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An Alternative Approach for Treating Female Underactive Bladders with Chronic Urine Retention: A Pilot Study on Combined Transvaginal Ultrasound-Guided Botulinum Toxin A External Sphincter Injection and Transurethral Incision of the Bladder Neck. 治疗慢性尿潴留女性膀胱功能不全的另一种方法:经阴道超声引导的 A 型肉毒毒素外括约肌注射和经尿道膀胱颈部切开术的联合试点研究。
IF 3.9 3区 医学 Q2 FOOD SCIENCE & TECHNOLOGY Pub Date : 2024-10-14 DOI: 10.3390/toxins16100441
Wei-Chun Huang, Cheng-Yen Tsai, Eric Chieh-Lung Chou

Background: Treating an underactive bladder (UAB) is challenging. Previously, we introduced a more precise method of transvaginal ultrasound-guided botulinum toxin A (BoNT-A) injection into the external urethral sphincter as a treatment option for patients with UABs. Although many patients experience good results, those with an UAB and excessive residual urine still require catheterization. Therefore, we developed a new method that combines transvaginal ultrasound-guided BoNT-A injection with a transurethral bladder neck incision. Methods: A prospective study was conducted on 16 patients who experienced symptoms of UAB and chronic urine retention. The treatment consisted of a combination of transvaginal ultrasound-guided BoNT-A injection and a transurethral incision of the bladder neck (TUI-BN). The primary objective was to assess the efficacy of this combined treatment in improving symptoms in women with UABs. Results: Our study demonstrated significant improvements after treatment, including increased voiding volume, decreased post-void residual (PVR) urine, and improved voiding efficiency. The frequency of clean intermittent catheterization (CIC) decreased at 1 and 3 months post-surgery, along with improvements in the AUA symptoms score and the Patient Perception of Bladder Condition (PPBC) score. Conclusions: Our study showed significant improvements in the surgical treatment of UABs using a combination of transvaginal ultrasound-guided BoNT-A and TUI-BN.

背景:治疗膀胱功能不全(UAB)具有挑战性。此前,我们引入了一种更精确的方法,即在经阴道超声引导下向尿道外括约肌注射肉毒杆菌毒素 A (BoNT-A),作为 UAB 患者的一种治疗选择。虽然许多患者的疗效不错,但那些有尿道外括约肌且残余尿过多的患者仍然需要导尿。因此,我们开发了一种新方法,将经阴道超声引导的 BoNT-A 注射与经尿道膀胱颈切开术相结合。方法:对 16 名出现尿崩症症状和慢性尿潴留的患者进行了前瞻性研究。治疗方法包括经阴道超声引导的 BoNT-A 注射和经尿道膀胱颈切开术(TUI-BN)。主要目的是评估这种联合疗法在改善尿崩症女性患者症状方面的疗效。结果:我们的研究表明,治疗后患者的症状明显改善,包括排尿量增加、排尿后残余(PVR)尿减少以及排尿效率提高。术后 1 个月和 3 个月时,清洁间歇导尿 (CIC) 的频率降低了,同时 AUA 症状评分和患者膀胱状况感知 (PPBC) 评分也有所改善。结论我们的研究表明,在经阴道超声引导下联合使用 BoNT-A 和 TUI-BN 手术治疗 UABs 有明显改善。
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引用次数: 0
Primary Sequence and Three-Dimensional Structural Comparison between Malanin and Ricin, a Type II Ribosome-Inactivating Protein. 马拉宁和蓖麻毒素(一种 II 型核糖体激活蛋白)的主序列和三维结构比较。
IF 3.9 3区 医学 Q2 FOOD SCIENCE & TECHNOLOGY Pub Date : 2024-10-13 DOI: 10.3390/toxins16100440
Yan Yuan, Shuxiao Wu, Philip J R Day

Malanin is a new type II ribosome-inactivating protein (RIP) purified from Malania oleifera, a rare, endangered tree is only found in the southwest of Guangxi Province and the southeast of Yunnan Province, China. The gene coding sequence of malanin was found from the cDNA library of M. oleifera seeds by employing the ten N-terminal amino acid sequences of malanin, DYPKLTFTTS for chain-A and DETXTDEEFN (X was commonly C) for chain-B. The results showed a 65% amino acid sequence homology between malanin and ricin by DNAMAN 9.0 software, the active sites of the two proteins were consistent, and the four disulfide bonds were in the same positions. The primary sequence and three-dimensional structures of malanin and ricin are likely to be very similar. Our studies suggest that the mechanism of action of malanin is expected to be analogous to ricin, indicating that it is a member of the type II ribosome-inactivating proteins. This result lays the foundation for further study of the anti-tumor activities of malanin, and for the application of malanin as a therapeutic agent against cancers.

