2022
DOI: 10.3390/toxins15010018
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Neurotoxins Acting at Synaptic Sites: A Brief Review on Mechanisms and Clinical Applications

Abstract: Neurotoxins generally inhibit or promote the release of neurotransmitters or bind to receptors that are located in the pre- or post-synaptic membranes, thereby affecting physiological functions of synapses and affecting biological processes. With more and more research on the toxins of various origins, many neurotoxins are now widely used in clinical treatment and have demonstrated good therapeutic outcomes. This review summarizes the structural properties and potential pharmacological effects of neurotoxins a… Show more

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Cited by 11 publications
(12 citation statements)
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References 305 publications
(338 reference statements)
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“…From preclinical data, oxidative stress and activation of Schwann cell TRPA1 may serve as new targets for TRPA1 antagonists to relieve chronic pain in models of pain disorders. Studies shown that botulinum toxins (BoNTs) as a kind of neurotoxins had the ability to suppress the increase of neuropeptides (170). BoNTs acted as an analgesic by reducing TRPV1 expression (171).…”
Section: Discussionmentioning
confidence: 99%
“…From preclinical data, oxidative stress and activation of Schwann cell TRPA1 may serve as new targets for TRPA1 antagonists to relieve chronic pain in models of pain disorders. Studies shown that botulinum toxins (BoNTs) as a kind of neurotoxins had the ability to suppress the increase of neuropeptides (170). BoNTs acted as an analgesic by reducing TRPV1 expression (171).…”
Section: Discussionmentioning
confidence: 99%
“…BoNT acts by inhibiting the release of acetylcholine from the presynaptic nerve terminal, and thus interfering with fusion of the synaptic vesicle with the presynaptic plasma membrane [31,32]. This mechanism is known to relax the muscle; however, recent studies have provided evidence that BoNT may also be effective in the treatment of neuropathic pain [32][33][34]. The clinical rationale for the use of BoNT in our patients was to lessen the intensity of the movements, and thus reduce the risk of further injury from repetitive behaviors.…”
Section: Discussionmentioning
confidence: 99%
“…), α-bungarotoxin in kraits (Bungarus spp. ), 3FTxs α-neurotoxin in both black mamba (Dendroaspis polylepis) and green mamba (D. angusticeps) and acanthophin-D found in common death adder (Acanthophis antarcticus) [140][141][142]. Presynaptic neurotoxins bind to nerve terminals and block the release of acetylcholine.…”
Section: Neurologic Involvement: Respiratory Muscle Paralysismentioning
confidence: 99%