Movement Disorders (revue)

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Botulinum toxin antibody testing : Comparison between the mouse protection assay and the mouse lethality assay

Identifieur interne : 000167 ( PascalFrancis/Curation ); précédent : 000166; suivant : 000168

Botulinum toxin antibody testing : Comparison between the mouse protection assay and the mouse lethality assay

Auteurs : D. Dressier [Royaume-Uni] ; G. Dirnberger [Royaume-Uni] ; K. P. Bhatia [Royaume-Uni] ; A. Irmer [Allemagne] ; N. P. Quinn [Royaume-Uni] ; H. Bigalke [Allemagne] ; C. D. Marsden [Royaume-Uni]

Source :

RBID : Pascal:00-0480420

Descripteurs français

English descriptors

Abstract

Conventionally, the standard test for detection of antibodies against botulinum toxin (BT-A) has been the mouse lethality assay (MLA). Because this test has a number of disadvantages, a novel mouse protection assay (MPA) was recently introduced. We sought to compare the results of both tests. Forty-three samples from 38 patients with cervical dystonia and complete or partial subjective BT-A therapy failure underwent simultaneous MPA and MLA testing. Twenty-seven samples showed concordant results in both tests. Eleven of them were MPA- and MLA-positive and 16 MPA- and MLA-negative, resulting in a significant association of the dichotomous test results (Fisher exact test, p <0.01). Sixteen samples showed discordant results. All of those were MPA-positive and MLA-negative. This excess of MPA-positive results was also significant (Wilcoxon signed-rank test, p <0.001). Of the patients with MPA-positive samples, 62% had complete and 38% had partial therapy failure. Of the patients with MLA-positive samples, 90% had complete and 10% had partial therapy failure. MPA and MLA results show significant association. Statistical analysis and predominance of partial therapy failure in MPA-positive patients demonstrate higher sensitivity of MPA. With its methodologic advantages, its test parameter being more relevant to BT-A therapy, and its higher sensitivity, the MPA appears to be superior to the MLA.
pA  
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A08 01  1  ENG  @1 Botulinum toxin antibody testing : Comparison between the mouse protection assay and the mouse lethality assay
A11 01  1    @1 DRESSIER (D.)
A11 02  1    @1 DIRNBERGER (G.)
A11 03  1    @1 BHATIA (K. P.)
A11 04  1    @1 IRMER (A.)
A11 05  1    @1 QUINN (N. P.)
A11 06  1    @1 BIGALKE (H.)
A11 07  1    @1 MARSDEN (C. D.)
A14 01      @1 Institute of Neurology @2 London @3 GBR @Z 1 aut. @Z 2 aut. @Z 3 aut. @Z 5 aut. @Z 7 aut.
A14 02      @1 Department of Toxicology, Medizinische Hochschule @2 Hannover @3 DEU @Z 4 aut. @Z 6 aut.
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C01 01    ENG  @0 Conventionally, the standard test for detection of antibodies against botulinum toxin (BT-A) has been the mouse lethality assay (MLA). Because this test has a number of disadvantages, a novel mouse protection assay (MPA) was recently introduced. We sought to compare the results of both tests. Forty-three samples from 38 patients with cervical dystonia and complete or partial subjective BT-A therapy failure underwent simultaneous MPA and MLA testing. Twenty-seven samples showed concordant results in both tests. Eleven of them were MPA- and MLA-positive and 16 MPA- and MLA-negative, resulting in a significant association of the dichotomous test results (Fisher exact test, p <0.01). Sixteen samples showed discordant results. All of those were MPA-positive and MLA-negative. This excess of MPA-positive results was also significant (Wilcoxon signed-rank test, p <0.001). Of the patients with MPA-positive samples, 62% had complete and 38% had partial therapy failure. Of the patients with MLA-positive samples, 90% had complete and 10% had partial therapy failure. MPA and MLA results show significant association. Statistical analysis and predominance of partial therapy failure in MPA-positive patients demonstrate higher sensitivity of MPA. With its methodologic advantages, its test parameter being more relevant to BT-A therapy, and its higher sensitivity, the MPA appears to be superior to the MLA.
