A型肉毒杆菌毒素中和抗体作为二次治疗失败:来自印度孟买的一例报告

Narmada Matang Khatri
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引用次数: 0

摘要

肉毒杆菌毒素在美容医学中用于治疗面部心律失常是很常见的,近年来在印度越来越受欢迎。肉毒杆菌毒素(BoNT)是由肉毒梭菌产生的,肉毒梭菌是一种厌氧,孢子形成,棒状细菌。肉毒杆菌毒素复合物含有150kd的神经毒素和一种复杂的附加蛋白。神经毒素被梭状蛋白酶裂解成重链和轻链。切割后的重链(100 KD)与神经节苷脂和突触前神经末梢的蛋白质受体结合,而轻链(50 KD)阻断乙酰胆碱的释放,导致靶肌肉的剂量依赖性减弱。
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Neutralizing Antibodies to Botulinum Toxin Type A as a Secondary Treatment Failure: A Case Report from Mumbai, India
Botulinum toxin use in aesthetic medicine for treatment of facial rhytids is common and has become more and more popular in India in recent times. Botulinum toxin (BoNT) is produced by clostridium botulinum which is an anaerobic, spore forming, rod shaped bacteria. The botulinum toxin complex contains a 150 KD neurotoxin together with a complex additional protein. The neurotoxin is cleaved by the clostridial proteases into heavy and light chain. The heavy chain (100 KD) after cleavage binds to gangliosides and a protein receptor on the presynaptic nerve ending, whereas the light chain (50 KD) blocks the release of acetylcholine, leading to a dose dependent weakening of the target muscle.
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