WEBVTT - Special Episode: Snake Venom Evolution

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<v Speaker 1>Hi, I'm Aaron Welsh, and this is this podcast will

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<v Speaker 1>Kill You. You are listening to the latest and last, for

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<v Speaker 1>now bonus episode in our mini series of bonus episodes

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<v Speaker 1>that have been coming out over the last several months.

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<v Speaker 1>I've had such a great time putting these episodes together,

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<v Speaker 1>and I've learned so very much along the way. I'd

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<v Speaker 1>love to pick up this series again in the future,

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<v Speaker 1>so let's just consider this a break for now. If

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<v Speaker 1>this is your first time tuning into one of these

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<v Speaker 1>bonus episodes, I'll give a brief explanation of what they're

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<v Speaker 1>all about. And if this is not your first time,

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<v Speaker 1>then I'm sorry that you've had to hear this intro

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<v Speaker 1>over and over again. In these bonus episodes, I'm taking

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<v Speaker 1>some aspect of the topic we discussed in our previous

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<v Speaker 1>week's regular season episode and bringing on an expert guest

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<v Speaker 1>to help me investigate this subject in more depth. For instance,

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<v Speaker 1>my guests and I have gone further down the rabbit

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<v Speaker 1>hole of mixed andmatosis by following up with an episode

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<v Speaker 1>on rabbit heemorrhagic disease virus. We've explored in more detail

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<v Speaker 1>how electricity actually works, and we've re examined the origins

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<v Speaker 1>of epidemiology. I'm also rounding out many of these discussions

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<v Speaker 1>by asking my expert guest about their own journey into science,

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<v Speaker 1>what they like about it and what they don't, and

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<v Speaker 1>any advice they may have for people interested in pursuing

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<v Speaker 1>a career in this field. And this week, I'm especially

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<v Speaker 1>excited to learn more about the absolutely fascinating world of

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<v Speaker 1>snake venoms. In our regular season episode last week, Aaron

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<v Speaker 1>and I covered the different groups of venoms that some

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<v Speaker 1>snakes produce and what happens to your body if you

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<v Speaker 1>are unfortunate enough to be at the receiving end of

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<v Speaker 1>a bite from a venomous snake. If you haven't listened

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<v Speaker 1>to that episode yet, I recommend that you go back

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<v Speaker 1>and listen to it before continuing on here, since that

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<v Speaker 1>will provide some good background information on what's actually in

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<v Speaker 1>these venoms and how they work, which turns out to

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<v Speaker 1>be a pretty complicated subject, too complicated even for me

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<v Speaker 1>to begin to scratch the surface of the different types

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<v Speaker 1>of venoms in a recap here. But in addition to

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<v Speaker 1>talking about the action of these different venoms, as well

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<v Speaker 1>as the significance of snake bites as a neglected tropical disease.

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<v Speaker 1>We also spent some time talking about how snakes may

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<v Speaker 1>have played a role in primate evolution, specifically in the

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<v Speaker 1>evolution of our visual systems. What we didn't discuss, however,

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<v Speaker 1>was the big question of venom evolution. So many snakes

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<v Speaker 1>and other animals have evolved the ability to use venom,

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<v Speaker 1>and the resulting diversity of venoms is simply astounding, which

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<v Speaker 1>is why for this bonus episode, I really wanted to

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<v Speaker 1>take the time to dig into how these venoms evolved

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<v Speaker 1>in the first place, why there is such diversity across

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<v Speaker 1>venom type and function, and what happens when venoms evolve

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<v Speaker 1>as a defense mechanism rather than as an aid and predation.

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<v Speaker 1>And I'm absolutely thrilled to have one of the world's

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<v Speaker 1>leading experts on venom evolution as my guide, Professor Nick Casewell.

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<v Speaker 1>And with that, I think we'll just take a quick

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<v Speaker 1>break here before diving in.

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<v Speaker 2>My name is Nick Casewell. I'm a professor of Tropical

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<v Speaker 2>disease biology at the Liverpool School of Tropical Medicine and

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<v Speaker 2>I'm the director for the Center for Snake Bite Research

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<v Speaker 2>and Interventions. This is a research group at LSTM, where

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<v Speaker 2>we essentially study snake bite and try and develop new

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<v Speaker 2>interventions to improve the lives and livelihoods of snake bite victims.

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<v Speaker 1>Awesome, thank you so very much for joining me today.

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<v Speaker 2>It's a real pleasure. Thanks for the invitation to talk

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<v Speaker 2>snake venom and snake bite with you.

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<v Speaker 1>Of course, I am so excited to learn more about

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<v Speaker 1>these fascinating compounds. And so can you start us off

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<v Speaker 1>by talking about exactly that, like, what do we know

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<v Speaker 1>about the earliest emergence of venomous snakes and what is

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<v Speaker 1>the about why this trait emerged when it did.

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<v Speaker 2>So we start on a really tricky subject really in

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<v Speaker 2>terms of we know lots about what's in the venom

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<v Speaker 2>of snakes today, and actually we don't know all that

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<v Speaker 2>much about the whys and the wares venom evolved in

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<v Speaker 2>snakes and in fact, in many venomous animals. So what

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<v Speaker 2>we do know is that venom evolved in snakes on

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<v Speaker 2>one occasion. So all these venomous snakes we find today

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<v Speaker 2>are all related to one another, and their venom systems

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<v Speaker 2>are related to one another as well. And this probably happened, well,

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<v Speaker 2>it certainly happened at least forty to fifty million years ago,

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<v Speaker 2>so it's a relatively old trait and it may go

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<v Speaker 2>back even further than that, But we don't know for sure,

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<v Speaker 2>and we don't know why only this group of snakes

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<v Speaker 2>have evolved a venom system compared to others. But what

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<v Speaker 2>we do know today looking at snakes is that although

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<v Speaker 2>those venom systems are effectively the same, or they evolve

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<v Speaker 2>from the same common ancestor, they're actually rereadibly different. The

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<v Speaker 2>toxins that you find in the venoms of these different

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<v Speaker 2>snakes are very different. And the effects that these venoms

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<v Speaker 2>have on a prey item they're trying to kill or immobilize,

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<v Speaker 2>or on someone who's bitten by one of these snakes

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<v Speaker 2>can be really really different depending on which snake you're

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<v Speaker 2>bitten by.

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<v Speaker 1>What are some of the drivers for this diversity? What

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<v Speaker 1>is thought about that?

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<v Speaker 2>So we think the primary reason that snakes ultimately evolve venom,

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<v Speaker 2>and the primary driver that's kind of honing the competitions

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<v Speaker 2>of venom we see today is for predation. So snakes

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<v Speaker 2>are primarily using their venom systems to catch prey, to

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<v Speaker 2>help them to catch prey, and if you think about

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<v Speaker 2>a snake, it's pretty obvious why that might be right.

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<v Speaker 2>These are limbless animals. They don't have claws or arms

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<v Speaker 2>or legs to help them to catture their prey. All

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<v Speaker 2>snakes are predators. They're all eating other animals. And what's

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<v Speaker 2>interesting is that while some snakes use things like constrictions,

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<v Speaker 2>so they wrap body coils around prey to immobilize them,

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<v Speaker 2>many snakes have taken a different strategy, which is the

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<v Speaker 2>use of a chemical weapon, which is injected into the

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<v Speaker 2>prey and ultimately has the same effect. It immobilizes that animal,

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<v Speaker 2>or it kills the animal, or in some way just

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<v Speaker 2>enables the snake to actually feed on it relatively unharmed.

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<v Speaker 2>So we know that the venom is really crucial for

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<v Speaker 2>these snakes to catch their prey. Snakes can use their

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<v Speaker 2>venom defensively too, but this is not the primary purpose.

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<v Speaker 2>And the reason we think that is because there's been

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<v Speaker 2>a number of scientific studies done over many years that

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<v Speaker 2>show that there are associations between, for example, the potency

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<v Speaker 2>of venom and the diet of that particular snake species.

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<v Speaker 2>So you can start to see associations whereby certain snakes

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<v Speaker 2>that feed predominantly on one type of animal, have venom

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<v Speaker 2>toxins that are honed towards that particular prey type or

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<v Speaker 2>even specific to that particular prey type. We also see

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<v Speaker 2>evidence in some species where venom is no longer being

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<v Speaker 2>used that venom system has started to degrade or disappear.

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<v Speaker 2>So in c snakes, for example, that feed on fish eggs,

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<v Speaker 2>they don't need venom to catch their fish egg prey anymore,

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<v Speaker 2>and we actually see that the toxins in their venom

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<v Speaker 2>have begun to degenerate, so they're not functionally intact anymore.

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<v Speaker 2>They're not functionally active. And also the venom glands in

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<v Speaker 2>the snakes themselves start to reduce in size too, so

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<v Speaker 2>they did trophy. So there's this clear association between diet

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<v Speaker 2>and venom itself. It may not be the only factor.

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<v Speaker 2>There may be other things that come into play that

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<v Speaker 2>may hone that final composition of venom, but without doubt,

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<v Speaker 2>we think that the prey is the key thing that

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<v Speaker 2>has driven venom evolution in snakes.

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<v Speaker 1>In terms of the types of venoms that we see,

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<v Speaker 1>you know, we have these neurotoxic or cytotoxic venoms. Is

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<v Speaker 1>there any association between the type of prey you know,

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<v Speaker 1>whether it's fast moving dents or something else, you know,

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<v Speaker 1>and the actual type of composition of the venoms among

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<v Speaker 1>different snakes or is that just sort of like an

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<v Speaker 1>accident of evolution.

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<v Speaker 2>Yeah, more the latter than the former. So there are

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<v Speaker 2>lots of different kind of classes of venom, toxins and

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<v Speaker 2>what they do. And there are different groups of venomous

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<v Speaker 2>snakes as well. So the most famous ones we think

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<v Speaker 2>of from a human context of vipers and a lapids.

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<v Speaker 2>These are the two most medically important group of snakes

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<v Speaker 2>to people. There are types of snakes that can put

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<v Speaker 2>us in hospital and killers, and broadly speaking, they have

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<v Speaker 2>quite different venoms with lapid snakes, so these are things

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<v Speaker 2>like cobras or coral snakes or mambers. They typically have

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<v Speaker 2>a neurotoxic venom that causes your nerves to be paralyzed

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<v Speaker 2>and this causes particular issues when you're breathing, muscles ultimately

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<v Speaker 2>stop working. Their venom is quite different to viper venoms.

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<v Speaker 2>So with vipers, we're talking about things like rattle snakes,

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<v Speaker 2>puff adders, Russell's vipers. These venoms broadly are hematoxic venoms.

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<v Speaker 2>They have toxins in there that are causing damage to

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<v Speaker 2>blood vessels. They're causing people to bleed internally or prey

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<v Speaker 2>to bleed to cause strokes. And these two did very

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<v Speaker 2>different groups of snakes ultimately are feeding on similar prey.

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<v Speaker 2>So you know, some might be mammal specialists within a lapids,

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<v Speaker 2>some might be mammal specialists within vipers. Some might have

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<v Speaker 2>broad diets within lapids, some might have broad diets within

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<v Speaker 2>the vipers. That kind of hemotoxicity versus neurotoxicity, Both those

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<v Speaker 2>strategies are really great at killing prey quickly. Either you

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<v Speaker 2>paralyze the prey or you cause it to have a stroke.

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<v Speaker 2>Both strategies work equally well. And so although we do

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<v Speaker 2>see some examples where certain snakes have very prey specific venom,

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<v Speaker 2>it's not that this group of snakes only feed on mammals.

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<v Speaker 2>They must have a neurotoxin. This group of snakes only

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<v Speaker 2>feed on reptiles, they must have a blood acting venom.

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<v Speaker 2>It's not quite as simple as that. So we see

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<v Speaker 2>a lot of variation within those different groups. And I

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<v Speaker 2>suppose there are a number of ways that a snake

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<v Speaker 2>can rapidly kill its prey no matter what that prey is,

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<v Speaker 2>and ultimately those snake families diversified many millions of years ago,

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<v Speaker 2>when one snake family, the lapids, has evolved neurotoxins and

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<v Speaker 2>really increased the abundance of neurotoxins in its venom, whereas

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<v Speaker 2>the vipers have gone down a hemotoxin rout and they've

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<v Speaker 2>really increased the abundance of those hemotoxins, and that's what's

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<v Speaker 2>dictated those different kind of venom pathologies.

