首页 > 最新文献

Toxins最新文献

英文 中文
Assessment of the Effects of Anatoxin-a In Vitro: Cytotoxicity and Uptake. 阿那托毒素a体外作用的评价:细胞毒性和摄取。
IF 3.9 3区 医学 Q2 FOOD SCIENCE & TECHNOLOGY Pub Date : 2024-12-13 DOI: 10.3390/toxins16120541
Cristina Plata-Calzado, Ana I Prieto, Ana M Cameán, Angeles Jos

Anatoxin-a (ATX-a) is a cyanotoxin whose toxicological profile has been underinvestigated in comparison to other cyanotoxins such as microcystins (MCs) or cylindrospermopsin (CYN). However, its wide distribution, occurrence, and toxic episodes justify more attention. It is classified as a neurotoxin, but it has also been reported to affect other organs and systems. Thus, the aim of this study was to establish, as a first tier in its toxicological evaluation, its cytotoxicity in a wide range of cell lines representative of potential target organs (N2a, SH-SY5Y, HepG2, Caco2, L5178Y Tk+/-, THP-1 and Jurkat). As limited effects were observed after exposure to up to 200 µg/mL of ATX-a for 24 h (only Jurkat and THP-1 cells showed reduced cell viability), cell uptake experiments were performed by ultra-high performance liquid chromatography-tandem mass spectrometry (UHPLC-MS/MS). The results showed that the immune system cells had the highest percentage of ATX-a in the intracellular fraction, followed by neuronal cells and finally Caco-2 and HepG2 cells. Moreover, the expression of genes related to cell death mechanisms in THP-1 cells was also analyzed by polymerase chain reaction (PCR) and showed no changes under the conditions tested. Further research is required on ATX-a's toxic effects and toxicokinetics to contribute to its risk assessment.

Anatoxin-a (ATX-a)是一种蓝藻毒素,其毒理学特征与其他蓝藻毒素如微囊藻毒素(MCs)或圆柱形精子蛋白酶(CYN)相比尚未得到充分的研究。然而,其广泛的分布,发生和毒性事件值得更多的关注。它被归类为一种神经毒素,但也有报道称它会影响其他器官和系统。因此,本研究的目的是建立其对具有潜在靶器官代表性的广泛细胞系(N2a、SH-SY5Y、HepG2、Caco2、L5178Y Tk+/-、THP-1和Jurkat)的细胞毒性,作为其毒理学评估的第一级。由于暴露于高达200µg/mL的ATX-a 24小时后观察到的影响有限(只有Jurkat和THP-1细胞表现出细胞活力降低),因此采用超高效液相色谱-串联质谱(UHPLC-MS/MS)进行细胞摄取实验。结果表明,细胞内ATX-a含量最高的细胞是免疫系统细胞,其次是神经细胞,最后是Caco-2和HepG2细胞。此外,采用聚合酶链反应(PCR)分析THP-1细胞中细胞死亡机制相关基因的表达,在实验条件下未见变化。需要对ATX-a的毒性作用和毒性动力学进行进一步研究,以有助于其风险评估。
{"title":"Assessment of the Effects of Anatoxin-a In Vitro: Cytotoxicity and Uptake.","authors":"Cristina Plata-Calzado, Ana I Prieto, Ana M Cameán, Angeles Jos","doi":"10.3390/toxins16120541","DOIUrl":"10.3390/toxins16120541","url":null,"abstract":"<p><p>Anatoxin-a (ATX-a) is a cyanotoxin whose toxicological profile has been underinvestigated in comparison to other cyanotoxins such as microcystins (MCs) or cylindrospermopsin (CYN). However, its wide distribution, occurrence, and toxic episodes justify more attention. It is classified as a neurotoxin, but it has also been reported to affect other organs and systems. Thus, the aim of this study was to establish, as a first tier in its toxicological evaluation, its cytotoxicity in a wide range of cell lines representative of potential target organs (N2a, SH-SY5Y, HepG2, Caco2, L5178Y Tk<sup>+/-</sup>, THP-1 and Jurkat). As limited effects were observed after exposure to up to 200 µg/mL of ATX-a for 24 h (only Jurkat and THP-1 cells showed reduced cell viability), cell uptake experiments were performed by ultra-high performance liquid chromatography-tandem mass spectrometry (UHPLC-MS/MS). The results showed that the immune system cells had the highest percentage of ATX-a in the intracellular fraction, followed by neuronal cells and finally Caco-2 and HepG2 cells. Moreover, the expression of genes related to cell death mechanisms in THP-1 cells was also analyzed by polymerase chain reaction (PCR) and showed no changes under the conditions tested. Further research is required on ATX-a's toxic effects and toxicokinetics to contribute to its risk assessment.</p>","PeriodicalId":23119,"journal":{"name":"Toxins","volume":"16 12","pages":""},"PeriodicalIF":3.9,"publicationDate":"2024-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11680428/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142898331","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
Degradation of Cylindrospermopsin Spiked in Natural Water (Paranoá Lake, Brasília, Brazil) by Fenton Process: A Bench-Scale Study. Fenton法降解天然水中(paranoid Lake, Brasília, Brazil)柱状精子蛋白酶的实验研究。
IF 3.9 3区 医学 Q2 FOOD SCIENCE & TECHNOLOGY Pub Date : 2024-12-12 DOI: 10.3390/toxins16120536
Matheus Almeida Ferreira, Cristina Celia Silveira Brandão, Yovanka Pérez Ginoris

The frequency and intensity of harmful cyanobacterial blooms have increased in the last decades, posing a risk to public health since conventional water treatments do not effectively remove extracellular cyanotoxins. Consequently, advanced technologies such as the Fenton process are required to ensure water safety. The cyanotoxin cylindrospermopsin (CYN) demands special attention, as it is abundant in the extracellular fraction and has a high toxicological potential. Hence, this study aimed to assess the application of the Fenton process for the oxidation of CYN spiked in natural water from Paranoá Lake (Brasília, Brazil). The H2O2/Fe(II) molar ratio was evaluated from 0.2 to 3.4, with an optimum molar ratio of 0.4, achieving a CYN degradation efficiency of 97.8% when using 100 µM of H2O2 and 250 µM of Fe(II). The CYN degradation efficiency, using 75 µM of H2O2 and 187.5 µM of Fe(II), decreased by increasing the initial pH (from 96.2% at pH 2 to 23.0% at pH 9) and the initial CYN concentration (from 93.7% at 0.05 µM of CYN to 85.0% at 0.2 µM of CYN). At the optimum H2O2/Fe(II) molar ratio of 0.4, the hydroxy radical scavengers tested (124.3 µM C of algogenic organic matter, 5 mg L-1 of humic acid, and 513.3 µM of methanol) did not considerably affect the CYN degradation, reaching a maximum CYN degradation reduction from 98.3% to 82.2%.

