2012
DOI: 10.1007/978-3-642-33570-9_9
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Persistence of Botulinum Neurotoxin Inactivation of Nerve Function

Abstract: The extraordinary persistence of intoxication occurring after exposure to some Botulinum neurotoxin (BoNT) serotypes is both a therapeutic marvel and a biodefense nightmare. Understanding the mechanisms underlying BoNT persistence will offer new strategies for improving the efficacy and extending the applications of BoNT therapeutic agents as well as for treating the symptoms of botulism. Research indicates that the persistence of BoNT intoxication can be influenced both by the ability of the toxin protease or… Show more

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Cited by 26 publications
(29 citation statements)
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“…Apparently, there are enough differences between the overall three-dimensional conformation of the endogenous enzyme relative to those of the recombinant LCs that a classical developmental approach may not work. Whether this phenomenon is related to the endogenous enzyme being membrane-bound (Shoemaker and Oyler, 2013) or to post-translational modifications of the LC by host mechanisms (Ferrer-Montiel et al, 1996) remains to be established. However, caution is warranted when trying to draw too detailed of a conclusion from the SAR.…”
Section: Discussionmentioning
confidence: 99%
“…Apparently, there are enough differences between the overall three-dimensional conformation of the endogenous enzyme relative to those of the recombinant LCs that a classical developmental approach may not work. Whether this phenomenon is related to the endogenous enzyme being membrane-bound (Shoemaker and Oyler, 2013) or to post-translational modifications of the LC by host mechanisms (Ferrer-Montiel et al, 1996) remains to be established. However, caution is warranted when trying to draw too detailed of a conclusion from the SAR.…”
Section: Discussionmentioning
confidence: 99%
“…It has been recently shown that BoNT/A L chain is extraordinarily stable because it escapes the action of ubiquitin ligases, by recruiting deubiquitinases, i.e. specialized enzymes that remove polyubiquitin chains (Shoemaker and Oyler, 2013;Tsai et al, 2017). No comparative studies of the toxin lifetime in the motor and in the autonomic nerve terminal are available.…”
Section: Duration Of Actionmentioning
confidence: 99%
“…The length of BoNT-induced intoxication may depend on (1) how long the cleaved SNARE proteins remain in the cytosol and the ability of the cleaved SNARE proteins to maintain the block to exocytosis, (2) how long the BoNT protease remains in place to cleave newly synthesised SNARE proteins, (3) the rate at which the neuron is able to replenish uncleaved SNARE proteins relative to ongoing cleavage, and (4) the ability of the presynaptic terminal to remodel in order to overcome the temporary paralysis. There is preclinical evidence for all these hypotheses [67]. The ubiquitination pathway has been proposed as a main mechanism responsible for degradation of the LC in the cytosol, thus terminating BoNT activity [68].…”
Section: Protease Domainmentioning
confidence: 99%