysis were performed following the manufacturer’s instructions. Samples were acquired in the BD FACSCanto II cytometer and analyzed in FlowJo (FlowJo version 10.10; BD Science, San Diego, CA, USA) and Kaluza software (version 2.4, Beckman Coulter Life Sciences, CA) where the gate strategy to identify the populations was determined.

2.18 Statistics

The Prism 6.0 software (GraphPad Inc., San Diego, CA) was used to analyze the data. For the ELISA, nonlinear regression analyses with a variable slope were performed. Prism 6.0 software was also employed for all statistical analyses, including the calculation of mean values, standard deviations, coefficients of variation, and 95% confidence intervals. Also, EC_50_ values were estimated from individual curve fits and compared between antibodies under identical experimental conditions using an extra sum-of-squares F-test, with differences considered statistically significant when p < 0.05.

3 Results

3.1 Protein alignments for designing the consensus toxins SATx and NATx

Several proteins coding for neurotoxins were found in the NCBI and Uniprot databases. Those primary structures from the Centruroides and Tityus genera were selected and curated based on their toxicity data. Most of the toxic structures were selected, aligned using the T-Coffee online server, and the Jalview program Table 1.

Table 1: Protein alignment of β-toxins found in Centruroides and Tityus scorpions and consensus sequences.

3.2 Gene construction

The synthetic genes for rNATx and rSATx were constructed and amplified. The N-terminus had an extra sixteen amino acids (MRGSHHHHHHGSIEGR) that include a histidine label (6xHis), a restriction site for BamHI, and a proteolytic cleavage site. Consequently, the recombinant proteins, rNATx and rSATx, ended with 82 and 78 residues, respectively.

3.3 Screening of rNATx and rSATx toxin expression

Each gene rNATx or rSATx was cloned into the expression vector pQE30 and transformed into E. coli Origami strains. After protein expression, SDS-PAGEs were performed, and protein bands around 10 kDa were observed, corresponding to the rNATx and rSATx. Western blot analyses were carried out using the same protein samples from the SDS-PAGE gels. The recombinant proteins (~10 kDa) were visualized through commercial antibodies able to recognize the His-tag (Fig 1).

Electrophoretic profile of rNATx and rSATx, including a western blot analysis.a) An SDS-PAGE 15% was carried out, where line 1 represents the molecular weight markers, 2. E. coli without inducer (IPTG), and the lines from 3 to 8 show several E. coli colonies that were induced with IPTG 1 mM, producing the rNATx around 10 kDa. b) A western blot was performed using the same samples previously used; the transfer was incubated with a monoclonal anti-histidine antibody, and bands around 10 kDa were visible using the antibodies. c) An SDS-PAGE 15% was performed, where line 1 corresponds to the molecular weight marker, 2. E. coli cells without inducer and lines 3 to 8 belong to those cells that were supplemented with inducer (1 mM IPTG), expressing the rSATx visualized at 10 kDa. d) A western blot was performed using the previous samples and the transfer was incubated with a monoclonal antibody for His-tag recognition, and bands around 10 kDa showed up, belonging to the expression of rSATx. Boxes indicate the expression and detection of recombinant proteins.

3.4 Expression and purification of heterologous toxins

The colonies previously tested for expressing each toxin were stored in 15% of glycerol and kept at -80 °C and labeled as ready-to-use. These cells were grown in LB medium, inducing the protein expression with 1 mM IPTG. After disrupting cells, both toxins were concentrated in IB, which was dissolved using a chaotropic agent, and then, the dissolved IB was passed through an affinity column (Fig 2).

