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BIOLOGICAL SCIENCES / NEUROSCIENCE
Identification of the protein receptor binding site of botulinum neurotoxins B and G proves the double-receptor concept
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*Institut für Biochemie, OE 4310, and
Institut für Toxikologie, OE 5340, Medizinische Hochschule Hannover, Carl-Neuberg-Strasse 1, 30625 Hannover, Germany;
Merz Pharmaceuticals GmbH, Eckenheimer Landstrasse 100, 60318 Frankfurt am Main, Germany; ¶Kekule-Institut für Organische Chemie und Biochemie der Universität Bonn, Gerhard-Domagk-Strasse 1, 53121 Bonn, Germany; ||Genetics of Development and Disease Branch, National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, 9000 Rockville Pike, Bethesda, MD 20892; and **Department of Biology and Biochemistry, University of Bath, Claverton Down, Bath BA2 7AY, United Kingdom
Communicated by Axel T. Brunger, Stanford University, Stanford, CA, November 1, 2006 (received for review August 24, 2006)
| Abstract |
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synaptotagmin | tetanus
150-kDa single-chain proteins in Clostridium botulinum and subsequently cleaved by proteases, yielding an
100-kDa heavy chain (HC) and an
50-kDa light chain (LC). These chains remain connected via a single disulfide bridge, noncovalent interactions, and a HC-derived peptide loop wrapped around the LC. The LCs act as zinc metallopeptidases, which solely hydrolyze one of three SNARE (soluble N-ethylmaleimide-sensitive fusion protein attachment protein receptor) proteins: vesicle associated membrane protein/synaptobrevin, synaptosomal-associated protein of 25 kDa, or syntaxin. Together, these substrate molecules constitute the core of the vesicular fusion machinery. Thus, cleavage of one of these proteins inhibits the release of neurotransmitters from synaptic vesicles into the synaptic cleft. The HCs mediate the neurospecific binding, uptake by receptor-mediated endocytosis, and transport of the LC across the endosomal membrane into the cytosol, where the LCs encounter their substrates. The
50-kDa N-terminal domain of HC (HN) provides the translocation apparatus for the LC (1, 2). The C-terminal half of HC, referred to as the HC fragment, consists of two functionally distinct domains of
25 kDa each, HCN and HCC (3). The function of HCN of BoNTs and tetanus neurotoxin (TeNT), a closely related neurotoxin produced by Clostridium tetani, has not yet been elucidated. In contrast, TeNT-HCC has recently been shown to mediate the specific binding of the neurotoxin to nerve terminals at the neuromuscular junction (4). Although BoNTs act locally at motoneurons and thus cause flaccid paralysis, TeNT is transported in a retrograde fashion within the axon and crosses the synaptic cleft into an inhibitory spinal cord neuron to cause spastic paralysis (2). The process of nerve cell binding and uptake is far less understood compared with the mode of action of the enzymatic domains. Complex gangliosides, a class of glycosphingolipids, which are particularly abundant in the outer leaflet of nerve cell membranes, were recognized to function as receptors for clostridial neurotoxins (CNTs) (58). Their important role was recently pinpointed by inhibiting their biosynthesis (911). However, the existence of two classes of binding sites distinguished by different affinities and the discovery of protease-sensitive binding to neurons (12, 13) resulted in a double-receptor concept. In a first step complex polysialo gangliosides accumulate CNTs on the plasma membrane surface; and in a second step, protein receptors mediate their endocytosis (14). The identification of synaptotagmins (Syts) I and II as protein receptors for BoNT/B and BoNT/G, and SV2 for BoNT/A supported this concept (1519). Recent results (2022) suggested that, unlike BoNTs, TeNT uses glycosyl-phosphatidylinositol (GPI)-anchored glycoproteins of neuronal rafts as receptors.
A cocrystallization approach for BoNT/B and sialyllactose revealed that this trisaccharide occupies a conserved pocket (23), which was shown to be essential for ganglioside interaction of BoNT/A and BoNT/B and TeNT (24, 25). The amino acid sequence and the structure of this site are conserved among all CNTs except BoNT/D and may thus be considered the general ganglioside binding site. However, a second carbohydrate binding site, the sialic acid binding site, was described only for TeNT (26, 27). The sialic acid binding site in TeNT could be used to interact with the sialic acid-containing glycoprotein receptor (21, 24). In contrast, BoNT/B and BoNT/G bind to nonglycosylated Syt-I and Syt-II, and neither BoNT/A nor BoNT/B displays a second carbohydrate binding site (25).
