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Record W13648135

Botulinum Toxin: Lethal Weapon or Magic Bullet?

2004· article· sl· W13648135 on OpenAlexaboutno aff
Katayoun Chamany

Bibliographic record

VenueVojnosanitetski pregled · 2004
Typearticle
Languagesl
FieldMedicine
TopicBotulinum Toxin and Related Neurological Disorders
Canadian institutionsnot available
Fundersnot available
KeywordsBotulinum toxinMedicineToxinMagic bulletBotulismSurgeryBiologyMicrobiologyBioinformatics
DOInot available

Abstract

fetched live from OpenAlex

Like penicillin botulinum toxin could become a legend. Until recently, the toxin wasknown primarily as the cause of botulism, a type of deadly food poisoning produced byimproper canning. In the late 1980s, Canada approved use of the toxin to treat strabismus(also known as cross-eyes), and Americans suffering from this ailment began crossing theborder for medical relief. In 2001, Canada approved an additional use for the toxin--theremoval of facial wrinkles--and in 2002, the FDA in the United States followed suit. (1,2). Subsequently, the neurotoxin has become a household name as clients line up at localgyms, parties, and spas for their quarterly Botox injections, in order to temporarily ridthemselves of wrinkles and sweaty armpits. The toxin now enjoys a type of celebritycache, for better or worse, and has been featured comically on popular sit-coms andcomic strips (3-8). Profits are expected to hit an all time high as the toxin makes the leap from therapeuticdrug to beauty aid, and this financial trend is likely to grow, since a number of newtherapeutic applications may be developed and approved for use in the next few years.Dr. Mitchell F. Brin, vice president of Allergan, claims that botulinum toxin type A couldtreat up to ninety-three human disorders (5, 9). Meanwhile, Elan pharmaceuticals hassecured rights to specific clinical applications of botulinum type B (10). Both companieshope to secure a unique financial niche, and scientific investigations of botulinum toxinaction suggest that the versalitity of the toxin will make this possible. By investigatinghow the toxin goes about disrupting neurological function, scientists have begun to learna great deal about the basic properties of neuronal transmitter release and cellularsecretion pathways (11-14). These findings may lead to new treatments for neurologicaland endocrine disorders such as cerebral palsy, Parkinson's Disease, Graves Disease, andCushing's Disease (9, 15-17). Perhaps most surprising is that the lethal toxin is beingengineered as a delivery vehicle for oral vaccines such as those used for cancer (18). Sothe stakes are very high--both for those who suffer from debilitating diseases and thepharmaceutical companies who will develop and sell the medical applications. There is also another side to this story, which is perhaps not as well known, but is just asimportant: namely, the use of the toxin as a lethal agent. Clostridium botulinum is thebacterium that produces the world's most deadly toxin. A small dose of the toxin can kill10 million people within 48 hours. If aerosolized, the bacterial spores linger in the air forup to two days. These spores germinate once they have entered a human host and, if theconditions are right, begin to release the neurotoxin (13, 19, 20). With potency 10,000 times stronger than any other biological poison, the botulinum toxinwas recruited as a biological weapon many years ago, and it continues to be used today.During WWII, Stanley Lovell, an American officer in the Office of Strategic Services,ordered the manufacture of gelatin capsules containing the toxin. The plan was forChinese prostitutes to hide these capsules behind their ears and then slip them into themeals of high-level Japanese officials(20). More recently, in 1993 the Iraqi leader

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.001
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMeta-epidemiology (narrow), Research integrity, Insufficient payload (model declined to judge)
Consensus categoriesMeta-epidemiology (narrow), Research integrity, Insufficient payload (model declined to judge)
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.291
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.001
Meta-epidemiology (narrow)0.0010.001
Meta-epidemiology (broad)0.0020.001
Bibliometrics0.0000.001
Science and technology studies0.0000.001
Scholarly communication0.0000.000
Open science0.0010.000
Research integrity0.0020.003
Insufficient payload (model declined to judge)0.0100.008

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.027
GPT teacher head0.276
Teacher spread0.249 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; both teacher heads agree on what is shown here.

Study designNot applicable
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations1
Published2004
Admission routes1
Has abstractyes

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