油橄榄是一种仅分布于中国广西西南部和云南省东南部的珍稀濒危树种。研究人员从油橄榄种子的 cDNA 文库中找到了麦拉宁的基因编码序列,并利用麦拉宁的 10 个 N 端氨基酸序列,即链-A 的 DYPKLTFTTS 和链-B 的 DETXTDEEFN(X 通常为 C)。DNAMAN9.0软件的研究结果表明,马拉宁和蓖麻毒素的氨基酸序列同源性为65%,两种蛋白质的活性位点一致,四个二硫键的位置相同。马拉宁和蓖麻毒素的一级序列和三维结构可能非常相似。我们的研究表明,马拉宁的作用机制预计与蓖麻毒素类似,表明它是第二类核糖体失活蛋白的成员。这一结果为进一步研究 malanin 的抗肿瘤活性以及将 malanin 用作癌症治疗药物奠定了基础。
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引用次数: 0
Optimizing Scorpion Toxin Processing through Artificial Intelligence. 通过人工智能优化蝎子毒素处理。
IF 3.9 3区 医学 Q2 FOOD SCIENCE & TECHNOLOGY Pub Date : 2024-10-11 DOI: 10.3390/toxins16100437
Adam Psenicnik, Andres A Ojanguren-Affilastro, Matthew R Graham, Mohamed K Hassan, Mohamed A Abdel-Rahman, Prashant P Sharma, Carlos E Santibáñez-López

Scorpion toxins are relatively short cyclic peptides (<150 amino acids) that can disrupt the opening/closing mechanisms in cell ion channels. These peptides are widely studied for several reasons including their use in drug discovery. Although improvements in RNAseq have greatly expedited the discovery of new scorpion toxins, their annotation remains challenging, mainly due to their small size. Here, we present a new pipeline to annotate toxins from scorpion transcriptomes using a neural network approach. This pipeline implements basic neural networks to sort amino acid sequences to find those that are likely toxins and thereafter predict the type of toxin represented by the sequence. We anticipate that this pipeline will accelerate the classification of scorpion toxins in forthcoming scorpion genome sequencing projects and potentially serve a useful role in identifying targets for drug development.

蝎子毒素是一种相对较短的环状肽(蝎子毒素)。
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引用次数: 0
Doses of Botulinum Toxin in Cervical Dystonia: Does Ultrasound Guidance Change Injection Practices? 治疗颈肌张力障碍的肉毒杆菌毒素剂量:超声引导是否会改变注射方法?
IF 3.9 3区 医学 Q2 FOOD SCIENCE & TECHNOLOGY Pub Date : 2024-10-11 DOI: 10.3390/toxins16100439
Alexandre Kreisler, Léa Mortain, Kaëlig Watel, Eugénie Mutez, Luc Defebvre, Alain Duhamel

Background: Cervical dystonia is widely understood to benefit from botulinum toxin injections. The injection practices may be influenced by specific factors, including the method of injection. Three main guidance methods can be used: palpation of anatomical landmarks, ultrasound, and electromyography. We investigated how target muscles and doses of botulinum toxin were modified after the transition from surface anatomy (non-guided) to ultrasound (US-guided), in patients with cervical dystonia. We also determined the long-term dose trend.

Methods: We studied a group of 82 patients, who received non-guided injections (median: 16.5 cycles/5.1 years) followed by US-guided injections (median: 12.0 cycles/3.8 years).

Results: More muscles, and especially deep muscles, were injected during the US-guided period. The total dose and number of injected muscles were higher when US guidance was used, but the mean dose per muscle was lower. Over the long term, the total dose stabilized, and the mean dose per muscle decreased during the US-guided period.

Conclusions: According to our results, the guidance method has a strong impact on the botulinum toxin injection strategy in cervical dystonia (target muscles and dose). Also, the treatment appeared more stable when using US guidance; this could be explained by the good precision of such injections.

