马匹如何帮助人类对抗蛇毒:抗蛇毒血清的科学与历史 veritasium 2022-03-22

澳大利亚的致命之舞:蛇与抗蛇毒血清

Zac: 你们能抓住它的尾部吗?

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- [Zac] Are you all right to grab the back end?

Derek: 嗯,目前不行。

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- [Derek] Uh, well, not at the moment.

Zac: 还没。把它弄起来。你得把它锁住。被这种蛇抓伤一下就能把你击倒。

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- Not yet. Get him up. You gotta lock him in. A scratch from this species will knock you.

Derek: 击倒……可能会致死吗?或者……

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- Knock you down... Could kill you? Or...

Zac: 哦,绝对会,是的,是的,是的。

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- Oh definitely, yeah, yeah, yeah.

Derek: 好的。我又回到了澳大利亚,当然,我再次意识到这个国家的一切都想置你于死地,特别是蛇和蜘蛛。

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- Okay. So I am back in Australia, and, of course, I'm a reminded that everything in this country is trying to kill you, particularly snakes and spiders.

在澳大利亚爬行动物公园(Australian Reptile Park),他们会提取蛇和蜘蛛的毒液,以便用它们的毒液来制造抗蛇毒血清(Antivenom: 一种用于治疗蛇咬伤的药物),从而拯救生命。

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and here at the Australian Reptile Park they actually milk snakes and spiders so they can use their venom to make antivenom and save lives.

我们去看看他们是怎么做的。

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Let's go see how they do it.

Zac: 好的,进来吧,伙计。这无疑是全国最危险的房间。你现在被从地板到天花板的毒蛇包围着。

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- All right, so come on in, man. This is without a doubt the most dangerous room in the country. You're currently surrounded floor to ceiling with venomous snakes.

Derek: 唯一能把蛇关在里面的就是那些小锁吗?

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- And the only thing that keeps the snakes in is those little locks?

Zac: 是的,就只有那些小锁和薄玻璃。

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- Yeah, just the little locks and the thin glass.

(悬疑音乐)

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(suspenseful music)

Derek: 蛇真的会那样做吗?

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- [Derek] Did a snake actually do that?

Zac: 是的。当时有个孩子在敲玻璃,我告诉他不要敲,他父母却说“没事”。我说“别敲玻璃,伙计”。结果蛇就(猛地一撞)。那孩子吓得屁滚尿流地跑了出去,是的。

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- Yeah. So a kid was tapping on the glass. I told him not to, his parents are like nah, it's all good. And I'm like, don't tap on the glass, man. The snake goes, (thumps fist) The kid ran out with the smelling of a crap, so yeah.

(Derek 笑)

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(Derek laughs)

Derek: 真的吗?

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- For real?

Zac: 是的,哦,是的。他(模仿孩子尖叫)尖叫着跑出了房间。在澳大利亚,每年有1到3人死于蛇咬。

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- Yeah, oh yeah. He went (mimics a kid screaming) He went screaming out the room. In Australia we lose one to three people per annum to snake bite.

世界卫生组织(World Health Organization)的国际估计是12万人。

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Internationally estimates by the World Health Organization is 120,000.

所以我们不仅拥有世界上最好的抗蛇毒血清产品,而且我们还有一个联邦资助的抗蛇毒血清计划,这意味着无论你是谁,都可以免费获得抗蛇毒血清。

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So not only do we have some of the best antivenom products anywhere on the planet, but we have a federally funded antivenom program, which means no matter who you are, you get antivenom for free.

所以我们可能会先从一条大的海岸太攀蛇(Coastal Taipan: 澳大利亚一种剧毒蛇)开始。

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So we'll probably play with a big coastal taipan to start with.

Derek: 是的。那我们为什么要从大的开始呢?

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- Yeah. So why are we starting big?

Zac: 哦,反正都要做。

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- Oh we may as well.

(Derek 笑)

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(Derek laughs)

Derek: 你告诉我我需要做什么。

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- You tell me what I need to do.