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<v Speaker 1>So earlier you talked about sea snakes having slowly lost

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<v Speaker 1>or losing their ability to produce venom or deliver venom

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<v Speaker 1>because they don't use it as much, meaning that venom

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<v Speaker 1>is probably a fairly costly thing to produce and maintain

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<v Speaker 1>as a tree. And there's this thing I want to

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<v Speaker 1>mention that's sort of in line with that, the economy

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<v Speaker 1>of venom in the overkill hypothesis, where it seems like

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<v Speaker 1>the deadliness or the toxicity of venom is much much

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<v Speaker 1>greater than would actually be needed to kill a particular prey.

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<v Speaker 1>Can you talk about why this may not fully capture

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<v Speaker 1>the relationship between venom of snakes and their prey.

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<v Speaker 2>Yeah, absolutely, so. This overkill hypothesis proposes that because snake

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<v Speaker 2>venoms are so toxic, and because snakes, well, certain snakes,

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<v Speaker 2>we are able to inject a lot of venom when

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<v Speaker 2>they bite. When you kind of extrapolate that, you know,

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<v Speaker 2>certain toxicity at a certain amount scale to how much

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<v Speaker 2>they actually inject, it seems that for many snakes they're

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<v Speaker 2>just they just have way more venom than they would

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<v Speaker 2>actually need. And therefore, this idea that venoms are honed

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<v Speaker 2>towards certain prey doesn't really hold, because no matter what

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<v Speaker 2>the prey is, their venom is going to be sufficiently

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<v Speaker 2>toxic to kill it. But this is quite a simplified view, really,

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<v Speaker 2>because the toxicity of snake venoms is often modeled just

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<v Speaker 2>basically in terms of their toxicity to laboratory animals. Usually

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<v Speaker 2>this will have historically been lab mice, and these snakes

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<v Speaker 2>aren't feeding on lab mice in the wild, and we

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<v Speaker 2>know that from lots of different species. There's quite compelling

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<v Speaker 2>evidence that prey items and on a predators have evolved

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<v Speaker 2>at least some degree of resistance to many snake venoms.

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<v Speaker 2>So to simply say that because a lot of venoms injected,

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<v Speaker 2>you know, these snakes all kind of wasting their venom

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<v Speaker 2>is simply not true. There's a lot of different prey

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<v Speaker 2>out of there that have mechanisms that have enabled them

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<v Speaker 2>to evolve resistance to snake venom, and we suspect probably

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<v Speaker 2>that snake venoms are also responding and evolving further in

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<v Speaker 2>response to that resistance. You have this kind of arms

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<v Speaker 2>race between prey and predator in terms of the potency

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<v Speaker 2>of the venom. And we also know that from a

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<v Speaker 2>few studies at least, that there seems to be some

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<v Speaker 2>evidence that snakes can meet to the amount of venom

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<v Speaker 2>they might inject, and so certainly snakes will not use

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<v Speaker 2>all of the venom they have in one bite. They

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<v Speaker 2>may bite multiple times. But also lots of feeding attempts

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<v Speaker 2>from snakes are unsuccessful, and so they need to retain

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<v Speaker 2>enough venom to then go on and try and feed

0:14:14.640 --> 0:14:17.960
<v Speaker 2>on the next prey item too. So we know snake

0:14:18.040 --> 0:14:22.040
<v Speaker 2>venoms are toxic, but ultimately a lot of that extrapolation

0:14:22.120 --> 0:14:24.800
<v Speaker 2>has been based on an artificial scenario. These snakes are

0:14:24.800 --> 0:14:27.800
<v Speaker 2>not feeding on lab mice in the wild, and there

0:14:27.840 --> 0:14:31.160
<v Speaker 2>are studies that have shown that certain snake venoms it

0:14:31.200 --> 0:14:34.160
<v Speaker 2>may take, for example, half an hour to kill a

0:14:34.200 --> 0:14:36.960
<v Speaker 2>scorpion which might be a natural prey. And clearly if

0:14:37.000 --> 0:14:39.920
<v Speaker 2>these venoms were super toxic and overloading prey with a

0:14:40.000 --> 0:14:42.120
<v Speaker 2>huge amount of venom, it would take much less time

0:14:42.160 --> 0:14:42.440
<v Speaker 2>than that.

0:14:43.560 --> 0:14:46.520
<v Speaker 1>So you mentioned arms races. So can we now kind

0:14:46.520 --> 0:14:50.160
<v Speaker 1>of shift to talking about venom as a defense mechanism

0:14:50.400 --> 0:14:53.720
<v Speaker 1>and sort of some of the ideas about spitting cobras.

0:14:54.440 --> 0:14:57.600
<v Speaker 1>Why is venom spitting so unique and what are some

0:14:57.640 --> 0:14:59.680
<v Speaker 1>of the drivers for its evolution.

0:15:01.040 --> 0:15:03.640
<v Speaker 2>Yeah, venom spitting is a really interesting one because you know,

0:15:03.680 --> 0:15:07.120
<v Speaker 2>we talked already about why venoms have evolved in snakes,

0:15:07.120 --> 0:15:11.400
<v Speaker 2>and it's for predatory purposes, and there doesn't seem to

0:15:11.400 --> 0:15:15.680
<v Speaker 2>be much evidence really that venom composition is evolving secondarily

0:15:15.720 --> 0:15:19.720
<v Speaker 2>for defense, although snakes will use their venom defensively, right,

0:15:19.800 --> 0:15:22.920
<v Speaker 2>every human snake bite that happens many millions every year,

0:15:23.280 --> 0:15:25.960
<v Speaker 2>These are defensive snake bites. The snakes aren't trying to

0:15:26.000 --> 0:15:29.760
<v Speaker 2>eat us. But there's actually very little evidence that the

0:15:29.840 --> 0:15:33.040
<v Speaker 2>composition of venom is evolving in response to the use

0:15:33.080 --> 0:15:38.680
<v Speaker 2>of that venom defensively, except with the spitting cobras. So,

0:15:39.320 --> 0:15:42.600
<v Speaker 2>the spitting cobras are this one group of pretty closely

0:15:42.640 --> 0:15:46.720
<v Speaker 2>related lapid snakes. So these are very highly venomous snakes.

0:15:47.560 --> 0:15:51.840
<v Speaker 2>And within this group, on three independent occasions, we see

0:15:51.880 --> 0:15:55.680
<v Speaker 2>the evolution of venom spitting. So this is the ability

0:15:55.720 --> 0:15:58.880
<v Speaker 2>of these snakes to eject their venom in a stream

0:15:59.000 --> 0:16:02.400
<v Speaker 2>of liquid from them mouth, directly targeting the eyes of

0:16:02.400 --> 0:16:05.280
<v Speaker 2>a predator or aggressor over a couple of meters. So

0:16:05.280 --> 0:16:07.360
<v Speaker 2>it's a really effective way. And what that venom does

0:16:07.400 --> 0:16:09.480
<v Speaker 2>when it hits the eye or the area around the

0:16:09.520 --> 0:16:13.080
<v Speaker 2>eyes is it causes extreme pain. And so this is

0:16:13.120 --> 0:16:16.120
<v Speaker 2>a really nice strategy to deter a potential aggressor or

0:16:16.120 --> 0:16:19.640
<v Speaker 2>a predator from eating you. It's by causing pain and

0:16:19.720 --> 0:16:23.000
<v Speaker 2>to be left alone. But what's interesting here is that

0:16:23.040 --> 0:16:25.480
<v Speaker 2>we find that there is some evidence that the venom

0:16:25.520 --> 0:16:28.920
<v Speaker 2>composition has also changed in response to the evolution of

0:16:28.960 --> 0:16:32.120
<v Speaker 2>this venom spitting trait. And so this goes against everything

0:16:32.120 --> 0:16:35.000
<v Speaker 2>I've said. This is the exception. There's always in biology

0:16:35.000 --> 0:16:37.800
<v Speaker 2>there are exceptions. This is a perfect example. And each

0:16:37.840 --> 0:16:40.200
<v Speaker 2>of these three groups of spitting cobras, so the African

0:16:40.240 --> 0:16:43.560
<v Speaker 2>spitting cores, the agent spitting cobras, and also in a

0:16:43.720 --> 0:16:47.080
<v Speaker 2>closely related cobra species called the wrinkles, they've all evolved

0:16:48.240 --> 0:16:51.600
<v Speaker 2>to increase the abundance of a particular toxin which works

0:16:51.600 --> 0:16:55.160
<v Speaker 2>together with another toxin to cause this pain enhance pain

0:16:55.320 --> 0:17:00.960
<v Speaker 2>causing effect. And so it's likely we think that only

0:17:01.000 --> 0:17:04.399
<v Speaker 2>spitting cobras have evolved the ability to spit because of

0:17:04.440 --> 0:17:07.920
<v Speaker 2>a variety of these what we would call preadaptations, if

0:17:07.920 --> 0:17:10.160
<v Speaker 2>you like. There are a few things that these snakes

0:17:10.200 --> 0:17:13.760
<v Speaker 2>had to have before spitting could evolve. So one of

0:17:13.760 --> 0:17:16.639
<v Speaker 2>them is this toxin that can kind of cause a

0:17:16.640 --> 0:17:19.720
<v Speaker 2>bit of pain and then could be enhanced upon later on.

0:17:20.400 --> 0:17:23.280
<v Speaker 2>And the other thing is this defensive behavioral posture that

0:17:23.320 --> 0:17:26.119
<v Speaker 2>cobras have in that they can kind of raise the

0:17:26.160 --> 0:17:28.640
<v Speaker 2>first third of their body up in the air, which

0:17:28.680 --> 0:17:32.640
<v Speaker 2>gives them a very nice kind of position from which

0:17:32.680 --> 0:17:36.040
<v Speaker 2>they can spit. If you imagine most snakes lying flat

0:17:36.080 --> 0:17:38.159
<v Speaker 2>on the ground, and if they open their mouth to

0:17:38.160 --> 0:17:40.040
<v Speaker 2>spit their venom, it's just going to go straight into

0:17:40.040 --> 0:17:41.480
<v Speaker 2>the ground. So they have to be able to raise

0:17:41.520 --> 0:17:43.520
<v Speaker 2>their body up, and so this is kind of a

0:17:43.560 --> 0:17:46.560
<v Speaker 2>defensive behavior that cobras would already have done prior to

0:17:46.600 --> 0:17:49.560
<v Speaker 2>the evolution of spitting. So probably those two things have

0:17:49.720 --> 0:17:52.920
<v Speaker 2>enabled this particular group of snakes to evolve this special

0:17:53.000 --> 0:17:57.439
<v Speaker 2>defensive adaptation that we don't see in any other venomous snakes,

0:17:58.200 --> 0:18:01.280
<v Speaker 2>and so we think, we think possibly that the driver

0:18:01.640 --> 0:18:04.760
<v Speaker 2>for having a specialized defensive use of the venom in

0:18:04.840 --> 0:18:08.280
<v Speaker 2>cobras it may have been stimulated by our ancestors, so

0:18:08.800 --> 0:18:14.000
<v Speaker 2>ancestral hominins which in Africa came out onto the planes,

0:18:14.000 --> 0:18:18.280
<v Speaker 2>they were bipedal. And we know that certainly many primate

0:18:18.359 --> 0:18:21.760
<v Speaker 2>species will defend themselves from snakes. They will actively identify

0:18:21.840 --> 0:18:23.960
<v Speaker 2>them and mob them, throw stones at them, try and

0:18:24.080 --> 0:18:28.200
<v Speaker 2>kill them. And we suspect that for cobras it may

0:18:28.240 --> 0:18:30.800
<v Speaker 2>well have been an advantage for them to have a

0:18:30.920 --> 0:18:35.640
<v Speaker 2>long distance defensive weapon that could protect themselves from from

0:18:35.680 --> 0:18:39.560
<v Speaker 2>our ancestors. And indeed, we know that the timing of

0:18:39.600 --> 0:18:43.360
<v Speaker 2>the origin of venom spitting in Africa in African cobras

0:18:43.400 --> 0:18:47.200
<v Speaker 2>about fifteen million years ago, correlates quite nicely from when

0:18:47.359 --> 0:18:53.280
<v Speaker 2>our ancestors diverge from chimpanzees. So this remains a speculative hypothesis,

0:18:53.320 --> 0:18:58.080
<v Speaker 2>but it may well be that human ancestors may have

0:18:58.119 --> 0:19:01.200
<v Speaker 2>shaped snake ancestor as many million years ago.