在过去的几十年里,有害的蓝藻繁殖的频率和强度都有所增加,对公众健康构成了威胁,因为传统的水处理不能有效地去除细胞外的蓝藻毒素。因此,需要芬顿法等先进技术来确保水的安全。cyanotoxin cydrospermopsin (CYN)由于在胞外部分中含量丰富且具有很高的毒理学潜力,需要特别注意。因此,本研究旨在评估芬顿法在偏执狂湖(Brasília,巴西)天然水中氧化CYN的应用。H2O2/Fe(II)的摩尔比为0.2 ~ 3.4,最佳摩尔比为0.4,当H2O2浓度为100µM, Fe(II)浓度为250µM时,CYN降解效率为97.8%。在75µM H2O2和187.5µM Fe(II)条件下,随着初始pH(从pH 2时的96.2%提高到pH 9时的23.0%)和初始CYN浓度(从0.05µM CYN时的93.7%提高到0.2µM CYN时的85.0%)的增加,CYN的降解效率降低。在H2O2/Fe(II)的最佳摩尔比为0.4时,羟自由基清除剂(124.3µM C的致藻有机物、5 mg L-1的腐植酸和513.3µM的甲醇)对CYN的降解没有显著影响,CYN的最大降解率从98.3%降至82.2%。
{"title":"Degradation of Cylindrospermopsin Spiked in Natural Water (Paranoá Lake, Brasília, Brazil) by Fenton Process: A Bench-Scale Study.","authors":"Matheus Almeida Ferreira, Cristina Celia Silveira Brandão, Yovanka Pérez Ginoris","doi":"10.3390/toxins16120536","DOIUrl":"10.3390/toxins16120536","url":null,"abstract":"<p><p>The frequency and intensity of harmful cyanobacterial blooms have increased in the last decades, posing a risk to public health since conventional water treatments do not effectively remove extracellular cyanotoxins. Consequently, advanced technologies such as the Fenton process are required to ensure water safety. The cyanotoxin cylindrospermopsin (CYN) demands special attention, as it is abundant in the extracellular fraction and has a high toxicological potential. Hence, this study aimed to assess the application of the Fenton process for the oxidation of CYN spiked in natural water from Paranoá Lake (Brasília, Brazil). The H<sub>2</sub>O<sub>2</sub>/Fe(II) molar ratio was evaluated from 0.2 to 3.4, with an optimum molar ratio of 0.4, achieving a CYN degradation efficiency of 97.8% when using 100 µM of H<sub>2</sub>O<sub>2</sub> and 250 µM of Fe(II). The CYN degradation efficiency, using 75 µM of H<sub>2</sub>O<sub>2</sub> and 187.5 µM of Fe(II), decreased by increasing the initial pH (from 96.2% at pH 2 to 23.0% at pH 9) and the initial CYN concentration (from 93.7% at 0.05 µM of CYN to 85.0% at 0.2 µM of CYN). At the optimum H<sub>2</sub>O<sub>2</sub>/Fe(II) molar ratio of 0.4, the hydroxy radical scavengers tested (124.3 µM C of algogenic organic matter, 5 mg L<sup>-1</sup> of humic acid, and 513.3 µM of methanol) did not considerably affect the CYN degradation, reaching a maximum CYN degradation reduction from 98.3% to 82.2%.</p>","PeriodicalId":23119,"journal":{"name":"Toxins","volume":"16 12","pages":""},"PeriodicalIF":3.9,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11679458/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142896784","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
Application of Pulsed Electric Field During Malting: Impact on Fusarium Species Growth and Mycotoxin Production. 脉冲电场在麦芽酿造过程中的应用:对镰刀菌生长和霉菌毒素产生的影响。
IF 3.9 3区 医学 Q2 FOOD SCIENCE & TECHNOLOGY Pub Date : 2024-12-12 DOI: 10.3390/toxins16120537
Nela Prusova, Marcel Karabin, Lukas Jelinek, Jana Chrpova, Jaroslava Ovesna, Pavel Svoboda, Tereza Dolezalova, Adam Behner, Jana Hajslova, Milena Stranska

The increasing contamination of cereals by micromycetes and mycotoxins during malting still poses an unresolved food safety problem. This study characterises the potential of the novel, rapidly developing food production technology of Pulsed Electric Field (PEF) to reduce the viability of Fusarium fungi and the production of mycotoxins during malting. Barley, artificially inoculated with four Fusarium species, was treated by PEF with two different intensities and then malted using a standard Pilsner-type technology. Concentrations of fungi were quantified by RT-PCR, expression of fungal growth-related genes was assessed using mRNA sequencing, and mycotoxin levels were analysed by U-HPLC-HRMS/MS. Despite the different trends for micromycetes and mycotoxins after application of variously intense PEF conditions, significant reductions were generally observed. The greatest decrease was for F. sporotrichioides and F. poae, where up to six fold lower levels were achieved for malts produced from the PEF-treated barley when compared to the control. For F. culmorum and F. graminearum, up to a two-fold reduction in the PEF-generated malts was observed. These reductions mostly correlated with a decrease in relevant mycotoxins, specifically type A trichothecenes.

