Munc18c Depletion Selectively Impairs the Sustained Phase of Insulin Release

The rabbit polyclonal anti-Munc18c antibody was generated as described (30). The rabbit Syntaxin 4, mouse clathrin, mouse anti–green fluorescent protein (GFP), and mouse VAMP2 antibodies were purchased from Chemicon (Temecula, CA), BD Biosciences (Franklin Lakes, NJ), Clontech (Mountain View, CA), and Synaptic Systems (Gottingen, Germany), respectively. Mouse anti-insulin and mouse monoclonal (M2) Flag antibodies were obtained from Sigma (St. Louis, MO), and the anti-mouse Texas Red secondary antibody was purchased from Jackson ImmunoResearch Laboratories (West Grove, PA), respectively. The MIN6 cells were a gift from Dr. John Hutton (University of Colorado Health Sciences Center). The sensitive rat insulin radioimmunoassay kit was acquired from Linco Research (St. Charles, MO).

Four different pSilencer1.0-siMunc18c constructs were generated by insertion of annealed double-stranded complementary oligonucleotides encoding 19 nucleotides (nt) of mouse Munc18c, followed by a loop region (TTCAAGAGA) and the antisense of the 19 nt. The 19 nt sequences were as follows: (number 1) 5′-ACAGCCGTGTTCGATGACT-3′; (number 2) 5′-GCAGCGTATATATACTTCA-3′; (number 3) 5′-GCAGATCTCGAAGCAAGTA-3′; and (number 4) 5′-AGGATCGGTCTGCAGAAGA-3′. The pSilencer1.0 control construct (siCon) was generated similarly, using a 19 nt sequence (GCGCGCTTTGTAGGATTCG) that failed to recognize any other mammalian protein (31). Oligonucleotides were generated to encode ApaI and EcoRI sites at the 5′ and 3′ ends, respectively, for insertion into the pSilencer 1.0-U6 vector (Ambion). The siMunc18c-Ad adenovirus was generated by insertion of the number 2 siRNA double-stranded complementary oligonucleotide fragment into the 5′ AflII and 3′ SpeI sites of the pMighty vector (Viraquest, North Liberty, IA). The siCon-Ad was generated similarly in the pMighty vector, as previously described (31). Each construct was linearized by restriction digestion with NdeI and packaged with enhanced GFP (EGFP) to enable visualization of infection efficiency.

CHO-K1 cells were purchased from the American Type Culture Collection (Manassas, VA) and cultured in Ham's F-12 medium supplemented with 10% fetal bovine serum, 100 U/ml penicillin, 100 μg/ml streptomycin, and 292 μg/ml l-glutamine. At 50–70% confluence, cells were transfected with 40 μg DNA as previously described (32) to obtain ∼70% efficiency. MIN6 β-cells were cultured as described previously (32) and transduced at multiplicities of infection (MOI) = 50–100 for 1 h, washed with PBS, and incubated in MIN6 medium for 48 h. Cells were then preincubated for 2 h in glucose-free modified Krebs ringer bicarbonate buffer (MKRBB): 5 mmol/l KCl, 120 mmol/l NaCl, 15 mmol/l HEPES, pH 7.4, 24 mmol/l NaHCO₃, 1 mmol/l MgCl₂, 2 mmol/l CaCl₂ and 1 mg/ml BSA, stimulated with 20 mmol/l glucose for 30 min and buffer collected for quantitation of insulin released. Detergent cell lysates were prepared by harvesting in 1% Nonidet P-40 lysis buffer (1% NP-40, 25 mmol/l HEPES, pH 7.4, 10% glycerol, 50 μmol/l sodium fluoride, 10 mmol/l sodium pyrophosphate, 1 mmol/l sodium vanadate, 137 mmol/l sodium chloride, 1 mmol/l phenylmethylsulfonyl fluoride, 1 μg/ml pepstatin, and 10 μg/ml aprotinin) and lysates cleared by microcentrifugation for 10 min at 4°C for use in immunoprecipitation and immunoblotting. Subcellular fractions were isolated as previously described (33). All pellets were resuspended in the 1% NP-40 lysis buffer to ensure solubilization of membrane proteins.

