The use of Botulinum neurotoxin (BoNT) is increasing in both clinical
and basic science. Clinically, intramuscular injection of nanogram qua
ntities of BoNT is fast becoming the treatment of choice for a spectru
m of disorders including movement disorders such as torticollis, bleph
arospasm, Meige Disease, and hemifacial spasm (Borodic er al., 1991, 1
994a; Jankovic and Brin, 1991; Clarke, 1992). Neuroscientists are usin
g BoNTs as tools to develop a better understanding of the mechanisms u
nderlying the neurotransmitter release process, Consequently, our abil
ity to accurately and reliably quantify the biologic activity of botul
inum toxin has become more important than ever. The accurate measureme
nt of the pharmacologic activity of BoNTs has become somewhat problema
tic with the most significant problems occurring with the clinical use
of the toxins, The biologic activity of BoNTs has been measured using
a variety of techniques including assessment of whole animal response
s to in vitro effects on neurotransmitter release. The purpose of this
review is to examine the approaches employed to characterize, quantif
y and investigate the actions of the BoNTs and to provide a guide to a
id investigators in determining which of these methods is most appropr
iate for their particular application or use. (C) 1997 Elsevier Scienc
e Ltd.