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  • Review
  • Open Access
48 Citations
25,948 Views
21 Pages

Best Practice Guidelines for the Management of Patients with Post-Stroke Spasticity: A Modified Scoping Review

  • Areerat Suputtitada,
  • Supattana Chatromyen,
  • Carl P. C. Chen and
  • David M. Simpson

10 February 2024

This article aims to provide a concise overview of the best available evidence for managing post-stroke spasticity. A modified scoping review, conducted following the PRISMA guidelines and the PRISMA Extension for Scoping Reviews (PRISMA-ScR), involv...

  • Article
  • Open Access
5 Citations
22,961 Views
14 Pages

17 February 2024

This study introduces the Lines and Dots (LADs) technique, a new approach for administering botulinum toxin type A (BoNT-A) in treating forehead wrinkles. (1) Background: BoNT-A application patterns in the forehead often rely solely on the anatomy of...

  • Review
  • Open Access
44 Citations
22,211 Views
20 Pages

Bee Venom: Composition and Anticancer Properties

  • Goran Gajski,
  • Elina Leonova and
  • Nikolajs Sjakste

29 February 2024

Among the various natural compounds used in alternative and Oriental medicine, toxins isolated from different organisms have had their application for many years, and Apis mellifera venom has been studied the most extensively. Numerous studies dealin...

  • Review
  • Open Access
86 Citations
21,568 Views
16 Pages

Aflatoxin Contamination: An Overview on Health Issues, Detection and Management Strategies

  • Meera Mohamed Alameri,
  • Amanda Shen-Yee Kong,
  • Mariam Nasser Aljaafari,
  • Hajer Al Ali,
  • Khadija Eid,
  • Maryam Al Sallagi,
  • Wan-Hee Cheng,
  • Aisha Abushelaibi,
  • Swee-Hua Erin Lim and
  • Kok-Song Lai
  • + 1 author

28 March 2023

Aflatoxins (AFs) represent one of the main mycotoxins produced by Aspergillus flavus and Aspergillus parasiticus, with the most prevalent and lethal subtypes being AFB1, AFB2, AFG1, and AFG2. AFs are responsible for causing significant public health...

  • Perspective
  • Open Access
2 Citations
21,389 Views
23 Pages

Consensus on the Cosmetic Use of a Novel Botulinum Neurotoxin Type A Product (NEWLUX®) for Facial Expression Muscles: 2024 Guidelines and Discussions by Korean Experts

  • Nark-Kyoung Rho,
  • Gee Young Bae,
  • Moon Seop Choi,
  • Woon-Kyong Chung,
  • Hoon-Young Kim,
  • Hyoung Moon Kim,
  • Hong-Ki Lee,
  • Yong Woo Lee,
  • Wook Oh and
  • Wu-Chul Song

29 January 2025

Background: Botulinum neurotoxin type A (BoNTA) is widely used in aesthetic facial rejuvenation medicine. The exponential growth in using BoNTA for cosmetic purposes in Korea necessitates an update to the existing practice guidelines, building upon t...

  • Review
  • Open Access
3 Citations
19,565 Views
19 Pages

The Role of Botulinum Toxin for Masseter Muscle Hypertrophy: A Comprehensive Review

  • Martina Ferrillo,
  • Eleonora Sommadossi,
  • Loredana Raciti,
  • Dario Calafiore,
  • Kamal Mezian,
  • Valeria Tarantino,
  • Michele Vecchio,
  • Umile Giuseppe Longo,
  • Luigi Losco and
  • Alessandro de Sire

14 February 2025

Masticatory muscle hypertrophy (MMH) is a rare clinical phenomenon of uncertain etiology, characterized by a soft swelling near the angle of the jaw. This abnormal enlargement of the masseter muscle can alter the facial profile, leading to aesthetic...

  • Review
  • Open Access
46 Citations
19,199 Views
27 Pages

8 September 2023

Vaccines are one of the most effective strategies to prevent pathogen-induced illness in humans. The earliest vaccines were based on live inoculations with low doses of live or related pathogens, which carried a relatively high risk of developing the...

