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Mechanism and regulation of GLUT-4 vesicle fusion in

muscle and fat cells


Leonard J. Foster and Amira Klip
Am J Physiol Cell Physiol 279:877-890, 2000.

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on the following topics:
Biochemistry .. Membrane Fusion
Biochemistry .. Glucose Transport
Biochemistry .. Glucose Uptake
Biochemistry .. Fats
Biochemistry .. Fat Cell
Cell Biology .. Vesicle Fusion
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Am J Physiol Cell Physiol
279: C877–C890, 2000.

invited review
Mechanism and regulation of GLUT-4 vesicle fusion
in muscle and fat cells

LEONARD J. FOSTER AND AMIRA KLIP


Cell Biology Programme, The Hospital for Sick Children, Toronto, Ontario M5G 1X8; and
Department of Biochemistry, University of Toronto, Toronto, Ontario, Canada M5S 1A8

Foster, Leonard J., and Amira Klip. Mechanism and regulation of


GLUT-4 vesicle fusion in muscle and fat cells. Am J Physiol Cell Physiol

Downloaded from ajpcell.physiology.org on October 29, 2010


279: C877–C890, 2000.—Twenty years ago it was shown that recruit-
ment of glucose transporters from an internal membrane compartment
to the plasma membrane led to increased glucose uptake into fat and
muscle cells stimulated by insulin. The final step of this process is the
fusion of glucose transporter 4 (GLUT-4)-containing vesicles with the
plasma membrane. The identification of a neuronal soluble N-ethylma-
leimide-sensitive factor attachment protein receptor (SNARE) complex
as a requirement for synaptic vesicle-plasma membrane fusion led to the
search for homologous complexes outside the nervous system. Indeed,
isoforms of the neuronal SNAREs were identified in muscle and fat cells
and were shown to be required for GLUT-4 incorporation into the cell
membrane. In addition, proteins that bind to nonneuronal SNAREs were
cloned and proposed to regulate vesicle fusion. We have summarized the
molecular mechanisms leading to membrane fusion in nonneuronal
systems, focusing on the role of SNAREs and accessory proteins
(Munc18c, synip, Rab4, and VAP-33) in incorporation of GLUT-4 into the
plasma membrane. Potential modes of regulation of this process are
discussed, including SNARE phosphorylation and interaction with the
cytoskeleton.
vesicle traffic; soluble N-ethylmaleimide-sensitive factor attachment pro-
tein receptor; syntaxin 4; 23-kDa synaptosome-associated protein-like
protein; vesicle-associated membrane protein 2

DISCOVERY OF PROTEINS PARTICIPATING IN imide and the ability of both proteins to bind to each
VESICLE FUSION other. Later, four membrane proteins from brain ex-
tracts were found to act as receptors for NSF and
Vesicle-membrane fusion is a fundamental cellular
SNAP and were termed SNAREs (for SNAP receptors)
process that occurs at the final step of protein export to
(95). The proteins consisted of VAMP-2 (vesicle-associ-
most organelles and secretion of proteins and smaller
ated membrane protein-2) (26), syntaxins A and B (10),
molecules. Seminal work from Rothman and colleagues
and SNAP-25 (25-kDa synaptosome-associated pro-
(12, 20, 37, 125) in the late 1980s identified a pair of
teins) (77). On the basis of their topological localization
soluble proteins that could bind to the fusing mem- in the presynaptic bouton, these proteins were classi-
branes and were required for successful fusion of Golgi fied as vesicle (or v-) SNAREs (e.g., VAMP-2) and
vesicles with acceptor Golgi stacks. These proteins target (or t-) SNAREs (e.g., syntaxin and SNAP-25)
were termed NSF (N-ethylmaleimide-sensitive factor) (Table 1). VAMPs and syntaxins are characterized by a
and SNAP (soluble NSF attachment protein) on the very short extracellularly/luminally directed COOH
basis of the sensitivity of the former to N-ethylmale- terminus, a single transmembrane domain, and a long
cytoplasmic NH2-terminal region encompassing two
Address for reprint requests and other correspondence: A. Klip, coiled-coil domains (Fig. 1). In contrast, SNAP-25 does
Cell Biology Programme, The Hospital for Sick Children, Toronto, not have transmembrane domains but presents two
Ontario, Canada M5G 1X8 (E-mail: amira@sickkids.on.ca). coiled-coil domains flanking a cluster of cysteine resi-
http://www.ajpcell.org 0363-6143/00 $5.00 Copyright © 2000 the American Physiological Society C877
C878 INVITED REVIEW

Table 1. Nonneuronal SNAREs and interacting fusion step depends on SNARE protein integrity but
proteins appears to be independent of ATP hydrolysis, suggest-
ing that NSF is not involved at this stage (7, 21). A
Key
Protein Description Reference
structure-function model of fusion has been proposed
whereby SNAREs in the docked conformation “zip up”
NSF Soluble ATPase involved in fusion, 12 (Fig. 2) to form a tight, stable SNARE complex (40).
sensitive to NEM
␣SNAP Soluble protein involved in fusion, 20
The complex involves a four-helix coiled-coil bundle
binds NSF now described at atomic resolution (98). The free en-
Syntaxins t-SNARE, enriched on target 10 ergy released by the formation of this exceptionally
membranes, many isoforms stable complex is thought to be the source of the energy
SNAP-23 t-SNARE, enriched on target 86 used to fuse the two lipid bilayers (40). The elucidation
membranes, SNAP-25 homolog,
three isoforms of the crystal structure of the SNARE complex led to an
VAMPs v-SNARE, enriched on vesicle 108 alternative classification of SNAREs into Q- or
membranes, many isoforms R-SNAREs, based on the presence of either a glu-
VAP-33 VAMP-associated protein, binds 94 tamine (Q) or arginine (R) residue in the center of the
VAMP via transmembrane
domain
SNARE complex (29).
Pantophysin Synaptophysin homolog, binds 38
VAMPs
Synip Syntaxin 4 interacting protein, 72
soluble

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Munc18 Syntaxin-binding proteins, soluble, 102
three isoforms
Rabs Low-molecular-weight GTPases 107
involved in vesicle traffic, many
isoforms
Hrs-2 Soluble protein predicted to be 9
involved in vesicle traffic
SNAK Serine/threonine kinase showing 14
some substrate specificity for
SNAP-23
NSF, N-ethylmaleimide (NEM)-sensitive factor; SNAP, soluble
NSF attachment protein; t-SNARE, target soluble NSF attachment
protein receptor (SNARE); VAMP, vesicle-associated membrane pro-
tein; v-SNARE, vesicle SNARE; VAP-33, 33-kDa VAMP-associated
protein; SNAK, SNAP-23 kinase.

dues that are highly susceptible to palmitoylation (Fig.


