“…Functionally, H C determines neuronal specificity by recognizing a polysialoganglioside (e.g., GT1b) and a protein receptor, synaptotagmin (Syt) I/II (for BoNT/B, /G, and /DC) or glycosylated synaptic vesicle protein 2 (SV2) (for BoNT/A, /D, /E, and /F), located on the presynaptic membrane (Chai et al, 2006;Jin et al, 2006;Montecucco, 1986;Stenmark et al, 2008;Yao et al, 2016). H C of BoNT/B, /G, and /DC additionally carries a hydrophobic loop, termed the H Cloop, which interacts with host membrane lipids (Stern et al, 2018;Zhang et al, 2017;Figure 1A). Under acidic conditions, the H N undergoes a pH-induced structural rearrangement and forms a protein channel that delivers the unfolded LC to the cytosol (Fischer et al, 2012;Koriazova and Montal, 2003;Lam et al, 2018;Montal, 2009).…”