Synaptotagmin 2 Couples Mucin Granule Exocytosis to Ca2+ Signaling from Endoplasmic Reticulum*

Synaptotagmin 2 (Syt2) functions as a low affinity, fast exocytic Ca2+ sensor in neurons, where it is activated by Ca2+ influx through voltage-gated channels. Targeted insertion of lacZ into the mouse syt2 locus reveals expression in mucin-secreting goblet cells of the airways. In these cells, rapid Ca2+ entry from the extracellular medium does not contribute significantly to stimulated secretion (Davis, C. W., and Dickey, B. F. (2008) Annu. Rev. Physiol. 70, 487–512). Nonetheless, Syt2–/– mice show a severe defect in acute agonist-stimulated airway mucin secretion, and Syt2+/– mice show a partial defect. In contrast to Munc13-2–/– mice (Zhu, Y., Ehre, C., Abdullah, L. H., Sheehan, J. K., Roy, M., Evans, C. M., Dickey, B. F., and Davis, C. W. (2008) J. Physiol. (Lond.) 586, 1977–1992), Syt2–/– mice show no spontaneous mucin accumulation, consistent with the inhibitory action of Syt2 at resting cytoplasmic Ca2+ in neurons. In human airway goblet cells, inositol trisphosphate receptors are found in rough endoplasmic reticulum that closely invests apical mucin granules, consistent with the known dependence of exocytic Ca2+ signaling on intracellular stores in these cells. Hence, Syt2 can serve as an exocytic sensor for diverse Ca2+ signaling systems, and its levels are limiting for stimulated secretory function in airway goblet cells.

Mucin secretion in the airways of the lungs is crucial for clearance of inhaled particulates and pathogens (1). However, mucin hypersecretion is a leading cause of mortality in common diseases such as asthma and cystic fibrosis (2). Thus, tight control of mucin secretion is critical for lung homeostasis. Airway mucin secretion is stimulated by triphosphate nucleotides secreted into the extracellular lumenal liquid layer (3). These bind to epithelial apical P2Y 2 receptors that activate G q , which in turn activates phospholipase C␤ 1 generating the intracellular second messengers diacylglycerol and inositol trisphosphate (IP 3 ). 3 Diacylglycerol directly induces mucin granule exocytosis by activating the priming protein Munc13-2 (4), and indirectly regulates exocytosis by activating protein kinase C⑀ (5). IP 3 induces the release of Ca 2ϩ from intracellular stores, resulting in a rise in cytoplasmic Ca 2ϩ that rapidly triggers mucin granule exocytosis (6 -9). However, the precise mechanism by which a rise in cytoplasmic Ca 2ϩ is coupled to exocytosis in goblet cells is not known.
Synaptotagmins (Syts) are a family of structurally related proteins of which several are known to mediate Ca 2ϩ -dependent exocytosis. Syts are composed of a short intravesicular amino terminus, a transmembrane domain, a variable linker region, and two conserved C 2 domains near the carboxyl terminus (10,11). There are at least 15 Syt family members encoded in mammalian genomes. Of these, eight (Syt1-3, -5-7, -9, and -10) display Ca 2ϩ -dependent phospholipid binding that is thought to be essential for Ca 2ϩ -dependent exocytosis (12)(13)(14)(15)(16). A subset of three of these (Syt1, -2, and -9) binds Ca 2ϩ with low affinity (ϳ10 M) and high cooperativity (n ϭ 5) and functions as fast, synchronous Ca 2ϩ sensors in neurons (16). Syt1 mediates synchronous synaptic vesicle release in forebrain neurons, and also mediates rapid exocytosis in adrenal chromaffin cells (15,16). Like neurons, chromaffin cells express voltage-gated Ca 2ϩ channels activated by neurotransmitter-induced depolarization. Syt2 mediates synchronous synaptic vesicle release in hindbrain neurons and at the neuromuscular junction (14,17), but it has not been previously known to function outside the nervous system. Syt9 mediates synchronous synaptic vesicle release from limbic and striatal neurons (16), and it also functions in dense core granule release from the PC12 chromaffin cell line (18 -20) and insulin release from pancreatic islet cells (21,22). In islet cells, membrane depolarization and opening of voltage-gated Ca 2ϩ channels is induced by closure of K ATP channels when blood glucose is elevated. To our knowledge, there has been no analysis of the function of a low Ca 2ϩ affinity, fast Syt in a nonexcitable cell (i.e. a cell not expressing voltagegated Ca 2ϩ channels).
