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Description of Pegethrix niliensis sp. nov., a Novel Cyanobacterium from the Nile River Basin, Egypt: A Polyphasic Analysis and Comparative Study of Related Genera in the Oculatellales Order. 描述来自埃及尼罗河流域的新型蓝藻--Pegethrix niliensis sp:多相分析及 Oculatellales 目相关属的比较研究。
IF 3.9 3区 医学 Q2 FOOD SCIENCE & TECHNOLOGY Pub Date : 2024-10-21 DOI: 10.3390/toxins16100451
Guilherme Scotta Hentschke, Zakaria Mohamed, Alexandre Campos, Vitor M Vasconcelos

In this paper, we examine the filamentous cyanobacterial strain NILCB16 and describe it as a new species within the genus Pegethrix. The original population was sampled from a mat growing in an irrigation canal in the Nile River, Egypt. Initially classified under Plectonema or Planktolyngbya, the strain is a potential producer of the toxins microcystin and β-N-Methylamino-L-Alanine (BMAA). Additionally, we reviewed the taxonomic relationships between the Oculatellales genera. To describe the new species, we conducted a polyphasic study, encompassing 16S rRNA gene phylogenetic analyses performed using both Maximum Likelihood and Bayesian methods, sequence identity (p-distance) analysis, 16S-23S ITS secondary structures, and morphological and habitat comparisons. The phylogenetic analysis revealed that strain NILCB16 clustered within the Pegethrix clade with strong phylogenetic support, but in a distinct position from other species in the genus. The strain shared a maximum 16S rRNA gene identity of 97.3% with P. qiandaoensis and 96.1% with the type species, P. bostrychoides. Morphologically, NILCB16 can be differentiated from other species in the genus by its lack of false branching. Our phylogenetic analyses also show that Pegethrix, Cartusia, Elainella, and Maricoleus are clustered with strong phylogenetic support. They exhibit high 16S rRNA gene identity and are morphologically indistinguishable, suggesting they could potentially be merged into a single genus in the future.

本文研究了丝状蓝藻菌株 NILCB16,并将其描述为 Pegethrix 属中的一个新物种。其原始种群取自埃及尼罗河灌溉渠中生长的垫层。该菌株最初被归类为 Plectonema 或 Planktolyngbya,可能会产生毒素微囊藻毒素和 β-N-甲基氨基-L-丙氨酸(BMAA)。此外,我们还回顾了 Oculatellales 属之间的分类关系。为了描述这个新物种,我们进行了一项多相研究,包括使用最大似然法和贝叶斯法进行的 16S rRNA 基因系统进化分析、序列同一性(p-距离)分析、16S-23S ITS 二级结构以及形态和生境比较。系统进化分析表明,菌株 NILCB16 聚类于 Pegethrix 支系,具有较强的系统进化支持,但与该属其他物种的位置不同。该菌株的 16S rRNA 基因与 P. qiandaoensis 的最大同一性为 97.3%,与模式种 P. bostrychoides 的同一性为 96.1%。从形态上看,NILCB16 与该属其他物种的区别在于它没有假分支。我们的系统发育分析还显示,Pegethrix、Cartusia、Elainella 和 Maricoleus 在系统发育上有很强的聚类支持。它们表现出很高的 16S rRNA 基因同一性,而且在形态上没有区别,这表明它们将来有可能合并为一个属。
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引用次数: 0
Characterization of Kunitz-Domain Anticoagulation Peptides Derived from Acinetobacter baumannii Exotoxin Protein F6W77. 从鲍曼不动杆菌外毒素蛋白 F6W77 提取的 Kunitz-Domain 抗凝肽的特性。
IF 3.9 3区 医学 Q2 FOOD SCIENCE & TECHNOLOGY Pub Date : 2024-10-21 DOI: 10.3390/toxins16100450
Fang Sun, Xiaolin Deng, Huanhuan Gao, Li Ding, Wen Zhu, Hongyi Luo, Xiangdong Ye, Xudong Luo, Zongyun Chen, Chenhu Qin

