Abstract

Botulinum neurotoxins (BoNTs), produced by neurotoxigenic clostridial species, are the cause of the severe disease botulism in humans and animals. Early research on BoNTs has led to their classification into seven serotypes (serotypes A to G) based upon the selective neutralization of their toxicity in mice by homologous antibodies. Recently, a report of a potential eighth serotype of BoNT, designated "type H," has been controversial. This novel BoNT was produced together with BoNT/B2 in a dual-toxin-producing Clostridiumbotulinum strain. The data used to designate this novel toxin as a new serotype were derived from culture supernatant containing both BoNT/B2 and novel toxin and from sequence information, although data from two independent laboratories indicated neutralization by antibodies raised against BoNT/A1, and classification as BoNT/FA was proposed. The sequence data indicate a chimeric structure consisting of a BoNT/A1 receptor binding domain, a BoNT/F5 light-chain domain, and a novel translocation domain most closely related to BoNT/F1. Here, we describe characterization of this toxin purified from the native strain in which expression of the second BoNT (BoNT/B) has been eliminated. Mass spectrometry analysis indicated that the toxin preparation contained only BoNT/FA and confirmed catalytic activity analogous to that of BoNT/F5. The in vivo mouse bioassay indicated a specific activity of this toxin of 3.8 × 10(7) mouse 50% lethal dose (mLD50) units/mg, whereas activity in cultured human neurons was very high (50% effective concentration [EC50] = 0.02 mLD50/well). Neutralization assays in cells and mice both indicated full neutralization by various antibodies raised against BoNT/A1, although at 16- to 20-fold-lower efficiency than for BoNT/A1. IMPORTANCE Botulinum neurotoxins (BoNTs), produced by anaerobic bacteria, are the cause of the potentially deadly, neuroparalytic disease botulism. BoNTs have been classified into seven serotypes, serotypes A to G, based upon their selective neutralization by homologous antiserum, which is relevant for clinical and diagnostic purposes. Even though supportive care dramatically reduces the death rate of botulism, the only pharmaceutical intervention to reduce symptom severity and recovery time is early administration of antitoxin (antiserum raised against BoNTs). A recent report of a novel BoNT serotype, serotype H, raised concern of a "treatment-resistant" and highly potent toxin. However, the toxin's chimeric structure and characteristics indicate a chimeric BoNT/FA. Here we describe the first characterization of this novel toxin in purified form. BoNT/FA was neutralized by available antitoxins, supporting classification as BoNT/FA. BoNT/FA required proteolytic activation to achieve full toxicity and had relatively low potency in mice compared to BoNT/A1 but surprisingly high activity in cultured neurons.

Highlights

  • Botulinum neurotoxins (BoNTs), produced by neurotoxigenic clostridial species, are the cause of the severe disease botulism in humans and animals

  • There is no cure for botulism, and treatment is restricted to supportive care, including mechanical ventilation in severe cases, and administration of antitoxin, which is most effective if given within the first 72 h after ingestion of neurotoxins in contaminated food

  • To facilitate purification and characterization of BoNT/FA from the dual-toxin-producing strain CDC69016, production of BoNT/B2 was genetically eliminated in this strain by inactivation of the bont/B2 gene using the ClosTron mutagenesis system [34, 35]

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Summary

Introduction

Botulinum neurotoxins (BoNTs), produced by neurotoxigenic clostridial species, are the cause of the severe disease botulism in humans and animals. After neuronal cell entry, which occurs mainly during the first 3 days after the toxin enters the body, BoNTs can have an extraordinarily long duration of action inside neuronal cells, leading to the prolonged flaccid paralysis characteristic of botulism [2] During this time, intensive supportive care is required, and the antitoxin is ineffective. Because toxin continues to be produced by C. botulinum in the intestine, neutralizing antibodies in the circulation systems of these patients can continue to reduce the severity and duration of symptoms, and a human IgG (BabyBIG) for treatment of these cases has been developed to avoid the side effects associated with equine antitoxin [5]. A number of strains are known to produce two or even three different BoNTs, with one of the toxins usually dominant as determined by activity in mice [10, 12,13,14,15,16,17,18,19,20,21]

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