Healthy cells can push potassium ions through their membranes. Cells in airways, for instance, need this flow of potassium ions to control muscle contractions and keep a mouse breathing. Ssm Spooky Toxin halts this flow like an overzealous traffic cop.
Because potassium channels exist throughout the body, "centipedes' venom has evolved to simultaneously disrupt cardiovascular, respiratory, muscular and nervous systems," Yang said. "This molecular strategy has not been found in other venomous animals." The study authors hypothesise that the toxin halts blood flow to the heart, leading to heart failure and ultimately death.
This research suggests that a drug called retigabine might neutralise the centipede toxin, Yang said. Retigabine, an anticonvulsant used to treat epilepsy, opens the potassium channels that the centipede toxin blocks. (In June 2017, pharmaceutical company GlaxoSmithKline announced it would discontinue the production of retigabine, citing low demand among patients with epilepsy.) In lab tests, retigabine inhibited the effects of centipede venom in monkeys; equivalent human data does not exist.
Human deaths from centipedes appear to be exceedingly rare. As of 2006, physicians reported in the Emergency Medicine Journal, there were only three recorded cases of people who had died of centipede venom.
The bites do not need to be fatal to be mightily unpleasant. In Hawaii, centipedes have been known to send victims to emergency clinics. Between 2007 and 2011, for Hawaiian emergency visits classified as having natural causes, centipedes were responsible for one in 10 cases, on a par with bee and wasp stings.