The GST-VAMP2 protein (soluble, TM domain deleted) was generated in Escherichia coli and purified by glutathione-agarose affinity chromatography as described previously (34) for use in the Syntaxin accessibility assay. GST-VAMP2 linked to sepharose beads was combined with 2 mg detergent cell lysate for 2 h at 4°C in NP-40 lysis buffer, followed by three stringent washes with lysis buffer, and associated proteins were resolved on 12% SDS-PAGE followed by transfer to polyvinylidene difluoride membrane for immunoblotting.

All studies involving mice followed the guidelines for the use and care of laboratory animals at the Indiana University School of Medicine. Munc18c heterozygous (−/+) knockout mice have been described previously (29). All wild-type and Munc18c (−/+) male mice used in these studies were bred by HET×HET crosses from mice enriched on the C57BL/6J background to at least F16 and littermates used in paired islet isolations (−/− fail to survive beyond E7.5). Pancreatic mouse islets were isolated as previously described (8), with pancreata of five mice combined to generate each batch of islets. Islets were perifused at a flow rate of 0.3 ml/min for 10 min in KRB HEPES (KRBH) containing 2.8 mmol/l glucose with eluted fractions captured at 1-min intervals, followed by glucose stimulation (20 mmol/l) for 35 min. Quantitation of area under the curve for first- and second-phase insulin release was performed according to previously published criteria (35).

Islets were isolated and immediately transduced at an MOI = 100 (based on assumption of 1,000 cells within each islet) with either siCon-Ad or siMunc18c-Ad CsCl-purified particles titered at 3 × 10¹⁰ and 1 × 10¹⁰ pfu/ml, respectively, for 1 h at 37°C in RPMI-1640. Transduced islets were then washed twice and incubated for 40 h at 37°C/5% CO₂. EGFP fluorescence was visualized in >95% of outer cells of islets in all experiments, and similarly fluorescent islets were handpicked for perifusion analysis.

For each immunoprecipitation, 2 mg cleared detergent lysates were combined with 2 μg of indicated antibodies and allowed to rotate for 2 h at 4°C. Protein G Plus agarose beads were added and reactions rotated at 4°C for an additional 2 h. After three washes with lysis buffer, the resulting immunoprecipitates were subjected to 12% SDS-PAGE followed by transfer to polyvinylidene difluoride membrane for immunoblotting and bands visualized by enhanced chemiluminescence using a Chemi-Doc imaging system (Bio-Rad).

MIN6 β-cells were grown to ∼80% confluence on Thermonox coverslips. Cells were incubated for 2 h in freshly prepared MKRBB buffer followed by stimulation with 20 mmol/l glucose for 5 min. Cells were fixed in a 0.1 mol/l cacodylate-buffered mixture of 2% glutaraldehyde and 2% paraformaldehyde for 30 min at room temperature followed by overnight incubation at 4°C and then postfixed in 1% OsO₄ for 1 h. En bloc staining in 0.5% aqueous uranyl acetate was performed for 3 h followed by a 10-min water wash. Dehydration was done in the following sequence: 50% ethanol, 70% ethanol, 95% ethanol, and 100% ethanol each for 10 min. Infiltration entailed ethanol and resin in the order of 3:1 (1 h), 1:1 (overnight), 1:3 (1 h), and 100% resin (two to three changes each 30 min). The Thermonox coverslips were inverted over a 1.5-ml centrifuge tube filled with resin and polymerized for 48 h at 60°C. Thin (60–100 nm) sections were cut using the microtome (Leica Ultracut). The thin sections were stained with uranyl acetate and lead citrate and viewed on the FEI Tecnai G2 Biotwin.

