A reappraisal of the central effects of botulinum neurotoxin type A: by what mechanism?

被引:64
作者
Caleo, Matteo [1 ]
Antonucci, Flavia [1 ]
Restani, Laura [2 ]
Mazzocchio, Riccardo [3 ]
机构
[1] CNR, Ist Neurosci, I-56100 Pisa, Italy
[2] Scuola Normale Super Pisa, Pisa, Italy
[3] Univ Siena, Sez Neurofisiol Clin, Dipartimento Sci Neurol Neurochirurg & Comportame, I-53100 Siena, Italy
关键词
botulinum neurotoxins; movement disorders; neuromuscular junction; retrograde axonal transport; synaptic transmission; synaptosomal-associated protein of 25-kDa; CENTRAL-NERVOUS-SYSTEM; TOXIN TYPE-A; ABDUCENS MOTONEURONS; RENSHAW CELLS; RECIPROCAL INHIBITION; RETROGRADE TRANSPORT; SKELETAL-MUSCLE; TROPHIC FACTORS; WRITERS CRAMP; RECOVERY;
D O I
10.1111/j.1471-4159.2009.05887.x
中图分类号
Q5 [生物化学]; Q7 [分子生物学];
学科分类号
071010 ; 081704 ;
摘要
Botulinum neurotoxin A (BoNT/A) is a metalloprotease that enters peripheral motor nerve terminals and blocks the release of acetylcholine via the specific cleavage of the synaptosomal-associated protein of 25-kDa. Localized injections of BoNT/A are widely employed in clinical neurology to treat several human diseases characterized by muscle hyperactivity. It is generally assumed that the effects of BoNT/A remain localized to the injection site. However, several neurophysiological studies have provided evidence for central effects of BoNT/A, raising the issue of how these actions arise. Here we review these data and discuss the possibility that retrograde axonal transport of catalytically active BoNT/A may explain at least some of its effects at the level of central circuits.
引用
收藏
页码:15 / 24
页数:10
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