The intention of this study was to identify and characterize the protein receptor binding site of BoNT/B and BoNT/G. We predicted three potential binding sites in BoNT/B by computational analyses and subsequently applied site-directed mutagenesis either to sterically block putative binding sites or to replace amino acids thought to maintain interactions. In this article, we identify the Syt binding site of BoNT/B and BoNT/G at a location similar to the sialic acid binding site in TeNT. Moreover, we show that BoNT/B, the ganglioside and Syt binding sites of which were deactivated, does not exhibit appreciable toxicity. Thus, our data exclude any significant contributions of other cell surface molecules to binding and entry of BoNTs and support the double-receptor concept.
| Results |
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13 Å) to the ganglioside binding pocket, and pocket 3 is found at the reverse side at a direct distance of 28 Å from the ganglioside binding pocket (Fig. 1A). Pocket 3 was consequently considered to be too far away to mediate the binding to the 20 membrane-proximal residues of Syt, which were determined to be the interacting segment for BoNT/B (16). Pocket 4 covers a surface of
790 Å2 and is mainly hydrophobic and encircled by three phenylalanines and two tyrosines with a central lysine (Fig. 1B). Strikingly, pocket 4 matches the position of TeNT's second carbohydrate binding site, the sialic acid binding site (24, 27).
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Of the seven residues analyzed in pocket 4 of HCB, the functional groups of Y1256 (hydroxyl group), Y1183 (phenol ring), and E1191 (carboxyl group), all of which occupy positions at the rim of the hollow, did not appear to contribute to Syt binding, because the amounts of bound proteins were not reduced. Furthermore, leucine instead of glutamic acid (E1191L) actually enhanced the interaction with Syt-I. In other words, the native carboxyl group exerted a negative effect on the interaction with Syt-I. Mutation K1113M resulted in moderate effects. In contrast, the import of negative charge by mutations V1118D and K1192E at the central bottom of pocket 4 had a drastic impact on Syt-I or Syt-II interactions independent of membrane assembly or presence of gangliosides. Introduction of positive charge by the replacement of Y1183 by arginine interfered with the binding of HCB to Syt-I or Syt-II in each assembly tested. However, binding of HCB-E1245K to Syt-II lacking its transmembrane domain was not affected, but binding to Syt-II 190 was impaired. Presumably, the introduced positive charge of K1245 was repelled by the opposite K1113, which might deteriorate micelle attachment.
The structure for HC of BoNT serotype G (HCG) is not available yet. To identify the protein binding site in HCG, we initially created a homology model based on the coordinates of the 42% identical HCB (Protein Data Bank entry 1EPW). This model revealed a largely conserved shape for the proposed Syt interaction site, in which F1121, A1124, S1125, M1126, L1191, T1199, Q1200, and K1250 take up the positions of K1113, S1116, P1117, V1118, Y1183, E1191, K1192, and E1245 of HCB, respectively (Fig. 1 B and C). HCB-F1194, F1204, F1243 and Y1256 were found to be conserved (HCG-F1202, F1212, F1248 and Y1262).
In contrast to HCB, HCG displayed a higher affinity for Syt-I 153 than Syt-II 161 (Figs. 2 and 3) (15). Similar to the interaction of HCB and Syt-II, incorporation of Syt-I or Syt-II into Triton X-100 micelles lacking gangliosides interfered with HCG interaction, but the addition of gangliosides resulted in the highest affinities to Syt-I or Syt-II. When the ganglioside binding pocket of BoNT/G was deactivated by the mutation W1268L, the replacement homologous to W1262L in BoNT/B, the amount of HCG bound to Syt-I 182 and Syt-II 190 incorporated in ganglioside/Triton X-100 micelles was reduced to levels of Syts embedded in pure Triton X-100 micelles. Again, this finding indicates two independent receptor binding site interactions and argues against a complex formed by the extracellular parts of Syt and ganglioside, as postulated by Kozaki et al. (28). To characterize the homologous pocket of HCG, the amino acids M1126, L1191, Q1200, and Y1262 were replaced analogously to the corresponding HCB residues. The mutations M1126D, L1191R, and Q1200E caused a drastic decrease in affinity to Syt-I and Syt-II, as did their equivalent replacements in HCB with respect to Syt-II binding. Interestingly, replacement of the central residue Q1200 by lysine as found in the corresponding position of HCB (K1192) reduced Syt interaction strongly. The Y1262F mutation had a positive effect on Syt-I and Syt-II binding. The reason for the minor effect of the Q1200Y substitution on binding to either Syt that lacks the transmembrane domain is presently unknown.