mRNA from islets was prepared using Trizol reagent (Invitrogen). mRNA was quantified by absorbance at 260 and 280 nm. Reverse transcription was performed using the Invitrogen SuperScript one-step RT-PCR kit and was done at 50°C for 50 min. The mRNA level was determined using the fluorescent intercalating dye SYBR-Green kit and the LightCycler system (RocheApplied Science, Indianapolis, IN). RNA (2 μg) was used for first-strand cDNA synthesis. Primer sequences for Munc18c were as follows: Munc18c sense, 5′- GGACCTGGCACTTGGAACAG-3′; and antisense, 5′-GAGGAGCACCAGCATGGAGT-3′. Glyceraldehyde 3-phosphatase dehydrogenase (GAPDH) was used as an internal control. The cycle threshold (C_t) value, defined as the PCR cycle at which a statistically significant increase of reporter fluorescence is first detected, was used as a measure for the starting copy numbers of target genes. The ratio of the C_t value of Munc18c mRNA to that of GAPDH in islets was determined as the relative Munc18c mRNA level.

All data were evaluated for statistical significance using Student's t test. Data are expressed as the mean ± SE.

Islets were isolated from Munc18c (−/+) or wild-type littermate mice and perifused to measure insulin secretion every minute over a 60-min time period to determine which phase of glucose-stimulated insulin secretion (GSIS) required Munc18c (Fig. 1,A). After an equilibration period of 30 min, islets were perifused for 10 min in KRBH buffer containing 2.8 mmol/l glucose to establish baseline secretion (basal), followed by stimulation for 35 min with 20 mmol/l glucose, and finally returned to basal conditions for an additional 15 min. Wild-type islets exhibited a peak within 5 min of glucose stimulation, consistent with the occurrence of first-phase insulin secretion. The first peak was followed by a sustained second phase that persisted at a level greater than threefold above basal level until glucose levels were reduced back to basal, mimicking insulin release kinetics previously reported (8,17,19,35). However, islets from Munc18c (−/+) mice secreted ∼60% less during the second phase, as seen in three independent batches of perifused islets and quantitated by the area under the curve analysis according to established criteria (35), wherein the first phase occurs between minutes 11 and 17 and the second phase occurs between minutes 18 and 45 of the perifusion experiment (Fig. 1,B). The Munc18c protein level in islets isolated from Munc18c (−/+) was reduced by at least 40% compared with wild-type islets (Fig. 1,C and D), consistent with our previous observations using whole pancreas tissue extracts (29); abundances of Syntaxin 4 (Syn4) and VAMP2 were unchanged (Fig. 1,C and D). Quantitative real-time PCR using RNA prepared from islets showed a specific loss of ∼40% Munc18c mRNA compared with wild type (Fig. 1 E; P < 0.05). These data expanded upon previous static incubation results by showing a selective and essential role for Munc18c in the second phase of GSIS.

RNAi-mediated depletion was used as an independent approach to assess the involvement of Munc18c in insulin secretion. Four different siRNA constructs were initially generated against Munc18c and introduced into Chinese hamster ovary (CHO)-K1 cells using a transient plasmid delivery system (pSilencer1.0-U6). Because the endogenous Munc18c protein was undetectable by the anti-Munc18c antibody in CHO-K1 cells, cells were co-electroporated with Flag-tagged recombinant Munc18c DNA plus one of the four different siRNA constructs to examine the capability of each siRNA to specifically deplete recombinant Munc18c protein expression compared with a control siRNA sequence (siCon). As seen in Fig. 2,A, construct number 2 exerted the greatest reduction (∼50%), and this siRNA was subsequently used in an adenoviral expression system to transduce MIN6 β-cells and isolated islets. The efficiency of endogenous siMunc18c-Ad depletion from MIN6 cells was 55% overall (Fig. 2,B), and analysis of Munc18c depletion in plasma membrane and cytosolic fractions showed ∼50% reduction of Munc18c protein each (data not shown). This loss of Munc18c protein corresponded to a 50% reduction in insulin release after a 30-min stimulation with glucose compared with GSIS from siCon-Ad cells (Fig. 2 C). siMunc18c-Ad affected only glucose-stimulated release (625 ± 84 ng/ml for siCon vs. 340 ± 20 ng/ml for siMunc18c, n = 3), having no significant impact on basal insulin release (129 ± 14 ng/ml for siCon vs. 138 ± 11 ng/ml for siMunc18c, n = 3) or cellular insulin content (46,070 ± 2,510 ng/ml for siCon vs. 43,780 ± 2,000 ng/ml for siMunc18c, n = 3).