Recent studies have revealed that the coagulation system plays a role in mammalian innate defense by entrapping bacteria in clots and generating antibacterial peptides. So, it is very important for the survival of bacteria to defend against the host coagulation system, which suggests that bacterial exotoxins might be a new source of anticoagulants. In this study, we analyzed the genomic sequences of Acinetobacter baumannii and a new bacterial exotoxin protein, F6W77, with five Kunitz-domains, KABP1-5, was identified. Each Kunitz-type domain features a classical six-cysteine framework reticulated by three conserved disulfide bridges, which was obviously similar to animal Kunitz-domain peptides but different from plant Kunitz-domain peptides. Anticoagulation function evaluation showed that towards the intrinsic coagulation pathway, KABP1 and KABP5 had apparently inhibitory activity, KABP4 had weak inhibitory activity, and KBAP2 and KABP3 had no effect even at a high concentration of 20 μg/mL. All five Kunitz-domain peptides, KABP1-5, had no inhibitory activity towards the extrinsic coagulation pathway. Enzyme-inhibitor experiments showed that the high-activity anticoagulant peptide KABP1 had apparently inhibitory activity towards two key coagulation factors, Xa and XIa, which was further confirmed by pull-down experiments that showed that KABP1 can bind to coagulation factors Xa and XIa directly. Structure-function relationship analyses of five Kunitz-type domain peptides showed that the arginine of the P1 site of three new bacterial anticoagulants, KABP1, KABP4 and KABP5, might be the key residue for their anticoagulation activity. In conclusion, with bioinformatics analyses, peptide recombination, and functional evaluation, we firstly found bacterial-exotoxin-derived Kunitz-type serine protease inhibitors with selectively inhibiting activity towards intrinsic coagulation pathways, and highlighted a new interaction between pathogenic bacteria and the human coagulation system.

最近的研究发现,凝血系统在哺乳动物的先天防御中发挥作用,它能将细菌夹在血凝块中,并产生抗菌肽。因此,抵御宿主凝血系统对细菌的生存非常重要,这表明细菌外毒素可能是抗凝剂的新来源。在这项研究中,我们分析了鲍曼不动杆菌的基因组序列,发现了一种新的细菌外毒素蛋白 F6W77,它具有五个 Kunitz 型结构域,即 KABP1-5。每个库尼茨型结构域都具有由三个保守二硫桥网状连接的经典六半胱氨酸框架,与动物库尼茨结构域多肽明显相似,但与植物库尼茨结构域多肽不同。抗凝血功能评价表明,对于内在凝血途径,KABP1和KABP5具有明显的抑制活性,KABP4具有微弱的抑制活性,而KBAP2和KABP3即使在20微克/毫升的高浓度下也没有作用。所有五种Kunitz-domain肽(KABP1-5)对外在凝血途径都没有抑制活性。酶抑制剂实验表明,高活性抗凝肽KABP1对两种关键凝血因子Xa和XIa具有明显的抑制活性,拉取实验进一步证实了这一点,该实验表明KABP1可直接与凝血因子Xa和XIa结合。对五个 Kunitz 型结构域多肽的结构-功能关系分析表明,KABP1、KABP4 和 KABP5 这三种新型细菌抗凝剂 P1 位点的精氨酸可能是其抗凝活性的关键残基。总之,通过生物信息学分析、多肽重组和功能评价,我们首次发现了细菌外毒素衍生的库尼茨型丝氨酸蛋白酶抑制剂,它们对固有凝血途径具有选择性抑制活性,凸显了致病细菌与人类凝血系统之间新的相互作用。
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引用次数: 0
Botulinum Toxin Treatment of Psoriasis-A Comprehensive Review. 肉毒杆菌毒素治疗牛皮癣--全面回顾。
IF 3.9 3区 医学 Q2 FOOD SCIENCE & TECHNOLOGY Pub Date : 2024-10-18 DOI: 10.3390/toxins16100449
Ali Ghaseminejad-Bandpey, Shahroo Etemadmoghadam, Bahman Jabbari

A literature search on the subject of botulinum toxin treatment in psoriasis found 15 relevant articles, 11 on human subjects and 4 on animal studies. Of the human data, eight were clinical trials and three were single case reports. Seven out of eight clinical trials, all open-label, reported improvement in psoriasis following intradermal or subcutaneous botulinum toxin injections. One double-blind, placebo-controlled study, which used a smaller dose than the open-label studies, did not note a healing effect. Animal studies have shown that injection of botulinum toxins in the skin heals psoriatic skin lesions and can reduce the level of interleukins (ILs) and cytokines as well as inflammatory cells in psoriatic plaques. There is a need for controlled, blinded studies conducted in larger numbers of patients with doses that have shown promise in open-label studies.