Purification of inclusion bodies by affinity chromatography.After disrupting the cells, both toxins were accumulated in inclusion bodies (IB), a) rNATx, a 15% SDS-PAGE, where line 1 is the molecular weight markers, line 2 and 3 are E. coli without and with IPTG, respectively, line 4 corresponds to the soluble fraction, and line 5 is rNATx IB. b) Affinity purification of rNATx IB, line 1, molecular weight marker, line 2, recirculating proteins, line 3, first wash with 30 mM imidazole, lines 4-14, protein elution using 400 mM imidazole. c) rSATx, a 15% SDS-PAGE, where line 1 is the molecular weight markers, line 2 and 3 are E. coli without and with IPTG, respectively, line 4 corresponds to the soluble fraction, and line 5 is rSATx IB. d) Affinity purification of rSATx IB, line 1, molecular weight marker, line 2, recirculating proteins, line 3, first wash with 30 mM imidazole, lines 4-14, protein elution using 400 mM imidazole. Boxes indicate the expression of recombinant proteins.

After having rNATx and rSATx purified by affinity chromatography, the samples were directly purified using two steps of Reversed-Phase High Performance Liquid Chromatography (RP-HPLC). Isoforms of both toxins, rNATx and rSATx, were found in the first step of purification. After that, a second step of purification was required to obtain the active fraction (Fig 3). Both expressed toxins were subjected to mass spectrometry analysis, having experimental molecular masses of 9,370.0 and 8,812.0 Da for rNATx and rSATx, respectively. Those molecular masses represent an oxidized form of them. Isoforms expressed were reduced using DTT, and the products after the reduction process were analyzed by mass spectrometry, showing 9,376.6 and 8,820.9 Da corresponding to rNATx and rSATx, respectively, in their reduced forms. The recombinant protein yields after protein purification steps, for rNATx and rSATx, were 1 and 0.5 mg/L, respectively.

RP-HPLC of rNATx and rSATx.a) active isoform and reduced state of rNATx. b) active isoform and reduced state of rSATx. The purification steps were applied using an analytical C18 reversed-phase column (Vydac 214 TP 4.6 x 250 mm, Hesperia, CA, USA) through a linear gradient using solvent A (0.1% trifluoroacetic acid, TFA, in water) and solvent B (0.1% TFA in acetonitrile). The linear gradient started from 20% solvent B for 45 min at a flow rate of 1 mL/min and was monitored with UV detection at 230 nm.

3.5 Biological activity of recombinant toxins

Active isoforms were tested in the CD-1 strain; the samples were administered intracranially (Table 2). Isoforms of rNATx and rSATx could produce acute envenoming. After evaluating their toxicity activity, those active toxins were chosen to carry out the antibody production.

Table 2: Toxic activity of recombinant toxins in mice.

3.6 Secondary structure of rNATx and rSATx

Secondary structure deconvolution of the CD spectra indicates that the three recombinant toxins share a broadly comparable fold at the level of secondary structure (Fig 4). The estimated α-helix content decreases slightly from 12.4, 10.0, and 8.9% for rNATx, rSATx, and rCssII, respectively. In contrast, the β-sheet content spans a wider range, with values of 27.8, 34.5, and 27.4% for rNATx, rSATx, and rCssII, respectively. The fraction assigned to disordered regions remains high and relatively similar in all three samples, that is, 44.7, 49.3, and 48.7% for rNATx, rSATx, and rCssII, respectively. Here, rCssII was included as a positive control since its in vitro folding and active conformation have been previously reported [46]. The CD spectrum of rNATx is similar and consistent with that of rCssII, whose structure was included to design NATx. Accordingly, both their spectral similarities and their closely matched β-sheet content of rNATx and rCssII support the notion that rNATx is well folded. On the other hand, rSATx exhibits the most pronounced differences in its secondary structure and shows the least spectral overlap compared to rNATx and rCssII. The results nevertheless indicate that it is also well folded.

Circular dichroism of recombinant proteins rNATx, rSATx, and rCssII.The secondary structure analysis of active isoforms of rNATx, rSATx, and rCssII of the CD spectra was analyzed according to Micsonai [45].