谷物在酿造过程中受到微霉菌和真菌毒素的污染日益严重,这仍然是一个未解决的食品安全问题。这项研究表明了脉冲电场(PEF)这种新型的、快速发展的食品生产技术的潜力,它可以降低麦芽酿造过程中镰刀菌的活力和真菌毒素的产生。用四种镰刀菌人工接种大麦,用两种不同强度的PEF处理,然后用标准的比尔森式技术酿造麦芽。采用RT-PCR法定量真菌浓度,mRNA测序法检测真菌生长相关基因表达,U-HPLC-HRMS/MS法检测真菌毒素水平。尽管应用不同强度的PEF条件后,微霉菌和真菌毒素的趋势不同,但通常观察到显着减少。减少最多的是孢子毛状单胞菌和荚膜荚膜单胞菌,用pef处理过的大麦生产的麦芽与对照相比减少了6倍。对于F. culmorum和F. graminearum,观察到pef产生的麦芽减少了两倍。这些减少主要与相关真菌毒素的减少有关,特别是a型毛霉烯。
{"title":"Application of Pulsed Electric Field During Malting: Impact on <i>Fusarium</i> Species Growth and Mycotoxin Production.","authors":"Nela Prusova, Marcel Karabin, Lukas Jelinek, Jana Chrpova, Jaroslava Ovesna, Pavel Svoboda, Tereza Dolezalova, Adam Behner, Jana Hajslova, Milena Stranska","doi":"10.3390/toxins16120537","DOIUrl":"10.3390/toxins16120537","url":null,"abstract":"<p><p>The increasing contamination of cereals by micromycetes and mycotoxins during malting still poses an unresolved food safety problem. This study characterises the potential of the novel, rapidly developing food production technology of Pulsed Electric Field (PEF) to reduce the viability of <i>Fusarium</i> fungi and the production of mycotoxins during malting. Barley, artificially inoculated with four <i>Fusarium</i> species, was treated by PEF with two different intensities and then malted using a standard Pilsner-type technology. Concentrations of fungi were quantified by RT-PCR, expression of fungal growth-related genes was assessed using mRNA sequencing, and mycotoxin levels were analysed by U-HPLC-HRMS/MS. Despite the different trends for micromycetes and mycotoxins after application of variously intense PEF conditions, significant reductions were generally observed. The greatest decrease was for <i>F. sporotrichioides</i> and <i>F. poae</i>, where up to six fold lower levels were achieved for malts produced from the PEF-treated barley when compared to the control. For <i>F. culmorum</i> and <i>F. graminearum</i>, up to a two-fold reduction in the PEF-generated malts was observed. These reductions mostly correlated with a decrease in relevant mycotoxins, specifically type A trichothecenes.</p>","PeriodicalId":23119,"journal":{"name":"Toxins","volume":"16 12","pages":""},"PeriodicalIF":3.9,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11679037/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142898326","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
Quantification of Staphylococcal Enterotoxin A Variants at Low Level in Dairy Products by High-Resolution Top-Down Mass Spectrometry. 高分辨率自顶向下质谱法定量乳制品中低水平葡萄球菌肠毒素A变异。
IF 3.9 3区 医学 Q2 FOOD SCIENCE & TECHNOLOGY Pub Date : 2024-12-11 DOI: 10.3390/toxins16120535
Nina Aveilla, Cécile Feraudet-Tarisse, Dominique Marcé, Abdelhak Fatihi, François Fenaille, Jacques-Antoine Hennekinne, Stéphanie Simon, Yacine Nia, François Becher

Food poisoning outbreaks frequently involve staphylococcal enterotoxins (SEs). SEs include 33 distinct types and multiple sequence variants per SE type. Various mass spectrometry methods have been reported for the detection of SEs using a conventional bottom-up approach. However, the bottom-up approach cannot differentiate between all sequence variants due to partial sequence coverage, and it requires a long trypsin digestion time. While the alternative top-down approach can theoretically identify any sequence modifications, it generally provides lower sensitivity. In this study, we optimized top-down mass spectrometry conditions and incorporated a fully 15N-labeled SEA spiked early in the protocol to achieve sensitivity and repeatability comparable to bottom-up approaches. After robust immunoaffinity purification of the SEA, mass spectrometry signals were acquired on a Q-Orbitrap instrument operated in full-scan mode and targeted acquisition by parallel reaction monitoring (PRM), enabling the identification of sequence variants and precise quantification of SEA. The protocol was evaluated in liquid and solid dairy products and demonstrated detection limits of 0.5 ng/mL or ng/g in PRM and 1 ng/mL or ng/g in full-scan mode for milk and Roquefort cheese. The top-down method was successfully applied to various dairy products, allowing discrimination of contaminated versus non-contaminated food, quantification of SEA level and identification of the variant involved.

食物中毒暴发经常涉及葡萄球菌肠毒素(SEs)。SE包括33种不同的类型和每个SE类型的多个序列变体。各种质谱法已经报道了使用传统的自下而上的方法检测硒。然而,由于部分序列覆盖,自下而上的方法无法区分所有序列变体,并且需要较长的胰蛋白酶消化时间。虽然另一种自上而下的方法理论上可以识别任何序列修改,但它通常提供较低的灵敏度。在这项研究中,我们优化了自上而下的质谱条件,并在方案的早期加入了一个完全15n标记的SEA,以达到与自下而上方法相当的灵敏度和可重复性。在对SEA进行稳健的免疫亲和纯化后,在Q-Orbitrap仪器上以全扫描模式获取质谱信号,并通过平行反应监测(PRM)进行靶向获取,从而能够识别序列变异并精确定量SEA。该方案在液体和固体乳制品中进行了评估,并证明在PRM中检测限为0.5 ng/mL或ng/g,在全扫描模式下对牛奶和洛克福奶酪的检测限为1 ng/mL或ng/g。该方法成功地应用于多种乳制品,可以区分受污染与未受污染的食品,定量SEA水平并识别所涉及的变体。
{"title":"Quantification of Staphylococcal Enterotoxin A Variants at Low Level in Dairy Products by High-Resolution Top-Down Mass Spectrometry.","authors":"Nina Aveilla, Cécile Feraudet-Tarisse, Dominique Marcé, Abdelhak Fatihi, François Fenaille, Jacques-Antoine Hennekinne, Stéphanie Simon, Yacine Nia, François Becher","doi":"10.3390/toxins16120535","DOIUrl":"10.3390/toxins16120535","url":null,"abstract":"<p><p>Food poisoning outbreaks frequently involve staphylococcal enterotoxins (SEs). SEs include 33 distinct types and multiple sequence variants per SE type. Various mass spectrometry methods have been reported for the detection of SEs using a conventional bottom-up approach. However, the bottom-up approach cannot differentiate between all sequence variants due to partial sequence coverage, and it requires a long trypsin digestion time. While the alternative top-down approach can theoretically identify any sequence modifications, it generally provides lower sensitivity. In this study, we optimized top-down mass spectrometry conditions and incorporated a fully <sup>15</sup>N-labeled SEA spiked early in the protocol to achieve sensitivity and repeatability comparable to bottom-up approaches. After robust immunoaffinity purification of the SEA, mass spectrometry signals were acquired on a Q-Orbitrap instrument operated in full-scan mode and targeted acquisition by parallel reaction monitoring (PRM), enabling the identification of sequence variants and precise quantification of SEA. The protocol was evaluated in liquid and solid dairy products and demonstrated detection limits of 0.5 ng/mL or ng/g in PRM and 1 ng/mL or ng/g in full-scan mode for milk and Roquefort cheese. The top-down method was successfully applied to various dairy products, allowing discrimination of contaminated <i>versus</i> non-contaminated food, quantification of SEA level and identification of the variant involved.</p>","PeriodicalId":23119,"journal":{"name":"Toxins","volume":"16 12","pages":""},"PeriodicalIF":3.9,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11679111/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142898315","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
Assessing the Potential Synergistic/Antagonistic Effects of Citrinin and Cannabidiol on SH-SY5Y, HepG2, HEK293 Cell Lines, and Human Lymphocytes. 评估柑橘素和大麻二酚对SH-SY5Y、HepG2、HEK293细胞系和人淋巴细胞的潜在协同/拮抗作用
IF 3.9 3区 医学 Q2 FOOD SCIENCE & TECHNOLOGY Pub Date : 2024-12-11 DOI: 10.3390/toxins16120534
Dubravka Rašić, Antonio Zandona, Maja Katalinić, Martin Češi, Nevenka Kopjar

