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Effect of Post-Harvest Management on Aspergillus flavus Growth and Aflatoxin Contamination of Stored Hazelnuts. 采后管理对贮藏榛子黄曲霉生长及黄曲霉毒素污染的影响。
IF 4 3区 医学 Q2 FOOD SCIENCE & TECHNOLOGY Pub Date : 2026-01-11 DOI: 10.3390/toxins18010038
Alessia Casu, Giorgio Chiusa, Eugenio Zagottis, Giuseppe Genova, Paola Battilani

Hazelnut (Corylus avellana L.) is a major crop in the Caucasus region, but its safety is often threatened by Aspergillus flavus colonization and aflatoxin contamination. Although aflatoxins (AFs) are strictly regulated in the EU, the influence of post-harvest practices on fungal persistence and AF accumulation remains poorly defined. A three-year study was conducted to evaluate the effects of drying protocols, storage temperature, and conservation practices on fungal growth and AF occurrence in hazelnuts from three producing regions of Azerbaijan. Freshly harvested nuts were subjected to two drying regimes: good drying (sun-exposed, mixed, protected from rewetting) and bad drying (shaded, piled, rewetted). After drying, samples were stored at cold (8-10 °C) or room temperature (18-22 °C). Fungal prevalence was determined by CFU counts with morphological and qPCR identification of Aspergillus section Flavi. AFs were quantified by HPLC, and water activity (aw) was monitored during storage. Drying emerged as the decisive factor: bad drying consistently resulted in markedly higher fungal loads for A. section Flavi, with mean counts up to 1.3 log10 (CFU/g), compared with 0.8 log10 (CFU/g) under good drying, representing a 7-fold increase. In contrast, storage temperature and shell condition had negligible effects when nuts were properly dried. Aflatoxins were consistently below the 5 µg/kg EU limit for AFB1 in traced and well-dried samples, whereas market samples occasionally exhibited AFB1 concentrations >450 µg/kg. These findings highlight drying efficiency as the key determinant of fungal persistence and AF risk in hazelnut post-harvest management.

榛子(Corylus avellana L.)是高加索地区的主要作物,但其安全性经常受到黄曲霉定殖和黄曲霉毒素污染的威胁。尽管黄曲霉毒素(AFs)在欧盟受到严格管制,但收获后的做法对真菌持久性和AF积累的影响仍然不明确。进行了一项为期三年的研究,以评估干燥方案、储存温度和保存措施对阿塞拜疆三个产区榛子真菌生长和AF发生的影响。新鲜收获的坚果经受两种干燥制度:良好的干燥(阳光照射,混合,防止再湿)和不良的干燥(阴影,堆积,再湿)。干燥后,样品在低温(8-10°C)或室温(18-22°C)下保存。采用CFU计数、形态鉴定和qPCR鉴定黄曲霉切片的真菌流行情况。采用高效液相色谱法对AFs进行定量分析,并监测贮藏期间水分活度(aw)。干燥是决定性因素:干燥不良持续导致黄曲霉的真菌负荷显著增加,平均数量高达1.3 log10 (CFU/g),而干燥良好时为0.8 log10 (CFU/g),增加了7倍。相反,贮藏温度和壳条件对坚果干燥的影响可以忽略不计。在追踪和干燥的样品中,黄曲霉毒素始终低于AFB1的5µg/kg欧盟限值,而市场样品偶尔显示AFB1浓度为450µg/kg。这些发现强调了干燥效率是榛子收获后管理中真菌持久性和AF风险的关键决定因素。
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引用次数: 0
Optimization of Ibuprofen Route and Dosage to Enhance Protein-Bound Uremic Toxin Clearance During Hemodialysis. 优化布洛芬路线和剂量以促进血液透析中蛋白结合尿毒症毒素清除。
IF 4 3区 医学 Q2 FOOD SCIENCE & TECHNOLOGY Pub Date : 2026-01-11 DOI: 10.3390/toxins18010037
Víctor Joaquín Escudero-Saiz, Elena Cuadrado-Payán, María Rodríguez-García, Gregori Casals, Lida María Rodas, Néstor Fontseré, María Del Carmen Salgado, Carla Bastida, Nayra Rico, José Jesús Broseta, Francisco Maduell