0:19:02.240 --> 0:19:05.960
<v Speaker 1>In terms of trade offs, are there tradeoffs that we've

0:19:06.000 --> 0:19:09.200
<v Speaker 1>observed in terms of you know, where a more prey

0:19:09.200 --> 0:19:13.040
<v Speaker 1>specific venom could mean a less effective defense venom.

0:19:14.040 --> 0:19:16.280
<v Speaker 2>Yeah, I would really like to know the answer to

0:19:16.320 --> 0:19:20.639
<v Speaker 2>that question. I think it's a great question. So if

0:19:20.680 --> 0:19:23.040
<v Speaker 2>I go back to the example of the spitting cobras here,

0:19:23.080 --> 0:19:27.520
<v Speaker 2>there's clearly potential for a tradeoff, right because you have

0:19:27.560 --> 0:19:30.320
<v Speaker 2>a venom that's working to dual purpose that the snakes

0:19:30.440 --> 0:19:33.600
<v Speaker 2>is still using that venom to catch their prey, but

0:19:33.680 --> 0:19:37.359
<v Speaker 2>we know that they've also evolved certain venom components that

0:19:37.400 --> 0:19:40.760
<v Speaker 2>are increased in their abundance to help them defend themselves.

0:19:41.320 --> 0:19:43.879
<v Speaker 2>And so you know, in theory there should be a

0:19:43.880 --> 0:19:47.439
<v Speaker 2>trade off there with a reduction in terms of the

0:19:47.480 --> 0:19:51.000
<v Speaker 2>content of other toxins. And I think ultimately we don't

0:19:51.080 --> 0:19:56.199
<v Speaker 2>understand this yet. We don't understand to what extent in

0:19:56.240 --> 0:20:02.240
<v Speaker 2>a natural prey capturing scenario the evolution of a toxin

0:20:02.280 --> 0:20:05.280
<v Speaker 2>that's helping that snake to defend itself might have upon

0:20:06.000 --> 0:20:09.640
<v Speaker 2>capturing a prey item. And what's quite interesting with many

0:20:09.640 --> 0:20:12.360
<v Speaker 2>of these venom toxins is that they can be multifunctional.

0:20:13.440 --> 0:20:15.840
<v Speaker 2>There are toxins that have evolved to enhance the pain

0:20:15.920 --> 0:20:18.240
<v Speaker 2>causing ability of the venom if it hits the eye

0:20:18.240 --> 0:20:22.000
<v Speaker 2>of you or me. Actually, when that toxin is injected

0:20:22.040 --> 0:20:24.879
<v Speaker 2>into the prey item, it's almost certainly still going to

0:20:24.920 --> 0:20:27.880
<v Speaker 2>be helping the snake catch the prey. And whether that's

0:20:27.920 --> 0:20:30.800
<v Speaker 2>just by destroying cell membranes and letting the snake permeate

0:20:30.880 --> 0:20:33.480
<v Speaker 2>further into the prey, or whether it's by having a

0:20:33.520 --> 0:20:36.359
<v Speaker 2>much more specific effect, it's likely not to have any

0:20:36.400 --> 0:20:39.600
<v Speaker 2>detrimental effect on the ability of that snake to catch

0:20:40.160 --> 0:20:44.000
<v Speaker 2>the prey item. Ultimately, there are still destructive venoms, but

0:20:44.080 --> 0:20:46.120
<v Speaker 2>we do know there has been a change. Again using

0:20:46.119 --> 0:20:49.399
<v Speaker 2>this example, if you look at all non spitting cobras

0:20:49.560 --> 0:20:52.159
<v Speaker 2>and most of lapid snakes, we've talked about what their

0:20:52.240 --> 0:20:56.480
<v Speaker 2>venoms usually do, and it's to cause neurotoxicity. So if

0:20:56.520 --> 0:21:00.239
<v Speaker 2>you're bitten in Africa by a non spitting cobra, an

0:21:00.280 --> 0:21:04.240
<v Speaker 2>Egyptian cobra, or a cape cobra, you will suffer from

0:21:04.280 --> 0:21:08.639
<v Speaker 2>neurotoxic effects. If you're bit of my spitting cobra, chances

0:21:08.640 --> 0:21:11.800
<v Speaker 2>are you won't suffer any neurotoxicity at all, And in

0:21:11.840 --> 0:21:14.040
<v Speaker 2>fact what's likely to happen is you're likely to have

0:21:14.480 --> 0:21:17.840
<v Speaker 2>a local tissue damage around the BikeE sites, you're likely

0:21:17.840 --> 0:21:21.280
<v Speaker 2>to have swelling, pain, maybe some blistering, and maybe some

0:21:21.320 --> 0:21:25.679
<v Speaker 2>destruction of your flesh. You're unlikely to die, whereas from

0:21:25.720 --> 0:21:29.199
<v Speaker 2>a neurotoxic bite the risk is much higher. So the

0:21:29.240 --> 0:21:32.080
<v Speaker 2>evolution of defense has had a knock on effect in

0:21:32.160 --> 0:21:36.359
<v Speaker 2>terms of venom composition and in terms of venom functionality

0:21:36.480 --> 0:21:40.840
<v Speaker 2>for humans. But to what extent that applies to natural

0:21:40.920 --> 0:21:43.440
<v Speaker 2>prey is a far more difficult question to answer because

0:21:43.440 --> 0:21:46.960
<v Speaker 2>there's very little research that's been performed upon how these

0:21:47.040 --> 0:21:52.040
<v Speaker 2>venoms actually are incapacitating or killing prey items in the wild.

0:21:53.200 --> 0:21:57.880
<v Speaker 1>So we're talking about some very complex things, right, complex behaviors,

0:21:58.000 --> 0:22:03.320
<v Speaker 1>complex venoms themselves are incredibly complex. Can you walk us

0:22:03.320 --> 0:22:07.840
<v Speaker 1>through how venom evolution happened in a genetic sense, or

0:22:07.920 --> 0:22:10.600
<v Speaker 1>may have happened in a genetic sense. A non venomous

0:22:10.600 --> 0:22:13.840
<v Speaker 1>snake didn't turn venomous overnight, So what might that process

0:22:13.880 --> 0:22:14.439
<v Speaker 1>have looked like?

0:22:15.520 --> 0:22:19.679
<v Speaker 2>Yeah? Absolutely right. So we're talking here about timescales of

0:22:19.720 --> 0:22:23.480
<v Speaker 2>you know, forty to fifty million years from at least

0:22:23.520 --> 0:22:26.280
<v Speaker 2>from the earliest inception of venom, if you like, in

0:22:26.480 --> 0:22:32.000
<v Speaker 2>a snake ancestor to modern day snakes today. But in principle,

0:22:32.040 --> 0:22:34.720
<v Speaker 2>we do understand at least some of the bases for

0:22:35.600 --> 0:22:39.720
<v Speaker 2>how this may have happened. So venom glands are essentially

0:22:40.840 --> 0:22:44.159
<v Speaker 2>modified salivary glands, the same as you or I have

0:22:44.240 --> 0:22:50.199
<v Speaker 2>in our mouths, and these salivary glands produce proteins that

0:22:50.240 --> 0:22:52.200
<v Speaker 2>are used for different purposes for us, that used to

0:22:52.240 --> 0:22:56.159
<v Speaker 2>help digest our food, for example, And we believe that

0:22:56.200 --> 0:22:59.600
<v Speaker 2>on many occasions snakes may have repurposed some of the

0:22:59.600 --> 0:23:03.480
<v Speaker 2>protein that were being expressed in these salivary glands to

0:23:03.560 --> 0:23:07.320
<v Speaker 2>turn them into kind of incipient or primitive venom toxins.

0:23:08.119 --> 0:23:11.040
<v Speaker 2>And that doesn't mean that these proteins were only present

0:23:11.080 --> 0:23:14.159
<v Speaker 2>in the slavary glands. There's quite good evidence that the

0:23:14.320 --> 0:23:17.239
<v Speaker 2>kinds of toxins that evolt there are present today have

0:23:17.320 --> 0:23:20.639
<v Speaker 2>evolved from proteins that are either expressed at low levels

0:23:20.640 --> 0:23:23.960
<v Speaker 2>in lots of our different internal tissue, so whether that's

0:23:24.000 --> 0:23:26.240
<v Speaker 2>the heart or the pancreas, lungs, wherever it might be.

0:23:27.320 --> 0:23:29.920
<v Speaker 2>But there are certain examples. So there's a protein in

0:23:30.280 --> 0:23:34.440
<v Speaker 2>our saliva called calikreine. This is a syriene protease, and

0:23:35.920 --> 0:23:39.359
<v Speaker 2>this protein, amongst many of its rules, one of the

0:23:39.400 --> 0:23:41.639
<v Speaker 2>things that it does is it drops your blood pressure,

0:23:41.840 --> 0:23:45.199
<v Speaker 2>so it helps to reduce blood pressure. And we know

0:23:45.359 --> 0:23:50.119
<v Speaker 2>that that calakrine protein is related to caliqreines that are

0:23:50.119 --> 0:23:54.200
<v Speaker 2>found in snakes, that are toxins now found in snake

0:23:54.320 --> 0:23:58.080
<v Speaker 2>vent And so what we think happened was that in

0:23:58.240 --> 0:24:01.440
<v Speaker 2>early venomus snakes there were handful at least of these

0:24:01.520 --> 0:24:04.760
<v Speaker 2>kind of incipient proteins that are probably doing a role

0:24:04.800 --> 0:24:08.159
<v Speaker 2>that might be somewhat helpful to enable a snake to

0:24:08.200 --> 0:24:11.080
<v Speaker 2>catch its prey. And then gradually, over a period of time,

0:24:11.119 --> 0:24:14.840
<v Speaker 2>there's probably an increase in the abundance or the expression

0:24:14.920 --> 0:24:21.560
<v Speaker 2>of these particular proteins to reinforce their use for capturing prey.

0:24:22.160 --> 0:24:23.840
<v Speaker 2>And so in the case of caliquin, you can imagine

0:24:23.840 --> 0:24:28.480
<v Speaker 2>a scenario whereby if you are using your saliva at

0:24:28.480 --> 0:24:31.560
<v Speaker 2>that time soon to be venom to catch a prey item,

0:24:31.880 --> 0:24:33.879
<v Speaker 2>having more of it might help because it might just

0:24:33.960 --> 0:24:36.720
<v Speaker 2>reduce the blood pressure of an animal, which might just

0:24:37.080 --> 0:24:39.760
<v Speaker 2>enable you to catch it slightly better than if it didn't.