毒液提取:与太攀蛇共舞

Zac: 好的。我从你身后拿一个小瓶,因为显然我们在爬行动物公园只使用最科学的设备。

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- Righty-O I'm just gonna grab a vial from behind you 'cause obviously we use only the most highly scientific pieces of equipment here at the Reptile Park.

Derek: 明白了。

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- Got it.

Zac: 这是我们的烈酒杯。

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- It's our shot glass.

Derek: 太棒了。

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- Beautiful.

Zac: 我甚至可能让你帮我拿一下。

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- And I might even get you to hold that for me

Derek: 好的。

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- Great.

Zac: 拿一会儿。这是我们的大个子之一。希望他心情不错。如你所见,他体型相当大。

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- For a second. This is one of our big boys. Hopefully he's in a good mood. As you can see, quite a large individual.

Derek: 哇。

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- Wow.

Zac: 现在我们要做的。

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- Now what we're gonna do.

Derek: 是的。

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- Yeah.

Zac: 是把他按住。现在,等等,等等,等等。把他弄起来。好的。给你,你拿着这个,我把那个小瓶从你手里拿走。

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- Is pin him. Now, wait, wait, wait. Get him up. Righty-O There you go, you hold that, I'll take that vial off you.

Derek: 好的。(紧张地笑)这感觉太荒谬了。

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- Okay. (Nervous laughter) This feels absurd.

Zac: 好了。如你所见,他很想杀戮。蛇不笨。他不想咬罐子,他想咬我。手指是目标。(歇斯底里地笑)好了。

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- There we go. As you can see, he's keen on the killing. Now snakes aren't stupid. He doesn't wanna bite the jar, he wants to bite me. Finger is the target. (Laughs hysterically) There we go.

Derek: 我的天啊。那一下就喷出了很多毒液,而且速度非常快。

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- Oh my goodness. That was a lot of venom delivered very quickly.

Zac: 是的,他们可不是闹着玩的。

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- Yeah, they're not mucking around.

Derek: 哇。

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- Wow.

Zac: 现在我们要做的,是轻轻按摩他的毒腺。所以,你认为是他脸颊的地方,轻轻揉搓一下,看看我们能不能再挤出一两滴,因为每一滴都很重要。

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- Now what we'll do is we'll actually give his venom glands a little bit of a massage. So what you would consider his cheeks, give them a little bit of a roll, see if we can get an extra drop or two 'cause every drop matters.

Derek: 嗯哼。

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- [Derek] Uh-huh.

Zac: 现在,因为我的手开始抽筋了,我要把他放回去。所以我让你们往后退一点。这是最危险的部分。

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- Now, because my hand's starting to cramp up, I'm gonna put him away. So I'll get you guys to jump back for me. And this is the sketchy bit.

Derek: 是的。

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- Yeah.

Zac: 当你把他拿出来时,你有钩子;当你把他放回去时,就看谁更快了。准备好了吗?二。(笼门关上)

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- When you get him out, you got the hook, when you're putting him back, it's just who's quicker. Ready? Two. (cage door shuts)

Derek: 你的手有点颤抖吗?

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- Are your hands trembling a little bit?

Zac: 是的,每次都这样。

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- Yeah, every time.

Derek: 看看。那么你到底需要多少毒液才能制造抗蛇毒血清呢?

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- Look at that So how much venom do you actually need to make antivenom?

Zac: 大约15条蛇的毒液。

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- [Zac] About 15.

Derek: 15条蛇才能制造一小瓶抗蛇毒血清吗?

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- [Derek] 15 snakes to make one vial of antivenom?

Zac: 是的。

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- Yeah.

蛇毒的进化与毒牙的演变

Derek: 毒液是从唾液进化而来的,主要用于捕捉和消化猎物。

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- [Derek] Venom evolved from saliva and it's used primarily for catching and digesting prey.

