Blockade of neurotransmitter release by botulinum neurotoxin type A (BoNT A ) underlies the severe neuroparalytic symptoms of human botulism, which can last a few years. The structural basis for this remarkable persistence remains unclear. Herein, recombinant BoNT A was found to match the neurotoxicity of that from Clostridium botulinum, producing persistent cleavage of synaptosomal-associated protein of 25 kDa (SNAP-25) and neuromuscular paralysis. When two leucines near the C terminus of the protease light chain of A (LC A ) were mutated, its inhibition of exocytosis was followed by fast recovery of intact SNAP-25 in cerebellar neurons and neuromuscular transmission in vivo. Deletion of 6 -7 N terminus residues diminished BoNT A activity but did not alter the longevity of its SNAP-25 cleavage and neuromuscular paralysis. Furthermore, genetically fusing LC E to a BoNT A enzymically inactive mutant (BoTIM A ) yielded a novel LC E -BoTIM A protein that targets neurons, and the BoTIM A moiety also delivers and stabilizes the inhibitory LC E , giving a potent and persistent cleavage of SNAP-25 with associated neuromuscular paralysis. Moreover, its neurotropism was extended to sensory neurons normally insensitive to BoNT E . LC E-BoTIM A (AA) with the above-identified dileucine mutated gave transient neuromuscular paralysis similar to BoNT E , reaffirming that these residues are critical for the persistent action of LC E -BoTIM A as well as BoNT A . LC EBoTIM A inhibited release of calcitonin gene-related peptide from sensory neurons mediated by transient receptor potential vanilloid type 1 and attenuated capsaicin-evoked nociceptive behavior in rats, following intraplantar injection. Thus, a long acting, versatile composite toxin has been developed with therapeutic potential for pain and conditions caused by overactive cholinergic nerves.
Botulinum neurotoxins (BoNTs)3 inhibit transmitter release from peripheral cholinergic neurons causing the lifethreatening flaccid paralysis underlying botulism (1). The most potent biological substances, their estimated lethal doses (LD 50 ) in humans are between 0.1 and 1 ng/kg. Seven BoNT serotypes (A-G), produced by Clostridium botulinum, are synthesized as pro-form single chain proteins (SC, M r ϳ150,000) and converted by either Clostridial or tissue proteases into fully active dichain (DC) forms, consisting of a protease domain (LC; M r ϳ50,000) linked to a heavy chain (HC; M r ϳ100,000) through disulfide and noncovalent bonds. BoNT A preferentially enters cholinergic nerve endings by binding via the C-terminal half of their HC to a membrane acceptor, a lumenal domain of synaptic vesicle protein 2 (2, 3). On the other hand, type E only binds the glycosylated synaptic vesicle protein 2 A/B isoforms (4), which are sparsely expressed on sensory neurons, explaining its lack of effects on trigeminal ganglionic neurons (TGNs) (5). These toxins undergo acceptor-mediated endocytosis (6, 7) with translocation of the LCs into the cytosol through a channel formed by the N-terminal half...