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A Cell-Based Potency Assay for Determining the Relative Potency of Botulinum Neurotoxin A Preparations Using Manual and Semi-Automated Procedures. 用人工和半自动程序测定肉毒杆菌神经毒素A制剂相对效价的细胞效价测定。
IF 4 3区 医学 Q2 FOOD SCIENCE & TECHNOLOGY Pub Date : 2026-01-15 DOI: 10.3390/toxins18010045
F Mark Dunning, Sara Hendrickson, Serena Wolfe, Dan Harding, Theresa Geurs, Timothy M Piazza, Thomas A Little, Ward C Tucker

Cell-based potency assays (CBPAs) are required for the potency testing and commercial release of botulinum neurotoxin (BoNT)-based drug products. These CBPAs must account for the toxin's biological activities while meeting regulatory guidelines for precision and accuracy. Here, studies describe the characterization and qualification of the BoSapient CBPA and demonstrate that it is fit for use as a relative potency assay for BoNT/A-containing samples. The CBPA is operated in a 96-well plate format and relies upon the fluorescence emissions of a reporter that directly responds to BoNT/A activity. The BoSapient cell line expresses the BoNT/A-receptors SV2 and complex gangliosides, is responsive only to intact BoNT/A, and can robustly detect picomolar and sub-picomolar BoNT/A quantities, making the CBPA appropriate for quantifying BoNT/A-based drug products. The cell line was passaged 30 times without significant loss of reporter expression or BoNT/A sensitivity. Manual and semi-automated CBPA methods were developed and qualified according to regulatory guidelines and shown to have low bias (<4% from expected) and high precision (standard deviation < 8) across all test concentrations. Furthermore, the semi-automated method using the CBPA is demonstrated to improve intermediate precision by 39% compared to the manual method, while reducing operator dependency during method execution.

以细胞为基础的效价测定(CBPAs)是肉毒杆菌神经毒素(BoNT)为基础的药物产品效价测试和商业释放所必需的。这些cbpa必须考虑毒素的生物活性,同时满足精确度和准确性的监管准则。在这里,研究描述了BoSapient CBPA的特性和鉴定,并证明它适合用作含有BoNT/ a的样品的相对效价测定。CBPA以96孔板形式操作,依赖于直接响应BoNT/ a活性的报告细胞的荧光发射。BoSapient细胞系表达BoNT/A受体SV2和复杂的神经节苷,仅对完整的BoNT/A有反应,并且可以可靠地检测皮摩尔和亚皮摩尔BoNT/A的数量,使CBPA适合用于定量BoNT/A药物产品。该细胞系传代30次,报告基因表达和BoNT/A敏感性均无明显下降。手动和半自动的CBPA方法是根据监管指引开发和认证的,并且显示出低偏差(
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引用次数: 0
The Helix Ring Peptide U11 from the Venom of the Ant, Tetramorium bicarinatum, Acts as a Putative Pore-Forming Toxin, Not a New Kv1.3 Channel Blocker. Comment on Boy et al. A New Kv1.3 Channel Blocker from the Venom of the Ant Tetramorium bicarinatum. Toxins 2025, 17, 379. 蚂蚁毒液中的螺旋环肽U11是一种假定的成孔毒素,而不是新的Kv1.3通道阻滞剂。评论Boy等人。一种新的Kv1.3通道阻滞剂的制备。毒素2025,17,379。
IF 4 3区 医学 Q2 FOOD SCIENCE & TECHNOLOGY Pub Date : 2026-01-15 DOI: 10.3390/toxins18010044
Steve Peigneur, Diogo Tibery, Jan Tytgat

Boy et al [...].