The increasing use of Cannabis sativa products for medicinal, dietary, and recreational purposes has raised concerns about mycotoxin contamination in cannabis and hemp. Mycotoxins persist in these products' post-processing, posing health risks via multiple exposure routes. This study investigated cytotoxic and genotoxic interactions between cannabidiol (CBD) and the mycotoxin citrinin (CIT) using human cell models: SH-SY5Y, HepG2, HEK293, and peripheral blood lymphocytes. IC50 values and membrane disruption were initially assessed, followed by an evaluation of genotoxicity in lymphocytes using the Comet Assay and Cytokinesis Blocked Micronucleus Cytome Assay. Obtained findings demonstrate that cell-type sensitivity varied across treatments, with combined CBD and CIT exposure exhibiting distinct interactions. Lactate dehydrogenase (LDH) release remained minimal, suggesting cytotoxicity did not stem from membrane disruption but likely involved intracellular pathways. In lymphocytes, CBD alone produced negligible cyto/genotoxic effects and weak antiproliferative responses, whereas CIT displayed clear toxic impacts. DNA damage indicates that CIT may induce genome instability through indirect mechanisms rather than direct DNA interaction, with evidence of potential aneuploidic effects from the CBMN Cyt Assay. Combined exposure led to a reduction in CIT-induced DNA and cytogenetic damage, suggesting CIT's potential interference with the beneficial properties of CBD. These results provide a foundation for further toxicological assessments and highlight the necessity of standardized mycotoxin monitoring in cannabis-derived products.

大麻产品越来越多地用于医药、饮食和娱乐目的,引起了人们对大麻和大麻中霉菌毒素污染的担忧。真菌毒素在这些产品的后处理过程中持续存在,通过多种接触途径构成健康风险。本研究利用SH-SY5Y、HepG2、HEK293和外周血淋巴细胞模型研究了大麻二酚(CBD)和真菌毒素citrinin (CIT)之间的细胞毒性和基因毒性相互作用。最初评估IC50值和膜破坏,随后使用彗星测定和细胞分裂阻断微核细胞组测定评估淋巴细胞的遗传毒性。获得的研究结果表明,细胞类型的敏感性在不同的治疗中有所不同,CBD和CIT联合暴露表现出明显的相互作用。乳酸脱氢酶(LDH)的释放仍然很少,这表明细胞毒性不是源于膜破坏,而是可能涉及细胞内途径。在淋巴细胞中,CBD单独产生可忽略的细胞/基因毒性作用和微弱的抗增殖反应,而CIT显示出明显的毒性作用。DNA损伤表明,CIT可能通过间接机制而不是直接的DNA相互作用诱导基因组不稳定,从CBMN细胞分析中可以看出潜在的非整倍体效应。综合暴露导致CIT诱导的DNA和细胞遗传损伤减少,表明CIT可能干扰CBD的有益特性。这些结果为进一步的毒理学评估提供了基础,并强调了在大麻衍生产品中进行标准化真菌毒素监测的必要性。
{"title":"Assessing the Potential Synergistic/Antagonistic Effects of Citrinin and Cannabidiol on SH-SY5Y, HepG2, HEK293 Cell Lines, and Human Lymphocytes.","authors":"Dubravka Rašić, Antonio Zandona, Maja Katalinić, Martin Češi, Nevenka Kopjar","doi":"10.3390/toxins16120534","DOIUrl":"10.3390/toxins16120534","url":null,"abstract":"<p><p>The increasing use of <i>Cannabis sativa</i> products for medicinal, dietary, and recreational purposes has raised concerns about mycotoxin contamination in cannabis and hemp. Mycotoxins persist in these products' post-processing, posing health risks via multiple exposure routes. This study investigated cytotoxic and genotoxic interactions between cannabidiol (CBD) and the mycotoxin citrinin (CIT) using human cell models: SH-SY5Y, HepG2, HEK293, and peripheral blood lymphocytes. IC<sub>50</sub> values and membrane disruption were initially assessed, followed by an evaluation of genotoxicity in lymphocytes using the Comet Assay and Cytokinesis Blocked Micronucleus Cytome Assay. Obtained findings demonstrate that cell-type sensitivity varied across treatments, with combined CBD and CIT exposure exhibiting distinct interactions. Lactate dehydrogenase (LDH) release remained minimal, suggesting cytotoxicity did not stem from membrane disruption but likely involved intracellular pathways. In lymphocytes, CBD alone produced negligible cyto/genotoxic effects and weak antiproliferative responses, whereas CIT displayed clear toxic impacts. DNA damage indicates that CIT may induce genome instability through indirect mechanisms rather than direct DNA interaction, with evidence of potential aneuploidic effects from the CBMN Cyt Assay. Combined exposure led to a reduction in CIT-induced DNA and cytogenetic damage, suggesting CIT's potential interference with the beneficial properties of CBD. These results provide a foundation for further toxicological assessments and highlight the necessity of standardized mycotoxin monitoring in cannabis-derived products.</p>","PeriodicalId":23119,"journal":{"name":"Toxins","volume":"16 12","pages":""},"PeriodicalIF":3.9,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11679033/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142898329","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
Veratridine Induces Vasorelaxation in Mouse Cecocolic Mesenteric Arteries. 缬曲定诱导小鼠结肠肠系膜动脉血管松弛。
IF 3.9 3区 医学 Q2 FOOD SCIENCE & TECHNOLOGY Pub Date : 2024-12-10 DOI: 10.3390/toxins16120533
Joohee Park, Christina Sahyoun, Jacinthe Frangieh, Léa Réthoré, Coralyne Proux, Linda Grimaud, Emilie Vessières, Jennifer Bourreau, César Mattei, Daniel Henrion, Céline Marionneau, Ziad Fajloun, Claire Legendre, Christian Legros