  • Review
  • Open Access
6 Citations
15,713 Views
23 Pages

From Toxin to Treatment: A Narrative Review on the Use of Botulinum Toxin for Autonomic Dysfunction

  • Lucas Rempel,
  • Raza N. Malik,
  • Claire Shackleton,
  • Martín Calderón-Juárez,
  • Rahul Sachdeva and
  • Andrei V. Krassioukov

10 February 2024

Since its regulatory approval over a half-century ago, botulinum toxin has evolved from one of the most potent neurotoxins known to becoming routinely adopted in clinical practice. Botulinum toxin, a highly potent neurotoxin produced by Clostridium b...

  • Review
  • Open Access
5 Citations
15,569 Views
20 Pages

Human Deaths Related to Oleander Poisoning: A Review of the Literature

  • Matteo Antonio Sacco,
  • Saverio Gualtieri,
  • Aurora Princi,
  • Alessandro Pasquale Tarallo,
  • Maria Cristina Verrina,
  • Lucia Tarda,
  • Luca Calanna,
  • Santo Gratteri and
  • Isabella Aquila

1 March 2025

Oleander poisoning, resulting from the ingestion of Nerium oleander or Thevetia peruviana, is a serious toxicological issue in various parts of the world, particularly in regions where these plants grow abundantly and are easily accessible. Oleander...

  • Review
  • Open Access
19 Citations
15,424 Views
15 Pages

Ultrasound-Guided Botulinum Toxin-A Injections into the Masseter Muscle for Both Medical and Aesthetic Purposes

  • Marius Nicolae Popescu,
  • Cristina Beiu,
  • Carmen Andrada Iliescu,
  • Andreea Racoviță,
  • Mihai Berteanu,
  • Mădălina Gabriela Iliescu,
  • Ana Maria Alexandra Stănescu,
  • Diana Sabina Radaschin and
  • Liliana Gabriela Popa

24 September 2024

With the increasing use of Botulinum toxin type A (BoNT-A) injections in the masseter muscles for both medical and aesthetic purposes, there is a constant need to continually enhance the efficacy of these treatments and reduce the risk of potential a...

  • Feature Paper
  • Review
  • Open Access
117 Citations
14,988 Views
23 Pages

3 March 2023

Fusarium head blight (FHB) is a major threat for wheat production worldwide. Most reviews focus on Fusarium graminearum as a main causal agent of FHB. However, different Fusarium species are involved in this disease complex. These species differ in t...

  • Article
  • Open Access
127 Citations
14,606 Views
15 Pages

10 October 2023

Harmful algal blooms (HABs) are a serious threat to ecosystems and human health. The accurate prediction of HABs is crucial for their proactive preparation and management. While mechanism-based numerical modeling, such as the Environmental Fluid Dyna...

  • Review
  • Open Access
16 Citations
14,542 Views
46 Pages

8 April 2024

Bacterial protein toxins are secreted by certain bacteria and are responsible for mild to severe diseases in humans and animals. They are among the most potent molecules known, which are active at very low concentrations. Bacterial protein toxins exh...

  • Review
  • Open Access
101 Citations
14,507 Views
41 Pages

28 July 2023

Cereal grains are the most important food staples for human beings and livestock animals. They can be processed into various types of food and feed products such as bread, pasta, breakfast cereals, cake, snacks, beer, complete feed, and pet foods. Ho...

  • Review
  • Open Access
76 Citations
14,088 Views
15 Pages

Ochratoxin A: Overview of Prevention, Removal, and Detoxification Methods

  • Lijuan Ding,
  • Meihua Han,
  • Xiangtao Wang and
  • Yifei Guo

8 September 2023

Ochratoxins are the secondary metabolites of Penicillium and Aspergillus, among which ochratoxin A (OTA) is the most toxic molecule. OTA is widely found in food and agricultural products. Due to its severe nephrotoxicity, immunotoxicity, neurotoxicit...

