http://ehs.utah.edu/research-safety/biosafety/protocol-review/biological-toxins-registration Biological Toxins Biological toxins are toxic substances produced by bacteria, fungi, protozoa, insects, animals, or plants that have the capability of causing harmful effects when inhaled, ingested, injected or absorbed. They may be transmitted via surface contact with contaminated object(s) and subsequently spread to mucus membranes (eyes, nose, and mouth) and/or to open sores on skin. Some biological toxins can be absorbed through intact skin, especially if solubilized in substances such as dimethyl sulfoxide (DMSO). Accidental needle-stick is a mode of transmission within research laboratories. Accidental ingestion of contaminated materials and inhalation are other routes of transmission. While they cannot replicate and are not infectious they can be extremely hazardous, even in minute quantities. The health effects of exposure can vary greatly depending on the toxin, the amount, and the route of exposure, ranging from minor (skin or eye irritation, headache, nausea) to severe (respiratory distress, muscle weakness, seizures, death). IBC Registration The University of Utah Institutional Biosafety Committee (IBC) reviews registrations for work with, possession of, use of, and transfer of acute biological toxins (mammalian LD50 <100 µg/kg body weight) or toxins that fall under the Federal Select Agent Guidelines, as well as the organisms, both natural and recombinant, which produce these toxins The following is a list of toxins that are required to be registered with the IBC. However, the list is not comprehensive and principal investigators can confirm that toxins they propose to work with do not require IBC registration (LD50 >100 µg/kg body weight and not on Select Agent list) by contacting the Biosafety Office (biosafety@ehs.utah.edu or 801-581-6590). Abrin Aflatoxin Bacillus anthracis edema factor Bacillus anthracis lethal toxin Botulinum neurotoxins Brevetoxin Cholera toxin Clostridium difficile toxin Clostridium perfringens toxins Conotoxins Dendrotoxin (DTX) Diacetoxyscirpenol (DAS) Diphtheria toxin Domoic acid Pertussis toxin Pfeisteria spp. toxin(s) Ricin Saxitoxin Shiga-like ribosome inactivating proteins Shigatoxin Staphylococcal enterotoxins T-2 toxin Tetanus toxin Tetrodotoxin (TTX) The University of Utah Office of Environmental Health and Safety is migrating management and tracking of laboratories and research to BioRAFT. PIs or their delegates working with acute toxins must complete the General Laboratory Setup and Biological Registration Wizards. Currently there is not a Toxin registration form. Please complete the Toxin Registration form that can be downloaded below and add as a “Document” in BioRAFT. Click here (https://ehs.utah.edu/research-safety/biosafety/bioraft) to access the University of Utah BioRAFT page. Downloads: Biological Toxins Registration-BioRAFT form (link to Word Document) The laboratory will be expected to maintain a current chemical hygiene plan (University of Utah template can be found here (http://ehs.utah.edu/sites/default/files/research-safety/chemicalsafety/chemical-hygiene-plan/ehs-chemical-hygiene-plan-template.pdf)) and/or Standard Operating Procedures (University of Utah template can be found here (link to BSL2 SOP)). Laboratory Practices Guidelines for working with biological toxins can be found in Appendix I of the Biosafety in Microbiological and Biomedical Laboratories (http://www.cdc.gov/biosafety/publications/bmbl5/index.htm). These are summarized below. Routine operations with dilute toxin solutions are conducted using Biosafety Level 2 (BSL2) practices and these must be detailed in the IBC protocol and will be verified during the inspection by EHS staff prior to IBC approval. BSL2 Inspection checklists can be found here (http://ehs.utah.edu/research-safety/biosafety/biosafety-laboratory-audits). All personnel working with biological toxins or accessing a toxin laboratory must be trained in the theory and practice of the toxins to be used, with special emphasis on the nature of the hazards associated with laboratory operations and should be familiar with the signs and symptoms of toxin exposure. This includes how to handle transfers of liquids containing toxin, where to place waste solutions and contaminated materials or equipment, and how to decontaminate work areas after routine operations, as well as after accidental spills. The worker must be reliable and sufficiently adept at all required manipulations before being provided with toxin. Laboratory work with toxins should be done only in designated rooms with controlled access and at predetermined bench areas. When toxins are in use, the room should be clearly posted: “Toxins in Use—Authorized Personnel Only.” Researchers working with a toxin should be vaccinated if a vaccine is available (e.g. diphtheria toxin, tetanus toxin). Routine operations with dilute toxin solutions are conducted using BSL2 practices and facilities shall be used for activities involving biological toxins. These include: Biohazard signs and labels must be displayed in areas and on equipment where biological toxins are used and stored. This includes, but is not limited to, laboratory entrance doors, biological safety cabinets, chemical fume hoods, refrigerators, and freezers. Use a biological safety cabinet (BSC) or a chemical fume hood for resuspension of biological toxins or manipulations of stock solutions of toxins that can generate aerosols, such as pipetting, harvesting, infecting cells, filling tubes/containers, and opening sealed centrifuge canisters. When