Experimental Eye Research 83 (2006) 84e96 www.elsevier.com/locate/yexer Review Molecular mechanisms of lacrimal acinar secretory vesicle exocytosis Kaijin Wu a, Galina V. Jerdeva a, Silvia R. da Costa a, Eunbyul Sou a, Joel E. Schechter b, Sarah F. Hamm-Alvarez a,c,d,* a Department of Pharmaceutical Sciences, School of Pharmacy, 1985 Zonal Avenue, University of Southern California, Los Angeles, CA 90033, USA b Department of Cell and Neurobiology, University of Southern California, Los Angeles, CA 90033, USA c Department of Physiology and Biophysics, University of Southern California, Los Angeles, CA 90033, USA d Department of Ophthalmology, University of Southern California, Los Angeles, CA 90033, USA Received 19 July 2005; accepted in revised form 1 November 2005 Available online 10 March 2006 Abstract The acinar epithelial cells of the lacrimal gland are responsible for the production, packaging and regulated exocytosis of tear proteins into ocular surface fluid. This review summarizes new findings on the mechanisms of exocytosis in these cells. Participating proteins are discussed within the context of different categories of trafficking effectors including targeting and specificity factors (rabs, SNAREs) and transport factors (microtubules, actin filaments and motor proteins). Recent information describing fundamental changes in basic exocytotic mechanisms in the NOD mouse, an animal model of Sjögren’s syndrome, is presented. Ó 2006 Elsevier Ltd. All rights reserved. Keywords: exocytosis; rab3D; VAMP2; actin filaments; microtubules; cytoplasmic dynein; non-muscle myosin II; NOD mouse; Sjögren’s syndrome 1. Introduction The acinar epithelial cells are the major cell type within the lacrimal gland, responsible for production and regulated exocytosis of proteins and fluid onto the ocular surface. These secreted proteins are responsible for maintaining the integrity of the ocular surface by nurturing the corneal epithelium and protecting the ocular surface from pathogens. Numerous proteins are detected in tears including such major constituents as lysosomal hydrolases (van Haeringen and Glasius, 1980; van Abbreviations: SjS, Sjögren’s syndrome; SV, secretory vesicle; APM, apical plasma membrane; EM, electron microscopy; SNARE, soluble N-ethylmaleimide-sensitive factor (NSF) attachment protein (SNAP) receptors; VAMP, vesicle-associated membrane protein; rSV, recruitable secretory vesicles; Arp1, actin-related protein 1; ICA69, islet cell autoantigen (69 kDa); PKC, protein kinase C; DAG, diacylglycerol. * Corresponding author. Tel.: þ1 323 442 1445; fax: þ1 323 442 1390. E-mail address: [email protected] (S.F. Hamm-Alvarez). 0014-4835/$ - see front matter Ó 2006 Elsevier Ltd. All rights reserved. doi:10.1016/j.exer.2005.11.009 Haeringen et al., 1978), secretory IgA (Fullard and Snyder, 1990; Pandit et al., 1999), lactoferrin (Fullard and Snyder, 1990; Yoshino et al., 1996), transferrin (Salvatore et al., 1999), lipocalins (Gasymov et al., 1999) and growth factors (Sack et al., 2005; van Setten et al., 1996). Dry eye disorders, which affect millions of people each year are, in many cases, associated with decreased protein and fluid secretion by the lacrimal gland (Pflugfelder et al., 2000). One of the most severe forms of dry eye is the autoimmune disease, Sjögren’s Syndrome (SjS), which affects a significant subset of dry eye patients. Diagnosis of SjS is based on presenting symptoms of dry eye and dry mouth accompanied by a characteristic focal lymphocytic infiltration of the lacrimal and salivary glands (Daniels and Fox, 1992; Haga, 2002). Recent work has provided an up-to-date description of the complex signaling mechanisms utilized in the lacrimal gland by cholinergic and adrenergic agonists and other regulatory factors to transmit signals associated with receptor binding into the cytoplasm to evoke release of secretory products K. Wu et al. / Experimental Eye Research 83 (2006) 84e96 into tear fluid (Dartt, 2001, 2004). However, the identity of the trafficking proteins that serve as targets of these signaling pathways and that physically promote the rapid transport and fusion of secretory vesicles (SVs) with the apical plasma membrane (APM) has remained unclear. Recent work has finally begun to address the fundamental mechanisms of secretory protein exocytosis in lacrimal acini, revealing intriguing and unique features. The advent of several in vitro culture systems for maintenance of primary lacrimal acinar cells under conditions that allow either maintenance or reconstitution of normal acinar polarity and elaboration of SVs has greatly enhanced these efforts (Gierow et al., 1995; Hodges et al., 2004; Laurie et al., 1996; Rismondo et al., 1994). All events in membrane trafficking including those involved in exocytosis are governed by effector proteins which can be grouped into different categories: targeting and specificity factors such as rab and SNARE proteins, and transport factors such as cytoskeletal filaments and molecular motors. The new knowledge obtained from cellular and molecular investigations into the mechanisms of tear protein exocytosis in lacrimal acini is reviewed within the context of these different categories of effectors, with established participants then integrated into a working model for lacrimal acinar exocytosis. 2. Results 2.1. Targeting and specificity: rabs Rab proteins are a family of small Ras-like GTPases that regulate membrane trafficking along the biosynthetic, exocytotic and endocytotic pathways in all eukaryotic cells (Pfeffer, 2001). Some 60 members have been identified to date in mammalian cells (Pereira-Leal and Seabra, 2001), many of which display distinctive distributions on different subcellular membrane organelles and regulate the directional membrane traffic between them. As with all other members of the small Raslike GTPase family, the rabs’ activities, and therefore their effector functions, are regulated by their cycling between an activated, GTP-bound state and an inactive, GDP-bound state. This cycle is regulated by intrinsic rab GTPase activity, which is modulated by interactions with multiple proteins possessing the following activities, each specific for a particular rab: GTPase-activating proteins which stimulate GTP hydrolysis; guanine nucleotide exchange factors which are involved in the exchange of GDP for GTP; and GDP dissociation inhibitors which stabilize