C02 01  X    @0 002B24O14
C03 01  X  FRE  @0 Bontoxilysin @2 FE @2 FR @5 01
C03 01  X  ENG  @0 Bontoxilysin @2 FE @2 FR @5 01
C03 01  X  SPA  @0 Bontoxilysin @2 FE @2 FR @5 01
C03 02  X  FRE  @0 Toxine @5 02
C03 02  X  ENG  @0 Toxin @5 02
C03 02  X  SPA  @0 Toxina @5 02
C03 03  X  FRE  @0 Botulisme @5 03
C03 03  X  ENG  @0 Botulism @5 03
C03 03  X  SPA  @0 Botulismo @5 03
C03 04  X  FRE  @0 Anticorps @5 04
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C03 04  X  SPA  @0 Anticuerpo @5 04
C03 05  X  FRE  @0 Dosage @5 05
C03 05  X  ENG  @0 Assay @5 05
C03 05  X  SPA  @0 Dosificación @5 05
C03 06  X  FRE  @0 Dystonie @5 07
C03 06  X  ENG  @0 Dystonia @5 07
C03 06  X  SPA  @0 Distonía @5 07
C03 07  X  FRE  @0 Rachis cervical @5 08
C03 07  X  ENG  @0 Cervical spine @5 08
C03 07  X  SPA  @0 Raquis cervical @5 08
C03 08  X  FRE  @0 Myorésolutif @5 10
C03 08  X  ENG  @0 Muscle relaxant @5 10
C03 08  X  SPA  @0 Relajante muscular @5 10
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C03 09  X  ENG  @0 Antispasmodic agent @5 11
C03 09  X  SPA  @0 Espasmolítico @5 11
C03 10  X  FRE  @0 Traitement @5 16
C03 10  X  ENG  @0 Treatment @5 16
C03 10  X  SPA  @0 Tratamiento @5 16
C03 11  X  FRE  @0 Etude comparative @5 17
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C03 11  X  SPA  @0 Estudio comparativo @5 17
C03 12  X  FRE  @0 Technique @5 18
C03 12  X  ENG  @0 Technique @5 18
C03 12  X  SPA  @0 Técnica @5 18
C03 13  X  FRE  @0 Exploration immunologique @5 19
C03 13  X  ENG  @0 Immunological investigation @5 19
C03 13  X  SPA  @0 Análisis inmunológico @5 19
C03 14  X  FRE  @0 Homme @5 20
C03 14  X  ENG  @0 Human @5 20
C03 14  X  SPA  @0 Hombre @5 20
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C03 15  X  SPA  @0 Toxicidad @5 23
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C03 17  X  FRE  @0 Mouse lethality assay @4 INC @5 87
C07 01  X  FRE  @0 Metalloendopeptidases @2 FE
C07 01  X  ENG  @0 Metalloendopeptidases @2 FE
C07 01  X  SPA  @0 Metalloendopeptidases @2 FE
C07 02  X  FRE  @0 Peptidases @2 FE
C07 02  X  ENG  @0 Peptidases @2 FE
C07 02  X  SPA  @0 Peptidases @2 FE
C07 03  X  FRE  @0 Hydrolases @2 FE
C07 03  X  ENG  @0 Hydrolases @2 FE
C07 03  X  SPA  @0 Hydrolases @2 FE
C07 04  X  FRE  @0 Enzyme
C07 04  X  ENG  @0 Enzyme
C07 04  X  SPA  @0 Enzima
C07 05  X  FRE  @0 Bactériose
C07 05  X  ENG  @0 Bacteriosis
C07 05  X  SPA  @0 Bacteriosis
C07 06  X  FRE  @0 Infection
C07 06  X  ENG  @0 Infection
C07 06  X  SPA  @0 Infección
C07 07  X  FRE  @0 Muscle strié pathologie @5 53
C07 07  X  ENG  @0 Striated muscle disease @5 53
C07 07  X  SPA  @0 Músculo estriado patología @5 53
C07 08  X  FRE  @0 Système nerveux pathologie @5 54
C07 08  X  ENG  @0 Nervous system diseases @5 54
C07 08  X  SPA  @0 Sistema nervioso patología @5 54
C07 09  X  FRE  @0 Trouble neurologique @5 55
C07 09  X  ENG  @0 Neurological disorder @5 55
C07 09  X  SPA  @0 Trastorno neurológico @5 55
C07 10  X  FRE  @0 Mouvement involontaire @5 56
C07 10  X  ENG  @0 Involuntary movement @5 56
C07 10  X  SPA  @0 Movimiento involuntario @5 56
C07 11  X  FRE  @0 Extrapyramidal syndrome @5 57
C07 11  X  ENG  @0 Extrapyramidal syndrome @5 57
C07 11  X  SPA  @0 Extrapiramidal síndrome @5 57
N21       @1 318