1). The three proteins interact with one another
through their coiled-coil domains, and it is now
thought that the interaction of SNAP-25 with syntaxin
is more relevant to its membrane localization than is
its palmitoylation (115, 116).
It was originally proposed that the SNARE proteins
would form a link between vesicle and target mem-
branes as a step preceding fusion (95) and that fusion Fig. 1. Common domain structure of soluble N-ethylmaleimide-sen-
would be driven by the energy released from ATP sitive factor attachment protein receptor (SNARE) proteins. A: syn-
taxins typically contain 3 coiled-coil domains. The most COOH ter-
hydrolyzed by bound NSF (95). Furthermore, given minal (juxtamembrane) of these domains contains the conserved
that individual SNARE isoforms were found to have glutamine (Q) residue and participates in the SNARE complex. Both
distinct tissular, cellular, and organellar specificity, it vesicle-associated membrane proteins (VAMPs) and syntaxins have
was proposed that the SNAREs would dictate vesicle an extreme COOH-terminal transmembrane domain that protrudes
targeting specificity (95). This hypothesis is supported through the membrane, leaving the COOH terminus extracellular
(luminal). Similar to syntaxins, VAMPs also contain a juxtamem-
by very recent work showing that only certain SNARE brane coiled-coil domain that participates in the SNARE complex,
isoforms are able to recover disrupted norepinephrine but VAMP coiled-coil domains typically contain a conserved arginine
release from cracked PC12 cells (89). It is now clear (R) residue. SNAP-25 and its homologs contain 2 coiled-coil domains,
that syntaxin and SNAP-25 also populate synaptic 1 at either end of the molecule, and both domains contain conserved
glutamine residues. In addition, these molecules have multiple cys-
vesicles and that VAMP is also found in target mem- teine residues (cccc) in the middle of the molecule that can be
branes (121). This has led to the suggestion that cis- palmitoylated to enhance the interaction of SNAP-25 with mem-
complexes of v- and t-SNARE may occur within the branes. B: the 3 SNARE proteins condense into a complex containing
same membrane, preventing the individual compo- 4 ␣-helices, 2 contributed by SNAP-25 and 1 each by VAMP and
nents from engaging in trans-interactions with the syntaxin. The helices align in a parallel fashion, presumably also
parallel to the plane of the membranes. The implication is that the
opposite membrane. The action of NSF and ␣SNAP is flexible linker between the 2 coiled-coil domains of SNAP-25 must
to dissociate the cis-complexes using the energy re- loop back around the complex to allow both domains to align in a
leased by ATP hydrolysis (Fig. 2) (7, 21). The final parallel fashion. N, NH2 terminus; C, COOH terminus.
INVITED REVIEW C879

GLUT-4 COMPARTMENTS AND THEIR SNARE


ISOFORMS

An important biological phenomenon involving ves-


icle-membrane fusion is the incorporation of glucose
transporters into the plasma membrane of muscle and
fat cells. The glucose transporter of these tissues is
GLUT-4, a 12-transmembrane domain protein that
mediates vectoral transport of glucose in the direction
of the glucose gradient (8). The hormone insulin
strongly promotes GLUT-4 incorporation into the cell
surface, and this translocation appears to fail in insu-
lin resistance accompanying several forms of diabetes
(60, 62, 130). Because of the physiological importance
of insulin-dependent GLUT-4 translocation to the cell
surface, attempts have been made to characterize the
final GLUT-4 vesicle fusion step, drawing from lessons
learned from neuronal synaptic transmission.
In unstimulated muscle and fat cells, the steady-
state distribution of GLUT-4 favors intracellular com-

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partments over the plasma membrane (25, 46, 52, 83).
This steady state is the result of a slow mobilization of
GLUT-4 to the cell surface and rapid removal from the
plasma membrane (47, 53). Most studies suggest that
the intracellular compartments populated by GLUT-4
include the early/sorting endosome, the recycling en-
dosome, and a specialized vesicular compartment (41,
55, 56, 69). It is currently debated whether the latter
does or does not recycle in the basal state. In rodent
adipocytes, insulin promotes the externalization of the
specialized vesicles and increases the recycling of
GLUT-4 from the recycling endosome to the plasma
membrane (41, 55, 56, 69). In muscle, insulin mobilizes
a specialized vesicle pool, but there is no evidence that
the recycling endosome is also mobilized (1, 2). Instead,
emerging studies are consistent with the possibility
Fig. 2. Hypothetical steps in vesicle docking and fusion applied to that muscle contraction mobilizes GLUT-4 from the
the glucose transporter 4 (GLUT-4) system. Preformed cis-SNARE recycling endosome in this tissue (24, 63, 80). Thus
complexes on the plasmalemmal and vesicle membranes must first GLUT-4-containing vesicles incorporate into the
be dissociated by the action of the ATPase N-ethylmaleimide-sensi-
tive factor (NSF) and its assistant, soluble NSF attachment protein
plasma membrane in at least three circumstances: in
(␣SNAP) (priming). The vesicle then becomes associated with the the basal (unstimulated) state, out of the recycling
plasma membrane (tethering) through as yet unknown molecules. endosome; in response to insulin, out of the specialized
Rab4 may participate at this point, but tethering does not involve vesicle; and in response to exercise in muscle and to
SNARE proteins. Once tethered, the SNAREs can trans-associate,
causing the vesicle to become more tightly associated with the
insulin in fat cells, out of the recycling endosome.
plasma membrane (docking). Docking then leads to formation of the Other possibilities are not discounted, such as addi-
classic SNARE complex on the way to fusion of the vesicle with the tional mobilization of the specialized vesicular pool in
plasma membrane. response to exercise. This diversity of fusion events
begs the question of whether similar or different mol-
ecules participate in GLUT-4 vesicle fusion with the
Because SNARE proteins were first identified in plasma membrane in each case. In the search for an-
neuronal or neuroendocrine tissues, most of our infor- swers to this question, the SNARE isoforms expressed
mation on these protein families stems from studies in in muscle and fat cells had first to be defined. Of the
neuronal systems. However, SNARE proteins are VAMP family, only VAMP-2 and VAMP-3/cellubrevin
found in all tissue and cell types. In the last decade, have so far been detected in muscle and fat primary
more than 9 VAMP isoforms, 19 syntaxin isoforms, and tissues and corresponding cells in culture (82, 105,
3 SNAP-25 isoforms have been described across the 117). Contrary to neuronal and neuroendocrine cells,
animal and even the plant kingdoms (51). The conser- muscle and fat cells do not express syntaxin 1, but
vation of the basic elements of these proteins has given instead express syntaxin 4 (49, 102, 119). In addition,
rise to the tenet that these proteins must fulfill a low levels of syntaxin 2 are also detected in 3T3-L1
universal role in the mechanism of vesicle-membrane adipocytes (119) and rat adipocytes (105), whereas
fusion (for a comprehensive review, see Ref. 51). small levels of syntaxin 3 are present in rat adipocytes
C880 INVITED REVIEW

