2019
DOI: 10.3390/toxins11120681
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Biosecurity Threat Posed by Botulinum Toxin

Abstract: The deliberate release of biological agents with terrorist or criminal intent continues to pose concerns in the current geopolitical situation. Therefore, attention is still needed to ensure preparedness against the potential use of pathogens as unconventional weapons. Botulinum neurotoxin (BoNT) is one such biological threat, characterized by an extremely low lethal dose, high morbidity and mortality when appropriately disseminated, and the capacity to cause panic and social disruption. This paper addresses t… Show more

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Cited by 18 publications
(12 citation statements)
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“…Typically, patients that have some anatomical or functional abnormalities of the intestine or are subjected to prolonged antimicrobial therapies, can allow bacterial colonization. Thus, the adult intestinal colonization botulism is the result of the production of the toxin in the intestinal lumen of adults that leads to gut microbiota dysbiosis [40][41][42].…”
Section: Resultsmentioning
confidence: 99%
“…Typically, patients that have some anatomical or functional abnormalities of the intestine or are subjected to prolonged antimicrobial therapies, can allow bacterial colonization. Thus, the adult intestinal colonization botulism is the result of the production of the toxin in the intestinal lumen of adults that leads to gut microbiota dysbiosis [40][41][42].…”
Section: Resultsmentioning
confidence: 99%
“…The extreme toxicity of BoNTs for humans has led to the inclusion of botulinum neurotoxins in the first category of the tier 1 list of potential agents for bioterrorism (Arnon et al 2001 ; Villaer et al 2006 ; Bhattacharjee 2011 ; Cenciarelli et al 2019 ). TeNT has not been considered for such a use because of the worldwide prophylaxis with the potent anti-tetanus vaccine and antisera.…”
Section: Toxicology Of Tetanus and Botulinum Neurotoxinsmentioning
confidence: 99%
“…http://www.selectagents.gov/ ). They are easily isolated as crude mixtures but their extensive delivery requires sophisticated procedures making terrorist mass attacks with BoNTs unlikely, though selected episodes cannot be excluded (Arnon et al 2001 ; Bigalke and Rummel 2005 ; Cenciarelli et al 2019 ). On the other hand, thanks to extensive scientific research that has unveiled the exceptional biological properties of BoNT, including exquisite neuroselectivity and specific enzymatic activity, together with limited diffusion from the site of injection (Carli et al 2009 ; Eleopra et al 2004 ), have been exploited for beneficial purposes, including human therapy and use as research tools for cell biology and physiology.…”
Section: Pharmacology Of Botulinum Neurotoxinsmentioning
confidence: 99%
“…Since the aim of this review is to give a technological overview of suitable multiplex on-site detection methodologies for security relevant toxins, we do not here give a detailed description of the particular toxins mentioned in Table 1 . However, we refer to several reviews describing their particular characteristics and the use of biological toxins as potential biothreat agents [ 6 , 7 , 8 ].…”
Section: Introductionmentioning
confidence: 99%