0:24:40.440 --> 0:24:43.720
<v Speaker 2>And so what we then see is that over those

0:24:43.760 --> 0:24:46.800
<v Speaker 2>big time scales fifty million years, we see lots of

0:24:46.840 --> 0:24:51.400
<v Speaker 2>changes to these kinds of toxins so as snakes diversified

0:24:51.480 --> 0:24:55.119
<v Speaker 2>and split from one another, certain groups of snakes evolve

0:24:55.240 --> 0:25:00.440
<v Speaker 2>new toxins or new protein types that became toxins of

0:25:00.560 --> 0:25:03.639
<v Speaker 2>alve different types of toxins. So the example there is

0:25:03.680 --> 0:25:07.960
<v Speaker 2>those lapid snakes having neurotoxins that we don't see in

0:25:07.680 --> 0:25:11.640
<v Speaker 2>the vipers, and vipers having more hemotoxins that we don't

0:25:11.680 --> 0:25:15.639
<v Speaker 2>see in the lapids. And one of the key things

0:25:15.760 --> 0:25:19.800
<v Speaker 2>parts to this process that's ultimately generated the diversity we

0:25:19.880 --> 0:25:22.800
<v Speaker 2>see in snake venoms today. So snake venoms can have

0:25:22.960 --> 0:25:25.800
<v Speaker 2>anywhere from twenty to one hundred to two hundred different

0:25:25.800 --> 0:25:30.040
<v Speaker 2>proteins in them. Now that's gone from a small number

0:25:30.040 --> 0:25:32.919
<v Speaker 2>to a much larger number over those kind of forty

0:25:32.920 --> 0:25:35.840
<v Speaker 2>to fifty million years. And one of the key processes

0:25:35.880 --> 0:25:40.240
<v Speaker 2>that's underpinn that is gene duplication. So we know that

0:25:40.280 --> 0:25:44.480
<v Speaker 2>the genes that are ultimately producing these proteins like this

0:25:44.640 --> 0:25:48.160
<v Speaker 2>calikerine protein I mention, we know that in many venomous

0:25:48.160 --> 0:25:52.520
<v Speaker 2>snakes those genes have been duplicated, and so instead of

0:25:53.480 --> 0:25:56.120
<v Speaker 2>they're being just one of those calqarine genes in the genome,

0:25:56.320 --> 0:25:58.440
<v Speaker 2>there might be two, or there might be three, or

0:25:58.480 --> 0:26:00.760
<v Speaker 2>they might be four, or they might or they might

0:26:00.840 --> 0:26:03.720
<v Speaker 2>be twenty or in actually some modern day snakes, we

0:26:03.760 --> 0:26:08.520
<v Speaker 2>see more than twenty five isoforms related genes that produce

0:26:08.640 --> 0:26:14.119
<v Speaker 2>related toxins within certain gene families, and that duplication process

0:26:14.880 --> 0:26:18.720
<v Speaker 2>that certain toxins have been subjected to has seemingly been

0:26:18.760 --> 0:26:22.800
<v Speaker 2>really important because it frees those genes up to evolve

0:26:22.880 --> 0:26:27.640
<v Speaker 2>new functions. Ultimately, usually then snake venoms have evolved from

0:26:27.680 --> 0:26:31.560
<v Speaker 2>these normal housekeeping proteins that are doing normal physiological roles,

0:26:32.200 --> 0:26:35.600
<v Speaker 2>and they probably still are doing these normal physiological roles today,

0:26:36.359 --> 0:26:39.680
<v Speaker 2>but following gene duplication, there are copies of those genes

0:26:39.760 --> 0:26:43.000
<v Speaker 2>that are now free to do anything that enables that

0:26:43.080 --> 0:26:46.720
<v Speaker 2>snake to better catch its pre and so we see,

0:26:46.760 --> 0:26:49.800
<v Speaker 2>for example, with serium proteins as related to calaqrins, we

0:26:49.920 --> 0:26:54.720
<v Speaker 2>know there are toxins that still cause hypotension. They're injected

0:26:54.760 --> 0:26:57.840
<v Speaker 2>now they're venom toxins producing the venom gland. They cause

0:26:57.920 --> 0:27:01.000
<v Speaker 2>hypotension much the same way as calqreins do. But there's

0:27:01.040 --> 0:27:03.560
<v Speaker 2>other searing proteins that have evolved that chop up bits

0:27:03.600 --> 0:27:07.760
<v Speaker 2>of your blood clotting proteins, for example, or that interact

0:27:07.800 --> 0:27:11.400
<v Speaker 2>with platelets, or that do other functions that ultimately help

0:27:11.440 --> 0:27:14.360
<v Speaker 2>those snake catch their prey. And so again, over those

0:27:14.440 --> 0:27:18.480
<v Speaker 2>long evolutionary timescales, snakes have evolved a suite of toxins.

0:27:19.040 --> 0:27:22.879
<v Speaker 2>They have multiple toxin families, and within those multiple toxin families,

0:27:22.880 --> 0:27:26.240
<v Speaker 2>they have multiple toxins, lots of them doing different things

0:27:26.280 --> 0:27:30.280
<v Speaker 2>and collectively having this really rapid and potent effect on

0:27:30.359 --> 0:27:32.000
<v Speaker 2>their prey.

0:27:32.040 --> 0:27:36.280
<v Speaker 1>It's easy to kind of group these things, group snakes

0:27:36.320 --> 0:27:38.520
<v Speaker 1>into oh, well, these produce this type of toxin and

0:27:38.560 --> 0:27:42.159
<v Speaker 1>this type of toxin, But there's so much diversity within that,

0:27:42.280 --> 0:27:46.680
<v Speaker 1>even within a species, even within populations, where different populations

0:27:46.720 --> 0:27:50.280
<v Speaker 1>of snakes can have different levels of certain toxins or

0:27:50.280 --> 0:27:54.359
<v Speaker 1>different compositions of venoms, and we also see this, I think,

0:27:54.400 --> 0:27:59.440
<v Speaker 1>in individuals within those populations. Why do these differences exist

0:27:59.520 --> 0:28:01.320
<v Speaker 1>and what are some of the implications.

0:28:02.400 --> 0:28:06.879
<v Speaker 2>You're absolutely right that the differences we see between venomus

0:28:06.920 --> 0:28:09.280
<v Speaker 2>snakes can be really quite stark in terms of their

0:28:09.280 --> 0:28:14.480
<v Speaker 2>toxin composition. And it's those processes, particularly that June duplication process,

0:28:14.480 --> 0:28:16.679
<v Speaker 2>that give rise to that kind of substrate that then

0:28:16.760 --> 0:28:20.320
<v Speaker 2>can be tinkered upon or varied between different snake species.

0:28:21.440 --> 0:28:23.800
<v Speaker 2>But you make a really good point. This isn't just

0:28:23.960 --> 0:28:27.920
<v Speaker 2>a variation from one species to the next. So although

0:28:28.200 --> 0:28:32.000
<v Speaker 2>a cobra might have ten eurotoxins and two hemotoxins and

0:28:32.200 --> 0:28:36.280
<v Speaker 2>a rattlesnake might have twelve heumotoxins and three cytotoxins and

0:28:36.320 --> 0:28:40.760
<v Speaker 2>no neurotoxins, and that's the process that's generated that variation.

0:28:40.920 --> 0:28:44.200
<v Speaker 2>But ultimately we see huge examples where there can be

0:28:44.320 --> 0:28:50.000
<v Speaker 2>really extensive variation within species at the population level ontogenetically,

0:28:50.080 --> 0:28:52.280
<v Speaker 2>so as an animal develops from being a juvenile to

0:28:52.280 --> 0:28:54.440
<v Speaker 2>being an adult, we can see major shifts in venom

0:28:54.480 --> 0:28:59.479
<v Speaker 2>composition in certain species, and also sexual differences between males

0:28:59.480 --> 0:29:04.440
<v Speaker 2>and females have been reported too. So this variation in

0:29:04.560 --> 0:29:09.040
<v Speaker 2>venom composition is ubiquitous across every level between snake families

0:29:09.560 --> 0:29:12.280
<v Speaker 2>you know a lappas vipers, between species within those families,

0:29:12.480 --> 0:29:15.880
<v Speaker 2>but also within a particular species, and the implications to

0:29:15.920 --> 0:29:19.320
<v Speaker 2>that can be quite substantial. There are examples in the

0:29:19.360 --> 0:29:23.000
<v Speaker 2>Southwest US, for example, where there is a rattlesnake species

0:29:23.040 --> 0:29:27.479
<v Speaker 2>where you know from one place, if you're bitten by

0:29:27.520 --> 0:29:31.120
<v Speaker 2>that snake, you'll have swelling and bleeding disturbances two hundred

0:29:31.160 --> 0:29:34.760
<v Speaker 2>miles or two hundred kilometers, whichever you prefer, up the road,

0:29:34.880 --> 0:29:37.800
<v Speaker 2>you know, you would have a neurotoxic syndrome. You wouldn't

0:29:37.800 --> 0:29:40.480
<v Speaker 2>have that local swelling or hemotoxicity at all. So there's

0:29:40.480 --> 0:29:44.160
<v Speaker 2>clear medical implications to this venom variation and how we

0:29:44.200 --> 0:29:47.560
<v Speaker 2>go about actually preventing the pathology that those different snake

0:29:47.600 --> 0:29:52.480
<v Speaker 2>venoms cause too. So I mean understanding venom variation, I

0:29:52.480 --> 0:29:54.840
<v Speaker 2>think is one of the critical roles that the scientific

0:29:54.880 --> 0:29:58.440
<v Speaker 2>community has to serve relating to snake bite because without

0:29:58.440 --> 0:30:02.960
<v Speaker 2>that understanding, we can't make effective treatments for the populations

0:30:03.040 --> 0:30:03.440
<v Speaker 2>you need it.

0:30:03.520 --> 0:30:08.600
<v Speaker 1>Ultimately, of course, all snakes should be respected. But what

0:30:08.760 --> 0:30:12.440
<v Speaker 1>factors determine which venomus snakes pose more of a risk

0:30:12.520 --> 0:30:15.080
<v Speaker 1>than others? You know, are there things like urban versus

0:30:15.120 --> 0:30:19.000
<v Speaker 1>rural propensity to strike, how much venom is typically delivered,

0:30:19.080 --> 0:30:20.600
<v Speaker 1>potency of the venom, et cetera.

0:30:21.840 --> 0:30:25.200
<v Speaker 2>Yeah, it's a really good question. This. I like teaching

0:30:25.280 --> 0:30:28.200
<v Speaker 2>students about this as well, because you know, one of

0:30:28.200 --> 0:30:30.480
<v Speaker 2>the things that we focus on around snakes or you know,

0:30:30.480 --> 0:30:33.840
<v Speaker 2>if you watch any kind of nature documentary is which

0:30:33.840 --> 0:30:35.480
<v Speaker 2>snake is the most deadly, Which has got the most

0:30:35.480 --> 0:30:38.680
<v Speaker 2>toxic venom. And there's always this list list where I

0:30:38.680 --> 0:30:40.560
<v Speaker 2>think like nine out of the top ten or maybe

0:30:40.600 --> 0:30:42.280
<v Speaker 2>eight out of the top ten snakes are based in

0:30:42.320 --> 0:30:45.760
<v Speaker 2>Australia that have the most toxic venom. But the reality

0:30:45.880 --> 0:30:48.640
<v Speaker 2>is very very rarely do people die of snake bite

0:30:48.640 --> 0:30:51.160
<v Speaker 2>in Australia, of course, and so are lots of factors

0:30:51.200 --> 0:30:54.440
<v Speaker 2>that come into play here in the context of snake

0:30:54.520 --> 0:30:58.280
<v Speaker 2>bite that makes a snake dangerous to a person or not.

0:31:00.000 --> 0:31:03.120
<v Speaker 2>One of the key things that you alluded to, the

0:31:03.120 --> 0:31:07.320
<v Speaker 2>potential for an interaction. So the inland taipan in Australia,

0:31:07.440 --> 0:31:10.800
<v Speaker 2>in theory, has the most toxic venom to a lab

0:31:10.920 --> 0:31:14.080
<v Speaker 2>mouse in the world based on previous studies. It lives

0:31:14.120 --> 0:31:17.120
<v Speaker 2>in the middle of the outback. Almost no one interacts

0:31:17.120 --> 0:31:19.240
<v Speaker 2>with that snake because there's no one in the outback

0:31:20.080 --> 0:31:23.800
<v Speaker 2>and so bites thankfully are extremely rare. And compare that

0:31:23.880 --> 0:31:26.080
<v Speaker 2>to a small snake called the sauce scale viper in

0:31:26.120 --> 0:31:28.560
<v Speaker 2>West Africa. There's a snake about well up to a

0:31:28.600 --> 0:31:32.520
<v Speaker 2>meter long. It's living in an environment where lots of

0:31:32.560 --> 0:31:37.400
<v Speaker 2>people are working, so agricultural farmers, they're kind of working

0:31:37.400 --> 0:31:39.959
<v Speaker 2>the earth with their hands or herdsmen. They're walking around

0:31:39.960 --> 0:31:44.520
<v Speaker 2>better footed. These environments in savannah areas of West Africa

0:31:44.520 --> 0:31:47.360
<v Speaker 2>are heavily populated by saurce scale vipers, so the potential

0:31:47.440 --> 0:31:50.880
<v Speaker 2>for bites are really really high. Snake behaviors another factor.

0:31:50.960 --> 0:31:53.360
<v Speaker 2>These surce scale vipers are sitting weight predators. They use

0:31:53.400 --> 0:31:56.960
<v Speaker 2>camouflage to kind of protect themselves if you like, and

0:31:57.040 --> 0:31:59.880
<v Speaker 2>so they won't move if they hear you coming, They'll

0:31:59.880 --> 0:32:03.400
<v Speaker 2>just sit there. The inland tipan in Australia is a

0:32:03.440 --> 0:32:07.040
<v Speaker 2>really active snake. It's using its senses to hunt its prey.

