Treatment of brain damage
The present invention provides a clostridial neurotoxin for use in a method of treating a brain disorder in a patient by promoting a neuroimmune response.
1 . A method for increasing microglial cell density in a patient in need thereof, the method comprising administering a clostridial neurotoxin to the patient, wherein the clostridial neurotoxin comprises botulinum neurotoxin A (BoNT/A).
2 . The method of claim 1 , wherein the clostridial neurotoxin is administered subcutaneously.
3 . The method of claim 1 , wherein the clostridial neurotoxin is administered by intracranial injection.
4 . The method of claim 1 , wherein the clostridial neurotoxin is administered at a site of brain tissue damage.
5 . The method of claim 1 , wherein the clostridial neurotoxin is administered within 4 days before brain tissue damage occurs.
6 . The method of claim 1 , wherein the clostridial neurotoxin is administered between 1-3 days before brain tissue damage occurs.
7 . The method of claim 1 , wherein the clostridial neurotoxin is administered within 24 hours following the occurrence of brain tissue damage.
8 . The method of claim 1 , wherein the clostridial neurotoxin is administered within 2 hours following the occurrence of brain tissue damage.
9 . The method of claim 1 , wherein the clostridial neurotoxin is administered within 10 minutes following the occurrence of brain tissue damage.
10 . The method of claim 4 , wherein the brain tissue damage is caused by infectious disease.
11 . The method of claim 10 , wherein the infectious disease is selected from encephalitis, meningitis, and a brain abscess.
12 . The method of claim 1 , wherein the clostridial neurotoxin is administered intrathecally or intranasally.
13 . The method of claim 1 , wherein the clostridial neurotoxin is a chimeric neurotoxin.
14 . The method of claim 1 , wherein the clostridial neurotoxin is administered in a flat dose of 100 ng.
15 . The method of claim 1 , wherein the clostridial neurotoxin is an unmodified botulinum A (BoNT/A) neurotoxin.
16 . The method of claim 1 , wherein the clostridial neurotoxin comprises a LH N domain corresponding to amino acid residues 1 to 872 of SEQ ID NO: 62.
17 . The method of claim 16 , wherein the clostridial neurotoxin comprises a H C domain corresponding to amino acid residues 860 to 1291 of SEQ ID NO: 52.
18 . The method of claim 17 , wherein the H C domain comprises an amino acid substitution selected from the group consisting of: V1118M; Y1183M; E1191M; E11911; E1191Q; E1191T; S1199Y; S1199F; S1199L; S1201V; E1191C; E1191V, E1191L; E1191Y; S1199W; S1199E; S1199H; W1178Y; W1178Q; W1178A; W1178S; Y1183C; and Y1183P.
19 . The method of claim 17 , wherein the H C domain comprises two amino acid substitutions selected from the group consisting of: E1191M and $1199L; E1191M and $1199Y; E1191M and S1199F; E1191Q and S1199L; E1191Q and S1199Y; E1191Q and S1199F; E1191M and S1199W; E1191M and W1178Q; E1191C and S1199W; E1191C and S1199Y; E1191C and W1178Q; E1191Q and S1199W; E1191V and S1199W; E1191V and $1199Y; and E1191V and W1178Q.
20 . The method of claim 1 , wherein the clostridial neurotoxin comprises a di-chain form of SEQ ID NO: 44, SEQ ID NO: 63, or SEQ ID NO: 64.