Mice-Generation of a syt2 null allele was described previously (14). Mice carrying this allele were backcrossed for 11 generations onto a C57BL/6 background and studied at the M. D. Anderson Cancer Center in accordance with its Institutional Animal Care and Use Committee. Mice with an ankyrin-B null allele have been carried on a C57BL/6 background (27) and were studied at the University of North Carolina, Chapel Hill, in accordance with its Institutional Animal Care and Use Committee. Experimental animals and wildtype (WT) littermate controls were obtained from heterozygous crosses. For immunoblot and histochemical analyses, mice were euthanized by CO 2 asphyxiation, and their lungs were harvested.
Human Tissue-Human lung tissue was obtained from normal and cystic fibrosis patients according to the guidelines of the Committee on the Protection of the Rights of Human Subjects of the University of North Carolina, Chapel Hill. The lung tissue was either immediately frozen in OCT embedding medium (Sakura) on dry ice, fixed in 10% neutral buffered formalin, or fixed in buffered aldehyde (2% glutaraldehyde and 2% paraformaldehyde).
Histochemistry of Mouse Tissues-For ␤-galactosidase staining, lungs from adult Syt2 heterozygous mutant mice and WT controls were fixed in 0.2% glutaraldehyde, incubated with X-gal, dehydrated, embedded in paraffin, sectioned, deparaffinized, rehydrated, and counterstained with treosin as described (14) or co-stained immunohistochemically for CCSP as described (24) and then examined by bright field microscopy. For immunocolocalization of ␤-galactosidase with cell lineage markers, tissues from neonatal homozygous mutant mice and WT controls were fixed with 4% paraformaldehyde, embedded in paraffin, sectioned, deparaffinized, and labeled with antibodies against ␤-galactosidase, CCSP, and acetylated tubulin as described (28) and then examined by fluorescence microscopy.
Mucin Secretion in Mouse Airways-The apical secretory cells of the intrapulmonary airways of mice and the small distal airways of humans lack histochemically apparent mucin under base-line healthy conditions, although intracellular mucin can be demonstrated using sensitive immunohistochemical techniques (4,24,29,30). Under base-line conditions, these airway secretory cells are often termed Clara cells (24). When production of gel-forming polymeric mucins is increased by allergic or infectious inflammation, intracellular mucin becomes histochemically apparent under the rubric "mucous metaplasia," and these airway secretory cells are generally termed goblet or mucous cells although they continue to express the Clara cell marker CCSP (24,30). The secretory cells of the large airways of humans often contain histochemically apparent mucin even under base-line conditions (30). To induce mucous metaplasia in mouse airways for the measurement of mucin secretion, post-natal day 16 pups and their mothers were exposed for 60 min to an aerosolized solution of 0.225 mg/ml human IL-13 (Wyeth) in PBS generated by an AeroMist CA-209 nebulizer (CIS-US) driven by 10 liters/min of 5% CO 2 in air to increase ventilation, with a calculated deposition of 0.5 g of IL-13 per mouse. Three days later, mice were exposed to a 100 mM aerosol of ATP in PBS for 5 min to induce mucin secretion (24), then euthanized by CO 2 asphyxiation, and their lungs harvested. Mucous metaplasia was also induced in adult heterozygous mice by ovalbumin sensitization and challenge as described (24), and mucin secretion was stimulated with aerosolized ATP as for the pups. Intracellular epithelial mucin was measured before and after ATP stimulation by staining with periodic acid-fluorescent Schiff's (PAFS) reagent, as described (24). In brief, lungs were fixed with 4% paraformaldehyde in 0.1 M phosphate buffer (pH 7.2) infused through a tracheal cannula at 21°C, then removed from the thoracic cavity, and further fixed overnight at 4°C, embedded in paraffin, sectioned, and stained for fluorescence microscopy. Data are presented as the volume of intracellular mucin per surface area of the basement membrane, which is derived as the ratio of epithelial area with red fluorescence staining to total epithelial area divided by a boundary length measurement that is a product of the total epithelial area, the basement membrane length, and the geometric constant 4/ to yield an idealized cylindrical cell (24).
