Several strategies that target anthrax toxin are being developed as therapies for infection by Bacillus anthracis. Although the action of the tripartite anthrax toxin has been extensively studied in vitro, relatively little is known about the presence of toxins during an infection in vivo. We developed a series of sensitive sandwich enzyme-linked immunosorbent assays (ELISAs) for detection of both the protective antigen (PA) and lethal factor (LF) components of the anthrax exotoxin in serum. The assays utilize as capture agents an engineered high-affinity antibody to PA, a soluble form of the extracellular domain of the anthrax toxin receptor (ANTXR2/CMG2), or PA itself. Sandwich immunoassays were used to detect and quantify PA and LF in animals infected with the Ames or Vollum strains of anthrax spores. PA and LF were detected before and after signs of toxemia were observed, with increasing levels reported in the late stages of the infection. These results represent the detection of free PA and LF by ELISA in the systemic circulation of two animal models exposed to either of the two fully virulent strains of anthrax. Simple anthrax toxin detection ELISAs could prove useful in the evaluation of potential therapies and possibly as a clinical diagnostic to complement other strategies for the rapid identification of B. anthracis infection.The gram-positive Bacillus anthracis bacterium is the causative agent of anthrax. During inhalational anthrax, spores are inhaled into the lungs, leading to germination followed by the emergence of vegetative anthrax bacteria in circulation. Key anthrax virulence factors include the three components of the anthrax exotoxin, protective antigen (PA), lethal factor (LF), and edema factor (EF), which are secreted into the host's system (11). The PA and LF toxins combined are often referred to as anthrax lethal toxin (LeTx) and operate analogous to other A-B toxin systems (18).The PA component is secreted as an 83-kDa protein that is cleaved by a host furin-like protease to yield a 63-kDa fragment (5, 24) that readily heptamerizes. The PA 63 heptamer is bound to the host cell surface receptor ANTXR1 (ATR/ TEM8) (45) or ANTXR2 (CMG2) (7) with relatively high affinity (170 pM) (47). The LF component binds to the PA heptamer and gains entry into the cell through clathrin-dependent endocytosis (1). A drop in endosomal pH leads to a conformational change in PA and transport of LF into the host cell cytosol (17, 26). In the cytosol, LF toxin acts as a zinc metalloprotease, cleaving the N termini of mitogen-activated protein kinase kinases (9, 13), leading to a number of signs associated with toxemia and ultimately death (2, 32).In the rodent model, signs of anthrax infection are rapidly followed by death within a few hours, resulting in a very small, if existent, window for postexposure therapy after observed toxemia. However, in the nonhuman primate model and in human disease, the infection is characterized by delayed death up to 10 days following initial symptom onset (8, 10). It is theref...