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Pascal:00-0480420

Le document en format XML

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<div type="abstract" xml:lang="en">Conventionally, the standard test for detection of antibodies against botulinum toxin (BT-A) has been the mouse lethality assay (MLA). Because this test has a number of disadvantages, a novel mouse protection assay (MPA) was recently introduced. We sought to compare the results of both tests. Forty-three samples from 38 patients with cervical dystonia and complete or partial subjective BT-A therapy failure underwent simultaneous MPA and MLA testing. Twenty-seven samples showed concordant results in both tests. Eleven of them were MPA- and MLA-positive and 16 MPA- and MLA-negative, resulting in a significant association of the dichotomous test results (Fisher exact test, p <0.01). Sixteen samples showed discordant results. All of those were MPA-positive and MLA-negative. This excess of MPA-positive results was also significant (Wilcoxon signed-rank test, p <0.001). Of the patients with MPA-positive samples, 62% had complete and 38% had partial therapy failure. Of the patients with MLA-positive samples, 90% had complete and 10% had partial therapy failure. MPA and MLA results show significant association. Statistical analysis and predominance of partial therapy failure in MPA-positive patients demonstrate higher sensitivity of MPA. With its methodologic advantages, its test parameter being more relevant to BT-A therapy, and its higher sensitivity, the MPA appears to be superior to the MLA.</div>
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<s0>ENG</s0>
</fA23>
<fA43 i1="01">
<s1>INIST</s1>
<s2>20953</s2>
<s5>354000091356830300</s5>
</fA43>
<fA44>
<s0>0000</s0>
<s1>© 2000 INIST-CNRS. All rights reserved.</s1>
</fA44>
<fA45>
<s0>8 ref.</s0>
</fA45>
<fA47 i1="01" i2="1">
<s0>00-0480420</s0>
</fA47>
<fA60>
<s1>P</s1>
</fA60>
<fA61>
<s0>A</s0>
</fA61>
<fA64 i1="01" i2="1">
<s0>Movement disorders</s0>
</fA64>
<fA66 i1="01">
<s0>USA</s0>
</fA66>
<fC01 i1="01" l="ENG">