3.7 Rabbit immunization and antibody recognition

Groups of rabbits were immunized with either rNATx or rSATx supplemented with adjuvants. The administration of the recombinant toxins began with 0.02 mg of each peptide, and the amount was increased by 0.02 mg every week, up to a total of 0.64 mg. After completing the immunization process, rabbits were bled, and the entire serum was removed from the total blood by centrifugation. Immunoglobulins were then separated from other non-desirable proteins, such as albumin, by caprylic precipitation. The remnant of caprylic acid was removed through a dialysis step, and the immunoglobulins were freeze-dried and stored at a concentration of 50 mg/mL. The antibodies’ ability to bind to native toxins presented in the whole venom of Centruroides or Tityus scorpions was evaluated in an ELISA assay; these results are shown below (Fig 5).

Antibody recognition of rabbit IgGs to Centruroides and Tityus species.a) EC50 and CI in parentheses for C. tecomanus, C. suffusus, C. limpidus, C. noxius, and rNATx were 0.0042 (0.0039 – 0.0046), 0.0049 (0.0045 – 0.0053), 0.0037 (0.0034 – 0.0040), 0.0042 (0.0039 – 0.0046), 0.0017 (0.0011 – 0.0022), respectively. b) EC50 and CI in parentheses for T. serrulatus. T. jaimei, T. festae, and rSATx were 1.04 (0.94 – 1.27), 1.32 (1.13 – 1.53), 1.39 (1.28 – 1.50), 0.13 (0.12 – 0.14), respectively. c) and d) Venom of the Mexican rattlesnake Crotalus willardi was used as a negative control in each ELISA experiment. Points represent the mean of triplicates.

Anti-rNATx (F (16, 130) = 4.146, p < 0.0001) and anti-rSATx (F (12, 104) = 4.151, p < 0.0001) recognize Centruroides and Tityus venom toxins, respectively. Anti-rNATx had a better response and consistent recognition than anti-rSATx. Under the same experimental conditions, anti-rNATx antibodies required lower concentrations to reach half of the maximum response (EC_50_ value) compared to anti-rSATx (Fig 6).

EC50 values obtained from anti-rNATx and anti-rSATx.a) EC50 values using anti-rNATx against Centruroides scorpion venoms; b) EC50 values using anti-rSATx against Tityus scorpion venoms. Venom of the Mexican rattlesnake C. willardi was used as a negative control. All ELISA assays were made in triplicate, and data were obtained through dose-response analyses.

These data correlate with the in vivo trials, where anti-rNATx showed better venom neutralization (Table 3).

Table 3: Scorpion venom neutralization using rNATx or rSATx.

3.8 Venom and toxin neutralization

The efficacy and quality of antivenoms are based on their ability to neutralize the lethal toxins found in whole venoms. Consequently, anti-rNATx and rSATx were challenged for their ability to neutralize native toxins and whole venoms. The antibodies produced in this work were incubated and tested with 3 LD_50_, anti-rNATx were challenged with venoms from C. limpidus, C. noxius, C. tecomanus, C. suffusus, and with the CssII native toxin isolated from C. suffusus, whereas anti-rSATx was challenged with the venoms from T. jaimei, T. festae, T. serrulatus, and native Ts1 toxin obtained from T. serrulatus (Table 3). Antibodies against Tityus scorpions neutralized partially most venoms used, being the T. festae the only one neutralized entirely. The native Ts1 was successfully neutralized for this antibody. The anti-rNATx showed better neutralization, as it neutralized the 3LD_50_ of venoms from C. limpidus, C. noxius, C. tecomanus, C. suffusus, and the native CssII. To reach the total neutralization of Tityus venoms, up to 20 mg of anti-rSATx was required, whereas to obtain 100% neutralization of Centruroides venoms, up to 1.5 mg of anti-rNATx was required. As part of a neutralization test, anti-rNATx and anti-rSATx were unable to neutralize the venoms of Tityus and Centruroides. There was no cross-neutralization effect among scorpion genera.

