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Low-Dose Deoxynivalenol Induces Subclinical Multi-Organ Toxicity in Weaned Piglets. 低剂量脱氧雪腐镰刀菌醇诱导断奶仔猪亚临床多器官毒性
IF 4 3区 医学 Q2 FOOD SCIENCE & TECHNOLOGY Pub Date : 2026-02-02 DOI: 10.3390/toxins18020075
Ying Liu, Sunlin Luo, Xinchun Zou, Wenjun He, Ruiqi Tan, Yongpeng Jin, Gaoyi Liu, Qiaomin Duan, Wenjun Yang, Yiqiang Chen

Deoxynivalenol (DON) is a common mycotoxin in cereal crops such as corn, wheat, and their processed products. It can cause feed refusal and growth retardation in piglets. This study systematically evaluated the effects of dietary exposure to purified DON at low doses of 0.25, 0.5, 1.0, and 2.0 mg/kg on growth performance, blood biochemistry, antioxidant capacity, immune function, intestinal health, and reproductive development in female weaned piglets over a 42-day period. Although dietary exposure to 0.25-2.0 mg/kg of DON did not significantly affect growth performance, it induced subclinical multi-organ toxicity. Notably, decreased platelet count (PLT) at 0.25-2.0 mg/kg and increased serum alanine aminotransferase (ALT) activity at 2.0 mg/kg were observed. DON exposure also impaired antioxidant function with reduced serum total antioxidant capacity (T-AOC) at 0.25-2.0 mg/kg, and elevated malondialdehyde (MDA) content in the jejunum and ileum at 0.5-2.0 mg/kg. Furthermore, at all doses tested (0.25-2.0 mg/kg), DON suppressed anti-inflammatory cytokine interleukin-10 (IL-10) levels in both serum and intestine, reduced duodenal villus height (VH), and decreased serum follicle-stimulating hormone (FSH) and luteinizing hormone (LH) levels. Additionally, histopathological injuries of liver, kidney, duodenum, jejunum, ileum, uterus and ovaries were also observed at doses of 1.0-2.0 mg/kg. In summary, this study confirms the multi-organ toxicity of low-dose DON in piglets. Our findings suggest that DON concentrations in pig feed should be more strictly controlled and highlight the importance of considering subclinical health endpoints, such as oxidative stress markers and immune parameters, in future risk assessments of mycotoxin exposure.

脱氧雪腐镰刀菌醇(DON)是谷类作物如玉米、小麦及其加工产品中常见的真菌毒素。可引起仔猪拒食和生长迟缓。本研究系统评估了饲粮中添加低剂量(0.25、0.5、1.0和2.0 mg/kg)纯化DON对断奶母仔猪生长性能、血液生化、抗氧化能力、免疫功能、肠道健康和生殖发育的影响。虽然饲料中暴露于0.25-2.0 mg/kg的DON对生长性能没有显著影响,但它会引起亚临床多器官毒性。值得注意的是,0.25 ~ 2.0 mg/kg组血小板计数(PLT)降低,2.0 mg/kg组血清谷丙转氨酶(ALT)活性升高。暴露于DON后,血清总抗氧化能力(T-AOC)在0.25 ~ 2.0 mg/kg时降低,空肠和回肠丙二醛(MDA)含量在0.5 ~ 2.0 mg/kg时升高。此外,在所有测试剂量(0.25-2.0 mg/kg)下,DON均能抑制血清和肠道中抗炎细胞因子白介素-10 (IL-10)水平,降低十二指肠绒毛高度(VH),降低血清促卵泡激素(FSH)和黄体生成素(LH)水平。1.0 ~ 2.0 mg/kg剂量对大鼠肝脏、肾脏、十二指肠、空肠、回肠、子宫和卵巢的组织病理学损伤。综上所述,本研究证实了低剂量DON对仔猪的多器官毒性。我们的研究结果表明,应更严格地控制猪饲料中的DON浓度,并强调在未来的霉菌毒素暴露风险评估中考虑亚临床健康终点(如氧化应激标志物和免疫参数)的重要性。
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引用次数: 0
SIRT3, NF-κB/TNF-α and PI3K/Akt Pathways Mediate the Hepatoprotective Activity of Gossypin Against Concanavalin A-Induced Hepatic Fibrosis. SIRT3、NF-κB/TNF-α和PI3K/Akt通路介导棉籽平抗豆豆蛋白a诱导的肝纤维化的保肝活性
IF 4 3区 医学 Q2 FOOD SCIENCE & TECHNOLOGY Pub Date : 2026-02-02 DOI: 10.3390/toxins18020074
Hani M Alrawili, Mahmoud Elshal, Marwa S Serrya, Dina S El-Agamy