通过对有关肉毒杆菌毒素治疗银屑病的文献进行检索,发现了 15 篇相关文章,其中 11 篇涉及人体研究,4 篇涉及动物研究。在人体数据中,8 篇为临床试验,3 篇为单个病例报告。八项临床试验中有七项报告了皮内或皮下注射肉毒毒素后银屑病的改善情况,这些试验均为开放标签试验。一项双盲、安慰剂对照研究使用的剂量比开放标签研究的剂量小,但没有发现治疗效果。动物实验表明,在皮肤中注射肉毒杆菌毒素可以治愈银屑病皮损,并能降低白细胞介素(ILs)和细胞因子的水平以及银屑病斑块中的炎症细胞。目前还需要对更多患者进行盲法对照研究,并使用在开放标签研究中显示有希望的剂量。
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引用次数: 0
Seasonal Rise in the Contents of Microcystin-LR and Odorous Substances Due to Cyanobacterial Blooms in a Drinking Water Reservoir Supplying Xinyang City, China. 中国信阳市饮用水水库蓝藻藻华导致微囊藻毒素-LR 和臭味物质含量的季节性上升
IF 3.9 3区 医学 Q2 FOOD SCIENCE & TECHNOLOGY Pub Date : 2024-10-17 DOI: 10.3390/toxins16100448
Wei Zhao, Yang Liu, Hua Li, Junguo Ma, Xiaoyu Li

Cyanobacterial blooms have become a serious water pollution problem in many parts of the world, and the monitoring and study of the impacts of biotoxins on human health are of vital importance. In this study, the contents of microcystin-LR, 2-methylisoborneol, and geosmin were measured in water and sediment samples from Nanwan Reservoir, China, by means of bimonthly sampling between February and December 2023. The physicochemical and hydrochemical factors and phytoplankton dynamics in the reservoir were also investigated. The results showed that the overall mean concentration of microcystin-LR (0.729 μg/L) in summer approached the guiding standard (1 μg/L) set by the WHO for drinking water. Furthermore, the content of 2-methylisoborneol (143.5 ng/L) was 14 times higher than the national standard (10 ng/L). The results of laboratory cultures showed that lower light levels and medium temperatures were suitable for the growth of Microcystis and Planktothricoides but higher temperatures promoted the synthesis and release of microcystin-LR and 2-methylisoborneol. In addition, the results of co-cultures showed that the growth of Planktothricoides was inhibited by Microcystis. Our results suggest that cyanobacterial bloom and the presence of the metabolites 2-methylisoborneol and microcystin-LR can decrease the drinking water quality of Nanwan Reservoir.

蓝藻水华已成为世界许多地区的严重水污染问题,监测和研究生物毒素对人类健康的影响至关重要。本研究在 2023 年 2 月至 12 月期间,通过双月采样,测定了中国南湾水库水样和沉积物中微囊藻毒素-LR、2-甲基异龙脑和地黄素的含量。此外,还对水库的物理化学和水化学因子以及浮游植物动态进行了研究。结果表明,夏季微囊藻毒素-LR 的总体平均浓度(0.729 μg/L)接近世界卫生组织规定的饮用水指导标准(1 μg/L)。此外,2-甲基异龙脑的含量(143.5 纳克/升)比国家标准(10 纳克/升)高出 14 倍。实验室培养结果表明,较低的光照水平和中等温度适合微囊藻和扁囊藻类的生长,但较高的温度会促进微囊藻素-LR 和 2-甲基异龙脑的合成和释放。此外,共培养结果表明,微囊藻抑制了 Planktothricoides 的生长。我们的研究结果表明,蓝藻藻华以及代谢产物 2-甲基异龙脑和微囊藻毒素-LR 的存在会降低南湾水库的饮用水水质。
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引用次数: 0
Scoliidines: Neuroprotective Peptides in Solitary Scoliid Wasp Venoms. Scoliidines:独角黄蜂毒液中的神经保护肽。
IF 3.9 3区 医学 Q2 FOOD SCIENCE & TECHNOLOGY Pub Date : 2024-10-17 DOI: 10.3390/toxins16100446
Carlos Alberto-Silva, Fernanda Calheta Vieira Portaro, Roberto Tadashi Kodama, Lais Gomes, Brenda Rufino da Silva, Felipe Assumpção da Cunha E Silva, Ken-Ichi Nihei, Katsuhiro Konno

