A Rabbit Model for the Evaluation of Drugs for Treating the Chronic Phase of Botulism

Antitoxin, the only licensed drug therapy for botulism, neutralizes circulating botulinum neurotoxin (BoNT). However, antitoxin is no longer effective when a critical amount of BoNT has already entered its target nerve cells. The outcome is a chronic phase of botulism that is characterized by prolon...

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Main Authors: Amram Torgeman, Eran Diamant, Eyal Dor, Arieh Schwartz, Tzadok Baruchi, Alon Ben David, Ran Zichel
Format: Article
Language:English
Published: MDPI AG 2021-09-01
Series:Toxins
Subjects:
Online Access:https://www.mdpi.com/2072-6651/13/10/679
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author Amram Torgeman
Eran Diamant
Eyal Dor
Arieh Schwartz
Tzadok Baruchi
Alon Ben David
Ran Zichel
author_facet Amram Torgeman
Eran Diamant
Eyal Dor
Arieh Schwartz
Tzadok Baruchi
Alon Ben David
Ran Zichel
author_sort Amram Torgeman
collection DOAJ
description Antitoxin, the only licensed drug therapy for botulism, neutralizes circulating botulinum neurotoxin (BoNT). However, antitoxin is no longer effective when a critical amount of BoNT has already entered its target nerve cells. The outcome is a chronic phase of botulism that is characterized by prolonged paralysis. In this stage, blocking toxin activity within cells by next-generation intraneuronal anti-botulinum drugs (INABDs) may shorten the chronic phase of the disease and accelerate recovery. However, there is a lack of adequate animal models that simulate the chronic phase of botulism for evaluating the efficacy of INABDs. Herein, we report the development of a rabbit model for the chronic phase of botulism, induced by intoxication with a sublethal dose of BoNT. Spirometry monitoring enabled us to detect deviations from normal respiration and to quantitatively define the time to symptom onset and disease duration. A 0.85 rabbit intramuscular median lethal dose of BoNT/A elicited the most consistent and prolonged disease duration (mean = 11.8 days, relative standard deviation = 27.9%) that still enabled spontaneous recovery. Post-exposure treatment with antitoxin at various time points significantly shortened the disease duration, providing a proof of concept that the new model is adequate for evaluating novel therapeutics for botulism.
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spelling doaj.art-1b12d34b698546479985911a5bf247922023-11-22T20:12:47ZengMDPI AGToxins2072-66512021-09-01131067910.3390/toxins13100679A Rabbit Model for the Evaluation of Drugs for Treating the Chronic Phase of BotulismAmram Torgeman0Eran Diamant1Eyal Dor2Arieh Schwartz3Tzadok Baruchi4Alon Ben David5Ran Zichel6Department of Biotechnology, Israel Institute for Biological Research, Ness Ziona 7410001, IsraelDepartment of Biotechnology, Israel Institute for Biological Research, Ness Ziona 7410001, IsraelDepartment of Biotechnology, Israel Institute for Biological Research, Ness Ziona 7410001, IsraelDepartment of Biotechnology, Israel Institute for Biological Research, Ness Ziona 7410001, IsraelDepartment of Biotechnology, Israel Institute for Biological Research, Ness Ziona 7410001, IsraelDepartment of Biotechnology, Israel Institute for Biological Research, Ness Ziona 7410001, IsraelDepartment of Biotechnology, Israel Institute for Biological Research, Ness Ziona 7410001, IsraelAntitoxin, the only licensed drug therapy for botulism, neutralizes circulating botulinum neurotoxin (BoNT). However, antitoxin is no longer effective when a critical amount of BoNT has already entered its target nerve cells. The outcome is a chronic phase of botulism that is characterized by prolonged paralysis. In this stage, blocking toxin activity within cells by next-generation intraneuronal anti-botulinum drugs (INABDs) may shorten the chronic phase of the disease and accelerate recovery. However, there is a lack of adequate animal models that simulate the chronic phase of botulism for evaluating the efficacy of INABDs. Herein, we report the development of a rabbit model for the chronic phase of botulism, induced by intoxication with a sublethal dose of BoNT. Spirometry monitoring enabled us to detect deviations from normal respiration and to quantitatively define the time to symptom onset and disease duration. A 0.85 rabbit intramuscular median lethal dose of BoNT/A elicited the most consistent and prolonged disease duration (mean = 11.8 days, relative standard deviation = 27.9%) that still enabled spontaneous recovery. Post-exposure treatment with antitoxin at various time points significantly shortened the disease duration, providing a proof of concept that the new model is adequate for evaluating novel therapeutics for botulism.https://www.mdpi.com/2072-6651/13/10/679botulinumchronicsublethalantitoxinanimal model
spellingShingle Amram Torgeman
Eran Diamant
Eyal Dor
Arieh Schwartz
Tzadok Baruchi
Alon Ben David
Ran Zichel
A Rabbit Model for the Evaluation of Drugs for Treating the Chronic Phase of Botulism
Toxins
botulinum
chronic
sublethal
antitoxin
animal model
title A Rabbit Model for the Evaluation of Drugs for Treating the Chronic Phase of Botulism
title_full A Rabbit Model for the Evaluation of Drugs for Treating the Chronic Phase of Botulism
title_fullStr A Rabbit Model for the Evaluation of Drugs for Treating the Chronic Phase of Botulism
title_full_unstemmed A Rabbit Model for the Evaluation of Drugs for Treating the Chronic Phase of Botulism
title_short A Rabbit Model for the Evaluation of Drugs for Treating the Chronic Phase of Botulism
title_sort rabbit model for the evaluation of drugs for treating the chronic phase of botulism
topic botulinum
chronic
sublethal
antitoxin
animal model
url https://www.mdpi.com/2072-6651/13/10/679
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