每种蛇的毒液都不同,专门针对它们捕食的特定动物。

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Each species of snake has a different venom tailored to the specific animals they hunt.

毒液最初是通过蛇的后牙喷射到口腔中的,直到今天,几乎三分之二的蛇都是后牙毒蛇。

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The venom was originally squirted into a snake's mouth by the back teeth, and to this day, almost 2/3 of all snakes are rear fanged.

Zac: 那么你可能会问,为什么是后牙呢?

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- Now why the rear tooth, you might ask?

这是因为毒腺本身实际上在蛇的眼睛后面。

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Well, it's because the venom gland itself is actually behind the snake's eye.

所以导管最短的距离是直接向下通到上颚的后端。

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So the shortest distance for a duct is directly downwards to the back end of the top jaw.

Derek: 在某些物种中,进化压力导致毒牙越来越靠近颌骨的前部,从而提高了蛇捕捉和杀死猎物的能力。

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- [Derek] In some species, evolutionary pressures caused the fangs to move closer and closer to the front of the jaw, improving the snake's ability to catch and kill prey.

在毒牙位置进化的同时,毒牙本身也在进化。

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While the location of the fangs was evolving, so were the fangs themselves.

它们最初是光滑的普通牙齿,毒液从外面流下,但随着时间的推移,一些蛇类进化出每个毒牙上的凹槽,以引导毒液流动。

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They started off as smooth ordinary teeth with venom flowing down the outside, but over time, some snake lineages evolved a groove in each fang to channel the flow of venom.

在某些物种中,凹槽变得越来越深,最终闭合形成中空管,现在牙齿可以字面上将毒液注射到猎物中。

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In some species, the groove became deeper and deeper eventually closing in to form a hollow tube, and now the teeth literally inject venom into prey.

但这并非常态。世界上只有七分之一的蛇拥有中空毒牙,但当然,澳大利亚几乎所有的毒蛇都拥有中空毒牙,所以我们设置了这个微距镜头来仔细观察。

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But this is not the norm. Only 1/7 of the world's snakes have hollow fangs, but, of course, almost all the venomous snakes in Australia do have hollow fangs, so we set up this macro shot to take a closer look.

Zac: 这个在动。那个也在动。你准备好了我们就准备好了。

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- This one's rolling. That one's rolling. We're ready when you're.

Derek: 我们准备好了。完美。

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- We're ready. Perfect.

Zac: 好了,大家都准备好了吗?

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- All right, everyone's ready?

Derek: 是的。哇。它像喷射器一样,喷出毒液。这家伙是不是很久没挤奶了?

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- Yep. Wow. It's got like jets Jets of venom coming out. Has this guy not been milked in a while or?

Zac: 是的,有一段时间了。

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- Yeah, it's been a little while.

(欢快的音乐)

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(upbeat music)

超级毒蛇:人工培育与毒性增强

Zac: 我们这里不仅有地球上一些毒性最强的蛇,我们还选择性地培育它们以生产抗蛇毒血清。

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- Not only do we have some of the most toxic snakes on the planet here, we also selectively breed them for the production of antivenom.

它们被培育得比野外同类产生更多的毒液。

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They're bred to produce more venom than their wild counterparts.

所以我们的一些海岸太攀蛇产生的毒液量几乎是野外同类的五、六甚至七倍,这仅仅是通过选择性育种实现的。

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So some of our coastal taipans are producing five, six nearly seven times what their wild counterpart would, and that's just from selective breeding.

你找到两条最疯狂的,把它们放在一起,你希望能得到最好的结果,但往往出来的是最糟糕的。(笑)所以这让你时刻保持警惕。

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You find your two most psychotic ones, you put them together, you hope for the best and the absolute worst comes out. (Laughs) So keeps you on your toes.

Derek: 那听起来太可怕了。你是说这些是世界上最毒的蛇,然后你又把它们培育得更毒了?

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- That sounds horrendous. So you're saying that these are the most venomous snakes in the world, and then you have bred them to be more venomous?