3.9 In vitro immunogenic response of rNATx and rSATx

Human peripheral blood mononuclear cells (PBMCs) isolated from healthy adult donors were exposed to the scorpion toxins rNATx and rSATx under standardized conditions (5 × 10⁵ cells per 200 µL) and incubated for 24 h. Following stimulation, T-cell subsets were quantified by flow cytometry using a validated CD3/CD4/CD8/CD45 panel in combination with counting beads, allowing simultaneous assessment of immunophenotype and absolute cell numbers (Fig 7).

T-cell immunophenotype analysis. Representative flow-cytometry plots illustrating the T-lymphocyte immunophenotyping strategy.Events were first gated on singlets based on FSC-H versus FSC-A, followed by identification of total leukocytes using SSC versus CD45 expression. CD3 ⁺ T-lymphocytes were subsequently gated, and T-cell subsets were resolved based on CD4 and CD8 expression. Quadrant gating was applied to define CD4 ⁺ , CD8 ⁺ , double-positive (CD4 ⁺ CD8⁺), and double-negative populations. Representative density plots are shown for control conditions and experimental treatments.

Stimulation with rSATx at concentrations of 1, 10, and 20 µg per reaction volume did not induce substantial changes in total T-cell numbers or in the absolute counts of CD3 ⁺ , CD4 ⁺ , or CD8 ⁺ T-cell subsets when compared with unstimulated controls (Fig 8). These findings suggest that, under the experimental conditions tested, SATx does not exert a marked effect on T-cell abundance. In contrast, exposure to rNATx resulted in dose-dependent alterations in T-cell populations. While low and intermediate concentrations produced minimal effects, stimulation with 20 µg NATx was associated with a modest but consistent increase in the absolute numbers of total CD3 ⁺ T cells, as well as CD4⁺ and CD8 ⁺ subsets. Notably, the most prominent change was observed within the CD4 ⁺ CD8 ⁺ double-positive (DP) T-cell compartment, which exhibited an increase at 10 µg rNATx, followed by a relative attenuation at the highest toxin concentration.

Effects of rNATx and rSATx on T-cell absolute counts and subset distribution.Human peripheral blood mononuclear cells (PBMCs) from healthy donors were incubated for 24 h with scorpion toxins rNATx or rSATx at 1, 10, or 20 µg per 200 µL reaction volume. Absolute numbers of total T-cells (CD3⁺) and T-cell subsets (CD4 ⁺ , CD8 ⁺ , and CD4 ⁺ CD8 ⁺ double-positive cells) were determined by flow cytometry using counting beads. Bar graphs represent mean ± SD from triplicate measurements. rSATx exposure did not induce marked changes in total T-cell counts or subset distribution across the concentrations tested.

4 Discussion

The incidence of scorpion stings is particularly high in tropical and subtropical areas. In America, the scorpion species that cause most accidents are from the genera Centruroides and Tityus [52–54]. The use of the whole venom of scorpions in antivenom production could limit their efficacy, and one reason is the low concentration of toxins lethal to humans and other mammals [55]. Since the implementation of recombinant scorpion toxins and their use as immunogens for antibody production has been well-documented, here we design two scorpion toxins to observe their antigenicity in rabbits and the performance of the antibodies obtained in neutralizing American buthid scorpion venoms [34,56–59].

Based on previous work, two consensus scorpion toxins were expressed in a heterologous system for immunization protocols. The antibodies were expected to have a broad spectrum of recognition and neutralization of scorpion toxins and whole venoms [24,25,60,61]. The design of rNATx and rSATx was simple and based on aligning toxins with known biological activity from Centruroides and Tityus species. Both toxins rNATx and rSATx were predominantly expressed as inclusion bodies. Following solubilization with a chaotropic agent, the proteins were purified [23,62]. The active isoforms of both toxins were successfully isolated and used in subsequent immunological assays. The overall yield for each recombinant toxin was approximately 4–5 mg per liter of culture medium. The immunization protocol followed previous experiences with scorpion and elapid toxins used as immunogens in rabbits.