0:32:07.440 --> 0:32:10.720
<v Speaker 2>It will detect you coming long before you will detect it,

0:32:10.840 --> 0:32:13.320
<v Speaker 2>and so it will chances that are disappear before it

0:32:13.760 --> 0:32:16.480
<v Speaker 2>you have the opportunity to see it. And then we've

0:32:16.480 --> 0:32:18.360
<v Speaker 2>got the kind of the venom toxicity if you like.

0:32:19.000 --> 0:32:21.440
<v Speaker 2>Venom toxicity is another factor that comes into this. Of

0:32:21.520 --> 0:32:25.320
<v Speaker 2>course it does, but by and large, most venomous snakes

0:32:25.360 --> 0:32:28.440
<v Speaker 2>have the most medically important venom. Snakes have the potential

0:32:28.480 --> 0:32:31.920
<v Speaker 2>to cause you harm. Some may do it more rapidly

0:32:31.960 --> 0:32:34.200
<v Speaker 2>than others, but I think the key thing here is

0:32:34.240 --> 0:32:38.000
<v Speaker 2>the ability for the health infrastructure to protect you from

0:32:38.080 --> 0:32:42.080
<v Speaker 2>the consequence of that bite. So in Australia, even if

0:32:42.080 --> 0:32:44.680
<v Speaker 2>you're bitten in the outback, there is the flying doctor

0:32:44.800 --> 0:32:47.000
<v Speaker 2>service that can get you to a health center that

0:32:47.040 --> 0:32:50.959
<v Speaker 2>maybe thousands of miles away, and there is very specific

0:32:51.080 --> 0:32:54.560
<v Speaker 2>anti venom that is very effective available in those hospitals

0:32:54.600 --> 0:32:58.360
<v Speaker 2>to treat that bite. The same is not true in Africa.

0:32:58.520 --> 0:32:59.880
<v Speaker 2>So you can be bittered by a source cal of

0:33:00.240 --> 0:33:04.080
<v Speaker 2>that venom is much less toxic, and you might have

0:33:04.200 --> 0:33:06.280
<v Speaker 2>much longer to live if you like, if the venom's

0:33:06.320 --> 0:33:09.720
<v Speaker 2>acting less quickly than that of a type. But if

0:33:09.840 --> 0:33:11.960
<v Speaker 2>it takes you a day to get to a health

0:33:12.000 --> 0:33:15.160
<v Speaker 2>center and there's no antivenom then at that health center

0:33:15.200 --> 0:33:16.480
<v Speaker 2>and you have to go on to the next place

0:33:16.560 --> 0:33:19.280
<v Speaker 2>or the next place after that, then there is clearly

0:33:19.920 --> 0:33:24.160
<v Speaker 2>going to be more possibility for a poor outcome for

0:33:24.240 --> 0:33:28.640
<v Speaker 2>that patient. So the socioeconomics of the situation, most snake

0:33:28.680 --> 0:33:32.800
<v Speaker 2>bite deaths are occurring in lower middle income countries. The

0:33:32.880 --> 0:33:37.560
<v Speaker 2>health infrastructure and the availability of effective treatment is at least,

0:33:37.680 --> 0:33:41.720
<v Speaker 2>if not much more important than the biology surrounding the snake.

0:33:43.000 --> 0:33:45.760
<v Speaker 1>We are going to take a quick break here and

0:33:45.880 --> 0:33:48.120
<v Speaker 1>when we get back, I want to hear all about

0:33:48.160 --> 0:34:16.960
<v Speaker 1>you and your journey into snake venom research. Welcome back everyone.

0:34:17.400 --> 0:34:21.080
<v Speaker 1>We have been having such a fascinating conversation about the

0:34:21.120 --> 0:34:25.520
<v Speaker 1>world of snake venoms and snake venom evolution. But now

0:34:25.560 --> 0:34:28.400
<v Speaker 1>I want to turn towards what it's like to actually

0:34:28.520 --> 0:34:31.799
<v Speaker 1>study these snakes and how you got started in the

0:34:31.800 --> 0:34:36.040
<v Speaker 1>first place. So what did you think about snakes growing up?

0:34:36.239 --> 0:34:39.160
<v Speaker 1>How did you become involved with snake venom research?

0:34:40.320 --> 0:34:43.000
<v Speaker 2>Yeah, so, I mean I always had a fascination with animals,

0:34:43.040 --> 0:34:46.479
<v Speaker 2>I would say when I was growing up, and I yeah,

0:34:46.480 --> 0:34:49.640
<v Speaker 2>I was always interested in animals. I didn't I necessarily

0:34:49.680 --> 0:34:52.560
<v Speaker 2>have a specific fascination with snakes, I would say, but

0:34:54.440 --> 0:34:57.880
<v Speaker 2>you know, I can remember, you know, being on holiday

0:34:57.920 --> 0:35:01.080
<v Speaker 2>in France and seeing snakes in the wild, you know,

0:35:01.160 --> 0:35:04.480
<v Speaker 2>just walking around, and you know, being really intrigued by them.

0:35:04.600 --> 0:35:06.440
<v Speaker 2>I mean, it doesn't take much to look at a

0:35:06.440 --> 0:35:08.680
<v Speaker 2>snake and to realize it's quite an unusual animal when

0:35:08.680 --> 0:35:10.799
<v Speaker 2>you think of other vertebrates, right, they have these long,

0:35:10.840 --> 0:35:14.440
<v Speaker 2>elongated bodies and no limbs, and I think there's something

0:35:14.520 --> 0:35:18.640
<v Speaker 2>certainly about them that can can fascinate. Of course, often

0:35:20.040 --> 0:35:22.440
<v Speaker 2>snakes can do the opposite, and people can be very

0:35:22.480 --> 0:35:25.560
<v Speaker 2>fearful of them, but I think usually they provoke a

0:35:25.680 --> 0:35:29.440
<v Speaker 2>response in a person. They certainly did with me. But

0:35:29.560 --> 0:35:31.759
<v Speaker 2>really I kind of, in a way, I fell into

0:35:31.800 --> 0:35:35.239
<v Speaker 2>snake bite. I studied zoology at the University of Liverpool

0:35:35.760 --> 0:35:39.920
<v Speaker 2>and at that time I became quite interested in the

0:35:39.960 --> 0:35:45.080
<v Speaker 2>interplay between animals and humans, but mostly from studying parasite

0:35:45.160 --> 0:35:48.959
<v Speaker 2>interactions at that time, and that's what really then took

0:35:49.000 --> 0:35:51.279
<v Speaker 2>me to the Liverpool School of Tropical Medicine, which is

0:35:51.560 --> 0:35:56.960
<v Speaker 2>where I work now, because they were teaching courses relating

0:35:57.000 --> 0:36:01.200
<v Speaker 2>to tropical diseases and particularly how parasites caused tropical diseases.

0:36:01.600 --> 0:36:04.200
<v Speaker 2>And it was there that I was really exposed to

0:36:04.280 --> 0:36:06.960
<v Speaker 2>kind of the detail of snake bite as a global,

0:36:07.360 --> 0:36:11.160
<v Speaker 2>kind of neglected tropical disease. And there again I really

0:36:11.280 --> 0:36:15.480
<v Speaker 2>just got sucked into the interesting biology. In particular, I

0:36:15.520 --> 0:36:19.960
<v Speaker 2>was really fascinated by this idea that we've talked about

0:36:20.000 --> 0:36:22.839
<v Speaker 2>that there are different venoms in different snakes, and this

0:36:23.000 --> 0:36:27.239
<v Speaker 2>variation between the different toxins you find in different species

0:36:27.280 --> 0:36:31.399
<v Speaker 2>can have such implications for people who were bitten by them,

0:36:31.440 --> 0:36:33.520
<v Speaker 2>and that was really interesting to me because I guess

0:36:33.520 --> 0:36:36.359
<v Speaker 2>it lent on two things. I was passionate about one

0:36:36.520 --> 0:36:40.759
<v Speaker 2>was the kind of zoological side of understanding animals and

0:36:41.000 --> 0:36:45.200
<v Speaker 2>the biology of animals, and the other hand the global

0:36:45.200 --> 0:36:48.799
<v Speaker 2>health aspect in terms of ultimately wanting to try and

0:36:48.840 --> 0:36:52.319
<v Speaker 2>do research that can have an impact on people and

0:36:52.360 --> 0:36:57.239
<v Speaker 2>people's lives. So snake bite really really pulled both on

0:36:57.320 --> 0:36:59.800
<v Speaker 2>both of those strings for me, and you know it

0:36:59.840 --> 0:37:01.520
<v Speaker 2>can continues to fascinate me today.

0:37:01.560 --> 0:37:04.840
<v Speaker 1>To be honest, one of the ways that people study

0:37:04.960 --> 0:37:08.839
<v Speaker 1>snake venoms is of course by milking snakes. So first

0:37:08.840 --> 0:37:11.000
<v Speaker 1>of all, how on earth do you milk a snake?

0:37:11.080 --> 0:37:13.759
<v Speaker 1>And second, what was your first time milking a snake? Like,

0:37:13.800 --> 0:37:17.520
<v Speaker 1>were you terrified? Were you completely confident? Yeah?

0:37:17.640 --> 0:37:23.439
<v Speaker 2>Good questions, So get you're right. So LSTM we have

0:37:23.520 --> 0:37:26.360
<v Speaker 2>a collection of about two hundred venomu snakes and the

0:37:26.400 --> 0:37:30.360
<v Speaker 2>facility and we have now thankfully a team of people

0:37:30.400 --> 0:37:33.920
<v Speaker 2>who look after these snakes and do the really dangerous

0:37:34.000 --> 0:37:39.000
<v Speaker 2>stuff of venom extractions. And I suppose in many ways

0:37:39.040 --> 0:37:42.760
<v Speaker 2>it's relatively straightforward, and I hope they won't you judge

0:37:42.760 --> 0:37:46.280
<v Speaker 2>me for saying that it takes a certain degree of nerves.

0:37:46.320 --> 0:37:49.600
<v Speaker 2>For sure, it takes a lot of skill and kind

0:37:49.600 --> 0:37:53.640
<v Speaker 2>of calmness. And one of the key things is obviously

0:37:53.680 --> 0:37:58.120
<v Speaker 2>safely restraining the animal, and so we use specialized tools

0:37:58.120 --> 0:38:00.239
<v Speaker 2>and we use soft matting to make sure we don't

0:38:00.320 --> 0:38:02.839
<v Speaker 2>hurt the animals when we do this, and we're able

0:38:02.880 --> 0:38:05.200
<v Speaker 2>to then restrain the animals so that ultimately we can

0:38:05.200 --> 0:38:07.520
<v Speaker 2>pick it up behind the head so kind of on

0:38:07.560 --> 0:38:10.120
<v Speaker 2>the neck area, so that it can't turn around and

0:38:10.160 --> 0:38:13.200
<v Speaker 2>bite us. We always do this in a pair and

0:38:13.320 --> 0:38:15.800
<v Speaker 2>in our facility, so there's always two people working together.

