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Clinico-immunologic aspects of botulinum toxin type B treatment of cervical dystonia
Authors: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
Affiliation:Parkinson's Disease Center and Movement Disorders Clinic, Department of Neurology, Baylor College of Medicine, 6550 Fannin, Suite 1801, Houston, TX 77030, USA. josephj@bcm.tmc.edu
Abstract: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.
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