Protein-bound uremic toxins (PBUT), particularly indoxyl sulphate (IS) and p-cresyl sulphate (pCS), are poorly removed by conventional haemodialysis because of their strong albumin binding. These toxins are associated with cardiovascular morbidity and mortality in haemodialysis patients. Displacer molecules such as ibuprofen enhance PBUT clearance by competing for albumin-binding sites, but the optimal dose and route of administration remain unclear. The aim of this study was to evaluate the effect of different ibuprofen doses, infusion durations, and routes of administration on the removal of IS and pCS during on-line hemodiafiltration (OL-HDF). In this prospective, single-centre, crossover study, 21 chronic haemodialysis patients receiving intradialytic analgesia underwent nine OL-HDF sessions. Ibuprofen was administered at two doses (400 or 800 mg) either in the arterial pre-filter line (infusion over 1 h, 2 h, or 3 h) or in the venous post-filter line (30 min). Reduction ratios (RR) of total IS and pCS were determined by LC-MS and corrected for haemoconcentration. Statistical analysis included repeated-measures ANOVA with post-hoc testing. Baseline RR for IS and pCS were 53.7 ± 9.9% and 47.1 ± 10.9%, respectively. The highest RR was achieved with 800 mg ibuprofen infused via the arterial line over 2 h (IS: 60.8 ± 8.6%; pCS: 57.8 ± 9.7%). All arterial-line 800 mg regimens and the 3-h 400 mg infusion significantly improved pCS clearance versus baseline; IS clearance improved significantly only with arterial-line 800 mg regimens and with the 400 mg 3-h infusion. Infusion rate (1-3 h) had no significant effect on RR within the same dose group. Pain scores decreased significantly after dialysis regardless of ibuprofen regimen. Arterial-line administration of ibuprofen enhances total IS and pCS removal during OL-HDF, with higher doses yielding greater clearance. Prolonged low-dose infusion appears similarly effective for pCS and may reduce systemic exposure, potentially lowering toxicity risk. These findings support the arterial line as the preferred route for displacer administration in clinical practice.

蛋白质结合的尿毒症毒素(PBUT),特别是吲哚酚硫酸盐(IS)和对甲酰硫酸盐(pCS),由于其与白蛋白的强结合,传统血液透析很难去除。这些毒素与血液透析患者的心血管发病率和死亡率有关。布洛芬等替代分子通过竞争白蛋白结合位点来增强PBUT的清除,但最佳剂量和给药途径尚不清楚。本研究的目的是评估不同布洛芬剂量、输注时间和给药途径对在线血液滤过(OL-HDF)过程中IS和pCS清除的影响。在这项前瞻性、单中心、交叉研究中,21名接受溶内镇痛的慢性血液透析患者接受了9次OL-HDF治疗。布洛芬以两种剂量(400或800毫克)施用于动脉预滤线(输注超过1小时、2小时或3小时)或静脉后滤线(30分钟)。用LC-MS测定总IS和pCS的还原比(RR),并用血药浓度校正。统计分析包括重复测量方差分析和事后检验。IS和pCS的基线RR分别为53.7±9.9%和47.1±10.9%。经动脉输注800 mg布洛芬2 h的RR最高(IS: 60.8±8.6%;pCS: 57.8±9.7%)。与基线相比,所有动脉线800 mg方案和3小时400 mg输注显著提高了pCS清除率;只有动脉线800 mg方案和3小时400 mg输注方案,IS清除率才显著提高。同一剂量组内,输注速率(1 ~ 3 h)对RR无显著影响。无论布洛芬方案如何,透析后疼痛评分均显著降低。在OL-HDF期间,动脉线给予布洛芬可提高IS和pCS的总清除,且剂量越大,清除率越高。长期低剂量输注对pc似乎同样有效,并可能减少全身暴露,潜在地降低毒性风险。这些发现支持动脉线是临床实践中首选的替位剂给药途径。
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引用次数: 0
Advances in Clostridial Neurotoxins: Passage of the Intestinal Barrier and Targeting of Specific Neuronal Cells. 梭状芽胞杆菌神经毒素的研究进展:通过肠道屏障和靶向特异性神经元细胞。
IF 4 3区 医学 Q2 FOOD SCIENCE & TECHNOLOGY Pub Date : 2026-01-10 DOI: 10.3390/toxins18010035
Michel R Popoff

