Source:http://linkedlifedata.com/resource/pubmed/id/19004549
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1-2
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pubmed:dateCreated |
2009-1-12
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pubmed:abstractText |
The present human study aimed at investigating the effect of subcutaneous administration of Botulinum toxin type A (BoNT/A) on capsaicin-induced trigeminal pain, neurogenic inflammation and experimentally induced cutaneous pain modalities. Fourteen healthy males (26.3+/-2.6 years) were included in this double-blind and placebo-controlled trial. The subjects received subcutaneous BoNT/A (22.5U) and isotonic saline in the mirror sides of their forehead. Pain and neurogenic inflammation was induced by four intradermal injections of capsaicin (100mug/muL) (before, and days 1, 3 and 7 after treatments). The capsaicin-induced pain intensity, pain area, the area of secondary hyperalgesia, the area of visible flare and vasomotor reactions were recorded together with cutaneous heat, electrical and pressure pain thresholds. BoNT/A reduced the capsaicin-induced trigeminal pain intensity compared to saline (F=37.9, P<0.001). The perceived pain area was smaller for the BoNT/A-treated side compared to saline (F=7.8, P<0.05). BoNT/A reduced the capsaicin-induced secondary hyperalgesia (F=5.3, P<0.05) and flare area (F=10.3, P<0.01) compared to saline. BoNT/A reduced blood flow (F(1,26)=109.5, P<0.001) and skin temperature (F(1,26)=63.1, P<0.001) at the capsaicin injection sites compared to saline and its suppressive effect was maximal at days 3 and 7 (P<0.05, post hoc test). BoNT/A elevated cutaneous heat pain thresholds (F=17.1, P<0.001) compared to saline; however, no alteration was recorded for electrical or pressure pain thresholds (P>0.05). Findings from the present study suggest that BoNT/A appears to preferentially target Cfibers and probably TRPV1-receptors, block neurotransmitter release and subsequently reduce pain, neurogenic inflammation and cutaneous heat pain threshold.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Jan
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pubmed:issn |
1872-6623
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pubmed:author | |
pubmed:issnType |
Electronic
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pubmed:volume |
141
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
60-9
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pubmed:dateRevised |
2010-11-18
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pubmed:meshHeading |
pubmed-meshheading:19004549-Adult,
pubmed-meshheading:19004549-Analysis of Variance,
pubmed-meshheading:19004549-Botulinum Toxins, Type A,
pubmed-meshheading:19004549-Capsaicin,
pubmed-meshheading:19004549-Double-Blind Method,
pubmed-meshheading:19004549-Humans,
pubmed-meshheading:19004549-Injections, Intradermal,
pubmed-meshheading:19004549-Laser-Doppler Flowmetry,
pubmed-meshheading:19004549-Male,
pubmed-meshheading:19004549-Neuromuscular Agents,
pubmed-meshheading:19004549-Pain Measurement,
pubmed-meshheading:19004549-Pain Threshold,
pubmed-meshheading:19004549-Skin,
pubmed-meshheading:19004549-Skin Temperature,
pubmed-meshheading:19004549-Trigeminal Neuralgia,
pubmed-meshheading:19004549-Vasoconstriction,
pubmed-meshheading:19004549-Young Adult
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pubmed:year |
2009
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pubmed:articleTitle |
Subcutaneous Botulinum toxin type A reduces capsaicin-induced trigeminal pain and vasomotor reactions in human skin.
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pubmed:affiliation |
Center for Sensory-Motor Interactions (SMI), Department of Health Sciences and Technology, Aalborg University, Fredrik Bajers Vej 7 D-3, DK-9220 Aalborg, Denmark.
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pubmed:publicationType |
Journal Article,
Randomized Controlled Trial,
Controlled Clinical Trial
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