A comprehensive LC-MS study examined the venom components of the solitary scoliid wasp Scolia oculata. Online mass fingerprinting showed that crude venom contains 25 small molecules (amino acids, biogenic amines, and nucleosides/nucleotides) and 45 peptides with MW 400-2700. The small molecules were identified by elemental composition analysis, and peptide sequences were determined by ESI-MS/MS and MALDI-TOF/TOF MS analyses. As major peptide components, a known peptide, β-scoliidine (DYVTVKGFSPLRKA), and three new peptides, γ-scoliidine (YVTVKGFSPLR), δ-scoliidine (YVTVKGFSPLREP) and ε-scoliidine (DYVTVKGFSPLREP) were identified, all of which are closely homologous to each other. Once the neuroprotective effects of β-scoliidine have already been described, the other three new scoliidine peptides were analyzed against oxidative stress-induced toxicity in PC12 neuronal cells by mitochondrial metabolism assay, and the structure-activity relationship was evaluated. Interestingly, pre-treatment with ε-scoliidine increased the mitochondrial metabolism of PC12 cells (106 ± 3.6%; p = 0.007) exposed to H2O2-induced oxidative stress in contrast to γ- and δ-scoliidines (77.6 ± 4.8 and 68.5 ± 4.1%, respectively) in compared to cells treated only H2O2 (75.8 ± 2.4%). These new peptides were also analyzed for enzyme inhibitor/substrate assays with angiotensin-converting enzyme (ACE), neprilysin (NEP), and acetylcholinesterase (AChE). In these assays, only δ- and ε-scoliidines increased the AChE activity (128.7 ± 3.8%; p = 0.01; and 116.8 ± 3.8% p = 0.03; respectively) in relation to basal activity (100.1 ± 1.6%). In addition, the four peptides were analyzed through in silico analysis, and none of them demonstrated possible hemolytic and toxic activities. In our study, the comprehensive LC-MS and MS/MS analyses of Scolia oculate venom identified four major peptide components of the venom β-, γ-, δ- and ε-scoliidines, and small differences in their primary structures are important to their neuroprotective properties.

一项全面的液相色谱-质谱(LC-MS)研究考察了独角胡蜂 Scolia oculata 的毒液成分。在线质量指纹分析表明,粗毒液中含有 25 种小分子(氨基酸、生物胺和核苷/核苷酸)和 45 种截留分子量为 400-2700 的肽。通过元素组成分析确定了小分子,并通过 ESI-MS/MS 和 MALDI-TOF/TOF MS 分析确定了肽的序列。作为肽的主要成分,确定了一个已知肽β-scoliidine(DYVTVKGFSPLRKA)和三个新肽γ-scoliidine(YVTVKGFSPLR)、δ-scoliidine(YVTVKGFSPLREP)和ε-scoliidine(DYVTVKGFSPLREP),它们之间存在密切的同源性。在描述了β-scoliidine的神经保护作用后,我们又通过线粒体代谢实验分析了其他三种新的scoliidine肽对氧化应激诱导的PC12神经细胞毒性的影响,并评估了其结构-活性关系。有趣的是,与只接受 H2O2 处理的细胞(75.8 ± 2.4%)相比,接受 H2O2 诱导的氧化应激的 PC12 细胞在预处理ε-scoliidine 后线粒体代谢增加(106 ± 3.6%;p = 0.007),而接受γ-和δ-scoliidines 处理的细胞线粒体代谢分别增加(77.6 ± 4.8% 和 68.5 ± 4.1%)。还用血管紧张素转换酶(ACE)、肾酶(NEP)和乙酰胆碱酯酶(AChE)对这些新肽进行了酶抑制剂/底物分析。在这些试验中,与基础活性(100.1 ± 1.6%)相比,只有δ和ε-scoliidines 能提高 AChE 的活性(分别为 128.7 ± 3.8%;p = 0.01;和 116.8 ± 3.8%;p = 0.03)。此外,我们还对这四种肽进行了硅学分析,结果表明它们都不具有溶血和毒性活性。在我们的研究中,对 Scolia oculate 毒液进行了全面的 LC-MS 和 MS/MS 分析,确定了毒液中的四种主要肽成分 β-、γ-、δ- 和 ε-scoliidines,其初级结构的微小差异对其神经保护特性非常重要。
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引用次数: 0
Elucidation of Medusozoan (Jellyfish) Venom Constituent Activities Using Constellation Pharmacology. 利用星座药理学阐明介壳虫(水母)毒液成分的活性。
IF 3.9 3区 医学 Q2 FOOD SCIENCE & TECHNOLOGY Pub Date : 2024-10-17 DOI: 10.3390/toxins16100447
Angel A Yanagihara, Matías L Giglio, Kikiana Hurwitz, Raechel Kadler, Samuel S Espino, Shrinivasan Raghuraman, Baldomero M Olivera