The vegetal alkaloid toxin veratridine (VTD) is a selective voltage-gated Na+ (NaV) channel activator, widely used as a pharmacological tool in vascular physiology. We have previously shown that NaV channels, expressed in arteries, contribute to vascular tone in mouse mesenteric arteries (MAs). Here, we aimed to better characterize the mechanisms of action of VTD using mouse cecocolic arteries (CAs), a model of resistance artery. Using wire myography, we found that VTD induced vasorelaxation in mouse CAs. This VTD-induced relaxation was insensitive to prazosin, an α1-adrenergic receptor antagonist, but abolished by atropine, a muscarinic receptor antagonist. Indeed, VTD-vasorelaxant effect was totally inhibited by the NaV channel blocker tetrodotoxin (0.3 µM), the NO synthase inhibitor L-NNA (20 µM), and low extracellular Na+ concentration (14.9 mM) and was partially blocked by the NCX1 antagonist SEA0400 (45.4% at 1 µM). Thus, we assumed that the VTD-induced vasorelaxation in CAs was due to acetylcholine release by parasympathetic neurons, which induced NO synthase activation mediated by the NCX1-Ca2+ entry mode in endothelial cells (ECs). We demonstrated NCX1 expression in ECs by RT-qPCR and immunohisto- and western immunolabelling. VTD did not induce an increase in intracellular Ca2+ ([Ca2+]i), while SEA0400 partially blocked acetylcholine-triggered [Ca2+]i elevations in Mile Sven 1 ECs. Altogether, these results illustrate that VTD activates NaV channels in parasympathetic neurons and then vasorelaxation in resistance arteries, which could explain arterial hypotension after VTD intoxication.

植物生物碱毒素veratridine (VTD)是一种选择性电压门控Na+ (NaV)通道激活剂,被广泛用作血管生理学的药理工具。我们之前已经证明,在动脉中表达的NaV通道有助于小鼠肠系膜动脉(MAs)的血管张力。在这里,我们旨在通过小鼠结肠动脉(CAs)模型更好地表征VTD的作用机制。通过钢丝肌图,我们发现VTD诱导小鼠ca血管松弛。这种vtd诱导的松弛对α - 1肾上腺素受体拮抗剂吡唑嗪不敏感,但被毒蕈碱受体拮抗剂阿托品消除。事实上,vtd血管松弛作用被NaV通道阻滞剂河鲀毒素(0.3µM)、NO合酶抑制剂L-NNA(20µM)和低细胞外Na+浓度(14.9 mM)完全抑制,并被NCX1拮抗剂SEA0400部分阻断(1µM时45.4%)。因此,我们假设vtd诱导的CAs血管松弛是由于副交感神经细胞释放乙酰胆碱,诱导内皮细胞(ECs)中NCX1-Ca2+进入模式介导的NO合成酶激活。我们通过RT-qPCR和免疫组织和西方免疫标记证实了NCX1在ECs中的表达。VTD不诱导细胞内Ca2+ ([Ca2+]i)的增加,而SEA0400部分阻断了乙酰胆碱引发的Mile Sven 1 ec中[Ca2+]i的升高。综上所述,VTD激活了副交感神经元的NaV通道,然后激活了抵抗动脉的血管松弛,这可以解释VTD中毒后动脉低血压的原因。
{"title":"Veratridine Induces Vasorelaxation in Mouse Cecocolic Mesenteric Arteries.","authors":"Joohee Park, Christina Sahyoun, Jacinthe Frangieh, Léa Réthoré, Coralyne Proux, Linda Grimaud, Emilie Vessières, Jennifer Bourreau, César Mattei, Daniel Henrion, Céline Marionneau, Ziad Fajloun, Claire Legendre, Christian Legros","doi":"10.3390/toxins16120533","DOIUrl":"10.3390/toxins16120533","url":null,"abstract":"<p><p>The vegetal alkaloid toxin veratridine (VTD) is a selective voltage-gated Na<sup>+</sup> (Na<sub>V</sub>) channel activator, widely used as a pharmacological tool in vascular physiology. We have previously shown that Na<sub>V</sub> channels, expressed in arteries, contribute to vascular tone in mouse mesenteric arteries (MAs). Here, we aimed to better characterize the mechanisms of action of VTD using mouse cecocolic arteries (CAs), a model of resistance artery. Using wire myography, we found that VTD induced vasorelaxation in mouse CAs. This VTD-induced relaxation was insensitive to prazosin, an α1-adrenergic receptor antagonist, but abolished by atropine, a muscarinic receptor antagonist. Indeed, VTD-vasorelaxant effect was totally inhibited by the Na<sub>V</sub> channel blocker tetrodotoxin (0.3 µM), the NO synthase inhibitor L-NNA (20 µM), and low extracellular Na<sup>+</sup> concentration (14.9 mM) and was partially blocked by the NCX1 antagonist SEA0400 (45.4% at 1 µM). Thus, we assumed that the VTD-induced vasorelaxation in CAs was due to acetylcholine release by parasympathetic neurons, which induced NO synthase activation mediated by the NCX1-Ca<sup>2+</sup> entry mode in endothelial cells (ECs). We demonstrated NCX1 expression in ECs by RT-qPCR and immunohisto- and western immunolabelling. VTD did not induce an increase in intracellular Ca<sup>2+</sup> ([Ca<sup>2+</sup>]i), while SEA0400 partially blocked acetylcholine-triggered [Ca<sup>2+</sup>]i elevations in Mile Sven 1 ECs. Altogether, these results illustrate that VTD activates Na<sub>V</sub> channels in parasympathetic neurons and then vasorelaxation in resistance arteries, which could explain arterial hypotension after VTD intoxication.</p>","PeriodicalId":23119,"journal":{"name":"Toxins","volume":"16 12","pages":""},"PeriodicalIF":3.9,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11679225/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142898441","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
Image Analysis and Untargeted Metabolomics Reveal Potential Phytotoxins from Fusarium venenatum Against Major Parasitic Weed Phelipanche ramosa (L.) Pomel. 图像分析和非靶向代谢组学揭示镰刀菌潜在的植物毒素对主要寄生杂草黑腹蚜(L.)球形顶饰。
IF 3.9 3区 医学 Q2 FOOD SCIENCE & TECHNOLOGY Pub Date : 2024-12-10 DOI: 10.3390/toxins16120531
Ana Bendejacq-Seychelles, Lisa Martinez, Anaïs Corréard, Jean Chrisologue Totozafy, Christian Steinberg, Jean-Bernard Pouvreau, Carole Reibel, Grégory Mouille, Samuel Mondy, Lucie Poulin, Stéphanie Gibot-Leclerc