Zac: 是的,它们是超级蛇。被这些动物中的任何一种抓伤都可能致命。

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- Yeah, they're super snakes. A scratch from any of these animals could kill you.

有些蛇每次咬伤能提供4.5到4.9克的毒液,这简直是惊人的数量。

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And some of these snakes are giving 4.5, 4.9 grams of venom per bite, which is just stupid amounts.

Derek: 我们采访了毒液专家蒂莫西·杰克逊(Timothy Jackson),他认为这些蛇产生更多毒液是因为它们定期被挤奶,不像野外蛇。

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- We spoke to venom expert, Timothy Jackson who argued these snakes produce more venom because they are regularly milked, unlike wild snakes.

无论如何,这个房间里的蛇所含的毒液量几乎比地球上任何其他蛇都多。

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Either way, the snakes in this room contain more venom than virtually any others on earth.

Zac: 我们这里有毒性排名第二、第三、第四、第五,以及大约第十二或第十三的蛇,这取决于你和谁交谈。

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- We house the second, the third, the fourth, the fifth, and about the 12th or 13th most toxic, depending on who you talk to.

Derek: 眼镜王蛇(King Cobra: 一种大型剧毒蛇)的一咬所含的毒液足以杀死13,000只老鼠,我们之所以知道这一点,是因为1979年的一项研究,该研究测试了25种不同蛇的毒液对实验室小鼠的影响。

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- [Derek] One bite from a King Cobra contains enough venom to kill 13,000 mice, and we know this because of a study from 1979 that tested the venoms of 25 different species of snake on lab mice.

由此我们可以估计,眼镜王蛇的一咬毒液可以杀死大约四个人,尽管准确地说,我们必须说是四只人类大小的啮齿动物,因为幸运的是,没有人对人类测试过这些毒液。

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From this, we can estimate that the venom from one King Cobra bite could kill around four humans, though to be precise, we'd have to say four human-sized rodents because thankfully, no one's tested these venoms on humans.

按照这个标准,世界上毒性最强的蛇是内陆太攀蛇(Inland Taipan: 世界上毒性最强的陆地蛇),它恰好生活在澳大利亚中部。

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And by this measure, the most venomous snake in the world is the inland taipan, which conveniently lives in the middle of Australia.

内陆太攀蛇的一咬所含的毒液足以杀死五十万只老鼠,或者超过100个人。

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A bite from the inland taipan has enough venom to kill half a million mice, or more than 100 humans.

所以,是的,为什么不接下来挤它的毒液呢?

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So yeah, why not milk that one next?

Zac: 那么下一个,我们要再提升一个档次。这是内陆太攀蛇,也被称为“凶猛蛇”,是地球上毒性最强的陆地蛇。

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- So the next one, we're gonna step it up another notch. So this is the inland taipan, also known as the fierce snake, the most toxic land snake on the planet.

这些家伙只需一滴毒液就能击倒100名成年人。所以毒性非常强。

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These guys have the ability with one drop of venom to knock over 100 adult humans. So stupidly toxic.

比我们之前用的几只动物小得多,但毒性弥补了这一点。

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So quite a lot smaller than the last couple of animals we've used, but makes up for it in toxicity.

它非常非常快,而且在它想捣乱的时候非常顽皮,但它的花纹绝对华丽。你可以帮我抓住那一部分,伙计。

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Very, very quick and very naughty when he wants to be, but an absolutely gorgeous pattern. You can grab that bit for me, mate.

Derek: 是的。

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- Yes.

Zac: 我从你身后拿这个小瓶。如你所见,他非常渴望杀戮。好了。

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- I'm gonna grab this vial from behind you. And as you can see, he's very keen on the killing. There we go.

Derek: 这真是非凡。世界上最毒的蛇。

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- [Derek] That is extraordinary. The most venomous snake in the world.

Zac: 它们真是不可思议的动物,不是吗?

