Australian funnel-web spiders are one of the most medically significant groups of spiders in the world and are regarded by some to be the most deadly, both in terms of clinical cases and venom toxicity. Six species have caused severe injuries to human victims: the Sydney funnel-web spider (
Atrax robustus), the northern tree-dwelling funnel-web spider (
Hadronyche formidabilis), the southern tree-dwelling funnel-web spider (
H. cerberea), the Blue Mountains funnel-web spider (
H. versuta), the Darling Downs funnel-web spider (
H. infensa), and the Port Macquarie funnel-web spider (
H. macquariensis). Examination of
bite records has implicated wandering males in most, if not all, fatal Australian funnel-web spider bites to humans. Adult males, recognised by the modified terminal segment of the
palp, tend to wander during the warmer months of the year, looking for receptive females for mating. They are attracted to water, hence are often found in swimming pools, into which they often fall while wandering. The spiders can survive immersion in water for several hours and can deliver a bite when removed from the water. They also show up in garages and yards in suburban Sydney. Contrary to a commonly held belief, Australian funnel-web spiders are not able to jump, although they can run quickly. The volume of venom delivered to large animals is often small, possibly due to the angle of the fangs, which are not horizontally opposed, and because contact is often brief before the spider is brushed off. About 10 to 25% of bites are claimed to produce significant toxicity, but the likelihood cannot be predicted and all bites should be treated as potentially life-threatening. Bites from Sydney funnel-web spiders have caused 13 documented deaths (seven in children). In all cases where the sex of the biting spider could be determined, it was found to be the male of the species. One member of the genus
Hadronyche, the northern tree-dwelling funnel-web spider, has also been claimed to cause fatal envenomation, but to date, this lacks the support of a specific medical report. Assays of venom from several
Hadronyche species have shown it to be similar to
Atrax venom. In 2021 researchers from the
University of Queensland announced that the venom from funnel-web spiders found on
Fraser Island contains the molecule
Hi1a that could block the cell death message after a heart attack, protecting the heart after major injury and potentially preventing or minimising muscle damage.
Toxins Many different
toxins are found in the venom of
Atrax and
Hadronyche spiders. Collectively, these
spider toxins are given the name atracotoxins (ACTX), as all these spiders belong to the family Atracidae. The first toxins isolated were the
δ-ACTX toxins present in the venom of both
A. robustus (δ-ACTX-Ar1, formerly known as
robustoxin or atracotoxin) and
H. versuta (δ-ACTX-Hv1a, formerly known as
versutoxin). Both of these toxins produce the same effects in monkeys as those seen in humans, suggesting that they are responsible for the physiological effects seen with crude venom. These toxins are thought to induce spontaneous, repetitive firing and prolongation of action potentials, resulting in continuous acetylcholine neurotransmitter release from somatic and autonomic
presynaptic nerve endings. This leads to slower
voltage-gated sodium channel inactivation and a hyperpolarizing shift in the voltage-dependence of activation. This in turn inhibits neurally mediated transmitter release, resulting in a surge of endogenous
acetylcholine,
noradrenaline, and
adrenaline. Although extremely toxic to primates, the venom appears to be fairly harmless to many other animals. These animals may be resistant to the venom's effects due to the presence of
IgG, and possibly cross-linked IgG and
IgM inactivating factors in their
blood plasma that bind to the toxins responsible and neutralise them. The female's venom was thought to be only about a sixth as potent to humans as that of the male's. The bite of a female or juvenile may still be serious, but considerable variability occurs in venom toxicity between species, together with assumed degrees of inefficiency in the method of venom delivery.
Symptoms Envenomation symptoms observed following bites by these spiders are very similar. The bite is initially very painful, due to the size of the fangs penetrating the skin. Puncture marks and local bleeding are also usually visible. If substantial envenomation occurs, symptoms generally occur within minutes and progress rapidly. Early symptoms of systemic envenomation include
goose bumps,
sweating,
tingling around the mouth and tongue,
twitching (initially facial and
intercostal), salivation,
watery eyes,
elevated heart rate, and
elevated blood pressure. As systemic envenomation progresses, symptoms include
nausea,
vomiting,
shortness of breath (caused by airway obstruction),
agitation,
confusion, writhing, grimacing,
muscle spasms,
pulmonary oedema (of
neurogenic or hypertensive origin),
metabolic acidosis, and extreme hypertension. The final stages of severe envenomation include
dilation of the pupils (often
fixed), uncontrolled generalised muscle twitching,
unconsciousness, elevated
intracranial pressure, and death. Death generally is a result of progressive
hypotension or possibly elevated intracranial pressure consequent on
cerebral oedema. The onset of severe envenomation can be rapid. In one prospective study, the median time to onset of envenomation was 28 minutes, with only two cases having onset after two hours (both had pressure immobilisation bandages applied). Death may occur within a period ranging from 15 minutes (this occurred when a small child was bitten) to three days.
Treatment Owing to the severity of symptoms, and the speed with which they progress, in areas where these spiders are known to live, all bites from large, black spiders should be treated as though they were caused by Australian funnel-web spiders. First-aid treatment for a suspected Australian funnel-web spider bite consists of immediately applying a
pressure immobilization bandage; a technique which consists of wrapping the bitten limb with a crepe bandage, as well as applying a
splint to limit movement of the limb. This technique was originally developed for
snakebites, but has also been shown to be effective at slowing venom movement and preventing systemic envenomation in case of an Australian funnel-web spider bite. Some evidence suggests that periods of prolonged localisation may slowly inactivate the venom. Further supportive care may be necessary, but the mainstay of treatment is antivenom. Venom from the male Sydney funnel-web spider (
A. robustus) is used in producing the antivenom, but it appears to be effective against the venom of all species of atracids. Australian funnel-web spider antivenom has also been shown,
in vitro, to reverse the effects of eastern
mouse spider (
Missulena bradleyi) venom. Before the introduction of antivenom, envenomation resulted in significant morbidity and mortality. The purified rabbit
IgG antivenom was developed in 1981 through a team effort led by Dr.
Struan Sutherland, head of immunology at the
Australian Commonwealth Serum Laboratories in
Melbourne. The antivenom is fast-acting and highly and globally effective. Antivenom therapy has shortened the course of envenomation effects; prior to its availability, the average length of hospital treatment for severe bites was about 14 days. Today, antivenom-treated patients are commonly discharged from hospital within one to three days. No deaths are known since it became available. == References ==