<s0>Conventionally, the standard test for detection of antibodies against botulinum toxin (BT-A) has been the mouse lethality assay (MLA). Because this test has a number of disadvantages, a novel mouse protection assay (MPA) was recently introduced. We sought to compare the results of both tests. Forty-three samples from 38 patients with cervical dystonia and complete or partial subjective BT-A therapy failure underwent simultaneous MPA and MLA testing. Twenty-seven samples showed concordant results in both tests. Eleven of them were MPA- and MLA-positive and 16 MPA- and MLA-negative, resulting in a significant association of the dichotomous test results (Fisher exact test, p <0.01). Sixteen samples showed discordant results. All of those were MPA-positive and MLA-negative. This excess of MPA-positive results was also significant (Wilcoxon signed-rank test, p <0.001). Of the patients with MPA-positive samples, 62% had complete and 38% had partial therapy failure. Of the patients with MLA-positive samples, 90% had complete and 10% had partial therapy failure. MPA and MLA results show significant association. Statistical analysis and predominance of partial therapy failure in MPA-positive patients demonstrate higher sensitivity of MPA. With its methodologic advantages, its test parameter being more relevant to BT-A therapy, and its higher sensitivity, the MPA appears to be superior to the MLA.</s0>
</fC01>
<fC02 i1="01" i2="X">
<s0>002B24O14</s0>
</fC02>
<fC03 i1="01" i2="X" l="FRE">
<s0>Bontoxilysin</s0>
<s2>FE</s2>
<s2>FR</s2>
<s5>01</s5>
</fC03>
<fC03 i1="01" i2="X" l="ENG">
<s0>Bontoxilysin</s0>
<s2>FE</s2>
<s2>FR</s2>
<s5>01</s5>
</fC03>
<fC03 i1="01" i2="X" l="SPA">
<s0>Bontoxilysin</s0>
<s2>FE</s2>
<s2>FR</s2>
<s5>01</s5>
</fC03>
<fC03 i1="02" i2="X" l="FRE">
<s0>Toxine</s0>
<s5>02</s5>
</fC03>
<fC03 i1="02" i2="X" l="ENG">
<s0>Toxin</s0>
<s5>02</s5>
</fC03>
<fC03 i1="02" i2="X" l="SPA">
<s0>Toxina</s0>
<s5>02</s5>
</fC03>
<fC03 i1="03" i2="X" l="FRE">
<s0>Botulisme</s0>
<s5>03</s5>
</fC03>
<fC03 i1="03" i2="X" l="ENG">
<s0>Botulism</s0>
<s5>03</s5>
</fC03>
<fC03 i1="03" i2="X" l="SPA">
<s0>Botulismo</s0>
<s5>03</s5>
</fC03>
<fC03 i1="04" i2="X" l="FRE">
<s0>Anticorps</s0>
<s5>04</s5>
</fC03>
<fC03 i1="04" i2="X" l="ENG">
<s0>Antibody</s0>
<s5>04</s5>
</fC03>
<fC03 i1="04" i2="X" l="SPA">
<s0>Anticuerpo</s0>
<s5>04</s5>
</fC03>
<fC03 i1="05" i2="X" l="FRE">
<s0>Dosage</s0>
<s5>05</s5>
</fC03>
<fC03 i1="05" i2="X" l="ENG">
<s0>Assay</s0>
<s5>05</s5>
</fC03>
<fC03 i1="05" i2="X" l="SPA">
<s0>Dosificación</s0>
<s5>05</s5>
</fC03>
<fC03 i1="06" i2="X" l="FRE">
<s0>Dystonie</s0>
<s5>07</s5>
</fC03>
<fC03 i1="06" i2="X" l="ENG">
<s0>Dystonia</s0>
