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Process of Exocytosis

The readily releasable pool of synaptic vesicles constitutes those vesicles readily available for release. During an action potential and calcium influx, neurotransmitter is released. Studies have shed some light on the inner workings by which the vesicle releases its contents. A conserved set of membrane proteins known as SNAREs


Figure 22-3 Model for protein-mediated membrane fusion and exocytosis. A, The release of acetylcholine from the vesicles is mediated by a series of proteins collectively called SNARE proteins. Synaptotagmin is the neuronal Ca2+ receptor detecting Ca2+ entry. Synaptobrevin (i.e., vesicle-associated membrane protein [VAMP]) is a filament-like protein on the vesicle. B, During depolarization and calcium entry, synaptobrevin on the vesicle unfolds and forms a ternary complex with syntaxin/SNAP-25. This process is facilitated by phosphorylation of synapsin, also present on the vesicle membrane. C, Assembly of the ternary complex forces the vesicle in close apposition to the nerve membrane at the active zone with release of its contents, acetylcholine. The fusion is disassembled, and the vesicle is recycled.

(soluble N-ethylmaleimide-sensitive attachment protein receptors) are involved in the fusion, docking, and release of acetylcholine at the active zone. The whole process is called exocytosis. The SNAREs include the synaptic-vesicle protein synaptobrevin and the plasmalemma-associated proteins synataxin and synaptosome-associated protein of 25 kd (SNAP-25).[33] The current model for protein-mediated membrane fusions in exocytosis is as follows. Syntaxin and SNAP-25 are complexes attached to plasma membrane. After initial contact, the synaptobrevin on the vesicle forms a ternary complex with syntaxin/SNAP-25. Synaptotagmin is the protein on the vesicular membrane that acts as a calcium sensor and localizes the synaptic vesicles to synaptic zones rich in calcium channels, stabilizing the vesicles in the docked state.[34] The assembly of ternary complex forces the vesicle close to the underlying nerve terminal membrane (i.e., active zone), and the vesicle is then ready for release ( Fig. 22-3 ). The vesicle can release part or all of its contents, some of which can be recycled to form new vesicles.[31] Botulinum toxin and tetanus neurotoxins, which selectively digest one or all of these three SNARE proteins, blocks exocytosis.[35] The result is muscle weakness or paralysis. These toxins in effect produce a partial or complete chemical denervation. Botulinum toxin is used therapeutically to treat spasticity or spasm in several neurologic and surgical diseases and cosmetically to correct wrinkles.

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