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-helix, 36% vs. 32%
-sheet, and 42% vs. 37% random coil. The thermal denaturation of wild-type HCB and HCG and their mutants was irreversible and yielded steep sigmoidal curves (SI Fig. 7). The melting temperatures (Tm), defined by the inflection point, of the HCB mutants lay between 44.6°C and 49.6°C, with wild-type HCB displaying a Tm of 46.8°C. A Tm deviation of ±2.5°C does not indicate structural disturbances evoked by the mutations. All HCG mutants except Q1200Y melted between 50.2°C and 51.6°C. These values were not significantly different from that of wild-type HCG (51.4°C), indicating unaltered secondary structure. This higher stability of HCG vs. HCB goes along with the greater amount of helicity found in HCG. Mutant Q1200Y did not denature until 53.8°C, suggesting an increase in stability that could be interpreted as being due to the new aromatic stacking of the neighboring tyrosines 1200 and 1262.
Pocket 4 Is Essential for the BoNT Activity at the Neuromuscular Junction. To assess the impact of the various pocket-4 mutations on the biological activity of BoNT, all mutations were incorporated into the full-length BoNT/B or BoNT/G, and activities were determined by the well established mouse phrenic nerve toxicity test. The measured paralytic halftimes were converted to toxicities with respect to the toxicity of the corresponding recombinant wild-type BoNT (Fig. 4).
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50%. The reason for this discrepancy might be an improved interaction of the exposed guanidine group with the charged physiological membrane overlying reduced Syt affinity. Interestingly, the V1118D and K1192E mutations caused dramatic drops in activity by factors of
116 and
312, respectively, which is comparable with mutation of the central W1262 of the ganglioside binding pocket (factor
127) (Figs. 4 and 5).
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Interference of Ganglioside and Syt Interaction Sites of BoNT/B and BoNT/G Nearly Abolishes Toxicity. The identification of critical residues of the protein receptor binding site allowed for challenging the double-receptor concept of CNTs. If no other sites were involved in neurotoxin binding and uptake into neurons, then a ganglioside and protein receptor binding site double mutant should be inactive. In fact, the effect on the activity of both mutations is synergistic. Because the K1192E and W1262L diminished the activity of BoNT/B 312-fold and 127-fold, respectively, the double mutant consequently exhibited a >50,000-fold reduced activity compared with wild-type BoNT/B (Fig. 5). Analog results were obtained for the double mutant BoNT/G-Thro-Q1200K/W1268L, exhibiting a 2,755-fold reduction at wild-type mice phrenic nerve preparations compared with the single mutations Q1200K and W1268L, which displayed 20-fold and 77-fold decreased activities.
At phrenic nerve preparations from complex ganglioside-deficient mice whose major neuronal ganglioside is GM3, which does not act as a CNT receptor (30), the activity of wild-type BoNT/B and BoNT/G is decreased
100-fold (Fig. 5). BoNT/B and BoNT/G having a deactivated ganglioside binding site (W1262L or W1268L) revealed a further 2- to 3-fold reduction in activity, suggesting that the tryptophan to leucine mutations still allowed marginal interaction. In agreement with this interpretation, the BoNT/B-K1192E mutant exhibited only one-third of activity (143,000-fold reduced) at complex ganglioside-deficient phrenic nerve preparations compared with the BoNT/B-K1192E/W1262L mutant at the wild-type phrenic nerves (Fig. 5). Corresponding results, albeit exhibiting less pronounced effects, were obtained for BoNT/G-Q1200K (Fig. 5). Altogether, the interference of both receptor interactions is fatal for the action of BoNTs.