(105). Another difference between neuronal/neuroen- VAMP-2 is susceptible to cleavage by various clos-
docrine cells and muscle and fat cells pertains to the tridium neurotoxins (50). This susceptibility afforded a
expression of SNAP-25. This isoforms was not found in specific strategy to probe the function of VAMP-2 (and
insulin-sensitive cells, which instead express SNAP-23 a closely related isoform called VAMP-3/cellubrevin) in
(3, 122, 127). GLUT-4 traffic. We and others have demonstrated a
THE PREFUSION STEPS requirement for VAMP-2 in insulin-stimulated
GLUT-4 translocation (17, 18, 31, 39, 65, 68, 75, 85,
Synaptic vesicle fusion is the final step in a series of 99). Tetanus toxin and botulinum toxins B and D
events that have been described as vesicle tethering (a introduced into rodent adipocytes by electroporation,
reversible step) and vesicle docking (an irreversible single-cell microinjection, chemical permeabilization
step) (Fig. 2). Information on these steps has also (using streptolysin O toxin), or natural, toxin-mediated
emerged from yeast molecular genetic studies (16) and uptake (17, 18, 31, 39, 65, 99) reduced by more than
from in vitro endosome-endosome fusion studies (19, one-half the insulin-stimulated GLUT-4 incorporation
71). The full complement of tethering proteins has not into the cell surface (Table 2). In addition, introduction
yet been identified, but the early endosome autoanti- of antibodies raised against various regions of VAMP-2
gen 1 (EEA1) protein may act as the tethering protein as well as peptides representing different segments of
engaged in binding endocytic vesicles to the early en- VAMP-2 also diminished the insulin-dependent arrival
dosome (19, 70). EEA1 is found in insulin-sensitive cell
of GLUT-4 at the plasma membrane of rodent adipo-
types (78), but its participation in GLUT-4 vesicle
cytes (17, 65, 68, 75) (Table 2).
traffic has not been tested.

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Once vesicles are brought into close proximity with Recent work on the function of VAMPs in GLUT-4
their target membranes by the tethering process, traffic has focused on resolving whether VAMP-2 or
SNARE proteins on opposite membranes associate and VAMP-3/cellubrevin is the primary v-SNARE involved in
acquire the configuration required for fusion (Fig. 2, insulin-stimulated GLUT-4 translocation. It has been
“docked”). The SNARE proteins in docked vesicles are suggested that VAMP-2 is the v-SNARE important for
thought to be in a high-energy state (40) that can be translocation of GLUT-4 from the insulin-sensitive com-
maintained for long periods of time. Indeed, large num- partment, because the cytosolic domain of VAMP-2, but
bers of synaptic vesicles can be observed docked at the not VAMP-3/cellubrevin or VAMP-1, reduced insulin-
presynaptic plasma membrane (51). In contrast, stimulated GLUT-4 translocation by one-half when mi-
GLUT-4 vesicles have rarely, if at all, been found croinjected into 3T3-L1 adipocytes (68). In addition,
perched at the plasma membrane of unstimulated transfection of tetanus toxin light chain into L6 muscle
muscle or fat cells. cells in culture resulted in 70% inhibition of insulin-
In neurons, nerve terminal depolarization leading to dependent GLUT-4 arrival at the cell surface (85). Basal
calcium influx is the penultimate trigger for neuro- levels of cell surface GLUT-4 were minimally affected.
transmitter exocytosis. Currently, there is no evidence Cotransfection of tetanus toxin-insensitive mutants of
supporting a need for calcium ions in insulin-depen- VAMP-2, but not VAMP-3, rescued the inhibition (85).
dent glucose uptake mediated by GLUT-4 in 3T3-L1 These results indicate that VAMP-2, but not VAMP-3, is
adipocytes, L6 myotubes, or cardiac myocytes (42, 59, involved in insulin-stimulated GLUT-4 translocation and
61). In fact, GLUT-4 insertion into the plasma mem- that neither protein participates in GLUT-4 sorting to
brane can be observed in cells equilibrated with calci- the plasma membrane in the basal state.
um-free buffers by means of streptolysin O-induced cell
permeabilization (17) (Foster LJ and Klip A, unpub-
Syntaxin 4
lished observation).
PROTEINS PARTICIPATING IN GLUT-4 VESICLE Syntaxin 4 is expressed in muscle and fat cells,
FUSION where it is largely, but not exclusively, located at the
plasma membrane (97, 105, 119). In fact, GLUT-4
VAMP-2 vesicles contain syntaxin 4 that cannot be explained by
contamination from plasma membranes (119). Unlike
VAMP-2, the prototypical v-SNARE, is common to
several systems in which vesicle traffic is regulated. syntaxins 1 through 3, syntaxin 4 is not susceptible to
These include neurotransmitter release in neural syn- cleavage by botulinum toxin C1 (90). For this reason,
apses (26), insulin-stimulated GLUT-4 translocation in studies on the functional role of syntaxin 4 in GLUT-4
fat and muscle cells (15, 117), and aquaporin-2 trans- translocation have required the use of antibodies and
location in renal collecting ducts (54). VAMP-2 is ex- peptides to perturb the function of syntaxin 4. Micro-
pressed in muscle (82, 117) and fat cells (15, 118) and injection (65, 75, 101), chemical permeabilization (17,
was originally detected in immunoisolated GLUT-4 119), and adenoviral overexpression (75) have been
compartments from rat fat cells (15). By subcellular used to introduce antibodies directed against syntaxin
fractionation of muscle and adipose cells, the protein is 4 or soluble domains of the protein. In all cases, the
found to be distributed in similar proportions in the perturbation of syntaxin 4 resulted in ⬃50% inhibition
plasma membrane and intracellular membranes (15, of insulin-stimulated glucose uptake (119) or GLUT-4
117, 118). translocation (17, 65, 75, 101) (Table 2).
INVITED REVIEW C881