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- Just incredible animals, aren't they?

(笼门关上)(笑)

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(cage door shuts) (laughs)

Derek: 那很快。

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- [Derek] That was quick.

Zac: 是的,那些蛇让我非常紧张。我不知道你们怎么样,但我出汗了。

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- Yeah, those ones make me proper nervous. I don't know about you guys, but I'm sweating.

Derek: 你能看到手吗?

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- [Derek] Can you see the hands?

Zac: 如果我在挤完毒液后不再做这个动作,那就是我辞职的那一天。

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- The moment I stop doing that after a milking is the day I quit.

蛇毒的致死机制与个人经历

Derek: “最毒的蛇”这个概念很复杂,因为蛇的毒液是专门针对其常见猎物的效力而进化的,反过来,它们的猎物也进化出了对毒液的抵抗力。

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- [Derek] The concept of the most venomous snake is complicated because snakes evolved their venom specifically for potency against their usual prey, in turn, their prey evolved resistance to their venom.

例如,蜜獾(Honey Badger: 一种对蛇毒几乎完全免疫的动物)对眼镜蛇毒液几乎完全免疫。

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The honey badger, for example, is almost completely immune to Cobra venom.

所以,一次咬伤的致死性取决于蛇、被咬的动物以及注射的毒液量。

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So the lethality of a bite depends on the snake, the animal that got bitten, and the amount of venom injected.

科学家在实验室小鼠身上测试不同毒液的原因是为了估算出中和一次咬伤所需的抗蛇毒血清量。

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The reason scientists test different venoms on lab mice is to get an estimate of the amount of antivenom that would be required to neutralize a bite.

蛇毒对我们来说是致命的,因为我们与蛇的主要猎物——啮齿动物——在进化上密切相关。

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Snake venom is lethal to us because we are closely related to snakes' main prey, rodents.

啮齿动物和灵长类动物在进化树上仅在7500万年前才分化,所以我们共享许多相同的生物学特征,从细胞结构到血液凝结方式,再到神经发送信号的方式。

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Rodents and primates split on the evolutionary tree only 75 million years ago, so we share a lot of the same biology, from the structure of our cells to the way our blood clots, to how our nerves send signals.

毒液通常针对的是在所有脊椎动物中,甚至在某些情况下在整个生命树中都非常保守的分子通路。

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- Venoms typically target very conserved molecular pathways that exist across maybe all vertebrates or maybe even the entire tree of life in some cases.

Derek: 蛇毒有四种方式可以杀死你。它可以是神经毒素(Neurotoxic: 损害神经系统和大脑),通过干扰神经递质(神经元之间的信号化学物质)来破坏你的神经系统和大脑。

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- [Derek] There are four ways that snake venom can kill you. It can be neurotoxic, damaging to your nervous system and brain by interfering with neurotransmitters, the signaling chemicals that go between neurons.

它可以是血液毒素(Hemotoxic: 稀释血液,阻止伤口愈合并导致内出血)。它通过扰乱血液凝固系统的精细机制来做到这一点。

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It can be hemotoxic, thinning out your blood, preventing wounds from healing and causing internal bleeding. It does this by disturbing the delicate machinery of the blood coagulation system.

毒液也可以是细胞毒素(Cytotoxic: 攻击细胞),导致严重的水泡、坏死和细胞死亡。

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Venom can also be cytotoxic, attacking cells, leading to severe blisters, necrosis and cell death.

它还可以是肌肉毒素(Myotoxic: 破坏肌肉),破坏肌肉并导致瘫痪。

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It can also be myotoxic, destroying muscles and causing paralysis.

最糟糕的是,蛇毒可以含有多达200种化合物。大多数毒液含有神经毒性、血液毒性、细胞毒性和肌肉毒性蛋白质的组合。

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The worst part is that snake venoms can contain up to 200 compounds. Most venoms contain a combination of neurotoxic, hemotoxic, cytotoxic and myotoxic proteins.