背景:人们普遍认为颈肌张力障碍可从肉毒毒素注射中获益。注射方法可能受到特定因素的影响,包括注射方法。主要有三种引导方法:解剖标志触诊、超声波和肌电图。我们研究了颈肌张力障碍患者从表面解剖(非引导)过渡到超声(US引导)后,目标肌肉和肉毒毒素剂量的变化情况。我们还确定了长期剂量趋势:我们对一组 82 名患者进行了研究,他们接受了非引导注射(中位数:16.5 个周期/5.1 年),随后接受了 US 引导注射(中位数:12.0 个周期/3.8 年):结果:在 US 引导下注射的肌肉更多,尤其是深层肌肉。使用 US 引导时,总剂量和注射肌肉的数量较高,但每块肌肉的平均剂量较低。从长期来看,总剂量趋于稳定,而在 US 引导期间,每块肌肉的平均剂量有所下降:根据我们的研究结果,引导方法对颈肌张力障碍的肉毒毒素注射策略(目标肌肉和剂量)有很大影响。此外,使用 US 引导时,治疗似乎更加稳定;这可能是因为这种注射具有良好的精确性。
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引用次数: 0
The Toxin Diversity, Cytotoxicity, and Enzymatic Activity of Cape Cobra (Naja nivea) Venom. 眼镜蛇(Naja nivea)毒液的毒素多样性、细胞毒性和酶活性。
IF 3.9 3区 医学 Q2 FOOD SCIENCE & TECHNOLOGY Pub Date : 2024-10-11 DOI: 10.3390/toxins16100438
Tim Lüddecke, Ignazio Avella, Maik Damm, Lennart Schulte, Johanna Eichberg, Kornelia Hardes, Susanne Schiffmann, Marina Henke, Thomas Timm, Günter Lochnit, Andreas Vilcinskas

"True" cobras (genus Naja) are among the venomous snakes most frequently involved in snakebite accidents in Africa and Asia. The Cape cobra (Naja nivea) is one of the African cobras of highest medical importance, but much remains to be learned about its venom. Here, we used a shotgun proteomics approach to better understand the qualitative composition of N. nivea venom and tested its cytotoxicity and protease activity as well as its effect on intracellular Ca2+ release and NO synthesis. We identified 156 venom components representing 17 protein families, with the dominant ones being three-finger toxins, mostly of the short-chain type. Two-thirds of the three-finger toxin entries identified were assigned as cytotoxins, while the remainder were categorized as neurotoxins, including short-chain, long-chain, and ancestral three-finger toxins. We also identified snake venom metalloproteinases and members of CRISP, l-amino acid oxidase, and other families. Protease activity and its effect on intracellular Ca2+ release and NO synthesis were low. Phospholipase A2 activity was surprisingly high, despite this toxin family being marginally recovered in the analyzed venom. Cytotoxicity was relevant only at higher venom concentrations, with macrophage and neuroblastoma cell lines showing the lowest viability. These results are in line with the predominantly neurotoxic envenomation symptoms caused by Cape cobra bites. The present overview of the qualitatively complex and functionally intriguing venom of N. nivea may provide insights into the pathobiochemistry of this species' venom.

"真正的 "眼镜蛇(Naja 属)是非洲和亚洲最常发生蛇咬伤事故的毒蛇之一。开普眼镜蛇(Naja nivea)是非洲眼镜蛇中最重要的毒蛇之一,但人们对其毒液的了解还远远不够。在这里,我们使用了一种散弹枪蛋白质组学方法来更好地了解 N. nivea 毒液的定性组成,并测试了其细胞毒性、蛋白酶活性以及对细胞内 Ca2+ 释放和 NO 合成的影响。我们鉴定了代表 17 个蛋白家族的 156 种毒液成分,其中最主要的是三指毒素,大部分为短链类型。在已鉴定的三指毒素条目中,三分之二被归类为细胞毒素,其余被归类为神经毒素,包括短链、长链和祖先三指毒素。我们还发现了蛇毒金属蛋白酶以及 CRISP、l-氨基酸氧化酶和其他家族的成员。蛋白酶活性及其对细胞内 Ca2+ 释放和 NO 合成的影响较低。磷脂酶 A2 的活性出奇地高,尽管在分析的毒液中该毒素家族的含量很少。只有在毒液浓度较高时才会产生细胞毒性,巨噬细胞和神经母细胞瘤细胞株的存活率最低。这些结果与眼镜蛇咬伤引起的主要神经中毒症状相符。目前对尼夫拉蛇毒液复杂的定性和有趣的功能进行的概述可能会为该物种毒液的病理生物化学提供启示。
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引用次数: 0
Antiproliferative Effects of Naja anchietae and Naja senegalensis Venom Peptides on Glioblastoma Cell Lines. Naja anchietae 和 Naja senegalensis 毒肽对胶质母细胞瘤细胞株的抗增殖作用
IF 3.9 3区 医学 Q2 FOOD SCIENCE & TECHNOLOGY Pub Date : 2024-10-10 DOI: 10.3390/toxins16100433
Yasmine Boughanmi, Caroline Berenguer-Daizé, Marielle Balzano, Hend Mosrati, Maxime Moulard, Pascal Mansuelle, Patrick Fourquet, Franck Torre, Harold de Pomyers, Didier Gigmes, Lhoucine Ouafik, Kamel Mabrouk