Confocal Microscopy of Human Tissues-For IP 3 -R immunohistochemistry, formalin-fixed human lung tissue was dehydrated and embedded in paraffin; sections were cut at 5 m, deparaffinized, and rehydrated. For the other antibodies, frozen sections were fixed in cold 100% methanol for 10 min, washed with PBS, blocked with 3% bovine serum albumin in PBS for 2 h at 21°C, and incubated with primary antibody overnight at 4°C and then the appropriate secondary antibody for 1 h at 21°C, both diluted in blocking solution. Immunofluorescence was visualized using a Leica SP2 or Zeiss 510 laser scanning confocal microscope, and oil immersion 40ϫ Apochromat and 63ϫ plan-Apochromat objectives (1.25 and 1.4 NA, respectively), with excitation from a 488-nm argon and a 568-nm krypton laser (Leica SP2) or a 543-nm HeNe laser (Zeiss 510). Photomultiplier gains and offsets for the two fluorescence channels were adjusted to minimize cross-talk, and differential interference microscopy was used in a third channel for general morphology. Simple PCI (Compix) and Zeiss 510 imaging software were used for image analysis and quantitation. For each experiment, the immunostaining procedure was repeated a minimum of three times using tissue from at least three subjects, at least one of which came from a patient with non-cystic fibrosis. The images and protein distributions presented are fully representative, and there were no apparent differences in the described parameters between cystic fibrosis and non-cystic fibrosis tissues.
Electron Microscopy-Aldehyde-fixed human lung tissue was post-fixed in 1% OsO 4 for 1 h at 4°C, dehydrated, immersed two times in propylene oxide for 20 min, then infiltrated with Epon resin, and polymerized. Sections of 90 nm were cut onto copper grids, stained with uranyl acetate followed by lead citrate, and viewed with a Zeiss EM900 transmission electron microscope.

RESULTS
Syt2 Expression in Airway Epithelium-We found Syt2 in the lungs of WT but not null mice by immunoblot analysis (Fig.  1A), raising the possibility that Syt2 serves as an exocytic Ca 2ϩ sensor in secretory epithelial cells. Syt2 null mice had been generated by knocking IRES-lacZ with a nuclear localization signal into the syt2 locus under the transcriptional control of the native Syt2 regulatory elements (14). We found X-gal staining in the nuclei of non-ciliated cells of the bronchial epithelium of neonatal (Fig. 1B) and adult (data not shown) heterozygous mice. Localization of Syt2 to airway secretory (Clara) cells was confirmed by colocalization of X-gal ϩ nuclei within CCSP ϩ cells (24) (Fig. 1C). By dual immunofluorescence colocalization, ␤-galactosidase was detected in the nuclei and cytoplasm of virtually all CCSP-labeled airway epithelial secretory cells ( Fig.  1D and supplemental Fig. 1) but no acetylated tubulin-labeled ciliated cells (Fig. 1E). Despite localizing Syt2 expression to airway secretory cells through analysis of lacZ expression, we were unable to detect Syt2 immunohistochemically in the airways of WT mice even though it can be readily detected in neurons (14,17). This suggests that the level of Syt2 protein in airway secretory cells is less than in neurons.
Mucin Secretory Function in Syt2 Null Mice-We analyzed airway secretory cell function by measuring the release of intracellular mucin after stimulation with the strong secretagogue ATP. Because the small amount of intracellular mucin present within the secretory cells of mouse airways under base-line uninflamed conditions is not visible histochemically (see "Experimental Procedures"), we first increased polymeric gelforming mucin production with IL-13 (i.e. induced mucous metaplasia) (24). syt2 null mice have severe motor dysfunction and die at the time of weaning (P19 -P24) (14), so post-natal day 16 pups of mixed genotypes and their heterozygous mothers were exposed to an IL-13 aerosol. This led to robust mucin gene expression in all genotypes, apparent as abundant intracellular PAFS staining 3 days after IL-13 exposure ( Fig. 2A, top row), compared with faint patchy PAFS staining in mice of all genotypes not exposed to IL-13 (data not shown). We then stimulated mucin secretion by activating P2Y 2 receptors with an ATP aerosol. The airway epithelial cells of WT pups secreted most of their PAFS-positive intracellular mucin within 5 min. In contrast, the epithelial cells of homozygous null pups showed a severe mucin secretory defect, and those of heterozygous pups showed an intermediate phenotype (Fig. 2). The heterozygous mothers exposed to the IL-13 aerosol showed a similar mucin secretory defect in response to the ATP aerosol (data not shown), and heterozygous adult mice of both sexes with mucous metaplasia induced by ovalbumin sensitization and challenge also showed a comparable secretory defect (Fig. 3).