Clostridial neurotoxins, botulinum neurotoxins (BoNTs), and tetanus neurotoxin (TeNT) are potent toxins responsible for severe diseases, botulism and tetanus, respectively. BoNTs associate with non-toxic proteins (non-toxic non-hemagglutinin, hemagglutinins, and OrfXs), which protect BoNTs against acidic pH and protease degradation and facilitate BoNT passage through the intestinal barrier. TeNT enters motor neurons and undergoes a retrograde axonal transport until the target inhibitory interneurons in the central nervous system. BoNTs and TeNT recognize specific cell surface receptors which consist of complex sets of protein(s)-glycan-gangliosides and determine specific cell entry pathways. Recent data on structural and functional investigations of BoNT and TeNT receptors bring a better understanding of toxin trafficking in the host and entry into target neuronal cells, which is useful for the development of updated strategies of prevention and treatment of the corresponding diseases. Since clostridial neurotoxins, notably BoNTs, are important therapeutic tools, detailed knowledge of their activity opens the way of the development of engineered molecules for specific clinical applications.

梭状芽孢杆菌神经毒素、肉毒杆菌神经毒素(BoNTs)和破伤风神经毒素(TeNT)分别是导致严重疾病肉毒中毒和破伤风的强毒性毒素。BoNT与无毒蛋白(无毒的非血凝素、血凝素和OrfXs)结合,保护BoNT免受酸性pH和蛋白酶降解的影响,并促进BoNT通过肠道屏障。TeNT进入运动神经元并经历轴突逆行转运,直到中枢神经系统的目标抑制性中间神经元。bont和TeNT识别特定的细胞表面受体,这些受体由复杂的蛋白质-甘聚糖-神经节苷类组成,并确定特定的细胞进入途径。最近关于BoNT和TeNT受体的结构和功能研究的数据使人们更好地了解毒素在宿主中的运输和进入目标神经元细胞,这有助于制定预防和治疗相应疾病的最新策略。由于梭状芽胞杆菌神经毒素,特别是bont,是重要的治疗工具,对其活性的详细了解为开发用于特定临床应用的工程分子开辟了道路。
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引用次数: 0
Crotoxin B from the South American Rattlesnake Crotalus vegrandis Blocks Voltage-Gated Calcium Channels Independent of Its Intrinsic Catalytic Activity. 来自南美响尾蛇Crotalus vegrandis的响尾蛇毒素B阻断独立于其内在催化活性的电压门控钙通道。
IF 4 3区 医学 Q2 FOOD SCIENCE & TECHNOLOGY Pub Date : 2026-01-10 DOI: 10.3390/toxins18010036
Markus Eicheldinger, Erick Miranda-Laferte, Francisco Castilla, Nadine Jordan, Beatrix Santiago-Schübel, Patricia Hidalgo

Neurotoxicity following South American Crotalus rattlesnake bite is primarily caused by crotoxin, the most abundant component in their venom. Despite the central role of voltage-gated calcium channels (CaV) in neurotransmission, direct targetability by crotoxin has been poorly explored. Crotoxin is a non-covalent heterodimer formed by an acidic subunit (CA) and a basic toxic phospholipase A2 subunit (CB). Here, we chromatographically isolated the CB subunit from Crotalus vegrandis and studied its effect on CaV heterologously expressed in tsA201 cells using the whole-cell patch-clamp technique. Mass spectrometry analysis identified a protein that matched with 97% sequence coverage the CBc isoform from Crotalus durissus terrificus. Isolated CB exhibited moderate phospholipase activity that was not correlated to its cytotoxic effect on cultured tsA201 cells. Using Ba2+ as a charge carrier to prevent the enzymatic activity, we found that CB inhibited currents mediated by the N-type CaV2.2 and CaV1.2 L-type calcium channels, in a dose-dependent manner, with higher potency for the latter, and negligible changes in the voltage dependence of channel activation. Our results reveal a novel phospholipase-independent biological activity and a molecular target of CB providing new insights into the pathophysiology of Crotalus snakebite envenoming with potential clinical therapeutic implications.