Within the phylum Cnidaria, sea anemones (class Anthozoa) express a rich diversity of ion-channel peptide modulators with biomedical applications, but corollary discoveries from jellyfish (subphylum Medusozoa) are lacking. To bridge this gap, bioactivities of previously unexplored proteinaceous and small molecular weight (~15 kDa to 5 kDa) venom components were assessed in a mouse dorsal root ganglia (DRG) high-content calcium-imaging assay, known as constellation pharmacology. While the addition of crude venom led to nonspecific cell death and Fura-2 signal leakage due to pore-forming activity, purified small molecular weight fractions of venom demonstrated three main, concentration-dependent and reversible effects on defined heterogeneous cell types found in the primary cultures of mouse DRG. These three phenotypic responses are herein referred to as phenotype A, B and C: excitatory amplification (A) or inhibition (B) of KCl-induced calcium signals, and test compound-induced disturbances to baseline calcium levels (C). Most notably, certain Alatina alata venom fractions showed phenotype A effects in all DRG neurons; Physalia physalis and Chironex fleckeri fractions predominantly showed phenotype B effects in small- and medium-diameter neurons. Finally, specific Physalia physalis and Alatina alata venom components induced direct excitatory responses (phenotype C) in glial cells. These findings demonstrate a diversity of neuroactive compounds in jellyfish venom potentially targeting a constellation of ion channels and ligand-gated receptors with broad physiological implications.

在刺胞动物门中,海葵(Anthozoa 类)表达了丰富多样的具有生物医学应用价值的离子通道肽调节剂,但水母(Medusozoa 亚门)却缺乏相应的发现。为了弥补这一差距,我们在小鼠背根神经节(DRG)高浓度钙成像试验(即星座药理学)中评估了以前未探索过的蛋白质和小分子量(约 15 kDa 至 5 kDa)毒液成分的生物活性。加入粗制毒液会导致非特异性细胞死亡,并因孔隙形成活性而导致 Fura-2 信号泄漏,而纯化的小分子量毒液组分则对小鼠背根神经节原代培养物中定义的异质细胞类型产生了三种主要的、浓度依赖性的可逆效应。这三种表型反应在此称为表型 A、B 和 C:KCl 诱导的钙信号的兴奋性放大(A)或抑制(B),以及测试化合物诱发的基线钙水平紊乱(C)。最值得注意的是,某些 Alatina alata 毒液组分在所有 DRG 神经元中都表现出表型 A 效应;而 Physalia physalis 和 Chironex fleckeri组分则主要在中小直径神经元中表现出表型 B 效应。最后,特定的 Physalia physalis 和 Alatina alata 毒液成分可诱导神经胶质细胞产生直接兴奋反应(表型 C)。这些研究结果表明,水母毒液中的神经活性化合物种类繁多,可能针对一系列具有广泛生理影响的离子通道和配体门控受体。
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引用次数: 0
Simultaneous Degradation of AFB1 and ZEN by CotA Laccase from Bacillus subtilis ZJ-2019-1 in the Mediator-Assisted or Immobilization System. 枯草芽孢杆菌 ZJ-2019-1 的 CotA 漆酶在介质辅助或固定系统中同时降解 AFB1 和 ZEN。
IF 3.9 3区 医学 Q2 FOOD SCIENCE & TECHNOLOGY Pub Date : 2024-10-16 DOI: 10.3390/toxins16100445
Boquan Gao, Wei An, Jianwen Wu, Xiumin Wang, Bing Han, Hui Tao, Jie Liu, Zhenlong Wang, Jinquan Wang

The global prevalence of aflatoxin B1 (AFB1) and zearalenone (ZEN) contamination in food and feed poses a serious health risk to humans and animals. Recently, enzymatic detoxification has received increasing attention, yet most enzymes are limited to degrading only one type of mycotoxin, and free enzymes often exhibit reduced stability and activity, limiting their practicality in real-world applications. In this study, the laccase CotA gene from ZEN/AFB1-degrading Bacillus subtilis ZJ-2019-1 was cloned and successfully expressed in Escherichia coli BL21, achieving a protein yield of 7.0 mg/g. The recombinant CotA (rCotA) completely degraded AFB1 and ZEN, with optimal activity at 70 °C and pH 7.0. After rCotA treatment, neither AFB1 nor ZEN showed significantly cytotoxicity to mouse macrophage cell lines. Additionally, the AFB1/ZEN degradation efficiency of rCotA was significantly enhanced by five natural redox mediators: acetosyringone, syringaldehyde, vanillin, matrine, and sophoridin. Among them, the acetosyringone-rCotA was the most effective mediator system, which could completely degrade 10 μg of AFB1 and ZEN within 1 h. Furthermore, the chitosan-immobilized rCotA system exhibited higher degradation activity than free rCotA. The immobilized rCotA degraded 27.95% of ZEN and 41.37% of AFB1 in contaminated maize meal within 12 h, and it still maintained more than 40% activity after 12 reuse cycles. These results suggest that media-assisted or immobilized enzyme systems not only boost degradation efficiency but also demonstrate remarkable reusability, offering promising strategies to enhance the degradation efficiency of rCotA for mycotoxin detoxification.

