Toxins, 2020 · DOI: 10.3390/toxins12080491 · Published: July 31, 2020
Botulinum neurotoxin type A (BoNT/A) is a powerful therapeutic agent used to treat various neurological disorders. It works by blocking the formation of SNARE complexes, which are essential for vesicle release, through the specific cleavage of SNAP-25 protein. This study demonstrates the remarkable ability of BoNT/A to counteract paralysis and pain insensitivity in a mouse model of severe spinal cord injury (SCI). Administered spinally within one hour of the trauma, the toxin exhibits long-lasting action, up to 60 days, leading to the complete recovery of muscle and motor function. The findings suggest that BoNT/A modulates the hyperreactivity of neuroglia induced by SCI, promotes axonal restoration, and prevents secondary cell death and damage. The study also confirms the anti-nociceptive action of BoNT/A in SCI-induced neuropathic pain.
BoNT/A can be a therapeutic intervention to recover motor output and sensitivity and to prevent NeP development in a model of moderate SCI.
BoNT/A is able to interfere with the glial scar formation and microglia activation allowing a gradual progression toward the recovery.
BoNT/A was able to reduce tissue damage and neuronal loss and to promote motoneurons’ survival