This study explores the potential of natural bioactive peptides from animal venoms as targeted anti-cancer agents with reduced toxicity. Initially, we screened a broad collection of animal venoms for their antiproliferative activity against cancer cell lines. From this collection, we selected venoms from Naja anchietae and Naja senegalensis due to their promising activity. Utilizing reverse- phase high-performance liquid chromatography (RP HPLC), mass spectrometry (MALDI-TOF MS and MALDI-TOF TOF MSMS), and Edman degradation sequencing, we isolated and characterized three peptides named CTNanc1, CTNanc2, and CTNanc3 from Naja anchietae, and three others named CTNsen1, CTNsen2, and CTNsen3 from Naja senegalensis, each with a molecular weight of around 7 kDa. These purified peptides demonstrated inhibition of U87 glioblastoma cell proliferation, but not of U251 and T98G cells, in cell viability assays. To assess the impact of these treatments on cell viability, apoptosis, and necrosis, flow cytometry assays were conducted on U87 cells at 72 h. The results showed a decrease in cell viability and an increase in dead cells, suggesting that the treatments not only promote apoptosis, but may also lead to increased necrosis or late-stage apoptosis as the exposure time increases. These findings suggest that these peptides could be developed as leads for cancer therapy.

本研究探讨了动物毒液中的天然生物活性肽作为毒性较低的靶向抗癌剂的潜力。最初,我们筛选了大量动物毒液,以检测它们对癌细胞株的抗增殖活性。我们从这些毒液中选择了具有良好活性的Naja anchietae和Naja senegalensis毒液。利用反相高效液相色谱法(RP HPLC)、质谱法(MALDI-TOF MS 和 MALDI-TOF TOF MSMS)和埃德曼降解测序法,我们分离并鉴定了来自 Naja anchietae 的名为 CTNanc1、CTNanc2 和 CTNanc3 的三条肽链,以及来自 Naja senegalensis 的名为 CTNsen1、CTNsen2 和 CTNsen3 的另外三条肽链,每条肽链的分子量都在 7 kDa 左右。这些纯化的肽在细胞活力实验中显示出对 U87 胶质母细胞瘤细胞增殖的抑制作用,但对 U251 和 T98G 细胞的抑制作用则不明显。为了评估这些处理对细胞活力、凋亡和坏死的影响,我们在 72 小时后对 U87 细胞进行了流式细胞术检测。结果显示,细胞活力下降,死亡细胞增加,这表明这些处理不仅会促进细胞凋亡,而且随着暴露时间的延长,还可能导致细胞坏死或晚期凋亡增加。这些研究结果表明,这些多肽可作为癌症治疗的线索进行开发。
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引用次数: 0
Promising Phytogenic Feed Additives Used as Anti-Mycotoxin Solutions in Animal Nutrition. 在动物营养中用作抗霉菌毒素解决方案的前景看好的植物性饲料添加剂。
IF 3.9 3区 医学 Q2 FOOD SCIENCE & TECHNOLOGY Pub Date : 2024-10-10 DOI: 10.3390/toxins16100434
Sergio Quesada-Vázquez, Raquel Codina Moreno, Antonella Della Badia, Oscar Castro, Insaf Riahi

