EFECTO DE LA TOXINA BOTULÍNICA TIPO A EN LA DEPRESIÓN: EVIDENCIAS CLÍNICAS Y POSIBLES MECANISMOS NEUROBIOLÓGICOS
DOI:
https://doi.org/10.66104/2a6v1q80Palabras clave:
toxina botulínica; depresión; trastorno depresivo mayor; retroalimentación facial; región glabelarResumen
La depresión es una condición psiquiátrica de alta prevalencia y gran impacto funcional, cuya respuesta a los tratamientos convencionales no siempre es satisfactoria. En este contexto, la toxina botulínica tipo A ha sido investigada como una estrategia terapéutica adyuvante en el manejo de la depresión. El objetivo de este estudio fue analizar la evidencia científica disponible sobre el uso de la toxina botulínica tipo A en el tratamiento de la depresión, así como discutir sus posibles mecanismos de acción y aplicaciones en la práctica clínica. Se realizó una revisión narrativa de la literatura en las bases de datos PubMed/MEDLINE, Scopus, Web of Science y SciELO, priorizando estudios publicados en los últimos diez años. Los resultados indican que la aplicación de la toxina, especialmente en la región glabelar, se asocia con una reducción de los síntomas depresivos, posiblemente relacionada con la modulación de las expresiones faciales de emociones negativas, de acuerdo con la teoría del feedback facial. Se concluye que la toxina botulínica tipo A presenta potencial como terapia adyuvante, aunque se requieren más estudios para consolidar su eficacia y aplicabilidad clínica.
Descargas
Referencias
AMERICAN PSYCHIATRIC ASSOCIATION. Diagnostic and statistical manual of mental disorders: DSM-5-TR. 5. ed. rev. Washington, DC: APA Publishing, 2022. DOI: https://doi.org/10.1176/appi.books.9780890425787
COLLAO, C.; ALFARO, R.; RÍOS, J.; SEPÚLVEDA, P. Botulinum toxin type A for the treatment of depression: a systematic review and meta-analysis. Journal of Affective Disorders, v. 353, p. 176–186, 2024.
COLMENARES, A.; RIVERA, J.; GONZÁLEZ, M. Facial expression modulation and mood disorders: clinical implications of botulinum toxin. Neuropsychiatric Disease and Treatment, v. 14, p. 2921–2929, 2018.
DARWIN, C. The expression of the emotions in man and animals. London: John Murray, 1872. DOI: https://doi.org/10.1037/10001-000
FINZI, E.; ROSENTHAL, N. E. Treatment of depression with onabotulinumtoxinA: a randomized, double-blind, placebo-controlled trial. Journal of Psychiatric Research, v. 52, p. 1–6, 2017. DOI: https://doi.org/10.1016/j.jpsychires.2013.11.006
FINZI, E.; ROSENTHAL, N. E. Emotional proprioception: treatment of depression with botulinum toxin. Medical Hypotheses, v. 110, p. 1–5, 2018.
FINZI, E.; ROSENTHAL, N. E. Botulinum toxin type A in the treatment of depression: clinical evidence and putative mechanisms. Toxins, v. 15, n. 1, p. 1–15, 2023. DOI: https://doi.org/10.3390/toxins15050336
HEXSEL, D.; HEXSEL, C.; SPILKER, B.; TRINDADE, A. Botulinum toxin type A for depression: an open-label prospective study. Journal of Cosmetic Dermatology, v. 18, n. 3, p. 713–720, 2019.
MCINTOSH, D. N.; REICHMANN-DECKER, A.; WINKIELMAN, P.; WILBARGER, J. L. When the social mirror breaks: deficits in automatic, but not voluntary, mimicry of emotional facial expressions in depression. Psychological Science, v. 31, n. 6, p. 1–12, 2020.
RASHID, A.; FAROOQI, A.; KHAN, M. A. Emerging role of botulinum toxin in psychiatry. Cureus, v. 13, n. 2, e13535, 2021.
ROSENTHAL, N. E. Facial feedback and depression: historical perspectives and modern clinical implications. Frontiers in Psychiatry, v. 14, p. 1–9, 2023.
WOLLMER, M. A.; DE BOER, C.; KALAK, N.; BECK, J.; GRAU, S.; SCHMIDT, T.; WALTER, M.; HOLSBOER-TRACHSLER, E. Botulinum toxin for the treatment of depression: a randomized controlled trial. Journal of Psychiatric Research, v. 148, p. 1–8, 2022.
WORLD HEALTH ORGANIZATION. Depression. Geneva: WHO, 2023.
ZAMANIAN, A.; HEIDARI, A.; GHASEMI, M.; GHOLAMREZAEE, M. Efficacy of botulinum toxin injection in treatment of major depressive disorder: a randomized clinical trial. Journal of Psychiatric Practice, v. 23, n. 5, p. 1–7, 2017.
Descargas
Publicado
Número
Sección
Licencia
Derechos de autor 2026 Antônio Marcolino Ferreira Segundo, Me. Maurício de Sousa Carvalho Reis, Lilian Abreu Sousa Lopes, Dra. Ludmila Tolstenko Nogueira, Aniele Carvalho Lacerda , Dra. Luciana Tolstenko Nogueira, Kerolayny Lessa de Carvalho Lopes, Maria Eduarda Mousinho Silva Rodrigues

Esta obra está bajo una licencia internacional Creative Commons Atribución 4.0.
Authors who publish in this journal agree to the following terms:
Authors retain copyright and grant the journal the right of first publication, with the work simultaneously licensed under the Creative Commons Attribution License, which permits the sharing of the work with proper acknowledgment of authorship and initial publication in this journal;
Authors are authorized to enter into separate, additional agreements for the non-exclusive distribution of the version of the work published in this journal (e.g., posting in an institutional repository or publishing it as a book chapter), provided that authorship and initial publication in this journal are properly acknowledged, and that the work is adapted to the template of the respective repository;
Authors are permitted and encouraged to post and distribute their work online (e.g., in institutional repositories or on their personal websites) at any point before or during the editorial process, as this may lead to productive exchanges and increase the impact and citation of the published work (see The Effect of Open Access);
Authors are responsible for correctly providing their personal information, including name, keywords, abstracts, and other relevant data, thereby defining how they wish to be cited. The journal’s editorial board is not responsible for any errors or inconsistencies in these records.
PRIVACY POLICY
The names and email addresses provided to this journal will be used exclusively for the purposes of this publication and will not be made available for any other purpose or to third parties.
Note: All content of the work is the sole responsibility of the author and the advisor.