Chronic liver damage usually results in a pathological state of excessive deposition of extracellular matrix that is known as liver fibrosis. This study was designed to examine the potential preventive effect of the pentahydroxyglucosyl flavone, gossypin (GPN), against concanavalin A (Con A)-induced liver fibrosis in BALB/c albino mice. Methods: Liver fibrosis was induced by intravenous (IV) injection of Con A (10 mg/kg) once weekly for 4 weeks. GPN (10 and 20 mg/kg) was administered orally three times weekly for 4 weeks. At the end of the experiment, serum and liver tissue were obtained and used for different biochemical, histological, histochemical and molecular assessments. GPN (10 and 20 mg/kg) considerably ameliorated liver fibrosis induced by Con A. A marked decrease in serum levels of ALT, AST and LDH was observed upon GPN treatment, confirmed by histopathological analysis by H&E. GPN markedly reduced collagen deposition as confirmed by MT staining, reduced hepatic levels of Col-1 and TGF-β as well as inhibited α-SMA immunostaining. The hepatic oxidative stress biomarker, MDA, was markedly reduced, whereas hepatic antioxidant defense, TAC, was significantly enhanced. Furthermore, GPN effectively enhanced gene and protein expression of SIRT3. GPN downregulated hepatic proinflammatory biomarkers, NF-κB and TNF-α. Additionally, GPN caused a noticeable increase in the hepatic levels and expression of PI3K and Akt. GPN effectively attenuated Con A-induced liver fibrosis via reducing liver damage and collagen deposition majorly by lessening inflammation, oxidative stress and fibrosis. GPN modulated SIRT3, NF-κB/TNF-α and PI3K/Akt pathways.

慢性肝损伤通常导致细胞外基质过度沉积的病理状态,称为肝纤维化。本研究旨在探讨五羟基葡萄糖基黄酮棉花素(GPN)对豆豆蛋白A (Con A)诱导的BALB/c白化病小鼠肝纤维化的潜在预防作用。方法:每周一次静脉注射Con A (10 mg/kg)诱导肝纤维化,连续4周。GPN(10和20 mg/kg)每周口服3次,连用4周。实验结束时,取血清和肝组织进行不同的生化、组织学、组织化学和分子评价。GPN(10和20 mg/kg)显著改善Con A诱导的肝纤维化,经H&E组织病理学分析证实,GPN治疗后血清ALT、AST和LDH水平明显降低。MT染色证实,GPN显著减少胶原沉积,降低肝脏Col-1和TGF-β水平,抑制α-SMA免疫染色。肝脏氧化应激标志物MDA显著降低,而肝脏抗氧化防御标志物TAC显著增强。此外,GPN可有效增强SIRT3基因和蛋白的表达。GPN下调肝脏促炎标志物NF-κB和TNF-α。此外,GPN引起肝脏PI3K和Akt水平和表达的显著升高。GPN主要通过减轻炎症、氧化应激和纤维化来减轻肝损伤和胶原沉积,从而有效减轻Con - a诱导的肝纤维化。GPN调节SIRT3、NF-κB/TNF-α和PI3K/Akt通路。
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引用次数: 0
Development and Validation of an LC-MS/MS Method for the Determination of Alternaria Mycotoxins in Hepatic Tissue. LC-MS/MS法测定肝组织中真菌毒素的建立与验证。
IF 4 3区 医学 Q2 FOOD SCIENCE & TECHNOLOGY Pub Date : 2026-02-02 DOI: 10.3390/toxins18020077
María García-Nicolás, Alicia Navarro-Botia, Natalia Arroyo-Manzanares, Pilar Viñas

