Non-Migraine Head Pain and Botulinum Toxin.

IF 4.3 3区 材料科学 Q1 ENGINEERING, ELECTRICAL & ELECTRONIC
Fatemeh Farham, Dilara Onan, Paolo Martelletti
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引用次数: 0

Abstract

Botulinum toxin A (BT-A), a potential neurotoxin produced by the bacterium Clostridium botulinum, is known for its ability to prevent the release of acetylcholine at the neuromuscular synapse, leading to temporary muscle paralysis. BT-A is used for a wide range of therapeutic applications. Several studies have shown mechanisms beyond the inhibition of acetylcholine release for pain control. BT-A inhibits the release of neurotransmitters associated with pain and inflammation, such as glutamate, CGRP, and substance P. Additionally, it would be effective in nerve entrapment leading to neuronal hypersensitivity, which is known as a new pathogenesis of painful conditions. BT-A has been applied to the treatment of a wide variety of neurological disorders. Since 2010, BT-A application has been approved and widely used as a chronic migraine prophylaxis. Moreover, due to its effects on pain through sensory modulation, it may also be effective for other headaches. Several studies using BT-A, at different doses and administration sites for headaches, have shown beneficial effects on frequency and severity. In this review, we provide an overview of using BT-A to treat primary and secondary headache disorders.

非偏头痛与肉毒杆菌毒素。
肉毒杆菌毒素 A(BT-A)是由肉毒杆菌产生的一种潜在神经毒素,它能够阻止乙酰胆碱在神经肌肉突触处的释放,从而导致暂时性肌肉麻痹。BT-A 被广泛用于治疗。一些研究表明,除了抑制乙酰胆碱释放外,BT-A 还具有控制疼痛的机制。此外,BT-A 还能有效抑制神经束缚导致的神经元超敏反应,而神经元超敏反应是疼痛的新发病机制。BT-A 已被用于治疗多种神经系统疾病。自 2010 年以来,BT-A 已被批准并广泛应用于慢性偏头痛的预防治疗。此外,由于 BT-A 通过感觉调节对疼痛产生影响,因此对其他头痛也可能有效。有几项使用不同剂量和给药部位的 BT-A 治疗头痛的研究表明,它对头痛的频率和严重程度都有好处。在本综述中,我们将概述使用 BT-A 治疗原发性和继发性头痛疾病的情况。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
7.20
自引率
4.30%
发文量
567
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