南美响尾蛇咬伤后的神经毒性主要是由响尾蛇毒素引起的,响尾蛇毒素是响尾蛇毒液中含量最多的成分。尽管电压门控钙通道(CaV)在神经传递中的核心作用,但响蛇毒素的直接靶向性尚未得到充分探讨。响尾蛇毒素是由酸性亚基(CA)和碱性毒性磷脂酶A2亚基(CB)形成的非共价异二聚体。本研究从Crotalus vegrandis中分离出CB亚基,并利用全细胞膜片钳技术研究其对CaV在tsA201细胞中异源表达的影响。质谱分析鉴定出与Crotalus durissus terrificus CBc亚型97%序列覆盖率相匹配的蛋白。分离的CB具有中等的磷脂酶活性,与培养的tsA201细胞的细胞毒作用无关。利用Ba2+作为电荷载体来阻止酶活性,我们发现CB抑制n型CaV2.2和CaV1.2 l型钙通道介导的电流,且呈剂量依赖性,后者的效力更高,通道激活的电压依赖性变化可以忽略不计。我们的研究结果揭示了一种新的不依赖磷脂酶的生物活性和CB的分子靶点,为Crotalus蛇咬伤的病理生理学提供了新的见解,具有潜在的临床治疗意义。
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引用次数: 0
Curcumin Mitigates Fumonisin B1-Induced Ovarian Toxicity in Peak-Laying Ducks via Hormone Metabolic Protection and Enhanced Reproductive Resilience. 姜黄素通过激素代谢保护和增强生殖恢复力减轻伏马菌素b1对产蛋高峰鸭卵巢的毒性作用。
IF 4 3区 医学 Q2 FOOD SCIENCE & TECHNOLOGY Pub Date : 2026-01-09 DOI: 10.3390/toxins18010034
Lihua Wang, Rui Liang, Qingyun Cao, Zhiwei Hou, Ali Mujtaba Shah, Qiuyi Deng, Xue Li, Jinze Li, Jiaqing Chen, Lukuyu A Bernard, Muhammad Kashif Saleemi, Lin Yang, Wence Wang

The objective of this study was to evaluate the protective effect of curcumin (Cur) on reproductive toxicity induced by fumonisin B1 (FB1) in laying ducks during the peak egg-laying period. A total of seventy-two 50-week-old Cherry Valley ducks were randomly assigned to four groups: control, FB1 (30 mg/kg), Cur (200 mg/kg), and Cur + FB1 (200 mg/kg + 30 mg/kg). The experiment lasted for 35 days. Our results showed that cur supplementation effectively restored the reductions in final body weight (p = 0.005) and oviduct length (p = 0.020) induced by FB1 exposure. Residual FB1 concentrations in serum, liver, and ovaries were markedly increased in the FB1-treated group, while Cur significantly decreased the FB1 residual in duck liver (p < 0.05). Meanwhile, Cur supplementation markedly counteracted the FB1-induced reductions in serum total protein, albumin, triglycerides, and high-density lipoprotein induced by FB1 exposure. Cur supplementation effectively regulated FB1-induced oxidative stress, inflammation, and endocrine disruption. Specifically, Cur lowered FB1-induced malondialdehyde levels (p < 0.010), attenuated interleukin-1β increase (p = 0.083), and reversed the reduction in immunoglobulin G levels. FB increased the levels of hormones associated with duck reproduction, including estradiol, follicle-stimulating hormone, and luteinizing hormone; in contrast, curcumin supplementation decreased the levels of these hormones (p < 0.010). Histopathological analysis revealed that Cur significantly alleviated the inflammation and necrosis in the liver, kidneys, ovaries, and oviducts induced by FB1. In conclusion, dietary Cur supplementation effectively alleviated FB1-induced reproductive toxicity in laying ducks by enhancing antioxidant capacity, improving lipid metabolism, and restoring hormonal homeostasis.

