Botulinum neurotoxins: genetic, structural and mechanistic insights (original) (raw)

2014, Nature Reviews Microbiology

Clostridium is a genus of sporulating and anaerobic Gram-positive, rod-shaped bacteria that includes more than 150 species. These bacteria are widely distributed in the environment and in anaerobic regions of the intestines of several animals, where they are typically found as spores, which are resistant to physical and chemical stresses and can persist for long periods of time until favourable conditions enable germination 1,2 . Under appropriate environmental conditions (such as humidity, nutrients and the absence of oxygen), spores germinate into vegetative cells; conversely, exposure to oxygen, as well as water and nutrient deprivation, trigger sporulation. Several clostridia, including Clostridium difficile, Clostridium perfringens and Clostridium sordelli, are pathogenic, owing to the release of protein toxins, but only a few species are neurotoxigenic. For example, Clostridium tetani produces tetanus neurotoxin, which blocks neurotransmitter release in spinal cord interneurons and causes the spastic paralysis of tetanus 3 . In addition, six phylogenetically distinct clostridia produce more than 40 different botulinum neurotoxins (BoNTs) (BOX 1). BoNTs consist of three primary domains: two of these domains enable binding to nerve terminals and translocation of the toxin into the neuronal cytosol, and the third domain comprises a metalloprotease that inhibits the release of neurotransmitter by peripheral nerve terminals (BOX 2), which causes the flaccid paralysis and autonomic dysfunctions that are typical of botulism 2,4 . The neurospecificity and toxic potency of BoNTs make them the most powerful known toxins, and they are potential bioterrorism weapons 5,6 . By contrast, their absolute neurospecificity has enabled BoNTs to be used as effective therapeutic agents for human diseases that Neurotransmitter An endogenous chemical that transmits signals across a synapse from a neuron to a postsynaptic cell.