Effects of Snake Venom and Antivenom on the Immune Response: A Literature Review
DOI:
https://doi.org/10.55927/fjst.v5i6.94Keywords:
Venomous Snake Bites, Envenomation, Immune Reactions, Antivenom, And Inflammation.Abstract
In tropical countries, including, Indonesia, venomous snake bites remain a significant public health problem. Through the activation of proinflammatory cytokines, the complement system, and oxidative stress, envenomation can cause tissue damage and systemic complications. Antivenom is the primary method for neutralizing toxins, but its heterologous immunoglobulin content can trigger immune reactions. This study examines how snake venom and antivenom affect the immune system. A total of 19 articles from a literature review published between 2020 and 2026 were evaluated using narrative synthesis. Data were collected from SINTA-indexed national journals, PubMed, ScienceDirect, and Google Scholar. The results show that snake venom can cause local and systemic inflammation, while antivenom can cause hypersensitivity and even serum sickness. To improve the safety and effectiveness of therapy, antivenom remains the primary choice. However, monitoring for immunological risks is necessary
References
Ahmad, B., & Rehatta, N. M. (2024). Naja kaouthia snake bite: Case report. JAI (Jurnal Anestesiologi Indonesia), 16(3), 249–255. https://doi.org/10.14710/jai.v0i0.59758
Alsolaiss, J., Evans, C. A., Oluoch, G. O., Carter, N. R., & Harrison, R. A. (2022). Profiling the murine acute phase and inflammatory responses to African snake venom: An approach to inform acute snakebite pathology. Toxins, 14(4), 229. https://doi.org/10.3390/toxins14040229
Charuwan, S., Rittilert, P., Vasaruchapong, T., Srisuma, S., Wananukul, W., & Trakulsrichai, S. (2022). Early adverse reactions to snake antivenom: Poison center data analysis. Toxins, 14(10), 694. https://doi.org/10.3390/toxins14100694.
Simangunsong, D. K., Habib, H., & Simbolon, E. (2024). Pemberian SABU (serum anti-bisa ular) pada kasus gigitan ular dengan komplikasi DIC. Cermin Dunia Kedokteran, 50(2), 149–155.
Dias, J. A., & Vasconcelos, R. M. (2023). Acidentes por animais ofídicos: repercussões sistêmicas e prognóstico. Brazilian Journal of Health Review, 6, 12520–12531. https://doi.org/10.34119/bjhrv6n3-321
Dias da Silva, W., Tambourgi, D. V., & Santoro, M. L. (2022). Antibodies as snakebite antivenoms: Past and future. Toxins, 14(9), 606. https://doi.org/10.3390/toxins14090606
Feng, J., Wu, Z., Yu, Q., Li, H., Ji, P., Yang, Y., Wang, X., Zhang, L., Chen, Y., Liu, S., & Zhao, H. (2022). Hydrocortisone for preventing adverse drug reactions to snake antivenom: A meta-analysis. Evidence-Based Complementary and Alternative Medicine, 2022, 6151206. https://doi.org/10.1155/2022/6151206
Gabrili, J. J. M., Squaiella-Baptistão, C. C., Leonel, T. B., Tambourgi, D. V., Oliveira, C. F., & Silva, M. R. (2023). New insights into immunopathology associated with Bothrops lanceolatus snake envenomation: Focus on PLA2 toxin. International Journal of Molecular Sciences, 24(12), 9931. https://doi.org/10.3390/ijms24129931
Gabrili, J. J. M., Squaiella-Baptistão, C. C., Leonel, T. B., Tambourgi, D. V., Oliveira, C. F., & Silva, M. R. (2022). Bothrops jararaca snake venom inflammation induced in human whole blood: Role of the complement system. Frontiers in Immunology, 13, 885223. https://doi.org/10.3389/fimmu.2022.885223
Guidolin, F. R., de Godoi, K. S., Megale, A. A. A., da Silva, C. C. F., Kodama, R. T., Cajado-Carvalho, D., Pereira, L. M., Silva, R. S., Almeida, J. R., & Oliveira, F. A. (2023). Comparing traditional and toxin-oriented approaches towards antivenom production against Bitis arietans snake venom. Toxins, 15(9), 584. https://doi.org/10.3390/toxins15090584
Herrera-Vara, M., Ricaldi-Contreras, E., Santa-María-Huamani, E., Santiago-Esteban, M., & Panduro-Correa, V. (2026). Prophylactic antihistamines in adverse reactions to snake antivenom: A systematic review of randomized controlled trials. Medical Information Center. https://doi.org/10.54034/mic.e2689
Negrin, A., Battocletti, M. A., Juanena, C., & Morais, V. (2021). Reports of doses administered and adverse reactions to snake antivenom used in Uruguay in 2018. Frontiers in Toxicology, 3, 690964. https://doi.org/10.3389/ftox.2021.690964 Patel, R., Makwana, H. D., Sood, S., & Malhotra, S. (2021). A hypersensitivity following antivenom administration: A case report. Journal of Pharmaceutical and Drug Research. https://doi.org/10.53411/jpadr.2021.2.4.6
Patel, D. C., Sovani, V. B., & Patel, N. J. (2024). Post marketing evaluation of anti snake venom (ASV) administered as a standard treatment for snakebite: Experience from western India. Indian Journal of Public Health Research and Development, 15(4), 279–285. https://doi.org/10.37506/9w4gpf62
Pineda, D., & Ra, J. (2025). Case report purpura in serum sickness: A case of polyvalent snake antivenom reaction. Revista de Patologia Tropical, 54(2), 1–8. https://doi.org/10.5216/rpt.v54i2.81822
Ryan, R. Y. M., Lutzky, V. P., Herzig, V., Smallwood, T. B., Potriquet, J., Wong, Y., & Fry, B. G. (2020). Venom of the red-bellied black snake Pseudechis porphyriacus shows immunosuppressive potential. Toxins, 12(11), 674. https://doi.org/10.3390/toxins12110674
Khochare, S., Laxme, R. R. S., Jaikumar, P., Attarde, S., Kulkarni, A., Deshpande, A., & Sharma, R. (2023). Fangs in the Ghats: Preclinical insights into the medical importance of pit vipers from the Western Ghats. International Journal of Molecular Sciences, 24(11), 9516. https://doi.org/10.3390/ijms24119516
Le, T. Q., Nguyen, N. T., Pham, Y. B., Tran, H. T., Nguyen, Q. L., & Le, H. T. (2025). Molecular mechanisms of efficacy variation in antivenoms: Insights from a Malayan pit viper bite in Vietnam. Tropical Medicine and Infectious Disease. https://doi.org/10.3390/tropicalmed10120331
Simangunsong, D. K., Habib, H., & Simbolon, E. (2024). Pemberian SABU pada kasus gigitan ular dengan komplikasi DIC. Cermin Dunia Kedokteran, 51(3), 941. https://doi.org/10.55175/cdk.v51i3.941
Downloads
Published
Issue
Section
License
Copyright (c) 2026 Ayu Indriani Putri, Ari Sri Windyaswari, Suci Nar Vikasari

This work is licensed under a Creative Commons Attribution 4.0 International License.































