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News Physiol Sci 16: 10-14, 2001;
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News in Physiological Sciences, Vol. 16, No. 1, 10-14, February 2001
© 2001 Int. Union Physiol. Sci./Am. Physiol. Soc.

Measurements of Vesicle Recycling in Central Neurons

Timothy A. Ryan and Harald Reuter

T. A. Ryan is in the Department of Biochemistry, The Weill Medical College of Cornell University, 1300 York Ave., New York, NY 10021. H. Reuter is in the Department of Pharmacology, University of Bern, Friedbuehlstrasse 49, CH-3010 Bern, Switzerland.

    Abstract
 
Neurotransmitter-containing vesicles in presynaptic nerve terminals are essential for synaptic transmission. The vesicles undergo a cycle that leads to transmitter release by exocytosis followed by endocytosis and refilling of the vesicles. Here we discuss new optical methods that have helped researchers study this cycle at functional and molecular levels, which is essential for our understanding of the regulation of synaptic transmission.


    Introduction
 Top
 Introduction
 Exocytosis of presynaptic...
 Endocytosis at nerve terminals
 Modern biophysical measurements...
 Modulation of endocytosis speeds
 The molecular basis of...
 References
 
Synaptic transmission is a key element of intercellular communication of neurons in the central nervous system (CNS). The release of neurotransmitters from presynaptic nerve terminals (boutons) and their subsequent binding to specific postsynaptic receptors are the fundamental events leading to excitatory or inhibitory functions of the CNS. These events can be modulated in a number of ways. For example, they can be potentiated or depressed by coincident activation of pre- and postsynaptic structures in axons and dendrites. Modulations of synaptic transmission are thought to be important for cognitive functions such as memory and learning. To understand mechanisms of neurotransmitter release from axonal boutons and subsequent signal transduction in dendritic spines, we not only need detailed knowledge of the molecular machineries involved but also quantitative measurements of the evoked electrical signals and their structural correlates. As a matter of fact, postsynaptic electrophysiological recordings were the first successful attempts to unravel synaptic transmission. However, they provide only indirect information about presynaptic structural changes, such as docking and fusion of transmitter-containing vesicles in boutons. Therefore, it is not surprising that in the literature considerable uncertainty exists about the quantal nature of transmitter release in CNS synapses. In recent years, a number of new methods have been developed for direct measurement of exocytosis and endocytosis of vesicles in presynaptic nerve terminals. Membrane capacitance and optical measurements have proven to be extremely useful for the study of presynaptic vesicle recycling (see Fig. 1Go). In this brief review, we will focus on experimental evidence obtained with optical methods on the kinetics and mechanisms of vesicle-cycling presynaptic terminals of central neurons.



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FIGURE 1. Biophysical techniques for studying exocytosis and endocytosis in neurons. Top: membrane capacitance can be used to monitor net surface area of the whole cell or total membrane under a patch pipette at very high time resolution (ms). This works best in chromaffin cells, in which fusion of individual secretory granules (100–200 nm diameter) can be measured (1). In giant synaptic terminals, simultaneous fusion and retrieval of dozens of small clear synaptic vesicles can be measured (15). Middle: assays of presynaptic function using FM 1–43 are done in 3 steps. Action potential stimuli are evoked in nerve terminals (1) either during application of FM 1–43 or before application by a time {Delta}t (2). FM 1–43 has a permanent charge of +2, which prevents the molecule from passively diffusing across cell membranes. In the loading phase (2), the dye is taken up by endocytosis of vesicle membranes that ensues after exocytosis. The newly captured membrane, with the dye, is then refashioned into a releasable synaptic vesicle. On subsequent stimulation, the dye is released into the medium during exocytosis (3). Quantitative assays of the amount of dye taken up during 1 or 2 is performed using fluorescence imaging of the labeled nerve terminals during this 2nd round of electric stimulation. To reduce background, terminals are rinsed extensively between loading and unloading. The time scale of endocytosis can be determined by measuring total dye uptake as a function of delay time {Delta}t. Bottom: synaptic vesicle membrane protein recycling. A genetically encoded reporter of vesicle lumen pH (ecliptic pHluorin) is used to determine the recycling of VAMP from synaptic vesicles to the cell surface and back. Exocytosis relieves the proton-dependent quenching of pHluorin fluorescence. The pHluorin molecule is attached to the luminal aspect of VAMP. At the resting pH (5.6), the fluorescence signal from pHluorin is completely quenched. During firing of action potentials, the vesicles undergo fusion with the plasma membrane, leading to the externalization of pHluorin (pH 7.4). This relieves the proton-dependent quenching and causes an increase in fluorescence. The fluorescence signal then recovers after endocytosis by reacidification of vesicles. The reacidification is very rapid (11), and the kinetics of fluorescence decay reflect the time course of endocytosis of VAMP.