Proximity of ER to Mucin Secretory Granules-ATP-stimulated elevations in cytoplasmic Ca 2ϩ in airway goblet cells are due primarily to IP 3 -mediated release from intracellular stores (3,7,9). IP 3 typically acts on Ca 2ϩ -release channels in the ER in non-muscle cells, so we examined the localization of ER in cells of human airway epithelium using antibodies to PDI whose specificity in lung tissue was verified by immunoblot analysis (supplemental Fig. 2A). Immunostaining of lung sections showed ER distributed around the nuclei of basal, ciliated, and FIGURE 1. Syt2 is expressed in airway secretory (Clara) cells. A, Westernblotted lung homogenates from WT (ϩ/ϩ), heterozygous (ϩ/Ϫ), and null (Ϫ/Ϫ) mutant mice were probed with rabbit polyclonal antibodies against Syt2. A single band was observed in WT and heterozygous mouse lung tissue at ϳ65 kDa. B, bronchial airways of WT and heterozygous mutant mice with lacZ knocked into the syt2 locus were stained with X-gal (blue) and then counterstained with treosin (red). Blue staining is observed only in heterozygous mice in cells that do not contain ciliated tufts. Scale bar in all tissue sections ϭ 10 m. C, bronchial airways of WT and heterozygous mutant mice were stained with X-gal (blue) and then immunostained with rabbit polyclonal antibodies against mouse CCSP developed with diaminobenzidine (brown). Blue staining is observed in association with brown-stained Clara cells. D, bronchial airways of null mice were labeled with antibodies against ␤-galactosidase (red) and CCSP (green), and nuclei were labeled with 4Ј,6-diamidino-2phenylindole (blue). Both red and green labeling are observed in Clara cells (arrowheads), alternating with ciliated cells that are not labeled with either antibody (arrows). Control WT mice show no red labeling (supplemental Fig.  1). E, bronchial airways of null mice were labeled with antibodies against ␤-galactosidase (red) or acetylated tubulin (green), and nuclei were labeled with 4Ј,6-diamidino-2-phenylindole (blue). Red labeling is observed in Clara cells that are not labeled with acetylated tubulin antibodies (arrowheads), whereas green labeling is observed in ciliated cells that are not labeled with ␤-galactosidase antibodies (arrows). APRIL 10, 2009 • VOLUME 284 • NUMBER 15

JOURNAL OF BIOLOGICAL CHEMISTRY 9783
goblet cells and throughout the cytoplasm of goblet cells apical to the nuclei (Fig. 4A). The heavy staining of goblet cells for PDI is consistent with the demands of synthesizing disulfide-linked polymeric mucins (31). Ca 2ϩ is heavily buffered in the cytoplasm, so changes in concentration are highly localized. Because Syt proteins are localized on the cytoplasmic surface of secretory vesicles (3), we examined the proximity of ER to mucin granules in goblet cells using confocal microscopy and antibodies against mature MUC5AC (matMUC5AC), the predominant secreted polymeric mucin of human airway epithelium (2). The PDI-positive ER apical to the nuclei of goblet cells surrounded matMUC5AC-positive mucin granules with little overlap of the two signals in the scattergram generated from the merged images (Fig. 4A).
ER in Goblet Cells Is Predominantly Rough ER-Airway goblet cells specialize in synthesis, storage, and secretion of polymeric mucins, so they could be expected to contain predominantly rough ER. To identify rough ER, human lung sections were labeled with antibodies to the immature, nonglycosylated form of MUC5AC (immatMUC5AC) (31). Confocal microscopy showed extensive colocalization of immatMUC5AC and PDI (Fig. 4B). By electron microscopy, the apical ER was seen to closely invest mucin granules, and confirmed to be predominantly rough ER ( Fig. 4C and Fig. 6A). Golgi cisternae (Fig. 4E) and mitochondria (Fig. 6A) were interspersed among the ER and granules, similar to what we have observed in mouse airways (24).
