ROLE OF ANTIBODY PRODUCTION IN THE FORMATION OF RESISTANCE TO BOTULOTOXIN A DRUGS


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Abstract

Injections of botulotoxin A are among the most frequently used procedures in esthetic medicine. Botulo toxin A is a protein, the main mechanism of its elimination is antibody production. Hence, the production of antibodies specific to botulotoxin drugs can become the cause of botulin therapy inefficiency. However, some authors claim that the development of botulin therapy resistance is not caused by antibody production. An original method for detection of antibodies to botulotoxin A drugs is suggested, based on enzyme immu noassay. Antibodies to botulotoxin A were found in 64% of 119 patients (114 women and 5 men, mean age 40 ± 9 years), who received low-dose botulin therapy for esthetic indications (disport 60—200 Units, botox 20—100 Units). Antibodies were found in patients with good effect and with failure of therapy. Antibodies to botulotoxin A were also found in 24% donors without history of contacts with botulotoxin. The results indicate that antibody production is a factor essential for the efficiency of botulin therapy, as it can reduce its efficiency. However, antibody production is presumably not the main factor and not the only one, and further studies are needed to detect these other factors.

About the authors

T. N Korolkova

I.I.Metchnikov North Western State Medical University

доктор мед. наук, профессор

V. O Matytsin

I.I.Metchnikov North Western State Medical University

Email: matitsin@list.ru
кандидат мед. наук

A. M Ivanov

S.M.Kirov Military Medical Academy

доктор мед. наук, профессор

T. G Dovbeshko

I.I.Metchnikov North Western State Medical University

ассистент

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