 

    Exocytosis of presynaptic vesicles
 Top
 Introduction
 Exocytosis of presynaptic...
 Endocytosis at nerve terminals
 Modern biophysical measurements...
 Modulation of endocytosis speeds
 The molecular basis of...
 References
 
The beautiful demonstration by Katz and colleagues (cited in Ref. 7) of quantal acetylcholine release in frog neuromuscular junctions by simple electrophysiological recordings and most insightful interpretation has been the guideline of our thinking about synaptic transmission in chemical synapses. The sequence of events in synaptic transmission consists of several discrete steps. Action potentials generated in the soma of a neuron travel down the axon and invade boutons. The ensuing depolarization opens Ca2+ channels in the presynaptic membrane, and Ca2+ influx into the terminal leads to the fusion of docked vesicles that pour their transmitter content into the synaptic cleft. Binding of transmitter molecules to closely apposed specific receptors in dendritic spines causes either excitation or inhibition of electric activity in postsynaptic dendrites. The number of fused presynaptic vesicles is crucial for the amount of transmitter released and thus for the strength of the postsynaptic response. After exocytosis, clathrin-coated vesicular membranes are retrieved and the endocytosed vesicles are newly filled with neurotransmitter and prepared for the next cycle of release. This seemingly simple picture of transmitter release requires an incredibly complicated array of synaptic proteins, which include the soluble N-ethylmalemide-sensitive factor (NSF) attachment receptors (SNAREs) present in vesicular and presynaptic target membranes. The SNARE proteins form a complex during vesicle docking and fusion, a reaction that is only partially understood. After fusion of a vesicle, the complex has to be dissociated again by the ATPase NSF before endocytosis of the vesicular membrane can proceed.

How can we measure the turnover of vesicles in small presynaptic boutons of central neurons? These boutons contain between 100 and 200 vesicles that have to recycle. The boutons are too small to record changes in the membrane capacitance during vesicle fusion and retrieval (Fig. 1AGo). However, Betz and colleagues (2) have developed an optical method to measure vesicle recycling in presynaptic terminals of neuro-muscular junctions. They introduced the styryl dye FM 1–43, which is taken up into membranes and there becomes strongly fluorescent. The dye-labeled vesicular membranes remain fluorescent during endocytosis. After washout of the dye from surface membranes, the boutons containing labeled vesicles are clearly visible under a confocal microscope. Fluorescence intensity of boutons depends on the number of labeled vesicles. The dye can be released again during electric stimulation of the cells when the vesicles are exocytosed. Uptake of FM 1–43 does not inhibit refilling of the vesicles with neurotransmitters, as judged by measurements of spontaneous postsynaptic currents. We first used this technique to measure vesicle turnover in cultured hippocampal cells (Fig. 1BGo). The sensitivity of fluorescence measurements has been refined to such an extent that endo- and exocytosis of single vesicles could be determined in individual boutons. The results clearly showed the quantal nature of vesicle uptake and release (9). After endocytosis, vesicles do not seem to be processed in an endosomal compartment in these cells, but after loading with neurotransmitter they are ready for the next cycle (6).

A crucial step in the fusion of vesicles with the plasma membrane is the opening of nearby Ca2+ channels. Specific voltage-gated Ca2+ channels (P/Q- and N-type channels) are localized in high densities in presynaptic membranes and seem to interact directly with proteins of the SNARE complex, notably with syntaxin. Thus these channels are closely linked to the site of vesicle docking. On opening of the channels, the Ca2+ concentration rises to high levels near these sites and allows the vesicular membrane to fuse with the plasma membrane. However, how exactly this final fusion step takes place is still unclear. Possible additional insight may become available thanks to a new optical technique, called "evanescent-wave video microscopy," in combination with molecular-biological tools. Evanescent-wave microscopy has so far been used in chromaffin cells (14), but it should also be useful for studying exocytosis in certain neuronal preparations. This technique makes use of the total internal reflection of a laser beam at the glass-water interface where cells are plated. In addition to the reflected light into the glass, a small amount of light penetrates into the water. This evanescent wave decays exponentially over a distance of as little as 50–100 nm and therefore excites the fluorescence of only a few labeled vesicles in a pool localized in close proximity to the surface membrane.