Localization of IP3-R to ER Adjacent to Mucin Granules-IP 3 -Rs have generally been localized to ER in secretory cells, but they have also been reported on secretory granules and plasma membrane (32)(33)(34). Human lung sections probed with a pan-IP 3 -R antibody that is highly specific in lung tissue (supplemental Fig. 2B) showed a broad distribution of immunoreactivity in basal, goblet, and ciliated cells (Fig. 5A). In goblet cells, IP 3 -R colocalized with the ER marker PDI (Fig. 5A), as expected. Presumably, membrane-localized IP 3 -R appears to colocalize with lumenal PDI because of the sub-microscopic nature of the ER. Because mucin secretory granules are much larger (ϳ0.5-1 m), it was necessary to determine whether a granule surface marker would also appear to colocalize with matMUC5AC before testing whether IP 3 -R is expressed on granule membranes. We found that Rab3D, a small GTPase implicated in regulated exocytosis that resides on the surface of secretory granules (24), has a distribution that correlated closely with that of matMUC5AC (Fig. 5B), indicating that granule lumenal and membrane proteins are indistinguishable under the optical conditions of these experiments. Finally, we found that IP 3 -R and matMUC5AC resolve independently in co-stained images (Fig. 5C), indicating they populate distinct organelles. Hence, these data suggest that Ca 2ϩ is released predominantly from the ER. Notably, the ER distributes to the vicinity of the apical membrane (Fig. 6A), positioned to provide Ca 2ϩ locally to activate granules near exocytic docking sites.

Syt2 as the Major Stimulated Exocytic Ca 2ϩ Sensor in Airway
Goblet Cells-Our results indicate that Syt2 mediates Ͼ90% of acute mucin secretion in response to extracellular signals in airway goblet cells. Syt2 is one of three low affinity Ca 2ϩ sensors that trigger fast synaptic vesicle release in neurons, together with Syt1 and Syt9 (16,17). Of these, Syt2 is the fastest and is FIGURE 2. Syt2 mediates stimulated mucin secretion. A, bronchial airways of WT, heterozygous, and homozygous mutant P19 mice that had had been exposed 3 days earlier to aerosolized IL-13 to induce mucous metaplasia (top row), then exposed to aerosolized ATP to induce mucin secretion (bottom row), were stained for intracellular mucin with PAFS (orange). Scale bar, 10 m. B, intracellular mucin content of bronchial airways from three experiments such as that in Fig. 2A, which included at least three pups of each genotype and five sections from each airway, was measured and analyzed. C, data from B are replotted as the percentage of intracellular mucin released for each genotype relative to WT. FIGURE 3. Airway mucin secretion is impaired in heterozygous Syt2 mutant adult mice. A, mucous metaplasia was induced in the airways of WT and heterozygous adult mice of both sexes by intraperitoneal sensitization and aerosol challenge with ovalbumin. Three days later, secretion was stimulated by exposure to aerosolized ATP, and retained intracellular mucin was measured by PAFS staining as in Fig. 2. There was no difference in intracellular mucin content between heterozygous and WT mice in the absence of mucous metaplasia (ϳ1 nl/mm 2 , not shown) or in mice with mucous metaplasia prior to stimulation with the ATP aerosol (ϳ12 nl/mm 2 , black bars). However, heterozygous mice released only half as much mucin as WT mice after ATP stimulation (white bars). Shown are the results of a representative experiment that was performed three times with similar results. B, data from A are replotted as the percentage of intracellular mucin released for each genotype relative to WT.

Syt2 in Airway Goblet Cells
expressed at synapses specialized for precise responses such as the calyx of Held (17). It is striking that Syt2 also serves as an exocytic Ca 2ϩ sensor in goblet cells where the kinetics of stimulated exocytosis are measured in hundreds of milliseconds (35,36) rather than the Ͻ2-ms time course of synchronous evoked synaptic vesicle release (10,37). In goblet cells, the low affinity and high cooperativity of Ca 2ϩ binding by Syt2 might ensure primarily the fidelity rather than the speed of signaling, in view of the danger of airway obstruction from excessive acute mucin release. For example, in death from asthma, asphyxiation occurs because of widespread plugging of airways with mucus (2). Similarly, airway liquid volume is tightly regulated by purinergic signaling with serious consequences to dysregulation in diseases such as cystic fibrosis (1).