0:38:17.040 --> 0:38:19.440
<v Speaker 2>And then what we will simply do is we'll just

0:38:19.680 --> 0:38:25.120
<v Speaker 2>gently move that head towards a glass dish, often covered

0:38:25.160 --> 0:38:29.480
<v Speaker 2>in a material to kind of simulate the fangs biting

0:38:29.560 --> 0:38:33.279
<v Speaker 2>through a prey item. Not always if the snake is

0:38:33.320 --> 0:38:36.480
<v Speaker 2>small and has delicate fangs, we won't do that. And

0:38:36.520 --> 0:38:39.279
<v Speaker 2>then as the snake's head goes towards that dish, it

0:38:39.320 --> 0:38:42.880
<v Speaker 2>will instinctively bite, so it will put its mouth around

0:38:43.120 --> 0:38:46.560
<v Speaker 2>the glass dish, and then it will expel venom into

0:38:47.760 --> 0:38:50.520
<v Speaker 2>into the container. And then we kind of reverse the process,

0:38:50.560 --> 0:38:52.680
<v Speaker 2>so we have to then safely restrain the animal again,

0:38:52.800 --> 0:38:55.960
<v Speaker 2>let it go, put it back in its enclosure, and

0:38:56.000 --> 0:38:58.680
<v Speaker 2>we're left with this venom. The substance obviously that we

0:38:58.719 --> 0:39:01.520
<v Speaker 2>want to use for our research, and we freeze that

0:39:01.560 --> 0:39:04.600
<v Speaker 2>overnight and then the next day we'll use a special

0:39:04.600 --> 0:39:07.719
<v Speaker 2>instrument called a liophaalizer, which extracts the water out of

0:39:07.760 --> 0:39:10.960
<v Speaker 2>this sample. It turns the venom into a powder, and

0:39:11.000 --> 0:39:13.360
<v Speaker 2>we do this because it keeps the venom extremely stable

0:39:13.360 --> 0:39:15.040
<v Speaker 2>for a long period of time, so we can use

0:39:15.040 --> 0:39:17.400
<v Speaker 2>it for lots of different purposes over a period of

0:39:17.400 --> 0:39:21.359
<v Speaker 2>many different years. So that's kind of the analytical side

0:39:21.400 --> 0:39:26.279
<v Speaker 2>of it, if you like it's The difficulty is that

0:39:26.440 --> 0:39:29.680
<v Speaker 2>every venom extraction is different because the snakes are wow

0:39:29.760 --> 0:39:32.919
<v Speaker 2>that you know, they're animals and they have behaviors, and

0:39:33.320 --> 0:39:35.919
<v Speaker 2>you know, irrespective of how well you know a snake

0:39:36.000 --> 0:39:38.200
<v Speaker 2>or how many years you've worked with it, they can

0:39:38.239 --> 0:39:42.359
<v Speaker 2>be unpredictable, and so you really do have to have

0:39:42.880 --> 0:39:45.520
<v Speaker 2>high levels of concentration at all times and make sure

0:39:45.520 --> 0:39:48.080
<v Speaker 2>that you know what you're doing, and when you're working

0:39:48.080 --> 0:39:49.560
<v Speaker 2>in a pair, it's really important that you kind of

0:39:49.560 --> 0:39:51.799
<v Speaker 2>build up that relationship so that you know what the

0:39:51.800 --> 0:39:54.240
<v Speaker 2>other person is doing as well, and that that's really

0:39:54.280 --> 0:39:58.360
<v Speaker 2>been one of the keys to working safely. So we

0:39:58.600 --> 0:40:02.960
<v Speaker 2>have two people at LSTM who do our venom extractions now,

0:40:03.000 --> 0:40:07.200
<v Speaker 2>and they're both excellent. One of whom trained me when

0:40:07.239 --> 0:40:11.120
<v Speaker 2>I started working on on venom many years ago now,

0:40:11.880 --> 0:40:15.200
<v Speaker 2>And yes I was nervous, for sure, but he was

0:40:15.239 --> 0:40:17.560
<v Speaker 2>doing the hard work, he was doing the really dangerous work,

0:40:17.600 --> 0:40:19.600
<v Speaker 2>and I was helping and that that definitely made a

0:40:19.719 --> 0:40:23.320
<v Speaker 2>big difference. He was also someone with a lot of experience,

0:40:23.360 --> 0:40:25.520
<v Speaker 2>So I think kind of the key to this is

0:40:25.560 --> 0:40:28.640
<v Speaker 2>being trained by someone who kind of instills that calm

0:40:28.680 --> 0:40:32.920
<v Speaker 2>and confidence in you. And yeah, that certainly helped me

0:40:33.040 --> 0:40:36.640
<v Speaker 2>kind of get over those jitters around what we were

0:40:36.640 --> 0:40:37.040
<v Speaker 2>going to do.

0:40:38.400 --> 0:40:41.960
<v Speaker 1>Yeah, I bet have you ever had any close calls

0:40:42.000 --> 0:40:44.480
<v Speaker 1>with venomous snakes, either you know, in the field or

0:40:44.520 --> 0:40:47.000
<v Speaker 1>ones you're working on, or just throughout the research that

0:40:47.040 --> 0:40:50.240
<v Speaker 1>you've been doing with other animals while doing snake research.

0:40:50.440 --> 0:40:52.719
<v Speaker 2>Yes, but yeah, I mean it does happen. Of course

0:40:52.719 --> 0:40:55.920
<v Speaker 2>it does. You know, it is a risk of the job,

0:40:58.040 --> 0:41:00.680
<v Speaker 2>I can. Yeah, that's so. There's a few times working

0:41:00.680 --> 0:41:04.000
<v Speaker 2>in our facility where you know, there are things that

0:41:04.239 --> 0:41:06.360
<v Speaker 2>you reflect back on and think, well, Okay, you know

0:41:06.480 --> 0:41:08.279
<v Speaker 2>that we could have done that better, or you know,

0:41:08.520 --> 0:41:10.560
<v Speaker 2>we could have given ourselves more space and more time

0:41:10.600 --> 0:41:14.239
<v Speaker 2>to do something but I think not really any near

0:41:14.280 --> 0:41:18.640
<v Speaker 2>misses as such. I think field work is tougher for

0:41:18.719 --> 0:41:21.680
<v Speaker 2>obvious reasons. You're far more isolated, you're out of your

0:41:21.760 --> 0:41:25.640
<v Speaker 2>comfort zone, you're more at risk of something, if something

0:41:25.680 --> 0:41:29.879
<v Speaker 2>does go wrong, the consequences of it being serious, I guess.

0:41:29.880 --> 0:41:33.120
<v Speaker 2>For me, I can remember we were we filmed a

0:41:33.480 --> 0:41:37.400
<v Speaker 2>documentary with the BBC around snake bite a few years

0:41:37.440 --> 0:41:40.799
<v Speaker 2>ago when at the time we were there, I was

0:41:40.800 --> 0:41:42.960
<v Speaker 2>working with a colleague, sorry, this was in Kenya. I

0:41:43.000 --> 0:41:47.000
<v Speaker 2>was working with a colleague there and he received a

0:41:47.040 --> 0:41:51.640
<v Speaker 2>call that one of the local villagers had a red

0:41:51.640 --> 0:41:55.839
<v Speaker 2>spitting cobra that was upper tree and in the middle

0:41:55.880 --> 0:41:58.520
<v Speaker 2>of this village and could he come and come and

0:41:58.560 --> 0:42:00.719
<v Speaker 2>rescue it because there was you know, there's a risk

0:42:00.760 --> 0:42:03.160
<v Speaker 2>obviously to the villagers there. And so we went to

0:42:04.160 --> 0:42:07.080
<v Speaker 2>to find this snake and the snake was quite high

0:42:07.160 --> 0:42:09.839
<v Speaker 2>up this tree, and so between the two of us

0:42:09.840 --> 0:42:13.800
<v Speaker 2>we had to try and catch the snake, obviously safely,

0:42:14.000 --> 0:42:18.359
<v Speaker 2>with a big crowd of villagers watching us. And when

0:42:18.400 --> 0:42:21.840
<v Speaker 2>you're balancing halfway up a tree using snake tongues with

0:42:21.880 --> 0:42:25.040
<v Speaker 2>a hand and clinging on with another hand, and it's

0:42:25.040 --> 0:42:29.080
<v Speaker 2>obviously not an ideal situation, and it's not perfect when

0:42:29.120 --> 0:42:32.080
<v Speaker 2>you have a crowd kind of judging your capability at

0:42:32.080 --> 0:42:36.319
<v Speaker 2>the same time. So that was an interesting experience and

0:42:36.360 --> 0:42:38.680
<v Speaker 2>it's it's yeah, it's not an experience I would like

0:42:38.760 --> 0:42:41.560
<v Speaker 2>to have every day, soul, we say, but always well

0:42:41.600 --> 0:42:45.440
<v Speaker 2>in the end, So yeah, the snake, we safely caught it.

0:42:45.440 --> 0:42:47.359
<v Speaker 2>It was quite tired by that time because I think

0:42:47.400 --> 0:42:50.480
<v Speaker 2>it had been spitting at the villagers for so long,

0:42:52.040 --> 0:42:53.680
<v Speaker 2>and so in the end we were able to get

0:42:53.719 --> 0:42:55.880
<v Speaker 2>it and bag it up safely, and we took that

0:42:57.320 --> 0:42:59.400
<v Speaker 2>and then released it into the wild well away from

0:42:59.440 --> 0:43:03.239
<v Speaker 2>the villagers next day. And so I mean, it's satisfying

0:43:03.320 --> 0:43:06.200
<v Speaker 2>doing something like that, even though it's quite challenging at

0:43:06.200 --> 0:43:08.600
<v Speaker 2>the time, you do feel that you know that you

0:43:08.680 --> 0:43:11.480
<v Speaker 2>are helping in your own small way to try and

0:43:11.480 --> 0:43:12.800
<v Speaker 2>avert something from happening.

0:43:14.239 --> 0:43:17.799
<v Speaker 1>Do you have a favorite venom, particular venom, or a

0:43:17.840 --> 0:43:22.120
<v Speaker 1>favorite snake or a favorite story in Venom Evolution.

0:43:22.880 --> 0:43:25.120
<v Speaker 2>Well, we talked through my favorite story at the moment

0:43:25.120 --> 0:43:27.959
<v Speaker 2>on Venom Evolution, and that's the spitting Cobra story, which

0:43:28.040 --> 0:43:31.000
<v Speaker 2>I just it was such a fascinating project to be

0:43:31.080 --> 0:43:34.960
<v Speaker 2>involved in, to try and understand how, you know, a

0:43:35.000 --> 0:43:38.240
<v Speaker 2>defensive trait within the context of venomous snakes had evolved

0:43:38.280 --> 0:43:41.759
<v Speaker 2>and also perhaps why it had evolved and what the

0:43:41.800 --> 0:43:45.239
<v Speaker 2>consequences of that were. And it was really it was

0:43:45.360 --> 0:43:47.800
<v Speaker 2>really satisfying because it was it was a large project.

0:43:47.800 --> 0:43:50.239
<v Speaker 2>There's many many years, and also involved a lot of

0:43:50.280 --> 0:43:52.560
<v Speaker 2>people from a lot of different places all over the

0:43:52.560 --> 0:43:56.720
<v Speaker 2>world with lots of different expertise coming together and bridging

0:43:56.760 --> 0:44:03.800
<v Speaker 2>that kind of laboratory research and ecological natural history research divide.

0:44:04.400 --> 0:44:07.920
<v Speaker 2>That was really satisfying as a scientist to be part of.

0:44:08.800 --> 0:44:11.080
<v Speaker 2>In terms of my favorite venoms, my favorite venoms I

0:44:11.080 --> 0:44:15.200
<v Speaker 2>think will always be the source scale viper venoms. This

0:44:15.280 --> 0:44:19.800
<v Speaker 2>is a group of snakes found throughout kind of Northern Africa,

0:44:19.880 --> 0:44:22.879
<v Speaker 2>Middle East and into India and Sri Lanka, and they're

0:44:22.960 --> 0:44:25.520
<v Speaker 2>probably the most medically important group of snakes in the world.

0:44:26.200 --> 0:44:29.480
<v Speaker 2>Most people haven't heard of them. They're quite small and innocuous,

0:44:29.560 --> 0:44:31.880
<v Speaker 2>but you know they killed tens of thousands of people

0:44:31.920 --> 0:44:35.640
<v Speaker 2>every single year. And they're my favorite because they're what

0:44:35.719 --> 0:44:39.239
<v Speaker 2>I uh dedicated for years of my life studying as

0:44:39.280 --> 0:44:42.279
<v Speaker 2>part of my PhD, and so I was keen to

0:44:42.440 --> 0:44:45.040
<v Speaker 2>understand what was in the venoms of these snakes, what

0:44:45.160 --> 0:44:47.680
<v Speaker 2>do they do, how are they different from one species

0:44:47.719 --> 0:44:50.719
<v Speaker 2>to the next, and what does that mean for treatment

0:44:50.920 --> 0:44:54.480
<v Speaker 2>of snake bites? So if species X is different from

0:44:54.560 --> 0:44:58.200
<v Speaker 2>species Y, does it matter if you're bitten by those

0:44:58.239 --> 0:45:01.279
<v Speaker 2>snakes and there's one anti venom available or actually, is

0:45:01.320 --> 0:45:04.720
<v Speaker 2>that a real problem because we haven't got an effective treatment.