In islet perifusion analyses, wild-type islets transduced with siMunc18c-Ad exhibited significant reduction of second-phase GSIS compared with siCon-Ad islets, whereas first-phase secretion failed to show a statistically significant reduction (Fig. 3 A and B). These data validate those results from our Munc18c (−/+) islets, supporting an important positive role for the Munc18c protein in second-phase insulin granule exocytosis. This validation of our Munc18c (−/+) mouse is important given the conflicting exocytosis results obtained using mouse embryonic fibroblasts derived from a different Munc18c knockout model (36).

To determine if the lack of effect upon first-phase insulin release was due to the heterozygosity of the islets and mere ∼40–50% reduction of Munc18c protein, the abundance of Munc18c was further decreased by using siMunc18c-Ad to deplete Munc18c (−/+) islets. From siMunc18c-transduced Munc18c (−/+) islets, Munc18c protein expression was reduced by an additional 55% compared with levels present in the siCon-transduced Munc18c (−/+) islets (Fig. 4,A and B), cumulatively reducing the endogenous Munc18c protein content by ∼75% compared with wild-type islet Munc18c protein content. Syntaxin 4 and VAMP2 levels were unaffected by siMunc18c-Ad transduction (Fig. 4,B). When subjected to islet perifusion analysis, siMunc18c-transduced Munc18c (−/+) islets exhibited a significant reduction in second-phase GSIS compared with siCon-transduced Munc18c (−/+) islets (Fig. 4 C and D) or wild-type islets (red trace). Comparison of area under the curve calculated as representing first-phase secretion among wild-type (7.0 ± 0.3) nontransduced Munc18c (−/+) islets (6.0 ± 0.6), siCon-Ad–transduced Munc18c (−/+) islets (6.6 ± 0.6), and siMunc18c-Ad–transduced Munc18c (−/+) islets (5.3 ± 0.7) showed a small effect of Munc18c dosage as well (P < 0.05, wild-type vs. siMunc18c-Ad–transduced Munc18c (−/+) islets), albeit the more dramatic defect appeared to be in the second phase.

The reduction of second-phase GSIS from Munc18c (−/+)- or siMunc18c-transduced islets could result from impairment in one or multiple steps involved: granule mobilization from internal storage pools to the cell surface, granule docking/priming, or fusion of the granules with the plasma membrane. To discriminate between these possible steps, we began by assessing granule locale by electron microscopy within MIN6 cells transduced with siCon-Ad or siMunc18c-Ad. Because of the paucity of material obtainable from primary islet cells, MIN6 cells were used as a model system for mechanistic studies because they fully recapitulated the requirement for Munc18c in GSIS and are considered to be one of the clonal lines that has retained some level of biphasic secretion. Granule location with respect to distance from the plasma membrane was tabulated for each condition (siCon versus siMunc18c under basal and glucose-stimulated conditions) and grouped into one of three categories: localized within 50 nm, between 50 and 300 nm, or >300 nm from the plasma membrane. Granules located in the <50-nm group have been termed “morphologically docked” in the literature (18). Criteria for counting included the visualization of viral particles as confirmation of transduction and presence of the plasma membrane and of the nucleus in each field. Granule mobilization to the plasma membrane in MIN6 cells becomes evident as early as 5 min after glucose stimulation (34), consistent with the reported onset of a second phase beginning after 6 min in this cell line and also with the concept that mobilization events must begin during the first phase to sustain secretion. As shown in Fig. 5,A, granules juxtaposed to the plasma membrane were clearly visible in the siCon-transduced cells that had been stimulated with glucose for 5 min compared with unstimulated/basal (Fig. 5,A, panels 1 and 2); this was similar in micrographs prepared from cells stimulated for either 5 or 30 min (Fig. 5,A, panels 2 and 3). In contrast, glucose-stimulated siMunc18c-Ad–transduced cells contained significantly fewer granules within the 50-nm range (Fig. 5,A, panels 5 and 6, and B), although the total number of granules within each field of siCon-Ad and siMunc18c-Ad cells was similar (Fig. 5,C). Analysis of granules in the more distant categories showed that in siMunc18c-Ad cells, a significant proportion of total granules remained >300 nm from the plasma membrane, even after glucose stimulation. Interestingly, there were no observable differences in granule proximity to the plasma membrane in unstimulated siCon-Ad or siMunc18c-Ad cells (Fig. 5 A, panel 1 vs. 4, and B). These data suggested that glucose-induced granule movement toward the plasma membrane in Munc18c-depleted cells was reduced and could represent a mechanism by which to explain the deficit in second-phase GSIS.