男孩等[…]。
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引用次数: 0
Presynaptic Terminal Proteins and Nicotinic Receptors Are Depleted from Mouse Parasympathetic Ganglionic Junctions Paralysed with Botulinum Neurotoxin Type A. A型肉毒杆菌神经毒素麻痹小鼠副交感神经节连接处突触前末端蛋白和烟碱受体的缺失
IF 4 3区 医学 Q2 FOOD SCIENCE & TECHNOLOGY Pub Date : 2026-01-14 DOI: 10.3390/toxins18010043
Ahmed Al-Sabi, Gary W Lawrence

Plasticity is fundamental to the development, strengthening, and maintenance of healthy synaptic connections and recovery from injury in both the central and peripheral nervous systems. Yet, the processes involved are poorly understood. Herein, using a combination of patch-clamp electrophysiology and immuno-fluorescence confocal microscopy in adult mice, it is shown that blockade of synaptic transmission at submandibular ganglion junctions exposed to botulinum neurotoxin type A was accompanied by a rapid and striking decline in the abundance of synaptic vesicle markers-SV2, vesicle-associated membrane protein 2, and vesicular acetylcholine transporter-plus SNAP-25 (cleaved and intact) and postsynaptic α7 nicotinic acetylcholine receptors. Such alterations by the neurotoxin of parasympathetic synapses contrast starkly with the stability of postsynaptic proteins at nearby skeletal neuromuscular junctions. Both neurotransmission and the expression of SV2 and α7 nicotinic acetylcholine receptors remained depressed for 4 weeks, with full recovery of synaptic function delayed for more than 8 weeks. These novel findings may explain the relatively slow recovery of autonomic function after botulism or following therapeutic injections to alleviate hypersecretory disorders.

可塑性是中枢和周围神经系统健康突触连接的发展、加强和维持以及损伤后恢复的基础。然而,人们对其中的过程知之甚少。本文采用膜片钳电生理学和免疫荧光共聚焦显微镜对成年小鼠进行研究,结果表明,a型肉毒杆菌神经毒素对下颌骨神经节连接突触传递的阻断伴随着突触囊泡标记物sv2(囊泡相关膜蛋白2)丰度的快速显著下降。和囊泡乙酰胆碱转运体+ SNAP-25(断裂和完整)和突触后α7烟碱乙酰胆碱受体。副交感神经突触的这种神经毒素改变与附近骨骼神经肌肉连接处突触后蛋白的稳定性形成鲜明对比。神经传递及SV2、α7烟碱受体的表达抑制持续4周,突触功能完全恢复延迟8周以上。这些新发现可以解释肉毒杆菌中毒或治疗性注射缓解高分泌紊乱后自主神经功能恢复相对缓慢的原因。
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引用次数: 0
Fungal Contamination of Dairy Feed and Major Mycotoxin Transfer: A Risk Evaluation for Animal Exposure and Health. 奶牛饲料的真菌污染和主要真菌毒素转移:动物接触和健康的风险评估。
IF 4 3区 医学 Q2 FOOD SCIENCE & TECHNOLOGY Pub Date : 2026-01-13 DOI: 10.3390/toxins18010042
Ioana Poroșnicu, Luminița-Iuliana Ailincăi, Mădălina Alexandra Davidescu, Mihai Mareș

This study was focused on the assessment of fungal occurrence, mycotoxin dynamics, aflatoxin carry-over, and associated biochemical responses in dairy cattle. Moisture emerged as the dominant factor for fungal communities, promoting the co-proliferation of fungal genera adapted to high water activity conditions (aw > 0.90) and antagonism against xerotolerant and xerophilic species. Aspergillus spp. dominated dry substrates (aw < 0.75), Fusarium spp. showed strong positive associations with high-moisture matrices (aw > 0.90), and Penicillium spp. exhibited intermediate, substrate-dependent behavior. Mycotoxin levels fluctuated non-linearly, independently of fungal counts: ochratoxin A (OTA) concentrations in corn silage increased from approximately 12 μg/kg at the onset of the ensiling period to >240 μg/kg at silo opening, indicating dynamic mycotoxin accumulation during storage, while zearalenone (ZEA) oscillated from 40 to 170 µg/kg. Despite the variation in total aflatoxins (AFLA-T) across feed matrices, aflatoxin M1 (AFM1) in milk remained low (0.0020-0.0093 μg/kg), confirming limited carry-over. Serum biochemical parameters-alanine aminotransferase (ALT), aspartate aminotransferase (AST), gamma-glutamyl transferase (GGT), alkaline phosphatase (ALP), total bilirubin (BIL-T), total protein (PROT-T)-remained within physiological limits, yet multivariate analyses revealed metabolic modulation linked to aflatoxin exposure. AFM1 explained >7% of the variance in serum biochemical profiles according to PERMANOVA (p = 0.002), showed significant MANOVA effect (Pillai = 0.198), and displayed a significant canonical association (p < 10-13). Linear discriminant analysis further separated Normal vs. Borderline hepatic profiles, indicating subclinical physiological adaptation to chronic low-dose exposure.