<s5>07</s5>
</fC03>
<fC03 i1="06" i2="X" l="SPA">
<s0>Distonía</s0>
<s5>07</s5>
</fC03>
<fC03 i1="07" i2="X" l="FRE">
<s0>Rachis cervical</s0>
<s5>08</s5>
</fC03>
<fC03 i1="07" i2="X" l="ENG">
<s0>Cervical spine</s0>
<s5>08</s5>
</fC03>
<fC03 i1="07" i2="X" l="SPA">
<s0>Raquis cervical</s0>
<s5>08</s5>
</fC03>
<fC03 i1="08" i2="X" l="FRE">
<s0>Myorésolutif</s0>
<s5>10</s5>
</fC03>
<fC03 i1="08" i2="X" l="ENG">
<s0>Muscle relaxant</s0>
<s5>10</s5>
</fC03>
<fC03 i1="08" i2="X" l="SPA">
<s0>Relajante muscular</s0>
<s5>10</s5>
</fC03>
<fC03 i1="09" i2="X" l="FRE">
<s0>Spasmolytique</s0>
<s5>11</s5>
</fC03>
<fC03 i1="09" i2="X" l="ENG">
<s0>Antispasmodic agent</s0>
<s5>11</s5>
</fC03>
<fC03 i1="09" i2="X" l="SPA">
<s0>Espasmolítico</s0>
<s5>11</s5>
</fC03>
<fC03 i1="10" i2="X" l="FRE">
<s0>Traitement</s0>
<s5>16</s5>
</fC03>
<fC03 i1="10" i2="X" l="ENG">
<s0>Treatment</s0>
<s5>16</s5>
</fC03>
<fC03 i1="10" i2="X" l="SPA">
<s0>Tratamiento</s0>
<s5>16</s5>
</fC03>
<fC03 i1="11" i2="X" l="FRE">
<s0>Etude comparative</s0>
<s5>17</s5>
</fC03>
<fC03 i1="11" i2="X" l="ENG">
<s0>Comparative study</s0>
<s5>17</s5>
</fC03>
<fC03 i1="11" i2="X" l="SPA">
<s0>Estudio comparativo</s0>
<s5>17</s5>
</fC03>
<fC03 i1="12" i2="X" l="FRE">
<s0>Technique</s0>
<s5>18</s5>
</fC03>
<fC03 i1="12" i2="X" l="ENG">
<s0>Technique</s0>
<s5>18</s5>
</fC03>
<fC03 i1="12" i2="X" l="SPA">
<s0>Técnica</s0>
<s5>18</s5>
</fC03>
<fC03 i1="13" i2="X" l="FRE">
<s0>Exploration immunologique</s0>
<s5>19</s5>
</fC03>
<fC03 i1="13" i2="X" l="ENG">
<s0>Immunological investigation</s0>
<s5>19</s5>
</fC03>
<fC03 i1="13" i2="X" l="SPA">
<s0>Análisis inmunológico</s0>
<s5>19</s5>
</fC03>
<fC03 i1="14" i2="X" l="FRE">
<s0>Homme</s0>
<s5>20</s5>
</fC03>
<fC03 i1="14" i2="X" l="ENG">
<s0>Human</s0>
<s5>20</s5>
</fC03>
<fC03 i1="14" i2="X" l="SPA">
<s0>Hombre</s0>
<s5>20</s5>
</fC03>
<fC03 i1="15" i2="X" l="FRE">
<s0>Toxicité</s0>
<s5>23</s5>
</fC03>
<fC03 i1="15" i2="X" l="ENG">
<s0>Toxicity</s0>
<s5>23</s5>
</fC03>
<fC03 i1="15" i2="X" l="SPA">
<s0>Toxicidad</s0>
<s5>23</s5>
</fC03>
<fC03 i1="16" i2="X" l="FRE">
<s0>Mouse protection assay</s0>
<s4>INC</s4>
<s5>86</s5>
</fC03>
<fC03 i1="17" i2="X" l="FRE">
<s0>Mouse lethality assay</s0>
<s4>INC</s4>
<s5>87</s5>
</fC03>
<fC07 i1="01" i2="X" l="FRE">
<s0>Metalloendopeptidases</s0>
<s2>FE</s2>
</fC07>
<fC07 i1="01" i2="X" l="ENG">
<s0>Metalloendopeptidases</s0>