The reduction in granule number in close proximity to the plasma membrane in glucose-stimulated siMunc18c-transduced cells could have resulted from a failure of the granules to be retained at the plasma membrane via docking with Syntaxin 4 and/or of their failure to progress toward the plasma membrane. To test the first possibility, that Munc18c depletion impaired docking/fusion of VAMP2-bound insulin granules with Syntaxin 4 at the plasma membrane, MIN6 cells were adenovirally transduced and detergent lysates of plasma membrane fractions (Fig. 6,A) or cleared detergent cell lysates (Fig. 6,B) prepared there from were used in anti–Syntaxin 4 immunoprecipitation reactions. Glucose stimulated a 1.8-fold increase in VAMP2 association with Syntaxin 4 in plasma membrane fractions prepared from siCon cells (Fig. 6,A); no increase was seen in fractions from siMunc18c cells. Anti–Syntaxin 4 co-immunoprecipitated ∼50% less Munc18c protein from siMunc18c-Ad plasma membrane fractions, consistent with the ∼50% reduction of Munc18c protein from the plasma membrane compartment. Similar results were obtained using cleared detergent cell lysates prepared from siCon-Ad– or siMunc18c-Ad–transduced MIN6 cells (Fig. 6,B); the glucose-stimulated increase in VAMP2–Syntaxin 4 association was only observed in siCon-treated lysates and not in siMunc18c-treated lysates (Fig. 6 B). These data supported the notion that Munc18c was necessary for the glucose-induced steps at the plasma membrane that precede docking and/or fusion, although this assay cannot distinguish between effects upon docking (trans-SNARE complexes) versus fusion (cis-SNARE complexes).

To distinguish whether Munc18c was required to facilitate a glucose-induced increase in the Syntaxin 4 accessibility to VAMP2 docking, exogenous GST-VAMP2 (soluble form) protein linked to sepharose beads was added to cleared detergent cell lysates to “probe” for accessible Syntaxin 4, i.e., Syntaxin 4 that was available for binding. From siCon-transduced MIN6 cells stimulated with glucose, the GST-VAMP2 was able to co-precipitate significantly more Syntaxin 4 protein compared with that from unstimulated cells (Fig. 7,A and B). In contrast, siMunc18c–transduced cell lysates lacked this glucose-stimulated increase in Syntaxin 4 association with GST-VAMP2. Syntaxin 4 immunoblotting of lysate input indicated lack of effect of siRNA adenoviral expression or of glucose treatment upon Syntaxin 4 protein abundance (Fig. 7,A, lanes 1–4). Anti-GST immunoblotting indicated that equal levels of GST-VAMP2 protein were precipitated (Fig. 7 A, lanes 5–8). Thus, these results suggested that Munc18c played an essential role in transitioning Syntaxin 4 into a more accessible conformation for its subsequent docking with VAMP2 in response to the glucose stimulus.