| Discussion |
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790 Å2 in the vicinity of the ganglioside binding pocket at the tip of the HCC mediates the interaction with the protein receptor. This conclusion is based on results that mutations of BoNT/B and BoNT/G residues forming this hollow impaired binding to purified Syt-I and Syt-II and impaired their toxicity at natural target neurons (phrenic nerves). Recently, Ihara et al. (31) characterized the BoNT/B strain 111, which causes infant botulism. They observed lower binding of HC-BoNT/B 111 than of HC-BoNT/B Okra to GT1b and Syt-II 187 embedded in phosphatidylcholine vesicles. The HCC of BoNT/B 111 differs in 20 amino acids from the BoNT/B Okra used in our study. Two residues vary between the Okra and 111 strains in the Syt binding pocket, P1117S and E1191K. The exchange P1117S is less severe and is also found in HCG, but the reversion of polarity by E1191K drastically changes the environment of the pocket. Hence, the reduced binding of HC-BoNT/B 111 compared with HC-BoNT/B Okra can be deduced from these two differences and independently supports our results.
Confirmation for our data was also achieved by the crystal structure of the HCBSyt-II complex (32). This study revealed that pocket 4 accommodates the C-terminal 10 residues (K51K60) of Syt-II and that the Syt binding interface of BoNT/B extended into a small neighboring hollow interacting with M46L50 of Syt-II (32). The luminal domain of Syt-II displays an
-helical conformation, in which the membrane-juxtaposed region of Syt-II is oriented toward the ganglioside binding site. In agreement with our findings, these structural data demonstrate that K1192 (presumably in a salt bridge with E57) and V1118 (hydrophobic interaction with F54) are key players in the interaction with Syt-II.
Conservation of CNT Protein Receptor Binding Sites. Modeling of the HCC of BoNT/G, using BoNT/B as a template, revealed a largely similar overall shape of the HCCs and the Syt-interaction site. BoNT/B, however, shows a much higher affinity to Syt-II versus Syt-I, whereas BoNT/G interacts with both Syt isoforms similarly but exhibits a slightly weaker affinity compared with the BoNT/B-Syt-II interaction (Figs. 2 and 3) (15). Eight of the 12 residues forming the Syt binding site differ between BoNT/B and BoNT/G. Our results indicate that the change of BoNT/B K1192 to Q1200 in BoNT/G primarily explains the differential affinity of BoNT/B and BoNT/G for Syt-I and Syt-II. Whereas reversion of charge by the K1192E mutation deactivated the Syt binding site in BoNT/B, the substitution of glutamic acid for Q1200 resulted in only a 70% loss of toxicity. But exchange of Q1200 to lysine, as found in BoNT/B, caused the strongest negative effect of all mutations in BoNT/G (95%). Mutational analysis of BoNT/B K1113, E1191 and E1245 indicates that the corresponding residues F1121, T1199, and K1250 in BoNT/G could also contribute to the differential specificity for Syt-I and Syt-II. Furthermore, binding analyses of seven GST-Syt-II 161 mutants to wild-type HCB and HCG revealed similar results with one exception. Lysine-57 of GST-Syt-II-E57K being repelled by K1113 and K1192 in HCB did not show a negative effect on binding to HCG (see ref. 32; and T.B., unpublished work). Apparently Syt-II E57 does not contribute to the interaction with BoNT/G. Provided positioning of Syt-I and Syt-II in the binding site is identical, a repulsion of K57 in Syt-II bound to BoNT/G cannot occur because the homolog residues F1121 and Q1200 display no charge. The lack of this ionic interaction may explain the lower affinity of Syt-II to BoNT/G vs. BoNT/B. The dispensable role of the E57 carboxylate, together with the effect of replacing Q1200 by lysine, can also be interpreted by a different positioning of the luminal domain of Syt-I and Syt-II within the Syt binding site in BoNT/G compared with BoNT/B.
Besides the crystal structure of BoNT/B HC, further HC structures have so far been solved only for TeNT and BoNT/A (3, 33). Both display a correspondingly located pocket with shape different from that of the Syt binding site in BoNT/B and BoNT/G, thereby explaining the different protein receptors (15, 16, 18, 19, 21, 24). However, it cannot completely be ruled out that a different site mediates protein receptor binding of the remaining CNTs.
