Clinico-immunologic aspects of botulinum toxin type B treatment of cervical dystonia

被引:57
作者
Jankovic, J.
Hunter, C.
Dolimbek, B. Z.
Dolimbek, G. S.
Adler, C. H.
Brashear, A.
Comella, C. L.
Gordon, M.
Riley, D. E.
Sethi, K.
Singer, C.
Stacy, M.
Tarsy, D.
Atassi, M. Z.
机构
[1] Baylor Coll Med, Parkinsons Dis Ctr, Dept Neurol, Houston, TX 77030 USA
[2] Mayo Clin Scottsdale, Scottsdale, AZ USA
[3] Indiana Univ, Sch Med, Indianapolis, IN 46204 USA
[4] Rush Univ, Med Ctr, Chicago, IL 60612 USA
[5] Long Isl Jewish Med Ctr, New Hyde Pk, NY 11042 USA
[6] Univ Hosp Cleveland, Cleveland, OH 44106 USA
[7] Med Coll Georgia, Augusta, GA 30912 USA
[8] Univ Miami, Miami, FL 33152 USA
[9] Barrow Neurol Inst, Phoenix, AZ 85013 USA
[10] Beth Israel Deaconess Med Ctr, Boston, MA 02215 USA
关键词
D O I
10.1212/01.wnl.0000249308.66959.43
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
In this multicenter study of 100 patients with cervical dystonia, we examined the immunogenicity of botulinum toxin type B (BTX-B) and correlated the clinical response with the presence of blocking antibodies (Abs) using a novel mouse protection assay. One-third of the patients who were negative for BTX-B Abs at baseline became positive for BTX-B Abs at last visit. Thus, the high antigenicity of BTX-B limits its long- term efficacy.
引用
收藏
页码:2233 / 2235
页数:3
相关论文
共 10 条
[1]
The use of botulinum toxin type-B in the treatment of patients who have become unresponsive to botulinum toxin type-A - initial experiences [J].
Barnes, MP ;
Best, D ;
Kidd, L ;
Roberts, B ;
Stark, S ;
Weeks, P ;
Whitaker, J .
EUROPEAN JOURNAL OF NEUROLOGY, 2005, 12 (12) :947-955
[2]
Long-term safety, efficacy, dosing, and development of resistance with botulinum toxin type B in cervical dystonia [J].
Berman, B ;
Seeberger, L ;
Kumar, R .
MOVEMENT DISORDERS, 2005, 20 (02) :233-237
[3]
Comparison of botulinum toxin serotypes A and B for the treatment of cervical dystonia [J].
Comella, CL ;
Jankovic, J ;
Shannon, KM ;
Tsui, J ;
Swenson, M ;
Leurgans, S ;
Fan, W .
NEUROLOGY, 2005, 65 (09) :1423-1429
[4]
Consky ES, 1994, Ther Botulinum Toxin, P211
[5]
Cross reaction of tetanus and botulinum neurotoxins A and B and the boosting effect of botulinum neurotoxins A and B on a primary anti-tetanus antibody response [J].
Dolimbek, BZ ;
Jankovic, J ;
Atassi, MZ .
IMMUNOLOGICAL INVESTIGATIONS, 2002, 31 (3-4) :247-262
[6]
Mouse diaphragm assay for detection of antibodies against botulinum toxin type B [J].
Dressler, D ;
Lange, M ;
Bigalke, H .
MOVEMENT DISORDERS, 2005, 20 (12) :1617-1619
[7]
Efficacy and safety of repeated doses of botulinum toxin type B in type a resistant and responsive cervical dystonia [J].
Factor, SA ;
Molho, ES ;
Evans, S ;
Feustel, PJ .
MOVEMENT DISORDERS, 2005, 20 (09) :1152-1160
[8]
Botulinum toxin in clinical practice [J].
Jankovic, J .
JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 2004, 75 (07) :951-957
[9]
Variability of the immunologic and clinical response in dystonic patients immunoresistant to botulinum toxin injections [J].
Sankhla, C ;
Jankovic, J ;
Duane, D .
MOVEMENT DISORDERS, 1998, 13 (01) :150-154
[10]
Autonomic function after botulinum toxin type A or B: A double-blind, randomized trial [J].
Tintner, R ;
Gross, R ;
Winzer, UF ;
Smalky, KA ;
Jankovic, J .
NEUROLOGY, 2005, 65 (05) :765-767