the GDP bound rab. The regulation of the GTP-bound state in turn regulates rab effector functions in such membrane trafficking events as recruitment of coat proteins, recruitment of effector machinery for membrane fusion, recruitment of cytoskeletal machinery for vesicle motility and trafficking and direct binding to cargo proteins to regulate their association with vesicle coat proteins. The most abundant protein thus far characterized in the lacrimal acinar secretory pathway is rab3D. Rab3D is a member of the rab3 family, each of which (rabs3AeD) are implicated in regulated exocytosis (Darchen and Goud, 2000). Rab3D is primarily localized to mature SVs in pancreatic, parotid and 85 lacrimal acinar cells (Ohnishi et al., 1996; Raffaniello et al., 1999; Wang et al., 2003) although reports are still conflicting regarding its role in acinar exocytosis. Overexpression of dominant negative rab3D, which is unable to bind GTP, impairs pancreatic secretory granule exocytosis in functional assays (Chen et al., 2002, 2003). Another study has suggested, in contrast, that rab3D participates specifically in the assembly of actin filaments on fusing SVs in pancreatic acini (Valentijn et al., 2000). A recent report analyzing exocrine tissue in the rab3D knockout mouse has revealed the presence of abnormally large SVs in pancreatic and parotid acini lacking rab3D (the lacrimal gland was not examined in this study) (Riedel et al., 2002). Despite the abnormal morphology of SVs, the release kinetics of protein secretion in these glands were not affected (Riedel et al., 2002). This work by Riedel and coworkers suggests that rab3D may play a regulatory role in modulating the size of intracellular SVs, perhaps by controlling homotypic fusion of smaller SVs. Using indirect immunofluorescence, rab3D has been detected in reconstituted rabbit lacrimal acini at the periphery of a large diameter SV population enriched beneath the APM (Wang et al., 2003). Subsequent studies have also revealed its association with apparent SVs in acini within mouse lacrimal glands (da Costa et al., 2006). Estimates of the average diameter of the circular rab3D immunofluorescence pattern detected beneath the APM in both rabbit and mouse lacrimal acini range from 1 to 2 mm. These values are consistent with recent electron microscopy (EM) analyses of SV diameter in reconstituted rabbit lacrimal acini (Jerdeva et al., 2005a), and with the representative EM micrographs from rabbit lacrimal gland shown in Fig. 1A depicting large 1e2 mm SVs clustered beneath the APM. Rab3D therefore appears to label some or all of these large subapical mature SVs. Consistent with this model, stimulation of reconstituted rabbit lacrimal acini with the muscarinic agonist, carbachol, consistently shows a rapid loss of subapical rab3D immunofluorescence within the time course associated with fusion of SVs at the APM (Wang et al., 2003). Studies comparing the effects of dominant negative (e.g., GDP bound) and constitutively active (e.g., GTP bound) rab3D overexpression in reconstituted rabbit lacrimal acini have thus far failed to reveal any effects on basal or stimulated release of bulk protein and b-hexosaminidase (unpublished data). Other recent work suggests, circumstantially, that the model of Riedel and coworkers (Riedel et al., 2002) based on analysis of SV morphology in pancreas and parotid gland in the rab3D knockout mouse may represent the most accurate description of its function in lacrimal glandde.g., rab3D may regulate SV size through regulation of homotypic fusion. In reconstituted rabbit lacrimal acini, carbachol stimulation causes an immediate and significant increase in the average vesicle diameter of subapical SVs prior to their fusion at the APM, suggestive of homotypic fusion of individual SVs into larger SVs prior to fusion at the APM (Jerdeva et al., 2005a). As mentioned above, the immediate effect of carbachol stimulation in lacrimal acini is also the disassociation of rab3D from SVs, a loss which may initiate the compound fusion that occurs prior to SV discharge at the APM. K. Wu et al. / Experimental Eye Research 83 (2006) 84e96 86 A mv Lumen sg RER jc ct N B C mv Lumen c d ij sg jc tj fil mv D E sg ij d tj mv Fig. 1. Ultrastructure of rabbit lacrimal gland acini. (A) This low-magnification electron micrograph shows key features of the organization of acini in the rabbit lacrimal gland. The acinar cells are highly polarized, i.e., nuclei (N) and the bulk of the rough endoplasmic reticulum (RER) are located basally. At the apical surface numerous secretory vesicles (sv) are collected prior to release by exocytosis. Some secretory vesicles are confluent while others are individual, and the contents of vesicles are variable in electron density. The luminal surface is marked by small microvilli (mv). Junctional complexes are found just beneath the luminal surface. The acini are enveloped by a delicate loose connective tissue (ct). Dark triangle at lower right is part of the copper support grid. (B) Flocculent material (secretory product) is seen within the lumen just after release from the acinar cells. Microvilli project from the apical surfaces of acinar cells and junctional complexes connect adjacent acinar cells just beneath the luminal surface. (C) Part of a centriole (c) is evident in the apical cytoplasm just beneath the luminal surface. Individual components of a junctional complex are evident connecting adjacent acinar cells: tight junction zone (tj), intermediate junction (ij) and desmosome (d). The cytoplasm beneath the apical surface is rich in actin microfilaments (fil). (D,E) Both of these images have been stained by an immunogold method to demonstrate actin. The small round particles (overlying dense filamentous zones) represent the sites of actin protein and were found in abundance in the apical cytoplasm just beneath the luminal surface. They were found in association with intermediate junctions (ij), which are associated with actin, but not desmosomes, which are not associated with actin. In addition, gold particles are evident within the microvilli, i.e., the actin-rich core. K. Wu et al. / Experimental Eye Research 83 (2006) 84e96 Although rab3D is the best marker of SVs so far identified in the lacrimal gland, it is unlikely that this particular rab labels all lacrimal acinar SVs. SVs in lacrimal gland are clearly a heterogeneous population, varying