Conclusions on the Binding Mode of CNTs. Analyses of BoNT/B and BoNT/G having deactivated ganglioside and/or protein receptor binding sites demonstrate that the binding to both ganglioside and Syt receptors is independent but synergistic and is mediated by adjacent but separate binding pockets. In addition, results obtained for BoNT/B and BoNT/G with deactivated protein receptor binding sites in complex-ganglioside-deficient phrenic nerve preparations confirmed this conclusion (Fig. 5). These results rule out (i) that a complex is formed by the extracellular parts of Syt and gangliosides; and (ii) that subsequent to the proposed initial ganglioside binding step, structural changes, as suggested for BoNT/A (34), have to occur to facilitate the interaction with the protein receptor. It is also unlikely that other CNTglycolipid and CNTglycoprotein interactions contribute to nerve cell binding. If, as suggested (35), there were such further interactions, at least none of those could compensate for the deactivated ganglioside or protein receptor binding site. Together, the findings of this study are in full agreement with the long-existing double-receptor concept (14).
Another finding in this study is the discovery that the protein receptor binding sites of BoNT/B and BoNT/G are located at the distal tip of the toxin molecule, which ensures that the ganglioside binding pocket faces the membrane. This arrangement allows the neurotoxins to simply dock to the membrane-proximal residues of the Syt luminal domain by lateral diffusion in a ganglioside-bound state without requiring any conformational rearrangement. It is conceivable that then this initial contact triggers the formation of the
-helical conformation of the Syt luminal domain [the isolated luminal domain of Syt-II does not exhibit any structure in solution (32)], and Syt thereby attaches from the C terminus to the N terminus to the protein receptor binding site of the neurotoxin.
The characterization of the Syt receptor binding site allows the development of potent inhibitors restricting access of Syt. Thus, the mechanism of action of the CNTs would be blocked at an early stage. Knowing both ganglioside and protein receptor binding sites, we determined that the crosslinking of potent inhibitors for each site would be synergistic with respect to their inhibitory constant. Furthermore, identification of both receptor sites provides an approach to retarget BoNTs to different cell types by site-directed mutagenesis. Such modified BoNTs could also be used as drug delivery systems (36).
| Experimental Procedures |
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The binding site analysis of the HCC of BoNT/B and key interaction sites within the cavities was done by using the Site Finder, Contact Statistics, and Multiple Copy Simultaneous Search (MCSS) (37) features of MOE and SuperStar version 1.5.1 (Cambridge Crystallographic Data Centre) (38). All images were created with MOE and Benchware 3D Explorer (Tripos, St. Louis, MO) or Insight 2000 (Accelrys, Cambridge, U.K.).
Plasmid Constructions. Plasmids encoding the HC fragment (pHCBS and pHCGS) and the full-length BoNT/B and BoNT/G (pBoNTBS and pBoNTGS-Thro) and plasmids encoding the various truncated Syt-I and Syt-II GST fusion proteins used in this study were described in refs. 15 and 25. Mutations in the HC fragments were generated by PCR using suitable primers and pHCBS and pHCGS as template DNA. Correspondingly mutated expression plasmids for full-length BoNTs were generated by swapping DNA fragments between pBoNTBS or pBoNTGS-Thro and mutated pHCBS or pHCGS plasmids, respectively. Nucleotide sequences of all mutants were verified by DNA sequencing.
Purification of Recombinant Proteins. Wild-type and mutated recombinant HC fragments and full-length BoNTs were produced, the latter under biosafety level 2 containment, by using the Escherichia coli strain M15pREP4 (Qiagen, Hilden, Germany) during 16 h of incubation at room temperature, and were purified on StrepTactin-Sepharose beads (IBA, Göttingen, Germany) according to the manufacturer's instructions. Fractions containing the desired proteins were pooled, frozen in liquid nitrogen, and kept at 70°C. GST fusion proteins were obtained from E. coli TG1 and purified by using glutathioneSepharose beads (GE Healthcare, Munich, Germany). Fractions containing the desired proteins were pooled and dialyzed against a Tris/NaCl/Triton buffer [20 mM Tris·HCl/150 mM NaCl/0.5% Triton X-100 (pH 7.2)].
GST Pull-Down Assays. GST fusion proteins (0.075 nmol each) immobilized to 10 µl of glutathioneSepharose beads at 4°C overnight were incubated with HC fragments or HC fragment mutants (0.06 nmol each) in the absence or presence of a bovine brain ganglioside mixture (18% GM1/55% GD1a/10% GT1b/2% other gangliosides, 5 µg each; Calbiochem, San Diego) in a total volume of 150 µl in Tris/NaCl/Triton buffer for 120 min at 4°C. Beads were collected by centrifugation and washed three times each with 35 bed volumes of the same buffer. Washed pellet fractions and appropriate supernatants were boiled in SDS sample buffer and analyzed together by SDS/PAGE and Coomassie blue staining.