The presence of Alternaria mycotoxins in hepatic tissue of both human and animal origin remains unexplored. This work describes the development of an analytical method based on salt-assisted liquid-liquid extraction (SALLE) and ultrahigh-performance liquid chromatography coupled to quadrupole time of flight mass spectrometry (UHPLC-QTOF-MS) for the determination of six main Alternaria mycotoxins and related metabolites. Sample treatment was fully optimized, including sample mass, extraction solvent, and volume and sodium chloride mass. The method was validated, achieving calibration curve R2 values above 0.99 and limits of detection between 0.01 and 1.46 µg kg-1. Moreover, satisfactory trueness (apparent recoveries between 84% to 111%) and precision (RSD values below 10%) were achieved, complying with EU requirements. Matrix effects in terms of signal suppression/enhancement varied between 53% for TeA and 78% for AME. Applied to real liver samples (20 human and 20 animal), alternariol monomethyl ether (AME) was found in pig liver, while alternariol (AOH) and tentoxin (TEN) were found in human forensic liver tissues. No other Alternaria mycotoxin metabolites were detected. This methodology is the first validated approach for determining Alternaria mycotoxins in liver tissue.

在人类和动物来源的肝组织中存在互孢菌毒素仍未查明。本文介绍了一种基于盐辅助液液萃取(SALLE)和超高效液相色谱-四极杆飞行时间质谱(UHPLC-QTOF-MS)的分析方法,用于测定6种主要的交替孢菌毒素及其代谢物。对样品处理进行了充分优化,包括样品质量、提取溶剂、体积和氯化钠质量。对方法进行了验证,校正曲线R2值在0.99以上,检出限在0.01 ~ 1.46µg kg-1之间。此外,获得了令人满意的真实度(表观回收率在84% ~ 111%之间)和精密度(RSD值低于10%),符合欧盟要求。信号抑制/增强方面的基质效应在TeA的53%和AME的78%之间变化。应用于20份人类和20份动物肝脏样本,在猪肝中发现了交替胺醇单甲基醚(AME),在人法医肝脏组织中发现了交替胺醇(AOH)和tentoxin (TEN)。未检出其他真菌毒素代谢物。该方法是测定肝组织中互孢菌毒素的第一种有效方法。
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引用次数: 0
Indoxyl Sulfate in the Gut-Kidney Axis: Pathophysiology and Clinical Significance in CKD-Associated Colorectal Cancer. 硫酸吲哚酚在肠-肾轴:ckd相关结直肠癌的病理生理和临床意义。
IF 4 3区 医学 Q2 FOOD SCIENCE & TECHNOLOGY Pub Date : 2026-01-30 DOI: 10.3390/toxins18020072
Hidehisa Shimizu, Toshimitsu Niwa

Chronic Kidney Disease (CKD) and Colorectal Cancer (CRC) share a profound epidemiological link, supported by Mendelian randomization studies suggesting causality. This review articulates a refined Gut-Kidney Axis, focusing on the pathophysiology of indole-derived uremic toxins. CKD-induced dysbiosis drives hepatic synthesis and systemic accumulation of indoxyl sulfate, which is proposed to promote carcinogenesis via Aryl Hydrocarbon Receptor (AhR) and Akt signaling, ultimately upregulating c-Myc and EGFR. We propose a two-compartment model: while systemic indoxyl sulfate reflects the total gut indole pool (mainly from planktonic bacteria), adherent bacteria like Fusobacterium nucleatum may create high-concentration indole hotspots within the tumor microenvironment. Clinically, we advocate for protein-independent DNA methylation biomarkers (SEPT9, SDC2) to avoid renal confounding. Furthermore, we propose a novel diagnostic panel integrating serum indoxyl sulfate (systemic load) and urinary indoxyl sulfate (gut production) to guide therapy. Therapeutically, targeting upstream drivers (AhR/Akt) may bypass resistance to anti-EGFR therapies in KRAS-mutated tumors. We also discuss the repurposing of the oral adsorbent AST-120 and emerging bacteriophage therapies as strategies to disrupt this oncogenic axis. This review offers a comprehensive framework for stratified management of CKD-associated CRC.

