Abstract
As one of the most fatal substances, botulinum neurotoxins (BoNTs) have never acted solo to accomplish their formidable missions. Most notably, non-toxic non-hemagglutinin (NTNH), a protein co-secreted with BoNT by bacteria, plays critical roles to stabilize and protect BoNT by tightly associating with it to form the minimal progenitor toxin complex (M-PTC). A new cryo-EM structure of the M-PTC of a BoNT-like toxin from Weissella oryzae (BoNT/Wo) reveals similar assembly modes between M-PTC/Wo and that of other BoNTs, yet also reveals some unique structural features of NTNH/Wo. These findings shed new light on the potential versatile roles of NTNH during BoNT intoxication.
Keywords: botulinum neurotoxin, botulism, non-toxic non-hemagglutinin, progenitor toxin complex
Graphical Abstract

NTNH is a protein co-secreted with BoNT by bacteria. A new cryo-EM structure of a BoNT-like toxin from Weissella oryzae (BoNT/Wo) in complex with its NTNH suggests that NTNH/Wo plays a conserved role as canonical NTNHs in stabilizing and protecting BoNTs. Furthermore, NTNH/Wo displays some unique structural features including two extra Big domains, suggesting NTNH/Wo may be involved in host targeting and play additional roles during BoNT intoxication.
Comment on: https://doi.org/10.1111/febs.16964
Introduction
Botulinum neurotoxins (BoNTs) stand as some of the most lethal toxins causing the severe neuroparalytic disease, botulism. These toxins are produced predominantly by Clostridium botulinum and a few related species [1]. Historically, BoNTs are divided into seven major antigenic types (serotypes A-G) based upon neutralization with specific antiserum. These toxins are encoded in one of two major neurotoxin gene clusters (NGCs) in BoNT-producing bacteria including the hemagglutinin ha gene cluster and the orfX gene cluster [2]. Both NGCs carry the BoNT-encoding gene (bont) and a gene (ntnh) encoding a protein termed non-toxic non-hemagglutinin (NTNH), while the ha cluster contains three additional hemagglutinin genes (ha17, ha33, and ha70) and the orfX cluster carries a different set of genes including orfX1, orfX2, orfX3, and p47 (Figure 1A). These non-BoNT proteins are collectively termed neurotoxin-associated proteins (NAPs).
Figure 1. Structures of the M-PTC from three different BoNT neurotoxin gene clusters.

(A) Composition of the ha, orfX, and Weissella oryzae neurotoxin gene clusters. (B) Ribbon and cylinder representations of the BoNT/Wo–NTNH/Wo complex. BoNT/Wo is colored in pale blue and NTNH/Wo is colored in yellow orange with the Big domains colored in violet. (C) Structural comparison of M-PTC/Wo, M-PTC/A (PDB: 3V0A), and M-PTC/E (PDB: 4ZKT). The structure figures were prepared with PyMOL (Schrödinger Inc.).
BoNTs are naturally produced together with NAPs in the form of progenitor toxin complexes (PTCs). A common feature among all BoNTs and BoNT-like toxins known to date is that BoNT assembles with its corresponding NTNH into a ~300 kDa minimal PTC (M-PTC) [3–5]. As revealed by the well-studied M-PTC/A, BoNT/A and NTNH/A form an inter-locked complex burying a large solvent-accessible area, which serves to mutually protect each other in order to survive the harsh environment (e.g., low pH and protease-rich) of patient’s gastrointestinal (GI) tract [3, 4, 6]. Remarkably, the assembly of the M-PTC is delicately regulated by the environmental pH, which allows a timely release of BoNT upon transitioning from the acidic GI to the relatively safe systemic circulation where a bodyguard is no longer needed [3, 7].
For the HA-type PTCs, the M-PTC can further associate with HA17, HA33, and HA70 to form a large PTC (L-PTC) that adopts an Apollo lunar module-like architecture with the M-PTC mimicking the “ascent stage” and the HA proteins forming a three-arm “descent stage” [8]. The HA complex is believed to facilitate toxin absorption across the intestinal barrier via cell surface carbohydrates and a host adhesion protein E-cadherin [6, 9]. Interestingly, even though the M-PTC structure of the toxins encoded in the orfX NGC highly resembles that of the HA type toxins [5], no sequence nor structural similarity was observed between OrfX/P47 and HA proteins. The physiological relevance of these OrfX/P47 proteins to BoNT function remains elusive.