全球食品和饲料中普遍存在的黄曲霉毒素 B1(AFB1)和玉米赤霉烯酮(ZEN)污染对人类和动物的健康构成严重威胁。近来,酶解毒技术受到越来越多的关注,但大多数酶只限于降解一种霉菌毒素,而且游离酶往往表现出稳定性和活性降低,限制了其在实际应用中的实用性。在本研究中,克隆了降解 ZEN/AFB1 的枯草芽孢杆菌 ZJ-2019-1 的漆酶 CotA 基因,并在大肠杆菌 BL21 中成功表达,蛋白质产量达到 7.0 mg/g。重组 CotA(rCotA)能完全降解 AFB1 和 ZEN,在 70 °C 和 pH 7.0 条件下活性最佳。经 rCotA 处理后,AFB1 和 ZEN 对小鼠巨噬细胞系都没有明显的细胞毒性。此外,五种天然氧化还原介质(乙酰丁香酮、丁香醛、香兰素、马钱子碱和槐黄素)显著提高了 rCotA 降解 AFB1/ZEN 的效率。其中,乙酰丁香酮-rCotA 是最有效的介质系统,可在 1 小时内完全降解 10 μg AFB1 和 ZEN。固定化的 rCotA 在 12 小时内降解了受污染玉米粉中 27.95% 的 ZEN 和 41.37% 的 AFB1,并且在重复使用 12 次后仍能保持 40% 以上的活性。这些结果表明,介质辅助或固定化酶系统不仅能提高降解效率,还具有显著的可重复使用性,为提高 rCotA 在霉菌毒素解毒中的降解效率提供了可行的策略。
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引用次数: 0
Biological Activities and Potential Applications of Phytotoxins. 植物毒素的生物活性和潜在应用。
IF 3.9 3区 医学 Q2 FOOD SCIENCE & TECHNOLOGY Pub Date : 2024-10-16 DOI: 10.3390/toxins16100444
Marco Masi

Specialized metabolites, also known as secondary metabolites, produced by plants and microbes possess several biological activities [...].

植物和微生物产生的特殊代谢物(又称次级代谢物)具有多种生物活性 [...] 。
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引用次数: 0
Response to Treatment with Botulinum Neurotoxin A (BoNT-A) in Children and Adolescents with Neurogenic Lower Urinary Tract Dysfunction and Idiopathic Overactive Bladder: A Systematic Review and Meta-Analysis. 神经源性下尿路功能障碍和特发性膀胱过度活动症儿童和青少年对肉毒杆菌神经毒素 A (BoNT-A) 治疗的反应:系统回顾与元分析》。
IF 3.9 3区 医学 Q2 FOOD SCIENCE & TECHNOLOGY Pub Date : 2024-10-15 DOI: 10.3390/toxins16100443
Andrea Panunzio, Rossella Orlando, Giovanni Mazzucato, Sonia Costantino, Giulia Marafioti Patuzzo, Clara Cerrato, Rita De Mitri, Vincenzo Pagliarulo, Alessandro Tafuri, Antonio Benito Porcaro, Alessandro Antonelli, Riccardo Giuseppe Bertolo, Luca Giacomello, Maria Angela Cerruto

Introduction: Botulinum neurotoxin A (BoNT-A) is a treatment option for neurogenic lower urinary tract dysfunctions (NLUTD) and idiopathic overactive bladder (OAB) in adults. Recently, its use has gained popularity in paediatric urology. Transitional urology deals with adolescents affected by congenital urological issues, who mature into adulthood. The aim of this systematic review was to update the current knowledge on the use of BoNT-A in children and adolescents.

Methods: A comprehensive search in PubMed, Scopus, and Web of Science databases was performed from articles published up to September 2024. Both prospective and retrospective single-cohort or comparative studies evaluating outcomes of interest were included. These consisted of the amelioration of urinary incontinence (UI), continence rates, improvement of urodynamic parameters (maximum detrusor pressure during voiding, maximum bladder capacity, and bladder compliance), and type and prevalence of adverse/side effects. Qualitative and quantitative data syntheses were provided. Moderators and meta-regression analyses were carried out as well.