The venoms from T. jaimei and T. serrulatus were not efficiently neutralized when anti-rSATx was used. On the other hand, all the venoms from Centruroides scorpions were successfully neutralized when challenged with the anti-rNATx. During the immunization process, the immune response against rNATx was better following high titers than that against rSATx. This phenomenon can be attributed to some factors, such as the level of immunogenicity of toxins that awakens the host’s immune response. Toxins from the genus Centruroides seem to be more immunogenic than those from the genus Tityus. Similar results were found when comparing titers with venoms of the genus Buthus, Leiurus, and Androctonus, from the Middle East and North Africa [24]. In a previous study conducted in our research group, a set of Tityus recombinant scorpion toxins was expressed and used to raise antibodies. After several months of an immunization schedule, the antibody titers did not reach high levels, although those antibodies could neutralize some Tityus venoms [34].

An interesting phenomenon has been observed when Na^+^ channel-targeting neurotoxins from the Centruroides genus are used for immunization: high levels of antibody titers are generated throughout the immunization schedule [23,57]. A similar response is documented in this report, where higher antibody titers were produced against rNATx compared to rSATx.

Although the exact mechanisms triggering this heightened immune response are not fully understood, several factors may contribute. Following a scorpion sting, a massive release of neurotransmitters occurs, activating both the sympathetic and parasympathetic nervous systems. Beyond this neurological stimulation, venom components also interact directly with cells of the immune system. These toxin-receptor interactions can activate both pro-inflammatory and anti-inflammatory signaling pathways, contributing to severe symptoms such as pulmonary edema and potentially leading to death [63–68].

Although DP T cells constitute a minor population in peripheral blood, they are increasingly recognized as a functionally heterogeneous subset with the capacity to display helper, cytotoxic, and immunoregulatory properties. These cells have been reported to expand in contexts of chronic immune stimulation, including persistent infections and malignancies, and are thought to represent antigen-experienced or highly activated memory T cells. The observed modulation of the DP T-cell compartment following rNATx exposure raises the possibility that this toxin may preferentially influence activation or differentiation pathways within this subset, potentially reflecting an early inflammatory or stress-associated immune response. However, additional functional and mechanistic studies will be required to determine whether these changes translate into altered cytokine production, cytotoxic potential, or immunoregulatory activity.

Upon exposure to antigens, the vertebrate immune system responds by producing antibodies through a cascade of cellular interactions. Initially, antigen-presenting cells (APCs) present processed antigens to T cell receptors (TCRs), thereby activating helper T cells (Th cells). These Th cells assist B cells in antibody production by secreting cytokines. Among the cell subpopulations, Th1 and Th2 play distinct roles: Th1 cells primarily produce IL-2, TNF-α and TNF-γ, and are involved in IgG production, while Th2 cells secrete IL-4, IL-5, IL-6, and IL-13, promoting the synthesis of IgE and IgA [69,70].

Neutralizing antibodies, particularly of the IgG2a subclasses, are critical in the development of effective scorpion antivenoms. IgG2a has been identified as a key immunoglobulin capable of conferring protection against lethal particles [71]. The venom of T. serrulatus has been reported to modulate the inflammatory response by increasing the levels of TNF-α, IL-6, and IL-1β [65,72,73]. Similarly, venom from C. noxius has shown in vivo effects on cytokine secretion, significantly elevating TNF-α, IFN-γ, and IL-6 levels for up to 21 days post-exposure [73,74].

Based on current literature, it has been reported that toxins from the genus Centruroides elicited a stronger immune response compared to other scorpions’ toxins; however, the underlying mechanism responsible for this enhanced immunogenicity remains unclear. Addressing this phenomenon is of particular importance, as understanding why Centruroides toxins induce a more pronounced antibody response could provide valuable insights for the antivenom design and immunization strategies. In this context, the sustained elevation of IL-6 and other pro-inflammatory cytokines could partially explain why immunization with rNATx led to a more robust antibody response compared to rSATx. Although this hypothesis is supported by existing evidence, further studies are required to elucidate the molecular and immunological factors involved, highlighting its relevance for future research.