本研究旨在探讨姜黄素(Cur)对伏马菌素B1 (FB1)对产蛋高峰期蛋鸭生殖毒性的保护作用。选用72只50周龄樱桃谷肉鸭,随机分为4组:对照组、FB1 (30 mg/kg)组、Cur (200 mg/kg)组和Cur + FB1 (200 mg/kg + 30 mg/kg)组。试验期35 d。我们的研究结果表明,补充cur有效地恢复了FB1暴露引起的最终体重(p = 0.005)和输卵管长度(p = 0.020)的减少。FB1处理组鸭血清、肝脏和卵巢中FB1残留量显著升高,Cur显著降低鸭肝脏中FB1残留量(p < 0.05)。同时,添加Cur显著抵消了FB1引起的血清总蛋白、白蛋白、甘油三酯和高密度脂蛋白的降低。补充硒能有效调节fb1诱导的氧化应激、炎症和内分泌紊乱。具体来说,Cur降低了fb1诱导的丙二醛水平(p < 0.010),减弱了白细胞介素-1β的增加(p = 0.083),逆转了免疫球蛋白G水平的降低。FB增加了与鸭繁殖相关的激素水平,包括雌二醇、卵泡刺激素和黄体生成素;相反,姜黄素的添加降低了这些激素的水平(p < 0.010)。组织病理学分析显示,Cur显著减轻了FB1引起的肝、肾、卵巢和输卵管的炎症和坏死。综上所述,饲粮中添加Cur可通过增强抗氧化能力、改善脂质代谢、恢复激素稳态等方式,有效减轻fb1诱导的蛋鸭生殖毒性。
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引用次数: 0
The Difficulties in Demonstrating That Aflatoxin Reduction Improves Stunting in Developing World Regions. 证明减少黄曲霉毒素改善发展中世界地区发育迟缓的困难。
IF 4 3区 医学 Q2 FOOD SCIENCE & TECHNOLOGY Pub Date : 2026-01-09 DOI: 10.3390/toxins18010032
Paul C Turner, Erica Phillips

Aflatoxins are highly toxic secondary metabolites that contaminate dietary staples in many developing world regions, with hundreds of millions of people estimated to be chronically exposed. In this review, we summarize the evidence about AF exposure assessment and its relationship to stunting. Despite multiple attempts, this question has eluded a strong scientific conclusion due to the nature of the toxin and exposure, the disparate methods used for assessment, and the ethical difficulties of studying a toxin in low-resource settings. We highlight current challenges in defining these relationships, how this has reduced the ability to draw conclusions in this area, and approaches to overcome these to advance the field. Current reviews tend to report mixed associations, but typically lack critique of the study designs, and a limited understanding of patterns of aflatoxin exposure coupled with a probable variable threshold for effect. We highlight the potential diverse patterns of AF exposure over time and how that may influence study design to address this critical public health issue.

黄曲霉毒素是剧毒的次生代谢物,污染了许多发展中国家的主食,估计有数亿人长期暴露于黄曲霉毒素中。在这篇综述中,我们总结了AF暴露评估及其与发育迟缓的关系的证据。尽管多次尝试,由于毒素的性质和暴露,用于评估的不同方法,以及在低资源环境中研究毒素的伦理困难,这个问题一直没有得到强有力的科学结论。我们强调了当前在定义这些关系方面的挑战,这如何降低了在该领域得出结论的能力,以及克服这些问题以推进该领域的方法。目前的综述倾向于报告混合关联,但通常缺乏对研究设计的批评,并且对黄曲霉毒素暴露模式的理解有限,并且可能存在可变的影响阈值。我们强调随着时间的推移,房颤暴露的潜在不同模式,以及这可能如何影响研究设计,以解决这一关键的公共卫生问题。
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引用次数: 0
Chimeric Antibody Engineering Against Bacillus anthracis Lethal Toxin: Neutralization Efficacy and Mechanism of Action. 抗炭疽芽孢杆菌致死毒素的嵌合抗体工程:中和效果及作用机制。
IF 4 3区 医学 Q2 FOOD SCIENCE & TECHNOLOGY Pub Date : 2026-01-09 DOI: 10.3390/toxins18010031
Olga V Kalmantaeva, Maksim A Marin, Anastasia A Ershova, Alena K Ryabko, Yana O Romanenko, Tatyana I Kombarova, Ivan A Dyatlov, Victoria V Firstova

Bacillus anthracis has three main virulence factors: an extracellular capsule and two binary toxins (lethal toxin-consists of a lethal factor and a protective antigen, and edema toxin-consists of an edema factor and a protective antigen). In the Russian Federation, the epidemiological situation regarding anthrax infection remains unfavorable. In the late stages of an anthrax infection, antibiotic therapy becomes ineffective and the patient dies within 24 h as a large amount of lethal toxin accumulates in the patient's blood. Antibodies capable of neutralising lethal toxin (LT) can be an effective treatment for these patients. The objective of the study was to construct a chimeric monoclonal antibody targeting the protective antigen of the LT and to elucidate its mechanism of toxin neutralization. In this work, a chimeric monoclonal antibody (xi1E10) directed against the protective antigen was successfully produced. Both in vitro and in vivo experiments demonstrated the capacity of xi1E10 to neutralize lethal toxin. Confocal microscopy revealed that xi1E10 effectively suppresses the formation of a functional pore, thereby blocking the translocation of the lethal factor into the cytosol. These findings indicate that the monoclonal antibody xi1E10 represents a promising candidate for the development of a therapeutic drug.