Results: Forty-one full-text manuscripts were selected of which 26 focused on children with NLUTD, 13 on idiopathic OAB, and two on both conditions. Overall, 1521 patients were included of whom 715 were male, 646 female, and 160 of unknown sex. Mean age varied between 5.6 and 15.6 years. No studies specifically focused on transitional urology, despite patients up to at least 17 years of age being included. Several differences existed in design, type, dose, way of administration, outcomes measured and follow-up time; however, all studies independently showed an improvement of UI and urodynamic parameters with no major side/adverse events. Pooled analysis showed a mean rate of improvement in UI scores/episodes of 75.87% within a period of 3-6 months following BoNT-A treatment. Meta-regression analyses demonstrated a significant correlation between dryness rate and both patients' age (negative) and bladder compliance (positive).

Conclusions: Several uncontrolled or comparative studies provided significative evidence of the clinical benefit and safety of BoNT-A administration in children in terms of UI relief and improvement of urodynamic parameters, with neurogenic aetiologies being the most investigated conditions. A reduced bladder compliance was identified as one of the potential predictors of poor response to BoNT-A. Moreover, the earlier the treatment was started the higher the success rate that was reached in terms of dryness/urinary continence achievement.

简介:肉毒杆菌神经毒素 A(BoNT-A)是治疗成人神经源性下尿路功能障碍(NLUTD)和特发性膀胱过度活动症(OAB)的一种方法。最近,它在儿科泌尿科的使用也越来越普及。过渡性泌尿科主要治疗受先天性泌尿系统问题影响的青少年,这些青少年逐渐长大成人。本系统综述的目的是更新目前关于在儿童和青少年中使用 BoNT-A 的知识:方法:在 PubMed、Scopus 和 Web of Science 数据库中对截至 2024 年 9 月发表的文章进行了全面检索。对相关结果进行评估的前瞻性和回顾性单一队列或比较研究均被纳入其中。这些结果包括尿失禁(UI)的改善情况、尿失禁率、尿动力学参数(排尿时最大逼尿肌压力、最大膀胱容量和膀胱顺应性)的改善情况以及不良/副作用的类型和发生率。提供了定性和定量数据综述。此外,还进行了调节器和元回归分析:筛选出 41 篇全文手稿,其中 26 篇侧重于 NLUTD 儿童,13 篇侧重于特发性 OAB,2 篇侧重于两种情况。总共收录了 1521 名患者,其中 715 名男性,646 名女性,160 名性别不明。平均年龄介于 5.6 岁和 15.6 岁之间。尽管纳入了至少 17 岁以下的患者,但没有专门针对过渡性泌尿外科的研究。这些研究在设计、类型、剂量、给药方式、测量结果和随访时间等方面存在一些差异;不过,所有研究均显示,尿意和尿动力学参数有所改善,且无重大副作用/不良反应。汇总分析显示,BoNT-A 治疗后 3-6 个月内,尿意评分/发作的平均改善率为 75.87%。元回归分析表明,干燥率与患者的年龄(负相关)和膀胱顺应性(正相关)之间存在显著相关性:几项非对照或对比研究提供了大量证据,证明对儿童施用 BoNT-A 在缓解尿失禁和改善尿动力学参数方面具有临床益处和安全性,其中神经源性病因是研究最多的病因。膀胱顺应性降低被认为是对 BoNT-A 反应不佳的潜在预测因素之一。此外,治疗开始得越早,达到干爽/尿失禁的成功率就越高。
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引用次数: 0
Dysphagia and Muscle Weakness Secondary to Botulinum Toxin Type A Treatment of Cervical Dystonia: A Drug Class Analysis of Prescribing Information. A 型肉毒毒素治疗颈肌张力障碍继发吞咽困难和肌肉无力:处方信息的药物类别分析》。
IF 3.9 3区 医学 Q2 FOOD SCIENCE & TECHNOLOGY Pub Date : 2024-10-15 DOI: 10.3390/toxins16100442
Khashayar Dashtipour, Han S Lee, Aaron Ellenbogen, Rashid Kazerooni, Todd M Gross, David A Hollander, Conor J Gallagher