Table 2. Effects of interfering with SNARE proteins on insulin-stimulated glucose uptake


and/or GLUT-4 translocation
GLUT-4 Glucose
Cell Type Reagent and Method of Introduction Translocation Uptake References

VAMP-2
3T3-L1 Botulinum toxin D by streptolysin O toxin Decreased n.d. 17
3T3-L1 Botulinum toxin B by streptolysin O toxin Decreased Decreased 99
3T3-L1 Cytoplasmic domain by streptolysin O toxin Decreased n.d. 17, 68
3T3-L1 NH2-terminal peptide by microinjection Decreased n.d. 65
3T3-L1 Tetanus toxin by microinjection Decreased n.d. 65
3T3-L1 Botulinum toxin B by microinjection Decreased n.d. 31, 65
3T3-L1 Botulinum toxin B by toxin-mediated uptake n.d. Decreased 18
3T3-L1 Cytoplasmic domain by adenoviral transfection Decreased n.d. 75
Rat adipocytes Tetanus toxin by electroporation No effect No effect 39
3T3-L1 NH2-terminal peptide by streptolysin O toxin Decreased n.d. 68
L6 myoblasts Tetanus toxin by transfection Decreased n.d. 85
Syntaxin 4
3T3-L1 Cytoplasmic domain by streptolysin O toxin Decreased n.d. 17
3T3-L1 Antibody by streptolysin O toxin n.d. Decreased 119
3T3-L1 Internal peptide (106–22) by microinjection Decreased n.d. 65

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3T3-L1 Cytoplasmic domain by adenoviral transfection Decreased n.d. 75
3T3-L1 Cytoplasmic domain by microinjection Decreased n.d. 75
3T3-L1 Antibody by microinjection Decreased n.d. 101
SNAP-23
3T3-L1 Botulinum toxin E by toxin-mediated uptake n.d. No effect 18
3T3-L1 Botulinum toxin E by microinjection No effect n.d. 66
3T3-L1 COOH-terminal peptide by microinjection Decreased n.d. 87
3T3-L1 NH2-terminal antibody by microinjection Decreased n.d. 87
3T3-L1 COOH-terminal antibody by microinjection Decreased n.d. 34
3T3-L1 Full-length protein by microinjection Increased n.d. 34
3T3-L1 Full-length protein by streptolysin O toxin n.d. Increased 34
3T3-L1 Botulinum toxin E by microinjection Decreased n.d. 31
3T3-L1 Full-length protein by adenoviral transfection No effect No effect 58
3T3-L1 NH2-terminal 202 amino acids by adenoviral transfection Decreased Decreased 58
3T3-L1 NH2-terminal 161 amino acids by adenoviral transfection No effect No effect 58
GLUT-4, glucose transporter 4; n.d., not determined.

SNAP-23 function. The microinjected full-length protein en-


hanced both insulin-stimulated GLUT-4 translocation
SNAP-23 shares both sequence and structural ho- and glucose uptake (34). These results suggest that the
mology with SNAP-25 (86). A protein cloned from a endogenous SNAP-23 may be available for SNARE
cDNA library of 3T3-L1 adipocytes, originally named complex formation in limiting amounts. A very recent
syndet (122), was found to be the murine form of report (43) has defined that 3T3-L1 adipocytes have
SNAP-23 (96). By subcellular fractionation of muscle approximately three times more SNAP-23 than syn-
and fat cells, SNAP-23 is found almost exclusively in taxin 4 (1.15 ⫻ 106 copies of SNAP-23 per cell com-
the plasma membrane-enriched fraction (122, 127). pared with 3.74 ⫻ 105 copies of syntaxin 4). The extent
Neutralizing antibodies as well as peptides encoding of availability of each of these proteins for SNARE
the NH2 or COOH termini of SNAP-23 have been complex formation is still to be determined, given that
introduced into 3T3-L1 adipocytes by microinjection, these proteins have several cellular partners. Exoge-
chemical permeabilization, and adenoviral transfec- nous SNAP-23 may enhance the rate of fusion of
tion. All these reagents reduced the insulin-dependent GLUT-4 vesicles with the plasma membrane by en-
arrival of GLUT-4 at the plasma membrane, although hancing the formation of productive complexes with
they did not inhibit it completely (31, 34, 58, 87). The syntaxin 4 and VAMP-2 (Table 2).
clostridium neurotoxins Bo/NT A and E have been
useful to probe the function of SNAP-25, but they have NSF and ␣SNAP
been less effective in targeting SNAP-23. Bo/NT E has
been shown to cleave SNAP-23 in some species, notably Unlike the expanded nature of the SNARE protein
the canine isoform (64). In some reports, the toxin was families, NSF and ␣SNAP have very few apparent
able to cleave the murine SNAP-23, concomitantly re- homologs. High-resolution X-ray crystal structures
ducing GLUT-4 translocation (31). In other studies, the suggest that NSF may engage ␣SNAP as a lever to pry
toxin was ineffective toward SNAP-23 (18, 66). Be- the SNARE complex apart (129) (Table 1). This would
cause SNAP-23 is not a transmembrane protein and then allow SNAREs to form complexes between oppos-
can bind to native syntaxin 4, it was also possible to ing membranes that are competent for fusion. Indeed,
introduce into cells full-length SNAP-23 to test its NSF and ␣SNAP are found in rat adipocytes, and
C882 INVITED REVIEW