How is the Ca2+ concentration near the release sites controlled? In addition to the opening of Ca 2+ channels, which allows Ca2+ to flow into the bouton, the subsequent activation of a Na+/Ca2+ exchanger and of a Ca2+-ATPase leads to an extrusion of the ions. The exchanger is electrogenic, and, depending on the membrane potential and the intracellular Na+ concentration, it can reverse its mode of operation and can even lead to an uptake of Ca2+ into the small presynaptic compartment, sufficient to cause facilitated neurotransmitter release. Mitochondria participate in intracellular Ca2+ buffering to a variable extent. As shown by quantitative electron microscopy and three-dimensional reconstruction of axons (13), ~50% of the boutons lacked these organelles. This morphological finding is consistent with a rather heterogeneous response of the Ca2+ concentration in boutons to electric stimulation under conditions in which the Na+/Ca2+ exchanger was inhibited. In many boutons, the Ca 2+ concentration decreased very slowly, whereas in others it returned to basal levels rather rapidly. When mitochondria were also reversibly inhibited, the Ca2+ concentration remained high in all boutons until Na+/Ca2+ exchange was reactivated. Simultaneously, the frequency of miniature postsynaptic currents, as a measure of transmitter release, was greatly increased. Thus the tight interplay between specific channels, transporters, and mitochondria is essential for a fine-tuned regulation of Ca2+ concentrations and transmitter release in individual boutons (12).

Exocytosis of vesicles and transmitter release are not a simple function of the rise in the intracellular Ca2+ concentration. Early studies of acetylcholine release in frog neuromuscular junctions provided evidence for a cooperative action of two or more Ca2+ ions, as judged from the steepness of the relationship between transmitter release and extracellular Ca2+ concentration. More recent studies have confirmed and extended this finding to transmitter release in neurons and other secretory cells (7). The steepness of the relationship between change in the intracellular Ca2+ concentration and transmitter release accounts for a considerable margin of safety for synaptic transmission.

The vesicular pool in hippocampal boutons consists of 100–200 vesicles. Only a fraction of this pool, however, is docked and ready for release. This readily releasable pool can be exocytosed by 10–20 action potentials. The question then arises as to whether all of the vesicles that label with FM 1–43 can be released during subsequent long trains of action potentials. Approximately 600 action potentials seem to be sufficient to cause maximal labeling of the recycling pool with FM 1–43. The dye can be almost completely released in an exponential fashion by a similar train of action potentials. In other words, measurements of uptake and release of the dye agree quantitatively. This argues against the possibility that a fraction of the recycling vesicles enter into a distant reserve pool from which they are only slowly recruited, although extremely slow turnover times can hardly be measured with the usual experimental dye protocols. However, inhibition of myosin light-chain kinase (MLCK) by the drug ML-9 reduces the size of the recycling vesicular pool by inhibiting mobilization of vesicles from the reserve pool without affecting the kinetics of turnover of the remaining recycling vesicles (8). This provides strong evidence for MLCK as a regulatory enzyme that is involved in controlling the size of the vesicular pool that is available for rapid transmitter release.


    Endocytosis at nerve terminals
 Top
 Introduction
 Exocytosis of presynaptic...
 Endocytosis at nerve terminals
 Modern biophysical measurements...
 Modulation of endocytosis speeds
 The molecular basis of...
 References
 