with age and gender in size and in content (e.g., serous versus mucous) (da Costa et al., 2006; Draper et al., 1998, 1999). Lacrimal acini are also responsive to multiple secretagogues acting through cholinergic, adrenergic and growth factor pathways (Dartt, 2004). Conceivably, different secretory products may be released in response to different stimuli, to adjust the ocular surface fluid to accommodate to the needs of the cornea. Consistent with this, some studies have suggested that the release of secretory products in response to different effectors varies in parotid acini (Castle et al., 2002; Huang et al., 2001). As well, recent work in parotid acini has demonstrated a differential effect of cytoskeletal-targeted agents on protein secretion evoked by isoproterenol and carbachol, suggesting the existence of at least two distinct SV populations (Nashida et al., 2004). In contrast, Dartt and coworkers compared the spectrum of secretory products released from rabbit lacrimal acini in response to acetylcholine and VIP (Dartt et al., 1988), but found no changes. A number of new effectors are now known to evoke secretion in lacrimal acini including EGF; moreover, the influence of diseases and corneal surgery on the spectrum of tear proteins released into tears is well established [for examples see (Glasson et al., 2003; Herber et al., 2001; Yamada et al., 2000; Zhou et al., 2004)]. Given the advent of new proteomics tools which may also have better resolution for low-abundance tear proteins, this issue may deserve re-examination in the lacrimal gland. Possible additional candidates for secretory rab proteins include rab27a and rab27b, which are expressed in a broad range of secretory cells (Chen et al., 2004; Imai et al., 2004b; Izumi et al., 2003; Tolmachova et al., 2004; Yi et al., 2002). In particular, rab27b has been implicated in the stimulated release of amylase from parotid gland (Imai et al., 2004b), and in the exocytosis of zymogen granules in pancreas (Chen et al., 2004). Our recent results based on Western blotting of lacrimal gland lysates as well as immunofluorescence microscopy analysis of lacrimal acini with antibodies to rab27a and rab27b show that both rab27 isoforms are expressed in lacrimal acini in association with large vesicles enriched adjacent to the APM (unpublished data). By analogy with pancreas and parotid gland, we propose that one or both of these rab27 isoforms may participate in aspects of lacrimal gland SV maturation and/or exocytosis. 2.2. Targeting and specificity: SNAREs SNAREs [soluble N-ethylmaleimide(NEM)-sensitive factor (NSF) attachment protein (SNAP) receptors] are membraneassociated proteins essential for membrane fusion, a process in which two lipid bilayers of previously separate intracellular membrane compartments are physically merged to promote content mixing or exocytosis (Sollner, 2003). Mammalian SNAREs are comprised of three conserved families: synaptobrevin/vesicle-associated membrane proteins (VAMPs), 87 syntaxins, and SNAP-25 homologues. These three family members were originally identified in neurons as key participants in synaptic vesicle exocytosis, and have been categorized as v-SNAREs (VAMPs) or t-SNAREs (syntaxins and SNAP-25 homologues), depending on their vesicle or target membrane localization, respectively. More recently, these proteins have been reclassified into R-SNAREs or Q-SNAREs to reflect the presence of arginine or glutamine residues in their core binding domains, respectively. All SNARE proteins share at least one a-helical domain that contributes to the formation of a highly stable coiled-coiled structure, which is believed to pull the donor and acceptor membranes together in a complex that may progress to form a fusion pore if primed by other factors. Other factors including synaptotagmin and Ca2þ are required for completion of the fusion pore. It is now known that every cell expresses a wide variety of SNARE proteins that are distributed to distinct intracellular membrane compartments (Chen and Scheller, 2001; Lin and Scheller, 2000). The distinct distributions of SNARE proteins are believed to contribute to the specificity of membrane fusion (Scales et al., 2000; Sollner, 2003). Reconstituted rabbit lacrimal gland acini express several SNARE proteins as determined by Western blotting and immunofluorescence microscopy. A population of apparent SVs associated with the v-SNARE, VAMP2, is detected in the interior of resting (unstimulated) lacrimal acini. These vesicles have been termed ‘‘recruitable’’ SVs, since they are dispersed throughout the cytosol in resting acini and recruited to the APM upon secretagogue stimulation (Wang et al., 2003). Interestingly, there is very little colocalization of rab3D and VAMP2 on membrane vesicles in resting or stimulated lacrimal acini (Wang et al., 2003). The relationship between the VAMP2-associated rSVs with rab3D-enriched SVs is still not completely clear, but most experimental evidence suggests that both populations are fusion competent. The cognate t-SNARE for the VAMP2-enriched rSVs that confers the ability to fuse at the APM is likely to be syntaxin 3, which colocalizes with VAMP2 at the APM in stimulated rabbit lacrimal acini (Sou et al., 2005). Syntaxin-3 and VAMP2 are known to form an apical SNARE complex in another secretory epithelial cell, the gastric parietal cell (Ammar et al., 2002). The likely involvement of VAMP2 and syntaxin 3 in apical exocytosis in lacrimal acini is consistent with other work in secretory epithelia. Acinar cells from pancreas and parotid gland express VAMP2 on secretory granule membranes (Hansen et al., 1999; Takuma et al., 2000). SNAP-23 has been shown to be present on either or both the APM and basolateral membrane. Syntaxin 2 and/or 3 are mainly localized to the APM in polarized epithelial cells, such as Caco-2, MDCK and acinar cells (Delgrossi et al., 1997; Fujita et al., 1998; Hansen et al., 1999; Low et al., 1998). The finding that VAMP2 and rab3D appear to be associated with discrete SVs in lacrimal acini (Wang et al., 2003) is in contrast to the detection of these components in a complex on the same zymogen granules in pancreatic acini (Jahn and Sudhof, 1999). This finding illustrates an apparent major difference in the organization of the pancreatic acinar secretory 88 K. Wu et al. / Experimental Eye Research 83 (2006) 84e96 pathway relative to the