What happens when the botulinum toxin enters a nerve cell?

All BoNTs enter human or animal neuronal cells via receptor mediated endocytosis and cleave cytosolic SNARE proteins, resulting in a block of synaptic vesicle exocytosis, leading to the flaccid paralysis characteristic of botulism.

How does botulinum toxin block synaptic transmission?

Synaptic vesicles fuse with the membrane in response to an elevation of intraneuronal calcium concentration and undergo release of their transmitter by exocytosis. Through their proteolytic action on these proteins, botulinum toxins prevent exocytosis, thereby inhibiting the release of acetylcholine.

What does botulinum toxin do?

Clostridium botulinum is a bacterium that produces dangerous toxins (botulinum toxins) under low-oxygen conditions. Botulinum toxins are one of the most lethal substances known. Botulinum toxins block nerve functions and can lead to respiratory and muscular paralysis.

What is the effect of botulinum toxin on skeletal muscle?

Botulinum toxin works by blocking the release of acetylcholine from presynaptic motor neurons, and this chemical denervation causes a cascade of downstream events in the muscle thus causing muscle paralysis16.

Does botulinum toxin cross the blood brain barrier?

Despite its systemic distribution, direct BT effects on the central nervous system have not been reported, since botulinum neurotoxin with its size of 150 kDa can- not penetrate the blood-brain barrier.

What receptor does botulinum toxin bind?

In general, BoNTs achieve their high affinity and specificity for neurons by binding two receptors; gangliosides and one of the two synaptic vesicle proteins, synaptotagmin (Syt) or synaptic vesicle protein 2 (SV2).

What is the function of botulinum toxin?

Botulinum toxin (BoNT) is a neurotoxic protein produced by the bacterium Clostridium botulinum and related species. It prevents the release of the neurotransmitter acetylcholine from axon endings at the neuromuscular junction, thus causing flaccid paralysis. The toxin causes the disease botulism.

What is the LD50 of botulinum toxin?

Botulinum toxin is regarded as the most lethal substance known. It is estimated that the human LD50 for inhalation botulism is 1 to 3 nanograms of toxin/kilogram body mass.

How is botulinum toxin made?

It is produced from a culture of the Hall strain of C. botulinum and purified by a series of acid precipitations to a crystalline complex containing the toxin and other proteins. The FDA approved Botox® in December 1989 as an orphan drug for the treatment of strabismus, hemifacial spasms, and blepharospasm.

What is botulinum toxin type A used for?

Botox is used in adults to treat cervical dystonia (abnormal head position and neck pain). Botox is also used to treat muscle spasms and stiffness (spasticity) of the arms, hands, legs, and feet in adults and children at least 2 years old. This medicine will not treat spasticity caused by cerebral palsy.