epitope-tagged versions of these proteins have been fusogen role assigned to their neuronal counterparts
used to immunoprecipitate SNARE complexes from (51). Indeed, purified, bacterially expressed SNAP-25,
these cells. Such complexes contained syntaxin 4, syntaxin 1, and VAMP-2 reconstituted into synthetic
VAMP-2, VAMP-3, and SNAP-23 (105). Transfection of proteoliposomes can mediate fusion of these liposomes
a dominant negative mutant of NSF into rat adipocytes (73, 124). Fusion of a single vesicle with its target
resulted in plasma membrane levels of GLUT-4 after membrane likely requires the formation of more than
insulin treatment that were not significantly different one SNARE complex, and there is a suggestion that a
from basal, nontransfected levels (45). However, the ring of SNARE complexes aligns around the fusion
level of plasma membrane GLUT-4 in basal cells ex- pore (124). Current experiments have not been able to
pressing the dominant negative NSF was also lowered determine the number of complexes required for fusion
significantly (45). of one vesicle. This will likely require detailed micro-
DO SNARES SUFFICE TO CAUSE GLUT-4 VESICLE calorimetry experiments measuring the free energy
FUSION? released during complex formation.
The three SNAREs expressed in muscle and fat cells The importance of the formation of a neuronal
appear to be essential for a significant fraction of the SNARE complex for synaptic vesicle fusion suggests
insulin-stimulated GLUT-4 arrival at the cell surface. that a high-affinity complex may also form between
However, in all the experiments discussed above, in- VAMP-2, syntaxin 4, and SNAP-23 in the process of
terfering with VAMP-2, syntaxin 4, or SNAP-23 only GLUT-4 vesicle fusion. This possibility has been ad-
partly inhibited insulin-stimulated GLUT-4 transloca- dressed experimentally, yielding somewhat surprising

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tion, and the basal levels of plasma membrane GLUT-4 results (Table 3). Although there is general agreement
were not altered even after long time periods in the that a complex does form comprising SNAP-23, syn-
presence of the perturbing agent. This latter observa- taxin 4, and VAMP-2, the biochemical properties of
tion is especially surprising given that GLUT-4 is such a complex appear to differ from those of the
known to cycle dynamically to and from the membrane VAMP-2/syntaxin 1/SNAP-25 complex. These differ-
in the absence of insulin. These observations suggest ences depend on the experimental design including,
that either different SNARE isoforms or other proteins importantly, whether the proteins used are recombi-
mediate these two fusion events. Only one other VAMP nant forms produced in bacteria or endogenous pro-
has been detected in the relevant membranes of muscle teins isolated from mammalian cell systems. One of the
and fat cells, VAMP-3/cellubrevin. However, complete hallmarks of the neuronal SNARE complex involving
hydrolysis of this protein by botulinum or tetanus SNAP-25, syntaxin 1, and VAMP-2 is its ability to
toxin, or interference by peptides emulating NH2-ter- resist denaturation by ionic detergents such as sodium
minal sequences of VAMP-3/cellubrevin, failed to affect dodecyl sulfate (SDS). Whereas an SDS-resistant com-
either basal or insulin-mediated GLUT-4 arrival at the plex containing VAMP-2, SNAP-23, and syntaxin 4 in
cell surface (68, 75, 85), whereas the analogous domain
0.5% SDS was detected using surface plasmon reso-
of VAMP-2 effectively inhibited one-half of the insulin
nance (87), such a complex could not be detected by
action (68). It is conceivable that muscle and fat cells
express other, toxin-insensitive VAMPs, which could SDS-PAGE or circular dichroism using samples in 2%
potentially mediate the fusion events that are not ac- SDS (35, 128). A second distinguishing feature of the
counted for by VAMP-2. Similarly, it is conceivable neuronal SNARE complex is that SNAP-25 enhances
that syntaxin 2 or 3 could mediate fusion events be- the binding of VAMP-2 to syntaxin 1. In contrast, in
cause they each bind to VAMP-2 (28, 81). glutathione S-transferase-pulldown experiments, we
The studies listed above support the notion that found no evidence for cooperative binding between
VAMP-2, syntaxin 4, and SNAP-23 are required for the SNAP-23, VAMP-2, and syntaxin 4 (35); however, a
incorporation of GLUT-4-containing vesicles into the cooperative effect of SNAP-23 on complex formation
plasma membrane. These proteins may participate in was reported when all three proteins were overex-
the actual membrane fusion step, by analogy to the pressed in COS cells (58).

Table 3. Reported SNARE complexes containing SNAP-23, VAMP-2, and syntaxin 4


SDS
System Detection Method Cooperativity Resistance References

Immunopurified from rat adipocyte cell lysates SDS-PAGE n.d. n.d. 105
Recombinant cytosolic domains, affinity purified SDS-PAGE None No 35
Recombinant cytosolic domains, size-exclusion purified,
SDS-PAGE SDS-PAGE, CD n.d. No 128
Recombinant cytosolic domains, affinity purified SPR n.d. Yes 87
Immunopurified from rat adipocyte cell lysates SDS-PAGE Enhanced by ␣SNAP n.d. 96
Immunopurified from 3T3-L1 and COS cell lysates SDS-PAGE Yes, in COS cells n.d. 58
Neuronal complex of syntaxin 1, VAMP-2, and SNAP-25 SDS-PAGE, CD, SPR Enhanced by SNAP-25 Yes 51
CD, circular dichroism; SPR, surface plasmon resonance.
INVITED REVIEW C883

HORMONAL REGULATION OF GLUT-4 VESICLE icles from a 3T3-L1 adipocyte cell line expressing myc-
INCORPORATION INTO TARGET MEMBRANES tagged GLUT-4 were able to associate in vitro with
isolated plasma membrane derived from wild-type
An important question is whether any of the steps
3T3-L1 cells. The association was dependent on cal-
involved in GLUT-4 vesicle incorporation into the
cium and could be prevented by including the recom-
plasma membrane is regulated by insulin-derived sig-
binant soluble domain of syntaxin 4 in the binding
nals. The occupied insulin receptor undergoes auto- assay. Notably, plasma membranes derived from insu-
phosphorylation and then phosphorylates insulin-re- lin-stimulated cells were more effective than control
ceptor substrate(s) (27, 69). This phosphorylation leads membranes in binding intracellular GLUT-4 myc (48).
to activation of phosphatidylinositol 3⬘-kinase to pro- Although this assay does not distinguish between dock-
duce phosphatidylinositol 3,4-bisphosphate and phos- ing and fusion, it may prove helpful in testing the
phatidylinositol 3,4,5-trisphosphate. These two lipids individual participation of enzymes known to be acti-
lead to the activation of protein kinase B/Akt and the vated by insulin on the interaction of donor and accep-
atypical protein kinase C’s (27, 32, 69), both of which tor membranes.
appear to be required for GLUT-4 translocation (5, 6,
31, 44, 123). The steps downstream of these serine/ Phosphorylation
threonine kinases leading to GLUT-4 translocation are
as yet unidentified. A plausible mechanism whereby insulin- or isoprot-
Recent studies have suggested that certain physio- erenol-dependent signals could regulate the fusion ma-
logical conditions may halt GLUT-4 vesicles at the chinery is through phosphorylation of its integral com-