lacrimal acinar secretory pathway. This observation also reveals the major gaps in our knowledge of the secretory targeting and fusion machinery in lacrimal acini. Vesicles targeted for fusion at a particular acceptor membrane must contain a unique rab for targeting and a unique v-SNARE, which is able to recognize the acceptor membrane t-SNARE, and to facilitate membrane fusion. If rab3D- and VAMP2-enriched vesicles are distinct, the identification of at least one t-SNARE/v-SNARE complex for the rab3D-enriched vesicles and one unique rab protein for the VAMP2-enriched rSV population remain to be established in lacrimal acini. Likely v-SNARE candidates for participation in lacrimal acinar exocytosis include VAMP8 and VAMP7. VAMP8, also known as endobrevin, was originally identified on early and late endosomes and shown to mediate homotypic fusion as a v-SNARE (Antonin et al., 2000); recently, work in pancreatic acinar cells has revealed that VAMP8 plays a role in regulated exocytosis (Wang et al., 2004). In pancreatic acini, VAMP8 is present on membranes of zymogen granules and forms a complex with syntaxin 4 and SNAP-23. Pancreatic acini isolated from VAMP8 null mice have an excess number of zymogen granules, while secretagogue-stimulated amylase secretion is inhibited, indicating that VAMP8 plays a role in regulated exocytosis as a v-SNARE on zymogen granules (Wang et al., 2004). VAMP8 is also localized on a subset of secretory granules in RBL-2H3 mast cells, again forming a complex with syntaxin 4 and SNAP-23 and participating in regulated secretion (Paumet et al., 2000). There is also evidence that the tetanus toxin-insensitive VAMP (TI-VAMP, also known as VAMP7), is involved in stimulated exocytosis. TI-VAMP, reported to be involved in trafficking to late endosomes and lysosomes in cultured cells (Advani et al., 1999; Martinez-Arca et al., 2003), interacts with t-SNAREs at the plasma membrane, playing a role in trafficking of influenza hemagglutinin to the APM of MDCK cells (Galli et al., 1998) and in lysosomal exocytosis in NRK cells (Rao et al., 2004). Lysosomal exocytosis is particularly interesting in the context of lacrimal acini because of the large number of lysosomal enzymes found in tear fluid. Expression of VAMP7 and VAMP8 has been confirmed in rabbit lacrimal acini by Western blotting (unpublished data). Another aspect of SNARE complex assembly is its regulation to prevent spontaneous fusion events. One aspect of this regulation is facilitated by Munc 18 proteins, which bind tightly to syntaxins to block their interactions with cognate SNAREs (Dulubova et al., 1999; Fisher et al., 2001). Three isoforms of Munc18 have been identified to date (Munc18-1/ Munc18a, Munc18-2/Munc18b, Munc18-3/Munc18c). In rat parotid acinar cells, Munc18-3/Munc18c interacts with syntaxin 4 at the APM and acts as a regulator of amylase secretion (Imai et al., 2004a). Munc18c also interacts with syntaxin 4 at the plasma membrane of 3T3-L1 adipocytes and is suggested to be involved in the insulin-dependent trafficking of GLUT4 from intracellular storage compartments to the plasma membrane(Tamori et al., 1998). Western blotting and confocal fluorescence microscopy have revealed the presence of Munc 18b and 18c in lacrimal acini (unpublished data) at the APM and in association with SVs although additional investigations are necessary to provide conclusive evidence for their role in lacrimal acinar secretory traffic. 2.3. Transport factors: microtubules and microtubule-based motors A major factor in determining cell polarity and establishing distinct APM and basolateral membrane domains is the placement of cytoskeletal filaments. Three major filament systems comprise the eukaryotic cytoskeleton: microtubules (MTs), intermediate filaments, and actin filaments. Of these polymers, both MTs and actin filaments play active roles in exocytosis; their organization is shown schematically in Fig. 2. MTs, formed from individual ab tubulin dimers which assemble head-to-tail first into protofilaments and then into the intact MT, are the largest of these filaments with a diameter of 25 nm. The intrinsic polarity of the MT, conferred by the head to tail orientation of ab tubulin subunits in the dimer, provides the MT with biochemically distinct ends referred to as ‘‘plus’’ and ‘‘minus’’ ends which exhibit different dynamics in vitro and in vivo. In vivo, the MT minus-ends are usually organized and stabilized at the MT-organizing center, which consists of a centriole pair, while the plus-ends extend away from the organizing center into the cytoplasm. The placement of MT minus- and plus-ends is a defining feature in establishing cell polarity in all cells (Musch, 2004), and in facilitating distinct sorting events to each domain. In epithelial cells, MT-organizing centers are known to be positioned beneath the APM (Meads and Schroer, 1995). This orientation is clearly seen for lacrimal acinar epithelial cells in lacrimal glands by EM (Fig. 1C). This orientation Fig. 2. Cytoskeletal organization in lacrimal acini. This schematic model depicts the organization of microtubules (MT, green) and the orientation of their plus and minus ends, actin filaments (red) and the junctional complexes which separate the apical plasma membrane (APM) from the basolateral membrane (BLM) in lacrimal acini. K. Wu et al. / Experimental Eye Research 83 (2006) 84e96 has also been independently verified using confocal fluorescence microscopy to demonstrate the apical concentration of g-tubulin, a major constituent of the MT-organizing center associated with MT minus-ends (da Costa et al., 1998). These findings together confirm that MT minus-ends are organized beneath the APM of lacrimal acini, while their plus-ends extend to the basolateral membrane. The integrity of the apical and basolateral domains is further maintained by the presence of junctional complexes localized in the lateral regions just beneath the apical membranes (Fig. 1B). Several studies have investigated the role of MTs in stimulated secretory traffic in the lacrimal gland, using specific inhibitors of the MT array. Consistently, drugs that modulate the MT array have the ability to blunt stimulated secretory responses in the lacrimal gland (Busson-Mabillot et al., 1982; da Costa et al., 1998; Herman et al., 1989; Robin et al., 1995). Pulse-chase and other biochemical studies which investigate the specific