The first important insights into the nature of vesicle recycling came from electron microscopy studies at synapses of the neuromuscular junction. It was from these data that a substantial disagreement concerning the mechanisms of endocytosis at nerve terminals took root. Conflicting interpretations of freeze-fracture and thin-section electron microscopy of synaptic terminals at neuromuscular junctions gave rise to a debate that continues today. Two types of structures could be observed in thin-section electron micrographs: omega-like figures of vesicles fused with the plasma membrane and clathrin-coated membrane invaginations outside the active zone. The freeze-fracture view showed that membrane dimples of various sizes could be observed following stimulation both at the active zone and several micrometers away from it. The freeze-fracture dimples, thought to represent areas of high membrane curvature and potentially vesicles caught in the act of fusion, were at a minimum ~20–30 nm in diameter. A lively debate arose (see Ref. 3) comparing and contrasting these ultrastructural data derived from experiments in which the type of stimulation varied. One view championed by Ceccarelli and colleagues favored the idea that the freeze-fracture dimples seen at the active zone represented preendocytic profiles. This view was based largely on the argument that an excess of active zone dimples was observed under prolonged stimulation conditions that should have favored the appearance of endocytic structures. Since no clathrin-coated structures are observed at the active zone, they proposed an alternate mechanism of endocytosis, "kiss-and-run," whereby vesicles fuse with the plasma membrane, discharge their neurotransmitter, and undergo a rapid endocytosis intact at the same location. Later work by Heuser and colleagues demonstrated that the chemical fixatives used in those studies give rise to large exocytotic bursts. Thus apparent excess of freeze-fracture dimples at the active zone likely came from a sudden fixative-induced burst of exocytosis. It is important to note that rapid-freeze techniques avoid the problems of chemical fixation. Under those conditions, membrane dimples in freeze-fracture and increases in coated structures in thin-section electron micrographs can only be seen when considerable exocytosis is induced, such as electric stimulation in the presence of 4-aminopyridine. This led to the suggestion that non-clathrin-mediated endocytosis occurs under more modest stimulation conditions. However, it may also simply reflect a normally very transient clathrin-coated membrane or vesicle.

Although the motivation for invoking a non-clathrin-mediated pathway of endocytosis at the site of fusion no longer seems warranted by the original data, it planted the seed for discussions that continue today concerning the nature of endocytosis at nerve terminals. In particular, the most popular view of a non-clathrin-mediated endocytosis is that the fusion event itself might only be transient in nature under some conditions. Currently, there are three approaches that have been used to study the dynamic aspects of endocytosis at synaptic terminals: electric capacitance, exogenous tracer molecule, and vesicle protein recycling (Fig. 1Go). The highest resolution approach of these three is membrane capacitance; however, it has not yet been possible to make measurements of single vesicle fusion events at synaptic terminals.


    Modern biophysical measurements of endocytosis
 Top
 Introduction
 Exocytosis of presynaptic...
 Endocytosis at nerve terminals
 Modern biophysical measurements...
 Modulation of endocytosis speeds
 The molecular basis of...
 References
 
Kiss-and-run vesicle recycling is presumed to consist of a fusion event that maintains a fusion pore open only transiently. Depending on size and lifetime of the fusion pore, the vesicle releases somewhere between none and all of its neurotransmitter. This mode implies that no continuity between the two lipid bilayers exists, but rather a transient protonatious bridge forms during fusion providing an aqueous channel connecting the vesicle lumen to the synaptic cleft. If this picture is correct, then vesicle membrane components should not intermix with the plasma membrane during the fusion event. It is interesting to note that such fusion events could not possibly have been seen in freeze-fracture electron microscopy. Recall that the pits or dimples seen there were at least 25 nm in diameter, about half of the cross-section of a synaptic vesicle.

Convincing evidence of the existence of such transient fusions comes from membrane capacitance measurements in chromaffin cells. In those cells, it is possible to simultaneously measure the transient addition of membrane to the cell surface while measuring the conductance of a transient fusion pore. When cells are exposed to 5 mM extracellular Ca2+ concentrations, transient fusion events account for ~7% of all fusion events and have a mean fusion time of ~800 ms. At very high external Ca2+ levels (90 mM), the frequency of occurrence increases 10-fold and the mean fusion time decreases to ~41 ms (1). Unfortunately, no such direct observations of transient fusion events have been possible at synaptic terminals, where secretory vesicles are typically 5–6 times smaller in diameter than in chromaffin cells.

Endocytosis timescales have been measured in small synaptic terminals using a pulse-chase protocol similar to that depicted in Fig. 1BGo. By bath applying the fluorescent tracer FM 1–43 at different times after exocytosis and subsequently measuring the extent of loading, we (10) and others (reviewed in Ref. 2) have estimated the time scale of endocytosis to be at least several seconds and to be even longer with heavy stimulation.