Thanks to the fast development of high-throughput sequencing techniques and bioinformatics for genomic data-mining, several novel BoNTs have been identified recently, including BoNT/HA and BoNT/X that are encoded in the genomes of Clostridium botulinum, as well as at least three distantly related BoNT-like toxins such as BoNT/En from Enterococcus faecium, PMP1 from Paraclostridium bifermentans, and BoNT/Wo from Weissella oryzae (Wo) [10–12]. As expected, most of these newly identified toxins are encoded in either the ha or the orfX NGC. But surprisingly, the NGC of BoNT/Wo-producing bacterium only contains bont-ntnh genes. Furthermore, a prior bioinformatics study revealed that NTNH/Wo contains two unique bacterial immunoglobulin-like (Big) domains, suggesting NTNH/Wo may pick up new “skills” during evolution (Figure 1A) [12].
Cryo-EM structure: The minimal progenitor toxin complex of BoNT/Wo
In this issue of The FEBS Journal, Kosenina and colleagues reported the cryo-EM structure of the M-PTC of BoNT/Wo [13]. The structure reveals that BoNT/Wo and NTNH/Wo form an interlocked compact complex and the overall architecture is highly similar to the crystal structures of the M-PTCs of BoNT/A and BoNT/E that are encoded in the ha and orfX NGC, respectively (Figure 1B, 1C) [3, 5]. Moreover, M-PTC/Wo also displays an M-PTC/A-like pH-dependent association: BoNT/Wo and NTNH/Wo assemble with each other at acidic conditions, but fall apart at neutral or basic pH. These common features shared between M-PTC/Wo and that of other BoNTs suggest that BoNT/Wo likely needs NTNH/Wo as a bodyguard in its natural environment, although its biological functions and potential host targets remain unknown.
Detailed structural analyses reveal several unique features of BoNT/Wo and NTNH/Wo that may give us a glimpse of their functions. For example, BoNT/Wo has a unique configuration in the catalytic pocket on its light chain (LC); it does not have a ganglioside-binding pocket nor any known protein-receptor binding motif; and it lacks a disulfide bond bridging the LC and the heavy chain (HC) that is indispensable in all other BoNTs. The most striking observation is two tandem Big domains extending downstream of the heavy chain (nHC) of NTNH/Wo (Figure 1B). This confirms the previous bioinformatics analysis of BoNT/Wo NGC [12]. Interestingly, the homologous Big domains have been identified in several bacterial cell surface proteins that are involved in host cell adhesion, invasion, and protein-protein interactions in general [14]. It thus raises an intriguing question that these Big domains on NTNH/Wo may facilitate BoNT/Wo to fulfill its host interaction as no ha or orfX genes were identified in W. oryzae genome. Investigating the role of Big domains and host targets of BoNT/Wo should be an exciting topic for future research.
Conclusions and Perspectives
Now that we have seen representative M-PTC structures from each of the three unique BoNT NGCs, it is clear that all M-PTCs adopt a tightly bound interlocked complex and display a dynamic pH-dependent assembly, suggesting NTNHs play a conserved role in stabilizing and protecting BoNTs in their potentially widely different native environments (Figure 1C). Nevertheless, NTNHs seem to pick up custom-made “skills” to accommodate the needs of their corresponding BoNTs. For example, NTNH/A has a short ~40 amino acid loop (termed nLoop) inserted in its nLC that helps to attach M-PTC/A to the HA complex [3, 4, 6, 8]. The nLoop is conserved in all the HA-type NTNHs, suggesting these BoNTs likely rely on their NTNHs to coordinate the protection and delivery components of the PTC. In contrast, none of the OrfX-type NTNHs have nLoop, which is consistent with the lack of HA proteins. But then come the questions of whether and how NTNH in the orfX NGC work with OrfX proteins and/or P47 during intoxication, which remain a major challenge to address. In the case of NTNH/Wo, two Big domains are inserted into its nHC domain while its nHN domain is noticeably shorter than that of other NTNHs (Figure 1C), which sheds new light on the potential new functions it may have ‘picked up’ to support BoNT/Wo. Taken together, these findings suggest that NTNHs may provide an evolutionarily flexible structural platform for diverse BoNT variants to adapt to their unique environments and attack specific host organisms and tissues. Thus, teaching NTNH new tricks appears to align favorably with the evolutionary progress of BoNTs and BoNT-like toxins, and the revelation of additional roles of NTNHs awaits further exploration in future studies.
