The cones are equipped, as we formerly had the chance to notice, with poisonous glands and with a buccal system fit to prey fishes, worms and other molluscs, cones of other species included.

The specimens of some species of cones, at least the greater ones, are dangerous to the man too. Conus geographus and Conus striatus are provided with a very long and extensible proboscis that is able to reach any part of their shell and therefore they must not be picked up with bare-hands any way. The teeth are, in both species, long more than ten millimetres and they may perforate thin clothes. The injuries caused are often fatal or may lead, at least, to temporary paralysis of the limbs and respiratory troubles.

The small piscivorous cones - like Conus catus, Conus magus, Conus monachus, Conus obscurus etc. - are less dangerous, but nevertheless they must be handled with the same care.

It is still much-discussed if the molluscivorous cones venom is dangerous to the man. In laboratory tests carried out on the venom of Conus aulicus, Conus marmoreus and similar species, no guinea pig died. Fortunately these species aren’t too much aggressive and their tent patterns, that are made out through the thin periostacum, let us detect them easily. All these cones are potentially dangerous and must be handled with the greatest caution.

Many vermivorous cone, like Conus betulinus, Conus leopardus, Conus quercinus, etc., must be considered potentially dangerous because of their great size, although their venom has not a considerable effect towards the mammalians. The reaction to their sharp bite is usually limited to a localised swelling or inflammations. Anyway, the bite of a small vermivorous like Conus pulicarius may be as painful as a bee one. The venom of the piscivorous and the great molluscivorous cones acts the same way as the elapid snakes one (cobras, kraits, mambas, and coral snakes). Just after a few minutes from the bite, sometimes less than five, the venom starts to have an effect and any medical treatment may be ineffective.

At the beginning the injury causes a shooting localised pain, followed by the numbness of the affected limb (usually the hand, the arm or the foot). The venom gradually blocks the extremities nerves action being the cause of tingling sensation at first, swelling and rash, giddiness, vomiting and later sharp pain. In a short time the diaphragm also is interested and respiratory difficulties begin when the lungs slow down their function. A dizzy feeling, inability to focus images, swallowing and phonation difficulties occur then. The death is caused therefore by respiratory insufficiency, when both the diaphragm and the lungs are shown completely paralysed, followed by cardiac arrest.

If the injury is inflicted by small sized or low toxicity cones, the symptoms, not so much intense, will end up in a variable lapse of time, from a few hours to some days.

At any rate, the best thing to do is to avoid to be bitten, which means not to handle live cones bare-handed, not to carry them in a thin, and therefore pierceable, plastic bag, not to introduce bare-hands into the sand or through the coral debris. The same cautions must be taken when cone shells are kept in captivity.

As far as we know, the venom effect is due to many types of conotoxins that act in synergetic way. The W-conotoxins hinder the entry of the calcium into the nerve ending and inhibit the acetylcholine release. The M-conotoxins modify the sodium canals in the muscular cells. The A-conotoxins block the nicotinic acetylcholine receptors. Olivera and colleagues have emphasized the importance of two different types of peptides isolated in Conus purpurascens - the conantokins and the omega-conotoxins - in the nerve ending inhibition. A peptide that induces drowsiness in the guinea pig has been isolated in Conus geographus.

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