The first-line management of cervical dystonia (CD) symptoms is intramuscular injection of botulinum toxin type A (BoNTA). However, a comparison of safety among BoNTAs is difficult because, per regulatory authorities, units of BoNTA activity are not interchangeable. Dysphagia and muscle weakness are widely considered two key adverse events to monitor closely in the treatment of CD. This integrated analysis compared the safety of BoNTAs approved for CD in the US by evaluating relationships between the incidence of dysphagia and muscle weakness in prescribing information and the core neurotoxin content. Coefficients The coefficients of determination (R2) and trendlines were estimated via regression-based lines of best fit. Adverse drug reaction (ADR) rates were strongly correlated with core neurotoxin amounts for conventional BoNTAs (slope coefficients: dysphagia = 0.048, R2 = 0.74; muscle weakness = 0.096, R2 = 0.82). The published ADR rates at approved doses for conventional BoNTAs were higher compared with DaxibotulinumtoxinA (DAXI; DAXXIFY®, Revance Therapeutics, Inc., Nashville, TN, USA) by core neurotoxin content. The use of a core neurotoxin amount was found to be an effective method for comparing the safety of BoNTA products. Current clinical trials suggest that DAXI, a novel BoNTA formulation, provides a potentially wider safety margin compared with other approved BoNTAs for CD. The lower amount of core neurotoxin administered at approved doses compared with conventional BoNTAs may explain low on-target ADRs like muscle weakness, whereas reduced diffusion from the injection site is thought to be responsible for low off-target ADRs like dysphagia.

治疗颈肌张力障碍(CD)症状的一线疗法是肌肉注射 A 型肉毒毒素(BoNTA)。然而,由于监管机构规定 BoNTA 活性单位不可互换,因此很难比较不同 BoNTA 的安全性。吞咽困难和肌无力被广泛认为是治疗 CD 时需要密切监测的两个关键不良事件。本综合分析通过评估处方信息中吞咽困难和肌无力的发生率与核心神经毒素含量之间的关系,比较了美国批准用于 CD 的 BoNTAs 的安全性。系数 通过基于回归的最佳拟合线估算确定系数 (R2) 和趋势线。传统 BoNTAs 的药物不良反应(ADR)率与核心神经毒素含量密切相关(斜率系数:吞咽困难 = 0.048,R2 = 0.74;肌无力 = 0.096,R2 = 0.82)。与核心神经毒素含量较高的DaxibotulinumtoxinA(DAXI;DAXXIFY®,Revance Therapeutics, Inc.研究发现,使用核心神经毒素含量是比较 BoNTA 产品安全性的有效方法。目前的临床试验表明,与其他获批用于 CD 的 BoNTA 相比,新型 BoNTA 制剂 DAXI 的安全系数可能更高。与传统 BoNTA 相比,获批剂量的核心神经毒素用量较低,这可能是肌无力等低靶上 ADR 的原因,而注射部位扩散减少则被认为是吞咽困难等低靶外 ADR 的原因。
{"title":"Dysphagia and Muscle Weakness Secondary to Botulinum Toxin Type A Treatment of Cervical Dystonia: A Drug Class Analysis of Prescribing Information.","authors":"Khashayar Dashtipour, Han S Lee, Aaron Ellenbogen, Rashid Kazerooni, Todd M Gross, David A Hollander, Conor J Gallagher","doi":"10.3390/toxins16100442","DOIUrl":"https://doi.org/10.3390/toxins16100442","url":null,"abstract":"<p><p>The first-line management of cervical dystonia (CD) symptoms is intramuscular injection of botulinum toxin type A (BoNTA). However, a comparison of safety among BoNTAs is difficult because, per regulatory authorities, units of BoNTA activity are not interchangeable. Dysphagia and muscle weakness are widely considered two key adverse events to monitor closely in the treatment of CD. This integrated analysis compared the safety of BoNTAs approved for CD in the US by evaluating relationships between the incidence of dysphagia and muscle weakness in prescribing information and the core neurotoxin content. Coefficients The coefficients of determination (R<sup>2</sup>) and trendlines were estimated via regression-based lines of best fit. Adverse drug reaction (ADR) rates were strongly correlated with core neurotoxin amounts for conventional BoNTAs (slope coefficients: dysphagia = 0.048, R<sup>2</sup> = 0.74; muscle weakness = 0.096, R<sup>2</sup> = 0.82). The published ADR rates at approved doses for conventional BoNTAs were higher compared with DaxibotulinumtoxinA (DAXI; DAXXIFY<sup>®</sup>, Revance Therapeutics, Inc., Nashville, TN, USA) by core neurotoxin content. The use of a core neurotoxin amount was found to be an effective method for comparing the safety of BoNTA products. Current clinical trials suggest that DAXI, a novel BoNTA formulation, provides a potentially wider safety margin compared with other approved BoNTAs for CD. The lower amount of core neurotoxin administered at approved doses compared with conventional BoNTAs may explain low on-target ADRs like muscle weakness, whereas reduced diffusion from the injection site is thought to be responsible for low off-target ADRs like dysphagia.</p>","PeriodicalId":23119,"journal":{"name":"Toxins","volume":"16 10","pages":""},"PeriodicalIF":3.9,"publicationDate":"2024-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11510929/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142508520","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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Toxins
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