这就是为什么蛇咬伤如此难以治疗的原因。你不是只试图中和一种毒素,而是几十种毒素共同作用试图杀死你。

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This is what makes snake bites so difficult to treat. It's not just one toxin you're trying to neutralize, but dozens all working together to try to kill you.

Zac: 来吧。好孩子。好了。今年我已经在公园工作了十年。我经营这个设施七年半到八年了。

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- Come on. Good boy. There we go. I've been at the park for 10 years this year. I've been running this facility for 7 1/2, eight.

Derek: 你被咬过吗?

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- Have you ever been bitten?

Zac: 是的,大约三年半前,我被抓伤了。一根手指被划破了。那次我在重症监护室(ICU)待了36小时,其中8小时是在复苏室。所以非常非常严重。

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- Yeah, so about 3 1/2 years ago, I got a scratch. One finger got nicked. That was 36 hours in ICU and eight of those were on a resus bay. So very, very serious.

Derek: 那是什么样的经历?

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- [Derek] And what was that experience like?

Zac: 那糟透了。事实证明,我对抗蛇毒血清(Antivenom)高度过敏(Allergic: 身体对某种物质产生异常反应),这可不理想。

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- That was crappy. As it turns out, I'm highly allergic to antivenom, which is not ideal.

我开始肿胀,看起来像“象人”。然后他们给我注射肾上腺素来抵消过敏性休克(Anaphylaxis: 严重的全身性过敏反应),然后他们不得不给我更多的抗蛇毒血清,更多的肾上腺素,更多的抗蛇毒血清,更多的肾上腺素,更多的抗蛇毒血清,更多的肾上腺素。

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I started swelling up looking like the Elephant Man. So then they whack you with adrenaline to cancel out the anaphylaxis and then they have to give you more anti-venom, more adrenaline, more anti-venom, more adrenaline, more anti-venom, more adrenaline.

幸运的是,我只需要一次,但那已经是最好的情况了,他没有咀嚼,没有咬,真的只是抓伤了一下。

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And thankfully, I only needed the one, but it was like the best case scenario, he didn't chew, he didn't bite, but literally just a scratch.

抗蛇毒血清的诞生与发展

Derek: 那么抗蛇毒血清(Antivenom)到底是什么?它是如何发明的?

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- [Derek] So what is antivenom exactly? and how was it invented?

1870年,一位名叫爱德华·尼科尔森(Edward Nicholson)的英国军医驻扎在缅甸,当他观察当地的蛇捕手时,他发现了一些奇怪的事情。

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In 1870, a British military doctor, Edward Nicholson was stationed in Burma, and as he watched the local snake handlers, he noticed something strange.

他们不时地故意让眼镜蛇咬他们,他认为这是一种纹身的形式。

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They would from time to time deliberately get Cobras to bite them in what he considered a form of tattooing.

尼科尔森推断他们是故意让身体暴露在毒液中,以产生免疫反应。

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Nicholson reasoned that they were intentionally exposing their bodies to the venom to develop an immune response.

他观察到,年长的蛇捕手比年轻的蛇捕手受意外咬伤的影响更小。

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He observed that the older snake handlers were less affected by accidental bites than the younger ones.

所以这种危险的做法似乎是有效的。

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So this dangerous practice seemed to be paying off.

20年后,在西贡,一位名叫阿尔伯特·卡尔梅特(Albert Calmette)的法国医学研究员正在为当地居民接种天花疫苗。

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20 years later in Saigon, a French medical researcher named Albert Calmette was vaccinating local residents against smallpox.

当他意识到眼镜蛇造成的威胁时,他想知道是否有可能制造一种蛇咬伤的疫苗。

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When he became aware of the threat posed by Cobras, he wondered if it was possible to make a vaccine for snake bites.

回到巴黎,他尝试给兔子注射少量眼镜蛇毒液,最初只有0.03毫克,但每周他都会再次给兔子注射,并缓慢增加剂量。

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Back in Paris, he tried injecting rabbits with a tiny amount of Cobra venom starting with just .03 milligrams, but each week, he injected the rabbits again slowly increasing the dose.

