Abstract
Botulinum toxin is an incredibly potent neurotoxin produced by the bacteria Clostridium botulinum. There are eight known serotypes (A, B, C1, C2, D, E, F, G) of the toxin, of which toxins A and B are the most utilized today for their use in beauty and cosmetic dermatology. Although it has become widely known for its use in cosmetic dermatology, this toxin has not always been met with such popularity. While the earliest anecdotes of the toxin were from the late eighteenth century, it was not until the nineteenth century when the toxin was first isolated and consequently named. Finally, the late twentieth century heralded the first therapeutic use of botulinum toxin in medicine, where it was used to treat strabismus. Furthermore, the cosmetic and beauty industry has revolutionized its use. Botulinum toxin has indications in medical treatment outside of cosmetic dermatology, such as for hyperhidrosis, migraines, and focal dystonias. As the future of medicine continues to evolve, additional therapeutic uses of botulinum toxin may appear right around the corner. By understanding the history of this once feared neurotoxin, one can truly begin to appreciate its journey – from poison to therapy.
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Abbreviations
- BoNT:
-
Botulinum neurotoxin
- OnabotA:
-
OnabotulinumtoxinA
- MDD:
-
Major depressive disorder
References
Andrews, T. C., Reimold, S. C., Berlin, J. A., & Antman, E. M. (1991). Prevention of supraventricular arrhythmias after coronary artery bypass surgery. A meta-analysis of randomized control trials. Circulation, 84(5 Suppl), III236–III244.
Arnon, S. S., Schechter, R., Inglesby, T. V., et al. (2001). Botulinum toxin as a biological weapon: Medical and public health management. Journal of the American Medical Association, 285(8), 1059–1070.
Blitzer, A., Brin, M. F., & Stewart, C. F. (2015). Botulinum toxin management of spasmodic dysphonia (laryngeal dystonia): A 12-year experience in more than 900 patients. The Laryngoscope, 125(8), 1751–1757.
Borodic, G., Johnson, E., Goodnough, M., & Schantz, E. (1996). Botulinum toxin therapy, immunologic resistance, and problems with available materials. Neurology, 46(1), 26–29.
Brandt, F., O’Connell, C., Cazzaniga, A., & Waugh, J. M. (2010). Efficacy and safety evaluation of a novel botulinum toxin topical gel for the treatment of moderate to severe lateral canthal lines. Dermatologic Surgery, 36(Suppl 4), 2111–2118.
Brin, M. F., Durgam, S., Lum, A., et al. (2020). OnabotulinumtoxinA for the treatment of major depressive disorder: A phase 2 randomized, double-blind, placebo-controlled trial in adult females. International Clinical Psychopharmacology, 35(1), 19–28.
Charlton, O. A., Stewart, T. J., & Rosen, R. H. (2018). Treatment of Hailey-Hailey disease with botulinum toxin. The Australasian Journal of Dermatology, 59(3), 229–231.
Chen, S. (2012). Clinical uses of botulinum neurotoxins: Current indications, limitations and future developments. Toxins (Basel), 4(10), 913–939.
Chuang, Y. C., Yoshimura, N., Huang, C. C., Wu, M., Chiang, P. H., & Chancellor, M. B. (2009). Intravesical botulinum toxin A administration inhibits COX-2 and EP4 expression and suppresses bladder hyperactivity in cyclophosphamide-induced cystitis in rats. European Urology, 56(1), 159–166.
Chung, E. (2015). Botulinum toxin in urology: A review of clinical potential in the treatment of urologic and sexual conditions. Expert Opinion on Biological Therapy, 15(1), 95–102.
Creswell, L. L., Schuessler, R. B., Rosenbloom, M., & Cox, J. L. (1993). Hazards of postoperative atrial arrhythmias. The Annals of Thoracic Surgery, 56(3), 539–549.
Datta Gupta, A., Visvanathan, R., Cameron, I., Koblar, S. A., Howell, S., & Wilson, D. (2019). Efficacy of botulinum toxin in modifying spasticity to improve walking and quality of life in post-stroke lower limb spasticity – a randomized double-blind placebo controlled study. BMC Neurology, 19(1), 96.