Mycotoxins are a major threat to animal and human health, as well as to the global feed supply chain. Among them, aflatoxins, fumonisins, zearalenone, T-2 toxins, deoxynivalenol, and Alternaria toxins are the most common mycotoxins found in animal feed, with genotoxic, cytotoxic, carcinogenic, and mutagenic effects that concern the animal industry. The chronic negative effects of mycotoxins on animal health and production and the negative economic impact on the livestock industry make it crucial to develop and implement solutions to mitigate mycotoxins. In this review, we summarize the current knowledge of the mycotoxicosis effect in livestock animals as a result of their contaminated diet. In addition, we discuss the potential of five promising phytogenics (curcumin, silymarin, grape pomace, olive pomace, and orange peel extracts) with demonstrated positive effects on animal performance and health, to present them as potential anti-mycotoxin solutions. We describe the composition and the main promising characteristics of these bioactive compounds that can exert beneficial effects on animal health and performance, and how these phytogenic feed additives can help to alleviate mycotoxins' deleterious effects.

霉菌毒素是动物和人类健康以及全球饲料供应链的主要威胁。其中,黄曲霉毒素、伏马菌毒素、玉米赤霉烯酮、T-2毒素、脱氧雪腐镰刀菌烯醇和Alternaria毒素是动物饲料中最常见的霉菌毒素,它们具有基因毒性、细胞毒性、致癌性和致突变性,与畜牧业息息相关。霉菌毒素对动物健康和生产的长期负面影响,以及对畜牧业的负面经济影响,使得开发和实施缓解霉菌毒素的解决方案变得至关重要。在这篇综述中,我们总结了目前关于霉菌毒素中毒对牲畜饮食污染的影响的知识。此外,我们还讨论了五种有潜力的植物萃取物(姜黄素、水飞蓟素、葡萄渣、橄榄渣和橘皮提取物)的潜力,这些植物萃取物对动物的表现和健康有积极的影响,并将其作为潜在的抗霉菌毒素解决方案。我们介绍了这些生物活性化合物的组成和主要特点,它们可对动物的健康和表现产生有益影响,以及这些植物性饲料添加剂如何有助于减轻霉菌毒素的有害影响。
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引用次数: 0
The Editorial on the Special Issue "Research on Mycotoxins in Food and Feed: From Detection and Unravelling of Toxicity to Control". 关于特刊 "食品和饲料中霉菌毒素的研究:从检测和揭示毒性到控制 "特刊的社论。
IF 3.9 3区 医学 Q2 FOOD SCIENCE & TECHNOLOGY Pub Date : 2024-10-10 DOI: 10.3390/toxins16100435
Mohamed F Abdallah, Shupeng Yang, Elisabeth Varga

In this Special Issue, several interesting research and review articles were published with the aim of filling in some of the existing knowledge gaps in the field of mycotoxins [...].

本特刊发表了几篇有趣的研究和综述文章,旨在填补霉菌毒素领域现有的一些知识空白[...]。
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引用次数: 0
Effect of Gossypol on Gene Expression in Swine Granulosa Cells. 棉酚对猪颗粒细胞基因表达的影响
IF 3.9 3区 医学 Q2 FOOD SCIENCE & TECHNOLOGY Pub Date : 2024-10-10 DOI: 10.3390/toxins16100436
Min-Wook Hong, Hun Kim, So-Young Choi, Neelesh Sharma, Sung-Jin Lee

Gossypol (GP), a polyphenolic compound in cottonseed, has notable effects on female reproduction and the respiratory system in pigs. This study aimed to discern the alterations in gene expression within swine granulosa cells (GCs) when treated with two concentrations of GP (6.25 and 12.5 µM) for 72 h, in vitro. The analysis revealed significant changes in the expression of numerous genes in the GP-treated groups. A Gene Ontology analysis highlighted that the differentially expressed genes (DEGs) primarily pertained to processes such as the mitotic cell cycle, chromosome organization, centromeric region, and protein binding. Pathway analysis using the Kyoto Encyclopedia of Genes and Genomes (KEGG) indicated distinct impacts on various pathways in response to different GP concentrations. Specifically, in the GP6.25 group, pathways related to the cycle oocyte meiosis, progesterone-mediated oocyte maturation, and p53 signaling were prominently affected. Meanwhile, in the GP12.5 group, pathways associated with PI3K-Akt signaling, focal adhesion, HIF-1 signaling, cell cycle, and ECM-receptor interaction showed significant alterations. Notably, genes linked to female reproductive function (CDK1, CCNB1, CPEB1, MMP3), cellular component organization (BIRC5, CYP1A1, TGFB3, COL1A2), and oxidation-reduction processes (PRDX6, MGST1, SOD3) exhibited differential expression in GP-treated groups. These findings offer valuable insights into the changes in GC gene expression in pigs exposed to GP.