本研究的重点是评估奶牛真菌的发生、霉菌毒素的动态、黄曲霉毒素的携带以及相关的生化反应。水分成为真菌群落的主导因素,促进了适应高水分活性条件的真菌属的共同增殖(aw > 0.90)以及对耐干和亲干物种的拮抗。曲霉属以干基质为主(aw < 0.75),镰刀菌属与高水分基质呈正相关(aw > 0.90),青霉属表现出中间基质依赖行为。霉菌毒素水平呈非线性波动,与真菌数量无关:玉米青贮料中赭曲霉毒素A (OTA)浓度从青贮期开始时的约12 μg/kg增加到料仓打开时的约240 μg/kg,表明霉菌毒素在储存过程中有动态积累,而玉米赤霉烯酮(ZEA)在40至170 μg/kg之间振荡。尽管不同饲料基质的黄曲霉毒素总量(AFLA-T)存在差异,但牛奶中的黄曲霉毒素M1 (AFM1)仍保持在较低水平(0.0020-0.0093 μg/kg),证实了有限的携带性。血清生化指标——丙氨酸转氨酶(ALT)、天冬氨酸转氨酶(AST)、γ -谷氨酰转移酶(GGT)、碱性磷酸酶(ALP)、总胆红素(BIL-T)、总蛋白(PROT-T)——仍在生理范围内,但多因素分析显示黄曲霉毒素暴露与代谢调节有关。根据PERMANOVA (p = 0.002), AFM1解释了bb0.7%的血清生化谱变异(p = 0.002),显示了显著的MANOVA效应(Pillai = 0.198),并显示了显著的规范化关联(p < 10-13)。线性判别分析进一步分离了正常和边缘肝脏特征,表明对慢性低剂量暴露的亚临床生理适应。
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引用次数: 0
Analysis of the Combined Toxic Effects of AFB1, DON, and OTA Complex Contamination in Caco-2, HK-2, SK-N-SH and HepG2 Cells. AFB1、DON和OTA复合物污染对Caco-2、HK-2、SK-N-SH和HepG2细胞的联合毒性作用分析
IF 4 3区 医学 Q2 FOOD SCIENCE & TECHNOLOGY Pub Date : 2026-01-12 DOI: 10.3390/toxins18010041
Hanke Zhao, Xiaohu Zhai, Weihua He, Zheng Jing, Dengyan Wang, Junhua Yang

Aflatoxin B1 (AFB1), deoxynivalenol (DON), and ochratoxin A (OTA) are common mycotoxins that frequently co-occur in cereals and pose potential risks to animal and human health. This study investigated the cytotoxic effects of AFB1, DON, and OTA, individually and in binary and ternary combinations, in four human-derived cell lines representing major target organs (Caco-2, HepG2, HK-2, and SK-N-SH). Individual toxin exposure revealed cell type-dependent sensitivity, with DON generally exhibiting the strongest cytostatic effect. Combined exposure analysis showed distinct interaction patterns across cell models, including antagonistic effects of AFB1 + OTA in most cell lines, dose-dependent interactions of DON + OTA, and low-dose synergistic effects in specific combinations. Overall, the results demonstrate that mycotoxin interactions are highly dependent on dose and target cell type, and that low-dose co-contamination may enhance toxicological risks, underscoring the importance of considering combined mycotoxin exposure in health risk assessment.