Branched broomrape (Phelipanche ramosa (L.) Pomel), an obligate parasitic weed with a wide host range, is known for its devasting effects on many crops worldwide. Soil fungi, notably Fusarium sp., are described as pathogenic to broomrape, while the hypothesis of the phytotoxicity of fusaric acid produced by F. verticillioides for parasitic weeds of the genus Orobanche has been proposed. Using image analysis and untargeted metabolomics, this study investigated fungal metabolites phytotoxic for P. ramosa and produced by the F. venenatum MIAE02836 strain, isolated from symptomatic broomrapes and identified as a promising candidate for broomrape biocontrol. Phytotoxicity tests of crude extracts from the fungus alone or in interaction with broomrape on P. ramosa microcalli and quantification of necrosis by image analysis confirmed the phytotoxic potential of F. venenatum MIAE02836 metabolites towards the early developmental stages of P. ramosa. Data analysis of a non-targeted metabolomics approach revealed numerous metabolites produced by F. venenatum MIAE02836. Four of them, accumulated during interaction with the parasitic plant, are known for their phytotoxic potential: maculosin, cyclo(Leu-Phe), phenylalanyl-D-histidine and anguidine. These results suggest that combining image acquisition of the microcalli screening test and untargeted metabolomic approach is an interesting and relevant method to characterize phytotoxic fungal metabolites.

分枝帚茅(Phelipanche ramosa)一种寄主范围广泛的专性寄生杂草,以其对世界各地许多作物的破坏性影响而闻名。土壤真菌,特别是镰刀菌(Fusarium sp.),被描述为对飞毛菊具有致病性,而F. verticillioides产生的镰刀菌酸对飞毛菊属寄生杂草具有植物毒性的假设已经被提出。本研究利用图像分析和非靶向代谢组学技术,研究了从有症状的帚状油菜中分离出来的F. venenatum MIAE02836菌株产生的对P. ramosa具有植物毒性的真菌代谢物,该菌株被认为是一种有前景的帚状油菜生物防治候选菌株。真菌粗提取物单独或与雀花共同作用对拉莫沙小愈伤组织的植物毒性试验以及通过图像分析定量坏死证实了F. venenatum MIAE02836代谢物对拉莫沙早期发育阶段的植物毒性潜力。非靶向代谢组学方法的数据分析显示,F. venenatum MIAE02836产生了许多代谢物。其中四种是在与寄生植物相互作用过程中积累的,具有潜在的植物毒性:macullosin, cycloo (Leu-Phe), phenylalanyl- d -组氨酸和anguidine。这些结果表明,将微愈伤组织筛选试验的图像采集与非靶向代谢组学方法相结合是一种表征植物毒性真菌代谢物的有趣且相关的方法。
{"title":"Image Analysis and Untargeted Metabolomics Reveal Potential Phytotoxins from <i>Fusarium venenatum</i> Against Major Parasitic Weed <i>Phelipanche ramosa</i> (L.) Pomel.","authors":"Ana Bendejacq-Seychelles, Lisa Martinez, Anaïs Corréard, Jean Chrisologue Totozafy, Christian Steinberg, Jean-Bernard Pouvreau, Carole Reibel, Grégory Mouille, Samuel Mondy, Lucie Poulin, Stéphanie Gibot-Leclerc","doi":"10.3390/toxins16120531","DOIUrl":"10.3390/toxins16120531","url":null,"abstract":"<p><p>Branched broomrape (<i>Phelipanche ramosa</i> (L.) Pomel), an obligate parasitic weed with a wide host range, is known for its devasting effects on many crops worldwide. Soil fungi, notably <i>Fusarium</i> sp., are described as pathogenic to broomrape, while the hypothesis of the phytotoxicity of fusaric acid produced by <i>F. verticillioides</i> for parasitic weeds of the genus <i>Orobanche</i> has been proposed. Using image analysis and untargeted metabolomics, this study investigated fungal metabolites phytotoxic for <i>P. ramosa</i> and produced by the <i>F. venenatum</i> MIAE02836 strain, isolated from symptomatic broomrapes and identified as a promising candidate for broomrape biocontrol. Phytotoxicity tests of crude extracts from the fungus alone or in interaction with broomrape on <i>P. ramosa</i> microcalli and quantification of necrosis by image analysis confirmed the phytotoxic potential of <i>F. venenatum</i> MIAE02836 metabolites towards the early developmental stages of <i>P. ramosa</i>. Data analysis of a non-targeted metabolomics approach revealed numerous metabolites produced by <i>F. venenatum</i> MIAE02836. Four of them, accumulated during interaction with the parasitic plant, are known for their phytotoxic potential: maculosin, cyclo(Leu-Phe), phenylalanyl-D-histidine and anguidine. These results suggest that combining image acquisition of the microcalli screening test and untargeted metabolomic approach is an interesting and relevant method to characterize phytotoxic fungal metabolites.</p>","PeriodicalId":23119,"journal":{"name":"Toxins","volume":"16 12","pages":""},"PeriodicalIF":3.9,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11678980/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142898158","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
Botulinum Toxin and Migraine: Goals and Perspectives. 肉毒杆菌毒素和偏头痛:目标和观点。
IF 3.9 3区 医学 Q2 FOOD SCIENCE & TECHNOLOGY Pub Date : 2024-12-10 DOI: 10.3390/toxins16120530
Maria Pia Prudenzano

This Special Issue aims to provide an updated overview of the current state and future perspectives of botulinum toxin treatment for migraine [...].