经过八个月的实验,兔子每次可以接受35毫克的眼镜蛇毒液,这是兔子正常致死剂量的15倍,但它们仍然完全健康。

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And after eight months of this, the rabbits were receiving 35 milligrams of Cobra venom at a time, that is 15 times the normal lethal dose in rabbits, but they were still perfectly healthy.

兔子的免疫系统已经产生了抗体(Antibodies: 免疫系统产生的蛋白质,用于中和病原体或毒素)来中和毒液。

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The rabbits' immune systems had developed antibodies to neutralize the venom.

所以你可以像接种疾病疫苗一样接种蛇咬疫苗,但谁会想为了以防万一被蛇咬而接种所有不同类型蛇的疫苗呢?

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So you can be vaccinated against snake bites just as you can against disease, but who wants to be vaccinated against all different types of snakes just in case one bites you?

卡尔梅特推断,如果能在被咬后注射抗体,那会更好。

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It would be better, Calmette reasoned, if you could administer antibodies after a bite.

于是他从一只对毒液有抵抗力的兔子身上抽取血液,分离出含有抗体的血清(Serum),然后将其注射到另一只从未接触过毒液的兔子体内。

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So he drew blood from a venom resistant rabbit and isolated the serum which contains the antibodies, and then he injected it into another rabbit that had never been exposed to venom.

当他随后给这只兔子注射两倍致死剂量的眼镜蛇毒液时,这只兔子安然无恙。

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When he subsequently injected it with twice the lethal dose of Cobra venom, the rabbit was just fine.

免疫力从一只兔子转移到了另一只兔子。

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Immunity had been transferred from one rabbit to another.

这是第一种抗蛇毒血清(Antivenom),或者像法国人卡尔梅特所称的“抗毒素”(antivenin),这也是为什么我的手机总是自动纠正的原因。

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This was the first antivenom, or as the Frenchman, Calmette called it, antivenin, which is why my phone always makes that auto-correction.

直到今天,抗蛇毒血清的制造方式大同小异。

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To this day, antivenoms are made in much the same way.

在爬行动物公园,他们收集并冷冻毒液。

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At the Reptile Park, they collect and freeze the venom.

毒液被送去稀释并注射到供体动物(Donor Animal: 通常是马)体内,通常是马。

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It's sent off to be diluted and injected into a donor animal, usually a horse.

使用马匹是因为它们的体型。

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Horses are used because of their size.

经过几个月的剂量增加,马匹对毒液产生了免疫力,然后抽取它们的血液,分离出抗体(Antibodies)。

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After increasing the dose over a period of months, the horse builds up immunity to the venom, and then it's blood is drawn and the antibodies are isolated.

只提取血浆(Plasma: 血液中除血细胞外的液体部分),红细胞则返回马匹体内。

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Only the plasma is taken, the red blood cells are returned to the horse.

这些马匹抗体就是拯救生命的抗蛇毒血清(Antivenom)。

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Those horse antibodies are the life saving antivenom.

抗蛇毒血清之所以有效,原因与毒液有效的原因相同,都是因为我们与其他哺乳动物共享的进化历史。

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Antivenom works for the same reason venom works, because of our shared evolutionary history with other mammals.

马匹产生的抗体与人类产生的抗体非常相似,所以它们能够结合有毒化合物并中和它们,即使是在我们体内。

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The antibodies produced by horses are very similar to the ones produced by humans, so they bind to toxic compounds and neutralize them even in our bodies.

抗蛇毒血清的挑战与未来

Derek: 但这种制造抗蛇毒血清的方法也有缺点。收集毒液很危险,涉及许多供体动物(Donor Animal),而且有些人对抗蛇毒血清(Antivenom)过敏。

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- But this way of making antivenom has downsides. Collecting the venom is dangerous, many donor animals are involved, and some people are allergic to antivenom.