黄曲霉毒素B1 (AFB1)、脱氧雪腐镰刀菌醇(DON)和赭曲霉毒素A (OTA)是常见的真菌毒素,经常同时出现在谷物中,并对动物和人类健康构成潜在风险。本研究研究了AFB1、DON和OTA在代表主要靶器官(Caco-2、HepG2、HK-2和SK-N-SH)的四种人源性细胞系中的细胞毒性作用,包括单独的、二元的和二元的组合。个体毒素暴露表现出细胞类型依赖的敏感性,DON通常表现出最强的细胞抑制作用。联合暴露分析显示了不同细胞模型的不同相互作用模式,包括AFB1 + OTA在大多数细胞系中的拮抗作用,DON + OTA的剂量依赖性相互作用,以及特定组合的低剂量协同作用。总体而言,结果表明,真菌毒素相互作用高度依赖于剂量和靶细胞类型,低剂量的共同污染可能会增加毒理学风险,强调了在健康风险评估中考虑联合真菌毒素暴露的重要性。
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引用次数: 0
Omphalotus yunnanensis: A New Poisonous Mushroom Discovered from China Based on Morphological, Molecular and Toxin-Detection Evidence. 云南蘑菇:一种中国新发现的毒蕈——基于形态、分子和毒素检测证据。
IF 4 3区 医学 Q2 FOOD SCIENCE & TECHNOLOGY Pub Date : 2026-01-12 DOI: 10.3390/toxins18010040
Zhong-Feng Li, Jing Zhang, Xiang-Dong Min, Hong-Shun Zhang, Li Chen, Dai-Neng Li, Yi-Zhe Zhang, Ming-Xuan Yuan, Zhi-Yuan Liu, Jia-Ju Zhong, Meng-Huan Ruan, Hai-Jiao Li

In the past few years, several mushroom poisoning incidents caused by Omphalotus species have occurred in China. In addition to O. guepiniformis and O. olearius, a new white Omphalotus species, O. yunnanensis, was discovered in Southwestern and Southern China based on morphological, molecular and toxin-detection evidence. Omphalotus yunnanensis is characterized by its small, cream to white basidiomata with a hygrophanous pileal surface, non-bioluminescent lamellae, broadly ellipsoid to subglobose basidiospores (8-12.5 × 7-10 μm), fusoid to ventricose cheilocystidia with occasional apical outgrowths, cream to white pileipellis composed of thick-walled, subsoil to solid hyphae, clavate, and fusoid to ventricose caulocystidia with occasional apical outgrowths. The species has been discovered in tropical to subtropical areas in Southwestern and Southern China. Phylogenetic analyses based on ITS and nrLSU showed that the new species clustered with the Australasian species O. nidiformis, but can be easily distinguished by its smaller, white to cream pileus, non-bioluminescent lamellae, larger basidiospores and growing on Fagaceae species. Illudin S was detected in this new species using UPLC-MS/MS, at 6.98 to 86.1 mg/kg of the content (dry weight), while no illudin M was detected.