Erbguth, F. J. (2004). Historical notes on botulism, Clostridium botulinum, botulinum toxin, and the idea of the therapeutic use of the toxin. Movement Disorders, 19(Suppl 8), S2–S6.
Erbguth, F. J. (2008). From poison to remedy: The chequered history of botulinum toxin. Journal of Neural Transmission (Vienna), 115(4), 559–565.
Erbguth, F. J., & Naumann, M. (1999). Historical aspects of botulinum toxin: Justinus Kerner (1786–1862) and the “sausage poison”. Neurology, 53(8), 1850–1853.
Filardo, G., Hamilton, C., Hebeler, R. F., Jr., Hamman, B., & Grayburn, P. (2009). New-onset postoperative atrial fibrillation after isolated coronary artery bypass graft surgery and long-term survival. Circulation. Cardiovascular Quality and Outcomes, 2(3), 164–169.
Finzi, E., & Rosenthal, N. E. (2014). Treatment of depression with onabotulinumtoxin A: A randomized, double-blind, placebo controlled trial. Journal of Psychiatric Research, 52, 1–6.
Finzi, E., & Wasserman, E. (2006). Treatment of depression with botulinum toxin A: A case series. Dermatologic Surgery, 32(5), 645–649; discussion 649–650.
Garayar Cantero, M., Delgado Mucientes, C., & Munoz Fernandez-Lomana, C. (2018). Use of botulinum toxin in the treatment of aquagenic keratoderma: One case report. Dermatologic Therapy, 31(5), e12689.
Geissler, E., & van Courtland Moon, J. E. (1999). Biological and toxin weapons: research, development and use from the Middle Ages to 1945. New York: Oxford University Press.
Grando, S. A., & Zachary, C. B. (2018). The non-neuronal and nonmuscular effects of botulinum toxin: An opportunity for a deadly molecule to treat disease in the skin and beyond. The British Journal of Dermatology, 178(5), 1011–1019.
Greenberg, J. W., Lancaster, T. S., Schuessler, R. B., & Melby, S. J. (2017). Postoperative atrial fibrillation following cardiac surgery: A persistent complication. European Journal of Cardio-Thoracic Surgery, 52(4), 665–672.
Henderson, D. A., Inglesby, T. V., Bartlett, J. G., et al. (1999). Smallpox as a biological weapon: Medical and public health management. Working group on Civilian Biodefense. JAMA, 281(22), 2127–2137.
Hexsel, D., Brum, C., Siega, C., et al. (2013). Evaluation of self-esteem and depression symptoms in depressed and nondepressed subjects treated with onabotulinumtoxin A for glabellar lines. Dermatologic Surgery, 39(7), 1088–1096.
Inglesby, T. V., Henderson, D. A., Bartlett, J. G., et al. (1999). Anthrax as a biological weapon: Medical and public health management. Working group on Civilian Biodefense. JAMA, 281(18), 1735–1745.
Karsenty, G., Rocha, J., Chevalier, S., et al. (2009). Botulinum toxin type A inhibits the growth of LNCaP human prostate cancer cells in vitro and in vivo. The Prostate, 69(11), 1143–1150.
Kreyden, O. P., Geiges, M. L., Boni, R., & Burg, G. (2000). [Botulinum toxin: From poison to drug. A historical review]. Der Hautarzt, 51(10), 733–737.
Krul, S. P. J., Berger, W. R., Veldkamp, M. W., et al. (2015). Treatment of atrial and ventricular arrhythmias through autonomic modulation. JACC Clinical Electrophysiology, 1(6), 496–508.
Lacy, B. E., Weiser, K., & Kennedy, A. (2008). Botulinum toxin and gastrointestinal tract disorders: Panacea, placebo, or pathway to the future? Gastroenterology and Hepatology (New York), 4(4), 283–295.
Lamb, A. (2001). Biological weapons: The facts not the fiction. Clinical Medicine (London, England), 1(6), 502–504.
Loyo, M., & Kontis, T. C. (2013). Cosmetic botulinum toxin: Has it replaced more invasive facial procedures? Facial Plastic Surgery Clinics of North America, 21(2), 285–298.
