Botulinum toxin as a therapeutic agent

https://doi.org/10.1016/S0163-7258(96)00091-5Get rights and content

Abstract

Botulinum toxin is a presynaptic neuromuscular blocking agent that, when injected intramuscularly in minute quantities, can produce selective muscle weakness. This property is employed therapeutically to provide symptomatic relief in conditions related to excessive muscle activities in strabismus, blepharospasm, hemifacial spasm, cervical dystonia, spasmodic dysphonia (adductor type), and jaw closing dystonia. It is investigational for a long list of medical conditions. It is a marketed drug in a number of countries in the world, but its use has only been approved by different regulatory agencies for use in a limited number of conditions. The long-term effects, appropriate dose for children, and in pregnancy, and maximum dose without causing toxicity remain unclear.

References (107)

  • E.J. Schantz et al.

    Dose standardization of botulinum toxin

    Lancet

    (1990)
  • E.J. Schantz et al.

    Use of crystalline type A botulinum toxin in medical research

  • G. Schiavo et al.

    Identification of the nerve terminal targets of botulinum neurotoxin serotype-A, serotype-D, and serotype-E

    J. Biol. Chem.

    (1993)
  • G. Schiavo et al.

    Botulinum neurotoxin serotype-F is a zinc endopeptidase specific for VAMP/synaptobrevin

    J. Biol. Chem.

    (1993)
  • J.K. Tsui et al.

    Double-blind study of botulinum toxin in spasmodic torticollis

    Lancet

    (1986)
  • C. Bertrand et al.

    Observations and analysis of results in 131 cases of spasmodic torticollis after selective denervation

    Appl. Neurophysiol.

    (1987)
  • H. Bigalke et al.

    Blockade of tetanus and botulinum A toxin of postganglionic cholinergic nerve endings in the myenteric plexus

    Naunyn Schmeidebergs Arch. Pharmacol.

    (1980)
  • J.D. Black et al.

    Interaction of 1251-labeled botulinum neurotoxins with nerve terminals. I. Ultrastructural autoradiographic localization and quantification of distinct membrane acceptors for type A and B on motor nerves

    J. Cell Biol.

    (1986)
  • J.D. Black et al.

    Interaction of 1251-labeled botulinum neurotoxins with nerve terminals. II. Autoradiographic evidence for its uptake into motor nerves by acceptormediated endocytosis

    J. Cell Biol.

    (1986)
  • J. Blasi et al.

    Botulinum neurotoxin-C1 blocks neurotransmitter release by means of cleaving HPC-1/syntaxin

    EMBO J.

    (1993)
  • A. Blitzer et al.

    Botulinum toxin injection for the treatment of oromandibular dystonia

    Ann. Otol. Rhinol. Laryngol.

    (1989)
  • A. Blitzer et al.

    Abductor laryngeal dystonia: a series treated with botulinum toxin

    Laryngoscope

    (1992)
  • G.E. Borodic et al.

    Botulinum A toxin for the treatment of spasmodic torticollis: dysphagia and regional toxin spread

    Head Neck

    (1990)
  • R.M. Braun et al.

    Phenol nerve block in the treatment of acquired spastic hemiplegia in the upper limb

    J. Bone Joint Surg.

    (1973)
  • M.F. Brin et al.

    Localized injections of botulinum toxin for the treatment of focal dystonia and hemifacial spasm

    Adv. Neurol

    (1988)
  • M.F. Brin et al.

    Adductor laryngeal dystonia (spastic dysphonia): treatment with local injections of botulinum toxin (Botox)

    Mov. Disord.

    (1989)
  • J.A. Carruthers et al.

    The use of botulinum toxin to treat glabellar frown lines and other facial wrinkles

    Cosmet. Dermatol.

    (1994)
  • J.D.A. Carruthers

    Ophthalmologic use of botulinum A exotoxin

    Can. J. Ophthalmol.

    (1985)
  • J.D.A. Carruthers et al.

    Treatment of glabellar frown lines with C. botulinum-A exotoxin

    J. Dermatol. Surg. Oncol.

    (1992)
  • J.D.A. Carruthers et al.

    Botulinum toxin in the treatment of eye disorders

    B. C. Med. J.

    (1991)
  • J.D.A. Carruthers et al.

    Botulinum toxin for benign essential blepharospasm, hemifacial spasm and agerelated lower eyelid entropion

    Can. J. Neurol. Sci.

    (1987)
  • J.A. Coffield et al.

    The site and mechanism of action of botulinum neurotoxin

  • L.G. Cohen et al.

    Treatment of focal dystonias of the hand with botulinum toxin injections

    J. Neurol. Neurosurg. Psychiatry

    (1989)
  • C.L. Comella et al.

    Botulinum toxin injection for spasmodic torticollis: increased magnitude of benefit with electromyographic assistance

    Neurology

    (1992)
  • B.R. DasGupta

    Structures of botulinum neurotoxin, its functional domains, and perspectives on the crystalline type A toxin

  • G. Deuschl et al.

    Earclick in palatal tremor: its origin and treatment with botulinum toxin

    Neurology

    (1991)
  • M. Dezfulian et al.

    Enzyme-linked immunosorbent assay for detection of Clostridium botulinum type A and type B toxins in stool samples of infants with botulism

    Clin. Microbiol.

    (1984)
  • R.M. Dubinsky et al.

    Electromyographic guidance of botulinum toxin treatment in cervical dystonia

    Clin. Neuropharmacol.

    (1991)
  • L.W. Duchen

    Changes in motor innervation and cholinesterase localization induced by botulinum toxin in skeletal muscle of mouse: differences between fast and slow muscles

    J. Neurol. Neurosurg. Psychiatry

    (1970)
  • D.D. Dykstra et al.

    Treatment of detrusorsphincter dyssynergia with botulinum A toxin: a double blind study

    Arch. Phys. Med. Rehabil.

    (1990)
  • S. Fahn

    Medical treatment of dystonia

  • C.N. Ford et al.

    Indirect laryngoscopic approach for injection of botulinum toxin in spasmodic dysphonia

    Otolaryngol. Head Neck Surg.

    (1990)
  • R.R. Gacek

    Botulinum toxin for relief of spasmodic dysphonia

    Arch. Otolaryngol. Head Neck Surg.

    (1987)
  • M.G. Gargland et al.

    Crystalline preparation of botulinum type A (Botox®): degradation impotency with storage

    Otolaryngol. Head Neck Surg.

    (1993)
  • J.C. Gautier et al.

    Enlargement of the inferior olivary nucleus in association with lesions of the central tegmental tract or dentate nucleus

    Brain

    (1961)
  • D.J. Gelb et al.

    Controlled trial of botulinum toxin injections in the treatment of spasmodic torticollis

    Neurology

    (1989)
  • C.H. Hatheway et al.

    Antitoxin levels in botulism patients treated with trivalent equine botulism antitoxin types A, B, and E

    J. Infect. Dis.

    (1984)
  • N. Hermanowicz et al.

    Treatment of oromandibular dystonia with botulinum toxin

    Laryngoscope

    (1991)
  • D.H. Hoch et al.

    Channels formed by botulinum, tetanus, and diphtheria toxins in planar lipid bilayers: relevance to translocation of proteins across membranes

  • J.B. Holds et al.

    Terminal nerve and motor end plate changes in human orbicularis muscle following botulinum A exotoxin injection

    Invest. Ophthalmol. Vis. Sci.

    (1990)
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