An important point to highlight in relation to the determination of the secondary structure of rNATx and rSATx toxins, the data obtained by CD when analyzing rSATx toxin showed a null presence of α-helix structure compared to rNATx toxin and the control rCssII whose β/α ratio was around 3:1, corresponding to the domains reported for sodium toxins (βαββ) present in scorpions [75]. The poor β-type structure in rSATx toxin could explain the production of antibodies whose ability to neutralize native toxins and whole venoms was not optimal; on the other hand, the data for rNATx toxin showed the presence of alpha and beta-type structures like the control rCssII toxin. Although both toxins were active in in vivo tests, the lack of alpha-like structure in rSATx could cause some conformations unfavorable for producing neutralizing antibodies. The data from CD presented in this communication are consistent with previously published data from our laboratory regarding the expression of scorpion toxins expressed in heterologous systems [24,34], and with the low immunogenicity of Tityus toxins in rabbits; in fact, the number of antibodies in a vial of an anti-Tityus venom from Brazil contains twice that of an anti-Centruroides from Mexico [44].

The ELISA assay showed that the venom of C. limpidus (EC_50_: 0.0037) was the best recognized and the venom of C. suffusus (EC_50_: 0.0049) the least recognized by the anti-rNATx; however, in the case of the anti-rSATx, the best recognized venom was that of T. serrulatus (EC_50_: 1.04) and the worst was T. festae (EC_50_: 1.39). T. serrulatus venom was the one that was completely neutralized, but not T. festae venom. The dose-response curves obtained in ELISA assays show significant differences in recognition by anti-rNATx compared to anti-rSATx antibodies. These findings are consistent with reported studies against toxins of the genus Tityus, which require a greater number of antibodies to be neutralized compared to antibodies raised against Centruroides toxins [34,57]. To neutralize Centruroides venoms, a maximum amount of 1.5 mg of anti-rNATx antibody was sufficient to neutralize 3LD_50._ However, in the case of T. festae, approximately 20 mg of anti-rSATx antibodies was necessary to achieve equivalent neutralization, representing a ~ 14-fold increase compared to the amount required for anti-rNATx.

5 Conclusions

The two recombinant consensus toxins used in this work were designed using the primary structure of lethal neurotoxins from Centruroides and Tityus species. After protein expression, rNATx and rSATx were accumulated in IB. Active isoforms were obtained after protein refolding under in vitro conditions. Antibodies generated against both recombinant toxins were assessed for their capacity to neutralize whole venoms or isolated toxins. Immunization with rNATx elicited a stronger and more consistent immune response than rSATx. Notably, antibodies raised against rNATx were able to neutralize the tested scorpion venoms, and it is anticipated that they may also exhibit broader neutralizing activity against additional Centruroides species. Concerning anti-rSATx antibodies, changes in the immunological scheme, including time, adjuvants, and protein doses, might be needed to improve antibody titers and antibody effectiveness. As for the cross-neutralization assays between anti-rNATx and anti-rSATx, they were unable to neutralize native toxins from the Tityus or Centruroides genera, respectively. Therefore, neutralization was directed only against the toxins and venoms that were the primary target.

The present findings provide a basis for the continued evaluation of recombinant scorpion toxins and their use as immunogens. While underscoring the need for future studies incorporating a larger sample size to strengthen and support the presented data. The development and optimization of novel antivenoms against medically important scorpions’ species of the genera Centruroides and Tityus remain a critical public health priority, particularly in Latin America, where scorpion envenomation continues to impose a substantial burden. In this context, the integration of expanded statistical approaches will be essential for advancing the rational design of safer, more effective, and more accessible antivenoms.