  • Review
  • Open Access
28 Citations
13,803 Views
40 Pages

Antibacterial Activity and Antifungal Activity of Monomeric Alkaloids

  • Amin Mahmood Thawabteh,
  • Aseel Wasel Ghanem,
  • Sara AbuMadi,
  • Dania Thaher,
  • Weam Jaghama,
  • Rafik Karaman,
  • Laura Scrano and
  • Sabino A. Bufo

12 November 2024

Scientists are becoming alarmed by the rise in drug-resistant bacterial and fungal strains, which makes it more costly, time-consuming, and difficult to create new antimicrobials from unique chemical entities. Chemicals with pharmacological qualities...

  • Review
  • Open Access
11 Citations
13,709 Views
25 Pages

Anthrax: Transmission, Pathogenesis, Prevention and Treatment

  • Nitika Sangwan,
  • Aakriti Gangwal,
  • Preksha Jain,
  • Chokey Langtso,
  • Shruti Srivastava,
  • Uma Dhawan,
  • Renu Baweja and
  • Yogendra Singh

24 January 2025

Bacillus anthracis is a deadly pathogen that under unfavourable conditions forms highly resistant spores which enable them to survive for a long period of time. Spores of B. anthracis are transmitted through the contaminated soil or animal products a...

  • Review
  • Open Access
23 Citations
13,641 Views
29 Pages

4 June 2024

Botulinum neurotoxins (BoNTs) have been used for almost half a century in the treatment of excessive muscle contractility. BoNTs are routinely used to treat movement disorders such as cervical dystonia, spastic conditions, blepharospasm, and hyperhid...

  • Article
  • Open Access
29 Citations
13,605 Views
16 Pages

Neutralizing Antibody Formation with OnabotulinumtoxinA (BOTOX®) Treatment from Global Registration Studies across Multiple Indications: A Meta-Analysis

  • Joseph Jankovic,
  • Jean Carruthers,
  • Markus Naumann,
  • Patricia Ogilvie,
  • Terry Boodhoo,
  • Mayssa Attar,
  • Swati Gupta,
  • Ritu Singh,
  • John Soliman and
  • Jie Shen
  • + 2 authors

17 May 2023

Though the formation of neutralizing antibodies (NAbs) during treatment with botulinum neurotoxin is rare, their presence may nonetheless affect the biological activity of botulinum toxin and negatively impact clinical response. The goal of this upda...

  • Communication
  • Open Access
12 Citations
13,105 Views
7 Pages

7 March 2023

Stiff knee gait (SKG) is defined as decreased knee flexion during the swing phase. It is one of the most common gait disorders following stroke. Knee extensor spasticity is commonly accepted as the primary cause. Clinical management has focused on th...

  • Article
  • Open Access
6 Citations
12,983 Views
14 Pages

18 April 2023

The present study assessed muscular atrophy and weakness of the flexor digitorum superficialis (FDS) and profundus (FDP) muscle as possible long-term side effects of botulinum toxin (BoNT) injections in hand dystonia patients after the termination of...

  • Review
  • Open Access
4 Citations
12,541 Views
20 Pages

Botulinum Toxin Injections to Manage Sequelae of Peripheral Facial Palsy

  • Fabienne Carré,
  • Jérémy Amar,
  • Frédéric Tankéré and
  • Claire Foirest

20 March 2024

Long-standing facial palsy sequelae cause functional, aesthetic, and psychological problems in patients. Botulinum toxin is an effective way to manage them, but no standardized recommendations exist. Through this non-systematic review, we aimed to gu...

  • Review
  • Open Access
6 Citations
12,461 Views
15 Pages

Therapeutic Potential of Bee and Wasp Venom in Anti-Arthritic Treatment: A Review

  • Hongmei Sun,
  • Yunxia Qu,
  • Xiaojing Lei,
  • Qingzhu Xu,
  • Siming Li,
  • Zhengmei Shi,
  • Huai Xiao,
  • Chenggui Zhang and
  • Zhibin Yang

22 October 2024

Arthritis has a high global prevalence. During the early ancient human era, bee (Apis) venom therapy was employed in Egypt, Greece, and China to alleviate ailments such as arthritis and neuralgia. In addition, bee venom has long been used as a tradit...