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docking state and prevent fusion. Isoproterenol pre- ponents. Indeed, considerable efforts have been
treatment reduces insulin-dependent glucose uptake dispensed toward defining which SNAREs are suscep-
in adipocytes and the number of GLUT-4 molecules tible to phosphorylation and by which kinases (Table
detected at the surface of intact cells with the use of an 4). We have reported that syntaxin 4 is susceptible to
impermeant photolabel (114). However, isolated phosphorylation by the serine/threonine kinases pro-
plasma membranes did not reflect any diminution in tein kinase A, casein kinase II, and conventional pro-
GLUT-4 levels caused by isoproterenol (114). These tein kinase C in vitro (35). SNAP-23 is also phosphor-
results led to the suggestion that isoproterenol main- ylated by conventional protein kinase C’s, but the
tained GLUT-4 in an occluded state, inaccessible to the phosphorylation is inefficient (35). In addition, the
cell surface. Because the photolabel used has a prefer- newly identified SNAP-23 kinase (SNAK) can phos-
ential reactivity with active transporters, it was also phorylate SNAP-23 and syntaxin 4 (14).
possible that the transporters were inactive but To further explore whether syntaxin 4, VAMP-2, or
present at the outer surface of the membrane. There- SNAP-23 is a suitable substrate of kinases in vivo,
fore, it was important to detect transporter exposure at 3T3-L1 adipocytes were loaded with [o-32P]phosphate
the cell surface by other means. With the use of cell- and treated with insulin, and each SNARE was selec-
surface biotinylation, it was confirmed that isoproter- tively immunoprecipitated. Although each protein was
enol pretreatment rendered the transporter inaccessi- found to be phosphorylated, the level was not altered
ble to extracellular labels yet bound to plasma significantly by insulin treatment. We further explored
membranes upon their isolation (30). These results whether isoproterenol may alter SNARE phosphoryla-
suggest that isoproterenol pretreatment allows tion, to provide a possible explanation for the inability
GLUT-4 vesicles to dock but prevents their fusion with of GLUT-4 vesicles to dock with the plasma membrane.
the plasma membrane. Preliminary results from our However, isoproterenol did not significantly alter the
laboratory suggest that isoproterenol may have similar phosphorylation levels of either SNAP-23 or syntaxin 4
effects in muscle cells. Treatment of L6 skeletal muscle (Foster LJ and Klip A, unpublished observations) (Ta-
cells with isoproterenol before insulin treatment re- ble 4).
duced the insulin-stimulated glucose uptake. This was
Ancillary Proteins
concomitant with a decrease in the insulin-stimulated
GLUT-4 translocation measured by the externalization A second mechanism whereby SNARE function
of an myc epitope inserted in the first extracellular loop might be controlled is through binding of ancillary
of GLUT-4 and stably transfected into these cells (Ha- proteins that may either prevent or promote productive
yashi M, Bilan P, and Klip A, unpublished observa- SNARE complex formation leading to membrane fu-
tions). Experiments are currently underway to deter- sion. A cohort of proteins have been described to inter-
mine whether isoproterenol causes GLUT-4 vesicles to act with SNAREs, as described below and listed in
associate but not fuse with the plasma membrane in Tables 1 and 5.
these cells as well. Munc18c. The Munc18 proteins are mammalian ho-
It will be interesting to confirm, by using electron mologs of the Sec1 protein in Saccharomyces cerevisiae
microscopy or in vitro reconstitution assays, that and the unc-18 protein in Caenorhabditis elegans, both
GLUT-4 vesicles can be arrested at the docked state. of which bind syntaxins from their respective species.
To date, the only reconstitution assay achieved detects Munc18a was originally cloned from neuronal tissues
GLUT-4 binding to the membrane but does not differ- and has been given many different names, including
entiate between docking and fusion (48). GLUT-4 ves- n-Sec1 and rbSec1. Munc18a cDNA was used as bait to
C884 INVITED REVIEW

Table 4. Phosphorylation of SNAREs and ancillary proteins


Hormone Level/ Kinase Effect of
Protein System Regulation Stoichiometry Responsible Phosphorylation Reference

Syntaxin 4 Immune complex from None with INS Low Unknown Unknown ⴱ
3T3-L1 adipocytes or IPT
Syntaxin 4 Immune complex from n.d. Low Unknown, not Unknown 14
HeLa cells SNAK
Syntaxin 4 Recombinant protein/ n.a. 3.9 mol/mol Protein Inhibits binding to 35
purified kinase kinase A SNAP-23
Syntaxin 4 Recombinant protein/ n.a. 0.81 mol/mol Casein kinase Unknown 35
recombinant kinase II
Syntaxin 4 Recombinant protein/ n.a. ⬍0.05 mol/mol Protein Unknown 35
purified kinase kinase C
Syntaxin 4 Recombinant protein/ n.a. Low SNAK Unknown 14
recombinant kinase
SNAP-23 Recombinant protein/ n.a. ⬍0.01 mol/mol Protein Unknown 35
purified kinase kinase C
SNAP-23 Immune complex from None with INS Low Unknown Unknown ⴱ
3T3-L1 adipocytes or IPT
SNAP-23 Recombinant protein/ n.a. High SNAK Enhances binding to 14
recombinant kinase syntaxin 4
VAMP-2 Immune complex from None with INS Low Unknown Unknown ⴱ

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3T3-L1 adipocytes
Pantophysin Immune complex from None with INS High Unknown Unknown 13
3T3-L1 adipocytes
77-kDa Bound to pantophysin
unknown immune complex INS increases Unknown Unknown Unknown 13
Ins, insulin; Iso, isoproterenol; n.a., not applicable. * Foster L and Klip A, unpublished observations.