Acknowledgements
This work was partly supported by NIH grants R21AI163178, R01AI158503, and R01AI139087.
Abbreviations
- BoNT
botulinum neurotoxin
- HA
hemagglutinin
- NTNH
non-toxic non-hemagglutinin
- NGC
neurotoxin gene cluster
- NAP
neurotoxin-associated protein
- M-PTC
minimal progenitor toxin complex
- L-PTC
large progenitor toxin complex
- Big domain
bacterial immunoglobulin-like domain
- LC
light chain
- HC
heavy chain
- nHC
heavy chain of NTNH
- Wo
Weissella oryzae
Footnotes
Conflicts of interest
The authors declare no conflict of interest.
References
- 1.Rossetto O, Pirazzini M & Montecucco C (2014) Botulinum neurotoxins: genetic, structural and mechanistic insights, Nat Rev Microbiol. 12, 535–49. [DOI] [PubMed] [Google Scholar]
- 2.Hill KK, Xie G, Foley BT, Smith TJ, Munk AC, Bruce D, Smith LA, Brettin TS & Detter JC (2009) Recombination and insertion events involving the botulinum neurotoxin complex genes in Clostridium botulinum types A, B, E and F and Clostridium butyricum type E strains, BMC Biol. 7, 66. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 3.Gu S, Rumpel S, Zhou J, Strotmeier J, Bigalke H, Perry K, Shoemaker CB, Rummel A & Jin R (2012) Botulinum neurotoxin is shielded by NTNHA in an interlocked complex, Science. 335, 977–81. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 4.Gu S & Jin R (2013) Assembly and function of the botulinum neurotoxin progenitor complex, Curr Top Microbiol Immunol. 364, 21–44. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 5.Eswaramoorthy S, Sun J, Li H, Singh BR & Swaminathan S (2015) Molecular assembly of clostridium botulinum progenitor M complex of type e, Scientific Reports. 5, 17795–17795. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 6.Lam KH & Jin R (2015) Architecture of the botulinum neurotoxin complex: a molecular machine for protection and delivery, Current opinion in structural biology. 31, 89–95. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 7.Matsui T, Gu S, Lam KH, Carter LG, Rummel A, Mathews II & Jin R (2014) Structural basis of the pH-dependent assembly of a botulinum neurotoxin complex, J Mol Biol. 426, 3773–82. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 8.Lee K, Gu S, Jin L, Le TT, Cheng LW, Strotmeier J, Kruel AM, Yao G, Perry K, Rummel A & Jin R (2013) Structure of a bimodular botulinum neurotoxin complex provides insights into its oral toxicity, PLoS Pathog. 9, e1003690. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 9.Lee K, Zhong X, Gu S, Kruel AM, Dorner MB, Perry K, Rummel A, Dong M & Jin R (2014) Molecular basis for disruption of E-cadherin adhesion by botulinum neurotoxin A complex, Science. 344, 1405–10. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 10.Dong M, Masuyer G & Stenmark P (2019) Botulinum and Tetanus Neurotoxins, Annu Rev Biochem. 88, 811–837. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 11.Contreras E, Masuyer G, Qureshi N, Chawla S, Dhillon HS, Lee HL, Chen J, Stenmark P & Gill SS (2019) A neurotoxin that specifically targets Anopheles mosquitoes, Nature communications. 10, 2869. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 12.Mansfield MJ, Adams JB & Doxey AC (2015) Botulinum neurotoxin homologs in non-Clostridium species, FEBS Lett. 589, 342–8. [DOI] [PubMed] [Google Scholar]
- 13.Kosenina S, Skerlova J, Zhang S, Dong M & Stenmark P (2023) The cryo-EM structure of the BoNT/Wo-NTNH complex reveals two immunoglobulin-like domains, The FEBS journal. [DOI] [PubMed] [Google Scholar]
- 14.Bodelon G, Palomino C & Fernandez LA (2013) Immunoglobulin domains in Escherichia coli and other enterobacteria: from pathogenesis to applications in antibody technologies, FEMS Microbiol Rev. 37, 204–50. [DOI] [PubMed] [Google Scholar]