慢性肾脏疾病(CKD)和结直肠癌(CRC)有着深刻的流行病学联系,孟德尔随机化研究表明两者之间存在因果关系。这篇综述阐述了一个完善的肠肾轴,聚焦于吲哚衍生尿毒症毒素的病理生理。ckd诱导的生态失调驱动肝脏合成和硫酸吲哚酚的系统性积累,这被认为是通过芳烃受体(AhR)和Akt信号传导促进癌变,最终上调c-Myc和EGFR。我们提出了一个双室模型:虽然系统性硫酸吲哚基反映了肠道内的总吲哚库(主要来自浮游细菌),但黏附细菌如核梭杆菌可能会在肿瘤微环境中产生高浓度的吲哚热点。临床上,我们提倡使用不依赖蛋白质的DNA甲基化生物标志物(SEPT9, SDC2)来避免肾脏混淆。此外,我们提出了一个新的诊断面板整合血清硫酸吲哚酚(全身负荷)和尿硫酸吲哚酚(肠道产生)来指导治疗。在治疗上,靶向上游驱动因子(AhR/Akt)可能会绕过kras突变肿瘤对抗egfr治疗的耐药性。我们还讨论了口服吸附剂AST-120的再利用和新兴的噬菌体疗法作为破坏这一致癌轴的策略。本综述为ckd相关CRC的分层管理提供了一个全面的框架。
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引用次数: 0
Elevated Indoxyl Sulfate Levels Correlate with Increased Aortic Stiffness in Patients Undergoing Kidney Transplantation. 在肾移植患者中,吲哚酚硫酸盐水平升高与主动脉僵硬度增加相关。
IF 4 3区 医学 Q2 FOOD SCIENCE & TECHNOLOGY Pub Date : 2026-01-30 DOI: 10.3390/toxins18020071
Hsiao-Hui Yang, Chin-Hung Liu, Yen-Cheng Chen, Bang-Gee Hsu

Although kidney transplantation (KT) restores renal function, residual uremic toxins, such as indoxyl sulfate (IS), may persist and contribute to vascular remodeling and aging. Aortic stiffness, reflected by carotid-femoral pulse wave velocity (cfPWV), is a strong predictor of cardiovascular events. This study enrolled KT recipients to examine the association of circulating IS with aortic stiffness. Using the SphygmoCor system, we assessed aortic stiffness, which was defined as cfPWV > 10 m/s. Serum IS concentrations were measured by liquid chromatography-tandem mass spectrometry. Of 94 KT recipients, 26 (27.7%) met the criteria for aortic stiffness. Compared with patients without aortic stiffness, those with aortic stiffness were older (p = 0.017) and had significantly higher systolic blood pressure (p = 0.011) and fasting glucose levels (p = 0.002), a higher prevalence of diabetes (p = 0.043), and higher IS levels (p = 0.002). According to multivariable logistic regression, serum IS remained independently associated with aortic stiffness (p = 0.017). According to stepwise linear regression, log-transformed IS further showed a positive correlation with cfPWV (p = 0.016). Serum IS remained an independent determinant of aortic stiffness in KT recipients, highlighting the burden of residual uremic toxins as a contributor to post-transplant vascular aging.

虽然肾移植(KT)可以恢复肾功能,但残留的尿毒症毒素,如硫酸吲哚酚(IS),可能会持续存在并促进血管重塑和衰老。由颈-股脉波速度(cfPWV)反映的主动脉僵硬度是心血管事件的有力预测指标。本研究招募了KT受体,以检查循环IS与主动脉僵硬的关系。使用sphygmoor系统,我们评估了主动脉硬度,其定义为cfPWV > 10 m/s。采用液相色谱-串联质谱法测定血清IS浓度。在94例KT受者中,26例(27.7%)符合主动脉硬化标准。与没有主动脉僵硬的患者相比,有主动脉僵硬的患者年龄更大(p = 0.017),收缩压(p = 0.011)和空腹血糖水平(p = 0.002)明显更高,糖尿病患病率更高(p = 0.043), IS水平更高(p = 0.002)。根据多变量logistic回归,血清IS仍然与主动脉僵硬度独立相关(p = 0.017)。经逐步线性回归,经对数变换后的IS进一步与cfPWV呈正相关(p = 0.016)。血清IS仍然是KT受者主动脉僵硬的独立决定因素,强调残余尿毒症毒素的负担是移植后血管老化的一个因素。
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引用次数: 0
Toxin-Host Interaction of Clostridium Toxins. 梭状芽胞杆菌毒素与宿主的相互作用。
IF 4 3区 医学 Q2 FOOD SCIENCE & TECHNOLOGY Pub Date : 2026-01-27 DOI: 10.3390/toxins18020067
Jonatan Dorca-Arévalo

Clostridial toxins, involved in a wide range of serious diseases, affect humans and animals [...].