clone similar genes from a 3T3-L1 cDNA library. One binding of syntaxin 4 to VAMP-2 (101, 103) and
of the proteins cloned by this method was Munc18c, SNAP-23 (3). Insulin causes the dissociation of a
which interacts specifically with syntaxins 2 and 4 but Munc18c/syntaxin 4 complex (103). A prediction of this
not syntaxins 1 or 3 (100, 102). Munc18c inhibits the observation is that once insulin causes the dissociation,

Table 5. Effects of interfering with SNARE-binding proteins on insulin-stimulated glucose uptake


or GLUT-4 translocation
GLUT-4 Glucose
Cell Type Reagent and Method Translocation Uptake Reference

Munc18c
3T3-L1 Full-length protein by adenoviral transfection Decreased n.d. 103
3T3-L1 Full-length protein by adenoviral transfection Decreased Decreased 100
3T3-L1 Syntaxin 4-binding peptide by microinjection Decreased n.d. 104
Synip
3T3-L1 COOH-terminal half by adenoviral Decreased Decreased 72
transfection/microinjection
3T3-L1 Full-length protein by adenoviral transfection/microinjection No effect No effect 72
3T3-L1 NH2-terminus half by adenoviral transfection/microinjection No effect No effect 72
Rab4
Rat adipocytes Peptide (191–210) by electroporation Decreased Decreased 93
Rat adipocytes Antibody by electroporation Decreased Decreased 93
Rat adipocytes Full-length protein by transfection Decreased n.d. 22
Rat adipocytes Membrane-association mutant by transfection Decreased n.d. 22
3T3-L1 Full-length protein by microinjection No effect n.d. 120
3T3-L1 GTP-binding mutant by microinjection Decreased n.d. 120
3T3-L1 GTPase mutant by microinjection No effect n.d. 120
3T3-L1 Antibody by microinjection Decreased n.d. 120
VAP-33
3T3-L1 Antibody by microinjection Decreased n.d. 33
L6 myoblasts Full-length protein by transfection Decreased n.d. 33
Pantophysin
3T3-L1 Antibody by microinjection Decreased n.d. ⴱ
* Foster LJ, Cheatham B, and Klip A, unpublished observations.
INVITED REVIEW C885

syntaxin 4 would be available to bind SNAP-23 and phorylation of SNAP-23 enhances t-SNARE complex
VAMP-2, leading to fusion of the vesicles with the assembly, that is, binding of SNAP-23 and syntaxin 4
target membrane. Indeed, full-length Munc18c intro- (14). It is unknown whether SNAK is present in insu-
duced into 3T3-L1 adipocytes by adenoviral transfec- lin-sensitive tissues or whether SNAK is activated by
tion inhibited insulin-stimulated glucose uptake and insulin. Results of in vivo phosphorylation do not sup-
GLUT-4 translocation by ⬃50% (100, 103). However, a port any insulin-dependent phosphorylation of
peptide representing the domain of Munc18c that SNAP-23 (Table 4).
binds to syntaxin 4, when microinjected into 3T3-L1 Hrs-2. The growth factor-induced phosphoprotein
adipocytes, inhibited fusion of green fluorescent pro- Hrs-2 can bind to SNAP-25 and SNAP-23 in vitro (110).
tein-GLUT-4-containing vesicles with the plasma In permeabilized PC12 cells, recombinant Hrs-2 inhib-
membrane. The peptide appeared to allow GLUT-4 its norepinephrine release (9). Hrs-2 is expressed in
vesicles to dock with the plasma membrane without muscle and fat cells, but its tyrosine phosphorylation
fusing with it. Given that this peptide displaces state is not altered in response to insulin (Yaworsky K,
Munc18c-binding to syntaxin 4, these results may sug- Foster LJ, and Klip A, unpublished observations). To
gest that the displaced, endogenous Munc18c catalyzes date, there is no evidence for its participation as a
fusion (104) (Fig. 3). regulator of GLUT-4 traffic.
Synip. The recently cloned synip is a syntaxin 4-in- Pantophysin. A ubiquitous homolog of the synaptic
teracting protein, identified in a 3T3-L1 cDNA library vesicle protein synaptophysin, termed pantophysin,
by a yeast two-hybrid screen (72). Synip binding to has recently been cloned from several sources (13, 38).
syntaxin 4 prevents VAMP-2/syntaxin 4 binding but This protein is found on GLUT-4-containing vesicles

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not SNAP-23/syntaxin 4 binding (72). As for Munc18c, from 3T3-L1 cells and, similarly to synaptophysin,
the association of synip with syntaxin 4 is reduced in binds VAMP-2 (13). Interestingly, although pantophy-
insulin-stimulated cells. Insulin-sensitivity is con- sin itself was not phosphorylated, a 77-kDa phospho-
ferred by the NH2-terminal half of synip, whereas the protein associates with pantophysin upon treatment of
COOH-terminal half modulates GLUT-4 translocation cells with insulin (13). This result suggests a potential
(72). Despite having unrelated primary sequences, sy- regulation of pantophysin by insulin. Preliminary re-
nip and Munc18c regulate the availability of syntaxin 4 sults from our laboratory suggest that pantophysin
for fusion of GLUT-4 vesicles with the plasma mem- availability is required for GLUT-4 vesicle fusion (Fos-
brane in response to insulin (Fig. 3). It will be inter- ter LJ, Cheatham B, and Klip A, unpublished observa-
esting to determine whether the two proteins regulate tions).
different functional pools of syntaxin 4. VAP-33. A 33-kDa VAMP-2-associating protein
SNAK. SNAK is a protein kinase identified by its (VAP-33) was isolated from an Aplysia californica
ability to bind syntaxin 4 in a yeast two-hybrid assay cDNA library through a yeast two-hybrid approach
(14). However, SNAP-23 is a better substrate of SNAK (94). A human homolog was identified soon thereafter
than syntaxin 4 (14). SNAK phosphorylates SNAP-23 (126). VAP-33 is a single-transmembrane domain pro-
in vivo and in vitro, selectively phosphorylating only tein with the bulk of the molecule in the cytosol. Two
SNAP-23 that is not bound to syntaxin 4. SNAK phos- isoforms of VAP-33 (VAP-33A and VAP-33B) bind

