Evidence map›Paper›PMID 40864053›Full record

SynthesisToxins2025

Botulinum Toxin Effects on Biochemical Biomarkers Related to Inflammation-Associated Head and Neck Chronic Conditions: A Systematic Review of Preclinical Research.

Ines Novo Pereira, Giancarlo De la Torre Canales, Sara Durão, Rawand Shado, Ana Cristina Braga, André Mariz Almeida, Haidar Hassan, Ana Cristina Manso, Ricardo Faria-Almeida

Abstract readSystematic Review
In one paragraph

Synthesis in Toxins, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Ines Novo PereiraFaculty of Dental Medicine, University of Porto (FMDUP), Rua Dr. Manuel Pereira da Silva, 4200-393 Porto, Portugal.ORCID 0000-0001-8806-3863
Giancarlo De la Torre CanalesEgas Moniz Center for Interdisciplinary Research, Egas Moniz School of Health & Science, 2829-511 Almada, Portugal.ORCID 0000-0002-0921-342X
Sara DurãoFaculty of Dental Medicine, University of Porto (FMDUP), Rua Dr. Manuel Pereira da Silva, 4200-393 Porto, Portugal.ORCID 0000-0001-5881-4021
Rawand ShadoInstitute of Dentistry, Royal London Dental Hospital, Faculty of Medicine & Dentistry, Queen Mary University, Turner Street, London E1 2AD, UK.ORCID 0009-0008-8157-2292
Ana Cristina BragaSchool of Engineering (EEUM) ALGORITMI Research Centre, The Intelligent Systems Associate Laboratory (LASI), Campus de Gualtar, University of Minho, 4710-057 Braga, Portugal.ORCID 0000-0002-1991-9418
André Mariz AlmeidaEgas Moniz Center for Interdisciplinary Research, Egas Moniz School of Health & Science, 2829-511 Almada, Portugal.ORCID 0000-0002-4389-2825
Haidar HassanCentre for Cutaneous Research, Blizard Institute of Cell and Molecular Science, Faculty of Medicine & Dentistry, Queen Mary University of London (QMUL), 4 Newark Street, Whitechapel, London E1 2AT, UK.ORCID 0000-0002-8192-9916
Ana Cristina MansoEgas Moniz Center for Interdisciplinary Research, Egas Moniz School of Health & Science, 2829-511 Almada, Portugal.ORCID 0000-0002-9881-3338
Ricardo Faria-AlmeidaLAQV/REQUIMTE, Periodontology and Oral Surgery Department, Faculty of Dental Medicine, University of Porto (FMDUP), Rua Dr. Manuel Pereira da Silva, 4200-393 Porto, Portugal.ORCID 0000-0001-9265-0913

Funding

Fundação para a Ciência e Tecnologia 2023.00543.BD
6 · The paper itself

Abstract

Current research reported that the number of clinical studies found for botulinum toxin (BoNT) key effects on biochemical biomarkers in head and neck chronic conditions linked to inflammation was very low. There are no systematic reviews of animal studies on this topic, and hence our review aimed to evaluate the quality of the preclinical evidence. We searched PubMed, Scopus, and Web of Science databases, and registries up to 29 January 2024. There were 22 eligible records, and data were available for 11 randomised controlled trials. There were concerns about the risk of bias and great variations of data obtained regarding chronic conditions, which included mostly trigeminal neuralgia. The leading biomarkers were proinflammatory cytokines (IL-1β, TNF-α) and synaptosomal-associated protein-25 (SNAP25), followed by neuron activation marker c-Fos and calcitonin gene-related peptide (CGRP). Overall, data found that BoNT significantly altered the under/over-expression of biomarkers evoked by the investigated disease models and had no effect when the levels of these biomarkers were not changed by the induced chronic conditions in animals. However, there were some mixed results and exceptions, and the certainty evidence found was very low to low. Although the sample sizes detected significant effect size (

Indexed as

Botulinum ToxinsInflammationAnimalsBiomarkersChronic DiseaseHumansBiomarkersBotulinum Toxinsanimal studiesbiomarkersbotulinum toxinchronic conditionshead and neckinflammation

Identifiers

PMID40864053
PMCPMC12390450

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.