Magid, M., Reichenberg, J. S., Poth, P. E., et al. (2014). Treatment of major depressive disorder using botulinum toxin A: A 24-week randomized, double-blind, placebo-controlled study. The Journal of Clinical Psychiatry, 75(8), 837–844.
Menard, C., Hodes, G. E., & Russo, S. J. (2016). Pathogenesis of depression: Insights from human and rodent studies. Neuroscience, 321, 138–162.
Motegi, S. I., Uehara, A., Yamada, K., et al. (2017). Efficacy of botulinum toxin B injection for Raynaud’s phenomenon and digital ulcers in patients with systemic sclerosis. Acta Dermato-Venereologica, 97(7), 843–850.
Oh, S., Choi, E. K., Zhang, Y., & Mazgalev, T. N. (2011). Botulinum toxin injection in epicardial autonomic ganglia temporarily suppresses vagally mediated atrial fibrillation. Circulation. Arrhythmia and Electrophysiology, 4(4), 560–565.
Ossorio-Garcia, L., Collantes-Rodriguez, C., Villegas-Romero, I., & Linares-Barrios, M. (2018). Vegetating Darier disease treated with botulinum toxin. JAMA Dermatology, 154(1), 106–108.
Pokushalov, E., Kozlov, B., Romanov, A., et al. (2014). Botulinum toxin injection in epicardial fat pads can prevent recurrences of atrial fibrillation after cardiac surgery: Results of a randomized pilot study. Journal of the American College of Cardiology, 64(6), 628–629.
Romanov, A., Pokushalov, E., Ponomarev, D., et al. (2019). Long-term suppression of atrial fibrillation by botulinum toxin injection into epicardial fat pads in patients undergoing cardiac surgery: Three-year follow-up of a randomized study. Heart Rhythm, 16(2), 172–177.
Ruiz-Roca, J. A., Pons-Fuster, E., & Lopez-Jornet, P. (2019). Effectiveness of the botulinum toxin for treating Sialorrhea in patients with Parkinson’s disease: A systematic review. Journal of Clinical Medicine, 8(3):317.
Scott, A. B. (1980). Botulinum toxin injection into extraocular muscles as an alternative to strabismus surgery. Ophthalmology, 87(10), 1044–1049.
Scott, A. B. (2004). Development of botulinum toxin therapy. Dermatologic Clinics, 22(2), 131–133, v.
Sim, W. S. (2011). Application of botulinum toxin in pain management. The Korean Pain Society, 24(1), 1–6.
Sipahi Calis, A., Colakoglu, Z., & Gunbay, S. (2019). The use of botulinum toxin-a in the treatment of muscular temporomandibular joint disorders. Journal of Stomatology, Oral and Maxillofacial Surgery, 120(4), 322–325.
Smart, J. K. (1997). History of chemical and biological warfare: An American perspective (Vol. 3). Washington, DC: Office of the Surgeon General.
Stearns, T. P., Shad, M. U., & Guzman, G. C. (2018). Glabellar botulinum toxin injections in major depressive disorder: A critical review. Prim Care Companion CNS Disord, 20(5):18r02298.
Waldron, N. H., Cooter, M., Haney, J. C., et al. (2019). Temporary autonomic modulation with botulinum toxin type A to reduce atrial fibrillation after cardiac surgery. Heart Rhythm, 16(2), 178–184.
Wollmer, M. A., de Boer, C., Kalak, N., et al. (2012). Facing depression with botulinum toxin: A randomized controlled trial. Journal of Psychiatric Research, 46(5), 574–581.
Zamanian, A., Ghanbari Jolfaei, A., Mehran, G., & Azizian, Z. (2017). Efficacy of Botox versus placebo for treatment of patients with major depression. Iranian Journal of Public Health, 46(7), 982–984.
Zilinskas, R. A. (1997). Iraq's biological weapons. The past as future? Journal of the American Medical Association, 278(5), 418–424.
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Stratman, S., Fernandez, R., França, K. (2022). Botulinum Neurotoxin History. In: Kostrzewa, R.M. (eds) Handbook of Neurotoxicity. Springer, Cham. https://doi.org/10.1007/978-3-031-15080-7_199
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DOI: https://doi.org/10.1007/978-3-031-15080-7_199
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