梭状芽孢杆菌毒素与多种严重疾病有关,影响人类和动物[…]。
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引用次数: 0
Exploratory Use of Proximal Cryoneurolysis and Distal Botulinum Toxin Type A for Upper-Limb Spasticity: A Case Report with Scoping Review. A型肉毒杆菌毒素治疗上肢痉挛的近端冷冻神经溶解和远端肉毒杆菌毒素的探索性应用:一例报告和范围回顾。
IF 4 3区 医学 Q2 FOOD SCIENCE & TECHNOLOGY Pub Date : 2026-01-27 DOI: 10.3390/toxins18020066
Di Lorenzo Luigi, De Meo Bruno, Forte Alfonso Maria, Forte Francesco, Palmieri Vincenzo, Pirraglia Nicola, D'Avanzo Carmine

Background: Upper-limb spasticity involving the shoulder girdle and elbow flexors often impairs functional hand use, and although Botulinum toxin type A (BoNT-A) is a first-line therapy, severe proximal synergies may persist while higher doses risk distal weakness.

Methods: We report a case of a 47-year-old woman with neurodegenerative tetraparesis and marked shoulder and elbow flexor spasticity treated with bilateral percutaneous cryoneurolysis of the lateral pectoral, thoracodorsal, and musculocutaneous nerves, followed by distal BoNT-A injections, and we conducted a scoping review following Arksey and O'Malley, Levac, and PRISMA-ScR methods to contextualize the current evidence.

Results: At one-month follow-up, the patient showed a reduction in MAS from 4 to 1-2, complete resolution of pain, improved passive shoulder abduction and elevation, preserved distal dexterity, and high satisfaction with no adverse events. The scoping review identified consistent MAS and range-of-motion improvements across multiple case reports and small series involving similar proximal nerve targets.

Conclusions: The combined proximal cryoneurolysis-distal BoNT-A approach appears to be a feasible dual-modulation strategy for complex upper-limb spasticity when the preservation of hand function is essential, and the emerging literature supports its further investigation.

背景:涉及肩带和肘关节屈肌的上肢痉挛通常会损害手的功能性使用,尽管A型肉毒毒素(BoNT-A)是一线治疗方法,但严重的近端协同作用可能持续存在,而高剂量可能会导致远端无力。方法:我们报告了一例47岁的女性神经退行性四肢瘫和明显的肩肘屈肌痉挛,采用双侧经皮胸外侧神经、胸背神经和肌皮神经冷冻神经松解术治疗,随后进行远端BoNT-A注射,我们根据Arksey和O'Malley、Levac和PRISMA-ScR方法进行了范围审查,以结合目前的证据。结果:在一个月的随访中,患者的MAS从4降至1-2,疼痛完全缓解,被动肩外展和上抬改善,远端灵活性保持良好,满意度高,无不良事件发生。范围审查确定了在多个病例报告和涉及相似近端神经靶点的小系列中一致的MAS和活动范围改善。结论:近端冷冻神经溶解-远端BoNT-A联合入路似乎是一种可行的双调节策略,用于复杂的上肢痉挛,当手部功能的保存是必不可少的,并且新兴的文献支持其进一步的研究。
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引用次数: 0
From Surface Colonies to Internal Contamination: A Comprehensive Investigation of Alternaria alternata Growth, Toxinogenesis, and Mycotoxin Migration Dynamics in Cherry Tomato Fruit Matrix. 从表面菌落到内部污染:樱桃番茄果实基质中交替孢霉生长、毒素发生和霉菌毒素迁移动态的综合研究。
IF 4 3区 医学 Q2 FOOD SCIENCE & TECHNOLOGY Pub Date : 2026-01-27 DOI: 10.3390/toxins18020070
Huynh Minh Tan Trinh, Léna Dole, Coline Nazet, Christophe Jourdan, Véronique Martinez, Charlie Poss, Noël Durand, Caroline Strub, Angélique Fontana-Tachon, Sabine Schorr-Galindo

Alternaria alternata is a common postharvest mold affecting tomato products, including cherry tomatoes, and causing their contamination with mycotoxins. When consumers encounter moldy fruits, some may remove the visibly contaminated part and consume the rest, to reduce waste. However, the extent to which A. alternata toxins migrate beyond visible fungal growth remains unclear, potentially posing health risks. This study investigated (i) the within-fruit migration of A. alternata in cherry tomatoes together with the associated mycotoxin production, and (ii) the diffusion of purified Alternaria toxins in tomatoes in the absence of any fungal activity. Toxins were quantified using LC-MS/MS, while fungal colonization was assessed through visual inspection and DNA quantification across fruit sections. In the absence of fungal growth, toxins remained largely confined to the spiking site and were degraded over time. In contrast, in inoculated samples, Alternaria DNA was detected at notable levels even in sections lacking visible fungal growth, while Alternaria toxins were found both in these regions and in lower fruit sections where fungal DNA was below the qPCR detection limit. These findings highlight the limitations of relying solely on visual inspection to assess food safety. A consumer recommendation is proposed to help minimize health risks while reducing food waste.