炭疽芽孢杆菌有三种主要的毒力因子:一种细胞外囊和两种二元毒素(致死毒素——由一种致死因子和一种保护性抗原组成,水肿毒素——由一种水肿因子和一种保护性抗原组成)。在俄罗斯联邦,炭疽感染的流行病学情况仍然不利。在炭疽感染的晚期,抗生素治疗无效,患者在24小时内死亡,因为大量致命毒素积聚在患者血液中。能够中和致死毒素(LT)的抗体对这些患者是一种有效的治疗方法。本研究的目的是构建一种靶向LT保护抗原的嵌合单克隆抗体,并阐明其中和毒素的机制。本研究成功制备了一种针对保护性抗原的嵌合单克隆抗体(xi1E10)。体外和体内实验均表明,xi1E10具有中和致死毒素的能力。共聚焦显微镜显示,xi1E10有效抑制功能性孔的形成,从而阻止致死因子转运到细胞质中。这些发现表明,单克隆抗体xi1E10是开发治疗药物的一个有希望的候选者。
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引用次数: 0
Botulinum Toxin Type A for the Prevention of Migraines: An Umbrella Review of Systematic Reviews. A型肉毒毒素预防偏头痛:系统综述。
IF 4 3区 医学 Q2 FOOD SCIENCE & TECHNOLOGY Pub Date : 2026-01-09 DOI: 10.3390/toxins18010033
Goli Chamani, Hajer Jasim, Ava Minston, Marlon Ferreira Dias, Rodrigo Lorenzi Poluha, Daniela A Godoi Gonçalves, Maria Christidis, Essam Ahmed Al-Moraissi, Nikolaos Christidis, Giancarlo De la Torre Canales, Malin Ernberg

Botulinum toxin type A (BoNT-A) is an established preventive therapy for chronic migraines; however, uncertainty remains regarding its comparative efficacy and safety. Thus, we aimed to summarize current evidence from high-quality systematic reviews of the therapeutic effects of BoNT-A in migraine management. An umbrella review was conducted following PRISMA guidelines and registered in PROSPERO. High-quality systematic reviews with meta-analysis evaluating BoNT-A efficacy were identified through five databases up to August 2024. Primary outcomes included monthly headache frequency and severity. Methodological quality and risk of bias were assessed using the umbrella review checklist. Fourteen articles were included. Overall, quantitative evidence indicated favorable effects of BoNT-A compared with placebo for chronic migraines, across headache frequency, headache severity, and acute medication use, but less efficacy than topiramate and the CGRP monoclonal antibodies (CGRPmAbs) galcanezumab and fremanezumab. Though the adverse events were frequent, BoNT-A was generally well-tolerated. Comparative data suggested superior tolerability versus topiramate and a safety profile like CGRPmAbs. Although botulinum toxin type A is widely used as a preventive treatment for chronic migraines, the available evidence supports its efficacy at a moderate level. Further head-to-head and long-term analyses are needed to clarify its comparative role alongside newer biologic treatments.