steps influenced by modulation of the MT array have suggested that this array plays an important role in production and/or maturation of SVs, but does not directly influence their discharge (Busson-Mabillot et al., 1982; Robin et al., 1995). A similar role for MTs in stimulated protein secretion has been demonstrated in pancreas (Nevalainen, 1975; Pavelka and Ellinger, 1983) although their participation has not been confirmed systematically in parotid gland (Robin et al., 1995). This may be due to the presence of multiple SV types in parotid acini, only some of which are sensitive to MT inhibitors (Huang et al., 2001). The orientation of MT minus- and plus-ends provides the directional cue for the polarized transport of membrane vesicles by MT-based motor proteins. Two different classes of MT-based motor proteins have been identified: cytoplasmic dyneins and kinesins. Cytoplasmic dynein was first identified as the motor protein responsible for MT- based retrograde transport in axons and is the major MT minus-end directed motor in interphase cells. Subsequently, its function in many different steps in membrane trafficking has been reported [reviewed in (Vallee et al., 2004)]. Cytoplasmic dynein consists of two w440 kDa heavy chains containing the sites for MT binding and ATP binding and hydrolysis, as well as multiple intermediate chains (w70 kDa), light intermediate chains (w50 kDa) and light chains (w8kDa). For appropriate attachment to membrane cargo, cytoplasmic dynein must interact with the w1500 kDa, multi-protein effector complex called the dynactin complex (Schroer, 2004). The dynactin complex has two major structural motifs, a core filament which interacts with the membrane cargo and a protruding side arm which interacts with cytoplasmic dynein and the MT. Major protein constituents of this complex include actin-related protein 1 (Arp1) which assembles to form the core filament in conjunction with conventional actin and actin capping protein; the p150Glued protein, the major component of the side arm which facilitates tethering of the complex to MTs and also interacts with the dynein intermediate chains; and dynamitin which links the Arp1 core filament and the p150Glued side arm. Heterogeneity of the many subunits within the cytoplasmic dynein motor complex has been reported, leading to the possibility 89 that different combinations of subunit isoforms provides the ability to interact with diverse cargo. Secretory traffic moves toward the APM and thus, towards MT minus-ends. It therefore came as no surprise that the minus-end directed motor protein, cytoplasmic dynein, seems to play a major role in this traffic. Analysis of the distribution of cytoplasmic dynein and dynactin complex subunits in reconstituted rabbit lacrimal acini by confocal fluorescence microscopy revealed that they were localized in a dispersed pattern in resting acini but exhibited a remarkable recruitment to a region immediately beneath the APM in response to carbachol (Wang et al., 2003). Further analysis of their association with subcellular membranes by confocal fluorescence microscopy and subcellular fractionation revealed substantial colocalization with VAMP2-enriched rSVs in stimulated acini. As well, traces of colocalization were also seen with the rab3Denriched SVs. Overexpression of the dynamitin subunit linking the core filament and side arm of the dynactin complex is known to inhibit intracellular cytoplasmic dynein activity (Burkhardt et al., 1997; Echeverri et al., 1996), likely through uncoupling of the two structural motifs (filament and side arm) of the dynactin complex and impairing dynein’s ability to attach to membranes. Dynamitin overexpression was utilized as a tool in lacrimal acini to probe the role of cytoplasmic dynein in SV exocytosis in lacrimal acini (Wang et al., 2003). Even in resting acini, dynamitin overexpression abolished the rab3D-enriched SV population, suggesting that either their formation or maintenance requires cytoplasmic dynein activity. Moreover, dynamitin overexpression inhibited the carbachol-stimulated recruitment of VAMP2-enriched rSVs into the subapical cytoplasm, showing that cytoplasmic dynein was actively involved in the stimulated transport of rSV to the APM. Finally, dynamitin overexpression significantly inhibited carbachol-stimulated release of protein and b-hexosaminidase, showing functionally that cytoplasmic dynein activity in the maintenance and movement of these two vesicle populations, rSV and SV, was an essential component of exocytosis at the APM. Consistent with this work, other studies in pancreas (Kraemer et al., 1999) and parotid gland (Nashida et al., 2004), have shown association of cytoplasmic dynein with SVs. The other MT-based motor family consists of the kinesins, which share the conserved head domain but have a variable number of tails, presumably for association with diverse cargo (reviewed in Hirokawa and Takemura, 2004). Most of the cytoplasmic kinesins within this superfamily are MT plus-end directed motors and, in lacrimal acini, would participate in trafficking from the APM towards the cell interior and the basolateral membrane. Although several kinesins function in membrane trafficking in lacrimal acini including conventional kinesin (Hamm-Alvarez et al., 1998), they have not been implicated to date in the production, maturation and release of SVs. 2.4. Transport factors: actin filaments and myosins The smallest in diameter of any of the cytoskeletal filaments (7e9 nm), actin filaments are formed from actin 90 K. Wu et al. / Experimental Eye Research 83 (2006) 84e96 monomers that associate in a head to tail fashion into protofilaments; two parallel protofilaments then twist around each other to form an actin filament. Actin filaments are extensively regulated by a number of proteins which modulate their assembly status and extent of crosslinking or bundling (Revenu et al., 2004). The ability of actin filaments to rapidly remodel in response to changes in intracellular signaling is essential for their participation in a number of functions including endocytosis and exocytosis (Eitzen, 2003; Engqvist-Goldstein and Drubin, 2003; Qualmann and Kessels, 2002). In lacrimal acini, actin filaments are organized into a cortical network beneath the plasma membranes, which is particularly dense beneath the APM (Fig. 1D,E). Actin filaments are also incorporated into