棉酚(GP)是棉籽中的一种多酚化合物,对猪的雌性生殖和呼吸系统有显著影响。本研究旨在体外观察两种浓度的 GP(6.25 µM 和 12.5 µM)作用 72 小时后猪颗粒细胞(GC)内基因表达的变化。分析表明,在 GP 处理组中,许多基因的表达发生了显著变化。基因本体分析显示,差异表达基因(DEGs)主要涉及有丝分裂细胞周期、染色体组织、中心粒区域和蛋白质结合等过程。使用《京都基因组百科全书》(KEGG)进行的通路分析表明,不同浓度的 GP 对各种通路产生了不同的影响。具体来说,在GP6.25组中,与卵母细胞减数分裂周期、黄体酮介导的卵母细胞成熟和p53信号转导相关的通路受到了显著影响。同时,在 GP12.5 组中,与 PI3K-Akt 信号转导、病灶粘附、HIF-1 信号转导、细胞周期和 ECM-受体相互作用相关的通路发生了显著变化。值得注意的是,与女性生殖功能(CDK1、CCNB1、CPEB1、MMP3)、细胞成分组织(BIRC5、CYP1A1、TGFB3、COL1A2)和氧化还原过程(PRDX6、MGST1、SOD3)相关的基因在 GP 处理组中表现出不同的表达。这些发现为了解暴露于 GP 的猪的 GC 基因表达变化提供了宝贵的见解。
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引用次数: 0
Non-Migraine Head Pain and Botulinum Toxin. 非偏头痛与肉毒杆菌毒素。
IF 3.9 3区 医学 Q2 FOOD SCIENCE & TECHNOLOGY Pub Date : 2024-10-09 DOI: 10.3390/toxins16100431
Fatemeh Farham, Dilara Onan, Paolo Martelletti

Botulinum toxin A (BT-A), a potential neurotoxin produced by the bacterium Clostridium botulinum, is known for its ability to prevent the release of acetylcholine at the neuromuscular synapse, leading to temporary muscle paralysis. BT-A is used for a wide range of therapeutic applications. Several studies have shown mechanisms beyond the inhibition of acetylcholine release for pain control. BT-A inhibits the release of neurotransmitters associated with pain and inflammation, such as glutamate, CGRP, and substance P. Additionally, it would be effective in nerve entrapment leading to neuronal hypersensitivity, which is known as a new pathogenesis of painful conditions. BT-A has been applied to the treatment of a wide variety of neurological disorders. Since 2010, BT-A application has been approved and widely used as a chronic migraine prophylaxis. Moreover, due to its effects on pain through sensory modulation, it may also be effective for other headaches. Several studies using BT-A, at different doses and administration sites for headaches, have shown beneficial effects on frequency and severity. In this review, we provide an overview of using BT-A to treat primary and secondary headache disorders.

肉毒杆菌毒素 A(BT-A)是由肉毒杆菌产生的一种潜在神经毒素,它能够阻止乙酰胆碱在神经肌肉突触处的释放,从而导致暂时性肌肉麻痹。BT-A 被广泛用于治疗。一些研究表明,除了抑制乙酰胆碱释放外,BT-A 还具有控制疼痛的机制。此外,BT-A 还能有效抑制神经束缚导致的神经元超敏反应,而神经元超敏反应是疼痛的新发病机制。BT-A 已被用于治疗多种神经系统疾病。自 2010 年以来,BT-A 已被批准并广泛应用于慢性偏头痛的预防治疗。此外,由于 BT-A 通过感觉调节对疼痛产生影响,因此对其他头痛也可能有效。有几项使用不同剂量和给药部位的 BT-A 治疗头痛的研究表明,它对头痛的频率和严重程度都有好处。在本综述中,我们将概述使用 BT-A 治疗原发性和继发性头痛疾病的情况。
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引用次数: 0
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