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  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Journal of molecular medicine 52 (1974), S. 255-265 
    ISSN: 1432-1440
    Keywords: Tetanus toxin ; Antitoxin ; 125Iodine ; Spinal cord ; Nerves ; Tetanustoxin ; Antitoxin ; 125Jod ; Rückenmark ; Nerven
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Unsere Kenntnis der Pathogenese des Wundstarrkrampfes hat sich durch Anwendung neuer biochemischer und neurophysiologischer Techniken innerhalb der letzten Jahre erheblich erweitert. Radioaktiv markiertes Tetanustoxin wurde innerhalb verschiedener Nerven bis zu den Vorderhörnern des Rückenmarks verfolgt; dort wurde das Toxin z.T. noch auf cellulärer Ebene nachgewiesen. Die Verteilung des Toxins ist zeitabhängig und wird durch Antitoxin beeinflußt. Je weiter der Zeitpunkt der Vergiftung zurückliegt, desto geringer ist der Effekt des Antitoxins auf die Symptomatologie und die spinale Anreicherung des Toxins. Die neurale Wanderung des Toxins wird durch Erregung des toxinhaltigen Nerven gefördert. Neben den motorischen Anteilen sind auch rein sensibel-sensorische und vegetative Nerven zur Weiterleitung des Toxins imstande. Der generalisierte Tetanus kann als eine Sonderform des lokalen Tetanus betrachtet werden. Während bisher das klassische α-motorische System des Rückenmarks im Vordergrund der Untersuchungen stand, weisen neuere Arbeiten auf eine gleichzeitige, vielleicht sogar vorwiegende Enthemmung des γ-motorischen Systems hin. Außerdem werden vegetative Spinalreflexe enthemmt, was auch bei der Therapie bedacht werden sollte. Die Hemmwirkung des Tetanustoxins auf periphere Synapsen weist auf große Ähnlichkeiten mit Botulinumtoxin hin, obwohl die Symptome am vergifteten Tier so verschieden sind. Künftige Untersuchungen werden sich voraussichtlich mit der Wirkungsweise des Toxins auf molekularer und cellulärer Ebene befassen.
    Notes: Summary Due to the use of advanced biochemical and neurophysiological techniques, our knowledge of the pathogenesis of tetanus has considerably improved during the past years. Radio-labelled tetanus toxin has been traced within different nerves up to the anterior horn of the spinal cord where its localization down to the cellular level has been achieved. The distribution of labelled toxin depends on time and is influenced by antitoxin. The longer the duration of poisoning, the smaller the effect of antitoxin on the spinal enrichment of toxin and on the onset of toxic symptoms. The neural ascent of toxin into a spinal cord segment is enhanced by stimulation of the segmental nerves. Not only the motor nerves, but also sensory and vegetative nerves are able to serve as guide-rails for the toxin. The generalized tetanus has been understood as a special kind of local tetanus. For a long time, disinhibition of the alpha motor system was considered to be the characteristic action of tetanus toxin, but recent evidence is in favour of an additional disinhibition of the gamma motor system (perhaps even preceding the alpha disinhibition) and also of the sympathetic spinal reflexes. This finding should have therapeutic implications. The detection of inhibitory effects of tetanus toxin on peripheral cholinergic synapses points again to the close similarity between tetanus toxin and botulinum A toxin. The trends of future research will presumably lead to the elementary processes at the molecular and cellular level which are the basis of the clinical picture of tetanus.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    Naunyn-Schmiedeberg's archives of pharmacology 307 (1979), S. 287-290 
    ISSN: 1432-1912
    Keywords: Tetanus toxin ; Glycine ; Spinal cord ; Dorsal root ganglia
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary 1. The effect of tetanus toxin injected into one gastrocnemius muscle on the steady state concentration of several amino acids was investigated in spinal cord half segments, spinal roots and dorsal root ganglia of rats. Care was taken to ensure a symmetrical afferent input to the spinal cord and to localize the segment with the highest concentration of tetanus toxin. 2. In the spinal cord segments containing the highest concentration of tetanus toxin the steady state concentration of glycine was higher on the side of the tetanus than on the contralateral control side. Results obtained after intravenous injection of 14C-glycine do not indicate that the higher concentration of glycine on the side of the tetanus was due to a higher uptake of glycine. 3. The results obtained in the spinal cord contradict previous findings of other authors but lend support to the prevailing concept about the action of tetanus toxin in local and general tetanus.
    Type of Medium: Electronic Resource
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  • 3
    Electronic Resource
    Electronic Resource
    Springer
    Naunyn-Schmiedeberg's archives of pharmacology 299 (1977), S. 187-196 
    ISSN: 1432-1912
    Keywords: Tetanus ; Iodine labeling ; Spinal cord ; Metabolism ; Pharmacokinetics
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Local tetanus was elicited in rats and cats by intramuscular injection of 125I-tetanus toxin. After different times spinal radioactivity was extracted with either non-ionic (Lubrol PX) or ionic (sodium dodecyl sulfate, SDS) detergents and compared with native or 125I-toxin by gel filtration, SDS-gel electrophoresis, immunological procedures, and toxicity tests. In double-isotope experiments, 131I-toxin was added to the extracts as standard. In rats, the bulk of extracted material was indistinguishable from native toxin. However, there was a slight shift of the extracted material towards smaller molecular weights in gel filtration with Lubrol. In gel filtration with SDS, the toxin peak was followed by some tailing of 125I radioactivity. Accordingly a small part of extracted radioactivity moves faster than the standard in SDS disc gel electrophoresis. These findings taken together indicate some degradation in vivo. Adsorption to solid-phase antibodies indicated that more than 80% of the radioactivity extracted from rats was still immunoreactive. It yielded a zone confluent with extrinsic toxin in immunodiffusion. The spinal cord Lubrol extract from rats was still toxic in the expected range. Due to the very small amounts of toxin present, no precise toxicity data could be given. In cats, there was also some evidence for radioactive split products in both SDS gel filtration and disc gel electrophoresis. The patterns closely resembled those obtained with extracts from rat spinal cord. SDS extracts from rat and cat spinal cords, poisoned with 125I tetanus toxin in vivo, were also subjected to SDS disc gel electrophoresis followign reduction with dithioerythritol (DTE). They yielded large and small chains of the same size as did native toxin. In vitro, extensive degradation with brain homogenate from rats took place at pH 3.65, but not at pH 7.5. This indicates that lysosomal degradation is not a major metabolic pathway of tetanus toxin in vivo, although it is possible in principle. It is concluded that a) unlike other toxins, tetanus toxin is not necessarily degraded during its cellular uptake, b) the bulk of radioactive material is indistinguishable, following its neuronal ascent, from native or labeled toxin, c) a part of the radioactivity is recovered as split products.
    Type of Medium: Electronic Resource
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