microvilli, which are detected at the APM (da Costa et al., 2003) (Fig. 1A,B). The role of actin filaments in stimulated exocytosis in acinar epithelial cells has been controversial for many years. In pancreas and parotid acini, it has long been known that the apical actin network undergoes reorganization following acute stimulation (Muallem et al., 1995; O’Konski and Pandol, 1990; Perrin et al., 1992). These and other findings led to the development of the ‘‘barrier’’ hypothesis which postulated that the dense apical actin filament layer beneath the APM normally prevented access of SVs to the APM, and that a critical event in exocytosis was the disassembly of this actin barrier. Other work has, however, shown that total disassembly of actin filaments is detrimental to exocytosis, and that some actin filaments are essential for exocytosis to proceed (Muallem et al., 1995), possibly to participate in force generation. Our initial attempts to assess actin filament participation in SV exocytosis in reconstituted rabbit lacrimal acini utilized the actin-targeted agents, cytochalasin D and jasplakinolide, but failed to detect any significant effects of these agents on basal or carbachol-stimulated protein or b-hexosaminidase secretion (da Costa et al., 1998). In these studies it was unclear to what extent the apical actin array in lacrimal acini was actually perturbed by these agents. In secretory epithelial cells in general, many such studies have been complicated by the refractory nature of the dense apical actin array to actin-targeted agents that normally elicit rapid actin disassembly in other cells (Ammar et al., 2001). Subsequent re-evaluation of the role of actin filaments in exocytosis, using high resolution confocal microscopy analysis of actin filaments in acutely-stimulated reconstituted rabbit lacrimal acini revealed immediate effects of carbachol on the apical actin array that were characterized by an apparent thinning in conjunction with the formation of novel actin-coated structures beneath the APM region (Jerdeva et al., 2005a). Expression of a GFP-actin fusion protein in reconstituted rabbit lacrimal acini revealed much more information about ‘‘barrier’’ actin remodeling during apical exocytosis. Fluorescence recovery after photobleaching analysis of the GFP-actin-labeled apical array revealed that carbachol stimulation elicited a significant increase in the mobile fraction and a significant decrease in the actin filament turnover time (Jerdeva et al., 2005a). These changes were detected as early as 1e4 min after addition of secretagogue and persisted for up to about 15 min, confirming unequivocally that the apical actin array exhibits enhanced turnover when acini are actively secreting at the APM. Time-lapse confocal fluorescence microscopy of filaments containing GFP-actin also enabled a detailed analysis of the novel actin-coated structures that formed within the cytosol of acutely stimulated acini. These structures formed adjacent to the APM and were then retracted rapidly and steadily toward the APM until the underlying actin coat could no longer be distinguished from the dense apical actin filament network. Myosin motors are actin-based motors that participate in many different aspects of motility including muscle contraction, cytokinesis, phagocytosis, and organelle trafficking (reviewed in De La Cruz and Ostap, 2004). Analogous to the MT-based motors which move along MTs, myosin motors move cargo (membranes or other filaments) relative to actin filaments, also by utilizing the energy of ATP hydrolysis. Like the kinesins, myosin motors are grouped within a large superfamily, which includes both conventional (filament forming) and unconventional (non-filament forming) myosins. Currently, 18 subfamilies of myosin motors are known (Berg et al., 2001). The apparent retraction of actin-coated structures towards the apical actin array seen in stimulated lacrimal acini suggested a role for a myosin motor in actin filament sliding; such a role would typically be fulfilled by a filament-forming myosin that could generate contractile force. In non-muscle cells, this function would most likely be fulfilled by nonmuscle myosin II isoforms. Treatment of lacrimal acini with selective inhibitors of nonmuscle myosin II revealed a stabilization of actin-coated structures in carbachol-stimulated acini, an effect accompanied by a functional inhibition of exocytosis (Jerdeva et al., 2005a). Confocal fluorescence microscopy analysis revealed non-muscle myosin II immunofluorescence enriched on the stabilized actin-coated structures in the inhibitor-treated, carbachol-stimulated acini. Further verification that these actin-coated structures constituted fusion intermediates was provided by the trapping of the exogenous fluorescent secretory protein, syncollin-GFP, in actin-coated structures stabilized by non-muscle myosin II inhibitors in stimulated acini expressing syncollin-GFP. Finally, measurement of the diameters of SVs and actin-coated structures suggested that these actin-coated structures enveloped multiple SVs, and that actin filament contraction was required for the compound fusion of these individual SVs prior to the discharge of their contents at the APM (Jerdeva et al., 2005a). These studies support a dual role for actin filaments in exocytosis, one role which involves force generation through interaction with non-muscle myosin II and one role which is independent of this motor. To achieve exocytosis of SVs, actin filament contraction driven by non-muscle myosin II occurs around clusters of individual SVs, promoting their subsequent compound fusion, compression and retraction toward the APM. At the same time, accelerated turnover of the apical actin filament network also occurs to increase the accessibility of actin-coated fusion intermediates to the APM. These findings in lacrimal acini explain the historically contradictory findings that actin filament disassembly (O’Konski and Pandol, 1990; Perrin et al., 1992) and actin filament assembly (Muallem K. Wu et al. / Experimental Eye Research 83 (2006) 84e96 et al., 1995) are both required to facilitate discharge of SVs in acinar epithelial cells. 