Limitation of Goblet Cell Secretory Function by Syt2 Expression-Another striking finding of our studies is that acute airway mucin secretion in response to extracellular signals is reduced by ϳ50% in heterozygous null mice. The dependence of regulated exocytosis on Syt2 levels in goblet cells (Figs. 2 and 3) but not neurons (14,17) could reflect a lower level of expression in goblet cells, differences in accessory proteins, or differences in physical properties of the systems. One such latter possibility is the greater size of mucin granules (ϳ500 nm diam-eter) relative to synaptic vesicles (ϳ40 nm diameter) if Syt2 is distributed over the granule surface, and the cooperation of several SNARE-Syt complexes is required for membrane fusion, as suggested (10,11,38). In addition, a relatively low level of expression of Syt2 in goblet cells is indicated by our inability to detect Syt2 immunohistochemically in the airway, although we are readily able to detect it in neurons (14,17) and mast cells. 4 Because Syt2 inhibits exocytosis when not fully liganded by Ca 2ϩ (14,17,39,40), a low level of Syt2 expression in airway goblet cells could have adaptive value by allowing base-line mucin secretion through attenuation of this inhibitory function at resting cytoplasmic Ca 2ϩ concentration (see comparison with Munc13-2 null mice, below). In contrast, spontaneous secretion by neurons reduces the fidelity of neural signaling, and spontaneous secretion by mast cells would induce inflammation, so there could be adaptive value to tightly constraining unstimulated release from these cell types through high levels of Syt2 expression.
Coupling of Syt2 to Intracellular Ca 2ϩ Stores-Despite the different mechanisms of Ca 2ϩ elevation in goblet cells compared with neurons and other excitable cells, the Ca 2ϩ dependence (EC 50 ϭ 5.5 M) of Syt2 binding to phospholipids (41) fits well with IP 3 -induced Ca 2ϩ concentrations (10 M) in the vicinity of the exocytic machinery we have estimated in goblet cells (6). IP 3 -Rs localized in the ER of goblet cells are in close apposition to secretory granules that presumably contain the Ca 2ϩ sensor Syt2 (Figs. 4 -6) (42), consistent with prior evidence in goblet cells for a proximity of Ca 2ϩ channels to the exocytic Ca 2ϩ sensor Ͻ50 nm using the fast Ca 2ϩ buffer 1,2-bis(2-aminophenoxy)ethane-N,N,NЈ,NЈ-tetraacetic acid (6). These findings, together with the presence of mitochondria (Fig. 6A) (24,43) that have well established roles in Ca 2ϩ homeostasis (33,44), indicate that the machinery for generating and responding to an exocytic Ca 2ϩ signal are colocalized in the apical pole of goblet cells, where extracellular signals are sensed and mucins secreted (Fig. 6). The reliance of airway secretory cells on intracellular Ca 2ϩ stores may reflect the instability of Ca 2ϩ concentrations in airway lining fluid (45,46), which is directly exposed to the external environment and to large amounts of Ca 2ϩ released as counterions during the decondensation of highly anionic secreted mucins 4 E. Melicoff and R. Adachi, unpublished data. . ER apical to the nucleus of airway secretory cells is closely apposed to mucin secretory granules. A, frozen human lung section imaged by differential interference contrast (DIC) microscopy (left) and labeled with antibodies against the secretory granule glycoprotein mature MUC5AC (red) and the lumenal ER resident protein PDI (green). An overlay image and a scattergram of the outlined goblet cell indicating the relative intensity of red and green labels for each pixel show a lack of colocalization of the two antibodies. Basal (B), ciliated (C), and goblet (G) cells are marked. Scale bar, 16 m. B, ER in airway goblet cells is predominantly rough ER. A frozen human lung section labeled with antibodies against the newly synthesized cargo protein immature (nonglycosylated) MUC5AC (red) that labels only rough ER and antibodies against PDI (green) that labels both smooth and rough ER (31) shows a high degree of colocalization in the overlay image and scattergram. Scale identical to A. C, electron micrograph of a goblet cell from normal human lung, with the nucleus (N) marked. Scale bar, 2.5 m. D, higher magnification of the area indicated in C, with rough ER (RER) and a mucin secretory granule (SG) marked. E, neighboring area from C at the same magnification, with Golgi apparatus (Golgi) and a mucin secretory granule (SG) marked. (34). In contrast, non-exocrine secretory cells are bathed in interstitial fluid or plasma with tightly controlled Ca 2ϩ concentrations. Indeed, in airway secretory cells, capacitative Ca 2ϩ entry occurs exclusively at the basolateral surface that is exposed to interstitial fluid (9).