  • Review
  • Open Access
14 Citations
12,124 Views
20 Pages

10 February 2024

The formation of neutralizing antibodies is a growing concern in the use of botulinum neurotoxin A (BoNT/A) as it may result in secondary treatment failure. Differences in the immunogenicity of BoNT/A formulations have been attributed to the presence...

  • Review
  • Open Access
48 Citations
12,053 Views
21 Pages

18 September 2023

Dried fruits are popular and nutritious snacks consumed worldwide due to their long shelf life and concentrated nutrient content. However, fruits can be contaminated with various toxigenic fungal species during different stages, including cultivation...

  • Review
  • Open Access
70 Citations
11,604 Views
42 Pages

T-2 and HT-2 Toxins: Toxicity, Occurrence and Analysis: A Review

  • Julie Meneely,
  • Brett Greer,
  • Oluwatobi Kolawole and
  • Christopher Elliott

29 July 2023

One of the major classes of mycotoxins posing serious hazards to humans and animals and potentially causing severe economic impact to the cereal industry are the trichothecenes, produced by many fungal genera. As such, indicative limits for the sum o...

  • Review
  • Open Access
19 Citations
11,531 Views
42 Pages

The Role of Botulinum Toxin Type-A in Spasticity: Research Trends from a Bibliometric Analysis

  • Salvatore Facciorusso,
  • Stefania Spina,
  • Alessandro Picelli,
  • Alessio Baricich,
  • Gerard E. Francisco,
  • Franco Molteni,
  • Jörg Wissel and
  • Andrea Santamato

9 April 2024

Botulinum toxin type-A (BoNT-A) has emerged as a key therapeutic agent for the management of spasticity. This paper presents a comprehensive bibliometric and visual analysis of research concerning BoNT-A treatment of spasticity to elucidate current t...

  • Review
  • Open Access
42 Citations
11,526 Views
38 Pages

Understanding the Risks of Diffusion of Cyanobacteria Toxins in Rivers, Lakes, and Potable Water

  • Amin Mahmood Thawabteh,
  • Hani A Naseef,
  • Donia Karaman,
  • Sabino A. Bufo,
  • Laura Scrano and
  • Rafik Karaman

20 September 2023

Blue-green algae, or cyanobacteria, may be prevalent in our rivers and tap water. These minuscule bacteria can grow swiftly and form blooms in warm, nutrient-rich water. Toxins produced by cyanobacteria can pollute rivers and streams and harm the liv...

  • Review
  • Open Access
18 Citations
11,325 Views
27 Pages

30 June 2025

Aflatoxins, toxic secondary metabolites produced primarily by Aspergillus flavus and Aspergillus parasiticus, pose significant risks to food safety, public health, and global trade. These mycotoxins contaminate staple crops such as maize and peanuts,...

  • Systematic Review
  • Open Access
10 Citations
11,132 Views
24 Pages

Botulinum Toxin Injections for Psychiatric Disorders: A Systematic Review of the Clinical Trial Landscape

  • Ilya Demchenko,
  • Alyssa Swiderski,
  • Helen Liu,
  • Hyejung Jung,
  • Wendy Lou and
  • Venkat Bhat

15 April 2024

Botulinum toxin type A (BONT-A) has shown promise in improving the mood-related symptoms of psychiatric disorders by targeting muscles linked to the expression of negative emotions. We conducted a systematic review of past and ongoing efficacy trials...

  • Review
  • Open Access
20 Citations
11,029 Views
36 Pages

Update on Non-Interchangeability of Botulinum Neurotoxin Products

  • Mitchell F. Brin,
  • Mariana Nelson,
  • Nazanin Ashourian,
  • Amy Brideau-Andersen and
  • John Maltman

10 June 2024

The growing use of botulinum neurotoxins (BoNTs) for medical and aesthetic purposes has led to the development and marketing of an increasing number of BoNT products. Given that BoNTs are biological medications, their characteristics are heavily infl...