互交霉是一种常见的收获后霉菌,影响番茄产品,包括圣女果,并导致它们被真菌毒素污染。当消费者遇到发霉的水果时,有些人可能会去除明显受污染的部分,并食用其余部分,以减少浪费。然而,草霉毒素在可见真菌生长之外迁移的程度仍不清楚,这可能构成健康风险。本研究研究了(i)在樱桃番茄中的互花霉在果内的迁移以及相关真菌毒素的产生,以及(ii)在没有任何真菌活性的情况下,纯化的互花霉毒素在番茄中的扩散。毒素通过LC-MS/MS定量,真菌定植通过目视检查和DNA定量评估。在没有真菌生长的情况下,毒素仍然主要局限于穗状部位,并随着时间的推移而降解。相比之下,在接种样品中,即使在没有可见真菌生长的部分,也可以检测到显著水平的Alternaria DNA,而在这些区域和真菌DNA低于qPCR检测限的较低水果部分中都发现了Alternaria毒素。这些发现突出了仅仅依靠目测来评估食品安全的局限性。提出了一项消费者建议,以帮助最大限度地减少健康风险,同时减少食物浪费。
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引用次数: 0
Impact of Early Versus Late Treatment with Botulinum Toxin A on Goal Attainment in Post-Stroke Spasticity: A Retrospective Cohort Study. 早期与晚期肉毒毒素A治疗对卒中后痉挛目标实现的影响:一项回顾性队列研究。
IF 4 3区 医学 Q2 FOOD SCIENCE & TECHNOLOGY Pub Date : 2026-01-27 DOI: 10.3390/toxins18020068
Atul Patel, Jinming Zhang, Simon Page, Sarah Harding, Mathieu Beneteau, Colin Navickas, Alberto Esquenazi

This study evaluated the effect of time of botulinum toxin A (BoNT-A) treatment on clinical outcomes in adults with post-stroke spasticity (PSS). Individual data were pooled from five studies. Eligible patients received ≥1 BoNT-A injection(s) for PSS and had goal attainment scaling (GAS) scores measured at baseline and 12 weeks. Patients were grouped according to time of treatment post-stroke: early (<1 year) or late (≥1 year). The primary endpoint was the total GAS (GAS-T) score change from baseline to 12 weeks. Secondary outcomes included the proportion of patients with a GAS-T score ≥ 50. Overall, 968 patients were included (166 early and 802 late). Median time post-stroke to BoNT-A treatment was 0.5 (early) versus 5.4 (late) years. Mean (standard deviation [SD]) baseline GAS scores were similar between cohorts (early: 36.9 [3.5]; late: 36.9 [3.6]). The mean (SD) change in the GAS-T score from baseline to 12 weeks was greater in the early versus late cohort (15.7 [8.9] vs. 13.1 [8.9]; p < 0.001). More patients in the early versus late cohort had a GAS-T score ≥ 50 (63.9% vs. 47.4%; p < 0.001) at 12 weeks. No new safety concerns were reported. Early treatment of PSS with BoNT-A has a positive impact on patients' ability to achieve treatment goals. Plain Language Summary: After a stroke, people can experience muscle stiffness in their limbs, called post-stroke spasticity (PSS), which can lead to pain and make movement difficult. Treatment can include botulinum toxin A (BoNT-A) injections given directly into affected muscles. The aim of our study was to assess whether giving BoNT-A within a year after experiencing a stroke was more effective in treating PSS than delaying treatment. We combined data from 968 patients across five different studies. Most people (802 patients) received BoNT-A treatment 1 year or more after their stroke (late treatment group), while 166 people received treatment within a year of their stroke (early treatment group). In the studies, patients set treatment goals with their physician, for example being able to hold an object or walk a certain distance. After treatment, the extent to which each goal was achieved was assessed and scored based on whether the result was less than expected, as expected, or better than expected by the patient and physician. The scores from the two treatment groups were compared. People in the early treatment group did better in achieving their treatment goals compared with those in the late treatment group. We also looked at any side effects patients experienced. No unexpected side effects were reported. BoNT-A treatment of PSS can help patients achieve their treatment goals, and patients treated early (within 1 year after stroke) may do better than those treated later. This information may help in rehabilitation planning for stroke patients.