0:45:05.640 --> 0:45:08.200
<v Speaker 2>And so that was my training as a scientist. So

0:45:08.400 --> 0:45:11.880
<v Speaker 2>that was really an exciting period of my kind of

0:45:11.920 --> 0:45:15.600
<v Speaker 2>scientific life. And I got to do some fieldwork and

0:45:15.640 --> 0:45:18.080
<v Speaker 2>collect source scale vipers and work with them and still

0:45:18.160 --> 0:45:20.600
<v Speaker 2>work with them today. You know, they are a really

0:45:20.600 --> 0:45:24.840
<v Speaker 2>important group of snakes. We've been developing new treatments against

0:45:24.840 --> 0:45:28.920
<v Speaker 2>them in recent years, and yeah, I think it's pretty

0:45:28.920 --> 0:45:31.560
<v Speaker 2>hard for me to think that anything will replace them

0:45:31.560 --> 0:45:32.200
<v Speaker 2>in the future.

0:45:35.480 --> 0:45:38.520
<v Speaker 1>Many, many people are afraid of snakes. Fear of snakes

0:45:38.560 --> 0:45:41.000
<v Speaker 1>is one of the most common, if not the most

0:45:41.040 --> 0:45:45.760
<v Speaker 1>common phobia. But knowledge is power, as we kept saying

0:45:45.800 --> 0:45:49.000
<v Speaker 1>in our previous episode, can you talk about why you

0:45:49.160 --> 0:45:53.680
<v Speaker 1>feel outreach and science communication about venomous snakes is so important.

0:45:54.719 --> 0:45:57.480
<v Speaker 2>Yeah? Absolutely, I mean I think one of the key

0:45:57.560 --> 0:46:00.600
<v Speaker 2>things here is what you've said already, snakes you know,

0:46:00.640 --> 0:46:03.240
<v Speaker 2>they provoke a reaction, They proke fear in many people.

0:46:04.280 --> 0:46:06.560
<v Speaker 2>And it's interesting, you know, when we tour people around

0:46:06.560 --> 0:46:09.279
<v Speaker 2>our facility talk to them about what we do would

0:46:09.280 --> 0:46:12.400
<v Speaker 2>show them the snakes, lots of people do have an

0:46:12.440 --> 0:46:16.360
<v Speaker 2>inherent reaction to them. Lots of people already are frightened

0:46:16.360 --> 0:46:18.520
<v Speaker 2>of them, but lots of people are also just fascinated

0:46:18.560 --> 0:46:24.160
<v Speaker 2>by them. I think it's important that we don't demonize snakes. Ultimately, yes,

0:46:24.280 --> 0:46:27.440
<v Speaker 2>they are a problem. I mean that they you know,

0:46:27.480 --> 0:46:29.960
<v Speaker 2>they kill one hundred and thirty eight thousand people a year,

0:46:30.480 --> 0:46:34.120
<v Speaker 2>so snake bite is a real public health challenge, particularly

0:46:34.160 --> 0:46:37.399
<v Speaker 2>in the parts of the tropics. But in these same

0:46:37.440 --> 0:46:39.399
<v Speaker 2>areas of the world, the snakes are really doing an

0:46:39.480 --> 0:46:43.799
<v Speaker 2>important ecological role. They are killing the pests that would

0:46:43.800 --> 0:46:47.080
<v Speaker 2>otherwise destroy the agricultural crops that these people are growing

0:46:47.120 --> 0:46:51.719
<v Speaker 2>to survive, and so simply culling snakes, even if it

0:46:51.840 --> 0:46:54.759
<v Speaker 2>was feasible, is not a very sensible strategy in that

0:46:55.360 --> 0:46:58.879
<v Speaker 2>economically these people would suffer too. I think the other

0:46:59.040 --> 0:47:02.520
<v Speaker 2>argument as well, that these venomus snakes are of intrinsic

0:47:02.640 --> 0:47:06.080
<v Speaker 2>value to study. Their venoms are interesting. Their venoms are

0:47:06.080 --> 0:47:09.799
<v Speaker 2>a source of potential new drugs and treatments for lots

0:47:09.840 --> 0:47:13.640
<v Speaker 2>of different diseases. We already have medications that have been

0:47:13.640 --> 0:47:16.279
<v Speaker 2>developed from snake venoms that treat high blood pressure or

0:47:16.360 --> 0:47:19.920
<v Speaker 2>bleeding disturbances, and lots of people are looking at toxins

0:47:19.920 --> 0:47:24.239
<v Speaker 2>in venoms potential cancer treatments as well, and so there

0:47:24.360 --> 0:47:29.960
<v Speaker 2>is a pharmaceutical value to these animals too. But ultimately,

0:47:30.000 --> 0:47:33.440
<v Speaker 2>I think every group of animals in the world has

0:47:33.480 --> 0:47:36.759
<v Speaker 2>an intrinsic value and intrinsic right to be protected. So

0:47:37.520 --> 0:47:42.560
<v Speaker 2>snakes are fascinating to many, interesting from a pharmaceutical point

0:47:42.600 --> 0:47:47.200
<v Speaker 2>of view, and fundamentally crucial for the economic livelihoods of

0:47:47.239 --> 0:47:49.960
<v Speaker 2>many people living in lower middle income countries. And I

0:47:49.960 --> 0:47:53.239
<v Speaker 2>think those arguments are really important to convey the other

0:47:53.320 --> 0:47:55.840
<v Speaker 2>side of the coin to snake bite.

0:47:57.080 --> 0:48:00.080
<v Speaker 1>So we've spent most of this interview so far, at

0:48:00.160 --> 0:48:02.840
<v Speaker 1>least a significant part of it, talking about the research

0:48:02.880 --> 0:48:05.760
<v Speaker 1>that you do on snake venoms and snake venom evolution.

0:48:06.480 --> 0:48:09.080
<v Speaker 1>But I want to round out our conversation by hearing

0:48:09.160 --> 0:48:12.120
<v Speaker 1>more about the work that is being done at the

0:48:12.160 --> 0:48:15.640
<v Speaker 1>Center for Snake Bite Research and Interventions. So what are

0:48:15.719 --> 0:48:17.880
<v Speaker 1>some of the missions of the center and what are

0:48:17.920 --> 0:48:19.160
<v Speaker 1>some of the work being done there.

0:48:20.160 --> 0:48:24.239
<v Speaker 2>So the mission of the center is really to it's

0:48:24.280 --> 0:48:29.439
<v Speaker 2>scientific research that's focuses on developing, testing, and implementing strategies

0:48:29.480 --> 0:48:33.120
<v Speaker 2>to try and mitigate the burden of tropical snake bites.

0:48:33.200 --> 0:48:37.200
<v Speaker 2>So ultimately we're performing a variety of different research from

0:48:37.920 --> 0:48:40.840
<v Speaker 2>laboratory research all the way through to hospital research and

0:48:40.920 --> 0:48:45.000
<v Speaker 2>public health research to try and improve outcomes for snake

0:48:45.040 --> 0:48:49.279
<v Speaker 2>bite victims, with a predominant focus on the tropics and

0:48:49.320 --> 0:48:52.759
<v Speaker 2>the subtropics. So the kind of research that we do

0:48:52.840 --> 0:48:56.279
<v Speaker 2>is quite diverse. On a very fundamental level, things that

0:48:56.360 --> 0:49:00.520
<v Speaker 2>we've touched on already. We want to understand whats are

0:49:00.520 --> 0:49:02.640
<v Speaker 2>in the venom of snake X and what do those

0:49:02.680 --> 0:49:06.839
<v Speaker 2>toxins do, How do those toxins cause damage in a

0:49:06.840 --> 0:49:11.080
<v Speaker 2>person who's bitten by them. We want to understand how

0:49:11.120 --> 0:49:16.000
<v Speaker 2>well or not existing treatments might work at preventing that

0:49:16.080 --> 0:49:19.640
<v Speaker 2>damage if someone is bitten. We're also doing quite a

0:49:19.680 --> 0:49:22.680
<v Speaker 2>lot of research to try and just make much better treatments,

0:49:22.760 --> 0:49:26.680
<v Speaker 2>much broader treatments than those that exist today. So current

0:49:26.680 --> 0:49:29.080
<v Speaker 2>anti venoms are quite limited in many ways. You need

0:49:29.120 --> 0:49:32.920
<v Speaker 2>different anti venoms for different parts of the world. That's

0:49:32.960 --> 0:49:36.839
<v Speaker 2>because again we have venom variation between different snake species,

0:49:37.480 --> 0:49:41.080
<v Speaker 2>but also lots of people have adverse reactions to treatment.

0:49:42.160 --> 0:49:46.920
<v Speaker 2>They're quite expensive in the context of low middle income countries,

0:49:47.960 --> 0:49:50.120
<v Speaker 2>and also they have to be given to a snakelike

0:49:50.200 --> 0:49:53.360
<v Speaker 2>victim in a hospital environment. You have to manage the

0:49:54.080 --> 0:49:57.440
<v Speaker 2>adverse reactions that might happen to the drug, and you

0:49:57.480 --> 0:50:00.319
<v Speaker 2>also have to give the anti venoms intravenously need a

0:50:00.320 --> 0:50:03.279
<v Speaker 2>certain amount of kind of clinical capability to do that.

0:50:04.280 --> 0:50:07.719
<v Speaker 2>So because antithems have to be given in a hospital,

0:50:07.760 --> 0:50:10.440
<v Speaker 2>there's often this big time lag between someone being bitten

0:50:10.680 --> 0:50:14.080
<v Speaker 2>and treatment starting, and that's a real problem because it

0:50:14.160 --> 0:50:16.399
<v Speaker 2>leads to poor patient outcomes. So a lot of our

0:50:16.400 --> 0:50:19.600
<v Speaker 2>researchers trying to circumvent those limitations. We want to make

0:50:20.040 --> 0:50:23.279
<v Speaker 2>more effective, more broadly effective antivenoms that are more affordable,

0:50:23.320 --> 0:50:25.840
<v Speaker 2>that are safer, and that might be able to be

0:50:25.880 --> 0:50:28.359
<v Speaker 2>given to a patient much sooner after a bite, so

0:50:28.360 --> 0:50:32.040
<v Speaker 2>for example, as an oral tablet in the community rather

0:50:32.080 --> 0:50:35.560
<v Speaker 2>than in a health clinic. But we also do work

0:50:35.680 --> 0:50:39.719
<v Speaker 2>in snake bite affected countries too, So we're active at

0:50:39.719 --> 0:50:43.160
<v Speaker 2>the moment in Kenya, in in Nigeria, and in Swatini

0:50:43.800 --> 0:50:48.040
<v Speaker 2>and in India India, working with partners in those countries

0:50:48.120 --> 0:50:51.960
<v Speaker 2>to better understand the burden of snake bite, the cost

0:50:52.040 --> 0:50:56.640
<v Speaker 2>of illness to the hospitals and to the governments, and

0:50:56.719 --> 0:51:01.920
<v Speaker 2>also trialing how different interventions might work or might be

0:51:02.000 --> 0:51:06.600
<v Speaker 2>effective to reduce the kind of the burden of snake

0:51:06.640 --> 0:51:09.640
<v Speaker 2>bite on those populations. So this could be community education,

0:51:09.840 --> 0:51:12.239
<v Speaker 2>or it could be for example, using a motorcycle to

0:51:12.280 --> 0:51:16.280
<v Speaker 2>try and more rapidly transport someone to hospital as an ambulance.

0:51:17.320 --> 0:51:19.880
<v Speaker 2>And ultimately, the kind of the last key pillar of

0:51:19.960 --> 0:51:23.839
<v Speaker 2>the work that we do is to strengthen the capacity

0:51:23.960 --> 0:51:28.719
<v Speaker 2>of people in those countries to undertake snake bite research.

0:51:28.880 --> 0:51:34.080
<v Speaker 2>So we've been fortunate enough to receive funding to help

0:51:34.160 --> 0:51:39.160
<v Speaker 2>develop snake BikeE research centers in Kenya where they've established

0:51:39.160 --> 0:51:44.000
<v Speaker 2>their own herbetarium to collect snakes and venoms, develop capacity

0:51:44.080 --> 0:51:48.240
<v Speaker 2>for them to perform medical research on snake bite victims

0:51:48.239 --> 0:51:51.160
<v Speaker 2>so they can understand what to expect when someone is

0:51:51.200 --> 0:51:54.560
<v Speaker 2>bitten by a species of snake or a different species

0:51:54.600 --> 0:51:58.959
<v Speaker 2>of snake. And ultimately, we believe that's really important that

0:51:59.440 --> 0:52:02.520
<v Speaker 2>those can trees where snake bite is a real problem,

0:52:03.000 --> 0:52:06.120
<v Speaker 2>that individuals in those countries have the capacity to perform

0:52:06.160 --> 0:52:10.920
<v Speaker 2>the research to enable policy changes and to have a

0:52:10.960 --> 0:52:14.120
<v Speaker 2>real impact in terms of mitigating this disease in the

0:52:14.160 --> 0:52:14.680
<v Speaker 2>long run.