using an open-fronted fume hood or BSC, workers should wear suitable laboratory PPE to protect the hands and arms, such as laboratory coats, smocks, or coveralls and disposable gloves. Whenever possible, use needle-free techniques to resuspend biological toxins. If a quantity of powder-form toxin must be weighed, then the scale must be located in a certified chemical fume hood. When conducting liquid transfers and other operations that pose a potential splash or droplet hazard in an open-fronted hood or BSC, workers should wear safety glasses and disposable facemask, or a face shield. Toxin should be removed from the hood or BSC only after the exterior of the closed primary container has been decontaminated and placed in a clean secondary container. Toxin solutions, especially concentrated stock solutions, should be transported in leak/spill-proof secondary containers. Emphasis must be placed on evaluating and modifying experimental procedures to eliminate the possibility of inadvertent generation of toxin aerosols. Pressurized tubes or other containers holding toxins should be opened in a BSC, chemical fume hood, or other ventilated enclosure. Operations that expose toxin solutions to vacuum or pressure, for example sterilization of toxin solutions by membrane filtration, should always be handled in this manner, and the operator should also use appropriate respiratory protection. If vacuum lines are used with toxin, they should be protected with a HEPA filter to prevent entry of toxins into the line. Centrifugation of cultures or materials potentially containing toxins should only be performed using sealed, thick-walled tubes in safety centrifuge cups or sealed rotors. The outside surfaces of containers and rotors should be routinely cleaned before each use to prevent contamination that may generate an aerosol. After centrifugation, the entire rotor assembly is taken from the centrifuge to a BSC to open it and remove its tubes. Experiments should be planned to eliminate or minimize work with dry toxin (e.g., freeze-dried preparations). Unavoidable operations with dry toxin should only be undertaken with appropriate respiratory protection and engineering controls. Personal Protective Equipment (PPE) Work with biological toxins shall be conducted using BSL2 PPE: Disposable gloves – consider the use of double gloves for enhanced protection. Ensure your gloves are compatible with any solvent your toxin may be dissolved in. Lab coat or back-closing disposable gown Eye protection (safety glasses or goggles) is recommended, but not required when working within a biosafety cabinet or a chemical fume hood. An inventory control system should be in place to account for toxin use and disposition. If toxins are stored in the laboratory, containers should be sealed, labeled, and secured to ensure restricted access; refrigerators and other storage containers should be clearly labeled and provide contact information for trained, responsible laboratory staff. Decontamination and Spills Toxin stability varies considerably outside of physiological conditions depending upon the temperature, pH, ionic strength, availability of co-factors and other characteristics of the surrounding matrix. Literature values for dry heat inactivation of toxins can be misleading due to variations in experimental conditions, matrix composition, and experimental criteria for assessing toxin activity. Moreover, inactivation is not always a linear function of heating time; some protein toxins possess a capacity to re-fold and partially reverse inactivation caused by heating. In addition, the conditions for denaturizing toxins in aqueous solutions are not necessarily applicable for inactivating dry, powdered toxin preparations. Inactivation procedures should not be assumed to be 100% effective without validation using specific toxin bioassays. Many toxins are susceptible to inactivation with dilute sodium hydroxide (NaOH) at concentrations of 0.1-0.25N, and/or sodium hypochlorite (NaOCl) bleach solutions at concentrations of 0.1-0.5% (w/v). Use freshly prepared bleach solutions for decontamination; undiluted, commercially available bleach solutions typically contain 3-6% (w/v) NaOCl: a 1:10 dilution of bleach gives an appropriate concentration. Exposures Antitoxins are available for some biological toxins and immediate medical “first-aid” interventions may help prevent or lessen the severity of the reaction. If you know or suspect a biological toxin exposure. Irrigate the site of exposure o If exposure was by needle stick or other route which breaks the skin, wash with soap and water for 5-15 minutes and cover with a bandage. o If exposure was by splash to eyes or mucus membranes, irrigate thoroughly for 15 minutes at an appropriate eye wash station. Report to your Laboratory Supervisor and the Biosafety Officer IMMEDIATELY. Seek medical attention as outlined in your laboratory specific safety manual. Export Controlled Toxins Several biological toxins are restricted for export by the U.S. Department of Commerce and require an export license prior to any shipment out of the U.S. Many of the toxins on the export control list do not meet the definition of an acute toxin (LD50 <100 µg/kg body weight) and do not require registration with the IBC but the Principal Investigator is responsible for ensuring that they are in compliance with the export control laws and regulations. If you have questions about export controls, please visit the Office of Sponsored Projects webpage (http://osp.utah.edu/policies/export-controls.php) or contact OSP’s Export Control Officer, Todd Nilsen.