  • Article
  • Open Access
1 Citations
10,868 Views
13 Pages

A Study of Combined Onabotulinumtoxin A and Hyaluronic Acid Filler for the Treatment of Enlarged Facial Pores

  • Vasanop Vachiramon,
  • Sonphet Chirasuthat,
  • Suphagan Boonpethkaew,
  • Nawara Sakpuwadol,
  • Tanat Yongpisarn and
  • Natthachat Jurairattanaporn

15 January 2025

Introduction: Enlarged facial pores are a common cosmetic concern caused by excessive sebum production, visible hair shafts, and a reduction in skin elasticity, leading to a decrease in skin quality and overall appearance. Various treatment modalitie...

  • Systematic Review
  • Open Access
9 Citations
10,794 Views
31 Pages

14 March 2025

Active compounds from natural sources, particularly snake venoms, are crucial for pharmaceutical development despite challenges in drug discovery. Snake venoms, historically used for medicinal purposes, contain bioactive peptides and enzymes that sho...

  • Review
  • Open Access
3 Citations
10,544 Views
17 Pages

Botulinum Toxin for Bruxism: An Overview

  • Manuella Salm Coelho,
  • Júlia Meller Dias de Oliveira,
  • Helena Polmann,
  • Patrícia Pauletto,
  • Cristine Miron Stefani,
  • Lara Catarine De Luca Maciel and
  • Graziela De Luca Canto

16 May 2025

This overview aimed at assessing botulinum toxin type A (BoNT-A)’s effectiveness in managing bruxism compared to a placebo, the absence of treatment, or other interventions in adults. Only systematic reviews (SRs), with or without a meta-analys...

  • Review
  • Open Access
10 Citations
10,427 Views
41 Pages

A Review of Rattlesnake Venoms

  • Phuc Phan,
  • Anant Deshwal,
  • Tyler Anthony McMahon,
  • Matthew Slikas,
  • Elodie Andrews,
  • Brian Becker and
  • Thallapuranam Krishnaswamy Suresh Kumar

19 December 2023

Venom components are invaluable in biomedical research owing to their specificity and potency. Many of these components exist in two genera of rattlesnakes, Crotalus and Sistrurus, with high toxicity and proteolytic activity variation. This review fo...

  • Review
  • Open Access
15 Citations
10,061 Views
19 Pages

2 January 2024

The jelleine family is a group of four peptides (jelleines I–IV) originally isolated from the royal jelly of honey bee (Apis mellifera), but later detected in some honey samples. These oligopeptides are composed of 8–9 amino acid residues...

  • Review
  • Open Access
4 Citations
10,002 Views
28 Pages

22 August 2023

Since the early 2000s, studies of the evolution of venom within animals have rapidly expanded, offering new revelations on the origins and development of venom within various species. The venomous mammals represent excellent opportunities to study ve...

  • Review
  • Open Access
59 Citations
10,001 Views
19 Pages

Plant Toxic Proteins: Their Biological Activities, Mechanism of Action and Removal Strategies

  • Emine Kocyigit,
  • Betul Kocaadam-Bozkurt,
  • Osman Bozkurt,
  • Duygu Ağagündüz and
  • Raffaele Capasso

24 May 2023

Plants evolve to synthesize various natural metabolites to protect themselves against threats, such as insects, predators, microorganisms, and environmental conditions (such as temperature, pH, humidity, salt, and drought). Plant-derived toxic protei...

  • Review
  • Open Access
36 Citations
9,877 Views
24 Pages

17 April 2023

The effects of global warming are not limited to rising global temperatures and have set in motion a complex chain of events contributing to climate change. A consequence of global warming and the resultant climate change is the rise in cyanobacteria...