科学家们现在正在探索利用基因改造细菌生产抗蛇毒血清的可能性。

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Scientists are now exploring the possibility of producing antivenom using genetically modified bacteria.

它们将产生中和毒液中每种毒素所需的特异性抗体,但目前,这就是抗蛇毒血清的制造方式。

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They would produce the specific antibodies needed to neutralize each toxin in a venom, but for now, this is the way antivenom is made.

你的手臂怎么样?

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How's your arm?

Zac: 是的,有点疼。肩膀有点酸。

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- Yeah, it's a bit sore. The shoulder is a bit tender.

Derek: 扎克(Zac)和像他一样的人所做的工作,在全球范围内拯救了无数生命。

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- [Derek] The work Zac and others like him do saves countless lives all around the world.

Zac: 如果你来这里是为了名利,为了炫耀自己挤蛇有多厉害,那你不会长久。

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- If you're up here for fame and fortune, and oh, look how tough I am milking snakes, you don't last long.

你会被咬伤,然后你会说:“哦,这不适合我。”

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You get chewed on and you go, oh, this is not for me.

如果你来这里是因为你热爱动物,并且这是一个不仅能与你所爱的动物一起工作,还能积极参与拯救生命的机会。

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If you're up here because you love the animals and this is an opportunity to not only work with the animals you love, but to actively be a part of saving lives.

我没有聪明到可以成为一名医生,我直说吧,但我很擅长摆弄蛇。

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Like I'm not smart enough to be a doctor, I'll put that out there straight away, but I can swing a snake pretty good.

Derek: 嘿,挤蛇是一项非常需要动手操作的活动,而通过本视频的赞助商Brilliant学习也是如此。

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- Hey, milking snakes is a very hands-on activity, and so is learning with this video's sponsor, Brilliant.

Brilliant是一个旨在让你深入思考科学、数学和计算机科学的网站和应用程序。

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Brilliant is a website and app designed to get you thinking deeply about science, mathematics and computer science.

他们通过精心策划的问题集和互动谜题来实现这一点。

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They do this using highly curated problem sets and interactive puzzles.

例如,他们关于概率基础(Probability Fundamentals: 概率论的基本概念和原理)的课程非常出色。

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For example, their course on probability fundamentals is excellent.

我之前制作过一个关于贝叶斯定理(Bayes' theorem: 一种用于计算条件概率的数学公式)的视频,但在这个课程中,你可以一步步地理解其背后的推理。

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Now I've made a video before on Bayes' theorem, but in this course, you go through the reasoning behind it step by step.

通过互动视觉效果,你解决现实世界的问题,我认为它们让课程更令人难忘,并且揭开了贝叶斯公式的神秘面纱。

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Using interactive visuals, you solve real world problems, and I think they make the lesson much more memorable and they demystify Bayes' formula.

如果你真的想理解某件事,你必须亲自尝试,回答问题并从错误中学习,这就是Brilliant让你做到的。

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If you really wanna understand something, you have to try it out for yourself, answer questions and learn from your mistakes, that's what Brilliant allows you to do.

在数学、科学和计算机科学领域有如此多的课程可供选择,对于本视频的观众,Brilliant为前200名注册者提供年度高级订阅20%的折扣。

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There are so many courses to choose from in the areas of math, science, and computer science, and for viewers of this video, Brilliant is offering 20% off on annual premium subscription to the first 200 people to sign up.

只需访问brilliant.org/veritasium,我会在描述中留下这个链接。

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Just go to brilliant.org/veritasium I will put that link down in the description.

所以我要感谢Brilliant支持Veritasium,也要感谢你的观看。

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So I wanna thank Brilliant for supporting Veritasium and I wanna thank you for watching.

📌 文中提及的人物和组织

人物: Derek Muller

公司/组织: World Health Organization

产品/模型: Brilliant

关键字: business immune-response public-health snake-venom technology