<s2>FE</s2>
</fC07>
<fC07 i1="01" i2="X" l="SPA">
<s0>Metalloendopeptidases</s0>
<s2>FE</s2>
</fC07>
<fC07 i1="02" i2="X" l="FRE">
<s0>Peptidases</s0>
<s2>FE</s2>
</fC07>
<fC07 i1="02" i2="X" l="ENG">
<s0>Peptidases</s0>
<s2>FE</s2>
</fC07>
<fC07 i1="02" i2="X" l="SPA">
<s0>Peptidases</s0>
<s2>FE</s2>
</fC07>
<fC07 i1="03" i2="X" l="FRE">
<s0>Hydrolases</s0>
<s2>FE</s2>
</fC07>
<fC07 i1="03" i2="X" l="ENG">
<s0>Hydrolases</s0>
<s2>FE</s2>
</fC07>
<fC07 i1="03" i2="X" l="SPA">
<s0>Hydrolases</s0>
<s2>FE</s2>
</fC07>
<fC07 i1="04" i2="X" l="FRE">
<s0>Enzyme</s0>
</fC07>
<fC07 i1="04" i2="X" l="ENG">
<s0>Enzyme</s0>
</fC07>
<fC07 i1="04" i2="X" l="SPA">
<s0>Enzima</s0>
</fC07>
<fC07 i1="05" i2="X" l="FRE">
<s0>Bactériose</s0>
</fC07>
<fC07 i1="05" i2="X" l="ENG">
<s0>Bacteriosis</s0>
</fC07>
<fC07 i1="05" i2="X" l="SPA">
<s0>Bacteriosis</s0>
</fC07>
<fC07 i1="06" i2="X" l="FRE">
<s0>Infection</s0>
</fC07>
<fC07 i1="06" i2="X" l="ENG">
<s0>Infection</s0>
</fC07>
<fC07 i1="06" i2="X" l="SPA">
<s0>Infección</s0>
</fC07>
<fC07 i1="07" i2="X" l="FRE">
<s0>Muscle strié pathologie</s0>
<s5>53</s5>
</fC07>
<fC07 i1="07" i2="X" l="ENG">
<s0>Striated muscle disease</s0>
<s5>53</s5>
</fC07>
<fC07 i1="07" i2="X" l="SPA">
<s0>Músculo estriado patología</s0>
<s5>53</s5>
</fC07>
<fC07 i1="08" i2="X" l="FRE">
<s0>Système nerveux pathologie</s0>
<s5>54</s5>
</fC07>
<fC07 i1="08" i2="X" l="ENG">
<s0>Nervous system diseases</s0>
<s5>54</s5>
</fC07>
<fC07 i1="08" i2="X" l="SPA">
<s0>Sistema nervioso patología</s0>
<s5>54</s5>
</fC07>
<fC07 i1="09" i2="X" l="FRE">
<s0>Trouble neurologique</s0>
<s5>55</s5>
</fC07>
<fC07 i1="09" i2="X" l="ENG">
<s0>Neurological disorder</s0>
<s5>55</s5>
</fC07>
<fC07 i1="09" i2="X" l="SPA">
<s0>Trastorno neurológico</s0>
<s5>55</s5>
</fC07>
<fC07 i1="10" i2="X" l="FRE">
<s0>Mouvement involontaire</s0>
<s5>56</s5>
</fC07>
<fC07 i1="10" i2="X" l="ENG">
<s0>Involuntary movement</s0>
<s5>56</s5>
</fC07>
<fC07 i1="10" i2="X" l="SPA">
<s0>Movimiento involuntario</s0>
<s5>56</s5>
</fC07>
<fC07 i1="11" i2="X" l="FRE">
<s0>Extrapyramidal syndrome</s0>
<s5>57</s5>
</fC07>
<fC07 i1="11" i2="X" l="ENG">
<s0>Extrapyramidal syndrome</s0>
<s5>57</s5>
</fC07>
<fC07 i1="11" i2="X" l="SPA">
<s0>Extrapiramidal síndrome</s0>
<s5>57</s5>
</fC07>
<fN21>
<s1>318</s1>
</fN21>
</pA>
</standard>
</inist>
</record>

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