本期特刊旨在提供有关肉毒杆菌毒素治疗偏头痛的现状和未来前景的最新综述[…]。
{"title":"Botulinum Toxin and Migraine: Goals and Perspectives.","authors":"Maria Pia Prudenzano","doi":"10.3390/toxins16120530","DOIUrl":"10.3390/toxins16120530","url":null,"abstract":"<p><p>This Special Issue aims to provide an updated overview of the current state and future perspectives of botulinum toxin treatment for migraine [...].</p>","PeriodicalId":23119,"journal":{"name":"Toxins","volume":"16 12","pages":""},"PeriodicalIF":3.9,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11679156/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142898337","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
Venom from Loxosceles Spiders Collected in Southeastern and Northeastern Brazilian Regions Cause Hemotoxic Effects on Human Blood Components. 从巴西东南部和东北部地区采集的Loxosceles蜘蛛的毒液对人体血液成分有血液毒性作用。
IF 3.9 3区 医学 Q2 FOOD SCIENCE & TECHNOLOGY Pub Date : 2024-12-10 DOI: 10.3390/toxins16120532
Rafaela Silva-Magalhães, Ayla Mel Gomes Dos Santos, Ana Luiza Silva-Araújo, Pamella Luize Peres-Damásio, Valéria Gonçalves de Alvarenga, Luciana Souza de Oliveira, Eladio Flores Sanchez, Carlos Chávez-Olórtegui, Luana Silveira da Rocha Nowicki Varela, Ana Luiza Bittencourt Paiva, Clara Guerra-Duarte

Spiders of the genus Loxosceles represent a public health problem in Brazil due to the severity of the cutaneous and systemic effects that may result from their bite. In the systemic form of loxoscelism, hemolytic anemia, thrombocytopenia, and disseminated intravascular coagulation can occur. Despite the seriousness of Loxosceles accidents, the venom of some species has not yet been properly characterized considering these hemotoxic effects, such as that of Loxosceles amazonica, Loxosceles aff. Variegata, and Loxosceles similis. To better understand their toxic potential, this study aimed to characterize the hematotoxic properties of these Loxosceles venoms. The crude venom was obtained from specimens of L. amazonica, L. aff. Variegata, and L. similis available from Funed's arachnidary. In washed platelets, L. aff. variegata inhibited platelet aggregation induced by collagen and convulxin, whereas L. amazonica and L. similis venoms were able to induce platelet aggregation. In the in vitro hemolysis assays, all venoms experimentally induced direct hemolysis of human erythrocytes in a concentration-dependent manner, with different intensities. Furthermore, evidence suggest that the ABO and Rh systems may influence hemolytic activity. Finally, the studied Loxosceles venoms degraded fibrinogen, suggesting possible alterations in the coagulation cascade. Based in the here-presented preliminary study, in vivo assays in model animals are needed to verify the real toxic potential of these species' venom, building up knowledge to elucidate the action of Loxosceles venoms in blood.

Loxosceles属蜘蛛是巴西的一个公共卫生问题,因为它们的咬伤可能造成严重的皮肤和全身影响。在系统性loxoscelism中,可发生溶血性贫血、血小板减少和弥散性血管内凝血。尽管Loxosceles事故很严重,但考虑到这些血液毒性作用,一些物种的毒液尚未得到适当的表征,如Loxosceles amazonica, Loxosceles aff. Variegata和Loxosceles similis。为了更好地了解它们的毒性潜力,本研究旨在表征这些Loxosceles毒液的血毒特性。粗毒液是由来自Funed蛛形纲植物的L. amazonica、L. aff. Variegata和L. similis标本获得的。在洗涤后的血小板中,杂色乳杆菌对胶原蛋白和惊风毒素诱导的血小板聚集有抑制作用,而亚马逊乳杆菌和相似乳杆菌毒液能诱导血小板聚集。在体外溶血实验中,所有毒液均以不同浓度依赖性诱导人红细胞直接溶血。此外,有证据表明ABO和Rh系统可能影响溶血活性。最后,研究的Loxosceles毒液降解纤维蛋白原,提示凝血级联可能发生改变。基于本文提出的初步研究,需要在模型动物体内进行实验,以验证这些物种毒液的真实毒性潜力,为阐明Loxosceles毒液在血液中的作用积累知识。
{"title":"Venom from <i>Loxosceles</i> Spiders Collected in Southeastern and Northeastern Brazilian Regions Cause Hemotoxic Effects on Human Blood Components.","authors":"Rafaela Silva-Magalhães, Ayla Mel Gomes Dos Santos, Ana Luiza Silva-Araújo, Pamella Luize Peres-Damásio, Valéria Gonçalves de Alvarenga, Luciana Souza de Oliveira, Eladio Flores Sanchez, Carlos Chávez-Olórtegui, Luana Silveira da Rocha Nowicki Varela, Ana Luiza Bittencourt Paiva, Clara Guerra-Duarte","doi":"10.3390/toxins16120532","DOIUrl":"10.3390/toxins16120532","url":null,"abstract":"<p><p>Spiders of the genus <i>Loxosceles</i> represent a public health problem in Brazil due to the severity of the cutaneous and systemic effects that may result from their bite. In the systemic form of loxoscelism, hemolytic anemia, thrombocytopenia, and disseminated intravascular coagulation can occur. Despite the seriousness of <i>Loxosceles</i> accidents, the venom of some species has not yet been properly characterized considering these hemotoxic effects, such as that of <i>Loxosceles amazonica</i>, <i>Loxosceles aff. Variegata</i>, and <i>Loxosceles similis</i>. To better understand their toxic potential, this study aimed to characterize the hematotoxic properties of these <i>Loxosceles</i> venoms. The crude venom was obtained from specimens of <i>L. amazonica</i>, <i>L. aff. Variegata</i>, and <i>L. similis</i> available from Funed's arachnidary. In washed platelets, <i>L. aff. variegata</i> inhibited platelet aggregation induced by collagen and convulxin, whereas <i>L. amazonica</i> and <i>L. similis</i> venoms were able to induce platelet aggregation. In the in vitro hemolysis assays, all venoms experimentally induced direct hemolysis of human erythrocytes in a concentration-dependent manner, with different intensities. Furthermore, evidence suggest that the ABO and Rh systems may influence hemolytic activity. Finally, the studied <i>Loxosceles</i> venoms degraded fibrinogen, suggesting possible alterations in the coagulation cascade. Based in the here-presented preliminary study, in vivo assays in model animals are needed to verify the real toxic potential of these species' venom, building up knowledge to elucidate the action of <i>Loxosceles</i> venoms in blood.</p>","PeriodicalId":23119,"journal":{"name":"Toxins","volume":"16 12","pages":""},"PeriodicalIF":3.9,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11680057/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142898440","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
Integrating Telemedicine in Botulinum Toxin Type-A Treatment for Spasticity Management: Perspectives and Challenges from Italian Healthcare Professionals. 整合远程医疗在a型肉毒杆菌毒素治疗痉挛管理:来自意大利医疗保健专业人员的观点和挑战。
IF 3.9 3区 医学 Q2 FOOD SCIENCE & TECHNOLOGY Pub Date : 2024-12-07 DOI: 10.3390/toxins16120529
Stefania Spina, Salvatore Facciorusso, Nicoletta Cinone, Luigi Santoro, Anna Castagna, Marina Ramella, Franco Molteni, Andrea Santamato, The Collaborative Working Group