2.5. Regulation of the exocytotic machinery As recently reviewed, innervation of the lacrimal gland by sympathetic and parasympathetic nervous systems provides neurotransmitters which interact with basolateral receptors through muscarinic cholinergic-, a1-adrenergic-, b-adrenergic and VIPergic signaling mechanisms to stimulate release of secretory proteins contained in apical SVs (Dartt, 2001). Perhaps the best characterized signaling pathway in lacrimal acini is that triggered by cholinergic stimulation. Cholinergic agents are linked via Gaq/11 to activation of phospholipase Cb (Meneray et al., 1997), generating two second messengers, diacylglycerol (DAG), and Ca2þ. Cholinergic agents also activate phospholipase D (Zoukhri and Dartt, 1995). The second messenger, DAG, activates members of the protein kinase C (PKC) family in lacrimal acini. This family has at least 11 isoforms divided into three groups: conventional (-a, -bI, -bII, -g), novel (-d, -3, -h, -q, -m) and atypical (-l/i and -z) (Dekker and Parker, 1994; Dekker et al., 1995). Lacrimal acini express at least 5 PKC isoforms, including PKCa, -d, -3, -m, and l/i (Zoukhri et al., 1997). Here we review our current understanding of the regulation by signaling proteins of specific processes involved in apical exocytosis. Much of this discussion is speculative as it pertains to the lacrimal gland, but well supported by studies in other systems that engage in stimulated exocytosis. A key effector in the remodeling of apical actin filaments associated with exocytosis is the novel protein kinase C isoform, PKC3. This particular PKC isoform is unique in that it contains an actin-binding domain (Prekeris et al., 1998). This isoform, along with PKCa, is responsible for the increase in protein secretion evoked by stimulation with muscarinic agonists in rat acinar cell models (Zoukhri et al., 1997). Evaluation of PKC3 distribution in reconstituted rabbit lacrimal acini revealed a pronounced accumulation with apical actin in acini acutely stimulated with carbachol (Jerdeva et al., 2005b). Moreover, inhibition of PKC3 activity in rabbit lacrimal acini using either chemical inhibitors or by overexpression of a dominant negative mutant of the enzyme resulted in stabilization of apical actin filaments, accumulation of actin-coated structures and inhibition of stimulated secretion (Jerdeva et al., 2005b). These findings suggest that under normal conditions, the secretagogue-stimulated recruitment of PKC3 to actin may trigger key changes in phosphorylation of effectors involved in apical actin organization. Although not demonstrated specifically in lacrimal acini, data from other systems that utilize stimulated exocytosis including parotid acini (Imai et al., 2004a) and neurons (Barclay et al., 2003) suggest a role for PKC isoforms in the regulated release of Munc 18 isoforms from plasma membrane syntaxins as a key factor in formation of SNARE complexes in systems engaging in stimulated exocytosis. As outlined above, a major intracellular second messenger released in response to cholinergic stimulation is Ca2þ. A vesicle-associated protein called synaptotagmin plays a key role 91 in sensing of elevations in intracellular Ca2þ in many secretory cells that have been studied. Once intracellular Ca2þ levels have reached sufficient levels, primed synaptotagmin is able to aid in the completion of fusion pore formation between t-SNAREs, v-SNARES and SNAPs (Sollner, 2003; Stojilkovic, 2005). Although not yet investigated in lacrimal acinar epithelial cells, it is likely that a comparable role for Ca2þ in priming of fusion pore formation through synaptotagmin or a related protein will be indicated. Studies in mast cells, which also maintain rab3D-enriched SVs, have demonstrated the presence of a specific rab3D-associated kinase, termed Rak3D which is activated in response to elevations in intracellular Ca2þ (Pombo et al., 2001). This kinase has the ability to phosphorylate syntaxin 4, thus inhibiting its ability to bind to SNAP-23. A complex model has been proposed for the concerted function of this kinase in conjunction with a protein phosphatase to couple increased intracellular Ca2þ to stimulated exocytosis in mast cells, which, unlike lacrimal acini, maintain a predocked vesicle population (Blank et al., 2002). The role of Rak3D has not yet been investigated in secretory epithelial cells from any exocrine glands, although the prominent association of rab3D with acinar SVs suggests that regulation of this interaction is likely to be important. Phospholipase C activation has been well documented in response to cholinergic stimulation (Meneray et al., 1997). Phosphatidylinositol 4,5-bisphosphate (PIP2) is a precursor for second messengers generated by phospholipase C isoforms (Oude Weernink et al., 2004). Very recent work has suggested that PIP2-enriched microdomains in the plasma membrane aid in clustering syntaxins and large dense core vesicles at sites of stimulated exocytosis in PC12 cells (Aoyagi et al., 2005). While again unexplored in acinar epithelial cells from exocrine glands, it is intriguing to speculate not only a role for PIP2 microdomains in organizing fusion sites, but a role for spatially segregated PIP2 hydrolysis by activated phospholipase C in the activation/unmasking of prospective fusion sites. Little is known about the convergence of b-adrenergic or VIPergic pathways on the exocytotic trafficking machinery. Both of these pathways work through elevation of intracellular cAMP and activation of cAMP-dependent signaling pathways (Dartt, 2001). One recent study in parotid acinar epithelial cells has demonstrated that protein kinase A is responsible for promoting dissociation of an inhibitory factor from VAMP2, associated with SVs, in parotid gland (Fujita-Yoshigaki et al., 1999). With the identification of specific lacrimal acinar exocytotic effectors reviewed here, the next few years promise to provide many advances in the understanding of their regulation by intracellular signaling pathways. 