本研究评估了肉毒毒素A (BoNT-A)治疗时间对脑卒中后痉挛(PSS)成人临床结局的影响。个人数据来自五项研究。符合条件的患者接受≥1次BoNT-A注射治疗PSS,并在基线和12周时测量目标实现量表(GAS)评分。根据脑卒中后治疗时间进行分组:早期(p < 0.001)。12周时,早期队列中GAS-T评分≥50的患者多于晚期队列中的患者(63.9%对47.4%,p < 0.001)。没有新的安全隐患报告。早期应用BoNT-A治疗PSS对患者实现治疗目标的能力有积极影响。中风后,人们会感到四肢肌肉僵硬,这被称为中风后痉挛(PSS),它会导致疼痛和运动困难。治疗包括将肉毒杆菌毒素A (BoNT-A)直接注射到受影响的肌肉中。我们研究的目的是评估卒中后一年内给予BoNT-A治疗PSS是否比延迟治疗更有效。我们综合了来自5项不同研究的968名患者的数据。大多数患者(802例)在卒中后1年或更长时间接受BoNT-A治疗(晚期治疗组),166例患者在卒中后1年内接受治疗(早期治疗组)。在这些研究中,患者与医生一起设定治疗目标,例如能够握住物体或行走一定距离。治疗后,每个目标达到的程度是根据结果是低于预期,如预期,还是比患者和医生预期的更好来评估和评分的。比较两个治疗组的得分。与晚期治疗组相比,早期治疗组的人在实现治疗目标方面做得更好。我们还研究了患者所经历的任何副作用。没有意外副作用的报道。BoNT-A治疗PSS可以帮助患者实现治疗目标,早期治疗(卒中后1年内)的患者可能比晚期治疗的患者效果更好。这些信息可能有助于中风患者的康复计划。
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引用次数: 0
Exploring the Pain-Relieving Potential: Unveiling Antinociceptive Properties in Animal Venoms and Toxins. 探索缓解疼痛的潜力:揭示动物毒液和毒素的抗伤性。
IF 4 3区 医学 Q2 FOOD SCIENCE & TECHNOLOGY Pub Date : 2026-01-27 DOI: 10.3390/toxins18020069
Davi Gomes Angstmam, Bruna Cristina Jeronimo, Joeliton Dos Santos Cavalcante, Ana Flávia Marques Pereira, Cristiane Flora Villarreal, Daniel Carvalho Pimenta, Rui Seabra Ferreira Junior

Currently, commercially available pain medications can cause adverse effects. Within this framework, researchers have been exploring new drug candidates derived from animal venoms and toxins. The objective of this study was to investigate the number of molecules with potential for pain relief derived from animal venoms and toxins, which could potentially contribute to the development of new biopharmaceuticals. We conducted a literature search in January 2025, covering the period from 1960 to 2025, in two Latin American and nine international scientific databases. The results consisted of 212 articles selected for review. From these articles, 152 toxins and venoms with analgesic potential were identified and classified into 14 different types of pharmacological targets. The peptides investigated, with masses between 500 Da and 5000 Da, are strong candidates for alternative biopharmaceuticals. Most of the toxins found interact with ion channels, representing an alternative to commercially available drugs.

目前,市售的止痛药可能会造成不良反应。在这个框架内,研究人员一直在探索从动物毒液和毒素中提取的新候选药物。本研究的目的是调查从动物毒液和毒素中提取的具有缓解疼痛潜力的分子的数量,这可能有助于开发新的生物制药。我们于2025年1月在两个拉丁美洲和九个国际科学数据库中进行了文献检索,涵盖1960年至2025年期间。结果包括选择212篇文章进行综述。从这些文章中,鉴定出152种具有镇痛潜力的毒素和毒液,并将其分类为14种不同类型的药理靶点。所研究的肽的质量在500 Da到5000 Da之间,是替代生物制药的强有力的候选者。发现的大多数毒素与离子通道相互作用,代表了市售药物的替代方案。
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