0:52:15.680 --> 0:52:18.840
<v Speaker 1>Are there any projects that are currently being done? I

0:52:18.840 --> 0:52:21.800
<v Speaker 1>know you discussed a broad variety of all the different

0:52:21.800 --> 0:52:23.919
<v Speaker 1>work that's being done at the center. Are there any

0:52:23.920 --> 0:52:28.279
<v Speaker 1>particular projects, maybe in anti venom therapy or access to

0:52:28.280 --> 0:52:31.239
<v Speaker 1>anti venoms that you are most excited about that is

0:52:31.280 --> 0:52:32.480
<v Speaker 1>being worked done at the Center.

0:52:33.520 --> 0:52:36.160
<v Speaker 2>Yeah, I think there's a couple, if I'm honest with you. So,

0:52:36.880 --> 0:52:39.520
<v Speaker 2>in terms of therapy, we have three main strategies at

0:52:39.560 --> 0:52:42.480
<v Speaker 2>the moment. One is to try and improve existing treatments,

0:52:42.600 --> 0:52:46.360
<v Speaker 2>and so we're looking at ways that we can quite

0:52:46.440 --> 0:52:50.440
<v Speaker 2>quickly improve the potency of existing products, kind of as

0:52:50.480 --> 0:52:54.759
<v Speaker 2>a short term solution to tackling snake bite. And then

0:52:54.800 --> 0:52:59.480
<v Speaker 2>there's the more longer term approach where we're completely changing

0:52:59.480 --> 0:53:01.840
<v Speaker 2>the strategy, if you like, from how current treatments are

0:53:01.880 --> 0:53:05.680
<v Speaker 2>made to a new format, almost like a next generation approach.

0:53:06.640 --> 0:53:09.080
<v Speaker 2>And one of these is is looking at drugs that

0:53:09.120 --> 0:53:12.640
<v Speaker 2>have been used for other diseases and seeing whether they

0:53:12.640 --> 0:53:16.719
<v Speaker 2>can be repurposed for snake bite. So, for example, there

0:53:16.760 --> 0:53:19.640
<v Speaker 2>are toxins in the venom of snakes that are also

0:53:20.040 --> 0:53:24.000
<v Speaker 2>related to proteins found in URI. So I mentioned the

0:53:24.080 --> 0:53:27.520
<v Speaker 2>syrium proteases earlier on with the caligrines, and there's other

0:53:27.600 --> 0:53:32.319
<v Speaker 2>proteins called metalloproteinases and phospholipases. These are proteins that are

0:53:32.320 --> 0:53:37.000
<v Speaker 2>in URI, and they're actually the targets for medications related

0:53:37.040 --> 0:53:41.960
<v Speaker 2>to other diseases. So metallur proteases were an important target

0:53:42.040 --> 0:53:46.760
<v Speaker 2>for cancer, and phospholipases for coronary heart diseases. So drug

0:53:46.760 --> 0:53:51.560
<v Speaker 2>companies develop molecules that would block these proteins, trying to

0:53:51.600 --> 0:53:55.839
<v Speaker 2>develop new treatments for those conditions. And what we're doing

0:53:55.880 --> 0:53:57.879
<v Speaker 2>at the moment is we're trying to understand whether any

0:53:57.920 --> 0:54:00.640
<v Speaker 2>of these drugs that ultimately didn't make it or got

0:54:00.640 --> 0:54:04.279
<v Speaker 2>close to making it as medications for those diseases might

0:54:04.320 --> 0:54:07.439
<v Speaker 2>be useful for snake bite. And so one of those

0:54:07.520 --> 0:54:11.520
<v Speaker 2>drugs is actually a medication that was used for treating

0:54:11.600 --> 0:54:14.879
<v Speaker 2>heavy metal poisoning. And this is a metal key LATA

0:54:14.920 --> 0:54:18.440
<v Speaker 2>that's a licensed medication. It's used in Europe already, and

0:54:18.480 --> 0:54:21.520
<v Speaker 2>we've been able to show that it has some ability

0:54:21.640 --> 0:54:26.359
<v Speaker 2>to block source scale viper venom and so we're now

0:54:26.400 --> 0:54:30.280
<v Speaker 2>moving into clinical trials with that medication for snake bite

0:54:30.280 --> 0:54:34.200
<v Speaker 2>to see whether it's able to actually prevent some of

0:54:34.239 --> 0:54:37.040
<v Speaker 2>the toxicity or the life threatening effects of source scale

0:54:37.120 --> 0:54:40.560
<v Speaker 2>viper venom as an oral drug, so as a drug

0:54:40.560 --> 0:54:43.120
<v Speaker 2>that could be taken quite quickly after a snake bite,

0:54:43.600 --> 0:54:45.960
<v Speaker 2>still with a patient going to hospital and still potentially

0:54:46.000 --> 0:54:50.200
<v Speaker 2>getting antivenom too, but whether that early oral medication ultimately

0:54:50.280 --> 0:54:53.480
<v Speaker 2>might be able to have a lasting benefit and give

0:54:53.520 --> 0:54:57.280
<v Speaker 2>that patient a much better chance of surviving or reducing

0:54:57.280 --> 0:54:59.880
<v Speaker 2>the severity of a bite. I think it's a real

0:55:00.160 --> 0:55:04.799
<v Speaker 2>exciting time for snake white treatment. So collectively, as kind

0:55:04.800 --> 0:55:07.320
<v Speaker 2>of a snake bite research community, we've been very fortunate

0:55:08.120 --> 0:55:12.360
<v Speaker 2>that the Welcome Trust about four years ago invested eighty

0:55:12.400 --> 0:55:17.120
<v Speaker 2>million pounds into research for snake bite and predominantly around

0:55:17.120 --> 0:55:22.920
<v Speaker 2>that translational biomedical therapy diagnostic space, and they've funded a

0:55:22.960 --> 0:55:25.440
<v Speaker 2>number of projects to ourselves but also to lots of

0:55:25.440 --> 0:55:29.200
<v Speaker 2>other groups all over the world looking at innovative strategies

0:55:29.239 --> 0:55:32.239
<v Speaker 2>to combat snake bites, so to try and bring treatments

0:55:32.680 --> 0:55:35.680
<v Speaker 2>into the modern day. We don't know which are going

0:55:35.719 --> 0:55:38.000
<v Speaker 2>to be the best strategies ultimately, as treatments, and there

0:55:38.000 --> 0:55:39.480
<v Speaker 2>are lots of different ways of doing this, and we

0:55:39.560 --> 0:55:42.640
<v Speaker 2>might need certain strategies for certain toxins and different ones

0:55:42.640 --> 0:55:46.000
<v Speaker 2>for other toxins. So I think it's really exciting at

0:55:46.040 --> 0:55:49.120
<v Speaker 2>the moment. There are different groups with different ideas and

0:55:49.160 --> 0:55:51.719
<v Speaker 2>that collectively as a community, I hope in the next

0:55:51.760 --> 0:55:53.920
<v Speaker 2>five years we're going to be much clearer as to

0:55:53.960 --> 0:55:57.360
<v Speaker 2>which strategies are going to give us those broad, effective

0:55:57.400 --> 0:56:00.239
<v Speaker 2>and safe therapies. In the long run, it does take

0:56:00.280 --> 0:56:02.839
<v Speaker 2>many years, of course, to develop new medications, so this

0:56:02.920 --> 0:56:07.120
<v Speaker 2>is not a short term thing. But I am very

0:56:07.160 --> 0:56:09.239
<v Speaker 2>hopeful that in the next five to ten years we

0:56:09.320 --> 0:56:12.080
<v Speaker 2>will have at least a couple new treatments for snake

0:56:12.120 --> 0:56:16.800
<v Speaker 2>bite that hopefully will deliver real impact over above current

0:56:16.800 --> 0:56:21.560
<v Speaker 2>strategies we have for mitigating the seas. But it's not

0:56:21.600 --> 0:56:24.759
<v Speaker 2>all about treatment. Sadly, it would be lovely if we

0:56:24.800 --> 0:56:27.440
<v Speaker 2>could just have these magic bullets that solve everything, but

0:56:28.520 --> 0:56:31.839
<v Speaker 2>the World Health Organization stresses as well the importance of

0:56:32.000 --> 0:56:36.040
<v Speaker 2>getting those treatments to the right places and getting the

0:56:36.080 --> 0:56:39.239
<v Speaker 2>people to the right places too, So there really is

0:56:39.280 --> 0:56:41.000
<v Speaker 2>still a lot of work that needs to be done

0:56:41.040 --> 0:56:45.040
<v Speaker 2>around the kind of the health seeking behavior and the

0:56:45.080 --> 0:56:49.040
<v Speaker 2>health infrastructure relating to snake bite and of course many

0:56:49.040 --> 0:56:51.960
<v Speaker 2>other tropical conditions too. It's only with that kind of

0:56:51.960 --> 0:56:55.880
<v Speaker 2>collective push that I think will have a real impact

0:56:56.000 --> 0:56:59.640
<v Speaker 2>on reducing the burden of snake bite across the world.

0:57:18.040 --> 0:57:22.800
<v Speaker 1>Thank you so so much, Professor Casewell. What an absolutely

0:57:23.040 --> 0:57:26.480
<v Speaker 1>fun and fascinating conversation. I feel like I could have

0:57:26.600 --> 0:57:30.000
<v Speaker 1>just asked endless questions about snakes and snake venoms and

0:57:30.040 --> 0:57:33.200
<v Speaker 1>anti venoms. It's is so cool. And if you would

0:57:33.280 --> 0:57:36.520
<v Speaker 1>also like to learn more about venom evolution or the

0:57:36.640 --> 0:57:40.240
<v Speaker 1>incredible work that the Center for Snakebite Research and Interventions

0:57:40.280 --> 0:57:43.120
<v Speaker 1>is doing, check out the post for this episode on

0:57:43.160 --> 0:57:46.320
<v Speaker 1>our website, This Podcast will Kill You dot com, where

0:57:46.360 --> 0:57:48.800
<v Speaker 1>I'll link to a few papers and videos, as well

0:57:48.840 --> 0:57:52.200
<v Speaker 1>as the website for the Center. Also on our website

0:57:52.240 --> 0:57:56.080
<v Speaker 1>are the sources for all of our episodes, transcripts, Quarantini

0:57:56.160 --> 0:57:59.840
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0:58:00.040 --> 0:58:03.200
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0:58:03.240 --> 0:58:07.280
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0:58:07.360 --> 0:58:10.520
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0:58:10.560 --> 0:58:13.640
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0:58:13.680 --> 0:58:17.040
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0:58:17.520 --> 0:58:20.400
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0:58:20.400 --> 0:58:23.680
<v Speaker 1>in the Wondery app. I want to give a big

0:58:23.800 --> 0:58:26.440
<v Speaker 1>thank you to all of my guests for these bonus

0:58:26.440 --> 0:58:30.640
<v Speaker 1>episodes over the past few months. I have absolutely loved

0:58:30.760 --> 0:58:34.080
<v Speaker 1>chatting with you, and I appreciate so much the time

0:58:34.120 --> 0:58:36.600
<v Speaker 1>that you've taken to share some of your knowledge. It's

0:58:36.640 --> 0:58:40.960
<v Speaker 1>been fantastic. Thanks again also to Bloodmobile for providing the

0:58:41.040 --> 0:58:44.560
<v Speaker 1>music for this episode and all of our episodes. And

0:58:44.640 --> 0:58:47.240
<v Speaker 1>thank you to you listeners. Did you love hearing about

0:58:47.280 --> 0:58:49.880
<v Speaker 1>venom evolution as much as I did? I bet you did.

0:58:50.600 --> 0:58:53.800
<v Speaker 1>And a special thank you as always to our wonderful,

0:58:53.960 --> 0:58:58.320
<v Speaker 1>generous patrons. We appreciate you so very much. We've got

0:58:58.400 --> 0:59:00.720
<v Speaker 1>a brand new episode on a broad and new topic

0:59:00.840 --> 0:59:04.080
<v Speaker 1>coming out next week, so until then, keep washing those

0:59:04.120 --> 0:59:09.520
<v Speaker 1>hands a