Mouse Phrenic Nerve Toxicity Assay. The mouse phrenic nerve toxicity assay was set up, as described by Habermann et al. (39) and Wohlfarth et al. (40). Electrical stimulation of the phrenic nerve was continuously performed at a frequency of 1 Hz. Isometric contractions were transformed via a force transducer and recorded with the VitroDat Online software (FMI, Seeheim, Germany). The time required to decrease the amplitude to 50% of the starting value (paralytic halftime) was measured. Recombinant wild-type BoNT/G-Thro was applied in triplicate at final concentrations of 0.6, 2.0, 6.0, 20.0, and 60.0 nM. To the concentrationresponse curve the power function y = 95.046x0.2378 (R2 = 0.9722) was fitted. A concentrationresponse curve with the power function y = 54.368x0.2947 (R2 = 0.9876) was obtained in the same manner for recombinant single-chain BoNT/B (scBoNT/B) wild type, applying final concentrations of 0.1, 0.3, 1, and 3.2 nM. The resulting paralytic halftimes of scBoNT/B or BoNT/G-Thro mutants were converted to the corresponding concentrations of wild-type BoNTs, by using the equations mentioned above. The toxicities were finally expressed relative to wild-type BoNTs.
CD Spectroscopy. CD data were collected with a J-810 spectropolarimeter (Jasco, Easton, MD) in a 1-mm pathlength cuvette with a concentration of 5 µM degassed HCB and 2.5 µM degassed HCG in 20 mM sodium phosphate (pH 7.4)/100 mM NaCl. Spectra were recorded at room temperature from 195 to 240 nm with 10 nm/min, sensitivity of 0.01 millidegree, and an accumulation of 3 scans. Temperature-induced denaturation was performed by monitoring the CD signal at 216 nm. HCB and HCG wild-type were measured with temperature increases of 1°C/min from 20°C to 85°C. Because in all cases the denaturation of both wild-type BoNTs happened between 40°C and 60°C, mutants were analyzed between 35°C and 65°C.
Complex-Ganglioside-Deficient Mice.
Mouse phrenic nerves were derived from 20 g NMRI mice (wild-type) and C57BL/6 mice lacking GD3-synthetase (CMP-sialic acid:GM3
-2,8-sialyltransferase, EC 2.4.99.8
[EC]
) and
-1,4-N-acetylgalactosaminyltransferase (EC 2.4.1.92
[EC]
). Whereas neurons of NMRI mice contain the full set-up of complex polysialo gangliosides, the nerve cells of complex-ganglioside-deficient mice harbor mainly GM3 (30). No difference in paralytic halftime was observed when phrenic nerve preparations of NMRI and wild-type C57BL/6 mice were compared.
| Acknowledgements |
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| Footnotes |
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Abbreviations: BoNT, botulinum neurotoxin; CNTs, clostridial neurotoxins; HC, heavy chain; HC, C-terminal fragment of the HC; HCC, C-terminal domain of the HC fragment; HCN, N-terminal domain of the HC fragment; HCB, HC of BoNT serotype B; HCG, HC of BoNT serotype G; LC, light chain; TeNT, tetanus neurotoxin; scBoNT/B, single-chain BoNT/B; SNARE, soluble N-ethylmaleimide-sensitive fusion protein attachment protein receptor; Syt, synaptotagmin.
To whom correspondence may be addressed. E-mail: rummel.andreas{at}mh-hannover.de or binz.thomas{at}mh-hannover.de
Freely available online through the PNAS open access option.
Author contributions: A.R. and T.B. designed research; A.R., T.E., T.W., T.K., A.G., S.M., and T.B. performed research; K.S., R.L.P., and H.B. contributed new reagents/analytic tools; A.R., T.E., T.W., A.G., K.R.A., H.B., and T.B. analyzed data; and A.R. and T.B. wrote the paper.
The authors declare no conflict of interest.
This article contains supporting information online at www.pnas.org/cgi/content/full/0609713104/DC1.
© 2007 by The National Academy of Sciences of the USA
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