For a list of biologically injurious substances, including toxins and other materials, as well as their effects, see poison.
A toxin is a substance that causes injury to the health of a living thing on contact or absorption, typically by interacting with biological macromolecules such as enzymes and receptors. The term is usually reserved for naturally produced substances that kill rapidly in small quantities, such as the bacterialproteins that cause tetanus and botulism. The word "toxic" is used more loosely and often applied to non-biological materials, as in "toxic waste" and "toxicology."
Ingestable toxins are also often referred to as poisons, especially when intentionally administered by a human. Animal toxins that are delivered subcutaneously (e.g. by sting or bite) are also called venom. In normal usage, a poisonous organism is one that is harmful to consume, but a venomous organism uses poison to defend itself while still alive. A single organism can be both venomous and poisonous.
In most cases the quantity of material is related to its toxicity. Even a material such as water, which is normally considered non-toxic, can be toxic when ingested in sufficient quantity. Toxicity is measured in terms of the amount of the particular material that is needed to kill half the organisms in the test, which is called the LD50.
The toxins incorporate an enzyme (a protease) that attacks one of the fusion proteins at a neuromuscular junction, preventing vesicles from anchoring to the membrane to release acetylcholine.
Botulintoxin has always been considered an inferior agent for chemical warfare since it degrades rapidly on exposure to air, and therefore an area attacked with the toxic aerosol would be safe to enter within a day or so.
Other uses of botulinumtoxin type A that are widely known but not approved by FDA include urinary incontinence, anal fissure, spastic disorders associated with injury or disease of the central nervous system including trauma, stroke, multiple sclerosis, or cerebral palsy and focal dystonias affecting the limbs, face, jaw, or vocal cords.