(1) Background: Telemedicine is a vital tool for enhancing healthcare accessibility and outcomes at reduced costs. This study aimed to assess the usability of the Maia Connected Care telemedicine platform for managing spasticity in patients receiving botulinum toxin type-A, focusing on the perspectives of Italian physiatrists with expertise in this treatment. (2) Methods: Conducted from March 2023 to June 2023, this multicenter survey involved 15 Italian physicians who used the platform for teleconsultations. Data collected included demographic details, responses to the Telemedicine Usability Questionnaire, and physician insights on patient satisfaction, treatment effectiveness, and implementation challenges in telehealth. (3) Results: The platform demonstrated high usability, with strong physician satisfaction due to its user-friendly interface and quality of interactions. A majority expressed willingness to continue telehealth for spasticity management, noting its effectiveness in improving patient satisfaction and outcomes. Challenges included replicating the depth of in-person consultations and addressing issues like reimbursement and telehealth standardization. (4) Conclusions: This study highlights telemedicine's potential for spasticity management and clinician satisfaction, while underscoring the need for improvements in simulating in-person experiences and addressing systemic issues. The absence of patient perspectives represents a limitation, advocating for future research to optimize telemedicine practices and evaluate long-term clinical impacts.

(1)背景:远程医疗是降低成本提高医疗可及性和结果的重要工具。本研究旨在评估Maia Connected Care远程医疗平台在治疗a型肉毒杆菌毒素患者痉挛方面的可用性,重点关注具有该治疗专业知识的意大利物理医生的观点。(2)方法:于2023年3月至2023年6月对15名使用该平台进行远程会诊的意大利医生进行多中心调查。收集的数据包括人口统计细节、对远程医疗可用性问卷的回答,以及医生对远程医疗中患者满意度、治疗有效性和实施挑战的见解。(3)结果:平台易用性高,用户界面友好,交互质量高,医生满意度高。大多数人表示愿意继续使用远程医疗进行痉挛治疗,并指出远程医疗在提高患者满意度和治疗效果方面的有效性。挑战包括再现面对面咨询的深度,以及解决报销和远程保健标准化等问题。(4)结论:本研究强调了远程医疗在痉挛管理和临床医生满意度方面的潜力,同时强调了在模拟面对面体验和解决系统性问题方面的改进需求。缺乏患者的观点代表了一种限制,提倡未来的研究,以优化远程医疗实践和评估长期临床影响。
{"title":"Integrating Telemedicine in Botulinum Toxin Type-A Treatment for Spasticity Management: Perspectives and Challenges from Italian Healthcare Professionals.","authors":"Stefania Spina, Salvatore Facciorusso, Nicoletta Cinone, Luigi Santoro, Anna Castagna, Marina Ramella, Franco Molteni, Andrea Santamato, The Collaborative Working Group","doi":"10.3390/toxins16120529","DOIUrl":"10.3390/toxins16120529","url":null,"abstract":"<p><p>(1) Background: Telemedicine is a vital tool for enhancing healthcare accessibility and outcomes at reduced costs. This study aimed to assess the usability of the Maia Connected Care telemedicine platform for managing spasticity in patients receiving botulinum toxin type-A, focusing on the perspectives of Italian physiatrists with expertise in this treatment. (2) Methods: Conducted from March 2023 to June 2023, this multicenter survey involved 15 Italian physicians who used the platform for teleconsultations. Data collected included demographic details, responses to the Telemedicine Usability Questionnaire, and physician insights on patient satisfaction, treatment effectiveness, and implementation challenges in telehealth. (3) Results: The platform demonstrated high usability, with strong physician satisfaction due to its user-friendly interface and quality of interactions. A majority expressed willingness to continue telehealth for spasticity management, noting its effectiveness in improving patient satisfaction and outcomes. Challenges included replicating the depth of in-person consultations and addressing issues like reimbursement and telehealth standardization. (4) Conclusions: This study highlights telemedicine's potential for spasticity management and clinician satisfaction, while underscoring the need for improvements in simulating in-person experiences and addressing systemic issues. The absence of patient perspectives represents a limitation, advocating for future research to optimize telemedicine practices and evaluate long-term clinical impacts.</p>","PeriodicalId":23119,"journal":{"name":"Toxins","volume":"16 12","pages":""},"PeriodicalIF":3.9,"publicationDate":"2024-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11679457/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142898163","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
期刊
Toxins
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1