From the Bench to the Clinic: Lessons in the Use of Neurotoxins as Research and Therapeutic Tools

A special issue of Toxins (ISSN 2072-6651). This special issue belongs to the section "Bacterial Toxins".

Deadline for manuscript submissions: closed (31 May 2022) | Viewed by 4710

Special Issue Editors


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1. Department of Biomedicine – Experimental Biology Unit, Faculty of Medicine, University of Porto, 4000 Porto, Portugal
2. Translational Neurourology, IBMC and i3S - Instituto de Investigação e Inovação em Saúde, University of Porto, 4150 Porto, Portugal
Interests: spinal cord injury
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Patrick G Johnston Centre for Cancer Research, School of Medicine, Dentistry and Biomedical Sciences, Queen's University Belfast, Belfast, UK

Special Issue Information

Dear Colleagues,

What is a neurotoxin? Produced by plants, animals, and single-cell organisms, neurotoxins are chemicals that target nervous tissue. Many are deleterious and dangerously interfere with normal physiology in adults and impair neurodevelopment. Yet, some neurotoxins have found their way into laboratories as useful tool compounds and are widely used to answer fundamental questions about physiology at the cellular, tissue, organ, and systems level. After years of research and refinement, some are now used as therapeutic tools to treat pathologies from movement disorders to urinary dysfunction. Despite these advances, much is still to be discovered in the field of neurotoxins, whether by characterizing newly identified molecules or elucidating the molecular mechanisms of action of specific neurotoxins. Therefore, for this Special Issue, we invite authors to present their work addressing these exciting topics.

Dr. Célia Duarte Cruz
Dr. Karen McCloskey
Guest Editors

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Keywords

  • Tetrodotoxin
  • botulinum toxin
  • tetanus toxin
  • resiniferatoxin
  • capsaicin
  • bungarotoxin
  • clinical translation
  • translational research

Published Papers (1 paper)

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13 pages, 295 KiB  
Review
Botulinum Toxin Type A for Glabellar Frown Lines: What Impact of Higher Doses on Outcomes?
by Joely Kaufman-Janette, Sue Ellen Cox, Steven Dayan and John Joseph
Toxins 2021, 13(7), 494; https://0-doi-org.brum.beds.ac.uk/10.3390/toxins13070494 - 16 Jul 2021
Cited by 7 | Viewed by 4228
Abstract
Botulinum toxin serotype-A (BoNT-A) preparations are widely used to improve the appearance of wrinkles. While effective and well tolerated, patients require retreatment over time to re-establish the effects. There is growing interest from patients as to whether higher doses can prolong response without [...] Read more.
Botulinum toxin serotype-A (BoNT-A) preparations are widely used to improve the appearance of wrinkles. While effective and well tolerated, patients require retreatment over time to re-establish the effects. There is growing interest from patients as to whether higher doses can prolong response without significantly increasing side effects. We reviewed the efficacy and safety evidence for high-dose BoNT-A treatment of glabellar lines, by evaluating high-dose studies published since 2015. Toxins approved for glabellar line treatment in the US or Europe were considered. “High-dose” indicated doses above the licensed dose for each BoNT-A preparation. Five studies met the inclusion criteria and most were randomized, double-blind trials; designs and population sizes varied. Findings suggested that higher-dose BoNT-A treatment is feasible and may improve response duration without increased safety issues. Around 9 months’ median duration was achieved with a 2–2.5-fold increase of the abobotulinumtoxinA on-label dose, or with a 5-fold increase in incobotulinumtoxinA dose. A 2–4-fold increase of the onabotulinumtoxinA on-label dose yielded a median duration of around 6 months. Importantly, patient satisfaction and natural look remained with increasing abobotulinumtoxinA doses. While more data are needed, these findings may lead to more effective, individually tailored treatment plans to meet patient expectations. Full article
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