In a previous study, Munc18c heterozygous (−/+) mouse islets were found to exhibit significantly impaired GSIS under static incubation conditions (29), although the phase affected and the underlying mechanistic defect was undetermined. In this follow-up study, Munc18c protein was found to function selectively in the second phase of GSIS, also referred to as the mobilization phase. In agreement with this finding, our electron microscopy studies revealed a novel requirement for Munc18c in the glucose-mediated mobilization toward/retention of granules at the plasma membrane. Consistent with a role in capture/retention of granules at the plasma membrane, Munc18c was found to be key in facilitating the glucose-stimulated “activation” of Syntaxin, to increase its accessibility to VAMP2. Taken together, these data suggest new positive roles for Munc18c in predocking events that may underlie its requirement in the second phase of GSIS.

To the best of our knowledge, this is the first report to differentiate the need for an SM protein such as Munc18c in Syntaxin 4 accessibility, a step we refer to as “Syntaxin 4 activation,” from other steps such as vesicle capture (tethering)/docking/fusion. For example, it has recently been shown that depletion of the Munc18a isoform from INS-1 cells reduces both GSIS and KCl-stimulated secretion from INS-1 cells coordinate with reducing the number of granules present in the total internal reflection fluorescent microscopy (TIRFM) zone at the plasma membrane. Based on this, it was concluded that the role of Munc18a was in vesicle tethering/docking. Similarly, both Munc18a and the nematode SM protein unc-18 are labeled as docking factors, since their depletion from their respective cell types reduced the number of docked release-ready vesicles at the plasma membrane (37,–39). Interestingly, the SM protein Vps45 was shown to be required for t-SNARE participation in SNARE complexes (40), but as with all of the aforementioned studies, this could not be distinguished from effects upon mobilization. Given that the only role for SM proteins to date is related to their rich abundance at the plasma membrane (to which they associate in large part due to their high-affinity binding to their cognate Syntaxin partners), declaring the role(s) of the SM proteins to be at the plasma membrane is reasonable. Our data are consistent with these examples, but clearly distinguished this new mechanistic role for Munc18c in Syntaxin 4 activation in particular because the assay used was not confounded by differential granule abundance at the plasma membrane.

Even with our demonstration for a clearly defined role for Munc18c at the plasma membrane in Syntaxin 4 activation, there are several reasons why Munc18c may also be involved in granule mobilization. First, ∼50% of cellular Munc18c resides in the cytosolic compartment in the absence of Syntaxin 4, yet its function in this compartment remains unknown (8). Second, the exocytosis events in which Munc18c is required, i.e., second-phase GSIS and insulin-stimulated GLUT4 vesicle translocation, are relatively slow and sustained events compared with the rapid synaptic vesicle exocytosis and first-phase insulin release events that require Munc18a. Third, second-phase GSIS and insulin-stimulated GLUT4 vesicle translocation involve relatively long-distance granule mobilization events, compared with the short-range docked-primed transition event or the docking of granules already present in the plasma membrane–localized readily releasable pool to support first-phase insulin release or rapid neurotransmitter release. Fourth, Munc18c depletion failed to affect granule distribution in unstimulated cells, consistent with its lack of effect on first-phase secretion, which has been shown to be supported by the release of granules from the readily releasable pool at the plasma membrane (18). Our electron microscopy studies revealed that in Munc18c-depleted cells, the majority of granules remained furthest from the plasma membrane after either 5 or 30 min of glucose stimulation, rather than showing enrichment in the 50- to 300-nm pool. While it is intriguing to suggest that granules were not mobilized from the deeper storage pools of the cell, one cannot exclude testing the possibility that in the absence of adequate Munc18c levels at the plasma membrane, granules mobilized to the plasma membrane then “bounced” and reentered the more distal granule storage pools. Indeed, a reduced retention time of vesicles was noted in Munc18a null chromaffin cells (41).