A型肉毒杆菌毒素(BoNT-A)是一种公认的慢性偏头痛预防疗法;然而,其相对有效性和安全性仍存在不确定性。因此,我们旨在总结BoNT-A在偏头痛治疗中的疗效的高质量系统评价的现有证据。根据PRISMA的指导方针进行了总括性审查,并在PROSPERO中进行了登记。截至2024年8月,通过五个数据库确定了高质量的系统评价和评估BoNT-A疗效的荟萃分析。主要结局包括每月头痛频率和严重程度。方法质量和偏倚风险采用总括性审查检查表进行评估。共纳入14篇文章。总体而言,定量证据表明BoNT-A治疗慢性偏头痛的效果优于安慰剂,包括头痛频率、头痛严重程度和急性用药,但疗效低于托吡酯和CGRP单克隆抗体(CGRPmAbs) galcanezumab和fremanezumab。尽管不良事件频繁发生,但BoNT-A总体耐受性良好。比较数据显示其耐受性优于托吡酯,安全性优于cgrpmab。虽然A型肉毒杆菌毒素被广泛用作慢性偏头痛的预防性治疗,但现有证据支持其疗效在中等水平。需要进一步的面对面和长期分析来澄清其与较新的生物治疗的比较作用。
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引用次数: 0
Animal Venoms for Drug Discovery: A Constantly Evolving Research Field. 动物毒液用于药物发现:一个不断发展的研究领域。
IF 4 3区 医学 Q2 FOOD SCIENCE & TECHNOLOGY Pub Date : 2026-01-08 DOI: 10.3390/toxins18010030
Ziad Fajloun, Rabih Roufayel, Mohamad Rima

Animal venoms, complex mixtures of molecules refined over thousands of years of evolution, represent far more than a simple defense or predatory system in venomous animals. [...].

动物毒液是经过数千年进化而形成的复杂分子混合物,它所代表的绝不仅仅是有毒动物的一种简单的防御或捕食系统。[…]。
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引用次数: 0
The Pathological Role of LDL in Membranous Nephropathy and Diabetic Nephropathy and the Protective Efficacy of LDL Apheresis: A Narrative Review. 低密度脂蛋白在膜性肾病和糖尿病肾病中的病理作用及低密度脂蛋白分离的保护作用:叙述性综述。
IF 4 3区 医学 Q2 FOOD SCIENCE & TECHNOLOGY Pub Date : 2026-01-08 DOI: 10.3390/toxins18010029
Goh Kodama, Kensei Taguchi, Yusei Wada, Kaoru Nakano, Ryo Shibata, Kei Fukami

Diabetic nephropathy (DN) is the leading cause of end-stage kidney disease worldwide. One-third of patients with DN develop primary glomerulonephritis, and membranous nephropathy (MN) is the most common concurrent glomerulonephritis. Nephrotic syndrome (NS) due to DN and MN is often refractory to immunosuppressants because increased levels of low-density lipoprotein (LDL) not only accelerates kidney injury but also reduce the bioavailability of cyclosporine, a first-line immunosuppressant for MN. Given the pathological role of LDL, especially oxidized LDL, reducing LDL cholesterol levels can help achieve remission of NS and halt the progression of kidney injury. Although some lipoproteins are not excreted by the kidneys, excessive LDL, including oxidized LDL, can be considered uremic toxic-like factors that contribute to the development of NS or DN. We encountered a 74-year-old patient with concomitant DN and MN who achieved complete remission following additional LDL apheresis (LDL-A) with immunosuppressant therapy. Here, we provide a narrative review summarizing the role of LDL, especially ox-LDL, in the progression of DN and glomerulonephritis, including MN, and discuss the therapeutic rationale for LDL-A. We also present a representative case of concomitant MN and DN refractory to conventional immunosuppression who achieved clinical improvement following LDL-A.

糖尿病肾病(DN)是终末期肾脏疾病的主要原因。三分之一的DN患者发生原发性肾小球肾炎,膜性肾病(MN)是最常见的并发肾小球肾炎。由于低密度脂蛋白(LDL)水平的升高不仅会加速肾损伤,还会降低环孢素(MN的一线免疫抑制剂)的生物利用度,由DN和MN引起的肾病综合征(NS)通常对免疫抑制剂难以治疗。考虑到LDL的病理作用,尤其是氧化LDL,降低LDL胆固醇水平有助于NS的缓解和阻止肾损伤的进展。虽然有些脂蛋白不能由肾脏排出,但过量的LDL,包括氧化LDL,可被认为是尿毒症毒性样因素,有助于NS或DN的发展。我们遇到了一位74岁的伴有DN和MN的患者,他在接受免疫抑制剂治疗的低密度脂蛋白分离(LDL- a)后完全缓解。在这里,我们提供了一篇叙述性的综述,总结了LDL,特别是ox-LDL在DN和肾小球肾炎(包括MN)进展中的作用,并讨论了LDL- a的治疗原理。我们也报告了一个典型的合并MN和DN对常规免疫抑制难治的病例,他在LDL-A后获得了临床改善。
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