2.6. Working model Fig. 3 shows the working model for stimulated exocytosis in lacrimal gland. Two populations of SVs have been confirmed: apically located, rab3D-enriched SVs which are larger in diameter (also termed mature SVs or SVs); and VAMP2enriched rSVs which are located in the cell interior and recruited to the APM following stimulation. Cytoplasmic dynein 92 K. Wu et al. / Experimental Eye Research 83 (2006) 84e96 participates in the maturation and maintenance of the rab3Denriched SV population in resting acini. Secretagogue stimulation results in priming of rab3D-enriched SVs (an event that includes loss of rab3D) and concomitant assembly of actin and non-muscle myosin II filaments in a basketlike network around clusters of adjacent primed vesicles. The contractile force generated by interaction of actin filaments with nonmuscle myosin II aids in cytoplasmic fusion of the aggregated SVs, and also promotes directed migration of the cluster toward the APM. Increased turnover in the apical actin network results in increased accessibility of APM sites for the cluster of fused SVs, resulting in exocytosis. Aspects of actin remodeling are regulated by activation and recruitment of PKC3 to the apical actin network. At this point, the cognate SNAREs involved in fusion of rab3D-enriched SVs are not yet determined. Also in stimulated acini, rSVs are recruited to the APM along MT tracks driven by cytoplasmic dynein. The v-SNARE, VAMP2, interacts with the t-SNARE, syntaxin-3, to facilitate fusion of this smaller SV population and release of its contents at the APM. 2.7. Changes in exocytotic trafficking in the NOD mouse, a Sjögren’s syndrome model Fig. 3. Working model for organization and function of well-characterized effectors of the lacrimal acinar secretory pathway. (A) Resting lacrimal acini maintain mature SVs (mSVs) enriched in Rab3D beneath the dense apical actin filament network. These mSVs utilize cytoplasmic dynein for their maturation and to maintain their subapical localization. Other recruitable SVs (rSVs) enriched in VAMP2 are present in the cytosol. (B) Upon secretagogue stimulation, there is an immediate thinning of apical actin filaments concomitant with the loss of Rab3D from primed individual SVs in clusters accompanying assembly of actin and non-muscle myosin II filaments around these clusters. Contractile force generated by the acto-myosin system results in compound fusion of individual SVs and movement of these fusion intermediates toward the APM. Ultimately, they reach the APM where they are able to gain access to appropriate SNARE proteins and complete the fusion step. At the same time, rSVs in the cytosol move along MTs with the aid of cytoplasmic dynein to the APM, where they fuse and release their contents through formation of a SNARE pair with the rSV VAMP2 and the APM syntaxin 3. An animal disease model is of great help in understanding the mechanisms underlying normal physiological function and in explaining how changes in these processes contribute to the development of disease. Key hallmarks of SjS are a loss of lacrimal and salivary gland functions associated with development of autoantibodies and lymphocytic infiltration of these glands. The male NOD mouse recapitulates these features (reviewed in Barabino and Dana, 2004). Recently, the changes in morphology of SVs and in the distribution of key effectors of exocytosis was investigated in male NOD mice at early times prior to reported lymphocytic infiltration and at later times after infiltration is underway (da Costa et al., 2006). Interestingly, the formation of abnormal SV aggregates was detected by 4 weeks of age, prior to reported lymphocytic infiltration. At this time, profound changes in the distribution of the M3 muscarinic receptor and apical and basolateral actin filaments were also noted. This study suggests, in this particular disease model for SjS, that some changes in membrane trafficking may proceed independently of inflammatory responses or may even contribute to such responses. Previous work in NOD/scid mice, which lack the capacity to mount an autoimmune response, has shown that parotid acini exhibit fundamental changes in the spectrum of secretory products released (Robinson et al., 1996). These studies therefore raise the possibility that NOD mice exhibit primary changes in the organization and function of the acinar secretory pathway that can occur independently of inflammatory responses and that may even trigger subsequent autoimmune responses. One potential effector directly implicated in the trafficking changes associated with development of SjS is a protein called the islet cell antigen 1 (69 kDa) or ICA69. ICA69 is a common autoantigen initially identified by screening a human islet cDNA expression library with islet cell antibody positive sera from relatives from patients with insulin-dependent diabetes (Pietropaolo et al., 1993). Researchers interested in exploring the role of this protein in development of diabetes in the NOD mouse found, when they made an ICA69 knockout mouse in an NOD background, that this knockout prevented lacrimal gland disease and reduced salivary gland disease (Winer et al., 2002). Although little is known thus far about the cellular function of ICA69, it appears to be involved in membrane trafficking. In islet cells, it is associated with the Golgi complex and, to a lesser extent, with immature K. Wu et al. / Experimental Eye Research 83 (2006) 84e96 insulin-containing secretory granules (Spitzenberger et al., 2003). Involvement of ICA69 in neuronal secretion has been suggested by the impairment of acetylcholine release at neuromuscular junctions upon mutation of its homologue gene, ric19, in Caenorhabditis elegans (Pilon et al., 2000). Its location is also consistent with a role for formation and/or maturation of SVs in diverse systems (Pilon et al., 2000; Spitzenberger et al., 2003). Characterization of its precise role in lacrimal acinar SV biogenesis promises to shed new insights into the development of SjS. 3. Conclusion This review has provided an overview of the different types of trafficking proteins that have been characterized as participants in SV exocytosis at the APM in lacrimal acinar epithelial cells. It has also integrated their activity into a working model for apical exocytosis in the lacrimal gland. While considerable progress has been made, a number of effector proteins clearly remain to be identified, while additional work will then be necessary to clarify their role in these events and to expand and complete the working model. The utility of completing these subsequent characterizations in order to more precisely define the exocytotic pathways is supported by new animal studies suggesting a fundamental role for changes in secretory pathways in the initiation and development of SjS. Acknowledgements This work was supported by NIH grants EY-11386 and EY13949 to SHA and EY-10550 to J.S. 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