Although Syntaxin 1A is required for only one phase of insulin release (17), Syntaxin 4 facilitates both phases of insulin secretion (8), and, as such, we had initially predicted that Munc18c would also be required for both phases. This discrepancy could be explained in two ways: 1) first-phase secretion is elicited from predocked granules, so the need for Syntaxin 4 activation or granule mobilization was alleviated; and 2) the reminiscent ∼25% of Munc18c protein in the Munc18c (−/+) + siMunc18c-Ad islets was sufficient to activate that quotient of Syntaxin 4 required for the first phase, since exocytotic events of first phase are shared with Syntaxin 1 and its cognate Munc18a protein. Whereas the second possibility will require a β-cell–specific null Munc18c knockout model to obtain nearly full Munc18c depletion to assess its requirement in first-phase insulin release, the first possibility mentioned above is certainly compatible with the current concept of vesicle docking.

Other proposed mechanisms for SM proteins have included chaperoning Syntaxin to the plasma membrane (40) as well as in bridging Syntaxin-VAMP2 interactions directly. However, our data here showed that Syntaxin 4 abundance at the plasma membrane was unimpaired in cells depleted of Munc18c, and we and others have previously shown that heteromeric Munc18c-Syntaxin 4–VAMP2 complexes are undetectable in cell and tissue lysates (34,42). Nevertheless, the studies presented here aimed to test the proposed mechanism for SM proteins in transitioning their cognate syntaxins to an “open” state that is more accessible to the other SNARE proteins to promote SNARE core complex assembly (rev. in 23). The present studies support this model, which we and others have proposed to involve stimulus (glucose)-induced tyrosine phosphorylation of Munc18c and additional participation of non-SNARE factors to elicit transient conformational changes in Syntaxin 4 (32,34,43,44).

Factors such as Doc2β, RalA-GTPase, and Munc13-1 have been implicated in biphasic insulin release. For example, RalA depletion in mouse β-cells inhibited both phases of insulin release, attributed to insufficient readily releasable pool size as well as defective granule mobilization to support second-phase exocytosis (45). Munc13-1 was shown to be required for the sustained release of insulin upon prolonged stimulation (46). Munc13-1 can bind to a discrete NH₂-terminal domain of Doc2β, and Doc2β can bind to Munc18a and Munc18c through its C2A and C2B domains, respectively (47,48). In islet β-cells, Doc2β preferentially binds to the tyrosine-phosphorylated form of Munc18c (34). Furthermore, glucose-stimulated tyrosine phosphorylation of Munc18c correlates with its transient dissociation from Syntaxin 4 (32), although whether this transient dissociation induces the conformational change in Syntaxin 4 to increase accessibility to VAMP2 remains to be determined. Lastly, serine/threonine phosphorylation of Munc18c has also been shown to induce dissociation of Munc18c from Syntaxin 4 in pancreatic acinar cells (49), and this is somewhat analogous to the protein kinase C–induced serine/threonine phosphorylation of Munc18a and its dissociation from Syntaxin 1A (50). Given these findings for Munc18a and those presented here for Munc18c, future investigations will be required to determine if Munc18a and Munc18c actions work in concert to control biphasic insulin secretion. Given that novel drug targets will be required to improve exocytotic function in islet β-cells and in skeletal muscle cells of type 2 diabetic patients, our data showing conservation of Munc18c function between exocytotic mechanisms in these two tissue types may point to Munc18c or its novel accessory proteins as new and potentially attractive targets.

This work was supported by National Institutes of Health (NIH) grants DK067912 and DK076614 to D.C.T. and the American Heart Association Postdoctoral Fellowship 0720042Z to E.O.

No potential conflicts of interest relevant to this article were reported.

We thank John Hutton for the gift of MIN6 β-cells and Jenna L. Jewell for providing GST-VAMP2 protein and for critical review of this manuscript. Assistance from the Indiana University School of Medicine Electron Microscopy Center was invaluable.