Botulinum toxin: yesterday, today, tomorrow

Botulinum toxin (BoNT) is a bacterial neurotoxin presented with seven serotypes that inhibit neurotransmitter release from nerve endings. The serotypes of BoNT are antigenically dissimilar, act via different, but interconnected mechanisms, and are not interchangeable. The activity of BoNT is associa...

Full description

Bibliographic Details
Main Authors: A. R. Artemenko, A. L. Kurenkov
Format: Article
Language:Russian
Published: ABV-press 2015-02-01
Series:Нервно-мышечные болезни
Subjects:
Online Access:https://nmb.abvpress.ru/jour/article/view/44
_version_ 1797702086001950720
author A. R. Artemenko
A. L. Kurenkov
author_facet A. R. Artemenko
A. L. Kurenkov
author_sort A. R. Artemenko
collection DOAJ
description Botulinum toxin (BoNT) is a bacterial neurotoxin presented with seven serotypes that inhibit neurotransmitter release from nerve endings. The serotypes of BoNT are antigenically dissimilar, act via different, but interconnected mechanisms, and are not interchangeable. The activity of BoNT is associated with impaired neuroexocytosis occurring in several steps: from the binding of BoNT to its specific receptor on the axon terminal membrane to the proteolytic enzymatic cleavage of SNARE substrate. The effect of BoNT is considered to be restricted to the peripheral nervous system, but when given in particularly high doses, it has been recently shown to affect individual brain structures. In addition, by modulating peripheral afferentation, BoNT may influence the excitability of central neuronal structures at both spinal and cortical levels. Only BoNT serotypes A and B are used in clinical practice and aesthetic medicine. The type A has gained the widest acceptance as a therapeutic agent for more than 100 abnormalities manifesting themselves as muscular hyperactivity, hyperfunction of endocrine gland, and chronic pain. The effect of BoNT preparations shows itself 2-5 days after injection, lasts 3 months or more, and gradually decreases with as a result of pharmacokinetic and intracellular reparative processes. Biotechnology advances and potentialities allow purposefully modification of the protein molecular structure of BoNT, which expands the use and efficiency of performed therapy with neurotoxins. Recombinant technologies provide a combination of major therapeutic properties of each used BoNT serotype and expand indications for recombinant chimeric toxins.
first_indexed 2024-03-12T04:45:06Z
format Article
id doaj.art-80ca259fa27947e88e42191dc2281fde
institution Directory Open Access Journal
issn 2222-8721
2413-0443
language Russian
last_indexed 2024-03-12T04:45:06Z
publishDate 2015-02-01
publisher ABV-press
record_format Article
series Нервно-мышечные болезни
spelling doaj.art-80ca259fa27947e88e42191dc2281fde2023-09-03T09:28:59ZrusABV-pressНервно-мышечные болезни2222-87212413-04432015-02-010261910.17650/2222-8721-2013-0-2-6-1938Botulinum toxin: yesterday, today, tomorrowA. R. Artemenko0A. L. Kurenkov1ГБОУ ВПО Первый МГМУ им. И.М. СеченоваФГБУ «Научный центр здоровья детей» РАМН, МоскваBotulinum toxin (BoNT) is a bacterial neurotoxin presented with seven serotypes that inhibit neurotransmitter release from nerve endings. The serotypes of BoNT are antigenically dissimilar, act via different, but interconnected mechanisms, and are not interchangeable. The activity of BoNT is associated with impaired neuroexocytosis occurring in several steps: from the binding of BoNT to its specific receptor on the axon terminal membrane to the proteolytic enzymatic cleavage of SNARE substrate. The effect of BoNT is considered to be restricted to the peripheral nervous system, but when given in particularly high doses, it has been recently shown to affect individual brain structures. In addition, by modulating peripheral afferentation, BoNT may influence the excitability of central neuronal structures at both spinal and cortical levels. Only BoNT serotypes A and B are used in clinical practice and aesthetic medicine. The type A has gained the widest acceptance as a therapeutic agent for more than 100 abnormalities manifesting themselves as muscular hyperactivity, hyperfunction of endocrine gland, and chronic pain. The effect of BoNT preparations shows itself 2-5 days after injection, lasts 3 months or more, and gradually decreases with as a result of pharmacokinetic and intracellular reparative processes. Biotechnology advances and potentialities allow purposefully modification of the protein molecular structure of BoNT, which expands the use and efficiency of performed therapy with neurotoxins. Recombinant technologies provide a combination of major therapeutic properties of each used BoNT serotype and expand indications for recombinant chimeric toxins.https://nmb.abvpress.ru/jour/article/view/44ботулинический токсиннейротоксинсеротипы ботулинического токсинанарушение нервно-мышечной передачиацетилхолинsnap-25синтаксинсинаптобревинцентральная нервная системафокальные дистонииспастичностьхроническая больгипергидроз
spellingShingle A. R. Artemenko
A. L. Kurenkov
Botulinum toxin: yesterday, today, tomorrow
Нервно-мышечные болезни
ботулинический токсин
нейротоксин
серотипы ботулинического токсина
нарушение нервно-мышечной передачи
ацетилхолин
snap-25
синтаксин
синаптобревин
центральная нервная система
фокальные дистонии
спастичность
хроническая боль
гипергидроз
title Botulinum toxin: yesterday, today, tomorrow
title_full Botulinum toxin: yesterday, today, tomorrow
title_fullStr Botulinum toxin: yesterday, today, tomorrow
title_full_unstemmed Botulinum toxin: yesterday, today, tomorrow
title_short Botulinum toxin: yesterday, today, tomorrow
title_sort botulinum toxin yesterday today tomorrow
topic ботулинический токсин
нейротоксин
серотипы ботулинического токсина
нарушение нервно-мышечной передачи
ацетилхолин
snap-25
синтаксин
синаптобревин
центральная нервная система
фокальные дистонии
спастичность
хроническая боль
гипергидроз
url https://nmb.abvpress.ru/jour/article/view/44
work_keys_str_mv AT arartemenko botulinumtoxinyesterdaytodaytomorrow
AT alkurenkov botulinumtoxinyesterdaytodaytomorrow