  • Review
  • Open Access
3 Citations
9,766 Views
18 Pages

Understanding Clinical Effectiveness and Safety Implications of Botulinum Toxin in Children: A Narrative Review of the Literature

  • Salvatore Crisafulli,
  • Francesco Ciccimarra,
  • Zakir Khan,
  • Francesco Maccarrone and
  • Gianluca Trifirò

4 July 2024

Since its first approval by the Food and Drug Administration in 1989 for strabismus, botulinum toxin indications of use have been widely expanded. Due to its anticholinergic properties, this toxin is currently approved in adult patients for the treat...

  • Review
  • Open Access
15 Citations
9,731 Views
24 Pages

A Guide to the Clinical Management of Vipera Snakebite in Italy

  • Matteo Riccardo Di Nicola,
  • Marta Crevani,
  • Ignazio Avella,
  • Anna Cerullo,
  • Jean-Lou C. M. Dorne,
  • Giovanni Paolino and
  • Caterina Zattera

31 May 2024

The genus Vipera encompasses most species of medically significant venomous snakes of Europe, with Italy harbouring four of them. Envenomation by European vipers can result in severe consequences, but underreporting and the absence of standardised cl...

  • Review
  • Open Access
11 Citations
9,645 Views
15 Pages

Emerging Plant Intoxications in Domestic Animals: A European Perspective

  • Andras-Laszlo Nagy,
  • Sabrina Ardelean,
  • Ronan J. J. Chapuis,
  • Juliette Bouillon,
  • Dalma Pivariu,
  • Alexandra Iulia Dreanca and
  • Francesca Caloni

4 July 2023

Exposure to phytotoxins that are present in imported ornamental or native plants is an important cause of animal disease. Factors such as animal behaviors (especially indoor pets), climate change, and an increase in the global market for household an...

  • Article
  • Open Access
9,628 Views
19 Pages

26 September 2025

Mamba (Dendroaspis species) snakebites are critical medical emergencies across sub-Saharan Africa. Envenomings can result in the rapid onset of complex neurotoxic symptoms, often leading to high rates of mortality without timely intervention with ant...

  • Review
  • Open Access
20 Citations
9,562 Views
11 Pages

24 August 2023

Snake envenomation remains an important yet neglected medical problem in many countries, with around five million people affected, and over a hundred thousand deaths annually. Plasma-derived antivenoms are the main therapeutic agent available. Monova...

  • Systematic Review
  • Open Access
8 Citations
9,559 Views
19 Pages

25 March 2025

Botulinum toxin (BoNT) is well-recognized throughout dermatology for its cosmetic indications and growing therapeutic value. Recent studies have trialed BoNT in the treatment of hair and scalp disorders, many of which lack long-term effective treatme...

  • Feature Paper
  • Article
  • Open Access
12 Citations
9,440 Views
16 Pages

Microcystins and Cyanobacterial Contaminants in the French Small-Scale Productions of Spirulina (Limnospira sp.)

  • Pierre-Etienne Pinchart,
  • Amandine Leruste,
  • Vanina Pasqualini and
  • Felice Mastroleo

24 May 2023

Spirulina is consumed worldwide, in the form of food or dietary supplements, for its nutritional value and health potential. However, these products may contain cyanotoxins, including hepatotoxic microcystins (MCs), produced by cyanobacterial contami...

  • Review
  • Open Access
22 Citations
9,286 Views
44 Pages

9 January 2025

It has been known since the early days of the discovery of aflatoxin B1 (AFB1) that there were large species differences in susceptibility to AFB1. It was also evident early on that AFB1 itself was not toxic but required bioactivation to a reactive f...

  • Review
  • Open Access
33 Citations
9,194 Views
30 Pages

Freshwater Cyanobacterial Toxins, Cyanopeptides and Neurodegenerative Diseases

  • Galina Nugumanova,
  • Eugene D. Ponomarev,
  • Sholpan Askarova,
  • Elizaveta Fasler-Kan and
  • Natasha S. Barteneva

21 March 2023

Cyanobacteria produce a wide range of structurally diverse cyanotoxins and bioactive cyanopeptides in freshwater, marine, and terrestrial ecosystems. The health significance of these metabolites, which include genotoxic- and neurotoxic agents, is con...

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Toxins - ISSN 2072-6651