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Synaptic vesicle protein 2 (SV2) and Synaptosomal-associated protein 25 (SNAP-25) (SV2/SNAP-25)

Target
SV2/SNAP-25
Molecular classification
Synaptic vesicle protein, SNARE protein, t-SNARE, Transmembrane protein, Peripheral membrane protein (UniProt P60880)
01

Overview

Synaptic vesicle protein 2 (SV2) and Synaptosomal-associated protein 25 (SNAP-25) constitute the dual-stage target system for Botulinum neurotoxin type A (BoNT/A) in cholinergic motor neurons. SV2 is a transmembrane protein located on synaptic vesicles that is exposed on the presynaptic membrane during exocytosis, serving as the high-affinity receptor for toxin binding and internalization (Science, 2006, 312(5773):592-596). SNAP-25 is a t-SNARE protein essential for the calcium-dependent fusion of acetylcholine-containing vesicles with the presynaptic plasma membrane (UniProt P60880). Upon entry into the neuron, the light chain of BoNT/A enzymatically cleaves SNAP-25, which prevents the assembly of the functional SNARE complex and blocks the release of acetylcholine into the neuromuscular junction (StatPearls: Botulinum Toxin). This mechanism results in localized muscle relaxation and is therapeutically exploited to treat conditions such as cervical dystonia, spasticity, chronic migraine, and various cosmetic concerns (FDA Label: Botox; Mayo Clinic).

Other names
SV2ASV2BSV2CSNAP25SNARE complexBotulinum toxin type A targetSynaptosomal-associated 25 kDa protein
02

Mechanism of action

Botulinum toxin type A binds to Synaptic Vesicle Protein 2 (SV2) on the presynaptic membrane of cholinergic neurons (Science, 2006). Following endocytosis, the toxin's light chain is released into the cytosol where it proteolytically cleaves SNAP-25 (PubMed: 16543415). This cleavage prevents the formation of the SNARE complex, thereby inhibiting the fusion of acetylcholine vesicles with the presynaptic membrane and blocking neuromuscular transmission (StatPearls).

03

Biological functions

Neurotransmitter releaseVesicle docking and fusionSynaptic vesicle traffickingExocytosis (UniProt P60880)
04

Disease associations

Muscle spasticityCervical dystoniaChronic migraineHyperhidrosisBlepharospasmStrabismusOveractive bladder (FDA Approved Indications)
05

Safety considerations

Distant spread of toxin effect (FDA Boxed Warning)DysphagiaRespiratory failureMuscle weaknessPtosisAntibody formation (PubMed: 15073376)
06

Interacting drugs

OnabotulinumtoxinA

5 more in the full profile.

07

Biomarkers

Cleaved SNAP-25 fragments (Research)Compound Muscle Action Potential (CMAP) (Clinical) (PubMed: 23103315)

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