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Exocytosis mechanisms underlying insulin release and glucose uptake: conserved roles for
Munc18c and syntaxin 4
J. L. Jewell, E. Oh and D. C. Thurmond
Am J Physiol Regulatory Integrative Comp Physiol, March 1, 2010; 298 (3): R517-R531.
[Abstract] [Full Text] [PDF]
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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
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
(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.
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
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
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-
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
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,
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
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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