Lack of Base-line Mucin Accumulation in syt2 Null Mice-The airway secretory phenotype of syt2 null mice, which show no spontaneous accumulation of intracellular mucin in the absence of inflammatory metaplasia but a severe defect in stimulated mucin secretion (Fig. 2), is strikingly different from that of Munc13-2 null mice, which spontaneously accumulate intracellular mucin but have only a moderate defect in stimulated mucin secretion (4). Possible explanations include differential distribution of Syt2 and Munc13-2 on distinct secretory granule populations, or intrinsic differences between Syt2 and Munc13-2 in their mechanisms of control of a single granule population. We favor the latter based upon the known physiology of Syt2 in neurons (14,16,17), as follows.
Fast, synchronous synaptic vesicle release occurs in close temporal and spatial proximity to the elevated cytoplasmic Ca 2ϩ (ϳ10 M) associated with an action potential (10,37). Slow, asynchronous release occurs after voltage-gated Ca 2ϩ channels have closed and is thought to be triggered by residual elevations of cytoplasmic Ca 2ϩ (ϳ1 M). Spontaneous release occurs at resting levels of cytoplasmic Ca 2ϩ (ϳ0.1 M). Whereas fast, synchronous release depends upon low affinity Syts (Syt1, -2, and -9), slow, asynchronous, and spontaneous releases are instead inhibited by low affinity Syts (14,17,39,40). Nonetheless, in calyx of Held neurons, synchronous (Syt2-dependent) and asynchronous (Syt2-independent) evoked releases act on the same synaptic vesicle pool (17). By analogy, we consider it most likely that Syt2 and Munc13-2 regulate a single pool of mucin granules in airway goblet cells. Furthermore, the increase in spontaneous synaptic vesicle release at neuromuscular junctions of Syt2 null mice (14) suggests that the lack of base-line mucin accumulation in these mice might reflect a similar increase in spontaneous release because of the loss of the inhibitory action of Syt2. In contrast, unactivated Munc13-2 has no inhibitory function, so its absence results only in a partial loss of secretory function at  and rough endoplasmic reticulum (rER). This human lung specimen was fixed ϳ24 h after harvest for transplantation, and hence fixation is not optimal and internal membrane structures are not well preserved. Nonetheless, the arrays of ribosomes reveal the rough ER and show the intimate relationships between the plasma membrane, granule, rough ER, and mitochondria (M). B, pathway for activation of regulated secretion in airway goblet cells. Extracellular ligands in the airway surface liquid layer (bottom) bind to heptahelical receptors in the apical membrane that activate G q and phospholipase (PLC) ␤1, generating the second messengers diacylglycerol (DAG) and inositol trisphosphate (IP 3 ). Diacylglycerol activates the exocytic priming protein Munc13-2 (dotted blue arrow, left fork) and the exocytic regulator protein kinase C⑀ (data not shown). IP 3 induces the release of Ca 2ϩ from endoplasmic reticulum (ER) in the vicinity of mucin-containing secretory granules, activating Syt2 on the surface of secretory granules (dotted blue arrow, right fork) and coactivating Munc13 proteins (data not shown).
both base-line and stimulated levels of cytoplasmic Ca 2ϩ , with no apparent gain of function. Residual priming function at both Ca 2ϩ levels is likely mediated by Munc13-4 that is also expressed in airway goblet cells (4,47). This provides a parsimonious explanation of the available results, although additional experiments are required to further test this model.