Clostridial neurotoxins (CNTs)—tetanus and botulinum neurotoxins (BoNTs)—block neurotransmission, causing paralysis and death. Cellular entry of CNTs requires both gangliosides and proteins, and although several binding proteins have been identified, the specific protein associated with CNT internalization has remained unclear. In the September 29
Dong et al. showed that BoNT/Bs, but not related toxins, were able to bind recombinant syt ectodomains in vitro. Gangliosides were essential for syt I but not for syt II binding. The authors then performed reconstitution experiments in PC12 cells, which express syt I but are resistant to BoNT/B entry. When cells were preloaded with gangliosides, they were able to internalize BoNT/B in a syt...