Fig. 3. Hypothetical regulatory events in GLUT-4 vesicle docking and fusion. In the basal state, both Munc18c and
synip are bound to syntaxin 4, whereas SNAP-23 and GLUT-4 are associated with the actin cytoskeleton.
Pantophysin, VAMP-2, and Rab4 are located on GLUT-4 vesicles. Before insulin causes the release of Rab4 from
the vesicles, Rab4 organizes the proteins on the vesicles into conformations required for fusion. A 33-kDa
VAMP-2-associating protein (VAP-33) may also be involved as a chaperone for VAMP-2. Insulin causes the
formation of actin ruffling and the dissociation of Munc18c and synip from syntaxin 4. Once brought into the
proximity of fusion machinery at the plasma membrane by the cytoskeleton, the GLUT-4 vesicle can dock and
subsequently fuse, exposing GLUT-4 to the extracellular milieu.
C886 INVITED REVIEW

VAMP-2 in vitro (74). We have recently shown (33) that sensitive muscle cells, they present as large
VAP-33 is present on immunopurified VAMP-2 vesicles submembranous three-dimensional structures (59,
from L6 myotubes and 3T3-L1 adipocytes. Interest- 109). We have recently shown that formation of cortical
ingly, overexpression of VAP-33A inhibited insulin- actin structures is required for GLUT-4 exocytosis.
stimulated GLUT-4 translocation, and this effect was Specifically, the rapidly forming subcortical actin mesh
rescued by co-overexpression of VAMP-2. In addition, contained GLUT-4 vesicles and insulin signaling mol-
anti-VAP-33 antibodies microinjected into 3T3-L1 adi- ecules (59). Preventing cortical actin structure forma-
pocytes also inhibited GLUT-4 translocation (33). We tion through transient expression of a dominant nega-
hypothesize that, as in the case of Munc18c, the levels tive Rac mutant abrogated externalization of GLUT-4
of VAP-33A in the cell are critical and that shifting the (59). In nontransfected muscle cells, GLUT-4 is in-
balance of VAP-33A/B either above or below the critical serted into the membrane at sites of membrane ruffles
point can have adverse effects on vesicle traffic. supported by cortical actin structures (106). Notably,
Rab proteins. Rab GTPases represent a family of SNAP-23 and syntaxin 4 appear to concentrate at sites
⬎35 proteins that relay information upon binding in of contact of the actin mesh with the plasma membrane
their GTP-bound form to downstream effectors. Rabs (Khayat K, Foster LJ, and Klip A, unpublished obser-
become membrane-associated via geranylgeranylation vations). In adipocytes, a requirement for an organized
or farnesylation, and this posttranslational modifica- cytoskeleton in GLUT-4 traffic has also been demon-
tion is required for their GTPase function, which ter- strated (76). It will be interesting to determine
minates their function on effectors. By genetic comple- whether GLUT-4 vesicles, once delivered by the cy-
mentation, Rab proteins have been implicated in toskeleton to the vicinity of the plasma membrane,

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vesicular traffic, specifically in the recognition of vesi- require Rab4 as the tethering molecule leading to
cles by target membranes (for review, see Ref. 91). SNARE complex formation.
Deletion of the yeast Rab4 (Sec4p) can be rescued by
CONCLUSION
overexpression of specific t-SNAREs, and the Rab
Ypt1p is required for v-SNARE-t-SNARE complex for- GLUT-4 vesicle fusion bears similarities to and dif-
mation. An emerging model suggests that Rab proteins ferences from the fusion of synaptic vesicles with their
direct vesicle traffic through the recruitment of docking respective target membranes. VAMP-2, syntaxin 4,
factors from the cytosol. Thus Sec4 binds to the yeast and SNAP-23, found in muscle and fat cells, form a
exocyst that links vesicles to bud membranes, Rab5 SNARE complex that is similar but not identical to its
binds to EEA1 that links endocytic vesicles to early neuronal counterpart, constituted by VAMP-2, syn-
endosomes, and vesicular VPs21 binds to Vac1 that taxin 1, and SNAP-25. Two mechanisms of insulin-
links to the t-SNARE Ppe12 on target vesicles (4). dependent incorporation of GLUT-4 vesicles into the
To date, only Rab4 has been implicated in GLUT-4 plasma membrane have been identified: one requiring
traffic by virtue of its presence on immunopurified VAMP-2, syntaxin 4, and SNAP-23, and one indepen-
GLUT-4 compartments (23, 111). Insulin stimulation dent of these proteins. Although the fusion step is
causes Rab4 geranylgeranylation, GTP loading (92), likely to be regulated by the hormone, to date there is
and dissociation from GLUT-4-containing endomem- no evidence for regulation through SNARE phosphor-
branes (22, 36). Introduction of wild type or mutants of ylation. However, it is conceivable that subtle regula-
Rab4 or a peptide representing the hypervariable re- tion may still occur by this means. In contrast, there is
gion of Rab4 resulted in inhibition of insulin-stimu- emerging evidence that ancillary proteins such as
lated GLUT-4 translocation (22, 93, 120). Interest- Munc18c, synip, VAP-33, and pantophysin may regu-
ingly, a link between the Rab-mediated vesicle docking late the availability of VAMP-2 or syntaxin 4 for pro-
and the actin-based cytoskeleton has been established. ductive GLUT-4 fusion. Cytoskeletal tethering of vesi-
Rabphilin, a Rab3 effector, interacts with the actin- cles and SNAP-23 may provide entropic energy to the
bundling protein ␣-actinin (57), and Rab8 promotes process of GLUT-4 vesicle fusion. Future studies
polarized membrane transport through reorganization should reveal whether the fine tuning of GLUT-4 ves-
of actin filaments (79). icle fusion is altered in insulin-resistant states leading
to or accompanying diabetes. In this regard, two recent
The Cytoskeleton studies (67, 84) report increases in muscle SNARE
protein levels in two animal models of insulin resis-
The actin cytoskeleton has been repeatedly impli- tance. Both reports suggest that these increases might
cated in exocytic events, both as a barrier separating be adaptive changes attempting to overcome the de-
the docked from stored synaptic vesicles (in essence, fects in GLUT-4 traffic that underlie insulin resistance.
limiting the active zone) and as a facilitator of granule
exocytosis (11, 112). Recent studies reveal that secre- We acknowledge the Juvenile Diabetes Foundation and the Med-
tory granules acquire a coat of actin before exocytosis ical Research Council of Canada for funding.
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