Evidence map›Paper›PMID 42337249›Full record

ArticleNature communications2026

A belt-buckle checkpoint regulates the onset of botulinum neurotoxin intoxication.

Baohua Chen, Linfeng Gao, Melvin Bönninger, Ting Huang, Nadja Krez, Weihua Wen, Mark Bowen, Jianlong Lou, James D Marks, Andreas Rummel and 1 more

Abstract read
In one paragraph

Article in Nature communications, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Baohua Chen *Department of Physiology and Biophysics, University of California, Irvine, Irvine, CA, USA.
Linfeng Gao *Department of Physiology and Biophysics, University of California, Irvine, Irvine, CA, USA.ORCID 0000-0001-6194-5145
Melvin Bönninger *Institute of Toxicology, Hannover Medical School, Hannover, Germany.
Ting HuangDepartment of Physiology and Biophysics, University of California, Irvine, Irvine, CA, USA.
Nadja KrezInstitute of Toxicology, Hannover Medical School, Hannover, Germany.ORCID 0000-0003-4334-501X
Weihua WenDepartment of Anesthesia, University of California, San Francisco, Zuckerberg San Francisco General Hospital, San Francisco, CA, USA.
Mark BowenDepartment of Physiology & Biophysics, Stony Brook University, Stony Brook, NY, USA.ORCID 0000-0002-9525-6986
Jianlong LouDepartment of Anesthesia, University of California, San Francisco, Zuckerberg San Francisco General Hospital, San Francisco, CA, USA.
James D MarksDepartment of Anesthesia, University of California, San Francisco, Zuckerberg San Francisco General Hospital, San Francisco, CA, USA.
Andreas RummelInstitute of Toxicology, Hannover Medical School, Hannover, Germany. Rummel.Andreas@mh-hannover.de.ORCID 0000-0002-0645-1641
Rongsheng JinDepartment of Physiology and Biophysics, University of California, Irvine, Irvine, CA, USA. r.jin@uci.edu.ORCID 0000-0003-0348-7363

Funding

Development of botulinum neurotoxin immunotherapyU01AI056493 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI MARKS, JAMES D. · 2003 to 2007
$5.1M
A versatile structure-based therapeutic platform for development of VHH-based antitoxin and antiviral agentsR01AI173059 · NIAID · TUFTS UNIVERSITY BOSTON · PI JIN, RONGSHENG, SHOEMAKER, CHARLES BIX · 2023 to 2025
$3.2M
Molecular mechanisms of botulinum neurotoxin neutralizationR01AI125704 · NIAID · UNIVERSITY OF CALIFORNIA-IRVINE · PI JIN, RONGSHENG, SHOEMAKER, CHARLES BIX · 2016 to 2020
$3.0M
Resolving the intoxication mechanism of botulinum neurotoxins using single molecule structural biologyR01GM151334 · NIGMS · STATE UNIVERSITY NEW YORK STONY BROOK · PI Mark E Bowen · 2023 to 2026
$1.4M
U.S. Department of Health & Human Services | NIH | National Institute of Allergy and Infectious Diseases (NIAID) R01AI125704U.S. Department of Health & Human Services | NIH | National Institute of Allergy and Infectious Diseases (NIAID) R01AI173059U.S. Department of Health & Human Services | NIH | National Institute of Allergy and Infectious Diseases (NIAID) U01AI056493U.S. Department of Health & Human Services | NIH | National Institute of General Medical Sciences (NIGMS) R01GM151334
6 · The paper itself

Abstract

Fast-acting botulinum neurotoxins (BoNTs) are highly desirable for both medical and aesthetic indications, but the underlying mechanism for the differing onset of BoNTs' action remains unknown. Here, we demonstrate that the "belt" of BoNTs, a largely unstructured loop wrapping around their catalytic light chain (LC), is key to onset of intoxication. The more flexible BoNT/E belt promotes quicker LC translocation into the neuronal cytosol, leading to faster onset of action compared to BoNT/A. Furthermore, we discover a "belt-buckle" checkpoint that regulates this process. By loosening the BoNT/A belt-buckle via protein engineering, we enhance its sensitivity to acidic pH, leading to an accelerated onset of action. Conversely, locking the belt-buckle with an antibody neutralizes BoNT/A. Our findings open avenues for developing fast-acting BoNTs and effective countermeasures.

Indexed as

Botulinum ToxinsBotulinum Toxins, Type AAnimalsCytosolHumansHydrogen-Ion ConcentrationNeuronsProtein EngineeringProtein TransportBotulinum ToxinsBotulinum Toxins, Type Abotulinum toxin type E

Identifiers

PMID42337249
PMCPMC13291336

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.