Indirect estimates of endocytosis times have also been obtained using measurements of the destaining efficiency of membrane probes such as FM 1–43 and related analogs during exocytosis. This approach has been used to argue both for (4) and against (10) the existence of a kiss-and-run pathway. The crux of this experiment is to take advantage of the relatively slow dissociation times of FM 1–43 and related probes from the plasma membrane (~3 s for FM 1–43 and ~2-fold slower or faster for different analogs; see Ref. 10). If no intermixing of vesicle membrane and plasma membrane occurs, then FM 1–43 should be greatly compromised in its ability to escape during fusion events, with lifetimes much shorter than this time scale of dissociation. The main difficulty with this approach is that it does not distinguish between a fast clathrin-mediated endocytosis pathway and a true kiss-and-run pathway since even dye that has diffused laterally beyond the site of fusion might be reendocytosed before dissociating from the membrane.

Recently, a new technique was introduced that follows the fate of specific synaptic vesicle membrane proteins to be measured rather than just membrane during vesicle recycling. Here an optical readout based on the local pH of the luminal domain of the protein is used (see Fig. 1CGo). Synaptic vesicles are specialized endosomes that maintain an acidic lumen (pH ~ 5.6) due to the activity of a vacuolar H+-ATPase. Following fusion with the plasma membrane during action potential firing, the luminal surface of the synaptic vesicle abruptly switches to the more alkaline pH of the extracellular environment (pH ~ 7.4). By attaching a pH-sensitive green fluorescent protein to the luminal domain of the synaptic vesicle protein vesicle-associated membrane protein, one can monitor the cycle of alkalization and reacidification that accompanies vesicle recycling. Once endocytosed, the reacidification of the vesicle appears to be very rapid, and therefore the kinetics of fluorescence recovery are largely dictated by the time scale of endocytosis (11). This approach provides real-time measurements of the redistribution of vesicle proteins from the intracellular vesicle pool to the cell surface and back. Analysis of the kinetics of endocytosis following different stimuli suggests that endocytosis is a rapid but saturable process: the rate of vesicle internalization appears to be up to 1 vesicle per second independent of the amount of protein that awaits endocytosis. The pathway measured in these experiments presumably does not arise from kiss-and-run-type events since the recovery times indicate that vesicles wait in queue for reinternalization. These experiments do not currently rule out another very fast endocytosis acidification pathway since such events would result in no net fluorescence change for the time resolution (perhaps seconds) of these measurements.


    Modulation of endocytosis speeds
 Top
 Introduction
 Exocytosis of presynaptic...
 Endocytosis at nerve terminals
 Modern biophysical measurements...
 Modulation of endocytosis speeds
 The molecular basis of...
 References
 
Although increasing amounts of information concerning the specific proteins involved in endocytosis have become available (see below), the framework for understanding how endocytosis is regulated is largely absent. Several lines of evidence, however, suggest that Ca2+ plays an important role in this regard. The precise role of Ca2+ is not yet clear. Experiments in retinal bipolar cells have provided very convincing evidence that when the average cytoplasmic Ca2+ is maintained above 1 µM, endocytosis is completely blocked (15), whereas comparisons of endocytosis times following prolonged stimuli with cytoplasmic Ca2+ dynamics indicate that the two are not causally related in neuromuscular junctions (see Ref. 2). In hippocampal synapses, stimulation at increasing frequency (11) or at elevated external Ca2+ (4) appears to accelerate the speed of endocytosis.


    The molecular basis of endocytosis
 Top
 Introduction
 Exocytosis of presynaptic...
 Endocytosis at nerve terminals
 Modern biophysical measurements...
 Modulation of endocytosis speeds
 The molecular basis of...
 References
 
Considerable progress has been made over the last decade in isolating and identifying proteins that appear to be directly involved in endocytosis at nerve terminals. Apart from the original observations of clathrin-coated pits peripheral to the active zone, the finding that dynamin plays a critical role in endocytosis has proven central to the discovery of other proteins in this pathway. The picture that has emerged is one in which synaptic vesicle proteins are retrieved by virtue of their interactions with adaptor proteins (AP-2) that in turn interact with clathrin. In addition to this, dynamin, which forms a collar around the neck of an invaginated pit, appears to interact with a number of SH3-containing proteins via interactions with a proline-rich domain. This interaction appears capable of recruiting more proteins with a variety of functions such as covalent modifications of lipids and interactions with the actin cytoskeleton (a recent review of these proteins and pathways can be found in Ref. 5).

