Decoding Botox: Unraveling the Mechanism Behind Muscle Paralysis

What is botox?

  • Botox, a form of botulinum neurotoxin, disrupts neuronal communication, causing muscle paralysis. While therapeutic doses ease muscle spasms and treat migraines, high doses can lead to botulism, a potentially fatal disease.

How does botox work?

  1. Botox primarily uses botulinum toxin type A, a neurotoxin produced by the bacterium Clostridium botulinum.
  2. When injected into muscles, Botox blocks the signals from the nerves to the muscles. Normally, these nerve signals cause muscles to contract and move.
  3. The point where the nerve endings meet the muscle cells is called the neuromuscular junction. Botox interferes with the release of acetylcholine, a neurotransmitter responsible for transmitting signals from nerves to muscles.
  4. By preventing the release of acetylcholine, Botox induces temporary muscle paralysis. This effect is localised to the specific muscles where itโ€™s injected.

What is botulism and how can it be fatal?

  • The botulinum toxin affects the nervous system, causing muscle paralysis. This paralysis can extend to the muscles involved in breathing, leading to respiratory failure and death.

New research:

  • Recent molecular imaging research at the University of Queensland has unveiled the process by which Botox enters neurones, employing three receptors:
    1. polysialoganglioside (PSG)
    2. synaptic vesicle glycoprotein 2 (SV2)
    3. synaptotagmin 1 (Syt1).

This breakthrough has significant implications for developing drugs that could counteract the neurotoxic effects of Botox, potentially preventing paralysis and fatalities.

DOI: DOI: 10.15252/embj.2022112095

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