在过去的几年里,中国发生了几起由Omphalotus引起的蘑菇中毒事件。根据形态学、分子和毒素检测的证据,在中国西南部和南部地区发现了一种新的白色孔舌属O. yunnanensis。云南大孢子的特点是:小,乳白色的担子瘤,毛表面湿润,无生物发光,宽椭球到近球形的担子孢子(8-12.5 × 7-10 μm), fusid - to - ventricular cheilocystim,偶有顶端外生物,乳白色的毛囊由厚壁,土底到固体菌丝组成,棍棒状,fusid - to - ventricular caulococystim,偶有顶端外生物。该物种在中国西南部和南部的热带至亚热带地区被发现。基于ITS和nrLSU的系统发育分析表明,该新种与Australasian种O. nidiformis聚类,但其较小的白色至乳白色菌毛、无生物发光的片层、较大的担子孢子和生长在壳斗科物种上很容易区分。用UPLC-MS/MS在该新种中检测到Illudin S,含量为6.98 ~ 86.1 mg/kg(干重),未检测到Illudin M。
{"title":"<i>Omphalotus yunnanensis</i>: A New Poisonous Mushroom Discovered from China Based on Morphological, Molecular and Toxin-Detection Evidence.","authors":"Zhong-Feng Li, Jing Zhang, Xiang-Dong Min, Hong-Shun Zhang, Li Chen, Dai-Neng Li, Yi-Zhe Zhang, Ming-Xuan Yuan, Zhi-Yuan Liu, Jia-Ju Zhong, Meng-Huan Ruan, Hai-Jiao Li","doi":"10.3390/toxins18010040","DOIUrl":"10.3390/toxins18010040","url":null,"abstract":"<p><p>In the past few years, several mushroom poisoning incidents caused by <i>Omphalotus</i> species have occurred in China. In addition to <i>O. guepiniformis</i> and <i>O. olearius</i>, a new white <i>Omphalotus</i> species, <i>O. yunnanensis</i>, was discovered in Southwestern and Southern China based on morphological, molecular and toxin-detection evidence. <i>Omphalotus yunnanensis</i> is characterized by its small, cream to white basidiomata with a hygrophanous pileal surface, non-bioluminescent lamellae, broadly ellipsoid to subglobose basidiospores (8-12.5 × 7-10 μm), fusoid to ventricose cheilocystidia with occasional apical outgrowths, cream to white pileipellis composed of thick-walled, subsoil to solid hyphae, clavate, and fusoid to ventricose caulocystidia with occasional apical outgrowths. The species has been discovered in tropical to subtropical areas in Southwestern and Southern China. Phylogenetic analyses based on ITS and nrLSU showed that the new species clustered with the Australasian species <i>O. nidiformis</i>, but can be easily distinguished by its smaller, white to cream pileus, non-bioluminescent lamellae, larger basidiospores and growing on Fagaceae species. Illudin S was detected in this new species using UPLC-MS/MS, at 6.98 to 86.1 mg/kg of the content (dry weight), while no illudin M was detected.</p>","PeriodicalId":23119,"journal":{"name":"Toxins","volume":"18 1","pages":""},"PeriodicalIF":4.0,"publicationDate":"2026-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12846239/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146053791","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
TMT Quantitative Proteomics Reveals the Molecular Mechanism Behind Meat Quality Changes in Nile Tilapia Exposed to Environmental Concentrations of Microcystin-LR. TMT定量蛋白质组学揭示了暴露于环境浓度微囊藻毒素lr下尼罗罗非鱼肉质变化的分子机制。
IF 4 3区 医学 Q2 FOOD SCIENCE & TECHNOLOGY Pub Date : 2026-01-12 DOI: 10.3390/toxins18010039
Yichao Li, Huarong Xiao, Jun Xie, Liping Liu, Fajun Jiang, Jingqiu Liao, Ermeng Yu

This study investigated the effects of chronic MC-LR exposure (0 μg/L [Control], 1 μg/L [M1], 3 μg/L [M3], 10 μg/L [M10], and 30 μg/L [M30]) on the muscle nutrient composition, meat quality, and muscle proteomic profile of Nile tilapia (Oreochromis niloticus). In the high-dose group (M30), MC-LR exposure compromised the muscle antioxidant status of Nile tilapia, resulting in reduced meat quality, as evidenced by decreased pH value and water-holding capacity, elevated lipid/protein oxidation, and altered texture parameters (shear force and fragmentation index). Proteomic analysis further revealed a downregulation of proteins associated with ribosomes, suggesting an impairment of muscle protein synthesis in the M30 group. Moreover, despite chronic exposure, only low levels of MC-LR accumulated in the muscle tissue, indicating a negligible health risk to consumers. Collectively, these findings offered valuable insights into the impact of environmental MC-LR contamination on fish muscle quality and nutritional value.

研究了慢性MC-LR暴露(0 μg/L [Control]、1 μg/L [M1]、3 μg/L [M3]、10 μg/L [M10]和30 μg/L [M30])对尼罗罗非鱼(Oreochromis niloticus)肌肉营养成分、肉质和肌肉蛋白质组学的影响。在高剂量组(M30)中,MC-LR暴露损害了尼罗罗非鱼的肌肉抗氧化状态,导致肉品质下降,这可以从pH值和持水能力下降、脂质/蛋白质氧化升高和质地参数(剪切力和破碎指数)改变中得到证明。蛋白质组学分析进一步揭示了与核糖体相关的蛋白质的下调,表明M30组肌肉蛋白质合成受损。此外,尽管长期接触,只有低水平的MC-LR在肌肉组织中积累,这表明对消费者的健康风险可以忽略不计。总的来说,这些发现为环境MC-LR污染对鱼类肌肉质量和营养价值的影响提供了有价值的见解。
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引用次数: 0
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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Toxins
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