One of the greatest challenges for the future will be to understand how this newly emerging family of interacting proteins is coordinated to carry out the efficient retrieval of synaptic vesicle components from the cell surface. In addition, there is very little information currently available regarding whether more than one molecular pathway for this process exists. For example, it is possible that not all endocytic events occur via a clathrin-mediated pathway, as is implied by the kiss-and-run hypothesis. It is unclear, however, whether such a pathway might rely on other elements in the arsenal of endocytic proteins. Since recycling of synaptic vesicles is critical to synaptic performance, it will be especially interesting in the future to determine which molecular components are rate limiting in the catalysis of membrane and vesicle protein retrieval. Finally, determining how endocytosis is triggered, how membrane fission is achieved, and how the size of synaptic vesicles is kept constant are all questions awaiting careful experimental approaches and analyses.


    References
 Top
 Introduction
 Exocytosis of presynaptic...
 Endocytosis at nerve terminals
 Modern biophysical measurements...
 Modulation of endocytosis speeds
 The molecular basis of...
 References
 

  1. Ales E, Tabares L, Poyato JM, Valero V, Lindau M, and Alvarez de Toledo G. High calcium concentrations shift the mode of exocytosis to the kiss-and-run mechanism. Nat Cell Biol 1: 40–44, 1999.[Medline]
  2. Cochilla AJ, Angleson JK, and Betz WJ. Monitoring secretory membrane with FM 1-43 fluorescence. Annu Rev Neurosci 22: 1–10, 1999.[Web of Science][Medline]
  3. Heuser JE. Review of electron microscopic evidence favouring vesicle exocytosis as the structural basis for quantal release during synaptic transmission. Q J Exp Physiol 74: 1051–1069, 1989.[Free Full Text]
  4. Klingauf J, Kavalali ET, and Tsien RW. Kinetics and regulation of fast endocytosis at hippocampal synapses. Nature 394: 581–585, 1998.[Medline]
  5. Marsh M and McMahon HT. The structural era of endocytosis. Science 285: 215–220, 1999.[Abstract/Free Full Text]
  6. Murthy VN and Stevens CF. Synaptic vesicles retain their identity through the synaptic vesicle cycle. Nature 392: 497–501, 1998.[Medline]
  7. Rahamimoff R, Butkevich A, Duridanova D, Ahdut R, Harari E, and Kachalsky SG. Multitude of ion channels in the regulation of transmitter release. Philos Trans R Soc Lond B Biol Sci 354: 281–288.
  8. Ryan TA. Inhibitors of myosin light chain kinase block vesicle pool mobilization during action potential firing. J Neurosci 19: 1317-1323, 1999.[Abstract/Free Full Text]
  9. Ryan TA, Reuter H, and Smith SJ. Optical detection of quantal presynaptic membrane turnover. Nature 388: 478–482, 1997.[Medline]
  10. Ryan TA, Smith SJ, and Reuter H. The timing of synaptic vesicle endocytosis. Proc Natl Acad Sci USA 93: 5567–5571, 1996.[Abstract/Free Full Text]
  11. Sankaranarayanan S and Ryan TA. Real time measurements of vesicle SNARE recycling in synapses of the central nervous system. Nat Cell Biol 2: 197–204, 2000.[Web of Science][Medline]
  12. Scotti AL, Chatton JY, and Reuter H. Roles of Na+-Ca2+ exchange and of mitochondria in the regulation of presynaptic Ca2+ and spontaneous glutamate release. Philos Trans R Soc Lond B Biol Sci 354: 357–364, 1999.[Abstract/Free Full Text]
  13. Shepherd GM and Harris KM. Three-dimensional structure and composition of CA3->CA1 axons in rat hippocampal slices: implications for presynaptic connectivity and compartmentalization. J Neurosci 18: 8300–8310, 1998.[Abstract/Free Full Text]
  14. Styer JA, Horstman H, and Almers W. Transport, docking and exocytosis of single secretory granules in live chromaffin cells. Nature 388: 474–478, 1997.[Medline]
  15. Von Gersdorff H and Matthews G. Inhibition of endocytosis by elevated internal calcium in a synaptic terminal. Nature 370: 652–655, 1994.[Medline]



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